『Psychiatry Boot Camp』のカバーアート

Psychiatry Boot Camp

Psychiatry Boot Camp

著者： Mark Mullen MD
無料で聴く

【Amazonプライム会員限定】今ならプレミアムプランが4か月 月額99円。

10月19日まで。※適用条件あり
Your clear, practical introduction to the field of psychiatry. Each episode features a leading expert unpacking complex topics like suicide risk, schizophrenia, catatonia, and childhood anxiety. Originally created as a crash course for new doctors, Psychiatry Boot Camp has grown into essential listening for professionals preparing for residency, advancing their careers, or sharpening their clinical decision-making. Hosted by psychiatrist and educator Dr. Mark Mullen, the program delivers expert insight and practical teaching opportunities. Thanks to the participation of our incredible audience, the PBC team is proud to provide a trusted resource for students, clinicians, and anyone seeking a deeper understanding of psychiatry in practice. To Learn More Visit www.psychiatrybootcamp.com Got a Question? Email mark@psychiatrybootcamp.com© 2026 PBC Industries, LLC. All rights reserved. 出世 就職活動 教育 経済学 衛生・健康的な生活 身体的病い・疾患
エピソード
  • Is the Gold Standard of Decisional Capacity Assessment Broken? with Dr. Jacob Appel

    Is the Gold Standard of Decisional Capacity Assessment Broken? with Dr. Jacob Appel
    2026/10/04
    In this episode of Psychiatry Bootcamp, Dr. Mark Mullen welcomes Dr. Jacob Appel, psychiatrist, attorney, bioethicist, polymath, and emergency psychiatrist, for a rigorous and clinically grounded critique of the Applebaum-Grisso "Four Abilities Model" of decisional capacity assessment. Dr. Appel traces the model's origins in the 1980s as a patient-empowerment tool, examines how its statutory adoption across more than half of US states has calcified it beyond its original intent, and describes in detail the categories of patients for whom the model systematically fails. As an alternative, Dr. Appel describes the values-based model, which asks clinicians to identify a patient's current expressed choice, explore the underlying values that have governed the patient's life, and determine whether the two are congruent. He also introduces the consistent preferences approach, which situates capacity within a person's narrative arc rather than a moment-in-time snapshot.nce intervention programs in their own communities. References: The Applebaum-Grisso model was designed for patients who temporarily deviate from a Western allopathic baseline.Documented racial bias in capacity assessment stems in part from the model's privileging of patients who can articulate reasoning in medical-legal language, systematically disadvantaging those with less social capital who may know exactly what they want but cannot express it in those terms.The values-based model offers a simpler alternative.Capacity assessment is an intervention, not a neutral evaluationIn states without statutory definitions of capacity criteria, the values-based and consistent preferences approaches are likely protected under the respectable minority Irrational People Have Rights Too: Moving Beyond Rationality in Decisional Capacity Assessment: https://pubmed.ncbi.nlm.nih.gov/41801616/ A Values Based Approach to Capacity Assessment: https://pubmed.ncbi.nlm.nih.gov/36638303/Takeaways: Learn more about your ad choices. Visit megaphone.fm/adchoices
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    43 分
  • Firearm Violence as a Public Health Crisis with Dr. Kristin Mueller

