The Department of Psychiatry and Behavioral Neurobiology

2008 - 2009

GRAND ROUNDS

 


 
Sponsored by the UAB School of Medicine, Division of CME  
 
The University of Alabama School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.  The University of Alabama School of Medicine designates this educational activity for a maximum of 1 AMA PRA Category 1 credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

September 2008
October 2008
November 2008 
December 2008 

January 2009
February 2009
March 2009

April 2009
May 2009
June 2009

Archived Grand Rounds Schedules
If you need to reference past schedules or presentations, the following schedules are archived for your convenience.  
2005-2006 2006-2007 2007-2008

September 2008

Sept. 9
11:00am
Auditorium
2nd Floor
CPM
State of the Department Address
James Meador-Woodruff,  M.D.

Heman E. Drummond Professor and Chair

Department of Psychiatry and Behavioral Neurobiology
University of Alabama School of Medicine

 

Sept. 16
11:00am
Auditorium
2nd Floor
CPM

The REGARDS Study: How we were seeking the causes of stroke disparities and (also) became a national longitudinal epidemiologic study of cognitive change
George Howard, DrPH
Professor of Biostatistics
School of Public Health

University of Alabama at Birmingham

Virginia J. Howard, PhD
Associate Professor of Epidemiology
School of Public Health
University of Alabama at Birmingham

Objectives: 
1. Describe the magnitude of racial and geographic disparities in stroke mortality
2. Provide an overview of the general study methods of REGARDS (i.e., the “stroke aims”), including available data domains involving depression and stress
3. Provide a history of how cognitive assessment was added to the study, and describe the research protocol.
4. Describe distributions and predictors of selected cognitive measures
5. Discuss opportunities for collaboration

References:
Howard G: Why do we have a stroke belt in the southeastern United States? A review of unlikely and uninvestigated potential causes. Am J Med Sci 1999;317:160-167.

Howard VJ, Cushman M, Pulley L, Gomez C, Go R, Prineas RJ, Graham A, Moy CS, Howard G. The Reasons for Geographic And Racial Differences in Stroke (REGARDS) Study: Objectives and Design. Neuroepidemiology 2005;25:135–143.

Wadley V, McClure LA, Howard VJ, Unverzag FW, Go RC, Moy CS, Crowther, MR, Gomez CR, Howard G. Cognitive status, stroke symptom reports, and modifiable risk factors among individuals with no diagnosis of stroke or TIA in the REasons for Geographic and Racial Differences in Stroke (REGARDS) Study. Stroke 2007;38:1143–47.

 

Sept. 23
11:00am

Auditorium
2nd Floor
CPM

Glycogen synthase kinase-3 (GSK3): a potential therapeutic target to treat neuroinflammation
Patrizia De Sarno, Ph.D.
Instructor, Behavioral Neurobiology
Department of Psychiatry and Behavioral Neurobiology
University of Alabama School of Medicine

Objectives: 
1. To investigate the role of GSK3 in neuroinflammation using the mouse model of experimental autoimmune encephalomyelitis.
2. Determine whether inhibiting GSK3 with lithium is a potential target for therapy of multiple sclerosis and other autoimmune inflamatory diseases affecting the CNS.

References:
De Sarno, P., Axtell, R.C., Raman, C., Roth, K.A., Alessi, D.R., and Jope, R.S. Lithium prevents and ameliorates experimental autoimmune encephalomyelitis (EAE). J. Immunol. 2008, 181: 338-345.

 

Sept. 30
11:00am
Auditorium
2nd Floor
CPM

Autism: Cortex, Cognition and Connectivity
Dr. Rajesh Kana
Assistant Professor
Department of Psychology
University of Alabama at Birmingham

Objectives:
1. The audience will acquire a basic understanding of the brain structure and functioning in autism.
2. The audience will gain knowledge about the neutral basis of behavioral and cognitive characteristics in people with autism

 

October 2008
Oct. 7
11:00am
Auditorium
2nd Floor
CPM

Due to HIPPA policy, this Grand Rounds is closed to outside professionals.  Only UASOM Department of Psychiatry faculty, staff, residents, and medical students on rotation can attend.

