The 2018 Benjamin Rush Awards were announced Saturday, April 7th at the annual meeting and continuing medical education conference of the Oklahoma Psychiatric Physicians Association held
Trang 1by Harold M Ginzburg, M.D., J.D., M.P.H
The Nation, Local, State and Federal
Govern-ment Agencies and in particular, a number of
federal agencies including the Departments
of Justice (DOJ), Health and Human Services
(HHS) and the Food and Drug Administration
(FDA) have come forward with various
ap-proaches to addressing the increased
mortali-ty and morbidimortali-ty associated with the ‘Opioid
Epidemic’ This is not the first opioid epidemic
in this Country Post-Civil War the use and
abuse of ‘opium’ was wide spread for
trau-matic wounds suffered during the civil war
The inclusion of opium and alcohol in patent
medicines and the addiction of hundreds of
thousands in the early part of the 20th
centu-ry eventually lead to a series of Federal and
State laws and regulations
The Pure Food and Drugs Act of 1906
re-quired labeling of patent medicines that
con-tained opiates, cocaine, alcohol, cannabis and
other intoxicants The opium addicts at that
time were considered to be primarily women
who used the patent medications and then
prescription medications to control menstrual
pain The United States’ accession of
non-contiguous lands, such as the Philippines and
Puerto Rico, and evolving commercial
con-tacts with Central and South America, and
Southeast Asia/China lead to increased
trans-portation of opium and other ultimately other
controlled substances, including cocaine, into
the mainland United States
The 1914 Harrison Narcotic Act, which classi-fied cocaine as a narcotic, was a significant Congressional attempt to control access to controlled substances The Harrison Narcotic Act called for the registration of prescribers and authorized the internal revenue authori-ties to impose a special tax on “all persons who produce, import, manufacture, com-pound, deal in, dispense, sell, distribute, or give away opium or coca leaves, their salts, derivatives, or preparations, and for other pur-poses." Challenges to the scope of the law soon occurred and the federal courts held that physicians could prescribe narcotics to patients in the course of normal treatment, but not for the treatment of addiction The Act allowed physicians to prescribe narcotics/
opiates "in the course of his professional prac-tice only." This phrase was interpreted, by the federal courts, to mean that a physician could not prescribe narcotics/opiates to an addict, since addiction was not then considered a disease Once a number of doctors were ar-rested and some imprisoned, the medical pro-fession understood it was not to supply opi-ates to addicts The Supreme Court in Webb v
United States, 249 U.S 96, 99 (1919) that phy-sicians could not prescribe narcotics solely for maintenance
Narcotics were not overtly or publicly used for opioid/narcotic maintenance until Dole and Nyswander, in 1965, reported the use of methadone to control addiction
See synthetic opioid problem
on Page 2
April, May, June 2018
Attacking the Synthetic
Opium Problem – Again !
(updated to mean Fentanyl & Oxycodone)
DEA Diversion Control 3 Benjamin Rush Awards 4 OPPA CME Conference 5 Resident Presentations 6 Membership Update 7 Posters Presented at APA 8 Executive Council Scoop 9 Award Luncheon Highlights 11
What’s inside?
Officers 2018-2019 President Jay Lensgraf, MD President-Elect Harold Ginzburg, MD Vice President Jason Beaman, DO Secretary Lauren Schwartz, MD Treasurer Shannon Thomas, DO Parliamentarian Shree Vinekar, MD APA Assembly Delegate Shree Vinekar, MD Harold Ginzburg, MD 1st Councilor Heather Geis, MD 2nd Councilor Bryan Cates, DO 3rd Councilor
Ed Hill, MD Councilors
V Ray Cordry, DO Vijaya Ekambaram, MD Hashib Faruque, MD Courtney Nixon, MD Britta Ostermeyer, MD Jed Perdue, MD Art Rousseau, MD Haiwang Tang, MD
Trang 2The federal government has provided a treatment model called Medication Assisted Treatment (MAT) MAT involves the use of FDA-approved medications, such as naltrexone, bupren-orphine/naloxone (Suboxone) and methadone, in combina-tion with counseling and behavioral therapies, to facilitate the therapeutic management of patients who are abusing heroin, fentanyl, and other narcotic/opioids Health care prescribers are being encouraged to use MAT for the treatment of narcot-ic/opioid drug dependence either in face-to-face treatment sessions or using telemedicine sessions
As noted in the DEA’s Diversion Control Division’s recent publi-cation published on Page 3, alterations in telemedicine stat-utes allow MAT protocols to be implemented without direct, face-to-face contacts Government’s goal is to stem the ‘opioid epidemic’ of this decade
They said the same thing when hundreds to thousands of methadone maintenance programs were established in the 1970’s What have been the lessons learned?
