http://exhibits.library.stonybrook.edu/mfp/files/original/f22415d386b6ecb2869d26d6fdab130b.pdf b9d93283dea9d043c621a8d0337e5f97 PDF Text Text smmw“tn mus»:.-. ‘ ' , w“. , S e» c", , “mum -;~hw;'vyw7——wa' m-wamm. u —-—— ;.‘m' , , . -s—v—u March 20, 1989 Ms. Amanda Hopkins-Alexiadis Psychiatric Institute, Fort Worth 315 Eighth Avenue P.O. Box 69 Fort Worth, TX 76101 Dear Ms. Hopkins-Alexiadis, in response to an inquiry by Ms. Robin Moore for a survey of ECT practice and accompanying training at PIA hospitals in Texas, 1 indicated that training was best provided at the two established courses at Duke University and SUNY at Stony Brook. The SUNY course is a five day, ‘hands-on‘ course which is taught by six members of the faculty. intensive sessions discuss clinical indications, ECT techniques, nursing care, anesthesiOIOgy, medical aspects, instrumentation, theory, and consent. (A description is enclosed.) Such an intensive course cannot be duplicated outside our facility at this short notice. Therefore, we believe it would be preferable to have members of your staff attend the next course, planned for mid-June. But it such attendance is not feasible, we beleve we can create a reasonable facsimile for your staff at Fort Worth. As it is not possible for any of us to teach consistently and continuously for the required minimum two or three days, it would be necessary to include more than one member of our teaching faculty, and I would invite Dr. Lawrence Greenberg, attending psychiatrist and Mrs. irene Carasiti, ECT nurse. Both have worked with me for more than five years in our EC‘l' unit. ' A program would be focussed on practical clinical issues: indications for ECT, selection of cases, consent, medical examinations, demonstration of treatment practice (dosage, electrode placement, frequency), adverse effects and their management, identification of high-risk cases, and malpractice concerns. Such sessions would require a clinician to spend time in the clinical facility to determine the types of cases to be used in the clinical sessions; and to survey the treatment facilities for ECT. A suggested two-day curriculum is attached. The addition of a third day will allow sessions for nurses and anesthesiologists; didactic sessions on ECT theory; discussions of the role of the consultant, management of the high-risk patient, credentialling and privileging, and extended applications as maintenance ECT, treatment of adolescents, and neurologic and medical (mmpsychiatric) applications of ECT. �Psychiatric Institute of Fort Worth Page 2 it would be possible to invide Mrs. Carasiti to work with your nurses in parallel on one of the first two days. In discussing the facilities now at the Psychiatric Institute, 1 was told that patients are not now being treated with ECT. We consider a hands-on demonstration so useful, that every effort should be made to take the students to a facility where EC? is actually given; or, to allow us to demonstrate ECT at the institute in suitable cases. design our teaching to encourage our students to teach others at their We provide each student with texts, videotapes, and readings to supplement the textbooks. For the preposed training program, we will supply one (or multiple) set(s) of the texts and videotapes at our discount of $405. A set of the supplementary readings is duplicated at the nominal charge of $10 and either one or multiple sets can be provided. We institutions. We have not developed charges for such an off-site training course but are prepared to use the fee schedule for off-site patient consultation and court appearance as a reasonable basis. We will set a filly fee of $2,000 for each of the psychiatrists and $1,000 for Mrs. Carasiti. in addition, travel costs at first class rates and local hotel and meal costs will be charged as paid. We can deveIOp this program in the period Sunday-Wednesday, April 23-26. can be reached at my office most mornings at 516-4411 2929. Our FAX number is 516- 4% 7534. I trust these ideas are helpful, and thank you for your inquiry. 1 Sincerely yours, Max Fink, M.D. Professor of Psychiatry �1 Psychiatric Institute of Fort Worth “w Page PROPOSED COURSE: CLINICAL ASPECTS OF ECT w» Dag (-12: Preparation afternoon/evening er.—mw-w Yewwm—uy. Visit treatment facility; review charts and interview patients in course of ECT, being considered for ECT, or recently completed ECT. Interviews with other patients who may provide bases for discussion. Visit ECT treatment facility; meet with ECT nurse] physician] anesthesiologist. Plan actual course with project coordinator. Day i: am. indications for ECT: didactic; patient interviews; videotapes. (MF) p.m. l? Pre~treatment examinations (LG) Technical issues in treatment; instrumentation; electrode placement (LG) Discussion of risks; risk management; malpractice issues (MP) Consent (LC or 1C) a.m. Treatment demonstrations (MP, LG) w wvn pm. mm— ~.- —.- Nursing and anesthesiology questions (LG) Frequency and number of Rx; indications for termination; concurrent and sequential use of drug therapies (LG) Maintenance ECT (MP) m-w—n- - 4 -—w—- ymvw y. Do! 3: am. Medical issues; high-risk case management; role of consultants (LG) Other indications: Neurologlc; medical (MP) pan. Concurrent sessions: a... Nurses: Role of nurses in ECT (1C) Pre and Post-EC! management Consent procedures Group therapy for patients Anesthesiologists: Medical risks of ECT (LG) Pre-ECT examinations Ultra—brief anesthesia Airway management High risk medical cases; pregnancy Physicians: Theories of ECT (MP) Credentialling and privileging Malpractice issues instrumentation Continuing emanation for professionals Community education WWW. 3 ... v...-4v.w-u».r.-~.-,. ..-, .1 _, .7...“ �Psychiatric Institute of Fort Worth Page a Training Materials BOOKS: Fink, M. CONVULSNE THERAPY: Theory and Practice, Raven Press, 1979. ‘ American Psychiatric Association: Task Force Report #14, Washington, D.C., 1978. Abrams, R. ELECTROCONVULSIVE THERAPY. Oxford University press, 1988. Malitz, S. and Sackeim, H. ELECTROCONVULSIVE THERAPY: Clinical and Basic Research Issues. New York Academy of Sciences, New York 1986. JOURNALS: 'CONVULSWE THERAPY, Raven Press, New York. Quarterly. VIDEOTAPES: . Bluff, INFORMED ECT FOR PATIENTS AND FAMILIES. Somatics Inc., Lake 1986. 11., MIND AND BODY. Health Information Network. Distributed by MECT A Corporation. Portland Oregon, 1987. *' SUPPLEMENTARY READINGS IN EC? The set of books and videotapes may be obtained at our cost of $475 each. The supplementary readings can be duplicated here at about $10 each or we can supply an unbound set for your duplication. � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Correspondence Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Correspondence to: Hopkins-Alexiadis, Amanda Type The nature or genre of the resource Text Identifier An unambiguous reference to the resource within a given context mfp-05-00-031-6-149 Date A point or period of time associated with an event in the lifecycle of the resource 1988 Creator An entity primarily responsible for making the resource <a title="Fink, Max, 1923-" href="http://id.loc.gov/authorities/names/n79039548" target="_blank">Fink, Max, 1923-</a> Subject The topic of the resource Correspondence -- Correspondence Relation A related resource The Max Fink Collection Description An account of the resource Rights Information about rights held in and over the resource <a title="IN COPYRIGHT - EDUCATIONAL USE PERMITTED" href="http://rightsstatements.org/vocab/InC-EDU/1.0/" target="_blank">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a> Source A related resource from which the described resource is derived Special Collections and University Archives, University Libraries. Stony Brook University Libraries (State University of New York). Language A language of the resource en-US Format The file format, physical medium, or dimensions of the resource application/pdf Publisher An entity responsible for making the resource available Contributor An entity responsible for making contributions to the resource Correspondence