Case Conference
Norman Huggins, M.D. and panel
Assistant Professor
Department of Psychiatry and Behavioral Neurobiology
University of Alabama School of Medicine

 

Oct. 14
11:00am
Auditorium
2nd Floor
CPM

Biology of schizophrenia: genes, models, and phenotypes
Akira Sawa, M.D., Ph.D.
Associate Professor of Psychiatry
Director, Program in Molecular Psychiatry
Department of Neuroscience

The Johns Hopkins University

Objectives:
To overview how genetic studies can contribute to understanding of mechanisms for schizophrenia and good clinical practice.

References:
Sawa, A. & Snyder, S. H. Schizophrenia: diverse approaches to a complex disease. Science 296, 692–695 (2002).

A. Kamiya, K. Kubo, T. Tomoda, M. Takaki, R. Youn, Y. Ozeki, N. Sawamura, U. Park, C. Kudo and M. Okawa et al., A schizophrenia-associated mutation of DISC1 perturbs cerebral cortex development, Nat Cell Biol 7 (2005), pp. 1167–1178.

Atsushi Kamiya, Perciliz L. Tan, Ken-ichiro Kubo, Caitlin Engelhard, Koko Ishizuka, Akiharu Kubo, Sachiko Tsukita, Ann E. Pulver, Kazunori Nakajima, Nicola G. Cascella, Nicholas Katsanis, and Akira Sawa, Recruitment of PCM1 to the Centrosome by the Cooperative Action of DISC1 and BBS4: A Candidate for Psychiatric Illnesses Arch Gen Psychiatry, Sep 2008; 65: 996 - 1006. 

 

Oct. 21
11:00am
Auditorium
2nd Floor
CPM

The Role of the Pharmaceutical/Device Industry in the Academic Medical Center

A Discussion with:
Thomas Stewart Huddle, M.D., Associate Professor, General Internal Medicine
Stuart James Cohen, M.D., Associate Professor, General Internal Medicine
Rayford W. Thweatt, M.D., Professor, Department of Psychiatry & Behavioral Neurobiology
Meza Kelley, LCSW, Assistant Professor, Department of Psychiatry & Behavioral Neurobiology
Nathan B. Smith, M.D., Professor, Department of Psychiatry & Behavioral Neurobiology

Moderated by Daniel Dahl, M.D., Associate Professor, Department of Psychiatry & Behavioral Neurobiology

Link to discussion format and questions

 

Oct. 28
11:00am
Auditorium
2nd Floor
CPM

North American Psychiatric Resident Wellness Survey
Paul O'Leary, M.D. 
Sub-specialty Resident in Child/Adolescent Psychiatry
Department of Psychiatry and Behavioral Neurobiology

University of Alabama School of Medicine

Objectives: 
1.  Discuss differences between the stressed and relaxed residents, including work hours, coping mechanisms, and mental health.
2.  Discuss what coping mechanisms the residents use.
3.  Discuss the main stressors of psychiatric residents

References:
Woodside J, Miller M, Floyd M, McGowen R, Pfortmiller D: Observations on Burnout in Family Medicine and Psychiatry Residents. Academic Psychiatry 2008; 32:13-19.


Keim SM, Mays MZ, Williams JM, Serido J, Harris RB: Measuring wellness among resident physicians. Medical Teacher, Vol. 28, No. 4, 2006, pp. 370-374.

 

November 2008

Nov. 4
11:00am
Auditorium
2nd Floor
CPM
Engagement in HIV Care: Implications and Methodologic Considerations
Michael J Mugavero, MD, MHSc

Assistant Professor of Medicine
University of Alabama at Birmingham

Objectives:
1.  To provide a conceptual framework for the study of engagement in HIV care that may be applicable to other chronic diseases.
2.  To describe the prevalence and implications of mental health and substance use disorders in HIV-infected patients, particularly as it pertains to engagement in care.

References:    Journal titles link to abstract and/or full text
Engaging HIV-Infected Patients in Care:  Their Lives Depend on It
  Clin Infect Dis. 2007 Jun 1;44(11):1500-2. Epub 2007 Apr 23.

Minorities, the Poor, and Survivors of Abuse:  HIV-Infected Patients in the US Deep South  South Med J. 2007 Nov;100(11):1114-22

Relation of Lifetime Trauma and Depressive Symptoms to Mortality in HIV  Am J Psychiatry 164:1707-1713, November 2007

Barriers to Antiretroviral Adherence: The Importance of Depression, Abuse, and OtherTraumatic    Events  AIDS Patient Care STDS. 2006 Jun;20(6):418-28.

