The evolution of medical education with Dr. Ivan Silver

“It's visible. It's in our streetcars and buses, our subways our streets, and it's hard to ignore.”

Homelessness seems to be more prevalent now than ever before. But why? And is there a solution? Joining Dr. David Gratzer to explore the challenges and changes in the chronically homeless population over the years is Dr. Vicky Stergiopoulos, a former Physician-in-Chief of CAMH and an internationally recognized expert on chronic homelessness.

During their conversation we learn about:

• The importance of providers who understand the realities of homelessness.
• The evolving substance use patterns among the homeless population.
• The details on the longest randomized control trial on homelessness ever performed.
• And just how close Finland is to ending homelessness in the coming years.

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Quick Takes is a production of the Center for Addiction and Mental Health. You can find links to the relevant content mentioned in the show and accessible transcripts of all the episodes we produce online at CAMH.ca.

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Textbooks, highlighters, and classrooms? The world of medical education is changing. Today, we have AI, sim, and e-learning. To talk about MedEd, Dr. David Gratzer sat down with returning guest Dr. Ivan Silver, former vice president of education at CAMH and vice dean of the University of Toronto’s Faculty of Medicine.

During their conversation we learn:

• MedEd evolved from being under-valued to having entire centres built that are geared towards faculty development.
• Saying “yes” and taking risks can change your life.
• Dr. Silver’s thoughts on where a tool like ChatGPT may fit in your future practice
• And finally, if you can teach a 6- to 8-year-olds to do something they aren’t initially interested in – you can do just about anything!

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Quick Takes is a production of the Center for Addiction and Mental Health. You can find links to the relevant content mentioned in the show and accessible transcripts of all the episodes we produce online at CAMH.ca.

Follow CAMH Education on X (formerly known as Twitter) @camhEdu

Follow and subscribe to Reading of the Week where, every week, Dr. David Gratzer reviews research papers from the world of psychiatry.

“We want to really be cautious because these are complex pieces of software “

Should we be using an AI-based tool like ChatGPT in practice? Is it ready? Are we? In this episode of Quick Takes, Dr. Gratzer speaks with returning guest Dr. John Torous about the impact tools like this could have on mental health care, both now and in the future.

During their conversation we learn:

• ChatGPT is just one of many large language models available.
  • Google Research is creating one specifically for medical education.
• It’s a good tool for psychoeducation and quick drug-drug interactions
• AI is already being integrated in to EMRs.
• There have been use cases that impacted both patient privacy and ethical concerns.
• Until the technology companies solve the privacy issue, never input PHI.
• And, one day, you may rely on a tool like ChatGPT to write your discharge summaries.

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THANKS FOR LISTENING!

Quick Takes is a production of the Center for Addiction and Mental Health. You can find links to the relevant content mentioned in the show and accessible transcripts of all the episodes we produce online at CAMH.ca.

Follow CAMH Education on X (formerly known as Twitter) @camhEdu

Follow and subscribe to Reading of the Week where, every week, Dr. David Gratzer reviews research papers from the world of psychiatry.

On this episode of Quick Takes, Dr. Gratzer explores the increasing interest in coercive interventions across various jurisdictions. Joining him is journalist Anna Mehler Paperny who shares her personal experiences with involuntary hospitalization, highlighting the complex balance between patient rights and intervention.

During this candid conversation we learn:

• the possible reasons for the resurgence of coercive care
• if the long-term risks associated with coercion outweigh the short-term benefits
• the importance of physicians to treat patients with respect and to recruit them as collaborators in their care
• Anna’s thoughts on how we can expand voluntary care.

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THANKS FOR LISTENING!

Quick Takes is a production of the Center for Addiction and Mental Health. You can find links to the relevant content mentioned in the show and accessible transcripts of all the episodes we produce online at CAMH.ca.

Follow CAMH Education on X (formerly known as Twitter) @camhEdu

Follow and subscribe to Reading of the Week where, every week, Dr. David Gratzer reviews research papers from the world of psychiatry.

“I’ll never forget when it happened.”

Up to 80% of psychiatrists experience a suicide loss in their careers and a recent survey found that the majority of them felt caught off guard by the emotional impact it had on their lives. On this episode of Quick Takes, Dr. David Gratzer and his guest, Dr. Juveria Zaheer discuss the impact on psychiatrists of losing a patient to suicide.

Throughout this thoughtful conversation we learn:

• losing a patient to suicide happens to up to 80% of psychiatrists.
• shock, grief, sadness, depression, anxiety, and guilt are all normal feelings when this happens.
• two of the paper’s recommendations are already being implemented to help physicians deal with loss.
• and that the names of Russian authors are difficult to pronounce.

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THANKS FOR LISTENING!

Quick Takes is a production of the Center for Addiction and Mental Health. You can find links to the relevant content mentioned in the show and accessible transcripts of all the episodes we produce online at CAMH.ca.

Follow CAMH Education on X (formerly known as Twitter) @camhEdu

Follow and subscribe to Reading of the Week where, every week, Dr. David Gratzer reviews research papers from the world of psychiatry.

“Burnout has become a loose term that means different things to different people.”

Is burnout, in fact, depression? In this episode of Quick Takes, Dr. David Gratzer enjoys a lively conversation with Dr. Srijan Sen, Professor of Depression and Neurosciences at the University of Michigan, who argues that it is. They also discuss the confusion about its definition (182 studies had 142 different definitions), the key contributing factors (workload, environment and – no surprise – the EMR), and how the old concept of a doctor’s lounge could be a new way of helping to address burnout.

