TXPsychiatrist NovDec11_TXPsychiatrist NovDec11 12/6/11 9:41 AM Page 1

NOVEMBER/DECEMBER 2011 Psychiatrist It Takes a Physician J. Clay Sawyer, MD, President, Texas Academy of Psychiatry

n my last column for the Texas Academy TSPP member who believes that all psy- government, as a watchdog on legislative Iof Psychiatry, I set out the theme I have chiatrists should have a voice should also entities to discern destructive trends as chosen for my year as President of the take advantage of this invitation. they develop, and as an educational Academy (that we are all physicians first) And, I was greatly surprised to learn of a resource for legislators who might other- as well as the reasons for that choice. unique provision in the Academy’s bylaws wise make ill-advised decisions for our- I also reviewed the development of the when I was approached about running for selves and for our patients simply because Federation of Texas Psychiatry as well as the President. That provision provides for the they are ignorant of the facts. It takes Academy over seven years ago and the eligibility of associate members to run for money, it takes time, and it takes volunteer J. Clay Sawyer, MD necessity for the formation of these organi- office. I found this idea to be tremen- resources to accomplish these ends, so zations. You may recall that the Federation dously open-minded on the part of the high membership numbers are mandatory is a permanent coalition of medical organi- Academy, showing a great willingness to if we are to be at all successful. zations (including such psychiatric medical welcome and to incorporate experience I can tell you with all certainty that organizations as TSPP, the Academy, the from all quarters. without the efforts of TSPP going it alone Texas Society of Child and Adolescent But, why bother? Why join any profes- for a great many years (a great many diffi- deciding the future of our profession Psychiatry, and the Texas Foundation for sional medical organization? cult years), non-physician professionals in instead of having it decided for you, then Psychiatric Education and Research, as well If I had my wishes, every psychiatrist in Texas would long ago have gained the abil- you must join! There is no other logical as other medical organizations such as the Texas would belong to TSPP, to APA, to the ity to admit to hospitals and to prescribe choice. The Academy is a great starting Texas Medical Association and the Texas Academy, and to TMA, at a minimum. medication without the training required point for this process, and I would hope Osteopathic Medical Association). The total While total dues rates may seem high in of a true physician, meaning we would that new Academy members, having par- membership numbers represented this era of economic uncertainty, we must have failed to protect the safety and the ticipated in the successes we have enjoyed (approximately 44,000 at present) give us view these sums not as expenses with no well-being of our patients. At the national and will continue to experience at the tremendous clout in our advocacy efforts return but instead as investments in our level, APA is even now fighting the efforts state level, would also take advantage of for the patient and for the profession than future with tremendous return (including, of such well-meaning but medically-naive membership in TSPP and APA so that our had been the case with TSPP going it alone but not limited to, advocating for our politicians as Sen. Olympia Snowe (R- national voice can be enhanced even (approximately 1200 members at present). patients, advocating for our profession, Maine) to “expedite” Medicare reform by more. While no membership organization The success of the Federation is well exchanging ideas with our professional including such groups as psychologists in can be perfect all of the time, more partici- recognized. colleagues, and taking advantage of some the official definition of “Physician” to be a pation at all levels can improve any profes- But what of the Academy? of the best CME programs available at any part of that reform. sional society and can enhance even more The Texas Academy of Psychiatry is a level). The publishing arm of APA, APPI, Would any of the readers of this column the chances of successful legislative inter- membership organization which grew out offers some of the best titles available in have welcomed these developments had vention. of the desire, and the need, to make cer- the field of psychiatry with an ever- they occurred, or welcome them if they Joining is easy, it is effective, and it is tain that all Texas psychiatrists have a expanding list of subjects ranging from occur? vital. voice in determining the future of our pro- coding insights to the ubiquitous DSM-IV I think not. I leave you now with one of my favorite fession regardless of the presence or of the TR (DSM 5 is now due to be published in If you want your voice to be heard, if observations (author unknown to me) absence of membership in any other May 2013). Most of all, though, every med- you want a “seat at the table,” if you want about the absolute need to participate at organization. And, any Texas psychiatrist ical organization functions as a vehicle to to take advantage of the amplification of some level in the political process: “If you can join regardless of membership (or lack effectively deliver vital information and your own voice that organized medicine are not at the table, you are likely on the of same) in any other organization. The insights to legislative bodies at all levels of provides, and if you want to be a part of menu.” Academy has its own dues, its own organi- zation, its own constitution and bylaws, its own agenda, its own purposes. It is a vital part of the Federation in expanding not only the voice and the clout of the Federation, but also in providing yet another opportunity for all Texas psychia- trists to have an expanded voice (and expanded clout!) in the political process that is unique to Texas. TSCAP Even members of the Texas Society of Psychiatric Physicians have a standing 2012 Annual Meeting invitation to become associate members of the Academy (only $25/year to do so!). That process is how I joined the Academy when I learned of this opportunity. Any