Nov. 11
11:00am
Auditorium
2nd Floor
CPM

The CATIE Trial: The Data and the Controversy
Marvin S. Swartz, M.D.
Professor and Head, Division of Social and Community Psychiatry
Executive Vice Chair, Department of Psychiatry and Behavioral Sciences
Director, Duke Area Health Education Center Program (AHEC)
Duke University Medical Center

Objectives:
1.  Review the findings from the CATIE trial to date
2.  Discuss implications of the findings for practice
3.  Examine the controversies about the findings

References:
Lieberman JA, Stroup TS, McEvoy JP, Swartz MS, Rosenheck RA Perkins DO, Keefe RSE, Davis SM, Dadvis CE, Lebowitz BD, Severe J, Hsiao JK. Effectiveness of antipsychotic drugs in patients with chronic schizophrenia. The New England Journal of Medicine 2005; 353(12):1209-1223.

 
Swartz MS, Stroup TS, McEvoy JP, Davis SM, Rosenheck RA, Keefe RSE, Hsiao JK, Leiberman JA for the CATIE Investigators.  What CATIE Found: Results from the NIMH Schizophernia Trial.  Psychiatric Services 2008; 59(5):500-506.

 

Nov. 18
11:00am
Auditorium
2nd Floor
CPM
NO GRAND ROUNDS SCHEDULED
Society for Neuroscience Annual Meeting 
Nov. 25
11:00am
Auditorium
2nd Floor
CPM

NO GRAND ROUNDS SCHEDULED
THANKSGIVING HOLIDAY

December 2008 

Dec. 2
11:00am
Auditorium
2nd Floor
CPM

 Dangerousness Decisions: Does Possible Violence Justify Involuntary Confinement?
Douglas Mossman, M.D.
Director, Glenn M. Weaver Institute of Law and Psychiatry
University of Cincinnati College of Law
Volunteer Professor and Associate Program Director, Institute of Psychiatry and Law
University of Cincinnati College of Medicine

Objectives:
At the conclusion of this presentation, attendees will
1.  summarize the events leading to the Tarasoff decision,
2.  summarize the requirements Tarasoff imposed,
3.  describe current limitations of violence assessment,
4.  describe ethical problems posed by preventive detention.

References:
Mossman D: Assessing predictions of violence: being accurate about accuracy. J Consulting Clin Psychology 1994;62:783-792

 
Mossman D: Critique of pure risk assessment, or Kant meets Tarasoff. U Cincinnati L Rev 2006;75:523-609

 

Dec. 9
11:00am
Auditorium
2nd Floor
CPM
Pain and Addiction
Deborah Haller, Ph.D.

Chief, Division of Clinical Research
Department of Psychiatry
St. Luke's-Roosevelt Hospital Center, an Academic Affiliate of Columbia University College of Physicians and Surgeons

Objectives:  
1.  Familiarize participants with the clinical challenges associated with opioid analgesic abuse among patients with chronic non-cancer pain; 
2.  Provide an overview of findings of a treatment trial for patients with pain and opioid use disorders.

References:
Heit HA. The truth about pain management: the difference between a pain patient and an addicted patient. Eur J Pain, 2001, 5(Suppl A), 27-9.

 

Savage SR. Long-term opioid therapy: Assessment of consequences and risks. J Pain and Symptom Management 1996, 11, 274-86.

 

Weaver M, Schnoll S. Abuse liability in opioid therapy for pain treatment in patients with an addiction history. Clin J Pain 2002, 18(4 Suppl):S61-9.
 

Dec. 16
11:00am
Auditorium
2nd Floor
CPM
Buprenorphine and Opiate Dependence
Peter Lane, DO
Assistant Professor,
Medical Director of Addiction Recovery Program
Department of Psychiatry and Behavioral Neurobiology
University of Alabama School of Medicine

Objectives:
1. To examine the need for substance abuse tx particularly opiate dependence
2. To examine the pharmacology of buprenorphine
3. To examine the literature concerning the use of buprenorphine

References:
To review power point presentation select this link

 

Dec. 23
11:00am
Auditorium
2nd Floor
CPM
NO GRAND ROUNDS SCHEDULED
HAPPY HOLIDAYS!
Dec. 30
11:00am
Auditorium
2nd Floor
CPM
NO GRAND ROUNDS SCHEDULED
HAPPY HOLIDAYS!

