The goal of this learning experience is for the resident to increase psychiatric knowledge and develop a better understanding of committee processes, functions, and management. The resident will be an active member of the Incompetent to Stand Trail (IST) Psychopharmacology Panel, Department of Mental Health (DMH) Psychopharmacology Panel (State-Level Panel), Fulton State Hospital (FSH) Psychopharmacology Committee (formerly known as the Clozapine Review Committee), IST Committee, Research Committee, P&T Committee, General Medical Staff Meeting, Trauma Informed Care Consultation Team, Antimicrobial Stewardship Program, Pharmacist meetings, and Pharmacy Staff meetings. The resident may attend the Medical Staff committee meetings on a consultative and observational basis, provide in-services, and to discuss pharmacy projects.
Purpose of Committees and Panels:
Biweekly IST-Psychopharmacology Panel:For patients that are Incompetent to Stand Trail (IST), this panel discusses and provides treatment recommendations for difficult patient cases. The purpose of this panel is to make sure all possible treatment options have been tried or considered before referring patients to the DMH Psychopharmacology Panel. This panel decreases the number of patients referred to the DMH Psychopharmacology Panel, which allows for more urgent patient cases to be discussed. Members of this panel include the Residency Program Director (RPD), CMO, psychiatrists, and nurse practitioners.
Monthly IST Committee: Discuss all IST patients and treatment options with a multidisciplinary team. Some of the more difficult patient cases discussed in this committee are referred to the IST-Psychopharmacology Panel.
Biweekly Department of Mental Health (DMH) Psychopharmacology Panel: The purpose of this state panel is to discuss difficult patient cases and provide treatment recommendations for all patients residing in MO DMH facilities. In addition, before any patient is found Permanently Incompetent to Stand Trial (PIST) they are referred to this panel to make sure all possible treatment options have been tried and/or considered.
Weekly Research Committee: The resident will be expected to attend this weekly meeting for their residency project. They will work with the committee members and pharmacy preceptors to establish their research project, timeline, and overall management of their project. The resident will also be expected to attend all didactic lectures provided by the committee.
Monthly P&T Committee: The resident will be expected to actively participate in this committee by providing and reporting MUE's, ADE's, formulary requests, in-services, and other projects requested by the committee.
Monthly General Medical Staff Meeting: Discuss and approve items from committees that physicians, psychiatrists, and RPD serve on. Any clinical and operational concerns are discussed as well. Lastly, psychopharmacology in-services and project discussions occur at these meetings.
Monthly Trauma Informed Care Consultation Team: The resident will be expected to actively participate in this committee by completing consultations, in-services, and other projects requested by the committee.
Quarterly Antimicrobial Stewardship Program: The resident will be expected to actively participate in this committee by providing MUEs, in-services, and other projects requested by members of the ASP.
Bimonthly FSH Psychopharmacology Committee (Formerly known as the Clozapine Review Committee): The RPD is chairman of this committee and is responsible for managing the committee and making sure evidenced based recommendations are provided . The resident will be expected to lead this committee after 3 months. Committee members include a primary care physician, five psychiatrists, and two pharmacists.
Monthly Pharmacist meetings: The resident will be expected to be an active participant in these meetings by preparing in-services, discussing ADEs, reporting any treatment team changes, and any other projects requested by the Director of Pharmacy or the RPD.
Weekly Pharmacy Staff meetings: Discuss weekly plans, schedules, concerns, and any other pharmacy related business.