I NSIDE Annual Campaign 2011 ...... 7 Application for Distinguished The TEXAS SOCIETY OF CHILD AND ADOLESCENT PSYCHIATRY Fellowship in the APA ...... 7 Congratulations ...... 7 will conduct its Annual Meeting on Legislative Update ...... 3 JULY 18-22, 2012 at the SHERATON ARLINGTON HOTEL. Scenes from the Details about the meeting will be released in January. TSPP Annual Meeting ...... 4-6 Please Save the Date and plan to attend and participate in an excellent meeting! You Missed a Great Meeting ...... 2 TXPsychiatrist NovDec11_TXPsychiatrist NovDec11 12/6/11 9:41 AM Page 2

You Missed A Great Meeting Patrick Holden, MD, President, Texas Society of Psychiatric Physicians

he recent TSPP annual scientific meeting Tin Dallas was one of the best meetings I have attended. If you attended the meeting then you know how good it was. If you didn’t attend, ask your colleagues who went to tell you about it. It had great presentations cov- ering a wide range of topics from A to S (anorexia to schizophrenia). It had many opportunities for fellowship and just plain Patrick Holden, MD old catching up with colleagues, former resi- dents and making new friends. Finally, lively presentations brought many of us up to date working there shared a tip about how to on the latest issues affecting our profession insure a steady flow of patients during the including a very interesting panel discussion clinic time. On Friday a member who is also about ACOs as well as a presentation about faculty at one of the medical schools com- health care legislation followed by lively mented that she was looking forward to re- interchange between Congressman Burgess connecting with a former psychiatric and members of the audience. resident who had just moved back to Texas The scientific presentations were excep- Outstanding TSPP Member Award). The ties during the scans, she described fascinat- after having been out of Texas for several tional this year. I will summarize the talks Saturday afternoon presentations were lively ing findings which localized social cognition years. During the breaks Dr. Conway and attempt to do justice to the exceptional and included Dr. Zahid Ahmad an endocri- deficits in persons with Anorexia to the right McDanald drew names of members present quality of the talks; I apologize in advance to nologist from UT Southwestern and tempoparietal junction and deficits in sense for a variety of door prizes including gift cer- the speakers and to you readers for my Congressman Michael Burgess, an obstetri- of self to cortical midline structures such as tificates to various stores, baskets of wine and abbreviated and limited coverage of these cian. Dr. Ahmad, reviewed several key meta- the precuneous and posterior cingulate food, an electronic photo frame, etc. Finally, outstanding presentations. bolic issues of interest to us including gyrus. many of us enjoyed the band at the Awards The Saturday morning presentations obesity, schizophrenia and the use of During the ethics presentation worth two banquet; the music provided a pleasant about Schizophrenia and the unconscious antipsychotics, and lithium. He described hours of ethics credit Drs. Jones and Nemeth backdrop to the meal and the table conversa- were fascinating. Dr. Ghose described the the risk factors for obesity including low discussed the Texas Physician Health tions. After the banquet, the band played a complex interaction of environment with activity levels, TV viewing of more than 2 Program, a voluntary program for physicians lot of great dance music, enticing a number genes in the apparent causation of a specific hours per day and disinhibition in eating. impaired by substance use, psychiatric prob- of members and their spouses out on the type of schizophrenia. He presented data We all know that obesity is associated with lems, cognitive problems, physical problems dance floor. about early adolescent use of marijuana in increased mortality and diabetes; he pre- and some types of boundary problems. Dr. As if that was not enough, your lobbyist, persons with a specific COMT Val-Met poly- sented evidence that interventions such as Jones, the Presiding Officer of the TPHP, gave Eric Woomer, updated us about what had morphism that led to a type of schizophrenia metformin or intensive lifestyle changes us the background and history of the happened during the last legislative session. with an earlier onset, more severe positive significantly reduce the chances of develop- Program. She was followed by Dr. Nemeth, Probably most important is the fact that no symptoms and better cognitive functioning ing type 2 diabetes. Sharing data about the an orthopedic surgeon and bills were passed that would significantly than those who do not use marijuana in ado- impact of various antipsychotics on weight, Medical/Executive Director of the Program, interfere with the quality of the practice of lescence. He then led us through a descrip- blood glucose, and lipids in persons with who described the program. He reported that psychiatry. Bills that your organization had a tion of the data about how THC affects GABA schizophrenia, he described the monitoring the program has been