MODEL PSYCHOPHARMACOLOGY CURRICULUM
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1 Eighth Edition MODEL PSYCHOPHARMACOLOGY CURRICULUM For Training Directors and Teachers of Psychopharmacology in Psychiatric Residency Programs By A Committee of the American Society of Clinical Psychopharmacology Ira D. Glick, M.D., Chair Richard Balon, M.D. Leslie Citrome, M.D. Kristina Deligiannidis, M.D. Jim Ellison, M.D. David Osser, M.D. Deepak Prabhakar, M.D. Po W. Wang, M.D. Sidney Zisook, M.D. Vishal Madaan, M.D The American Society of Clinical Psychopharmacology, Inc. Caution: Please read the User s Guide for the Curriculum (pages 10-15) before using this Curriculum.
2 1 CONTENTS USER S GUIDE TO THE CURRICULUM Background...10 Rationale Underlying the Pedagogy...11 Organization...12 How to Use the Lecture Modules...13 Consultation...15 CONTRIBUTORS ACKNOWLEDGEMENTS...16 REFERENCES & RELATED ARTICLES...17 CURRICULUM & TEACHING MATERIALS PART I: INTRODUCTION TO THE ASCP S MODEL CURRICULUM PREFACE...27 Using the Model Curriculum to Teach Psychiatric Residents, Medical Students, Primary Care Physicians and Other Health Professionals 29 RATIONALE...30 ORGANIZATION OF A PSYCHOPHARMACOLOGY PROGRAM...30 Relationship of Research to Training...31 PART II: THE CORE CURRICULUM OVERVIEW AND EDUCATIONAL OBJECTIVES...32 Knowledge...32 Skills...33 WHAT AND HOW TO TEACH...36 The Didactic Program...36 Organization of Courses and Presentations...36 Special Considerations Related to Presentations...37 Issues, Concepts and a Template...39 Specific Lecture Topics...43 Teaching Sessions on Psychosocial Topics...50
3 2 Literature Review Seminar...52 Case Conference...55 Computers and Psychopharmacology...56 General...56 Research...57 Organizations...57 Smartphones...57 Supervision...59 Introduction...59 Background...59 Rationale...59 Clinical Mentorial Teaching Using Selected Case Material...62 Supervision in Psychopharmacology Clinics, Inpatient Units and Emergency Rooms...64 Off-Label Prescribing...64 Reading Materials...65 Textbooks...65 Journals and Newsletters...65 Neuroscience Lecture Series...68 Psychopharmacology Units...69 HOW TO EVALUATE...71 Formal Examination...71 Charting Patterns...72 Evaluation by Supervisor...74 Trainee Evaluation of Supervision and of the Program...74 Accreditation Issues...75 Relevant Websites: Reevaluation...75 FINAL PEARLS...76 Professionalism...76 PART III: CURRICULA FOR SPECIAL AREAS CHILD AND ADOLESCENT PSYCHOPHARMACOLOGY...77
4 3 Child and Adolescent Lecture Series...78 Child and Adolescent Instruments and Rating Scales...79 GERIATRIC PSYCHOPHARMACOLOGY...80 Geriatric Lecture Series...80 ALCOHOL AND SUBSTANCE ABUSE PSYCHOPHARMACOLOGY...82 Alcohol and Substance Abuse Lecture Series...82 CLINICAL ALGORITHMS...86 PART IV: APPENDICES APPENDIX A: Objective Assessment Measures: Rating Scales...83 APPENDIX B: List of Other Useful Books...93 APPENDIX C: List of Additional Journals...96 APPENDIX D: Forms for Evaluation of Trainee, Clinical Supervisor, Teaching Faculty, and Of Entire Course...98 APPENDIX E: An Investigative Psychiatry Curriculum for Residents APPENDIX F: Guidelines for Pharmacotherapy Follow Up Visits and Quality of Care APPENDIX G: Psychopharmacology Algorithms APPENDIX H: Psychopharmacology and the Internet APPENDIX I: GeneMedRx Drug Interaction Software by Clinicians, For Clinicians APPENDIX J: Recommended Reading List for Residents...125