Literally, in a century, we have gone from considering narcot-ic/opioid abuse not a disease and thus not permitted to be treated with narcotic/opioids by physicians to a health care scourge where health care providers are being encouraged to substitute one opiate with another opioid.❖
Soon the use of methadone as pain control medication
de-creased and then essentially ceased when the National
Insti-tute on Drug Abuse was formed and started to fund large
scale clinics to provide methadone detoxification and
metha-done maintenance as a treatment for narcotic/opioid drug
abuse
A reported treatment goal was to have heroin addicts cease
purchasing street heroin and sharing needles and thus
de-crease their criminal activities and their contracting and
communicating hepatitis B and other infectious diseases By
the beginning of the 1980s, hepatitis B was replaced by the
human immunodeficiency virus (HIV) as the leading cause of
morbidity and mortality among heroin addicts
The evolution of the availability of synthetic opioid compounds
such as oxycodone, hydrocodone and fentanyl increased the
‘at risk’ or vulnerable population for addiction or, in recent
dec-ades, called physiological and/or psychological dependence
A receptor blocking agent, such as naloxone, provides an
im-mediate life-saving treatment to narcotic/opioid-induced
respir-atory depression Naltrexone is a longer acting receptor
block-ing medication that binds and blocks opioid receptors and is
reported to reduce narcotic/opioid cravings Naltrexone also
prevents respiratory depression
Syn thetic op ioid probl em c o n t i n u e d f r o m p a g e 1
O c c a p c e l e b r at e s 2 0 1 8 c h i l d f e l l ow s h i p g r a d u at i o n s
A dinner party was held the evening of June 9th at the home of Drs Jay Lensgraf and Heather Geis to celebrate the graduation of three Child-Adolescent Fellows from the OU College of Medicine, OKC and the OU College of Community Medicine, Tulsa
Honored were graduates William Oliva, MD, OKC (pictured back row in white shirt); Sidharta Seth, MD, OKC and Dreylana (Tori)
Taylor, MD, Tulsa (Drs Seth and Taylor were unable to attend.)
Colleagues, family and friends joined the evening celebration feasting on an Italian dinner and an assortment of delicious desserts
including chocolate mice and cakes inscribed with the names of the graduates! The event was sponsored by the Oklahoma Council
of Child and Adolescent Psychiatry ❖
Trang 3Under the Ryan Haight Act of 2008, where controlled substances are prescribed by means of the Internet, the
general requirement is that the prescribing Practitioner must have conducted at least one in-person medical
evaluation of the patient U.S.C § 829(e) However, the Act provides an exception to this requirement 21 USC §
829 (e)(3)(A) Specifically, a DEA-registered Practitioner acting within the United States is exempt from the
re-quirement of an in-person medical evaluation as a prerequisite to prescribing or otherwise dispensing controlled
substances by means of the Internet if the Practitioner is engaged in the practice of telemedicine and is acting in
accordance with the requirements of 21 U.S.C § 802(54)
Under 21 U.S.C § 802(54)(A),(B), for most (DEA-registered) Practitioners in the United States, including
Qualify-ing Practitioners and QualifyQualify-ing Other Practitioners (“Medication Assisted Treatment Providers”), who are usQualify-ing
FDA approved Schedule III-V controlled substances to treat opioid addiction, the term “practice of telemedicine”
means the practice of medicine in accordance with applicable Federal and State laws, by a practitioner (other
than a pharmacist) who is at a location remote from the patient, and is communicating with the patient, or
health care professional who is treating the patient using a telecommunications system referred to in (42 C.F.R §
410.78(a)(3)) which practice is being conducted:
A While the patient is being treated by, and physically located in, a DEA-registered hospital or clinic registered
under 21 U.S.C § 823(f) of this title; and by a practitioner
-who is acting in the usual course of professional practice;
-who is acting in accordance with applicable State law; and
-is registered under 21 U.S.C § 823 (f) with the DEA in the State in which the patient is located
OR
B while the patient is being treated by, and in the physical presence of, a DEA-registered practitioner
-who is acting in the usual course of professional practice;