very active having clear influence on included those to dictate neurons in the dorsolateral prefrontal cortex recommended by ACE, ADA and APA. conducted 279 evaluations and established the exclusive use of generics for kids, to limit which in turn affects other neuron types Congressman Burgess discussed the his- 293 active monitoring agreements with the number of prescriptions for kids and to such as the pyramidal neurons; this results in tory of the health reform legislation includ- physicians in FY 2011. His sense of humor restrict the use of PRN medications. Without some of the symptoms seen in persons with ing his views about the Affordable Care Act and bold but self-effacing manner helped your organization’s voice, your practice this type of schizophrenia. He concluded by and his concerns about the individual man- make his presentation a lively one. Dr. Jones might well be very different and the high indicating that there is now significant evi- date, state health care exchanges and the and Nemeth work very hard to make the pro- quality of care might be diminished. Dr. Les dence that cannabis use may be a risk factor uninsured. He touched on the continuing gram a safe harbor for impaired physicians; Secrest reminded us that each of us needs to for schizophrenia, adolescent cannabis use specter of cuts to Medicare reimbursement the program focuses on evaluation, support be involved with our own state representa- has long term effects in the developing brain for physicians because of the flaws in the cal- and rehabilitation. Dr. Jones and Nemeth tive and senator; those relationships help and its use may be particularly relevant in culus of Sustainable Growth Rate and the stressed that “TXPHP is your advocate” but when the legislators need information about adolescents with a family history of schizo- lack of any significant fix. Many in the audi- “requires compliance.” Their goals are reha- bills about the practice of medicine and psy- phrenia. To paraphrase Willie Nelson, ence had strong feelings about the ACA, bilitation and restoration. chiatry. “Mama, don’t let your kids grow up smoking voiced their opinions and asked important Between the scientific presentations, Over the weekend I heard many members marijuana.” questions during the question and answer members had a chance to smooze with each comment on how good the presentations Dr. Adam Brenner and colleagues from portion. other, to commiserate about the changes and the meeting in general were. I hope UT Southwestern did a nice job of describing The Awards banquet on Saturday evening going on in their practices and to celebrate those of you who missed the program this some of the knowledge about the biological was special; the awardees represented the those little victories in our practices and in year are able to catch the one next year in underpinnings of psychodynamic theory, best in psychiatry and in community service: our lives. For example on Thursday I over- Galveston. You will be able tell your col- formulations, and the unconscious, using a David Briones, MD, El Paso - Distinguished heard two members from Fort Worth catch- leagues about how good the meeting was case report to further illustrate the phenom- Service Award; John Hall, MD, Longview- ing up with each other. They discovered that and, more importantly, tell your non-mem- ena. Reviewing fMRI data obtained during Psychiatric Excellence Award; Stuart both had worked at a secure facility and the ber colleagues how important this organiza- subliminal presentation of threat situations, Yudofsky, MD, Houston - Psychiatric one still working there talked about a prob- tion is to the continued high quality practice he demonstrated that the amygdala Excellence Award; and Judge Ed Emmett, lem with patient flow. The one no longer of psychiatry. Happy Holidays! n responded more vigorously to fearful faces Houston, Special Service Award. than happy faces and that different parts of Sunday’s presentations on Eating the amygdala appear to respond to the con- Disorders by Dr. Carrie McAdams of UT scious and unconscious portions of a threat. Southwestern and the Texas Physician Health He used subliminal priming data to demon- Program (TPHP) by Drs. Alison Jones and Bill strate that subliminal viewing of supportive, Nemeth of the TPHP continued the excellent critical or conflictual figures significantly tone. Dr. McAdams reviewed the criteria for influences a person’s performance on tests or various eating disorders and spelled out on self-ratings thus validating the concept some of the psychological deficits in persons and role of the internal object. with eating disorders such as impaired set After a nice lunch and brief shifting and impaired global organization. TSPP/Foundation business meetings, awards She then described work using fMRI to iden- were given to the North Texas State Hospital’s tify the neural circuits underlying social cog- Recovery Model of Care Project (the David nition and a sense of identity in persons with Pharis Award) and to Drs Mitch Jones and Anorexia. In discussing some very complex Lynda Parker (the Spencer Bayles research strategies which used specific activi-

