Thursday, Oct. 27
14:30 – 16:30 (2 hrs)
Meeting Room: Maple (Mezzanine)
Kathleen Sheehan*, MD, DPhil, FRCPC; Jennifer Laidlaw, MD, FRCPC; Katie Lines, MD, Bpharm; Wiplove Lamba, MD, FRCPC
Supported by the Canadian Academy of Consultation-Liaison Psychiatry

CanMEDS Roles:

1. Medical Expert
2. Health Advocate
3. Communicator

At the end of this session, participants will be able to: 1) Describe the concepts of consent and capacity and how to assess these in hospitalized patients; 2) Evaluate pharmacological options for managing agitation in physically ill patients; and 3) Formulate an approach to managing substance withdrawal in medical settings.

This course will be interactive and clinically focused, covering common and challenging clinical conundrums which often arise when covering consultation-liaison (CL) psychiatry on-call. It will be useful for both general and CL psychiatrists. There will be three 30 minutes talks, each followed by 10 minutes for questions. Dr. Laidlaw will focus on consent and capacity, and how best to assess and document these while on-call. Dr. Lines will speak about agitation management, including the benefits and risks of antipsychotics and other medications. Dr. Lamba will discuss how to best manage withdrawal from a variety of substances, including alcohol, opioids, and stimulants, in medical setting. Participants will be able to reflect on their current clinical management, how this aligns with best practice, and ways to modify to improve quality of care and patient outcomes.

References:

1. Laidlaw J, Lange L, Henthorne E. Management of vulnerable adult patients seeking to leave hospital: Understanding and using relevant legislation. BC Medical Journal 2021;63.3.
2. Sharma M, Lamba W, Cauderella A, et al. Harm reduction in hospitals. Harm Reduct J 2017;14,32. https://doi.org/10.1186/s12954-017-0163-0.