-who is acting in accordance with applicable State law; and
-is registered under 21 U.S.C § 823 (f) with the DEA in the State in which the patient is located
Please be advised that the remote Practitioner engaged in the practice of telemedicine must be registered with
the DEA in the state where they are physically located and in every state where their patient(s) is (are) physically
located 21 U.S.C § 822 (e)(1); 21 C.F.R.§ 1301.12 (a); Notice 69478 Federal Register / Vol 71, No 231 / Friday,
December 1, 2006
Also be advised that all records for the prescribing of an FDA approved narcotic for the treatment of opioid
ad-diction need to be kept in accordance with 21 C.F.R § 1304.03(c), 21 C.F.R § 1304.21(b), and with all other
re-quirements of 21 C.F.R Part 1300 to End
Please note that while this document reflects DEA’s interpretation of the relevant provisions of the Controlled
Substances Act (CSA) and DEA regulations, to the extent it goes beyond merely reiterating the text of law or
regulations, it does not have the force of law and is not legally binding on registrants Because this document is
not a regulation that has the force of law, it may be rescinded or modified at DEA’s discretion
Trang 4The 2018 Benjamin Rush Awards were announced Saturday,
April 7th at the annual meeting and continuing medical
education conference of the Oklahoma Psychiatric Physicians
Association held at the Laureate Psychiatric Clinic and Hospital
Conference Center in Tulsa
Named for the father of American Psychiatry, Benjamin Rush,
M.D., the awards are presented each year to the outstanding
medical student in the field of psychiatry at the Tulsa and
Okla-homa City medical schools Honored were Ryan Fightmaster,
University of Oklahoma School of Medicine, Oklahoma City
campus, and Tyler Jones, University of Oklahoma College of
Medicine, Tulsa campus Each received a certificate and $250
check from the OPPA
As neither of the award winners were able to attend the
luncheon, the awards were presented at a later date
Tyler Jones performed exceptionally well and with enthusiasm
during his third-year clerkship He knew the criteria,
estab-lished good thera-peutic alliance with patients, and did a good job obtaining information from patients He ob-tained all the infor-mation needed for psychiatric evalua-tions and picked up
on substiles that even some interns
do not pick up on
in their first months
of training
Tyler is a highly gifted, well-motivated, hard-working medical student He has impressed our at-tending faculty with his knowledge base, clinical skills, attitude, and dili-gence He is ex-pected to receive his Doctor of Medicine degree in May from the University of Oklahoma College of
Medicine-Tulsa The Department of Psychiatry faculty feels that
he will be an excellent physician and are delighted to
nomi-nate him for this award
B enjam in rush awar ds honors students
Ryan Fightmaster has impressive academic performance, scholarly accomplishments, volunteer work and most of all, dedication to the
field of mental health Ryan has completed sub-internship elective
at Griffin Memorial very successfully as some of the com-ments for him were: “Ryan has done an excellent job His interview-ing skills are very good His critical thinking skills are sharp He is very personable and professional.”
His work and educa-tion further support him becoming an excellent psychiatrist
His service to his medical school has also been equally strong Ryan is a well-rounded, compassionate and dedicated young man who promises to be an excellent, contributing member of our pro-fession
Fifty-one years ago, Dr Jay Shurley told the first recipients of this award:
“The Oklahoma District Branch of the American Psychiatric Association deems it highly fitting that such interest and apti-tude be tangibly recognized in the form of this award, which carries with it a cash prize, and will be awarded annually be-ginning this year Capacity for, and talent in the unique skills required by the practice of psychiatry, is a special gift not
even-ly distributed among the population of our future physicians and not possessed in equal measure by them
“Without it, any physician engaged in work with patients is unduly handicapped and limited With it, his practice of any specialty is enriched and enlarged, and with special training
he can make that contribution to our society that only a psy-chiatrist can make, in this day of increasing recognition of the paramount importance of behavioral and social problems as sources of pain, unrest, violence and human misery