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LEGISLATIVE UPDATE Eric Woomer, Public Policy Consultant, Federation of Texas Psychiatry

ust because the legislature is not Mini-“Sunset” Review of Mental in November of 2010. The end result will be a Jscheduled to meet until January 2013, Health Issues report that outlines issues and suggested it does not mean that there is a dearth of In September, HHSC Commissioner Tom changes to the TMHC to better reflect our activities in Austin related to the practice Suehs mentioned that the Texas Department current behavioral health system. of psychiatry. Here is a partial list of the of State Health Services (DSHS) will be Thus far, fourteen stakeholder meetings activities that the Federation of Texas undertaking a mini “sunset” review of the have been held across the state, with more Psychiatry is monitoring and participating state’s mental health delivery system. being planned throughout the fall. The pur- in on your behalf: “Sunset” is the process that legislature uses pose of these meetings is to obtain initial to ensure that each agency and state rules general feedback and input about the 1115 Waiver and regulations are relevant and working as strengths and weaknesses of the current The Health & Human Services Commission intended. Every 12 years, each state agency mental health code. (HHSC) has submitted a Section 1115 is reviewed by the Texas Sunset Commission I have spoken with Dr. Stone and she Demonstration Waiver to the U.S. Centers and the agency’s operating authority is ter- would welcome input from the Federation for Medicare & Medicaid Services. The minated unless the legislature enacts a new and its members. The Facebook page Eric Woomer waiver includes plans for statewide expan- law to continue it’s functions. affiliated with the project can be found sion of Medicaid managed care, creation of The goal of this mini “sunset” review is to at http://www.facebook.com/pages/ Regional Healthcare Partnerships, and tran- help the state identify ways to improve care Texas-Mental-Health-Code-Project/ OB/GYN in Georgetown, Texas. sition to quality-based payment systems for delivery and develop legislative recommen- 235205883184236. Also running for the from managed care and hospitals. The waiver also dations for 2013. Details will be made public Tarrant County is Dr. Mark Shelton, a sitting includes plans to divert savings generated by within the next few weeks. The Federation Political Happenings in Texas Texas House member and a full-time prac- the proposed changes into a pool to cover will keep you apprised as this topic develops. The big news in Texas politics is that ticing physician at Cook’s Children’s uncompensated care costs for hospitals and Governor Rick Perry is, of course, running Hospital. He received his MD from the Texas other providers. DSHS Restraint & Seclusion for President of the . But there A&M University College of Medicine (now Draft Rules In a positive development, in September, are a number of races down-ballot that the Texas A&M Health Science Center) in the Federation joined with the Texas Medical The Federation has learned that DSHS may could have just as significant an impact on 1983 and is double-boarded in Pediatrics Association, the Texas Hospital Association, be considering changing and updating state the practice of medicine that are not getting and Pediatric Infectious Diseases. He is fac- and many other stakeholders in opposition rules and regulations relating to restraint the same kind of attention. Here is a quick ing stiff opposition in the GOP primary from to the three-prescription limit in managed and seclusion of mental health patients in summary of some of the key races in Texas in Texas State Representative Kelly Hancock. care expansion under the waiver. As a result Texas. DSHS has been toying with draft rules 2012. Both men are seeking to oust the current of that opposition, HHSC elected not to pur- for about four years, but for each of the last GOP Lt. Governor David Dewhurst is run- state senator representing the majority of sue the three-prescription limit, and will two legislative sessions, DSHS put the rules ning to replace the retiring Kay Bailey Fort Worth, Sen. Wendy Davis, a Democrat instead consider alternative strategies to on