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:
- Oral case presentations from your FAMILY MEDICINE CLINIC: (by assigned residents): – and then multidisciplinary teaching focused on those cases
- 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
CASE INSTRUCTIONS AND FORMATTING
Residents who are presenting the case:
- Please provide a 1 - 1.5 page summary of your case (as per the case presentation format below).
- 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.
- 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.
- 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
- 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 Psychosis & Mood Disorders
|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
CBT Level I
CBT Level II
Detailed information regarding:
- Switching between antidepressants
- Switching between antipsychotics
- Combining moodstabilizers
- Benzodiazepines conversion calculator