MUSC Psychiatry Chair Update | December 02, 2021
December 02, 2021
MUSC Psychiatry Chair Update
 
 
Thomas W. Uhde, M.D.
Department of Psychiatry and Behavioral Sciences
Institute of Psychiatry
ONGOING STUDIES & PUBLICATIONS
Research in the Department
 
Ranked 11th in the nation among departments of psychiatry in total research funding from the National Institutes of Health, MUSC Psychiatry is the single largest research department in the College of Medicine.
IN THE NEWS
'Almost Frankensteinish' Omicron variant worrying, but don't panic, scientist says
 

The Omicron variant of the coronavirus that causes the illness COVID-19 has the full attention of the leader of the Medical University of South Carolina’s COVID tracking team. “It's almost Frankensteinish. I mean, it's sort of got all the worst characteristics,” said Michael Sweat, Ph.D. He’s a public health expert who serves as a professor in MUSC’s College of Medicine and is also affiliated with the Johns Hopkins Bloomberg School of Public Health.

 

“The number of mutations that occurred in this particular variant is striking. There were over 50 mutations detected, about 30 of those occurring in the spike. The spike is an important part of the virus because it's how it attaches to us and transmits.”

Researchers in South Africa announced the discovery of Omicron last week. The World Health Organization warned that its high number of mutations could lead to new surges of COVID-19 and labeled it a “variant of concern.”

 

But Sweat said a lot of questions remain. “I think people should be careful not to panic. It's scary, there's no question that it's scary because of the genetics and the shape of the virus. But there are two key issues. One is the transmissibility of it. And the other one is whether it makes you sicker.” 

 

On the transmissibility front, Omicron seems to be a speedy spreader. The variant hasn’t been identified in the U.S. yet, but Sweat said it’s probably just a matter of time. Two cases have already shown up in Canada, just to our North. 

 

And Omicron’s performance in South Africa shows it may have the edge on earlier mutations.  “It does look like in Gauteng Province, specifically in the Johannesburg and Pretoria areas, Omicron really outcompeted Delta. Delta is very transmissible, and if Omicron outcompeted it, it's suggesting that it would do that on a larger scale.”

 

But does that mean Omicron will make people sicker than other variants or the original strain? Not necessarily. “There’s a chance that while it could be more transmissible, it could cause a very mild infection,” Sweat said. “There are a few people in South Africa who were saying the cases were all mostly mild. But that may be because they were mostly in young people. Also, serious outcomes tend to take some time to develop. It's so early, they don't know.”

KUDOS & WINS
Congratulations to Dr. Donte Bernard on his recent publication, Racial discrimination as a risk factor for internalizing concerns and other adverse childhood experiences, available in the Journal of Traumatic Stress.
 
Dr. Bernard has also been invited to participate in the National Institute of Mental Health (NIMH) Extramural Investigators Listening Session, which aims to understand the perspectives, experiences, and observations of Black, Indigenous and other People of Color (BIPOC) trainees and researchers about barriers and facilitators to funding success at NIMH.
Dr. Rosaura Orengo-Aguayo was recently awarded an Early Career Award by the Association for Behavioral and Cognitive Therapies (ABCT) Dissemination and Implementation Special Interest Group. Congratulations on this well-deserved recognition, Dr. Orengo-Aguayo!
TRIDENT UNITED WAY'S
DAY OF CARING
Kudos to our team of volunteers for Trident United Way's Day of Caring!

 

A 15-year tradition in the Lowcountry, Trident United Way’s Day of Caring is the largest community service day in the area. The Department of Psychiatry and Behavioral Sciences wishes to thank our volunteers for representing the Department and generously giving their time back to our community!