“Whether the student upon whom this award is bestowed in recognition of his demonstrated excellence and interest in psychiatry chooses eventually to pursue specialization in this field, is of course, his personal decision to make But this award indicates that such a choice would be widely open to him.” ❖
Ryan Fightmaster receives his certificate and check for $250 from Dr Phebe Tucker, OPPA Member and Professor and Vice Chair, Department of Psychiatry, OU College of Medicine, Oklahoma City
Tyler Jones was presented his certificate
and $250 check at an awards ceremony
hosted by the University of Oklahoma
College of Medicine, Tulsa
Trang 5Current Challenges for Modern Psychiatrists
Enjoying dinner hosted by the Oklahoma Council of Child and Adolescent Psychiatry upon the conclusion of the annual OPPA CME conference are (from left
to right) Dr Shree Vinekar , Mrs Shyamala Vinekar , Dr Saul Puszkin , Dr Britta Ostermeyer , Dr Jenny Boyer , Dr Harold Ginzburg, Conference
keynote speaker Dr Anand Mehendale and Mrs Sophia Mehendale
The 2018 Continuing Medical Education Conference of the
Oklahoma Psychiatric Physicians Association was held April
6-7, 2018 at the Conference Center on the beautiful campus of
Laureate Psychiatric Clinic and Hospital in Tulsa The program
was jointly provided by the American Psychiatric Association
and the Oklahoma Psychiatric physicians Association and
pre-sented with the Donahue-Shadid Psychiatric Alumni Society
and the Oklahoma Council of Child and Adolescent Psychiatry
The program began on Friday evening with a presentation by
Kristen M Lambert, Esq., MSW, Vice President of Risk
Manage-ment for professional liability policy holders and specialty
grams with the American Professional Agency, Inc Her
pro-gram, “Risk Management Considerations When Practicing
Addiction Psychiatry” discussed liability issues such as federal
and state substance use privacy laws, documentation
princi-ples, collaborating with other providers and treating patients
who may be non-compliant
The program continued on a cold, icy and snowy wintery
Saturday morning with Swapna Deshpande, M.D presenting
Depression and Suicide in Adolescents.” Dr Deshpande is the
Director, Child and Adolescent Fellowship Program and
Rain-boldt Family Chair in Child Psychiatry, University of Oklahoma
Health Sciences Center, Oklahoma City Her presentation
de-scribed epidemiology and discussed a systematic way of
as-sessing risk factors for suicide She also presented a tool for risk
assessment called the Suicide Risk Assessment Scale for
Adoles-cents and with the audience worked through a
comprehen-sive assessment Evidence based medications and psychosocial
suicide prevention interventions for youth were also described
Anand Mehendle, M.D was the keynote speaker of the 2018 CME conference thanks to an educational grant from the Do-nahue-Shadid Psychiatric Alumni Association Dr Mehendle, who spoke on the “Many Faces of Reward Deficiency Syn-drome: The Divine Banquet of the Brain” is a private practice psychiatrist and board certified in neurology and addiction medicine He has been a pioneer and a visionary in Texas re-garding physician health issues including Substance Abuse Disorders for over 25 years His presentation focused on the latest concepts of neurobiology addiction, emphasizing the neuroanatomical circuits of addiction Dr Mehendle intro-duced the Reward Deficiency Syndrome including the inter-play of substance and process addictions and their common neurobiological substrate
Thanks to an Expedited Grant from the American Psychiatric Association, Jenny Boyer, M.D presented a program on
“Advocacy Training: The Importance of Partnering the Profes-sion of Psychiatry with the Psychiatrist to Effect Membership Retention and Legislative Outcomes.” Dr Boyer, who
current-ly serves on the Board of Trustees for the American Psychiatric Association as Area V Trustee, was recently elected to serve as the 111th President of the Tulsa County Medical Society As an OPPA member and Ethics Committee Chair, Dr Boyer dis-cussed how an increased grasp of legislative issues impacting the practice of psychiatry combined with the ability to work with law makers will aid prevention efforts and effective treat-ments of psychiatric disorders at the local and national levels and how the partnership between the psychiatrist and the organization effects the practice of psychiatry in Oklahoma ❖
Trang 6residents present research papers
