Transactions Newsletter - Spring 2018

Tahir Maqsood, MD, MS, FAPA President tmaqsood@yahoo.com Richard F. Limoges, MD, DLFAPA Immediate Past President rflimoges@gmail.com Camille Irene Paglia, MD, JD, FAPA President-Elect camille.paglia@tuhs.temple.edu Pietro Miazzo, MD Vice President pietro.miazzo@tuhs.temple.edu IIia Nikhinson, MD Treasurer inikhinson@comcast.net Chand J. Nair, MD Secretary chandnair10@gmail.com Rajnish Mago, MD, DFAPA Editor drmago123@gmail.com Jennifer Redmond Executive Director Administrative Office 777 East Park Drive PO Box 8820 Harrisburg, PA 17105-8820 Toll free: (888) 723-2501 Fax: (717) 558-7841 Email: philapsych@papsych.org Website: www.papsych.org transactions, the newsletter of the Philadelphia Psychiatric Society, is published two times per year, with Spring and Fall issues.

President’s Message

By Tahir Maqsood, MD, FAPA There are so many exciting events happening for the Philadelphia chapter in March and April, ahead of the annual APA meeting.

First I would like to reflect on a sad matter of yet another school shooting in Florida.

A death of a child remains one of most horrific traumas that a parent could ever face. Mass shootings like this do not only affect the parents but the whole community and nation as well. Both the gun and mental illness factors are all over the media as it is the combination of a gun and unstable person that creates this tragedy.

Sadly many are stigmatizing mental illness yet again due to precedent events.

Most of the chronically mentally ill are rarely violent, live their life in squalor and fear receiving very limited support.

As a professional community, we have to fight back and take the opportunity to get better services for the suffering.

inpatient care and medications but very limited aftercare or housing support which keeps our patients unstable and their lives paralyzed.

Outpatient commitment is worthless as insurance companies and private agencies do not support it well. We started this discussion in the Philadelphia area and it is time to follow up on this in our next Hospital and Community Psychiatry meeting.

The opioid epidemic has remained the hot topic in the news and safe injection sites in Philadelphia are causing interesting discussion. Countries like Portugal and Switzerland, where most of the drug use was decriminalized, succeeded in reducing the death rate due to robust housing efforts. We plan to partner with the mental health court system, NAMI and MHA at our next Hospital and Community Psychiatry meeting and continue with advocacy in hopes to change the way of addiction and mental health. Please do not forget the Annual Women’s Brunch and Colloquium of Scholars meeting.

Our model of care is based upon dealing with this crisis. We provide expensive

Editor: Rajnish Mago, MD, DFAPA Staff Editor: Jennifer Redmond Articles published in the newsletter may be published in other APA district branch newsletters without permission. Attribution is requested and appreciated.

All other rights reserved. transactions welcomes comments and opinions from the membership. Address correspondence to: Newsletter Editor, Philadelphia Psychiatric Society, P.O. Box 8820, Harrisburg, PA 17105-8820.

Copyright ©2018. Philadelphia Psychiatric Society.

Stay connected with PaPS and follow us @PA_PsychSociety on

Twitter!

Spring 2018

2

ter Regis now!

Saturday, April 14, 2018 Annual Colloquium of Scholars Click HERE to register!

8:00 am- 4:00 pm Drexel University College of Medicine

Agenda

Click here for complete agenda

8:00 am – 8:30 am

Registration and continental breakfast

8:30 am – 8:45 am

Welcome and Introductions

8:45 am – 10:00 am

Comorbid Depressions: Prevalence and Treatment Implications

10:00 am – 10:15 am

Break and visit exhibits

10:15 am – 11:30 am

Mother’s Little Helper? Pros and Cons of Prescribing Benzodiazepines for Long Term Use

Accreditation Statement This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Pennsylvania Medical Society and the Philadelphia Psychiatric Society. The Pennsylvania Medical Society is accredited by the ACCME to provide continuing medical education for physicians.