    Firearm Violence as a Public Health Crisis with Dr. Kristin Mueller
    2026/09/21
    In this episode of Psychiatry Boot Camp recorded live at Saint Louis University, Dr. Mark Mullen is joined by Dr. Kristin Mueller, an emergency medicine physician and physician-researcher at Washington University in St. Louis, for a discussion on firearm violence as a public health crisis. Dr. Mueller, who works closely with the Life Outside of Violence hospital-based violence intervention program, walks through the clinical fundamentals of lethal means counseling, including a live mock counseling session demonstrating how to approach a patient in mental health crisis with access to firearms. The conversation covers practical, evidence-informed strategies for secure storage counseling, verbal de-escalation, and navigating patient resistance without leading with statistics alone. The discussion then turns to the epidemiology of firearm injury, including findings on non-fatal firearm injury rates, recurrent injury risk among adolescents and young adults, and the structural factors that shape risk beyond individual behavior. Dr. Mueller details the design and outcomes of the Life Outside of Violence program, a hospital-based intervention that pairs licensed clinical social workers with patients ages 8 to 30 following violent injury, and shares emerging data on goal-setting, goal achievement, and patient-reported outcomes. The episode closes with guidance for clinicians seeking to identify or refer patients to hospital-based violence intervention programs in their own communities. To find your local hospital violence intervention program, visit www.HAVI.org. Takeaways: Clinicians in all specialties can and should ask patients about access to firearms and medications as part of routine safety counseling, not only during acute mental health crises. Secure storage counseling is most effective when delivered with a calm, nonjudgmental approach that avoids leading with statistics alone. Non-fatal firearm injuries vastly outnumber fatal ones, with 93% of firearm-injured patients at St. Louis's level one trauma centers surviving and returning home. Patients treated for a firearm injury face a 7% risk of re-injury within one year and up to 17% within eight years, with adolescents and young adults at highest risk. The Life Outside of Violence program pairs licensed clinical social workers with patients for up to a year after injury, addressing housing, transportation, and trauma counseling alongside medical recovery. SUPPORT OUR PARTNERS: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠SimplePractice.com/bootcamp⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (Now with AI documentation! Exclusive 7 day free trial and 50% off four months) Learn more and get transcripts for EVERY episode at https://www.psychiatrybootcamp.com/ For Sales Inquiries & Ad Rates, Please Contact:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Sales@Human-Content.Com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Connect with HumanContent on Socials: @humancontentpods Produced by: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Human Content⁠ Chapter: 00:00 Live Show Intro00:45 Meet Dr Mueller01:36 Asking About Firearms04:12 Mock Counseling Roleplay10:28 De Escalation Secrets12:50 Legal Options And EROs14:36 Psych Care Gaps In ED18:49 Clinical Pearls And Resources23:24 Ad Break26:01 Back From Break26:40 Firearm Violence Public Health27:00 Firearm Injury Public Health28:02 Beyond Politics and Blame29:48 Data Gaps and Hospital Sharing31:34 Nonfatal Injuries and Recurrence33:49 Funding and Program Origins34:45 How LOVE Works37:39 Meeting Patients Where They Are41:50 CVI Ecosystem Partnerships43:26 Measuring Impact and Outcomes51:54 Success Stories and LOV Meaning55:27 Call to Action and Resources57:14 Outro and Listener Review Learn more about your ad choices. Visit megaphone.fm/adchoices
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    1 時間 1 分
  • Connection, Not Correction: Motivational Interviewing with Dr. Allison Hadley

    Connection, Not Correction: Motivational Interviewing with Dr. Allison Hadley
    2026/09/07
    Dr. Mark Mullen welcomes Dr. Allison Hadley, a psychiatrist and medical director of the psychiatric emergency service at Oregon Health & Science University, for a discussion on motivational interviewing in high-acuity psychiatric settings. Dr. Hadley introduces a novel teaching framework that draws on Tina Fey's rules of improv from her memoir Bossy Pants, mapping core improv principles, including "yes, and," making statements rather than only asking questions, and treating perceived mistakes as opportunities, onto the foundational techniques of motivational interviewing. The conversation covers the OARS mnemonic (open-ended questions, affirmations, reflections, and summaries), the relationship between motivational interviewing and trauma-informed care, and practical strategies for identifying and reinforcing patient change talk. The discussion also addresses the stages of change model and the ask-tell-ask method for delivering psychoeducation in a patient-centered way, along with harm reduction interventions used in the psychiatric emergency department, including methamphetamine safety kits. The episode concludes with an extended clinical role-play demonstrating how to apply these techniques with a patient presenting with anxiety and co-occurring cannabis use, illustrating how motivational interviewing can be used to build therapeutic alliance without alienating patients who are ambivalent about behavioral change. Takeaways: Motivational interviewing is considered a cornerstone, evidence-based treatment approach for substance use disorders in psychiatric practice. The improv principle of "yes, and" can be applied clinically by affirming an emotionally salient part of a patient's statement before introducing a new therapeutic direction. The OARS framework, open-ended questions, affirmations, reflections, and summaries, provides a structured method for conducting motivational interviewing conversations. The ask-tell-ask method allows clinicians to deliver psychoeducation only when a patient has explicitly consented to receive it, preserving patient autonomy. Harm reduction tools, such as methamphetamine safety kits distributed in emergency settings, reflect an evidence-based, non-judgmental approach to meeting patients where they are in their stage of change. SUPPORT OUR PARTNERS: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠SimplePractice.com/bootcamp⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (Now with AI documentation! Exclusive 7 day free trial and 50% off four months) Learn more and get transcripts for EVERY episode at https://www.psychiatrybootcamp.com/ For Sales Inquiries & Ad Rates, Please Contact:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Sales@Human-Content.Com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Connect with HumanContent on Socials: @humancontentpods Produced by: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Human Content⁠ Chapters: 00:00 Why Motivational Interviewing 01:09 Meet Dr Allison Hadley 02:33 Who MI Is For 04:37 How MI Works 07:27 Tina Fey Improv Lens 09:06 Improv Rules In Practice 19:19 OARS Core Skills 23:13 Reflections That Land 24:25 Summaries And Change Talk 25:01 Sponsor Break 27:38 Spotting Change Talk Cues 32:08 Stages Of Change Basics 34:23 Ask Tell Ask In Practice 39:30 Roleplay And Final Takeaways Learn more about your ad choices. Visit megaphone.fm/adchoices
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    50 分
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