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Volume 56, Issue No. 7 - May/June 2014

P S Y C H I A T R I C P H Y S I C I A N NCPS Mission: To advance the quality and effectiveness of psychiatric care through advocacy, professional education and camaraderie

We in America Have An Epidemic. The Time is Now … … … By: Zena Potash, MD ~ NCPS President Upon beginning my 2nd Term as NCPS President I wrote the NCPS District Branch President’s Report for the California Psychiatric Association’s Newsletter. In the article I stressed how we need to be concerned about Elliot Rodger’s rampage. Isla Vista in Santa Barbara was too close for comfort. While writing this article the violence came into my backyard, literally. The High School with whom my house shares a fence was in “shut down” mode. The Police had swarmed the school. Helicopters were circling the school and therefore my house. The noise was deafening and the tension was palpable. A disturbed young male High School student had threatened the school. I felt strangely resigned to what could happen. This is not OK. The young man fortunately did not harm anyone, but was taken into Police custody. The story repeats. The legal system took over where Psychiatry should have taken the lead. The problem of disenfranchised alienated paranoid young men with access to guns has to stop. If you did not see the Jeffrey Lieberman, APA Past President, be interviewed on 60 minutes on June 8, 2014, you should look for it on the web. He is very articulate about these very issues of lack of Mental Health Care and the price that we are all paying. We as PsychiaTable of Contents trists have to be part of the solution. We should be advocating for more 1-2 access to Mental Health Care, ensuring parity and pushing to get Laura’s President’s Message Welcome New, Reinstated 5 Law enacted. and Transferred Members

We all need to learn about Advocacy and CPA is the Advocacy arm of the District Branches of APA. One of my goals for my second term in office is to work more closely with the CPA. from the District Branches. Continued on page 2 … … Northern California Psychiatric Society

APA Assembly Notes

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Disruptive Physician Behavior

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Events & Classified Ads

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NORTHERN CALIFORNIA PSYCHIATRIC SOCIETY 2014-2015 Officers Zena Potash, MD - President Yelena Zalkina, MD - President-Elect Randall Solomon, MD- Vice President Cuyler Goodwin, DO - Treasurer Firdouse Huq, MD - Secretary

Representatives Robert P. Cabaj, MD (14-17) Adam Nelson, MD (13-16) Barbara Yates, MD (12-15)

Past Presidents Roderick Ponath, MD Raymond M. Reyes, MD

Councilors Jacquelyn Chang, MD (12-15) Richard Cicinelli, MD (13-16) Anna Glezer, MD (14-17) Rona J. Hu, MD (12-15) Alan Marx, MD (13-16) Michael Christie, MD (13-16)

Resident Councilors Smita Das, MD Christopher White, MD

Chapter Presidents Stephen C. Aron, MD Central Coast Counties James Eyerman, MD North Bay Counties

The first Council meeting of this year was attended by Tim Murphy, the new President of CPA who has just started his term as CPA President. He too wants more input. The timing could not have been more opportune. The work is ongoing and we encourage all of you to get involved. In term of our year going forward we are very excited to share with you future events. 1. January 24, 2015 ~Dr. Stephen Stahl will be giving a lecture at our Job Fair. This year it will be held at Stanford. More details to follow. 2. March 27 – 29, 2015 ~ NCPS Annual meeting will be held at the Monterey Plaza. Please mark your calendars. We look forward to seeing you there. More details on these exciting events to follow. Please look out for the announcements which should be in your in boxes soon. Please stay connected and involved. We would love to have more of you join a Committee. Details can be found on the NCPS Website, www.ncps.org or email info@ncps.org. Thank you. Zena Potash, M.D. President NCPS

Newsletter Committee James D. Eyerman, MD, Chair of Newsletter Editors Tara Collins, MD Newsletter Co-Chair newsletter@ncps.org