EMPLOYEE RECOGNITION PROGRAM
Do you know an employee who has gone the extra mile recently? Nominate them for the Department of Psychiatry & Behavioral Sciences' MVP Award! This award will be given quarterly to an employee nominated by their peers for going above and beyond in the workplace. For more information or to nominate an employee, please visit our Employee Recognition Page on the Horseshoe.
NATIONAL STATE OF EMERGENCY IN CHILDREN'S MENTAL HEALTH
The American Academy of Pediatrics (AAP), the American Academy of Child and Adolescent Psychiatry (AACAP) and the Children’s Hospital Association (CHA) have joined together to declare a National State of Emergency in Children’s Mental Health

To learn more about the worsening crisis in child and adolescent mental health, please refer to the declaration published by the American Academy of Pediatrics.
2021-2022 GRAND ROUND SERIES
COVID-19 VACCINATION UPDATE

On September 9, 2021, President Biden signed Executive Order 14042, “Ensuring Adequate COVID-19 Safety Protocols for Federal Contractors.” This Executive Order requires most federal contractors, including the Medical University of South Carolina, to comply with specific COVID-19 guidance. This guidance includes the implementation of a mandatory vaccine policy for all “covered” employees and adherence to CDC guidelines regarding masking. MUSC has been assessing the impact of this executive order on our operations and its intersection with state law for employees covered under this federal definition.

 

After extensive due diligence with internal and external stakeholders, including Clemson University and the University of South Carolina, MUSC leadership has decided to comply fully with this executive order and therefore maintain our federal contracts. Failure to comply with this order puts at least $102 million dollars in federal MUSC contracts at risk in this year alone. In a worst case scenario, MUSC could lose as much as $190 million dollars in federal contracts. The loss of that revenue would be devastating for our institution and our ability to deliver our tripartite mission.

 

We realize this is short notice, and we regret the potential inconveniences and added stress that complying with this mandate may result in for some individuals during the next several weeks. As we continue to assess the impact of this executive order on our operations and plan next steps in light of the most recent guidance and continued due diligence, we are able to offer the following information at this time.

 

Who must get vaccinated in order to comply with this federal order?

  1. All university employees directly named on a federal contract, even if they work remotely.
  2. All university employees who in any way support a federal contract (legal team, business administrators, research administration team, etc.) even if they work remotely.
  3. All university employees interacting with people in #1 and #2 above including those working and/or meeting regularly (including teaching) in the same buildings.

How will I know if I need to get vaccinated?

 

We will be reaching out to all employees who fall into any of the categories above in the next few days to inform you that you must either get fully vaccinated by December 8, 2021, or be approved for a medical or religious exemption before that date. You are considered "fully vaccinated" when it has been two weeks after the last dose of the vaccine.

 

Please note that as new federal contracts are received or more of our current contracts are amended by federal agencies to include this vaccine mandate, we will be reaching out to inform more employees that they now fall under this policy and are required to get a COVID-19 vaccine.

 

What do I do if I am notified that I must get vaccinated or file for an exemption?

 

If you are fully vaccinated (all roles): There is no action you need to take at this time. MUSC has access to a statewide database that includes the names of all individuals who have received the vaccine in the U.S.

 

If you are currently unvaccinated:

 

Students – If you are not on clinical rotations that require a COVID-19 vaccine and are not considered an employee of MUSC, you are not required to be vaccinated.

If you are a student and also considered an employee of MUSC, you may be required to become vaccinated if you are notified that you are a “covered” employee and you do not qualify for a medical or religious exemption. If you do not have an exemption on file and would like to submit one for consideration, please visit here.

 

Faculty – If you have already filed a medical or other exemption in relation to the MUSC Health COVID-19 vaccination policy, you do not need to take any action at this time. If you do not have an exemption on file and would like to submit one for consideration, please visit here.

 

If you do not qualify for a medical or other exemption and are notified that you are a “covered” employee impacted by a federal contract, you will be required to get vaccinated. Noncompliance with the mandate will be addressed in keeping with MUSC’s guidelines for disciplinary action.

 

Employees/Staff – If you have already filed a medical or religious exemption in relation to the MUSC Health COVID-19 vaccination policy, you do not need to take any action at this time. If you do not have an exemption on file and would like to submit one, please visit here.

 

If you do not qualify for an exemption and are notified that you are a “covered” employee impacted by a federal contract, you will be required to get vaccinated. Noncompliance with the mandate will be addressed as needed in accordance with MUSC’s guidelines for disciplinary action.

 

As noted above, employees who are defined as “covered” employees will receive more information in the coming days; however, please note that every effort must be made to comply with the this mandate (become fully vaccinated or receive confirmation of an exemption) by December 8, 2021. We recommend pursuing either the Pfizer or Johnson & Johnson vaccine, as the Moderna series requires a longer time frame.

