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MUSC Psychiatry Chair Update
Thomas W. Uhde, M.D.
Department of Psychiatry and Behavioral Sciences
Institute of Psychiatry |
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ONGOING STUDIES & PUBLICATIONS |
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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. |
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Virtually guided exposure therapy improves outcomes in patients with post-traumatic stress disorder, preliminary study finds |
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Virtually guided prolonged exposure therapy reduced post-traumatic stress disorder (PTSD) symptoms more effectively than prolonged exposure alone in a pilot study of 40 civilians and veterans. The study was conducted at the Medical University of South Carolina (MUSC) and in partnership with the Ralph H. Johnson VA Medical Center.
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Given that up to 8% of the U.S. population and 20% of veterans are affected by PTSD, this study’s findings are important in expanding the reach of therapy for PTSD.
The study’s findings were presented at the International Society for Traumatic Stress Studies in November by Tanya Saraiya, Ph.D., a clinical psychologist and assistant professor at MUSC.
Saraiya served as one of the study therapists on the project and administered prolonged exposure therapy to participants.
Exposure therapy has long been known to be effective at reducing PTSD symptoms. A hallmark symptom of PTSD is avoidance. In exposure therapy, one aspect of the treatment focuses on teaching patients to approach stressful situations, activities or places “in real life” that are safe but avoided because they remind them of their traumatic experiences. For example, patients often visit stores or restaurants, where crowds or noises might trigger their stress response. For some patients, this can be too painful, leading them to drop out of therapy. Virtually guided exposures could provide these patients the support they need to complete treatment.
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Dr. Rochelle Hanson was interviewed by Live 5 News regarding recent safety threats/incidents in Charleston-area schools. The full article can be accessed here. |
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Expertscape has also noted that Dr. Guille is among the top 1% of scholars writing about Mood Disorders over the last 10 years, recognizing her as an expert on the subject. Congratulations, Dr. Guille! |
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Congratulations to Dr. Rosaura Orengo-Aguayo on her acceptance in the Spring 2022 cohort of the MUSC Leadership Institute’s Emerging Leaders Program! |
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Dr. Eva Serber was interviewed by WCBD News 2 regarding mental health around the holidays. The interview is available here. |
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Dr. Brittany Bryant's invited commentary "Race as a Social Construct in Psychiatry Research and Practice" was recently published in
JAMA Psychiatry. This important paper addresses race as a biological factor and how it contributes to misdiagnosis and health disparities.
Drs. Anna Kirkland (post-doctoral fellow), Matthew Fadus (former DART resident), Kevin Gray, and Lindsay Squeglia recently had their paper "A Scoping Review of the Use of Cannabidiol in Psychiatric Disorders" published in
Psychiatry Research. Contrary to the marketing claims about CBD treating a host of psychiatric disorders, there is currently not enough high-quality evidence to suggest the clinical use of CBD for any psychiatric disorder. The most promising findings are regarding psychotic symptoms and anxiety.
Drs. Matthew Fadus, Emilio Valadez (former clinical psychology intern), Brittany Bryant, Alexis Garcia, Brian Neelon, Rachel Tomko, and Lindsay Squeglia's paper "Racial Disparities in Elementary School Disciplinary Actions: Findings From the ABCD Study" in the
Journal of the American Academy of Child and Adolescent Psychiatry was announced as one of JAACAP's Best of 2021 articles!
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EMPLOYEE RECOGNITION PROGRAM |
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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. |
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NATIONAL STATE OF EMERGENCY IN CHILDREN'S MENTAL HEALTH |
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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.
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APA COURSE OF THE MONTH PROGRAM |
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Exploration of How to Care for Pregnant
Women With Psychiatric Illness
Pricing
- General Member - Free
- Resident-Fellow Member - Free
- Medical Student Member - Free
- Non-Member - $31.25
This course is free to APA members through the Course of the Month program. Promotional pricing valid December 1st - December 31st, 2021.
Credits CME:1.25, Participation:1.25
Description
The risk for development of a mood or psychotic disorder is highest in females during their reproductive years. This results in a high likelihood that pregnancy and psychiatric illness will intersect. The risk of psychotic disorders is not substantially reduced by pregnancy and psychiatric management is necessary to maximize maternal wellness among women with these conditions. Non-psychotic mood and anxiety disorders may improve across pregnancy although many women still require non-pharmacological and pharmacological treatment to stay well. Psychiatrists appreciate that the management of pregnant women with psychiatric illness entails “Treating for Two”, a moniker adopted by the Centers for Disease Control and other federal agencies. This presentation will review the prevalence of common psychiatric disorders in pregnancy, will discuss the longitudinal course of illness as well as management strategies for optimal care of pregnant women with psychiatric illness. Finally, the presentation will provide information on perinatal outcomes related to maternal psychiatric illness and to the pharmacological treatments that may be needed to provide optimal care for pregnant women.
For more information and to enroll, please use the following link.
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2021-2022 GRAND ROUND SERIES |
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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.
If you have questions concerning annual leave cutbacks or accruals, please contact Monique Robinson at robinsmo@musc.edu or 843-792-7225. |
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HOLLINGS CANCER CENTER
T32 ITOS FELLOWS APPLICATION |
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STAR CHILDREN'S DAY TREATMENT PROGRAM |
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SOCIETY FOR CLINICAL SOCIAL WORK
2022 ANNUAL CONFERENCE |
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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.
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The purpose of this research is to test out a new way of treating generalized anxiety disorder (GAD) with low intensity focused ultrasound pulsation (LIFUP). If the subject agrees to participate in the research study, the participation will last approximately 10.5 hours over seven (7) days. The visits are as follows: 1- consent and MRI, 2- and 3- focused ultrasound will be delivered outside of the MRI environment, 4- MRI plus focused ultrasound, 5- assessments 1 week post focused ultrasound, and 6- one month follow-up assessments. Research studies are voluntary and include only people who agree to take part.
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SELF CARE SUPPORT SESSIONS |
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COMPREHENSIVE PSYCHIATRIC
CARE SPECIALISTS (CPCS) |
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The CPCS office is currently taking referrals for youth and adults for outpatient therapy and/or medication management. |
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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
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FENTANYL URINE TEST
CLINICAL NEUROBIOLOGY LAB |
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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”
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Individuals needing to contact the MUSC COVID Vaccine Call Center can utilize the information below:
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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.**
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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
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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.
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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.
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NAMI CONNECTION & NAMI FAMILY SUPPORT |
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UPDATED MOONLIGHTING POLICY |
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THANK YOU TO OUR SUPPORTERS |
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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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