This podcast if for students preparing for their rotation at the Utah State Hospital with Dr. Roundy.

Thank you Angelo Garcia, OMS III, Rhett Dotson, OMS III and Cam Mecham, OMS IV for participating in this podcast designed to help students prepare for their rotations with me.

Thank you Cam Mecham, OMS IV for developing this topic. Thank you Angelo Garcia, OMS III and Rhett Dotson, OMS III for participating in this discussion. This topic does not address principles tested in the psychiatry shelf exam. It does tackle strategies that may help students during their third year have better experiences on their rotations.

Thank you Cam Mecham, OMS IV, for developing this topic. In terms of test preparation, this is very low yield. This presentation describes how bath salts appeared, the effect on neurotransmitters and why this may create such a variable presentation. This was a fascinating topic to develop and fits in well with the presentations Cam developed for recognizing and treating patients in the Emergency Department that arrive with intoxication syndromes.

The following articles are available freely on the internet and were found to be very helpful in understanding these compounds:

De Felice article (Remarkable description of the origin and understanding of these molecules): https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3944897/pdf/nihms-547873.pdf

Simmons article (Comprehensive review of bath salts): https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6197900/pdf/nihms967366.pdf 

Prosser article (An early description of bath salts): https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3550219/

National Forensics Laboratory home page: https://www.nflis.deadiversion.usdoj.gov/NFLISHome.aspx

Thank you Cam Mecham, OMS IV for developing this topic. This is part of a group of podcasts looking at presentation and management in the ER and beyond for substances of misuse. This podcast has limited benefit for shelf and board learning and that is mostly complete by the 15 minute mark.

Thank you Angelo Garcia, OMS III and Rhett Dotson, OMS III for participating.

The following link takes you to the NIDA article, freely available, that provided the backbone to this discussion: https://www.drugabuse.gov/publications/research-reports/methamphetamine/overview

Thank you Jamon Hemingway, OMS IV, for developing this great topic. For the time (about an hour), this is a low yield podcast for shelf exam preparation. It addresses some issues that do show up on tests, but only infrequently. It has higher yield for somebody that might be interested in seeing some of the ways that scientists are looking for ways to identify schizophrenia and see if treatment is effective. It does tie together some of the aspects of the pathophysiological models of schizophrenia in a way that listeners may find interesting as well.

Thank you Cam Mecham, OMS IV and Rhett Dotson OMS III for participating in this podcast.

The article on P50 Auditory Processing that was referenced is linked below for those that would like to read an article that we found compelling. It is freely available through PubMed PMC access: https://pubmed.ncbi.nlm.nih.gov/26289573/

Find more information here regarding the Psychiatric Genomics Consortium: https://www.med.unc.edu/pgc/

ed: Shortly after publish to add website information for the PGC and the link to the Javitt and Sweet article.

Thank you Jamon Hemingway, OMS IV, for developing this very interesting podcast. Early research suggests some links between use of a ketogenic diet and improvement in the schizophrenia model in mice (prepulse inhibition).  Further, the effects of Beta-hydroxybutyrate seem widespread and the role that this molecule has in the fasting/starvation state also has a growing literature base. This presentation has little to no benefit for exam preparation, but was enjoyable to prepare and complete.

Thank you Angelo Garcia, OMS III and Rhett Dotson, OMS III for participating in this presentation.

Edited shortly after publish to correct errors in names for OMS III students.

Thank you Cam Mecham, OMS IV for developing this great topic. Thank you Rhett Dotson, OMS III, Angelo Garcia, OMS III and Jamon Hemingway, OMS IV for participating in this podcast.

This podcast is of moderate value for the first 14 or so minutes with regards to principles tested on exams and the remaining information was quite fascinating and more helpful in terms of what might be of value for an emergency medicine intern.

Edited shortly after publish to correct errors in names for OMS III students.

Ed: 9/9/2020 to improve name of podcast to distinguish between primary care physician and the intoxicant Phencyclidine)

Thank you Brandon Trujillo, OMS IV for the capstone to the series about treatment of depression. Thank you Natalie Pratt, OMS IV and Cam Mecham, OMS IV, for chipping in to provide additional expertise.

This podcast reviews some of the previous information from the podcasts describing medications, but focuses on the practical implementation of those strategies. It may have more benefit for the Standardized Patient than for learning principles needed for shelf and board exams. Even though the focus is not on those exams, there is repetition of many concepts that do show up on those exams.

Thank you Brandon Trujillo, OMS IV, for developing this podcast as another step in better understanding how to tackle difficult to treat depression. Thank you Natalie Pratt OM,S IV and Cam Mecham OMS IV for joining in!

This is a modest yield podcast for principles tested in exams and more helpful for understanding the options used to treat depression when it doesn't respond to first line treatments.

Thank you Brandon Trujillo, OMS IV for continuation of the podcasts focused on treatment of depression in a systematic fashion. Thank you Natalie Pratt, OMS IV; Cam Mecham, OMS IV; Angelo Garcia, OMS III and Rhett Dotson, OMS III for participating in the presentation.

This presentation covers high yield principles that are tested but the area of coverage is narrow.