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AJP CME: July 2016 - A Framework for Extending Psychiatrists’ Roles in Treating General Health Conditions

Activity Type:

  • Journal CME

Release Date: 7/1/2016

Expiration Date: 6/30/2018

  • AMA PRA Category 1 Physician: 1
  • Participation: 1

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Abstract: Evidence exists of widening health disparities between the general population and populations with chronic mental illness, attributable primarily to cardiovascular disease. There are numerous explanations for this, including sedentary lifestyles, high rates of smoking, poor diets, poverty, underresourced environments, and medications utilized in the treatment of mental illness that contribute to cardiovascular disease risk. Adequate access to primary and preventive health care for persons with chronic mental illness is fraught with barriers and stigma. Often psychiatrists are the only physicians a patient has access to or sees with regularity. Pressures are mounting in the field of psychiatry to better integrate within the house of medicine as health care services adapt to meet the changing needs of the U.S. population. The American Psychiatric Association recently approved a position statement justifying the extension of the psychiatrist’s scope of practice to general health conditions in certain clinical situations and calling for improved access to education on general health topics, coordination with primary care, and more proactive monitoring and advocacy for the general health of psychiatric patients.

Subscription and Pricing

This activity is only available to AJP CME subscribers.

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  • Non AJP Subscriber – 12 Month CME Subscription: $300.00

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Educational Objective

The participant will identify factors involved in determining the most appropriate clinical context for extending a psychiatric practice to manage general health conditions.

Target Audience

This program is designed for all psychiatrists in clinical practice, residents in Graduate Medical Education programs, medical students interested in psychiatry, and other physicians who wish to advance their current knowledge of clinical medicine.

Estimated Time to Complete

Duration: 1 hour
Begin Date: July 1, 2016
End Date: June 30, 2018

How to Earn Credit

In order to earn CME credit, subscribers should read through the material presented in the article. After reading the article, complete the quiz and submit your evaluation and study hours (up to 1 AMA PRA Category 1 Credit™).  A score of 60% or higher is required to receive credit.


The American Psychiatric Association (APA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The APA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Faculty and Planner Disclosures

Title: A Framework for Extending Psychiatrists’ Roles in Treating General Health Conditions

Authors: Erik R. Vanderlip, M.D., M.P.H., Lori E. Raney, M.D., Benjamin G. Druss, M.D., M.P.H.

Affiliations: From the Departments of Psychiatry and Medical Informatics, University of Oklahoma School of Community Medicine, Tulsa (E.R.V.); Health Management Associates, Denver (L.E.R.); and the Department of Psychiatry, Rollins School of Public Health, Emory University, Atlanta (B.G.D.).

Disclosures: The authors report no financial relationships with commercial interests.

Discussion of unapproved or investigational use of products*: No.

*APA policy requires disclosure by CME authors of unapproved or investigational use of products discussed in CME programs. Off-label use of medications by individual physicians is permitted and common. Decisions about off-label use can be guided by scientific literature and clinical experience.

Program Planners

Robert Freedman, M.D. (Editor-in-Chief, AJP); Susan K. Schultz, M.D. (Deputy Editor, AJP); Michael D. Roy (Editorial Director, AJP) ; Michael A. Pogachar (Online Content Manager, Journals).

Dr. Schultz has received research support from the Alzheimer’s Disease Cooperative Study for projects conducted in partnership with Toyama Chemical Company and in partnership with Eli Lilly and Company. Dr. Freedman, Mr. Roy, and Mr. Pogachar report no financial relationships with commercial interests.

Hardware/Software Requirements

This internet-based CME activity is best experienced using Internet Explorer 8+, Mozilla Firefox 3+, Safari 4+. This Web site requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Adobe Acrobat, Microsoft PowerPoint, and Windows Media Player.

Optimal System Configuration:
Flash Player: Adobe Flash Player 10.1+ 
Browser: Firefox 3+, Internet Explorer 8.0+, Safari 4.0+, or Google Chrome 7.0+ 
Operating System: Windows XP+ or Mac OS X 10.4+ 
Internet Connection: 1 Mbps or higher
Screen Resolution: 1024 x 768 pixels.

Minimum Requirements:
Windows PC:
500-MHz Pentium II; Windows XP or higher; 128 MB RAM; Video Card at least 64MB of video memory; Sound Card at least 16-bit; Macromedia Flash Player 10 or higher, audio playback with speakers for programs with video content; Firefox 1.1+, Internet Explorer 7.0+, Safari 1.0+, Google Chrome, or Opera
Mac OS X 10.3 or higher with latest updates installed; 1.83MHz Intel Core Duo or faster; RAM: 128MB or more; Video Card: at least 64MB of video memory; Sound Card: at least 16-bit

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