77 Van Ness Ave., Ste. 101, #2022 San Francisco, CA 94102 415-334-2418 ~ Fax: 415-239-2533 www.ncps.org

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Position Open - NCPS Newsletter Editor The Newsletter Editor is responsible for producing four issues per year, on a quarterly basis. The Editor solicits articles he/she considers to be of interest to NCPS members from regular and occasional contributors to the Newsletter, with whom liaison should be established. The Editor also solicits articles from regular writers of columns such as the President and Committee Chairs. In addition, the Editor receives unsolicited articles for review, and notifies the chairs of committees about the schedule of expected yearly contributions of articles. The Editor may appoint Associate Editors to assist him/her in any of the Newsletter tasks. Copy for the newsletter is emailed to the Editor, who edits the articles, writes the headlines and prepares the articles according to the established Newsletter style. The Editor compiles the articles into the desired layout for the Newsletter. The articles and desired layout are then delivered to a publisher for virtual as well as hard copy publication. A proof is returned to the Editor for final revisions. The Newsletter Editor works closely with the Executive Council and the Executive Director and is expected to attend council meetings and the Annual Meeting. The Newsletter is considered a major vehicle of communication for and about the organization. The Editor must serve the interest of the organization as determined by the Executive Council, and is fully accountable to the Council. Those interested in being considered for this position must please submit a letter via email to zenapotash@gmail.com explaining their interests.

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Welcome To Our New and Transferred Members      

Jessica De Stigter, MD

Matthew E. Hirschtritt, MD Alvin H. Lau, MD Amber Lerma, MD Sonia Parikh, MD Vidushi Savant, MD

As a NCPS member you will receive the following membership benefits:  Discounted pricing to attend Annual Meeting and other CME events.  Annual Psychiatric Job Fair  Professional ethics program  State/National legislative liaison  Leadership Opportunities within the Chapter  The Physician Newsletter

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APA Assembly Notes Spring 2014 Speaker’s Welcome and Report—Melinda Young, M.D. Dr. Young called the meeting to order and, after a few housekeeping announcements, paid recognition to Darrel A. Regier, MD, MPH for his 10 years of devoted participation in developing and launching the DSM-5. Dr. Young read from a letter of praise and thanks she sent to Dr. Regier recently, a copy of which you can find here.

Report of the Recorder—Glenn Martin, M.D. Dr. Martin declared the meeting a quorum and the minutes of the last meeting were approved. After last meeting’s successful deployment of electronic voting, the Assembly has invested in its own electronic voting devices, which were successfully tested as the Assembly voted to recognize a sizeable number of expected participants at this year’s upcoming “Train-the Trainer” workshop on Healthcare Reform next month, but voted not to recognize the original name of the APA in 1844 as the American Medico-Psychological Association1.

Report and Dialogue of the APA President and Assembly Speaker ~ Jeffrey Lieberman, MD and Melinda Young, MD Dr. Lieberman: Psychiatry has been a victim of and guilty of a sense of exceptionalism. APA has had struggles internally and externally. Ultimately, our discipline is moving from a more marginal toward a more central position in medicine. It will be difficult, and will require us to be more pro-active. But if we do this effectively, then we have a historical opportunity to change the practice of medicine and the delivery of healthcare. APA has had a number of challenges over the past year, for example, a "slight kerfuffle" regarding conflict of interest and the DSM 5. However, sales of DSM 5, which reached #1 on Amazon, has also been a huge success for APA as well. We do not want to rest on our laurels, though. Dr. Young has visited each Area twice and 18 District Branches in the past year. Repeatedly, she is queried as to how the APA is organized? How do I get a say? And what do I get as a benefit of membership? Assembly reps need to disseminate more information to our DB Councils and members on these matters. Assembly accomplishments include the upcoming Train-The-Trainers meeting in June, which derived from an Action Paper introduced in the Assembly. The Assembly generated several Action Papers and a referendum on MOC which have led the ABPN to make several changes in MOC, including making PIP optional. The Assembly is now turning toward improving VA access to mental health services. Question: What will the practice of psychiatry look like to students entering the profession in 5 years? Dr. Young expressed her desire to participate in shaping that future through APA. Dr. Lieberman replied that the government has not fully thought this through. However, a few things are certain: Psychiatric services are going to be distributed throughout the house of medicine and throughout the community in the form of mental health screening. Also psychiatrists will be integrating into many settings, hopefully in a team-based approach to MH services. Fee for service will become much more limited and pay for performance will become more prominent. —————————–————————— 1 That name did not appear until 1892

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APA Assembly Notes Continued . . . Spring 2014 Report from the American Psychiatric Foundation—Dr. James Nininger The APF is the fundraising and community educational arm of the APA. Dr. Saul Levin serves as the president of the Foundation. Some highlights of successful APF programs include: 

The Typical or Troubled program to educate teachers and school administrators to identify potential MH problems in adolescents.

