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Lecture 10

MDU 4003 Lecture Notes - Lecture 10: Geriatric Psychiatry, Social Psychiatry, Internal Medicine


Department
Health Outcomes & Policy
Course Code
MDU 4003
Professor
Rhamani, Mariam
Lecture
10

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I. Psychiatry with Dr. Cheong
A. Educational Background
1. went to school here at UF
2. entered Medical School in the Junior Honors program
3. Medical School at UF
4. 4 years of psych residency at UF
5. 4 years fellowship of geriatric psychiatry
6. stayed in faculty
7. chief Medical Student Education at UF for the department of psychiatry
8. chief Geriatric Psychology
9. affiliation with department of neurology - memory of disorder clinic
B. Definition of Psychiatry
1. the discipline that is a subset of medicine, part of the medical field in
which it combines the science of medicine with the art of understanding
people … mind and emotion
2. someone who is a physician first and then specializes in psychiatry
3. taking care of the person from a standpoint of emotional expression of
what the brain does
4. deals with mood disorders: depression, anxiety, mania
5. deals with disorders in which people have a difficulty to think:
schizophrenia, dementia
6. deal with how people adjust with changes in life, medications, therapy
C. difference between psychiatrist and clinical psychologist
1. psychiatrist - doctor, clinical psychologist- not a doctor
D. Why did you choose to become a psychiatrist?
1. least likely to enter into this field because she had no knowledge of it and
did not know that it was part of medicine
2. in her third year of medical school - clinical year (lab, anatomy,
biochemistry)
3. was going to do internal medicine or emergency medicine
4. had the most interest patients in psychiatry
5. opportunity to have a wide range of patients: infants to elderly
6. interesting treatments
7. a greater variety of people in the field, all have a curiosity about the brain
and people. The best one is interpersonally capable, articulate in written
and spoken language, involved in people around him, curiosity in brain
and behavior
E. training
1. upon entering medical school have at least a bachelor’s degree
2. 4 years of medical school
3. 4 years (min) of post graduate training specializing in different areas
general certification of psychiatry
4. some specialize, 4 years (min): child and adolescent psychiatry, geriatric
psychiatry, forensics psychiatry, research psychiatry, addictions and rehab

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F. Types of practices
1. academic/ clinical teacher
a) teaches at UF
b) has both inpatient and outpatient practice
2. private practice
a) groups of 2 or 3 psychiatrists
3. work for an HMO
a) will only see patients subscribed to that HMO
4. public psychiatry
a) public service setting/ public mental health center
5. world psychiatry/ social psychiatry
a) different area/culture
G. social awareness of what psychology/psychiatry is; stigma of mental illness;
1. mental illness are treated the same as physicial illnesses
H. things she finds frustrating
1. mental health parody/ finance
a) more likely to get care for high blood pressure than depression
2. stigma of mental illness
a) noncompliance
b) unsupported families
c) social awareness
I. typical day
1. first hour or half hour answering emails/making phone calls
2. during the morning, INPATIENT unit 82, deals with geriatric patients, the
medically ill, and dementia
3. most mornings does rounds: all physicians, students, nurses go around to
see patients, review what happened the night before, discuss what the
plans are for the following day
4. afternoons: teach classes for all 4 years of med school class, lectures
usually are in clinic
J. clinical trials research program
1. in which a medication or therapy has been approved, funded by a medical
company and want to make sure that it works
2. interested in depression in the elderly, appears differently than in younger
adults
K. patient stories
1. was working at an inpatient unit across the street in the VA, John smith
has been in the ER six or seven times in the past month. Smith has
schizophrenia, said he took his meds yet he is delusional: typical and
noncompliant with medication. She went into the office and two people in
black suits from the secret service came in. Smith had called jimmy carter
library and said that he found out the secret to nixon’s shoulder.
a) listen to patients, it’s not paranoia if it’s real
L. advice
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