5 4 Crash Course Basic Course LECTURE COURSES Lecture Number Antipsychotics Medicine for Bipolar Disorder Theo Manschreck, M.D., MPH, James W. Jefferson, M.D. Antidepressants Anti-Anxiety Agents Drug-Drug Interactions Table (105 B) Jessica R. Oesterheld, M.D. Therapeutic Alliance and Adherence James M. Ellison, M.D., MPH Art of Psychopharmacology Ira D. Glick, M.D., Richard Balon, M.D. Psychopharmacology in the Emergency Room Michael D. Jibson, M.D. Pharmacokinetics of Psychotropic Drugs Terence A. Ketter, M.D. Treatment of Acute Schizophrenia Michael D. Jibson, M.D., Ira Glick, M.D. Bipolar Disorders (Two Parts) A 204B James W. Jefferson, M.D. Bipolar Depression Terence A. Ketter, M.D. Antidepressant Pharmacotherapy Charles DeBattista, M.D. Treatment Resistant Depression Charles DeBattista, M.D. Brain Stimulation and ECT Hugh Brent Solvason, Ph.D., M.D. Substance Abuse Eric Peselow, M.D. Evalution and Treatment of Sleep Disorders...210
6 5 Rafael Pelayo, M.D. Psychopharmacology of Violence Leslie Citrome, M.D., MPH Traumatic Brain Injury Jonathan M. Silver, M.D., Stuart C. Yudofsky, M.D., Robert Hales, M.D. Advanced Course Combining Pharmacotherapy and Psychotherapy Ira D. Glick, M.D. Mood Disorders in Women of Child Bearing Age Katherine E. Williams, M.D., Natalie Rasgon, M.D., Ph.D., Schizophrenia and Antipsychotic Medications: Mid/Long-Term Treatment Ira D. Glick, M.D. Atypical Depression Jonathan W. Stewart, M.D., Donald Klein, M.D. Panic Disorder Lorrin Koran, M.D., R. Bruce Lydiard, Ph.D., M.D. Generalized Anxiety Disorder Lorrin Koran, M.D., R. Bruce Lydiard, Ph.D., M.D. Social Anxiety Disorder/Social Phobia R. Bruce Lydiard, Ph.D., M.D., James Ellison, M.D., MPH, Lorrin Koran, M.D. Treating Obsessive Compulsive Disorder Lorrin M. Koran, M.D. Post-Traumatic Stress Disorder Thomas A. Mellman, M.D., R. Bruce Lydiard, Ph.D., M.D., Howard A. Fenn, M.D. Personality Disorders Larry J. Siever, M.D. Eating Disorders B. Timothy Walsh, M.D. Body Dysmorphic Disorder Katharine A. Phillips, M.D. Psychopharmacology and the HIV-Positive Patient Lawrence M. McGlynn, M.D., Peter H. Marcus, M.A.
7 6 LECTURE MODULES : COURSES (CONT.) Lectures Which Can Be Included In Any Course or May Be Optional Evidence Based Medicine in Mental Health James M. Ellison, M.D., MPH, Leslie Citrome, M.D., MPH Basic Neuroscience Stephen M. Stahl, M.D. Neurobiology of Psychiatric Illness Hugh Brent Solvason, Ph.D., M.D. Brain Stimulation Therapies for Treatment Resistant Depression John P. O Reardon, M.D. Herbal Psychopharmacology James W. Jefferson, M.D. Cross-Cultural Psychopharmacology Edmond H. Pi, M.D., Weiguo Zhu, M.D., Ph.D. Psychopharmacologic Treatment of Aggressive/Self Injurious Intellectually Disabled Adults David Janowsky, M.D. Clinical Ethnopsychopharmacology William B. Lawson, M.D. When and How to Use Clozapine...409, Sachin Phansalkar, M.D. Adult ADHD Shashank V. Joshi, M.D, FAAP Psychopharmacology of Sexual Dysfunction R. Taylor Segraves, M.D., Ph.D. Sexual Dysfunction Associated With Psychiatric Disorders and Psychiatric Drugs R. Taylor Segraves, M.D., Ph.D. Evaluating the Research Literature Eric Peselow, M.D. An Ethical Framework for Clinician/Industry Interactions Michael D. Jibson, M.D. Ethical Issues in Psychopharmacology Thomas Gutheil, M.D. Clinical Trials John M. Kane, M.D. Psychopharmacology in the Primary Care Setting Sarah K. Rivelli, M.D., Robert McCarron, M.D., Roger G. Kathol, M.D.