Judges Leadership Initiative (JLI) and Psychiatric Leadership Group (PLG) to improve MH services in jail and prison populations where persons with severe mental illness are five times more likely to end up than those without SMI.

Right Direction program to help employers and employees to recognize depression and its impact in the workplace. This program provides a turnkey kit to help employers and employees, including personal and business anecdotes, website materials for employees, and PHQ-9 questionnaire. It has garnered so far, 7 ADDY awards, 13 employer conference presentations, and over 800 kits distributed.

Nominating Committee and Election Results - Ann Sullivan, MD, Chair This year’s candidates for Recorder were Daniel Anzia, MD and Stephen Brown, MD., and for Speaker-Elect, James R. Batterson, MD and Glenn Martin, MD. The Assembly chose Glenn Martin as the next Speaker-elect, and Daniel Anzia as the next Recorder. Congratulations to both!

Report and Dialogue of the President-Elect and Speaker-Elect Paul Summergrad, MD and Jenny Boyer, MD The Joint Resolution Committee (JRC) which is co-led by the Speaker-elect and the President-elect, can be a cumbersome process, and needs to be more effective. Dr. Summergrad discussed a need and mission to make the governing process more complete- to see recommendations for changes leading to more effective resolution. Dr. Boyer notes that collaboration with Dr. Levin has resulted in reviews and movement on several Action Papers from the Assembly. Dr. Boyer advocates for objective and measurable goals for the Assembly to assist us in fulfilling our mission to maintain close relationships to members, affiliate organizations, and District Branches. APA will continue its increasing media presence and encourage psychiatrists to take a supervision and leadership role in expanding limited mental health resources.

Treasurer’s Report—David Fassler, MD Dr. Fassler presented his last report to the Assembly as APA Treasurer. He has done an outstanding job during his tenure. Our financial situation is quite positive. Our revenues exceeded budgeted amounts, mostly due to DSM 5 sales, while expenses were less than budgeted for 2013, mostly due to savings in administrative overhead from reorganization, leaving us with a net surplus of around $28M. Membership dues are stable, but advertising revenue has dropped in 2013. Annual Meeting registrations were up to 12.4 thousand for 2014. Overall, our reserves have increased from $30M in 2002 to $158M in 2014. Northern California Psychiatric Society

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APA Assembly Notes Continued . . . Spring 2014 Report from CEO/Medical Director of the APA—Saul Levin, MD, MPA Dr. Levin has been visiting several District Branch and Area Councils over the past year. He offers thanks to the membership for their advice and comments. The APA slogan is: Member driven. Science based. Patient focused. Dr. Levin notes that his report in the Assembly packet is differently formatted than what is typically produced to make it more user-friendly for Assembly members to report back to membership. Highlights include: Our membership numbers are growing again, after a several year slump – 3.4% over the past year. Much of this has been in the RFM and international memberships. APA is also strengthening our partnerships with allied professional groups, including both DBs and other professional associations. The Assembly has been leading the way as well. Assembly Action Paper 12E: "Unsafe and Uncontrolled Access to MH Records Affecting 21.5M Veterans" led to APA action: Council on Psychiatry and the Law, Ethics Committee, VA Caucus and MH IT have formed a workgroup. Action Paper 8F1: "Revitalizing the Public Perception of Psychiatry" led to significant changes in APA structure, including audit of communication procedures, hiring of a Chief Communications Officer, and restructuring of APA Communications infrastructure. This continues to be a work in progress. In Government Relations, APA has been more active, introducing legislation on the Hill, and playing a key role in reversing a recent CMS proposal to remove antidepressants and antipsychotics from protected status. Conflict of interest continues to remain a big issue for psychiatry, particularly in light of recent news regarding DSM 5. However, APA has a Conflict of Interest Committee, as well as information on our website on COI for different levels of involvement in APA (e.g. BOT, AEC, Assembly, Councils, Caucuses, etc.). Our attorney, Colleen Coyle JD, and her staff worked diligently for 2 weeks to address this incident and the issue was resolved as summarized in a letter sent to Assembly reps by Dr. Young. The COI process is available for review on the APA website. Finally, Dr. Levin notes that our Practice Guidelines are out of date and need to be updated. Both government and payer entities are looking for these2.

