Third Edition MODEL PSYCHOPHARMACOLOGY CURRICULUM For Psychiatric Residency Programs, Training Directors and Teachers of Psychopharmacology VOLUME I By A Committee of the American Society of Clinical Psychopharmacology Ira D. Glick, M.D., Chair James Ellison, M.D. James Halper, M.D. David S. Janowsky, M.D. R. Bruce Lydiard, M.D., Ph.D. Jessica Oesterheld, M.D. Peter Ross Kim Walton, Ph.D. Sidney Zisook, M.D. 2004 The American Society of Clinical Psychopharmacology, Inc.
A S C P MODEL PSYCHOPHARMACOLOGY CURRICULUM FOR PSYCHIATRIC RESIDENCY PROGRAMS, TRAINING DIRECTORS AND TEACHERS OF PSYCHOPHARMACOLOGY THIRD EDITION TABLE OF CONTENTS INSTRUCTIONS FOR USE...6 Background...6 Rationale...7 Organization...7 Use of Lecture Modules...8 Consultation...9 Acknowledgements...10 CONTRIBUTORS...10 VOLUME I: A CURRICULUM & TEACHING MATERIALS PART I: INTRODUCTION TO THE ASCP S MODEL CURRICULUM PREFACE...15 Using the Model Curriculum to Teach Medical Students, Primary Care Physicians and Other Mental Health Professionals...16 RATIONALE...17 ORGANIZATION OF A PSYCHOPHARMACOLOGY PROGRAM...17 Relationship of Research to Training...18 PART II: THE CORE CURRICULUM OVERVIEW AND EDUCATIONAL OBJECTIVES...19 Knowledge...19 Skills...19
2 WHAT AND HOW TO TEACH...21 The Didactic Program...22 Organization of Courses and Lectures...22 Special Considerations Related to Lectures...22 Issues, Concepts and a Template...23 Specific Lecture Topics...27 Lectures on Psychosocial Topics...33 Literature Review Seminar...34 Case Conference...36 Computers...37 Supervision...38 Background...38 Rationale...39 Use of Clinical Mentorial Teaching Using Selected Case Material...41 Supervision of Drug Clinics, Inpatient Units and Emergency Rooms...42 An Alternative Approach to Psychopharmacology Teaching...43 Description...43 Goals...44 Reading Materials...45 Textbooks...45 Journals and Newsletters...46 Neuroscience Lecture Series...48
3 Psychopharmacology Units...49 HOW TO EVALUATE...49 Formal Examination...50 Charting Patterns...50 Supervisor Evaluation...51 Trainee Evaluation of Supervision and of the Program...51 Accreditation Issues...51 PART III: CURRICULUM FOR SPECIAL AREAS CHILD AND ADOLESCENT PSYCHOPHARMACOLOGY...53 Curriculum Outline...55 Basic Lecture Series... Volumes II & III Child and Adolescent Instruments and Rating Scales...59 Case Study: The Case of the Ticing Tike...104 Suggested Readings...109 GERIATRIC PSYCHOPHARMACOLOGY...112 PART IV APPENDICES APPENDIX A: Rating Scales...113 APPENDIX B: List of Other Useful Books...139 APPENDIX C: List of Additional Journals...141 APPENDIX D: Books and Associations (for Patients and Families)...143 APPENDIX E: Forms for Evaluation of Trainee, Supervisor, and of Program...147 APPENDIX F: Investigative Psychiatry Advanced Psychopharmacology Within the Training...152
4 APPENDIX G: Guidelines for Pharmacotherapy Follow Up Visits and Quality of Care...155 APPENDIX H: Psychopharmacology Algorithms...158 APPENDIX I: Psychiatry and the Internet...181 APPENDIX J: P450 Drug Interactions Computer Program...183 VOLUME II: LECTURE MODULES INSTRUCTIONS FOR USE...6 Background...6 Rationale...7 Organization...7 Use of Lecture Modules...8 Consultation...9 Acknowledgements...10 CONTRIBUTORS...10 INSTRUCTIONS FOR USE OF LECTURE MODULES...15 ORGANIZATION OF THE LECTURES...15 Case Vignettes...16 Questions...16 TABLE OF CONTENTS OF LECTURES...16 Basic Course...101.0 114.21 Advanced Course...201.0 214.10 CD ROM...18