hold to see if related legislation would be Hutchison in the U.S. Senate. While he is the whose seat was redrawn to favor GOP candi- achieve the same cost savings. passed that could impact the rules. odds-on favorite, he is facing a stiff chal- dates during the last legislative session. STAR & STAR+Plus are being expanded As of today, DSHS Office of General lenge in the Republican primary from for- A newcomer to Texas politics, Dr. Greg into the Hidalgo County Region in the Rio Counsel (OGC) is reviewing the draft rules; mer Texas Solicitor General Ted Cruz and Bonnen, a practicing neurosurgeon from Grande Valley and the Jefferson County area whenever they complete their review, the former Dallas Mayor Tom Leppert. Galveston County, is running for a seat in the east of Houston. HHSC has announced ten- rules will be posted for informal comment. It Should Governor Dewhurst win, and Texas House of Representatives. A UTMB tative award contracts for Medicaid & CHIP, is unclear when OGC will be done, so there vacate the Lt. Governor’s chair, a little- graduate, Dr. Bonnen also founded Houston effective March 1, 2012. Prescription drug is no timeline regarding when the draft rules known provision of the Texas Constitution Physician’s Hospital in 2005 and had treated benefits will be carved in to Medicaid man- will go out for informal comment. DSHS will stipulates that the 31 members of the Texas more than 13,000 patients in the Gulf Coast aged care in March as well. The managed welcome comments and suggested changes Senate will elect one of their own members area and beyond. He is running for the care organizations will use the same formu- during the comment period. to assume that position for the remainder of House seat being vacated by Rep. Larry lary as Medicaid fee-for-service. The Federation has solicited comment the term. Interestingly, the Constitution also Taylor, who is running for the Texas State from the Professional Practice Management provides for the Lt. Governor to assume the Senate. Mental Health Planning & Advisory and Public Mental Health Services governorship, should it be vacated midterm. Lastly, Rep. Garnet Coleman of Houston Committee (MHPAC) Committees and will be incorporating that As a result, should both Dewhurst and Perry recently attended a fundraising reception in Federal law mandates that stakeholders be feedback into our communications with vacate their seats to assume higher office, his honor at the home of Dr. George Santos. involved in mental health planning efforts DSHS. Please contact John Bush if you depending on timing and other factors, both The event was well received and Rep. related to federal block grant mental health would like to participate in this discussion. the governorship and the lieutenant gover- Coleman visited with attendees on a broad funding. Due to changes in grant funding, norship could be filled by Texas state sena- range of topics important to medicine in two groups that have been performing this Texas Mental Health Code tors for the next two years! Texas. Rep. Coleman is a friend of Texas psy- Project Update function (MHPAC and the Transformation A number of physicians have active races chiatry and a stalwart supporter of our Work Group) are now merging. New bylaws The Texas Mental Health Code (TMHC) in the state legislature that may also be of issues at the Texas Legislature. are being drafted, and substance abuse will Project is a policy initiative funded by the interest. Dr. , a sitting If you have questions about these races, the now be included in the group’s charge. Hogg Foundation for Mental Health. Texas Texas House member, is running to replace legislative and regulatory events, or other Meetings are ongoing to rename the group, Appleseed is the primary grantee, with outgoing Senator Steve Ogden. Dr. topics related to the regulation and practice develop subcommittees, and establish other Disability Rights Texas as a partner. Dr. Schwertner, a practicing physician in the of psychiatry in Texas, please don’t hesitate structural guidelines for future discussions Susan Stone is the contracted facilitator of Williamson County area, received his MD to contact the Federation. n and planning. the project. This is a two-year grant awarded from UTMB in Galveston. His wife is an

