Spotlight on Stanford Psychiatry at the 2024 Annual Meeting of the Academy of Consultation-Liaison Psychiatry

Members of the Academy of Consultation-Liaison Psychiatry gathered in Miami, Florida the week of November 6th for their annual meeting. The theme of this year’s meeting was Promoting Whole Health Through Innovative and Integrative Approaches to C-L Psychiatry, and focused on the role of C-L Psychiatry in evidence-based approaches ‎to whole health. Specifically, building on expertise to include integrative medicine advances the biopsychosocial model and to behavioral, spiritual, environmental, community, and population-based ‎approaches to patient care.

Congratulations to Dr. Jose Maldonado, Dr. Derek Pipolo, Dr. Shixie Jiang, Mr. Charles Cloughly, Dr. Matthew Gunther, Dr. Benjamin Hoover, and Dr. Yelizaveta Sher who received the Dlin/Fischer Clinical Research Award for the paper entitled “Assessing the Diagnostic Accuracy of the Stanford Proxy Test for Delirium (S-PTD) in a Critically Ill Population.” The Dlin/Fischer Clinical Research Award is presented for significant achievement in clinical research and the best paper submitted for presentation at the annual meeting. The team’s paper describes the results of a prospective, triple-blinded study conducted in the CV-ICU at Stanford evaluating the efficacy of two delirium screening tools: the CAM-ICU and the Stanford-Proxy Test for Delirium (S-PTD). The S-PTD exhibited a sensitivity of 94.52% (vs. 23.57% CAM-ICU), and an AUROC of 0.934 (when compared against a neuropsychiatric assessment based on DSM-5 criteria). These findings underscore the S-PTD's adaptability to varying levels of patient cooperation and its ability to comprehensively capture different delirium subtypes.

Congratulations to Dr. Sheila Lahijani and Dr. Jose Maldonado, who each received Visiting Professorship Awards this year. The Visiting Professorship Program at ACLP was established to promote the understanding and practice of consultation-liaison psychiatry and to increase interest in, and awareness of, consultation-liaison psychiatry. Dr. Sheila Lahijani, nominated by Dr. Veronika Hanko, will visit Northwestern University's Feinberg School of Medicine. Dr. Jose Maldonado, nominated by Dr. Anna Dickerman, will visit New York-Presbyterian Hospital/Weill Cornell Medicine.

Congratulations to Dr. Avital Fischer and Dr. Julian Raffoul, who both received Trainee Travel Awards from ACLP for this year’s meeting.

Several faculty, staff, and trainees from our department attended and presented at the meeting this year! The faculty in the Division of Medical Psychiatry successfully developed and organized three pre-conference courses, which covered topics in transplant psychiatry, psycho-oncology, and critical care psychiatry. Explore these courses and the many other presentation topics by the Stanford team in the list below.

Wednesday, November 6, 2024

2024 ACLP Developing Scholarship and Research Colloquium
Mentor: Sheila Lahijani, MD
Playing Catch Up in the ICU: The Role of Psychiatrists in Navigating Mental Status Alteration in Critically-Ill Patients.
Lead Speaker: Jose R. Maldonado, MD, FACLP, FACFE; Speaker: Matthew Gunther, MD, MA
Psycho-Oncology Crash Course: Psychiatric Care of Patients with Cancer for the General C-L Psychiatrist and Psycho-Oncology Specialist
(Sponsored by the Psych Onc/Pall Med SIG)
Speaker: Sheila Lahijani, MD
Updates in Transplant Psychiatry
Lead Speaker: Yelizaveta Sher, MD, FACLP; Speaker: Filza Hussain, MD,FACLP

Thursday, November 7, 2024

Fostering Whole Body Well-Being: Addressing Multi-dimensional Challenges in Transplant Recipients
Lead Speaker: Yelizaveta Sher, MD, FACLP; Speakers: Filza Hussain, MD,FACLP; Chanel Zhan, MD
Hypnosis rounds: How to apply hypnosis in the practice of Critical Care and General Hospital Psychiatry
Speaker: Jose R. Maldonado, MD, FACLP, FACFE
Let’s Talk About Sex: What CL Psychiatrists Can Do to Promote Whole Health
Lead Speaker: Yelizaveta Sher, MD, FACLP; Speaker: Sheila Lahijani, MD
An Energizing Symposium: Stimulants in the CL Setting and Beyond
Lead Speaker: Benjamin Hoover, MD; Speakers: Jose R. Maldonado, MD, FACLP, FACFE; Matthew Gunther, MD, MA