 

Regarding our masking guidelines, we are currently aligned with the executive order and will continue to remain in compliance. For more information obtaining the COVID-19 vaccine, including scheduling, locations and more, please visit https://muschealth.org/get-vaccine. If you have an MUSC My Chart account, you can use that platform to schedule vaccination appointments at preferred MUSC locations.

 

Thank you for your help in complying with this important federal mandate, and please stay tuned for more information in the coming days.

 

Sincerely,

 

David J. Cole, M.D., FACS
President

 

Lisa K. Saladin, PT, Ph.D., FAPTA
Executive Vice President for Academic Affairs and Provost

 

Lori McMahon, Ph.D.
Vice President for Research

 

Rick Anderson
Executive Vice President for Finance and Operations

ANNUAL LEAVE CUTBACK
STAFF
 

Eligible full-time staff can carry up to 360 annual leave hours and 1,440 sick leave hours. The cutback leave date for staff is always December 31 each year.

 

Please reach out to your designated timekeeper if you are unsure of how much leave you have.

 

FACULTY
 
Due to the ongoing pandemic, MUSC Executive Leadership has extended the Faculty Annual Leave cutback date to December 31, 2021 (normally 6/30). Based on the December 31 faculty cutback extension, all unused annual leave in excess of 360 hours, regardless of future leave approvals in the Kronos system, will be cutback to 360 hours in January 2022.

We encourage you to review the annual leave balances for the faculty members in your areas and determine if you have individuals who stand to lose leave when the automatic reduction occurs, and if so, we ask that you share this information with them. We also ask that you update all leave records as necessary to ensure we have the correct leave balances on file before the automatic reduction occurs. Leave balances can be viewed directly using MyRecords, found on the Horseshoe under the Employee Corner, http://horseshoe.musc.edu/human-resources/univ/employee-corner.

Faculty members are eligible to donate annual leave to the catastrophic leave pool per the HRM Policy 48: Catastrophic Leave policy. Due to the extension, the Leave Donation Form must be completed and sent to the HRM Leave Administrator (robinsmo@musc.edu or Fax 843-792-9533) by December 15, 2021.

If you have questions concerning annual leave cutbacks or accruals, please contact Monique Robinson at robinsmo@musc.edu or 843-792-7225.
HOLLINGS CANCER CENTER
T32 ITOS FELLOWS APPLICATION
STAR CHILDREN'S DAY TREATMENT PROGRAM
SEXUAL ORIENTATION AND GENDER IDENTITY TERMINOLOGY FOR EDUCATORS
SURVIVORS OF HOMICIDE
SUPPORT GROUP VIGIL
AAMC VIRTUAL SEMINAR
SOCIETY FOR CLINICAL SOCIAL WORK
2022 ANNUAL CONFERENCE
CAREER OPPORTUNITIES

Child & Adolescent Division

 

Open Rank/Faculty (UNIV, Full-Time): This candidate will primarily provide inpatient services to children and adolescents (6-12yo) in the Institute of Psychiatry. They will be responsible for the care of patients and the supervision of medical students, residents, and Child Fellows for one of our interdisciplinary care teams. This candidate will also have a small portion of their effort dedicated to another service that may consist of telemedicine, outpatient care, and/or residential care depending on candidates preferences and effort availability.

 

Open Rank/Faculty (UNIV, Full-Time): This candidate will work as a consultant and liaison for the Shawn Jenkins Children’s Hospital + Pearl Tourville Women’s Health Pavilion providing psychiatric consultation and care to patients in inpatient and urgent care in that facility. This candidate will also supervise and provide education to C&A Fellows and other APPs who help staff this service. This candidate will also provide supervision for general residents and fellows in the Child and Adolescent Outpatient MUSC ED Walk in Clinic, helping to establish care for families who were recently seen in the MUSC Pediatric Emergency Room.