Remarks from Professor Sue Bailey, OBE, FRCPsych, President, Royal College of Psychiatrists Ken Busch, M.D. introduced Professor Bailey, who was awarded Order of the British Empire in 2002, and was made a “Dame” in 2014. Dame Bailey spoke on "Using the Lever of Parity of Esteem between Mental and Physical Health to close the MH Gap". Among the important features of this concept, she spoke of equal access to services, equal efforts to improve quality of care, allocation of time effort and resources on a basis commensurate with need, equal status of education, and equal status of measurement of outcomes. Much as we see here in the US, Dame Bailey spoke of the need for integration of care away from silos of mental health, physical health, social care, which would lead to advances in prevention and research, and improvement among beneficiaries of these services in Psychosocial Resilience. —————————–————————— 2 Editor: Although these were originally on the consent calendar, they were initially pulled for deliberation and subsequently all were voted down by the Assembly During this session.

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APA Assembly Notes Continued . . . Spring 2014 American Psychiatric Association Political Action Committee (APAPACT)— John Wernert, M.D., Chair, American Psychiatric Association Political Action APAPAC Board member from Area 2, Russ Denea, M.D. gave the report as Dr. Wernert was not available. The APAPAC Advocacy Update newsletter was circulated at the Assembly. He urges all members to please contribute to the PAC. Also, all PAC contributors are welcomed at the PAC suite which hosts a reception at APA Annual Meetings and at the November Assembly meetings in Washington D.C.

Presentation of Assembly Awards—Presented by Ann Sullivan, MD District Branch Best Practice Award was awarded to the Minnesota Psychiatric Society for the efforts of their Executive Director, Linda Vukelich, in developing a web application for making mental health referrals. Runner up in the voting went to Psychiatric Society of Virginia for being best "all around DB" for advocacy, training, and membership participation, recruitment of ECPs, RFMs. Ronald Shellow Award - for departing members of the Assembly who served with distinction was awarded to Bill Ulwelling, M.D. Dr. Ulwelling has been the conscience of the Assembly, having served the Assembly for 20 years, and having written many Action Papers. He has been a devoted advocate for universal healthcare access. He even succeeded in persuading the New Mexico legislature to pass a constitutional amendment to make universal access a basic human right.

Remarks from Jeremy A. Lazarus, MD, Past President, American Medical Association Dr. Rabinowitz’ full report on activities of the APA Delegation to the AMA Activities can be found in the Assembly Spring 2014 meeting packet. Dr. Lazarus offered a brief summary on recent AMA activities, including resolutions passed in the AMA House of Delegates on network adequacy, issues pertaining to concussions, and creation of a new AMA Section for older physicians. Regarding new Health Insurance Exchanges, the initial roll-out of the Affordable Care Act has been widely seen as a disaster. A number one concern to physicians is Meaningful Use standards in EHRs, which continue to be implemented, although EHRs are clearly not yet ready for implementation. Insurance networks also continue to present problems for physicians. AMA continues their advocacy efforts in support of such proposed legislation as the MD Due Process Protection Act, Accurate Provider Directories Act, MD Profiling and Network Determination Act, Honoring Patient Assignment of Benefits Act, and a Grace Period bill. ICD 10 remains an issue, even though implementation has now been postponed to 2015. This was written into the latest law postponing SGR until 2015 as well, leaving this problem unresolved despite nearly unanimous support from all of organized medicine. Since SGR did not pass, language in that bill which would have given doctors safeguards in the release of Medicare payment information was also not passed. As a result this information has been released in raw form, without context data as to overhead costs of practice, etc. At the state level, AMA pushes for medical liability reform laws and to stop the FTC from intrusion into licensure and scope of practice issues. Sunshine Act data on industry payments to physicians is being tracked by CMS, though doctors may challenge any inaccuracies found. Over the next 5 years, AMA will be working to improve patient health outcomes, for example with diabetes and pre-diabetes, to enhance physician satisfaction by shaping delivery and payment models (look for a tool kit coming out later this year), and by accelerating change in medical education. Northern California Psychiatric Society