2008/2009 GRAND ROUNDS
"The University of Alabama School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.  The University of Alabama School of Medicine designates this educational activity for a maximum of 1 hour in category 1 credit toward the AMA Physician's Recognition Award. Each physician should claim only those hours of credit that he/she actually spent in the activity."

January 2009     February 2009     March 2009     April 2009      May 2009

January 2009

Jan 6
11:00am
Auditorium
2nd Floor
CPM

The Eyes Have it
Dr. Fred J. Biasini
Research Associate Professor of Psychology

Associate Director, Sparks Clinics and
Director, Interdisciplinary Training at the Civitan International Research Center
Director, UAB Early Head Start Program
Department of Psychology
University of Alabama at Birmingham

Objectives:
1.  Overview of the face recognition capabilities of individuals with Autism Spectrum Disorders (ASD)
2.  Presentation of a new computer technology to teach face recognition skills to children with ASD

 

Jan. 13
11:00am
Auditorium
2nd Floor
CPM
End of Life Issues in Caring for Patients with Dementia
Patricia S. Goode, MSN, M.D.
Professor
Division of Gerontology, Geriatrics, & Palliative Care

University of Alabama School of Medicine

Objectives:
1. List the benefits of advanced directives for patients with dementia and list 2 strategies to put this in place.
2. Appreciate that Alzheimer’s disease is a terminal illness.
3. Acknowledge the lack of evidence of any benefit of tube feeding for patients with advanced dementia.

 References: 
Hurley AC, Volicer L: Alzheimer Disease: “It’s okay, Mama, if you want
to go, it’s okay”. JAMA 2002; 288:2324–2331

Shega JW, Hougham GW, Stocking CB, Cox-Hayley D, Sachs GA: Barriers to limiting the practice of feeding tube placement in advanced dementia. J Palliat Med 2003;6:885–893.

 

Jan 20
12:00noon
Auditorium
2nd Floor
CPM
Note the change in time for this Presentation:  12:00 - 1:00

In the Eye of the Storm: Mental Health Recovery Post Katrina
Howard J. Osofsky, M.D., Ph.D.
Kathleen and John Bricker Chair and Professor and

Head of the Department of Psychiatry at LSU Health Sciences Center


Objectives:

1.  To understand principles of psychological first aid and the difference from usual mental health services
2.  To increase recognition of disaster related symptoms of PTSD and Depression
3.  To develop strategies for dealing with secondary traumatic stress, compassion fatigue and vicarious traumatization
4.  To increase understanding of resilience building and post traumatic growth

 

Jan. 27
11:00am
Auditorium
2nd Floor
CPM

Magnetic Resonance Spectroscopy in Schizophrenia
Rebecca Jones, M.D.
PGY-IV Resident in Psychiatry
Department of Psychiatry and Behavioral Sciences
University of Alabama School of Medicine

Objectives:
1.  Explain the role of N-acetylaspartate in neuropsychiatric disease
2.  Explain the role of Magnetic resonance spectroscopy in  Schizophrenia
3.  Discuss current literature
4.  Discuss future research directions

 

 February 2009

Feb. 3
11:00am
Auditorium
2nd Floor
CPM
Due to HIPPA policy, this Grand Rounds is closed to outside professionals.  Only UASOM Department of Psychiatry faculty, staff, residents, and medical students on rotation can attend.
 
 
Case Conference:  "Threatening Patient"
 Cheryl McCullumsmith, M.D.
 Assistant Professor
 
Department of Psychiatry and Behavioral Neurobiology
 
University of Alabama School of Medicine

 

Feb. 10
11:00am
Auditorium
2nd Floor
CPM
Advances in Research on the Neurobiology of Schizophrenia
Barbara K. Lipska Ph.D.
NIMH
Bethesda, MD 20892

Objectives:
To present recent findings in schizophrenia research

 

Feb. 17
11:00am
Auditorium
2nd Floor
CPM
Assessment of Functional Change in Patients with MCI and Dementia
Daniel Marson, M.D.
Professor of Neurology
Director, Division of Neuropsychology
Director, Alzheimer's Disease Center
Department of Neurology
University of Alabama School of Medicine