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TEXAS SOCIETY OF PSYCHIATRIC PHYSICIANS TSPP 2011 Annual Convention and Scientific Program

4 TEXAS PSYCHIATRIST NOVEMBER/DECEMBER 2011 TXPsychiatrist NovDec11_TXPsychiatrist NovDec11 12/6/11 9:41 AM Page 5

TEXAS SOCIETY OF PSYCHIATRIC PHYSICIANS TSPP 2011 Annual Convention and Scientific Program

NOVEMBER/DECEMBER 2011 TEXAS PSYCHIATRIST 5 TXPsychiatrist NovDec11_TXPsychiatrist NovDec11 12/6/11 9:41 AM Page 6

TEXAS SOCIETY OF PSYCHIATRIC PHYSICIANS TSPP 2011 Annual Convention and Scientific Program

6 TEXAS PSYCHIATRIST NOVEMBER/DECEMBER 2011 TXPsychiatrist NovDec11_TXPsychiatrist NovDec11 12/6/11 9:41 AM Page 7

An Opportunity to Participate Annual Campaign 2011

OW is the time for you to participate and improving treatment through • Professional Education - $104,000 (48%) funding of programs that address the Nin the Texas Foundation for innovative research. • Research - $7,000 (3%) Foundation’s goals. Psychiatric Education and Research’s twen- From generous donations received, the The Foundation’s Annual Campaign Will you participate in this opportunity tieth Annual Campaign conducted each Foundation has awarded 121 grants 2011 offers a unique opportunity for psy- to help people diagnosed with psychiatric Fall to encourage charitable contributions amounting to $216,721 to support pro- chiatrists and others to allocate their chari- illnesses? Send your charitable donation to support the Foundation’s goals: fighting grams addressing its goals: table contributions to an organization led today to: Texas Foundation for Psychiatric stigma and discrimination; ensuring that • Public Education/Advocacy - $105,721 by psychiatrists and mental health advo- Education and Research, 401 West 15th patients have access to quality psychiatric (49%) cates who make decisions regarding the Street, Suite 675, Austin, Texas 78701. n treatment; and improving treatment through innovative research. TEXAS FOUNDATION FOR PSYCHIATRIC EDUCATION AND RESEARCH The Foundation’s I am pleased to support the Foundation with a contribution of: DONOR INFORMATION Annual Campaign Goals n $50 n $100 n $250 n $500 n $1000 n $______• A major focus of the Foundation is to Name______n educate the public and policymakers I am pleased to commit a pledge of $ ______about mental illnesses with the goal of payable on (date)______Address ______ending stigma and eradicating discrimi- n Check in the Amount of $______natory practices that impose unnecessary Make Checks Payable to “Texas Foundation for Psychiatric Education and Research” barriers to accessing and receiving quality Please Charge $______To My: VISA MasterCard Telephone ( )______psychiatric care. Credit Card #______Exp. Date:______Contact me about a PLANNED GIFT. • The Annual Campaign encourages unre- n A Bequest stricted charitable contributions to be 3 Digit Code on Back of Card on Right of Signature Panel ______n allocated by the Foundation to programs Name of Cardholder (as it appears on card) ______A Gift of Insurance in Texas that address the Foundation’s Signature ______n A Charitable Trust goals of fighting stigma and discrimina- Zip Code where you receive your credit card statement ______tion against persons diagnosed with psy- Texas Foundation for Psychiatric Education and Research • 401 West 15th Street, Suite 675, Austin, Texas 78701. chiatric disorders; ensuring that patients Your contribution is tax deductible to the full extent of the law. Thank you for your support! have access to quality psychiatric care;