11:30 am – 12:30 pm

Lunch

12:30 pm – 1:45 pm

Cognitive-Behavior Therapy Interventions for the Anxious Patient

1:45 pm – 2:00 pm

Break and visit exhibits

Designation Statement The Pennsylvania Medical Society designates this live activity for a maximum of 5.75 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

2:00 pm – 4:00 pm

Breakout Sessions A. Chronic Pain: Implications for Mental Health B. Diagnosis and Management of Comorbid Disorders in Children and Adolescents C. MindGames on the Schuylkill

4:00 pm

Adjournment

The Colloquium of Scholars is the annual educational meeting of the Philadelphia Psychiatric Society. It will be held this year on Saturday, April 14, 2018 at Drexel College of Medicine’s East Falls campus (2900 W. Queen Lane, Philadelphia, PA 19129). The speakers at the meeting will cover a variety of important, clinically-relevant topics.

This is the most important educational event of the year for psychiatrists in the Greater Philadelphia region. Don’t miss it!

Poster presentations by residents, fellows, and medical students will be held during all the breaks.

Colloquium of Scholars

Spring 2018

3

Saturday, April 21, 2018 Annual Women’s Brunch Click HERE to register!

8:00 am – 12:00 pm The Inn at Swarthmore The PPS Women’s Interest Committee is pleased to announce an excellent lineup of speakers for our April 21st Brunch with the theme: “Breaking Through: Equal, Empowered, Effective Female Physicians.” Dr. Anita Everett, our APA president, is the keynote speaker (“Reflections on Wellbeing, Grit and Leadership”), Dr. Elisabeth Kunkel, Chief Medical Officer for the Pennsylvania Psychiatric Institute, will follow with negotiation strategies (“Communication, Negotiation and Leadership in the Workplace: Men Versus Women”), and Dr. Barbara Wingate, Physician/Peer Consultant for Vital WorkLife, Inc. and Medical Director of Magellan Behavioral Health (“Effective Self Care: I Get By with a Little Help from my Friends!”) will finish the session with ideas for stress reduction. The Brunch will be held at the Inn at Swarthmore —adjacent to the Swarthmore Station of the Media/Elwyn train station and with ample free parking. The facility and food had excellent reviews in 2017 and we are looking forward to another wonderful, inspiring morning session! Please sign up and join us from 8:00 am – 12:00 pm for this terrific experience!

Thank you, Ellen Conroy, MD and Holly Valerio, MD Women’s Interest Committee Co-Chairs

Annual Women’s Brunch

NO MATTER THE SIZE OF YOUR PRACTICE

WE HAVE YOU COVERED

WE PROTECT YOU All providers in your practice - psychiatrists, psychologists, social workers and other behavioral healthcare providers - can be covered under one medical professional liability insurance policy, along with the entity itself.

Access to a comprehensive professional liability insurance policy Simplified administration - single bill and one point of contact Custom rating leverages the best premium for your practice Coverage for multiple locations even if in different states Entity coverage available Separate and shared limits available Discounted background check packages REMY PALMER

SENIOR ACCOUNT MANAGER

When selecting a partner to protect your group practice, consider the program that puts psychiatrists first. Contact us today.

More than an insurance policy (800) 245-3333

PsychProgram.com/Dedicated

Actual terms, coverages, conditions and exclusions may vary by state.

TheProgram@prms.com

Insurance coverage provided by Fair American Insurance and Reinsurance Company (NAIC 35157).

FAIRCO is an authorized carrier in California, ID number 3175-7. www.fairco.com

In California, d/b/a Transatlantic Professional Risk Management and Insurance Services.

Spring 2018

5

Benjamin Rush Gala Award Nominations Know a colleague who deserves Philadelphia Psychiatric Society recognition? Nominate them for a 2018 Benjamin Rush Award! The Philadelphia Psychiatric Society would like membership to cast the net wider in the service of diversity.

PPS Upcoming Council Meetings Saturday, June 2, 2018 PaPS Council Meeting, 8:30 am

Monday, June 11, 2018 Philly Chapter Annual Business Meeting, 6:00 pm

Saturday, September 8, 2018 PaPS Council Meeting, 8:30 am

For more event dates and meetings click here.

Submit a nomination letter describing why, in your opinion, the candidate is deserving of the specific award, as well as the candidate’s curriculum vitae, to PPS at: Philadelphia Psychiatric Society, Benjamin Rush Award Nomination, 777 East Park Drive, PO Box 8820, Harrisburg, PA 17105-8820, or philapsych@papsych.org.