Celebrating its 28th year, psychiatric residents from the
train-ing programs at the University of Oklahoma Health Sciences
Center in Oklahoma City, Oklahoma State University Center for
Health Sciences in Tulsa, Griffin Memorial Hospital in Norman
and the University of Oklahoma Health Sciences Center in
Tul-sa presented research papers at the OPPA continuing
educa-tion conference held April 6-7th at Laureate Psychiatric Clinic
and Hospital in Tulsa
OPPA was honored to have as program moderator Britta
Ostermeyer, M.D Dr Ostermeyer is Professor and Chairman of
the Department of Psychiatry and Behavioral Sciences at the
University of Oklahoma College of Medicine in Oklahoma City
For their presentations, each resident was presented with a
$125 honorarium for their work and willingness to present
Ambreen Rahman, M.D., PGY-4 and Ivanshu Jain, M.D., PGY-4,
University of Oklahoma Health Sciences Center, Oklahoma
City, presented “Million Dollar Diagnosis.” Their project
identi-fied the challenges faced in diagnosing Catatonia and
summa-rized the review of literature on treatment strategies in adults
Their project also described an algorithm for considering other
options when benzodiazepine treatment fails to achieve
remis-sion and ECT cannot be used
Presenting “Obscurely High
Lesser Known Legal
Intoxi-cants.” wasMatthew Sharp,
D.O., PGY-1, Oklahoma
State University Center for
Health Sciences, Tulsa His
presentation identified
less-er known “legal highs”
available in America and
described their chemical
effects and possible
influ-ence on a person’s mental
health Some substances
included calamus root,
Mexi-can calea, Hawaiian baby
wood ross, San Pedro
cactus, blue Egyptian water
lily, Colorado river toad, mug wort, African dream root and
kratom
“Treatment Challenges with Psychosis Induced Catatonia”
was the topic of the presenta-tion by Tarek Kanaa, M.D.,
PGY-2, Griffin Memorial Hospital Dr
Kanaa defined catatonia and what conditions can present catatonia including a variety of medical conditions: encephali-tis, cerebrovascular disease, neoplasms, head injury and metabolic conditions, diabetic ketoacidosis and hypercalce-mia A variety of treatment op-tions including benzodiaze-pines and ECT were discussed
Eudy Bosley, M.D., PGY-3, University of Oklahoma Health Sci-ences Center, Tulsa, presented “Chronic Serotonin Syndrome Associated with Deficient
CYP2D6 Metabolism.” Dr
Bosley identified the mecha-nism leading to the develop-ment of serotonin syndrome and recognized Hunter crite-ria for diagnosing serotonin syndrome She also discussed
a case of chronic serotonin toxicity which was likely the result of interactions be-tween prescribed drugs and over-the-counter agents in the context of biologically plausible pharmacogenetics
Treatment strategies for chronic serotonin toxicity were also presented
A History of Residents Day
The original Psychiatric Residents’ Day was created by Harald Krueger, M.D during his term as chief resident at the University of Oklahoma in
1981 At that time, there was a University Interns and Residents Day However, Dr Krueger believed the work by psychiatric residents in these areas deserved a format in which it could be presented and critiqued Throughout the years a wide variety of material has been presented As more psychiatric residents have conducted their own research or been involved with faculty research projects, these projects have been included
In 1990, since the Residents’ Day had evolved into a state-wide event,
it became a part of the Oklahoma Psychiatric Physicians Association’s annual meeting and continuing medical education conference By doing so, residents may present their work and engage the
communi-ty of psychiatry in an intellectually stimulating and informative dis-course Congratulations and here’s to many more years of outstanding research by Oklahoma’s psychiatric residents! ❖
Pictured at left with Program Moderator
Dr Britta Ostermeyer
(center) are
Ivanshu Jain, M.D (left) and
Ambreen Rahman, M.D
(right)
Matthew Sharp, D.O and Britta Ostermeyer, M.D
Tarek Kanaa, M.D and Britta Ostermeyer, M.D
Eudy Bosley, M.D and Britta Ostermeyer, M.D
Trang 7Welcome New Members
Jacob Strohl, M.D., Resident Fellow, Oklahoma City
Crystal Obiozor, M.D., Resident Fellow, Tulsa
Asha Kovelamudi, M.D., Resident Fellow, Tulsa
Rosemarie Caskey, M.D., Resident Fellow, Norman
Hunter Caskey, M.D., Resident Fellow, Norman
Fatima Sheikh, M.D., General Member, Oklahoma City
Reinstatements: Welcome Back!
