The Ds of Cognitive Impairment
Felicia Ng discusses the D’s of Cognitive Impairment (Delirium, Dementia and Depression) with a special emphasis on Delirium
Coming Soon
B Med Sci, MBBS, FRANZCP, MHA, GAICD
Anthony is the Managing Director and the face of AdvanceMed and the Career Doctor YouTube Channel. A Consultant Psychiatrist with extensive medical education and medical human resources experience, Anthony has served over 12 years in various Managerial and Directorial roles, including 4 years as the Medical Director of the Health Education & Training Institute and recently completed a guide into Best Practice for Selection of Trainees into employment roles for the Royal Australasian College of Physicians. He is currently working on a similar project for the Royal Australian and New Zealand College of Radiologists.
Anthony is an expert in Medical HR. He has reviewed numerous CVs, chaired and conducted over a thousand job interviews and provided advice to a number of employers and Colleges about selection processes. Each year Anthony helps over 1,000 doctors with various medical career challenges, including clocking up over 700 coaching hours per year.
Anthony is currently working part time for his College, the Royal Australian and New Zealand College of Psychiatrists as Medical Education Specialist and Fellow. Anthony is also the Chair of Prevocational Accreditation for South Australia Medical Education & Training.
Anthony was born on Mouheneenner land in Hobart (Tasmania) and pays respect to the traditional owners of lands he lives and works on, and elders past and present.
He also has a keen interest in technology and marketing and was previously Chief Technical Officer and a founder of the highly popular onthewards.org project – a website and application designed to assist medical practitioners in their earliest days of postgraduate practice.
A collection of helpful resources for early clinical learning about psychiatry and mental health
A week by week experiential and revision guide to ensure that you cover the key knowledge, skill and attitudinal requirements.
Select the Week you are up to and find out what you should be reviewing.
Mental health problems are common in society. The ultimate aim of this final year rotation in psychiatry is to prepare you to be able to effectively assess and manage the common problems that may be encountered by an intern and how to work as a member of a multidisciplinary team in helping people with mental illness.
As an added bonus we hope that your exposure to a multidisciplinary team aids you in the transition to intern where teamwork will be a key aspect of your role.
We recommend you work through these resources in order as you progress through your term.
We would like to thank the Hunter New England Psychiatry Trainees who helped contribute to these educational resources.
Key Tasks this Week:
1. Induction & Orientation
2. Discuss logbook with team
3. Plan for all the WBAs
4. See and talk to patients
5. Revise Psychiatry History
6. Review Mood Disorders
7. Review Antidepressants
8. Review Psychotherapies
9. Start presenting MSEs to team members
10. Try the pharmacology eLearning module
11. See someone with Depression or Bipolar
There will be an orientation session at your respective clinical school site.
During your first week you will probably recall some of the previous lessons you have had in relation to psychiatry and mental health as well as some of the interactional skills training. These will come in handy as you progress during your term.
During this first week we suggest you become comfortable with interviewing people with mental health problems. Don’t worry too much about gathering information at this stage focus more on your style of questioning and eliciting key mental state findings.
There are a number of conditions in psychiatry. As an intern you will not be expected to know about all of these, however, there are some major categories that you should be familiar with.
We suggest you review mood disorders, noting that in the DSM-5 Depressive Disorders and Bipolar Disorders are now in separate categories.
Blog Posts to Review:
Key Learning Tasks:
1. Review psychotic disorders
2. Review antipsychotics
3. Explain least restrictive care
4. Explain difference between mentally ill and mentally disordered
5. Use biopsychosocial framework
6. Make sure you have done one MiniCEX
Blog Posts to Review:
Key Learning Tasks:
1. Review anxiety disorders
2. Interview a person with anxiety
3. Review anti-anxiety treatments
4. Revise relaxation techniques and mindfulness
5. Read up on child and adolescent psychiatry
6. Make sure you have presented a CbD
Blog Posts to Review:
Key Learning Tasks:
1. Complete module on interviewing an Aboriginal person https://www.ranzcp.org/RANZCP/media/e…
2. See an Aboriginal person
3. Review Personality Disorders
4. Review PTSD & Impact of Trauma
5. Interview someone with PD or PTSD
6. Practice documentation
This week the focus is on development and culture within mental health. Please bear in mind that part of your examination will include an assessment of your understanding of the role of culture in mental illness. We will be utilising Aboriginal culture as our basis of understanding the role of culture in mental health.
You should also review development and personality, as well as the role of trauma and risk.
We are already halfway through our term and have covered quite a lot.
Blog Posts to Review:
This is our final week of new learning. Next week will be a consolidation and preparation week.
The focus this week is on conditions that are more likely to be seen by interns in the general hospital or general practice setting.
Key Learning Tasks:
1. Make sure you are on track with your logbook
2. Sort out time for a supervisor report
3. Review cognitive testing and delirium
4. Decide your favourite bedside test
5. Review Eating Disorders
6. Review risk management
7. Practice handover
Blog Posts to Review:
Key Learning Tasks:
Hey, you made it!
Week 6 is a consolidation week.
So use the time to fill in any gaps.
And please take the time to fill in your surveys and give us some feedback.
Don’t forget to hand in your logbook.
Congratulations on completing your Psychiatry Rotation.
We do hope that you have had a good experience and an opportunity to prepare yourself for internship next year.
Don’t forget to get your supervisor forms and logbooks completed and returned.
For those of you interested in knowing a bit more about what its like to be a psychiatrist here are a few links:
Psychiatry at NSW Health Map My Health Career
RANZCP: Why Choose Psychiatry as a Career?
Hunter New England JMO Training Page
Blog Posts to (Re)Review:
Recommended Resources for your studies
Now in its 3rd edition. A great foundational free resource. Written by NSW authors.
Other Relevant Blog Posts
Felicia Ng discusses the D’s of Cognitive Impairment (Delirium, Dementia and Depression) with a special emphasis on Delirium
How to tackle phenomenology for the novice or intermediate learner
Dr Sarah Hutton discusses Mood Disorders. Its fairly simple when you break it into sad and happy (or is it)?
A few tips on how to study psychiatry in your final year from the coordinator of final year psychiatry at University of Newcastle.
For a number of reasons there are some topics or questions that we find less easy to ask of our patients.
A primer on psychiatric history taking for medical students and junior medical officers
This site is owned, run and operated by Dr Anthony Llewellyn.