Psychiatry Residency Directors' Attitudes Toward and Uses of the Medical Student Performance Evaluation and Other Potential Tools for Residency Selection.

Objective: A survey was conducted to determine US psychiatry residency directors' attitudes regarding current measures of medical student performance and their preferences for the future.

Methods: A team of psychiatry medical student educators and residency program directors developed a 23-question survey. In July 2021, links to the survey were sent out to all program directors registered with the American Association of Directors of Psychiatric Residency Training.

Aligning Medical Student Workplace-Based Assessments with Entrustable Professional Activities and the RIME Model in a Psychiatry Clerkship.

Objective: The authors piloted use of workplace-based assessments of students during the psychiatry clerkship utilizing both entrustable professional activities (EPAs) and the reporter, interpreter, manager, and educator (RIME) model.

Methods: After supervising clinicians conducted assessments of medical students (N=109) during the psychiatry clerkship using a supervisory scale aligned with both EPA and RIME models, each student received individualized formative feedback. Students were then surveyed on the usefulness of this feedback, and participating faculty/residents were surveyed on the ease of completion of the supervisory scale.

Objective Structured Clinical Examination Skill Station Is Effective for Assessing Acute Opioid Overdose Resuscitation.

Introduction In recent decades, deaths related to heroin, illicit fentanyl, and prescription opioids have risen in the United States. Utilizing new clinical guidelines and non-prescription naloxone, we aimed to develop a competency-based assessment for clinical skills in opioid overdose resuscitation outside of the hospital setting. Methods An assessment of opioid resuscitation skills, consisting of an Objective Structured Clinical Examination (OSCE) skill station-utilizing a simulation mannequin and a standardized patient portraying the patient's relative-followed by a facilitated individual debrief, was added to the fourth year Psychiatry Boot Camp for students entering a psychiatry residency.

Opioid Risk Mitigation Strategies and Overdose Resuscitation.

Introduction: In the context of an opioid public health crisis, U.S. medical schools have been called upon to strengthen curricula on the appropriate use of opioids, with an emphasis on maximizing benefits while utilizing risk-mitigation strategies to prevent addiction and overdose.

Assessing Entrustable Professional Activities During the Psychiatry Clerkship.

Objective: Within 10 years, the Association of American Medical Colleges envisions graduating medical students will be entrusted by their school to perform 13 core entrustable professional activities (EPAs) without direct supervision. The authors focused on eight EPAs that appear most relevant to clinical training during the psychiatry clerkship at their institution to evaluate whether students assess themselves as making progress in EPAs during this clerkship, to see how students' self-assessments compare with the clerkship director's assessments, and to see if weaknesses in the curriculum were found.

Methods: An EPA-assessment scale was designed (ratings 1 to 5) to assess progress toward entrustment in each EPA.

Outcomes of the first 2 American hand transplants at 8 and 6 years posttransplant.

Purpose: The feasibility of hand allotransplantation has been demonstrated. The purpose of the article is to report the (1) functional return, (2) psychosocial outcomes, (3) clinical and histological assessment for rejection, (4) complications, and (5) graft survival in the 2 American hand transplant recipients.

Methods: We present 2 patients 106 and 81 months, respectively, after unilateral transplantation of an allogeneic hand and forearm.

Combining ECT and Antipsychotic Agents: Benefits and Risks.

A comprehensive review describes the benefits and risks of the combination of electroconvulsive therapy (ECT) and antipsychotic agents for patients with psychotic disorders. For some patients, combined treatment may lead to greater rates of response or more rapid improvement than with either therapy alone. Except for reserpine, combining neuroleptics with ECT is safe, but some precautions are suggested.

Clozapine, ECT, and Schizoaffective Disorder, Bipolar Type.

Opinions differ regarding the risks and benefits of the concurrent use of antipsychotic medication and ECT. A case example is presented of the safe and effective concurrent use of ECT and the newly available neuroleptic clozapine in a young patient with schizoaffective disorder, bipolar type. The patient's pulse did climb as high as 170-180 beats/min during a few of the seizures.