The deadline for nomination submissions is Friday, April 27, 2018.

Now Accepting 2018 Benjamin Rush Awards Nominations PPS Benjamin Rush Awards* include:

Paul J. Fink Leadership Award Lifetime Achievement Outstanding Practitioner Award Publication Award Jack Greenspan Resident Award Outstanding Educator Award Daniel Blain Award Robert Jones Award Jack Greenspan Early Career Award Benjamin Rush Amicus Award *View descriptions and eligibility requirements for each award here.

The Philadelphia Psychiatric Society welcomes the following new members and congratulates those who have elevated to:

General Members

Jennifer A. Cannon, DO Kevin R. Connolly, MD Dimas J. Tirado-Morales, MD

Life Member

Carola A. Kieve, MD

Life Distinguished Fellow Member Paul E. Ruskin, MD

Members in Training Julian M. Artunduaga, DO Emily Maguire, MD Matthew C. Parker, DO Elyse M. Smolcic, MD Tara Thompson-Felix, MD Jessica Wang, DO Margaret J. Yesalavage, DO

Welcome

New Members

Spring 2018

6

The APA, the Big Apple, and Adieu

by James H. Gilfoil, MD, DLFAPA Well, the APA has made it back to the best restaurant city in the world. So, let’s get to what you go for after all those scintillating meetings. First, I want to navigate all the options in the restaurant scene. The death of high-end dining can open a lot of possibilities.

My first stop has to be the Stephen Starr and Daniel Rose hit—Le Coucou.

Undoubtedly one of the most beautiful restaurants I have ever seen, the food is an absolute match for the décor. Reservations are well-nigh impossible to snag, but it can be done. If you get in, you must get the sweetbreads, the sauce is divine. The skate, the veal head, the beef tartare, the foie gras terrine—every dish feels like a must. I could go on and on. It is superb, as are the wines, and, sacre bleu! you can eat fabulously without breaking the bank. Contrast that with L ’Atelier de

Joel Robuchon, which is back in town in the Meatpacking District. You can get a plate or main course for $48 to $110 with most choices north of $60. Or you can sign up for the Seasonal Discovery Menu at $325 with a wine pairing at $150 or the premium wine pairing at $275.

(I’m feeling a touch ill at the moment.)

No wonder high-end dining is dead. Eat at The Bar de Joel Robuchon where the prices have some relationship to this planet.

I will not be eating at The Grill or The Pool, both redone at the Four Seasons in Midtown. The recent Times review only gave them two-stars and said both were overpriced. Nope, been there, done that too many times at various NY places to want to do it again. But, if you are feeling particularly masochistic and in for your fair share of abuse, by all means, do not

let me stop you. I guess I am still dealing with the PTSD I developed after that overpriced, tres mediocre meal at Per Se several years ago.

Now ignore all that I just said about prices, as I do when I am considering some molecular gastronomic temple like Alinea in Chicago. Chef Matthew Lightner may have gone, but the food is still wonderful at the Michelin twostarred Atera. Sitting at the counter is quite the show, so, if you are game and your wallet can handle it, give it a shot.

Or, you could try Grant Achatz’ entry into the New York scene, The Aviary in the Mandarin Oriental Hotel at Columbus Circle. If it is anything like his restaurants in Chicago, it will be well worth that mortgage you take out to pay for it. If you haven’t read Achatz’ Life on the Line, you must.

Spring 2018 I am feeling like another must is Enrique Olvera’s take on Modern Mexican at Cosme—to me the most exciting Mexican restaurant in the country—and that includes Rick Bayless’ Topolobampo in Chicago. There are so many great items on the menu, including the signature duck carnitas, the grilled octopus, the black trumpet mushroom huarache with fava bean salsa, and the outrageous corn husk meringue with corn mousse for dessert.

Throw in a dynamite wine and cocktail list, and your group will go home very happy indeed. If you are deep into this Mexican thing, do not miss Olvera’s Atla, which New York Magazine’s Adam Platt dubbed “pretty much a perfect restaurant” in his four-star review. More casual and affordable than Cosme, it is, as Platt says, “the destination dining of today.”

I also want to try Agern, the one-starred Scandinavian in Grand Central. That is, of course, after I have made the obligatory mid-day stop at the Oyster Bar. A newbie to the restaurant scene should check out Chef Masa’s affordable robatayaki Tetsu.

