PsychEd: Educational Psychiatry Podcast

Welcome to PsychEd, the psychiatry podcast for medical learners, by medical learners.

This episode covers the psychiatric case presentation with Dr. Justin Delwo, a staff psychiatrist at Toronto Western Hospital where he works in the emergency department and urgent care settings.

The learning objectives for this episode are as follows:

1. What is the goal of a psychiatric case presentation?
2. What are some ground rules for a case presentation?
3. What are the key sections of a case presentation and what should you include under each? 
4. How can you tailor your case presentation to the setting

Guest: Dr. Justin Delwo

Hosts: Dr. Matt Cho (PGY1), Dr. Daamoon Ghahari (PGY2), and Dr. Angad Singh (PGY2)

Audio editing: Dr. Angad Singh (PGY2)

Episode evaluation: Shelly Palchik (MS4)

Time Stamps:

(1:50) - Goals of a case presentation

(4:49) - Ground rules for presenting

(7:56) - General overview

(19:44) - Identifying Data

(23:16) - Chief complaint and reason for referral

(25:42) - History of presenting illness

(38:38) - Review of systems

(42:16) - Safety

(49:42) - Past psychiatric history

(53:54) - Medications

(55:55) - Past medical history

(59:14) - Allergies

(1:00:13) - Family psychiatric history

(1:02:07) - Personal history

(1:06:23) -  Mental status exam

(1:09:45) - Impression

(1:14:20) - Plan

(1:18:43) - Tailoring to different settings

Welcome to PsychEd, the psychiatry podcast for medical learners, by medical learners. This short episode covers how to take a substance use history

Hosts: Dr. Andrew Nguyen, Dr. Zakia Hussain, Jo Kikukawa, and Dr. Kate Braithwaite.

Audio editing: Dr. Kate Braithwaite

Resources:

Welcome to PsychEd, the psychiatry podcast for medical learners, by medical learners.

This episode covers Functional Neurological Disorder with Dr. Patricia Rosebush. Dr. Rosebush is a Professor in the Department of Psychiatry & Behavioural Neurosciences at McMaster University. She is the distinguished author of numerous articles on clinical neuroscience, including considerable work on mitochondrial disorders in mental illness and over 30 papers on catatonia, and practices consultation-liaison psychiatry at St. Joseph’s Healthcare Hamilton.

The learning objectives for this episode are as follows:

1. Provide a definition and conceptual approach to FND

2. Identify clinical signs and patient histories relevant to a diagnosis of FND

3. Describe an approach to the treatment of FND

4. Understand the special challenges of communication and collaboration in this illness

Guest: Dr. Patricia Rosebush

Hosts: Dr. Alastair Morrison, Dr. Kate Braithwaite

Audio editing: Dr. Alastair Morrison

Show notes: Dr. Kate Braithwaite

Interview content:

(02:39) Learning objectives

(03:09) Conceptualization of FND

(08:30) Underlying psychological processes

(09:35) Difference between FND and factitious disorder/malingering

(14:54) Alexithymia

(16:51) Common symptomatic presentations

(18:00) Types of underlying stressors

(19:17) Other risk factors for FND

(22:12) Communicating with patients to address stigma

(24:32) Psychotherapy in FND

(29:36) Referral pathways for patients with FND

(31:15) Prognosis of FND

(33:09) Social media and FND

Resources:

Welcome to PsychEd, the psychiatry podcast for medical learners, by medical learners.

This episode is part of the PsychEd Book Club, a forum where we discuss books of interest to psychiatry learners from a variety of disciplines. We invite you to read along with us and contribute to our discussion.

This short introductory episode gives you a heads-up about our upcoming book club on Healing: Our Path from Mental Illness to Mental Health by Thomas Insel. Stay tuned for a longer episode in a few months where we’ll share our thoughts on the book.

If you’d like to share your thoughts or questions about the book, email us at [email protected] or reach out on social media.

Hosts: Dr. Kate Braithwaite, Dr. Sophie Gregoire-Mitha, Dr. Gaurav Sharma

Audio editing by: Dr. Gaurav Sharma