William Tankersley, M.D., General Member, Norman (2017 drop)
Fei-Ling Yeh, D.O., General Member, Edmond (2017 drop)
Shyvonne Brooke Gray, M.D., General Member, Edmond
Discontinuation of Membership: Non-payment of 2018 Dues
Jonathan Doyle, M.D., Fellow, McAlester
Peter Rao, M.D., General Member, Tulsa
Xiaohong Hu, M.D., General Member, Edmond
John Hennessee, M.D., General Member, Oklahoma City
Robert Hensley, D.O., General Member, Tahlequah
Bradley McClure, M.D., General Member, Tulsa
Celia Posada, M.D., General Member, Tulsa
Asma Mudassir, M.D., General Member, Norman
Irina Baranskaya, M.D., General Member, Edmond
Weixin Lu, M.D., General Member, Oklahoma City
Najma Hamdani, M.D., General Member, Norman
Sinisa Trbovic, M.D., General Member, Lawton
Alzira Vaidya, M.D., Life Fellow, Ponca City
Dustin Smith, D.O., Resident Fellow, Jenks
Saoda Shuara, M.D., Resident Fellow, Oklahoma City
Christopher Snyder, D.O., Resident Fellow, Jenks
Ranelle Bracy-Lewis, D.O., Resident Fellow, Broken Arrow
Amar Chakra, M.D., Resident Fellow, Tulsa
Reshma Motiwala, M.D., Resident Fellow, Norman
Seth Migdalski, M.D., Resident Fellow, Tulsa
Pranathi Mruthyunjaya, M.D., Resident Fellow, Norman
John Laurent, M.D., Resident Fellow, Tulsa
Jerrod Spring, M.D., Resident Fellow, Glenpool
Gloria Martz, D.O., Resident Fellow, Oklahoma City
Aus Aburashed, M.D., Resident Fellow, Tulsa
Congratulations Fellows!
Linda Lantrip, D.O., Advancement to Life Fellow, Norman
Julia Irwin, M.D., Advancement to Fellow, Norman
Ayesha Farhan, M.D., Advancement to Fellow, Norman
Virginia Heller, M.D., Advancement to Fellow, Tulsa
Advancements: Belated Congratulations!
Ben Quiambao, M.D., General Member, Norman
Sarah Kauble McClanahan, D.O., General Member, Tulsa
OPPA Memb ership Up date A p r i l 2 0 1 8 - J u n e 2 0 1 8
Goodbye and Good Luck: Transfers from Oklahoma
Andrew Dentino, M.D., Fellow, (to Texas) Nataliya Polito, M.D., Resident Fellow (to Texas)❖
In Memoriam
Jeff McIlroy, M.D
Word has been received of the recent unexpected passing of Jeff McIlroy, M.D., General Member of the Oklahoma Psychiat-ric Physicians Association and AmePsychiat-rican
Psychiatric Association He passed away January 4, 2018
Dr McIlroy was born on May 25, 1962 and graduated with a degree in Medi-cine from the University of Oklahoma in Oklahoma City in 1987 He entered resi-dency training in July at the University
of Oklahoma Tulsa campus graduating
in 1991 after having served as Chief Resident in Psychiatry from July 1,1990
to June 30, 1991
He began his practice in Claremore in July, 1991 with Dr Clayton Rogers as his “mentor” in learning the healing art of mental health care within a small community His experience
in private practice and as Medical Director of the Geriatric Psychiatry Unit at the Claremore Hospital quickly taught him the need to address treatment in a comprehensive, multi-disciplinary fashion This understanding led to the creation and founding of Strength of Mind in 2004
Board Certified in Geriatric Psychiatry, Dr McIlroy was involved with many organizations including the Tulsa Christian Founda-tion and Every NaFounda-tion Mission FoundaFounda-tion He was an
Oklaho-ma representative for the Fair Tax and served as President of the River Hill Home Owner’s Association He had been a mem-ber of the OPPA and APA since 1990
According to his family, he was a brilliant thinker, wood-smith, and loved tending to his land He was a consummate lumber-jack and built a beautiful log cabin on the land behind his home in Catoosa He inspired all who knew him to live life bigger and brighter
Dr McIlroy is survived by his wife, two children and their spouses, his father and step-mother, mother and four siblings plus a host of close friends, colleagues and other extended family members ❖
Trang 8r e si de n t s p r e se n t p o s t e r s i n N e w Yo r k c i t y
The Resident Assistance Fund was originally created in 2012
by the OPPA Executive Council to help residents pay for ex-penses, including registration, travel and hotel, associated with their participation in the APA annual conference This year each of the four residency programs was allowed $400
to be awarded to residents selected by the program
By accepting the grant, each resident must agree to attend the APA conference and present a poster; present the same poster at the annual meeting of the OPPA or quarterly COPS
or TPA meeting; attend one OPPA Executive Council meeting during the coming year and be a member in good standing of the APA/OPPA for one year The Resident Assistance Fund is
in need of tax deductible donations to help the program grow If you wish to donate, please send a check payable to the OPPA and mail it to PO Box 1328, Norman, OK, 73070 Please be sure to include Resident Assistance Fund on the memo line of the check ❖
For the sixth year, psychiatric residents from Oklahoma’s
train-ing programs were awarded Resident Assistance Fund grants
to assist in their travels to the American Psychiatric
Associa-tion’s 171st Annual Meeting and Scientific Conference held
May 5-9 in New York City These residents were among those
selected by the APA to present posters during the annual
meeting
Receiving grants this year were Matthew Sharp, D.O., from the
Oklahoma State University Center for Health Sciences, Tulsa;
Hunter Caskey, M.D., Griffin Memorial Hospital Residency
Training Program, Oklahoma Department of Mental Health
and Substance Abuse, Norman; and Ambreen Rahman, M.D.,
Ivanshu Jain, M.D and Akshay Lokhande, M.D from the
University of Oklahoma College of Medicine, Department of
Psychiatry and Behavioral Sciences, Oklahoma City
Hunter Caskey, M.D., PGY-3, poses with the poster he entered titled
“How Do You Manage the Psychosis of Huntington’s Disease? An Inpatient
Challenge from Admission to Discharge.”
