University Of Calgary Postgraduate Medicine

Family Medicine - Mental Health Lab

FAMILY MEDICINE MENTAL HEALTH LAB (FM-MH LAB)

The FM-MH Lab is a case-based, small group, multi-professional learning lab (a family doctor and psychologist will be in attendance at every lab). The idea is to engage in learning focused on the types of mental health cases seen in Family Medicine clinics. The small group format provides opportunities for discussion and peer learning, and the multidisciplinary team provides in-depth, and Family Medicine focused teaching and resources.

Specific skills that you will be learning and practicing include: basic counselling skills, BATHE technique, motivational interviewing and CBT basics.

FM-MH Lab takes place at the Sheldon M. Chumir Health Centre on Thursday's - R2 9:00am-12:00pm // R1 1:00pm-4.00pm.

You will be scheduled for FM-MH Lab during 8 of your FM based rotations (4 in PGY1 and 4 in PGY2).

During the approximately 12 FM-MH Labs sessions, in the 2 years of Residency, you will be scheduled to present a case approximately 3 times.

The FM-MH Labs consist of 2 main parts:

  1. Oral case presentations from your FAMILY MEDICINE CLINIC: (by assigned residents): – and then multidisciplinary teaching focused on those cases
  2. Didactic FM-MHL content: basic counselling, BATHE technique, Motivational interviewing and CBT. 

*Note: Your Field Note pad will be required at ALL FM-MH Labs as a form of provided feedback.  If you are given feedback and you do not have a Field Note, your Preceptors will be contacted to communicate the feedback, and also to inform them that you neglected to bring your Field Note pad. 


ORAL CASE PRESENTATIONS

When you are asked to present a case for the next FM-MH Lab you are to;

  • Save the File using the following naming conventions 

Last name, First name – RLevel FM-MHL Case mm-dd (of presentation)
ex: Smith, John – R1 FM-MHL Case 10-16

  • Submit your case via email to This email address is being protected from spambots. You need JavaScript enabled to view it. and This email address is being protected from spambots. You need JavaScript enabled to view it. by MIDNIGHT the Monday prior to your FM-MHL session.

CASE INSTRUCTIONS AND FORMATTING

Instructions

Residents who are presenting the case:

      1. Please provide a 1 - 1.5 page summary of your case (as per the case presentation format below). 
      2. You will be asked to verbally summarize your case (2 minutes).  Please do not simply re-read the written case you submitted, everyone should have read it prior to FM-Mental Health Lab. 
      3. Please read the chapter from "Psychiatry in Primary Care" (Goldbloom & Davine, 2011) that is most relevant to your case or consult the "Psychiatry in Primary Care" online portal https://porticonetwork.ca/web/psychiatry-primary-care/ppc-toolkit-mobile-app.  
      4. You will be asked to provide 3 points about your case that are important teaching points, from your perspective (they can be from "Psychiatry in Primary Care" or any other reference). 

Each resident presenting a case will receive feedback about their presentation and discussion, and therefore will have a completed Field Note. 

 

Case Presentation Format

Resident Name, RLevel

Case No.______, Diagnosis_____________

      • Brief HPI
      • Pertinent past mental health Hx
      • Family Hx - past / present mental health issues
      • Substances / addictions
      • Psycho-Social context (i.e. living situation, work, relationships, income, activity level, interests / hobbies / ADLs, etc)
      • Medications (current & past)
      • Differentials - considering:
          • General medical condition
          • Substances and medications
          • Psychosis
          • Mood disorders
          • Anxiety disorders
          • Personality disorders, somatic symptom disorder, dissociative disorders, etc.

 

Examples of Topics for FM-MH Lab cases (*remember - 1st case must be related to anxiety and/or depression)

Anxiety Disorders  Depressive Disorders     Bipolar Disorder  Psychosis
Dementia    Eating Disorders    Obsessive Compulsive Disorders    Sleep disorders   
Personality Disorders Somatic Symptom Disorder  Substance Use Disorder    ADHD
Trauma and stress related disorders - including Adjustment Disorder and PTSD

 

 

 

 

 

Cases can be focused on any aspect from diagnosis to management.

Cases can also be focused on specific patient populations  i.e. pediatrics, geriatrics, perinatal mental health, etc.

    • Include a few questions for discussion
    • Come prepared with a few 'teaching points' (i.e. things that you learned while preparing for the case that you think might be helpful for your resident colleagues to know)

DIDACTIC FAMILY MEDICINE MENTAL HEALTH CURRICULUM & RESOURCES

 

R1  Blocks 2-4  Blocks 5-7  Blocks 8-10 Blocks 11-13 

Treating Depression

Depression 101

Tailoring Antidepressants

Psychotropic Medications 

Treating Insomnia

CPG for Anxiety

CBT-I for Insomnia

Treating ADHD

Psychotropic Medications

Treating Psychosis & Mood Disorders

Psychotropic Medications

R2 Blocks 1-4 Blocks 5-7 Blocks 8-10 Block 11-13 

BATHE Counseling Skills

Medically unexplained symptoms, adverse childhood experiences, and trauma informed care

Motivational Interviewing

Motivational Interviewing

MI - OARS, DEARS, Readiness Ruler

CBT Level I

Praxis - CBT Series

Unhelpful Thinking Habits

CBT Level II

Praxis - CBT Series


PSYCHOPHARMACOLOGY RESOURCES

https://wiki.psychiatrienet.nl/index.php/Main_Page 

Detailed information regarding:

    • Switching between antidepressants
    • Switching between antipsychotics
    • Combining moodstabilizers
    • Benzodiazepines conversion calculator
www.porticonetwork.ca/web/psychiatry-primary-care/ppc-toolkit-mobile-app
("Psychiatry in Primary Care" online portal)
 
https://www.caddra.ca/
https://www.anxietycanada/com/ 
 

GENERAL FM-MH LAB RESOURCES

FM-MH Lab resources may be access at Forms, Documents, Policies and Procedures by searching FM-MHL.