Objectives:
1.  To establish the importance of functional change to diagnostic understanding of MCI and dementia
2.  To identify financial capacity as a paradigmatic IADL for studying functional change in MCI and dementia
3.  To describe recent empirical research on financial capacity in MCI and AD patient populations
4.  To provide videotape illustrations of financial capacity impairments in MCI and AD patients

References:
Marson, D., Sawrie, S., McInturff, B., Snyder, S., Chatterjee, A., Stalvey, T., Boothe, A. & Harrell, L. (2000).  Assessing financial capacity in patients with Alzheimer’s disease: A conceptual model and prototype instrument.  Archives of Neurology, 57: 877-884.

Griffith, H.R., Belue, K., Sicola, A., Krzywanski, S., Zamrini, E., Harrell, L, and Marson, D.  (2003). Impaired financial abilities in mild cognitive impairment: A direct assessment approach.  Neurology.  60: 449-457.

Martin, R., Griffith, R., Belue, K., Harrell, L., Zamrini, E., Anderson, B., Bartolucci, A. Marson, D.  (2008).  Declining financial capacity in patients with mild Alzheimer’s disease: A one-year longitudinal study.   American Journal of Geriatric Psychiatry.  16 (3): 209-219.  On line publication­ February 8, 2008.  

 

Feb. 24
11:00am
Auditorium
2nd Floor
CPM
Due to HIPPA policy, this Grand Rounds is closed to outside professionals.  Only UASOM Department of Psychiatry faculty, staff, residents, and medical students on rotation can attend.

Supervising Psychodynamic Psychotherapy: A Unique Experience and A Unique Skill
Emily Lazenby, M.D., Alicia Austin, M.D. & Jennie Mahaffey, M.D.
PGY-IV Residents in Psychiatry
Department of Psychiatry and Behavioral Sciences
University of Alabama School of Medicine

Objectives:
1.  Recognize educational needs of supervisee 
2.  Knowledge of psychodynamic supervisory process 
3.  Maximize growth and development of supervisee 
4.  Discuss various technical approaches to psychotherapy supervision

 

March 2009

Mar. 3
11:00am
Auditorium
2nd Floor
CPM
Bridge to the Future
Will Ferniany, Ph.D., CEO
UAB Health Systems



Objectives:
1.  To discuss the State of the UAB Health System and explain Bridge of the Future (BTF).
2.  To discuss our plans (BTF) over the next 18 months to respond to our changing economy.

References:
Bridges to Our Future
Service Line Planning Objectives

 

Mar. 10
11:00am
Auditorium
2nd Floor
CPM
Parents, Peers, and Puberty in Adolescent Externalizing Behavior
Sylvie Mrug, Ph.D.
Assistant Professor
Developmental Psychology Program
UAB Department of Psychology

Objectives:
1.  Review the effects of parents, peers, and puberty on aggressive and delinquent behavior in adolescence
2.  Discuss recent research on combined influences of parents, peers, and puberty

References:
Mrug, S., Elliott, M.N., Gilliland, M.J., Grunbaum, J., Tortolero, S., Cuccaro, P., & Schuster, M.A. (2008). Positive parenting and early puberty in girls: Protective effects against aggressive behavior. Archives of Pediatrics and Adolescent Medicine, 162, 781-786.

 

Mar. 17
11:00am

Auditorium
2nd Floor
CPM
Use of Endophenotypes in Search of Psychoses Genes: Promise and Challenges
Gunvant K. Thaker, M.D.
Professor and Chief
Schizophrenia Related Disorders Program
Maryland Psychiatric Research Center
University of Maryland School of Medicine

Objectives:
To familiarize the audience on different schizophrenia endophenotypes, their refinement, and findings of associated genes. 

References:
Wonodi I, Hong LE, Stine OC, Mitchell BD, Elliott A, Roberts RC, Conley RR, McMahon RP, Thaker GK. Dopamine transporter polymorphism modulates oculomotor function and DAT1 mRNA expression in schizophrenia. Am J Med Genet B Neuropsychiatr Genet. 2008 Jun 13.