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APA Assembly Notes Continued . . . Spring 2014 The Honorable Tim Murphy, Ph.D. (Republican—Pennsylvania 18th District) Chairman, House Energy and Commerce Subcommittee on Oversight and Investigation, Co-chair, Congressional Mental Health Caucus Congressman Tim Murphy presented a stirring speech on the results of his Subcommittee investigation into mental health services in the US. Assembly members were shown a dramatic video of Congressman Murphy chairing his subcommittee hearings on CMS decision to restrict psychotropics from protected status under Medicare Part D, which was subsequently rescinded. In the video, the testimony given by CMS acknowledged that APA was not consulted. Rep. Murphy became Chair of the Oversight Committee Investigation of Mental Illness in America in 2013, which was following the Newton, CT shootings. The findings from his investigation revealed 9.6M Americans with severe mental illness wait an average of 112 weeks for treatment and an estimated 3.6M go without treatment. Individuals with serious mental illness are 3-4x more likely to be victims of violence than perpetrators, 4-5x more likely to be victims of sexual violence. Treatment of severe mental illness can reduce the risk of violence by up to 15x. However, Rep. Murphy also identified many barriers preventing access to mental health services for those who need them, including the HIPAA privacy rule and FERPA, and commitment standards such as the need for someone to become violent before treatment: which is the current definition of “imminent danger". Also, there are simply not enough options and resources for inpatient or outpatient treatment, not enough psychiatrists, Medicaid same day billing restrictions, lack of evidence-based treatment, and lack of accountability for federal and state spending. SAMHSA does not have a program developed for treatment of severe mental illness (SMI), no mention of schizophrenia in the Master Plan, and an anti-psychiatry philosophy. SAMHSA treatment block grants are used to support community wellness and prevention, rather than treatment of SMI. In response to these findings, Rep. Murphy introduced HR 3717: “The Helping Families in Mental Health Crisis Act”, which he believes will, among many other changes, drive evidence-based care, increase funding for research, decrease bed shortages, correct the Medicaid same-day billing restriction, and fix the HIPAA and FERPA confidentiality limitations. In addition, it will promote Assisted Outpatient Treatment, establish a “need for treatment” standard, other than just danger to self or others, protect access to medications for Medicaid beneficiaries, and strengthen community-based and correctional facility-based care. Please click on the link for more information about HR 3717. Rep. Murphy is also a licensed and practicing psychologist who has drawn on his own professional experiences for inspiration for his initiative. Dr. Summergrad thanked Dr. Murphy for his insightful and clinicallyinformed comments.

Committee on RBRVS Codes and Reimbursement—Ronald Burd, MD, Chair Dr. Burd gave a brief report announcing that the new code reimbursements for psychotherapy add-on for psychiatrists have passed. Also new CPT codes for tele-psychiatry and tele-mental health are being developed. There continues to be concerns about the use of cut/paste in EHRs, which is considered fraudulent. New charting entries should be unique as the patient’s presentation will have unique characteristics for each visit. Northern California Psychiatric Society

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APA Assembly Notes Continued . . . Spring 2014 Report of the Health Care Reform Strategic Action Work Group—Howard, Goldman, MD, Chair—presented by Dr. James Sorrerell Dr. Sorrel discussed briefly the progress of the Work Group. The goal the group established was to prepare psychiatrists for integration into medical practice. The products the group is developing include an Advocacy kit for distribution to the DBs, a Toolkit for APA members to become involved in Integrated care, along with additional educational resources. These resources are expected to be available by October 2014.

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We Hope You Will Join Us Next Year!

SAVE THE DATE 55th Annual Meeting & Scientific Program March 27-29, 2015 Monterey Plaza Hotel ~Future of Psychiatry: Cutting Edge

Technologies & Innovations in Patient Care~ Northern California Psychiatric Society

