PROPOSED SIAP SCHEDULE FOR FOURTH
ITERATION
CLASSES BEGINNING JANUARY 2008
UNIT 1: FOUNDATION OF PSYCHOPHARMACOLOGY
Class # 1 January 12-13, 2008 (CEP 801)
Welcome and Orientation (LeVine and Hoffman).
Introduction to Gross Anatomy (Hoffman). Systems, organs and tissues of the
body and anatomical positions and orientations are reviewed with emphasis
upon anatomical features that must be well understood in the prescribing of
psychotropics.
Class # 2 Feb 2-3, 2008 (CEP 801)
Neuroanatomy and Chemical Anatomy of the Nervous System (Simson).
Class # 3 March 1-2, 2008 (CEP 801; CEP 802)
Introduction to Chemistry and Biochemistry for the Prescribing Psychologist
(Hoffman).
This course will review and update student’s understanding of critical
principles in biochemistry, including: chemical compounds and bonds (covalent,
ionic, hydrophilic/hydrophobic, hydrogen bonds); atomic theory; organic compounds,
bonds and valences; biomolecules (proteins, carbohydrates, nucleic acids and
lipids); enzymes and metabolism; transport processes in neurons; biochemical
mechanisms of neuronal signaling.
Class # 4 April 5-6, 2008 (CEP 802)
Survey of Human Physiology and Neurophysiology (Hoffman).
This course covers anatomical and physiological concepts underlying central
and peripheral nervous system function. Cellular neurophysiology concepts
such as the resting potential, action potential and basic ion channel kinetics
will be reviewed, as will neurotransmitter receptor function. Second messengers
and neural plasticity are also studied in depth.
Class # 5 May 3-4, 2008 (CEP 802)
Survey of Human Physiology and Neurophysiology (Hoffman). (con’t)
UNIT 2: PHARMACOLOGY
Class # 6 May 31, June 1, 2008 (CEP 803)
Principles of Pharmacology I (Hoffman).
These lectures will cover the basic principles of drug action, and set the
stage for all further discussion of drug action and drug use. The mechanisms
of pharmacokinetics and pharmacodynamics determine the properties that characterize
all drugs, such as route of administration, dosage and dosing interval. Pharmacokinetics,
the manner in which the body affects administered drugs, determines onset
and duration of drug action as well as what tissues, organs and organ systems
are affected by any drug. Pharmacokinetics also underlies the great majority
of drug: drug interactions. Pharmacodynamics, the study of the underlying
mechanisms by which drugs exert their effects on the body, includes drug effects
on physiological systems as well as the molecular mechanisms of drug action.
Objectives include understanding the physiological and biochemical mechanisms
of drug action; the central role in drug metabolism of the cytochrome P450
enzyme system; how pH and pKa determine the distribution of drugs across biological
membranes; being able to use basic principles, including drug half-lives,
to plan and revise dosages and dosing schedules and dose-response relationships.
We will also discuss receptor mechanisms of drug tolerance, dependence and
withdrawal.
Class # 7 June 28-29, 2008 (CEP 803)
Principles of Pharmacology II (Hoffman). (con’t)
UNIT 3: PSYCHOPHARMACOLOGY FOR SPECIFIC DISORDERS
Class # 8 July 19-20, 2008 (CEP 803; CEP 804)
Psychopharmacology of Mood (Affective) Disorders I (Preston/Hoffman).
Objectives of this course are to understand the biochemical mechanism(s) underlying
the pharmacological efficacy of antidepressant and antimanic treatments; the
biochemical, physiological and anatomical bases of adverse effects associated
with antidepressant and antimanic treatments; different classes of antidepressant
and antimanic drugs and treatments; e.g., tricyclics (TCAs), selective serotonin
reuptake inhibitors (SSRIs), atypical antidepressants, monoamine oxidase inhibitors
(MAOIs), electroconvulsive therapy (ECT), lithium (Li+), anticonvulsants,
and other treatments for affective disorders, and to be able to effective
prescribe these medications and manage the medical issues that arise from
their use.
Class # 9 August 16-17, 2008 (CEP 804)
Psychopharmacology of Mood Disorders II (Preston/Hoffman). (con’t.)
Diagnosis and treatment of unipolar and bipolar affective disorders will be
studied in depth. The treatment of mood disorders of special populations will
also be overviewed.
Class # 10 September 13-14, 2008 (CEP 804)
Psychopharmacology of Anxiety and Sleep Disorders (Hoover/Hoffman).
Diagnosis and treatment of broad spectrum anxiety disorders (including general
anxiety, OCD) will be discussed. Particular anxiety disorders of children
will also be discussed. The etiology of sleep disorders will be overviewed,
and the psychopharmacological treatment of sleep disorders will be explored
in depth.
Class # 11 October 11-12, 2008 (CEP 805)
Psychopharmacology of Psychosis and Personality Disorders (Mantell/Hoffman).
In this class, students will become skilled in the use of three generations
of antipsychotic drugs and review the effects of these drugs on positive and
negative symptoms of schizophrenia and other psychotic disorders. Students
will understand the biochemical mechanism(s) underlying the pharmacological
efficacy of antipsychotic drug treatments. Students will learn appropriate
psychotherapeutic intervention, means of monitoring and managing the medical
issues that arise from psychotropic use. Current treatment algorithms for
the management of psychotic disorders will also be reviewed. Some time will
also be spent on the use of psychotropic medication in the management of personality
disorders.
UNIT 4: EVIDENCED-BASED MEDICINE
PATHOPHYSIOLOGY AND PHYSICAL ASSESSMENT
Class # 12 November 8-9, 2008 (CEP 805)
Faculty of the Family Practice Residency Center.