8 7 Deconstructing Drug Company Promotion Jeff Mattes, M.D. Child and Adolescent Psychopharmacology Neuropsychopharmacology Basics and Beyond Mani Pavulari, M.D., Ph.D. Maintaining the Alliance in Modern Pediatric Pharmacotherapy Practice Shashank V. Joshi, M.D, FAAP Using and Teaching Evidence-Based Medicine in Child Psychiatry Vishal Madaan, M.D. Pediatric Psychopharmacology: General Principles Shashank Joshi, M.D., Kiki Chang, M.D. Psychopharmacology of Autism Christopher J. McDougle, M.D., Christopher J. Keary, M.D. The Assessment and Treatment of ADHD Across the Lifespan Shashank V. Joshi, M.D., FAAP Childhood Onset Schizophrenia: Evaluation and Treatment Antonio Y. Hardan, M.D., Vishal Madaan, M.D., Dustin Sanchez, M.D. Antipsychotic Adverse Effects in Children and Adolescents Christoph U. Correll, M.D. Emerging Issues in the Treatment of Impulsive Aggression In Children and Adolescents Peter S. Jensen, M.D. An Overview of Pediatric Depression Cynthia R. Pfeffer, M.D. The Use of Medications for Pediatric Bipolar Disorder Kiki D. Chang, M.D. Assessment and Treatment of Childhood Anxiety Disorders John Walkup, M.D. Childhood OCD Vishal Madaan, M.D., Kate Fitzgerald PTSD in Youth Vishal Madaan, M.D., Venkata Kolli, MRCPsych Tourette s Disorder Vishal Madaan, M.D., Isheeta Zalpuri, M.D. FDA Approved Medications in Child Psychiatry Vishal Madaan, M.D., Boris Lorberg, M.D., Yana Turkowski, M.D.
9 8 Geropsychiatry Psychopharmacology Pharmacotherapy and Alzheimer s Disease Gary W. Small, James H. Ellison, M.D., MPH Delirium Barbara Kamholz, M.D. Psychosis and Schizophrenia in Later Life David Sultzer, M.D., Pei Huy Nie, M.D. Pharmacological Treatment of Aggression in Dementia Howard H. Fenn, M.D. Depression in the Elderly Gary W. Small, M.D., James M. Ellison, M.D., MPH Bipolar Disorders in Late Life Robert C. Young, M.D., Benoit H. Mulsant, M.D. Anxiety Disorders in the Elderly Eric Lenze, M.D. Alcohol and Sedative-Hypnotic Addiction in the Elderly David W. Oslin, M.D. Drug-Drug Interactions in the Elderly Bruce G. Pollock, M.D., Ph.D. Alcohol and Substance Abuse Psychopharmacology Brain and Behavior: Substance Abuse Charles P. O Brien, M.D., Ph.D., Charles Dackis, M.D. Addiction: A Disease of the Brain Charles P. O Brien, M.D., Ph.D. Substance Abuse: The Nation s Number One Health Problem James Cornish, M.D. Marijuana Daniel D. Langleben, M.D. Stimulants Charles Dackis, M.D. Nicotine: A Drug of Abuse Janet Audrain-McGovern, Ph.D. Alcoholism David W. Oslin, M.D. Hallucinogenic Agents Laura F. McNicholas, M.D., Ph.D.
10 9 Algorithms Prescription Drug Abuse Kyle M. Kampman, M.D. Psychiatric Disorders and Psychotherapy of Substance Abuse Robert M. Weinrieb, M.D. Effects of Drugs on the Developing Brain: Pregnancy, Adolescence and Beyond Marina Goldman, M.D. Medical Complications of Substance Abuse Phil Green, M.D., Vishal Madaan, M.D. Advantages and Disadvantages Bipolar Depression Bipolar Mania Psychotic Depression PTSD Schizophrenia Social Anxiety Disorder AADPRT Interactive Teaching Programs Schizophrenia Teaching Module a Depression Teaching Module...901b
USER S GUIDE TO THE CURRICULUM & TABLE OF CONTENTS
1 USER S GUIDE TO THE CURRICULUM & TABLE OF CONTENTS THEORY, PRACTICE, AND INSTRUCTIONS FOR USE...10 Background...10 Rationale Underlying the Pedagogy...11 Organization...12 How to Use the Lecture Modules...13
MODEL PSYCHOPHARMACOLOGY CURRICULUM
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