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Disruptive Physician Behavior By: Norman T. Reynolds, MD In 2012, The Federation of State Medical Boards (FSMB) published an article “Disruptive Physician Behavior: Use and Misuse of the Label” by Norman Reynolds, MD. In 2014 at its Annual Conference, the FSMB is honoring Dr. Reynolds with its “Award for Excellence in Writing.” The following is an abstract of the article. Beginning in 2009, The Joint Commission (TJC) requires medical leaders to address disruptive behaviors in accreditation organizations and this includes addressing disruptive physician behaviors. The Federation of State Medical Boards (FSMB) has acknowledged the importance of addressing disruptive physician behavior as reflected in the 2000 Report of the Special Committee on Professional Conduct and Ethics and in the 2011 Policy on Physician Impairment. The article by Dr. Reynolds provides in-depth information about disruptive physician behavior that informs hospitals, medical staffs and physician well-being committees regarding responsibilities and best practices for addressing them. The article includes discussion of disruptive behavior causes and contributing factors, strategies to manage such behavior, formulation of medical staff policies, and appropriate and inappropriate use of the “disruptive” label. Although not a diagnosis, the disruptive label is useful in screening for disruptive physician behaviors. However, the disruptive label should not be applied to physicians just because they present controversial ideas or offer criticism of the medical system. Disruptive physician behavior consists of a practice pattern of personality traits that interferes with the physician’s effective clinical performance in relating to others. Manifestations are behavioral. The behaviors include inappropriate anger or resentment manifesting as tantrums, bullying, and demeaning behaviors. The disruptive behaviors negatively impact the persons with whom the physician interacts. At times, the disruptive behavior may be in response to real problems and issues. Both the unprofessional behavior was well as the issues should be addressed. Unfortunately, the underlying issues that spark the behavior may be ignored because of the egregious expressions of behavior. It is estimated that approximately 3 percent to 5 percent of physicians present with a problem of disruptive behavior. According to a 2004 survey of physician executives, more than 95 percent reported regularly encountering disruptive physician behaviors, and 70 percent reported that the disruptive behaviors nearly always involved the same physicians. Disruptive physician behaviors most commonly involved conflict with a nurse or other allied healthcare staff. Nearly 80 percent of the respondents said that disruptive physician behavior is under-reported because of victim fear of reprisal, or it is only reported when a serious violation occurs.

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Continued from page 11 … … … Putting things in perspective, physicians, like all human beings, manifest a wide range of behaviors and ways of relating to others stemming from their individual personalities and environmental influences. Anyone can have an occasional expression of inappropriate behavior. The disruptive behavior label differs from peer physicians in the sense that manifestations of inappropriate behavior represent an ongoing pattern that is pervasive, deep-seated, and resistant to change.

Expected behavioral standards have been established by professional organizations and, when incorporated in medical staff policy, may prevent and/or redress disruptive physician incidents. When pervasive violations of behavioral and interpersonal norms persist and medical staff attempts to mediate are met with physician resistance, denial, and even aggressive responses, consideration should be given to referral for in-depth professional evaluation of the physician.

The feasibility of offering assistance should be considered before automatically invoking discipline. Comprehensive evaluation determines a diagnosis, identifies contributing causes, and formulates a specific remediation and monitoring plan for the individual physician. The goal of remediation does not involve silencing physicians. Instead, physicians should be assisted in learning techniques to express concerns about real problems in professional ways. In all cases, a balanced, respectful, and compassionate perspective toward both perpetrators and their targets should guide the work of hospitals and medical staff committees while having to set appropriate limits—a “tough love” approach aimed at constructive problem solving and remediation whenever possible.

The full article “Disruptive Physician Behavior: Use and Misuse of the Label,” Journal of Medical Regulation, Volume 98; No 1, 2012 can be downloaded at the FSMB website (http://www.fsmb.org/pdf/pub-jmrmisuselabel.pdf). Or, for a reprint of the article, contact Dr. Norman Reynolds directly at 408-264-3064 or by email at cpcs2001@hotmail.com.

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OCTOBER 30 - NOVEMBER 2, 2014 Marriott Marquis San Francisco 780 Mission Street San Francisco, CA INTEGRATING SCIENCE AND CARE IN A NEW ERA OF POPULATION HEALTH This year’s theme focuses on the changes in service delivery and everyday practice, in scientific advancement of our field, and in how society itself has shaped our work. Join over 1,500 mental health professionals for this four day event, featuring more than 100 expertly-led education sessions in San Francisco, CA. WHO SHOULD ATTEND?  Psychiatrists of all levels including early career and residents  Psychiatric Social Workers  Peer Counselors  Psychiatric Nurse Practitioners  Psychologists  Behavioral Health Administrators and Policymakers Primary Care Providers WHY SHOULD YOU ATTEND?  Understand and master the rapid and dramatic changes in the practices of psychiatry and behavioral health  Learn about clinical innovations to improve patient care  Identify and improve mental health disparities in the community  Network with colleagues and share solutions to the challenges you face  Earn up to 27 AMA PRA Category 1 CreditsTM Be a part of APA’s Leading Educational Conference on Public, Community and Clinical Psychiatry. To register go to psychiatry.org/IPS

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Calendar of Events

Classified Advertisements

Asian American Issues Meetings:

EMPLOYMENT

August 7, 2014: Committee on Asian American Issues meeting. Topic TBA. 7-9 p.m. in Daly City. Please contact chair Jacquelyn Chang, M.D., at (650) 692-2520 for more information.