This class focuses on overall physical assessment. Students will learn methods
of medical history taking including documentation of pertinent medical history,
medications and drug allergies, chief medical complaint, determination of
vital signs and basics of the physical exam will be covered. Students will
learn the process of identifying skin disorders, including drug rashes and
Stevens-Johnson Syndrome, which can be a side effect of various psychotropic
medications.
Class # 13 December 6-7, 2008 (CEP 805 & CEP 806)
Pathophysiology and Physical Assessment of the Immune System and Laboratory
Assessment.
Faculty of the Family Practice Residency Center
Pathophysiology and physical assessment of disorders of the immune system
including cancer and autoimmune illnesses will be studied. Cell Biology will
be overviewed with particular emphasis upon types of blood cells. Students
will learn the basic lab tests of relevance to a prescribing psychologist.
Students will complete case studies regarding pathophysiology of the immune
system in which they integrate their understanding of the diagnosis and treatment.
Class # 14 January 3-4, 2009 (CEP 806)
Pathophysiology and Physiological Assessment of the Cardiovascular System.
Faculty of the Family Practice Residency Center
Many psychopharmacological agents have significant effects on the cardiovascular
system. The prescribing psychologist must be very familiar with the normal
physiology of the cardiovascular system and how its function is affected by
drugs. The student will become familiar with the normal and pathological electrocardiogram.
Students will identify laboratory tests appropriate for assessing the cardiovascular
system. Students will complete case studies regarding pathophysiology of the
cardiovascular system in which they integrate their understanding of the diagnosis
and treatment.
Class # 15 January 31-February 1, 2009 (CEP 806)
Pathophysiology and Physical Assessment of the Pulmonary System.
Faculty of the Family Practice Residency Center
Students will learn pulmonary functioning and assessment with particular emphasis
on respiratory exchange and respiratory involvement in acid-based regulation.
Disorders and treatment of respiratory functioning will also be studied.
Students will identify laboratory tests appropriate for assessing the pulmonary system and acid-base balance. Students will complete case studies regarding pathophysiology of the pulmonary system in which they integrate their understanding of the diagnosis and treatment.
Class # 16 February 28-March 1, 2009 (CEP 807)
Pathophysiology and Physical Assessment of the Gastrointestinal System.
Faculty of the Family Practice Residency Center
Students will learn about digestion, absorption and excretion of drugs and
nutrients from the GI system, disorders of GI functioning, hepatic functioning,
as well as innervation of the GI tract are also studied.
Students will identify laboratory tests appropriate for assessing the gastrointestinal system. Students will complete case studies regarding pathophysiology of the gastrointestinal system in which they integrate their understanding of the diagnosis and treatment.
Class # 17 March 28-29, 2009 (CEP 807)
Pathophysiology and Physical Assessment of the Renal System and Male Reproductive
System.
Faculty of the Family Practice Residency Center
Changes in renal function can have a dramatic effect on steady-state levels
of many drugs primarily excreted by the kidney. In addition, some psychotropic
medications can affect kidney function, or may even be toxic to the kidney
(e.g. Li+). A very good understanding of renal function is critical to the
successful use of many psychotropic drugs.
Students will identify laboratory tests appropriate for assessing the renal system and male reproductive system. Students will complete case studies regarding pathophysiology of the renal system and male reproductive system in which they integrate their understanding of the diagnosis and treatment.
Class # 18 April 18-19, 2009 (CEP 807 & CEP 808)
Pathophysiology and Physical Assessment of Endocrine and Exocrine Functions,
Female Reproductive System and Pain Disorders.
Faculty of the Family Practice Residency Center
The endocrine system is studied as it influences and controls many aspects
of the overall physiology of the body and is also a locus for adverse effects
of many drugs, including antipsychotic drugs. Endocrine functioning of the
female system is emphasized.
Students will also learn about the origin and treatment of various pain disorders.
Students will identify laboratory tests appropriate for assessing the endocrine and exocrine functions as well as female reproductive system. Students will complete case studies regarding pathophysiology of the endocrine, exocrine functions and pain disorders and integrate their understanding of the diagnosis and treatment of these conditions.
Class # 19 May 16-17, 2009 (CEP 808)
This class is an in-depth integration of diagnosis of neurological disorders.
(M. Simson, MD and Thompson, Ph.D.)
Students will learn how to complete a brief physical neurological exam and
to integrate those findings with a brief paper and pencil neuropsychological
exam.
Class # 20 June 13-14, 2009 (CEP 808)
Faculty of the Family Practice Residency Center
Students will demonstrate their skills in completing a physical examination.
The course also provides an integration of laboratory testing so that students
will achieve competency in selecting, ordering and interpreting tests important
in the practice of psychopharmacology.
UNIT 5: SPECIAL TOPICS
Class # 21 July 11-12, 2009 (CEP 809)
Special Populations – Children (Kurtz/Hoffman)
This course provides and in-depth study of disorders and treatments of children.
Class # 22 August 8-9, 2009 (CEP 809)
Special Populations – Elderly (Geriatric Specialist/Hoffman)
This course provides and in-depth study of disorders and treatments of the
elderly.
Class # 23 September 12-13, 2009 (CEP 809 & CEP 810) (Mantell/Hoover)
A course in ethnopsychiatry reviews the epidemiology, pharmacokinetics and
pharmacodynamics of drugs prescribed to women and across ethnic groups.
Professional issues in psychopharmacology are also reviewed.
Class # 24 October 10-11, 2009 (CEP 810) (Simson/Hoover)
The various substance abuse disorders are discussed with particular emphasis
on psychotropics that can be used to decrease cravings.
Treatment of dual diagnosis patients is also explored.
Class # 25 November 13-14, 2009 (CEP 810) (Hoover/Hoffman)
A synthesis and overview of the coursework is provided as well as an advanced
look at ethical professional issues.