UWO Department of Psychiatry by dfsdf224s

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									                                         Psychiatry News
                                      Winter 2005 – Issue 40

                                                            A NOTE FROM OUR CHAIR…
Chair’s Report                           ….1                Dear Colleagues,

Postgraduate Education                   ….2
                                                            Mentoring at all phases of one’s career is valuable
                                         …4                 both in terms of personal as well as career develop-
Resident’s Report
                                                            ment. Its value is increasingly appreciated at the
Child & Adolescent Division              ….5                university and faculty level as within our department.

Developmental Disabilities Division      ….6                The origin of the term “mentor” is interesting.
                                                            Webster’s dictionary defines a mentor as derived from
Forensic Division                        ….7
                                                            the Greek “Mentor,” “a friend of Odysseus entrusted
Extended Campus Program                  ….7                with the education of Odysseus’ son Telemachus,”
                                                            and “a trusted counselor or guide.”
Research Report

                                                            Consulting with my son, David, I learnt that Mentor is
Continuing Medical Education
                                                            the old prince mentioned in the second chapter of
New Faculty                              ….9                Homer’s The Odyssey, as having a trusted confidant
                                                            of Odysseus. Odysseus was the King of Ithaca and
Staff Who are Making a Difference        …12                asked Mentor to look after his affairs when he sailed
                                         …14                away to fight at Troy. As the Robert Fagles
News & Announcements
                                                            translation of The Odyssey puts it:
Mentor Program                                              Mentor took the floor, Odysseus' friend in arms to
                                                            whom the king, sailing off to Troy, committed his
                                                            household. Ordering one and all to obey the old man
Thank you to everyone who has contributed information for   who would keep things steadfast and secure. In
this newsletter. We encourage your comments, criticisms     particular, Mentor is introduced as a protector of
and suggestions.                                            Telemachus, Odysseus' (adolescent) son, who at the
If you have anything you wish to include in the next
                                                            beginning of the book is dealing with a very bad
newsletter, please send to Colleen Chryssoulakis,           situation: Odysseus has been away for 10 years, and is
Developmental Disabilities Division (Psychiatry), Room      assumed to be dead. Neighboring princes have taken
P260, Regional Mental Health Care – London, 850             over his estate, each hoping to marry Penelope,
Highbury Ave., London, Ontario, N6A 4H1; e-mail:            Odysseus' wife. While she plays for time, the princes
                                                            drink Odysseus' wine, slaughter his cattle and sheep,
                                                            and have feasts in his halls. Telemachus, as a

youngster, is powerless to stop this and feels                •   Guidance and counsel on how to prepare for
humiliated.                                                       travels ahead
We meet the real Mentor, above, as he is speaking to          •   Serving as a source of inspiration and
the assembled princes, asking them to leave the estate,           motivation for the mentee
and to leave Penelope and Telemachus alone. (He is
ignored.) Subsequently, the goddess Athena, who               •   Actual facilitation of the “the voyage”
favors Odysseus and Telemachus, disguises herself as              through the journey of academia.
Mentor, and counsels Telemachus to go on a sea
voyage to Sparta, via Pylos, in order to try to find out   This story is a wonderful reflection of the spirit of
whether his father is alive or dead. Telemachus            mentoring. Our department executive has drafted the
agrees, and Mentor/Athena advises him on how to            specifics of the mentoring role in the department. The
prepare for the voyage:                                    final draft is on pages 14-15 of the newsletter. Please
                                                           feel free to send your comments and suggestions to
   I have some advice, if only you will accept it.         Colleen Chryssoulakis at ddd.uwo.ca so that these can
   Fit out a ship with twenty oars, the best in            be incorporated in the final document.
   sail in quest of news of your long-lost father.         In recognition of Colleen’s contributions to the
   Someone may tell you something,                         newsletter, to the department and to the
   or you may catch a rumor straight from                  Developmental Disabilities Division, she is featured
   Zeus...                                                 this month as “Staff Who are Making a Difference.”
                                                           Please turn to pages 12-14 to read about her.
When they arrive at Pylos, Telemachus is intimidated
by approaching the great King Nestor, a hero of the        I want to take this opportunity to wish you the very
Trojan War, to talk to him, but again Mentor acts like     best for the holiday season and a happy and
a mentor, and encourages him to overcome his               successful 2006.
shyness and approach the king for information about        Sincerely,
Odysseus:                                                  Sandra Fisman