Schizophrenia endophenotypes as treatment targets. Stephen I. Deutsch, Barbara L. Schwartz, Richard B. Rosse, John Mastropaolo, Ayman H. Fanous, Abraham Weizman, Jessica A. Burket, Brooke L. Gaskins

L. Elliot Hong; Ann Summerfelt; Braxton D. Mitchell; Robert P. McMahon; Ikwunga Wonodi; Robert W. Buchanan; Gunvant K. Thaker.  Sensory Gating Endophenotype Based on Its Neural Oscillatory Pattern and Heritability Estimate. Arch Gen Psychiatry. 2008;65(9):1008-1016.

 

Mar. 24 Auditorium
2nd Floor
CPM
Neuropathology in Schizophrenia
Rosalinda Roberts, Ph.D.
Kathy Ireland Professor of Psychaitry
Department of Psychiatry and Behavioral Sciences
University of Alabama School of Medicine

Objectives:
1. To acquire a basic understanding of brain structure abnormalities in the basal ganglia in schizophrenia.
2. To gain knowledge about how these abnormalities vary depending on diagnosis, treatment response and treatment with antipsychotic medications.

References:
Roberts, R.C., J.K. Roche, and R.R. Conley (2005) Synaptic differences in the patch matrix compartments of subjects with schizophrenia: a postmortem ultrastructural study of the striatum. Neurobiol. Dis., 20:324-335.

Roberts RC, Roche JK, Conley RR (2008) Differential synaptic changes in the striatum of subjects with undifferentiated versus paranoid schizophrenia. Synapse, Aug 62(8):616-27.

Roberts, R.C., J.K. Roche, R.R. Conley and A. Lahti. Dopaminergic synapses in the caudate nucleus of subjects with schizophrenia: relationship to treatment response. Synapse, in press 

 

Mar. 31 Auditorium
2nd Floor
CPM
Fat Mice and Atypical Antipsychotics
Bob Kesterson, Ph.D.
Associate Professor
Director of Transgenic Resource
Department of Genetics
University of Alabama at Birmingham

Objectives:
1.  CNS neural circuitry of feeding behavior
2.  Potential mechanisms of action (AAPD induced weight gain)

References:

 

 April 2009

Apr. 7
11:00am
Auditorium
2nd Floor
CPM
Treatment-Resistant Depression: Advances in Management
Paul Holtzheimer, M.D.
Assistant Professor
Department of Psychiatry and Behavioral Sciences
Emory University

Objectives:
At the end of this presentation, attendees will: 
1.  understand the definition, prevalence and impact of treatment-resistant depression (TRD) 
2.  become more familiar with emerging treatment strategies for TRD with a specific emphasis on brain stimulation therapies
3.  become familiar with the background of and preliminary data for subcallosal cingulate deep brain stimulation (DBS) for TRD

References:
Mayberg HS, Lozano AM, Voon V, McNeely HE, Seminowicz D, Hamani C, Schwalb JM, Kennedy SH. Deep brain stimulation for treatment-resistant depression. Neuron 45:651– 660, 2005

Lozano AM, Mayberg HS, Giacobbe P, et al.: Subcallosal cingulate gyrus deep brain stimulation for treatment-resistant depression. Biol Psychiatry 2008, 64:461–467.

Holtzheimer PE, Nemeroff CB: Novel targets for antidepressant therapies. Current Psychiatry Reports 2008, 10(6):465-473.

 

Apr. 14
11:00am
Auditorium
2nd Floor
CPM

Third Annual Research Symposium
Grand Rounds Series

The University of Alabama School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.  The University of Alabama School of Medicine designates this educational activity for a maximum of 2 AMA PRA Category 1 credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

West Pavilion Atrium

8:30

Posters and Coffee

Center for Psychiatric Medicine 2nd floor Auditorium

10:00

Abnormalities of Glutamate Transmission in Schizophrenia
Robert McCullumsmith, M.D., Ph.D.
Assistant Professor

Department of Psychiatry and Behavioral Sciences
University of Alabama School of Medicine

10:30

Combined Spectroscopic and Functional MRI Investigation in Schizophrenia 
Adrienne c. Lahti, M.D.
Associate
Professor
Department of Psychiatry and Behavioral Sciences
University of Alabama School of Medicine

11:00 Maternal PTSD, Parenting and Infant Outcomes
Maria Muzik, MD MS
Clinical Lecturer, Department of Psychiatry
University of Michigan Health System