Congratulations... Application for Distinguished During the Annual Business Meeting of the Texas Sociaety of Psychiatric Fellowship in the APA Physicians on November 12, 2011 in Dallas, the following members were Patrick Holden, MD, Chairman, Distinguished Fellowship Committee elected to offices effective FY 2012-13: President-Elect, 2012-13 WHY BECOME A DISTINGUISHED FELLOW? service, as documented by the supporting letters, are taken into R. Andrew Harper, MD (Houston) consideration. No credit is given for membership alone in the Distinguished Fellowship is awarded to outstanding psychiatrists Secretary-Treasurer, 2012-2013 who have made significant contributions to the psychiatric profes- APA and its district branches and chapters. Elected offices, Mark Jacobs, MD (Houston) sion in at least five of the following areas: administration, teaching, appointments as chairs or members of national or district APA Representative, 2012-2015 scientific and scholar publications, volunteering in mental health branch/chapter components, and special projects earn credit. Re-appointment of Priscilla Ray, MD (Houston) and medical activities of social significance, community involve- 3. Involvement in other components and activities of APA. ment, as well as for clinical excellence. Councilor-at-Large, 2012-2015 4. Involvement in other medical and professional organizations. Matthew D. Jeffreys, MD (San Distinguished Fellow is the highest membership honor the APA Antonio) bestows upon members. 5. Participation in non-compensated mental health and medical Representative to the APA Division of activities of social significance. “Excellence, not mere competence, Government Relations, 2012-2015 Re-appointment of Leslie Secrest, is the hallmark of an APA Distinguished Fellow.” 6. Participation in non-medical, non-income-producing commu- MD (Dallas) nity activities. Representative to the APA Division of WHAT ARE THE REQUIREMENTS TO BE 7. Clinical contributions. Public Affairs, 2012-2015 NOMINATED FOR DISTINGUISHED FELLOW? Nakia Scott, MD (Round Rock) Psychiatrists who have been members of the American Psychiatric 8. Administrative contributions. During the Annual Membership Association for not less than eight consecutive years as a General Meeting of the Texas Foundation for 9. Teach contributions. Psychiatric Education and Research Member or Fellow of the APA may be eligible for the Distinguished 10. Scientific and scholarly publications. conducted in Dallas on November Fellow award by the APA. Primary identification must be psychia- 12, 2011, the following members try for those in combined fields (e.g. psychiatry and pediatrics.) were elected to as Directors for three The application for this award starts at the Chapter level. After year terms (May 2012 - April 2015): Nomination is initiated by your local District Branch, the Texas reviewing the above criteria, you may feel that you meet the crite- Society of Psychiatric Physicians. Re-appointment of ria. If you are interested in pursuing this further or just discussing Gary Etter, MD, Fort Worth Three letters supporting your nomination must be received it, please contact a member of your local chapter executive com- Re-appointment of from current Distinguished Fellows or Distinguished Life Fellows. mittee for the name of the Chapter’s Fellowship Committee Shirley Marks, MD, McKinney The General Member or Fellow should be an outstanding psy- Representative. He or she can help you decide if you do meet the Re-appointment of chiatrist who has made significant contributions in at least five of Conway McDanald, MD, Dallas criteria and can help walk you through the application process. If the areas listed below: you do not know who to contact in your Chapter, please email the Appointment of Richard Noel, MD, Houston 1. Certification by the American Board of Psychiatry & Neurology, TSPP office at [email protected]. Your completed application and Re-appointment of the Royal College of Physicians & Surgeons of Canada, the supporting letters and documentation should be completed and Edgar Nace, MD, Dallas American Osteopathic Association or equivalent certifying board. turned in to your Chapter for review and forwarding to TSPP by Re-appointment of 2. Involvement in the work of the District Branch, Chapter and mid-March, 2012. The TSPP Distinguished Fellowship Committee Clay Sawyer, MD, Waco State Association activities. Since Distinguished Fellowship is an will distribute all of the applications and supporting documenta- In addition, Bernard Gerber, MD, APA honor, the Committee feels very strongly that participation tion for the committee to review and discuss at the April 21, 2012 Houston, was elected to immediately fill the unexpired term of Gail in this category is extremely important. Length and quality of TSPP/TAP Spring Meeting, Westin Domain Hotel in Austin. n Eisenhauer, MD (2010-2013).