5 CONSULTATION HELP IN USING THIS CURRICULUM...18 VOLUME III: LECTURE MODULES (CONTINUED) INSTRUCTIONS FOR USE...6 Background...6 Rationale...7 Organization...7 Use of Lecture Modules...8 Consultation...9 Acknowledgements...10 CONTRIBUTORS...10 INSTRUCTIONS FOR USE OF LECTURE MODULES...15 ORGANIZATION OF THE LECTURES...15 Case Vignettes...16 Questions...16 TABLE OF CONTENTS OF LECTURES...16 Supplementary Lectures...301.0 308.13 Child and Adolescent Psychopharmacology...401.0 409.11 Geriatric Psychopharmacology...501.0 506.3 CD ROM...18 CONSULTATION HELP IN USING THIS CURRICULUM...18
6 TABLE OF CONTENTS OF LECTURES Basic Course for Beginning Residents (PG 2 s) # Title Page 101. Psychopharmacology in the Emergency Room...101.0 101.16 102. Pharmacokinetics of Psychotropic Drugs...102.0 102.29 Bipolar Disorder: 103. Therapeutic Opportunities...103.0 103.49 104. Treatment of Bipolar Depression...104.0 104.20 Schizophrenia and Antipsychotics: 105. Efficacy and Side Effects of Antipsychotics...105.0 105.12 106. Maintenance Treatment of Schizophrenia...106.0 106.12 107. Pharmacodynamics of Antipsychotic Drugs...107.0 107.7 Antidepressants: 108. Basics...108.0 108.35 109. Management of Antidepressants & Lithium Induced Side Effects...109.0 109.12 110. Substance Abuse...110.0 110.36 111. Electroconvulsive Therapy (ECT)...111.0 111.27 112. Sleep Disorder...112.0 112.25 113. The Pharmacotherapy of Violence...113.0 113.16 114. Traumatic Brain Injury...114.0 114.21 Advanced Course (PG 3 s, PG 4 s) Anxiety Disorders: 201. Recognition & Treatment of Panic Disorder...201.0 201.23 202. Recognition & Treatment of OCD...202.0 202.19 203. Social Anxiety Disorder aka Social Phobia...203.0 203.24 204. Generalized Anxiety Disorder...204.0 204.27 205. Post-Traumatic Stress Disorder...205.0 205.25 Depression: 206. Atypical...206.0 206.16 207. Treatment Resistant...207.0 207.26 208. Treatment of Bulimia Nervosa...208.0 208.13 209. Combining Pharmacotherapy & Psychotherapy...209.0 209.26
7 210. Psychopharmacology of Personality Disorder...210.0 210.25 211. Adult ADHD...211.0 211.17 212. Body Dysmorphic Disorder...212.0 212.14 213. Antidepressants and Sexual Dysfunction...213.0 213.18 214. Mood Disorders in Women of Child Bearing Age...214.0 214.10 Supplementary Lectures 301. The Therapeutic Alliance of Adherence and Pharmacotherapy of Depression...301.0 301.18 302. Evidence-Based Medicine and Psychopharmacology...302.0 302.12 303. (NMS) Neuroleptic Malignant Syndrome...303.0 303.8 304. Novel Treatments for Depression...304.0 304.10 305. Psychopharmacology in Primary Care...305.0 305.16 306. Depression in Patients with Chronic Medical Illness...306.0 306.16 307. HIV...307.0 307.10 308. Ethical Framework for Clinician/Industry Interactions...308.0 308.13 Child & Adolescent Psychopharmacology 401. Attention-Deficit Hyperactivity Disorder...401.0 401.17 402. Child & Adolescent Depression...402.0 402.17 403. Bipolar Disorder in Youth...403.0 403.18 404. Child & Adolescent Anxiety Disorder...404.0 404.11 405. Psychosis in Youth and Antipsychotic Side Effects...406.0 406.14 407. Posttraumatic Stress Disorder in Youth...407.0 407.17 408. Tourette Syndrome A Clinical Perspective...408.0 408.14 409. Mental Retardation...409.0 409.11 Geriatric Psychopharmacology Dementia 501. Basics...501.0 501.17 502. Non-Cognitive Behavioral Complications...502.0 502.9 Depression 503. Epidemiology & Assessment...503.0 503.11 504. Treatment...504.0 504.11 505. Schizophrenia & Aging...505.0 505.17 506. The Diagnosis and Pharmacologic Treatment of Aggression in the Elderly...506.0 506.3