Objectives:
1. The presenter will review data obtained from a longitudinal NIMH-K23-funded cohort study on childhood trauma survivor mothers and their infants focusing on maternal perinatal mental health, specifically Posttraumatic Stress Disorder, and its impact on parenting and the developing mother-infant relationship.  
2. Presenter will review the potential impact of maternal PTSD on infant stress and emotion regulation, and its relevance for subsequent child socio-emotional development.  
3. Presenter will identify potential “ports of entry” for evidence-based and feasible prevention and intervention strategies to facilitate the mothers’ recovery and healing, and prevent adverse child outcomes.

References:
Klier, C., Rosenblum, K.L., Zeller, M., Steinhardt, K., Bergeman, N. & Muzik, M. (2008). A Multirisk Approach to Predicting Chronicity of Postpartum Depression Symptoms Depress Anxiety. 2008;25(8):718-24.

Rosenblum, K.L., Muzik, M., McDonough , S.C. & Sameroff, A. (2008).  Reflection in thought and action: Maternal parenting reflectivity predicts mind-minded comments and interactive behavior. Journal of Infant Mental Health. 29(4):362-37

Muzik, M., Cameron, H.G., Fezzey, A. & Rosenblum, K.L. Motherhood in the Face of Trauma: PTSD in the Childbearing Year. Zero To Three Journal (in press).

 

Apr. 21   11:00am

Auditorium
2nd Floor
CPM
Motivational Interviewing
Karen Ingersoll, Ph.D.

Associate Professor
Psychiatry and Neurobehavioral Sciences
University of Virginia Health System

Objectives:
1.  To describe the evidence for Motivational Interviewing to promote behavior change  
2.  To demonstrate what MI is and is not, and how it could be used in brief interviewing situations  
3.  To describe novel developments in the applications and methods of MI

 

Apr. 28
11:00am
Auditorium
2nd Floor
CPM

Due to HIPPA policy, this Grand Rounds is closed to outside professionals.  Only UASOM Department of Psychiatry faculty, staff, residents, and medical students on rotation can attend.

Case Conference
Evan Grant, M.D.
PGY-IV Resident in Psychiatry
Department of Psychiatry and Behavioral Sciences
University of Alabama School of Medicine

Objectives:
To present a case of a psychotherapy patient I have treated during residency.

 

May 2009

May 5
11:00am
Auditorium
2nd Floor
CPM
Due to HIPPA policy, this Grand Rounds is closed to outside professionals.  Only UASOM Department of Psychiatry faculty, staff, residents, and medical students on rotation can attend.
 
Case Conference

Presenters:
Cheryl McCullumsmith, M.D., Ph.D.
Assistant Professor

Daniel Dahl, M.D.
Associate Professor
 
Panel Members:
Lindsay Levine, M.D. 
Assistant Professor

Rob McCullumsmith, M.D.
Assistant Professor

Department of Psychiatry and Behavioral Neurobiology
University of Alabama School of Medicine

 

May 12
11:00am
Auditorium
2nd Floor
CPM
Evidence-Based Psychotherapies for Borderline Personality Disorder
Kenneth R. Silk, M.D.
Professorand Director
Personality Disorders Program
University of Michigan Health System

Objectives:
1. To inform the audience of the different psychotherapies that current have an evidence base for effectiveness in the treatment of borderline personality disorder (BPD).

2. To review some of the actual data to support the effectiveness.

References:
Silk KR: Augmenting psychotherapy for borderline personality disorder: the STEPPS program. Am J Psychiatry 2008; 165 (4): 413-415

Giesen-Bloo J, van Dyck R, Spinhoven P, van Tilburg W, Dirksen C, van Asselt T, Kremers I, Nadort M, Arntz A: Outpatient psychotherapy for borderline personality disorder. Randomized trial of schema-focused therapy vs transference-focused psychotherapy. Arch Gen Psychiatry 2006; 63:649-658.

Clarkin JF, Levy KN, Lenzenweger MF, Kernberg OF: Evaluating three treatments for borderline personality disorder: a multiwave study. Am J Psychiatry 2007; 164:922-928.