During their discussion we learn:

• “burnout” is often used as a loose term that means different things for different people, which can make it difficult to study and treat,
• there is an artificial divide between burnout and depression that needs more research,
• depression rates among medical professionals have increased world-wide,
• the traditional stigma around physician’s reporting mental health issues is on the decline,
• what a few of the main contributors are that lead to burnout and depression,
• and how per-support and, yes, medical staff lounges can help keep burnout at bay.

THANKS FOR LISTENING!

Quick Takes is a production of the Center for Addiction and Mental Health. You can find links to the relevant content mentioned in the show and accessible transcripts of all the episodes we produce online at CAMH.ca.

Follow CAMH Education on X (formerly known as Twitter) @camhEdu

Follow and subscribe to Reading of the Week where, every week, Dr. David Gratzer reviews research papers from the world of psychiatry.

“The lines between sleep, health and mental health in general are blurred.”

Sleep is an important topic. It comes up on a regular basis when we meet with our patients. But what are the best treatments to prescribe? Is medication the way to go? What are our options?

On this episode of Quick Takes, Dr. David Gratzer hosts CAMH psychiatrist and sleep medicine specialist, Dr. Michael Mak. They discuss the impact of sleep (or lack thereof) on mental health and the current psychopharmacological and therapeutical treatments available.

** During this episode’s conversation we learn about:**

• the impact insomnia and other sleep disorders have on mental health
• how the new family of insomnia treatments compares to the old
• possibly the best form of treatment currently available
• and how mobile apps and web tools play a role in sleep therapy.

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Quick Takes is a production of the Center for Addiction and Mental Health. You can find links to the relevant content mentioned in the show and accessible transcripts of all the episodes we produce online at CAMH.ca.

Follow CAMH Education on X (formerly known as Twitter) @camhEdu

Follow and subscribe to Reading of the Week where, every week, Dr. David Gratzer reviews research papers from the world of psychiatry.

“It's not necessarily all sunshine and rainbows.”

A major, new study in The New England Journal of Medicine considers psilocybin and its potential for refractory depression. It’s received enthusiastic media coverage. Breakthrough drug? Overhyped headlines? Today, on Quick Takes, Dr. David Gratzer is joined by one of the study co-authors, Dr. Ishrat Husain Tier 2 Canada Research Chair and lead of the Mood Disorder Service at CAMH, to delve deeper into this headline-grabbing research.

During their discussion we learn:

• how to talk to your patients asking about using psilocybin therapeutically
• the encouraging results of the study – and the adverse effects as well
• how practical it would be to scale up the study into current treatment algorithms
• and if microdosing is really all its hyped-up to be.

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Quick Takes is a production of the Center for Addiction and Mental Health. You can find links to the relevant content mentioned in the show and accessible transcripts of all the episodes we produce online at CAMH.ca.

Follow CAMH Education on X (formerly known as Twitter) @camhEdu

Follow and subscribe to Reading of the Week where, every week, Dr. David Gratzer reviews research papers from the world of psychiatry.

“Always leave them wanting more.”

On this episode of Quick Takes, Dr. David Gratzer enjoys a conversation with retiring psychiatrist, Dr. David Goldbloom. They discuss research, stigma, Dr. Goldbloom’s optimism for the future of psychiatry, and, yes, his retirement plans (spoiler alert: he’s thinking about writing a book and no mention of golf).

As he heads into retirement Dr. Goldbloom shares his thoughts  on:

• Therapeutics: He is frustrated with the slow progress on their development.
•The state of psychiatry today: He is excited by the shift among younger psychiatrists towards the care of people with severe and persistent mental illness.
• The future: He is optimistic on the acceleration in the quality and sophistication and reach of research and our ability to forge new paradigms.
• And he leaves us all with some sage advice:
     o “See as many patients as you can because the exposure to a wide variety of people and wide variety of journeys is both humbling and profoundly educational.”
     o “We don't seek second opinions as often as we should, and there's no way on earth we can be right all the time.”

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THANKS FOR LISTENING!

Quick Takes is a production of the Center for Addiction and Mental Health. You can find links to the relevant content mentioned in the show and accessible transcripts of all the episodes we produce online at CAMH.ca.

Follow CAMH Education on X (formerly known as Twitter) @camhEdu

Follow and subscribe to Reading of the Week where, every week, Dr. David Gratzer reviews research papers from the world of psychiatry.

“We can create an environment that’s safe, predictable, consistent, standardized and reproducible.”

To discuss how simulation is changing the world of med-ed, Dr. David Gratzer hosted Dr. Petal Abdool, Medical Director of the CAMH Simulation Centre, and Stephanie Sliekers, Manager of Simulation and Digital Innovation at CAMH.

You’ll hear all about:

• the new Simulation Centre at CAMH

• VR courses already developed for suicide assessment

• another VR project in the works for opioid overdose treatment

• and the aspirations of the Centre to implement AI in future training.

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THANKS FOR LISTENING!

Quick Takes is a production of the Center for Addiction and Mental Health. You can find links to the relevant content mentioned in the show and accessible transcripts of all the episodes we produce online at CAMH.ca.

Follow CAMH Education on X (formerly known as Twitter) @camhEdu

Follow and subscribe to Reading of the Week where, every week, Dr. David Gratzer reviews research papers from the world of psychiatry.