NOVEMBER/DECEMBER 2011 TEXAS PSYCHIATRIST 7 TXPsychiatrist NovDec11_TXPsychiatrist NovDec11 12/6/11 9:41 AM Page 8

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AUSTIN, TX 6 times a year in January, March, May, U.S. Postage Permit No. 525 No. Permit July, September, and November. APRIL 2012 Members of Federation member organ- izations are encouraged to submit arti- 20-22 Texas Society of Psychiatric Physicians & cles for possible publication. Deadline Texas Academy of Psychiatry for submitting copy to the Federation Spring 2012 CME Program & Committee Meetings Executive Office is the first day of the Westin Austin at the Domain Hotel, Austin, TX publication month. Copy must be $149.00 Room Reservations: edited, acceptable for publication. 1-800-937-8461 Prior to March 29 Display advertising is available and For program information, contact Debbie Sundberg, publication is determined on a case by [email protected] case basis by the Editorial Board. The Editorial Board reserves the sole right MAY 2012 to accept or reject any submitted 18 Texas Medical Association advertising copy. TEXMED Annual Meeting Section on Psychiatry EDITORIAL BOARD Dallas, TX Federation Executive Committee JULY 2012 MANAGING EDITORS John R. Bush 18-22 Texas Society of Child and Adolescent Psychiatry Debbie Sundberg Annual Convention & Scientific Program Sheraton Arlington Hotel, Arlington, TX Federation of Texas Psychiatry $135 Room Reservations: 401 West 15th Street, Suite 675 1-800-442-7275 Austin, Texas 78701 For program information, contact Debbie Sundberg, (512) 478-0605/(512) 478-5223 (FAX) [email protected] [email protected] (E-mail) RETURN SERVICE REQUESTED RETURN SERVICE 401 West 15th Street, Suite 675 Suite 15th Street, West 401 78701 Texas Austin, Federation of Texas Psychiatry Federation of Texas http://www.txpsych.org (website) NOVEMBER 2012 9-11 Texas Society of Psychiatric Physicians 56th Annual Convention & Scientific Program Moody Gardens Hotel, Galveston, TX $142 Room Reservations: 1-888-388-8484 JOB BANK For program information, contact Debbie Sundberg, [email protected] Whether you are looking for career opportunities APRIL 2013 or you are recruiting to fill a position in your organization, Texas Society of Psychiatric Physicians & you will want to check out the Federation’s JOB BANK Texas Academy of Psychiatry Spring 2013 CME Program & Committee Meetings on its website at www.txpsych.org. The Federation’s JOB BANK (Site to be Determined) could be just what you have been looking for.

8 TEXAS PSYCHIATRIST NOVEMBER/DECEMBER 2011