 

Assistant Professor (UNIV, Full-Time): The Medical University of South Carolina's (MUSC) Division of Child and Adolescent Psychiatry in the
Department of Psychiatry & Behavioral Sciences is recruiting for clinician-educator faculty positions in downtown Charleston, SC. According to the candidate’s preferences they may be involved with clinical services across a variety of clinical settings including outpatient, day treatment, inpatient and residential programs. Direct patient encounters and tele-psychiatry services may also be included. Desire to work with medical students, residents, and child fellows preferred.

rTMS FOR DEPRESSION

Struggling with Depression?

 

We are currently seeking individuals between the ages of 21-70, diagnosed with Major Depressive Disorder (MDD) to participate in a research trial using repetitive transcranial magnetic stimulation (rTMS). Treatment and study related assessments will be provided at no charge.

CONTACT US!

 

EEGTMSproject@musc.edu

843-876-5141

SELF CARE SUPPORT SESSIONS
SMOKING CESSATION
COMPREHENSIVE PSYCHIATRIC
CARE SPECIALISTS (CPCS)
The CPCS office is currently taking referrals for youth and adults for outpatient therapy and/or medication management.

The CPCS office is located at 26 Bee Street and is seeing patients either virtually or in the office. All patients are self-pay at the time of the appointment and will be provided with the necessary paperwork to submit for reimbursement from their insurance companies. All department of psychiatry faculty members are eligible to see private patients in CPCS.

 

To make a referral or schedule an appointment, call 843-792-9396.

 

For more information about making a referral or joining the practice, feel free to contact Hilary Bernstein, LISW, DHA at bernsteh@musc.edu

 

Check out our website: Psychiatriccarespecialists.com

Like our Facebook page: Comprehensive Psychiatric Care Specialists

FENTANYL URINE TEST
CLINICAL NEUROBIOLOGY LAB

FENTANYL URINE TEST NOW OFFERED BY

THE CLINICAL NEUROBIOLOGY LAB (CNL)

 

The use of the powerful opiate drug, FENTANYL is on the rise, accounting for a large share of overdose deaths in SC, and the greater US.

 

Previously, urine drug testing at MUSC could not detect Fentanyl use. The Clinical Neurobiology Laboratory has recently completed an extensive validation of a qualitative (positive vs negative) urine test for the presence of Fentanyl which can be used to distinguish this drug from other commonly used/abused opiates such as oxycodone, buprenorphine and morphine. This test should aid clinicians in the evaluation of patients in multiple clinical settings, especially when illicit drug use is suspected.

 

Simply order: “Fentanyl, Urine, Qual (IOP LAB)” or “LAB9066”

COVID-19 RESOURCES
Individuals needing to contact the MUSC COVID Vaccine Call Center can utilize the information below:
The COVID-19 Vaccine Task Force will be posting updates on the COVID-19 Vaccine intranet site, including information about the vaccine safety and efficacy, so our care team members can make an informed decision.
 

**Updated University Directives can be found here.** 

LAB & TESTING OPTIONS

 

The following resource provides MUSC Health lab and testing options pertaining to COVID-19. Included on this page is information regarding drive-thru and “pop-up” mobile COVID testing locations, antibody or serology tests, drive-in lab and nurse visits, and original/classic lab testing.

 

MUSC Health Lab & Testing Options

MANDATORY SELF-MONITORING

 

Due to the activity of COVID-19 within the hospital and community, all employees, residents, fellows and students within all MUSC entities are directed to begin daily self-monitoring for COVID-19 symptoms. This applies regardless of whether you have been working remotely on a full-time or intermittent basis. You need to continue daily self-monitoring, even if symptoms are not present.

 

UPDATES VIA THE HORSESHOE

 

In addition to updates provided by MUSC Enterprise, the Department of Psychiatry and Behavioral Sciences will also provide updates through our employee intranet, The Horseshoe. Updates will be provided regularly as new information becomes available. For your convenience, direct links are provided below.

MUSC RESILIENCY PROGRAM
NAMI CONNECTION & NAMI FAMILY SUPPORT
UPDATED MOONLIGHTING POLICY
MUSC WEIGHT MANAGEMENT
THANK YOU TO OUR SUPPORTERS
SUBMITTING CONTENT
If you would like to submit content to include in next week's Chair Update, please submit to Dr. Jamie Fisher by 12:00 pm on Monday. Thank you.
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