Linehan MM, Armstrong H, Suarez A, Allmon D, Heard HL: Cognitive-behavioral treatment of chronically parasuicidal borderline patients. Arch Gen Psychiatry 1991; 48:1060-1064

 

May 19
11:00am

Auditorium
2nd Floor
CPM
Neurocognition and the Dorsal Anterior Cingulate Cortex
Roger Patton, M.D.
PGY-IV Resident in Psychiatry
Department of Psychiatry and Behavioral Sciences
University of Alabama School of Medicine
 
Objectives:
 
1.  To discuss the role of Neurocognition as it relates to Schizophrenia
2.  To discuss the role of the Dorsal Anterior Cingulate Cortex in Neurocognition

 

May 26
11:00am
Auditorium
2nd Floor
CPM
Trends in the diagnosis and treatment of child & adolescent bipolar disorder
Mark Olfson, M.D., M.P.H.
Professor of Clinical Psychiatry, Center for Community Health Partnerships
Department of Psychiatry
Columbia University Medical Center

Objectives:
At the conclusion of this presentation, attendees will be able to:
1.  Describe national trends in the clinical diagnosis and treatment of bipolar disorder in children and adolescents.
2.  Define clinical characteristics that distinguish children with severe mood dysregulation from bipolar disorder.
3.  Characterize common mental health treatments that precede a clinical diagnosis of children with bipolar disorder. 

References:
Moreno C, Laje G, Blanco C, Jiang H, Schmidt A, Olfson M: National trends in the outpatient treatment of bipolar disorder in youth. Archives of General Psychiatry 2007;64:1032-1039.  

Blader JC, Carlson GA : Increased rates of bipolar disorder diagnoses among U.S. child, adolescent, and adult inpatients, 1996-2004.  Biological Psychiatry 2007;62;107-114, 2007.  

Olfson M, Crystal SC, Gerhard T, Huang C, Carlson GA : Mental health treatment surrounding new clinical bipolar diagnoses in youths.  Psychiatric Services (In Press). 

 

June 2009
June 2
11:00am
Auditorium
2nd Floor
CPM
Psychiatric Management of Depression in Pregnancy and Post-Partum: Weighing the Risks
Katherine C. Smith, D.O.
Assistant Professor
Department of Psychiatry
Virginia Commonwealth University

Objectives:

1.  Risk of untreated mental illness in pregnancy

2.  Risk of medication use in pregnancy and post-partum

3.  How to effectively weigh the risks and benefits of treatment in pregnancy/post partum

4.  Goal is to maximize a healthy mental state while maintaining fetal medication exposure

 

June 9
11:00
Auditorium
2nd Floor
CPM

Fourteenth Annual Scholar's Bowl  
Moderated by Daniel C. Dahl, M.D.
Associate Professor, Vice Chairman for Education and Training & Clinical Affairs  
Residency Training Director 
Department of Psychiatry and Behavioral Neurobiology
University of Alabama School of Medicine

A rapid-pace, information-packed hour of questions in which a two teams of our residents and faculty will compete against each other for the title of Scholar's Bowl Champions of 2008.  Dr. Dahl will serve as moderator and will provide a series of challenging psychiatric as well as general knowledge questions.   You won't want to miss it! 

Objectives: 
To stimulate review of the Psychiatric literature and the Psychiatry Resident In-Training Examination (PRITE) material.

 

"The University of Alabama School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.  The University of Alabama School of Medicine designates this educational activity for a maximum of 1 hour in category 1 credit toward the AMA Physician's Recognition Award. Each physician should claim only those hours of credit that he/she actually spent in the activity."

Questions or  comments concerning these activities?  Write, Call, FAX, or E-mail:

Coordinator, Psychiatry Grand Rounds
Pam Lucas

The University of Alabama at Birmingham

Department of Psychiatry and Behavioral Neurobiology

Smolian Building - SMO 449

1700 7th Avenue South

Birmingham, AL 35294-0018

Phone:  205.934-2350  Fax:  205.975-7248

Email:  pamlucas@uab.edu

Manager, Education and Training
Carol Schaffhausen, B.S.
The University of Alabama at Birmingham
Department of Psychiatry and Behavioral Neurobiology
Eye Foundation Hospital
Psychiatry - Suite 305
1720 University Blvd.
Birmingham, AL 35233
PHONE 934-1307  FAX 934-4659  cschaff@uab.edu

 PSYCHIATRY HOME