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Friday, December 8 • 2:20pm - 2:40pm
PES Case Conference

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Residents rotate in PES and encounter variety of behavioral emergency cases. However, many unique findings or interventions during patients' interviews will be only experienced by the specific trainee that happen to be rotating at that time. Some of these findings/interventions are unique and are particularly helpful for skills building. The goal of this activity is to share these specific interventions with other trainees. PGY-2 residents meet for an hour per month in a case conference format to discuss PES-focused cases. The conference is led by a core PES faculty discussant who would work with the PES day shift resident to identify cases appropriate for the conference. The resident will be presenting 4-6 short cases – as explained below – and then will zoom in into very specific areas in the interviews or specific interventions that made uniquely significant contributions to the decision-making in these cases. This faculty discussant then will lead an interactive discussion about the case for the group. Here are a few examples about areas of focus:1- A specific word or phrase a patient said that was particularly helpful for risk assessment or made a shift in the assessment. 2- A unique way by which a clinician (nurse, social worker, student, resident, NP, attending, etc) was able to get a more accurate version of the history that allowed better assessment and interventions. 3- A phrase or an intervention made by the interviewer that allowed the interview to move more smoothly with a patient that was otherwise difficult to interview.4- A specific clinical information because of which a certain medication was preferred to address an emergency such as agitation over other agents. Or retrospectively, why a certain medication was not a good option or led to an adverse event in a particular case.5- A situation in which a misread of a patient or the way by which certain information was delivered to the patient led to a negative outcome such as an assault. What could have been done differently?6- A particularly challenging case for risk assessment, what made this case difficult, what else can be done to better estimate the risk. 7- A case in which unusual actions were taken (family not allowed to take their child out of PES, low enforcement involvement, ..etc).

Learning Objectives:
  1. Introduce this newly-designed learning activity as a model for knowledge exchange in emergency psychiatry.
  2. Explain how this model can add learning value to the traditional bedside model.
  3. Share feedback and opinions from trainees about this model.

Speakers
avatar for Ahmad Shobassy, MD

Ahmad Shobassy, MD

Assistant Professor of Psychiatry, University of Michigan
I completed my medical school at University of Aleppo in Syria in 2011. I finished my residency training in psychiatry at St Louis University in Missouri. I then started working as a faculty at the emergency psychiatric services at University of Michigan in Ann Arbor.



Friday December 8, 2023 2:20pm - 2:40pm PST
Vendôme B