Don't mind if I do!
Welcome to the blog of the Family-Medicine Psychiatry Combined Program at UIHC (University of Iowa). Nesrin's brainchild, I'm totally tagging along for the fun. I want to write about my day briefly in family medicine clinic.
7 AM: Give presentation on ADHD in sports medicine/athletes as part of sports medicine rotation
8 AM: See first patient, discuss depression/anxiety, how they impact adherence to his diabetes and specifically insulin
8:20 AM: See second patient, discuss refill of depression meds
8:40: See third patient, discuss sleep and fatigue issues
9 AM: Insta-curbside in the clinic, advice regarding anxiety management with an SSRI, recommended psychotherapy to FP staff!
9:30 AM: Well-child check #2 - mom with PPD and drug use, concerned about effects on child
10:30 AM: f/u continuity visit for nausea/vomiting with client on ACT team, weight loss, ???? somatic delusions vs. pancreatitis?
11 AM: f/u gastritis, stricture and bipolar co-managed with community psychiatrist
Tally for morning:
4 total curbside consults offhand in FP clinic re: psych-related issues
>50% patients with co-morbid psychiatric diagnoses
1 cup coffee
8 influenza shots
3 TDAPs
One really cute well-child check
One 14 year old with allergic rhinitis totally better, talked about spanish classes and used Acceptance and Commitment Therapy tenets to improve motivation to study, not procrastinate
3 substance use disorders
I don't think this is typical for any family medicine clinic in the US. I use my psych training day-in and day-out, and it makes me a better family physician.
As combined-trained clinicians, we have a unique hybrid skill set to offer, and are representatives of the field of psychiatry to patients unfamiliar with the system of mental health, and to providers unfamiliar with managing complex mental health. Today I was 1/2 family physician, and 100% psych C&L.
I'm ready for next week!
-- Erik
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