Community Psychiatry – Northern California Opportunities

Part time positions available for psychiatrists interested in individual and group mindfulness based psychotherapy. Patients can be seen either in your office or one of our 7 Bay area or Sacramento locations. For the last 4 years our October 16, 2014: Committee on Asian Amerigroup, Community Psychiatry, has been introducing can Issues meeting on Asian Americans and Body mindfulness based psychotherapy to patients. Our treatImage featuring group therapist Aileen Cho and ment program integrates the 8 week mindfulness based community activist Lisa Lee of stress reduction program with individual psychotherapy www.thickdumplingskin.com. 7-9 p.m. in Daly and psychopharmacology for the treatment of depression, City. Please contact chair Jacquelyn Chang, M.D., anxiety and chronic pain. We also provide training and at (650) 692-2520 for more information. supervision. For further information, please contact MDcv@cpsych.com or visit our website at www.communitypsychiatry.com. SAVE THE DATE

Job Fair / Psychopharmacology Conf. January 24th, 2015 Stanford University 450 Serra Mall, Stanford, CA

SAVE THE DATE NCPS Annual Meeting March 27-29, 2015 Monterey Plaza Hotel 400 Cannery Row, Monterey, CA

2015 Update on Psychiatry:

OFFICE FOR RENT Richard Shadoan would like to rent or sell his office located at 2299 Post St, San Francisco. Tel. 415-346-4016 or Email: richard.shadoan@gmail.com

OFFICE FOR RENT Large, quiet, furnished therapy office in three office suite with other psychiatrists. Ideal location on Sacramento Street between Presido and Walnut. Available 2+ days/ week. Waiting room, street parking. Rent per day/month is $265. Contact Sara DeLong M.D. at saradelongmd@gmail.com or 415-595-8897 .

Continuing a Proud 23 Year Tradition Information: This gem in the desert is a four day accredited course that maintains its strong core in psychopharmacology as it relates to depressive, bipolar, anxiety, and psychotic disorders. Additional topics will include evidence-based psychotherapy, the dilemmas of psychiatric diagnosis and dual diagnosis, personality disorders, and much more. 23 AMA PRA Category 1 Credits™ are offered. Dates/ Location: February 16-19, 2015, J.W. Marriott Starr Pass Resort, Tucson, Arizona To Register: For more information, or to register, please visit: http://psychopharm.arizona.edu

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NORTHERN CALIFORNIA PSYCHIATRIC SOCIETY 77 Van Ness Ave., Suite 101, #2022 San Francisco, CA 94102 TIME DATED MATERIAL Change Service Requested

Wellness Committee Offers a Confidential Hotline for Personal or Practice Problems The Wellness Committee reminds NCPS Members that there is a confidential hotline should one struggle with personal issues of any kind that could benefit from consultation or help. Committee members include Lynn Bertram, Marvin Firestone, Ardean Moore, Gary Nye, Richard Shadoan, and Chairperson, Rick Cicinelli. The confidential line is 888-386-3641. Most referrals do NOT use the hotline and come to the committee’s attention through the backdoor. There seems to be a reluctance to call upon the committee directly. The Committee is unique because it provides psychiatrists who understand the profession. Well being committees typically exist within hospitals or county medical associations, consist of physicians of diverse specialties, and many psychiatrists have little or no association with hospitals and such associations. The Medical Board of California has shut down both their wellness program and diversion for substance abuse. There is a huge gap between the process of reaching out for help and suddenly encountering consequences. Not seeking help in time can lead to a complaint, an MBC audit, a malpractice suit, and the complications of an advanced illness. Northern California Psychiatric Society

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NCPS Psychiatric Physician  

May/June 2014 newsletter

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