Ambreen Rahman, M.D., PGY-4, (left) and Ivanshu Jain, M.D.,
PGY-4, are pictured with one of their posters entered in competition
titled, “Chronic Alcoholism, Traumatic Brain Injury and the
Development of Korsakoff Psychosis - A Case Report.”
Akshay Lokhand, M.D PGY-4, is pictured with his poster titled“
Eight-year-old with Rumination Disorder: A Case Report and
Literature Review.”
Matthew Sharp, D.O., PGY-1, entered a poster in competition at the
APA Annual Conference His title is “Kratom Craze, Delirium Haze or
Schizophrenic Ways?”
Trang 9Delegate(Dr Harold Ginzburg) – Dr Ginzburg reported the Area V representative from Puerto Rico resigned from the APA out of protest for the lack of response from the APA during their national disaster She felt the response was inadequate and the concept of dues relief for and free membership was not supported at the APA level He also reported the voting percentages were the lowest in the national election
Early Career Psychiatry (Dr Shannon Thomas) – The APA has discontinued the self-assessments These had been a drawing card for new memberships
Ethics Committee (Dr Jenny Boyer) – The Ethics Committee has forwarded one case to the Oklahoma Board of Medical Licensure and Supervision for investigation Another ethics complaint was received against one member and one non-member After consultation with the APA Ethics Division, an email was sent to the complainant for detailed information
Legislative (Dr Art Rousseau) – Dr Rousseau reported the OSMA has a new director, Matt Robinson The StepUp
Oklaho-ma bill failed so now the agencies are looking at budget cuts
HB 1013 is the nurse practitioner bill and Sen Yen has it in committee again this year Sen Griffin introduced another nurse practitioner bill, SB 720 Sen Yen has entered SSP 1027 which is a study regarding the supervision issue raised by nurse practitioner against physicians Some physicians sell their services to nurse practitioners, so Sen Yen has introduced SB
1127 which states physicians cannot accept monetary com-pensation for supervision
Massage Therapists would like to have licensure and regula-tion in Oklahoma since some parlors are fronts for human traf-ficking SB 693 and SB 758 address these issues Acupunctur-ists also would like to have licensure in Oklahoma, so SB 1523 was introduced, putting them under the Osteopathic Board
SB 1501 and SB 1119 would create a separate board for acu-puncturists
Sen Yen has introduced an E-prescribing bill, SB 1128, which is supported, and pain clinic licensure is under SB 1124 which follows legislation in Florida SB 1446 limits opioid prescrip-tions to only seven days and SB 1367 is the opioid Good Smartian bill which allows the reporting of opioid overdose Sen Griffin has introduced SB 1052 which removes a physician from the involuntary commitment procedure, leaving other healthcare personnel, such as alcohol counselors, with the authority for involuntary commitment SB 1219 creates protec-tion against sexual abuse by mental health professionals Regarding medical marijuana legislation, the bill refers to a
“physician” who may subscribe; however, there are seven
“physicians” under the law including veterinarians This issue will be up to the voters of the state of Oklahoma so will watch and wait for the election outcome
Membership(Dr Heather Geis) – Since the August Council meeting, the OPPA has gained 14 new members and five for-mer members have reinstated One resident fellow member has upgraded to a general member The OPPA lost one mem-ber as Dr Jodie Edge passed away in Octomem-ber
See Council Scoop on Page 10
The following information is highlights from the approved minutes of the OPPA Execu-tive Council meeting held February 17, 2018 via Skype between Oklahoma City and Tulsa
Treasurer’s Report (Dr Lauren Schwartz) – Treasurer, Dr
Lau-ren Schwartz, presented the year end 2017 budget This year,
the Resident Assistance Fund only received a $200 donation
with the remaining $1400 of the $1600 budgeted for resident
grants came from Operations Other income included an
expe-dited grant from the APA for Advocacy Membership
program-ming and membership dues Revenue from the 2017 annual