   How can I greet him, Mentor, even approach              POSTGRADUATE EDUCATION
   the king?
   I'm hardly adept at subtle conversation.                               Dr. David Haslam
   Someone my age might feel shy, what's more,
   interrogating an older man.
Mentor is encouraging: "Telemachus...some of the
words you'll find within yourself
the rest some power will inspire you to say."
Mentor/Athena then acts as the ship's captain on the
voyage, guides the ship safely to Pylos, and facilitates
the meeting between Telemachus and King
Nestor, before turning into an eagle and flying away,
at which point everyone realizes that it was really
Athena, not Mentor himself. But if you include the
actions of Athena impersonating Mentor, the four key       Greetings:
components of "mentorship" described here are:
                                                           The past 4 years has seen exponential growth in
   •   Protecting and sheltering the mentee                program size from less than 10 to 32 full time
                                                           residents. We welcomed the following eight residents

who have joined the program since July of this year:      doing an outstanding job in this position during a
PGY1 level: Drs. Al-Darwish, Hertzman, Jwely,             period of significant program transition. We thank
Mehta, Richard, and Ryan; PGY 2 level: Drs.               her for all she has done and wish her success in the
Memarpour and Nowicki; and PGY 5 level: Dr. Khan.         Royal College exam, as well as being a child and
                                                          adolescent psychiatrist starting in Windsor next
Learning modules, involving weekly seminars over a        summer. We look forward to welcoming Dr. Rob
number of months, continue to be an essential aspect      Zalan who will be assuming the positions of both
of resident training and are coordinated by a group of    Chief Resident and Senior Resident in January 2006.
dedicated faculty members whose tremendous                It is with thanks that I acknowledge Dr. Riyadh Bin
contribution is very much appreciated by both             Daham, having been a very active, successful, and
residents and the program office. My thanks to all        much appreciated teacher, concluding his tenure as
coordinators, in particular to Dr. Steele who is not      Senior Resident. In addition to the contributions of
only the Child and Adolescent Module Coordinator,         these residents, the Residency Training Committee
but also the PGY I Coordinator. As PGY I                  has benefited from the addition of Drs. Jennifer Oates,
Coordinator, Dr. Steele continues what has been a         Heidi Hansel and Patricia Hall who were elected by
very successful, and unique among psychiatry              their peers to represent the residents in positions of
residency training programs, orientation month (July)     President of the Resident Association, COPE Senior
for PGY I residents started by Dr. Robinson as the        Resident, and COPE Junior Resident, respectively.
previous Program Director. Dr. Robinson’s valued
contribution to the program continues in his role as      The Royal College of Physicians and Surgeons of
Introductory Module Coordinator. Dr. Claire Pain          Canada has shifted the interviewing portion of the
coordinates psychotherapy training and supervision,       examination process to become a psychiatrist on to
as well as a Psychotherapy Module. In addition, Dr        the residency training programs to be conducted
Pain is planning to undertake a series of learning        internally. To accommodate this requirement, Dr.
sessions on transcultural psychiatry in 2006. Dr.         Kumar Naidu has been appointed Chief Examiner for
Doering has stepped down as Module A and B                the program and will be forming a Board of
Coordinator and assumed the position of Geriatric         Examiners over the next six months that will be
Psychiatry Postgraduate Education Coordinator from        responsible for conducting the examination of
Dr. Van Bussel. On behalf of the residents and            residents in their final year of training. In addition,
faculty colleagues, I’d like to thank Drs. Doering and    Dr. Naidu continues to coordinate the program’s
Van Bussell for their most substantive and important      departmental oral examination, undertaken by PGY I
contribution in their previous roles.                     to V residents, twice per year. Another critical aspect
                                                          of preparing residents for the Royal College
The Residency Training Committee plays a pivotal          qualification requirements is the PDM examinations.
role in advising the Program Director. With the           Dr. Robinson continues in his role as PDM Training
arrival of Dr. Mejia, who we look forward to working      and Examination Coordinator. This program is very
with, it is with thanks that we bid farewell to Dr.       fortunate to have Dr. Robinson’s contribution as PDM
Komer. Dr. Komer leaves this committee having             expert whose monthly PDM training sessions with
contributed very significantly over a number of years     residents, twice yearly formal PDM examinations,
as the representative for forensic psychiatry training.   and bank of PDM resource materials is the envy of
                                                          residency training programs across Canada.
The quality of a residency training program is in no
small part determined by the extent to which the          As a program based in an academic centre, and to
residents contribute to the promotion of their own        assist in the preparation of evidence based
learning environment and opportunities. In this           practitioners, the fostering of resident research
regard, I am proud of the outstanding group of            remains a very important training activity. Drs.
residents who are involved in program related             Norman and Williamson continue to do wonderful
leadership positions. In her role as Chief Resident,      and much appreciated work as facilitators of a
Dr. Tam Doey brought vitality, dedication,                research interest group to promote resident
commitment and experience that translated into her        advancement in this area of their training.
Lastly, I wish to acknowledge and thank two                residents’ meetings. As well, the junior position,
individuals whose day-to-day support is essential to       representing PGY1s and 2s, is new. Thus we felt
the ongoing success of the Program. Patti Ciotti for       elections were in order; Jennifer Oates was returned
her dedication, hard work, and very much appreciated       as president, Heidi Haensel as COPE representative,
contribution as administrator for this program, as well    and Patty Hall as junior representative.
as Dr. Sandra Fisman, who as head of the department,
continues to provide the kind of senior leadership         In addition, residents chose Aleks Nowicki as the ER
support that will be necessary to successfully respond     representative. While this is not a committee
to the program challenges over the next year.              position, it has proved vital in the past to facilitate
                                                           communication and adaptation to changes in the