Friday, November 8, 2024

Dlin/Fischer Clinical Research Award: Assessing the Diagnostic Accuracy of the Stanford Proxy Test for Delirium (S-PTD) in a Critically Ill Population
Presenting Author: Jose R. Maldonado, MD, FACLP, FACFE; Co-Authors: Derek O. Pipolo, MD; Yelizaveta Sher, MD, FACLP; Matthew Gunther, MD, MA; Charles Cloughly; Benjamin Hoover, MD
Stanford Study of the Validity of the Pre-Interventional Preventive Risk Assessment (PIPRA) Tool for Delirium in an At-Risk Elderly Orthopedic Population
Presenting Author: Matthew Gunther, MD, MA; Co-Authors: Derek O. Pipolo, MD; Tyler Zahrli, MD, MA; Jon Sole, MD, MSc; Charles Cloughly; Jose R. Maldonado, MD, FACLP, FACFE
Dextroamphetamine as Adjunctive Pharmacotherapy for Aggression Secondary to Korsakoff Syndrome
Presenting Author: Matthew Gunther, MD, MA; Co-Author: Jose R. Maldonado, MD, FACLP, FACFE
Korsakoff Syndrome: A Review of Neuropsychiatric Manifestations and Management Strategies for the Consultation-Liaison Psychiatrist
Presenting Author: Jon Sole, MD, MSc; Co-Authors: Matthew Gunther, MD, MA; Jose R. Maldonado, MD, FACLP, FACFE
The Stanford-Ceribell Study: Feasibility and Accuracy of a Rapid Response Electroencephalogram (rrEEG) in the detection of Delirium Among Critically Ill Patients
Presenting Author: Jose R. Maldonado, MD, FACLP, FACFE; Co-Authors: Derek O. Pipolo, MD; Matthew Gunther, MD, MA; Yelizaveta Sher, MD, FACLP; Benjamin Hoover, MD
Improving Integration of Psychiatry in an Internal Medicine Resident Clinic: A Quality Improvement Study
Presenting Author: Matthew Gunther, MD, MA; Co-Authors: Mira Zein, MD; Christiana Weidanz, LCSW; Co-Author: Jon Sole, MD, MSc; Amelia Sattler, MD
Droperidol and Cardiac Risks: A Practical Review for CL Psychiatrists
Co-Author: Matthew Gunther, MD, MA

Saturday, November 9, 2024

Crucial Communication in Organ Transplantation: Selection Conferences, Interprofessional Collaboration, Patient Advocacy, and Countertransference
Speaker: Jose R. Maldonado, MD, FACLP, FACFE
Minds, Machines, and Medicine: AI's Emerging Role in Psychiatry
Lead Speaker: Jon Sole, MD, MSc; Speaker: Derek O. Pipolo, MD

Virtual

Management of prolonged delirium in the hospital after CAR T-cell therapy (CAR-T): Targeting prolonged neuroinflammation
Presenting Author: Tyler Zahrli, MD, MA; Co-Authors: Daniel Fishman, MD and Sheila Lahijani, MD
Sleepless in C-L! An Integrative Approach to Treating Insomnia in the Consultation-Liaison Setting
Speaker: Yoel D. Green, MD
Stanford Study of the Accuracy of the Pre-Interventional Preventive Risk Assessment (PIPRA) Tool for the Prediction of ICU-Delirium in a Mixed Cardiothoracic Intensive Care Unit Population
Presenting Author: Derek O. Pipolo, MD; Co-Authors: Matthew Gunther, MD, MA; Charles Cloughly; Jose R. Maldonado, MD, FACLP, FACFE
Ten Most Influential Papers in Consultation Liaison Psychiatry for the 2023-2024 Academic Year: Annotations from the Guidelines and Evidence-Based Medicine Subcommittee.
Presenting authors: Julian J. Raffoul, MD, PhD, with Sarah R. Andrews, MD, Liliya Gershengoren, MD, MPH, FACLP, and Sahil Munjal, MD

Posters

(019) Bromocriptine for Residual Catatonia Following Neuroleptic Malignant Syndrome: Case Report and Systematic Review
(068) Delirium Education through Video: Improving Awareness and Reducing Distress for Patients, Families, and Caregivers
(100) Steroid-Induced Musical Hallucinosis
(106) Uncommon Schmahmann – A Case-Based Discussion of Cerebellar Cognitive Affective Syndrome
(143) Ketamine Withdrawal-Induced Mania: A Case Report and Review of the Literature
(145) Nortriptyline-Induced Room Tilt Illusion
(155) Psychosocial Considerations for the Acute Management of Adults with ARFID and Gastrointestinal Symptoms: A Case Report
(196) Debriefing Sessions for Trainee Empowerment and a Sense of Belonging (“DeStress & Belong”)
(206) A Ternary Enigma: A Case Report and Literature Review of Myoclonus, Uremia and Encephalopathy in a Liver Transplant Recipient
(233) Treating peripartum psychosis in primary care - a focus on a case study utilizing the integrated behavioral health model