meeting held in Oklahoma City was down due to lower
at-tendance
Resident Assistance Grants (Dr Heather Geis) – An email
minder is being sent to the Residency Training Directors
re-garding the availability of Resident Assistance Grants The
amount is $400 per program Dr Ostermeyer noted this is
real-ly a small amount when the costs of attending the meetings
has increased Dr Tucker agreed it would beneficial if the
amount could be larger
Dr Geis reported an idea to raise money was to hold a raffle
during the annual meeting and all proceeds be added to the
Resident Assistance Fund Dr Rousseau suggested registration
to the annual meeting as a raffle item Other items suggested
were artwork or donations from businesses Dr Faruque
moved to hold a raffle at the annual meeting to increase
re-sources for this fund Dr Schwartz second Mrs Mixon will
forward an email to all members announcing the raffle, so
members will be prepared to purchase raffle tickets (check,
cash or credit card)
New Email Address – Please use the new email address:
oklapsychiatry@gmail.com to communicate with OPPA
2018-2019 Officer and Councilor Ballot (Dr Bryan Cates) –
The Officer and Councilor ballot was presented Vacancies on
the ballot include the President-Elect, Treasurer and one
Coun-cilor at Large position All proposed officers and counCoun-cilors
accepted inclusion on the ballot Dr Jed Perdue accepted and
will be included on the ballot as a Councilor at Large Dr
Shan-non Thomas accepted the Treasurer position leaving a
Counci-lor at Large vacancy Dr Vijaya Ekambaum accepted this
Councilor at Large position Dr Harold Ginzburg accepted the
President-Elect position and to stand for election for a 2-year
term as APA Delegate
Child Psychiatry (Dr Brent Bell) – Dr Bell reported CHIP for
children’s Medicaid was extended for seven years President
Trump’s proposed budget calls for a 22% cut to Medicaid
fund-ing Oklahoma Medicaid is funded through the end of the
year The flu crisis has driven up Medicaid expenses by an
esti-mated $30 million Regarding gun safety, it is a gun crisis 44%
of the worlds handguns are in the United States and the
Unit-ed States is only 4% of the worlds population
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TPA – Dr Chesser reported the next TPA meeting is set for Thursday, February 22ne at In the Raw on the Hill restaurant The program will discuss the Tulsa Mental Health Plan Speak-ing will be Dr Gerald Clancy, Courtney Knoblock and Richard Wansley
TPA will also host Dr Jenny Boyer presenting the Membership Advocacy program this spring and looking at a program on Forensics in the fall
Donahue-Shadid Psychiatric Alumni Society (Dr Jimmie McAdams) – Dr McAdams reported DSPAS has a new Presi-dent for 2018-2020 It is Vivian Hasbrook, MD who recently served as Vice President for the organization
Oklahoma Council of Child & Adolescent Psychiatry (Dr Brent Bell) – After the conclusion of the OPPA conference on Satur-day, April 7th, OCCAP will host a social dinner and board meet-ing at the French Hen Bistro beginnmeet-ing at 5:30 pm Everyone
is invited
Meeting adjourned ❖
Veterans Affairs – In a written report, Dr Janssen noted
Chap-lain Carter Check at the Muskogee VA is now providing
Recon-ciliation Clinics to assist veterans with the healing from moral
injury The clinic utilizes a 12-week program with a strong
fo-cus on self-forgiveness
Resident Programs – Dr Geis and Dr Ostermeyer recently
spoke to the OU Residency Training Program regarding the
benefits of OPPA membership
Resident Program Directors – Dr Chesser reported the OSU
Tulsa program filled all slots with OSU graduates
COPS – Dr Tucker reported the next COPS meeting will be
March 8th, at Johnny Carino’s on Memorial Road in Oklahoma
City Drs Rachel Dalthorp and Britta Ostermeyer will be
pre-senting on Ketamine in Psychiatric Practice and Violence: Risk
Assessment and Reduction respectively
And, in December, Dr Jenny Boyer presented a program on
Membership Advocacy which was sponsored by the recent
APA grant received by the OPPA this summer COPS is also
looking for continued CME sponsorship at a reduced rate
In-tegris Health has been the sponsor the past two years