How about some Austrian fare while you are at it? I know, I know, we tend to write off German and Austrian cuisine, but their foods have evolved too in recent decades. There is no better place to sample this transformation than at Wallse.

7 Austrian food is lighter than German food is anyway, and there are some wonderful Austrian wines out there besides Gruner Veltliner. I am not a big Asian food fan in general, but I make an exception in the case of the one-starred Uncle Boons with its creative take on Thai food. It is great and inventive cocktails too.

George Mendes’ Aldea in the Flatiron District is also on my short list. It has been almost nine years, since the great Iberian menu with some Asian influences, is reasonably priced at $89 for four courses. Also, I might look at Wildair with its creative food and outstanding wines. Be sure and check out La Goulue, the beloved Upper East Side French bistro that has reopened after eight years. It has the same menu and same chef and is a great lunch venue.

Can’t forget some of my old faves.

Minetta Tavern with its great burger and coconut cake and fabulous cocktails— try the Vieux Carre—is always a must, along with either the Gramercy Tavern or Gotham Bar and Grill. Balthazar is touted by Eater as “the best everyday restaurant in New York. Period.” I have gone for brunch the last few years, but you cannot go wrong with any meal. I have been touting The Breslin for years

and it finally seems to be getting some of the recognition it deserves. Michelin gives it one-star and Eater says it is “one of New York City’s most accomplished meat restaurants.” Eater also mentions “the game changing lamb burger.” Try it and you will see why. I highly recommend breakfast at The Breslin though. The English breakfast is outstanding, and the steak and eggs with tomatillo sauce is out of this world. Choices, choices.

For cocktails, the Library at the NoMad is a must. Dinner is just so-so, even though their roast chicken gets high praise. My new fave for cocktails is The Bar Room at The Beekman Hotel. The setting is fantastic, but the drinks more than match the soaring nine-story atrium. The cocktail list is a superb mix of old and new classics. You must try a Pink Lady.

I had three over lunch one day, and boy did I enjoy my walk across the nearby Brooklyn Bridge.

So, make May a great time and with that adieu. This is it for me. I have enjoyed this immensely over the years and I hope you have too, but now it is time for someone else to take over. Don’t worry about me.

I will still be out there — eating my way through various cities.

Spring 2018

8

2017 Benjamin Rush Gala Event

PPS President Tahir Maqsood, MD, FAPA starting the night with opening remarks.

Tahir Maqsood, MD, FAPA and Abigail Kay, MD present the Daniel Blain Award to Marina Goldman, MD (center).

Sydney E. Pulver, MD, DLFAPA receives the Lifetime Achievement Award presented by Lawrence Blum, MD.

Kenneth Weiss, MD, DLFAPA presented the Paul J. Fink Leadership Award to Lawrence Real, MD, DLFAPA (center) with Tahir Maqsood, MD, FAPA.

2017 Benjamin Rush Gala Award Recipients

(left to right) George Wohlreich, MD, MA; Mark Messih, MD, MSc; Francis Patrick Smith, DO; Jane Mathisen, MD; Joseph Foderaro, LCSW; Stephen Fried; Laszlo Gyulai, MD; Ira Brenner, MD, DLFAPA; Sydney E. Pulver, MD, DLFAPA; Matthew O. Hurford, MD; Lawrence A. Real, MD, DLFAPA

Joseph Foderaro, LCSW (center) receives teh 2017 Benjamin Rush Award presented by Romani George, MD and Tahir Maqsood, MD, FAPA.

Spring 2018

9

4th Annual Addictions Symposium The 4th Annual Addictions Symposium was held on March 3, 2018 at Thomas Jefferson University Hospital, Philadelphia, PA.

Hope Selarnick, MD, PhD presenting on the topic of Narcan Training.

Poster presenters Omar Shah, MD and Vallabh Suryadevara, MD show off their presentation on Substance Abuse and Mental Health, “Robotripping.”

Kyle Kampman, MD has the audience’s attention as he speaks on “Medical Management and Treatment of Alcohol Use Disorders Made Simple.”

Keynote Speaker Frank Leone, MD talked in a joint session on “Tobacco Addiction and Smoking Treatment Options talks.”