Wishing you good health and fine spirits in the new        nature of call and emergency duties arising out of
year.                                                      Milestone 1. Emergency psychiatry actions have
                                                           included new protocols for consultation liaison
Cheers,                                                    requests and an intensification of medical clearance.
David Haslam, Director                                     We are planning a multidisciplinary retreat to re-
                                                           examine all roles and procedures in emergency
                                                           psychiatry to coincide with the change in venue. We
                                                           have enjoyed improvements in the OnCall Points
                                                           program, which allows us to pick our days on call,
                                                           making my job of scheduling much easier, thanks to
                                                           the hard work of Dr. Eyad Jamsheer. The program
RESIDENT’S REPORT                                          has also begun to provide permanent personal pagers
                                                           to improve communication and ensure confidential
As I sit down to write my last chief resident’s report I
                                                           and professional contact with psychotherapy patients.
look back on this season in particular and the year in
general as full of surprises and challenges but also
                                                           A major goal of the committee at present is
                                                           preparation for the external review, due in October
                                                           2006. Dr. Haslam is currently creating a task force to
We continued to undergo changes, including multiple
                                                           address this objective, leaving the committee free to
moves of offices for many of us. I have had to retrain
                                                           address other needs of the program.
myself not to look for Patti across from N101, but I
have to admit the new administrative offices are both
                                                           Dr. Haslam continues to meet monthly with the
beautiful and quiet. And, although Glenda Shilleto
                                                           residents as a group, and with the chief alone, and
“retired” from her previous position she has
                                                           monthly residents’ meetings also continue, albeit in a
thankfully continued to help out part time.
                                                           more structured format, to accommodate the needs of
                                                           our greatly expanded group.
Fall began with our first meeting of the postgraduate
committee, and there were changes there as well. In
                                                           A number of innovations this fall continue to improve
recognition of the growth and development of the
                                                           our resident experience. Leanna has instituted a
program, and in anticipation of the formalization of
                                                           weekly brief, outlining meetings and events to keep
the fellowship training position, the committee has
                                                           us organized. Thank you, Leanna! We have also seen
been renamed the Resident Training Committee.
                                                           the initiation of weekly combined medical and
Resident members have been reconstituted and now
                                                           psychiatric rounds on the wards on Mondays with the
consist of four positions; chief resident, president of
                                                           internal medicine fellow on hand to discuss issues and
the residents’ association, COPE representative and
                                                           review patients and their care. Medical update
junior representative. The chief’s position will be
                                                           lectures began with a session by Dr. Gregor and are
appointed and the other positions are elected. In
                                                           scheduled to continue on a regular basis.
addition, the role of the president of the residents’
association has been expanded to include some of the
                                                           As program expectations for research involvement
previous duties of the chief, including leading
                                                           increase, the format of the journal club has been
debated and revised; residents have proposed one in        DIVISION OF CHILD &
which critical appraisal of articles by type will occur,   ADOLESCENT PSYCHIATRY
first modeled by staff and then attempted by residents,
followed by peer evaluations of their efforts. This        Dear Colleagues,
will be supplemented with written exams as well.
We continue to enjoy excellent PDM preparation             As the holiday season and new year begin the
under the direction of Dr. Dave Robinson, with             Division of Child Psychiatry has changed its name to
monthly PDM practices for all residents and biyearly       the Division of Child and Adolescent Psychiatry,
mock PDM exams, with the number of stations                which is consistent with other academic programs in
proportional to the seniority of the resident. We also     child and adolescent psychiatry across the country
host the reorganized PDM course (formerly the              and is consistent with our Canadian Academy of
interviewing course). As the retiring COPE                 Child and Adolescent Psychiatry.
representative, I can attest that our preparation is the
best in the country.                                       It has been a busy fall with many educational
                                                           opportunities. Congratulations go to the residents who
As a member of the Child Division, I am pleased to         have been providing excellent teaching rounds on the
report that the division now boasts 10 residents with      third Thursday of every month. Many thanks to Dr.
an expressed interest in child psychiatry! We have         Tamison Doey who coordinated the special seminar
celebrated by creating a series of senior child            series for career child psychiatry residents. She
psychiatry lectures that have included Dr. Vicki Siu       arranged for Dr. Susan Bradley from the University of
(medical genetics), Dr. Jose Meija (forensics), and Dr.    Toronto, Dr. Mark Hanson from McMaster
Susan Bradley (gender identity disorder). Future           University, Dr. Jose Meija the new Chair of Forensic
lectures include eating disorders, politics of child       Psychiatry, Dr. Vicky Siu from the Department of
psychiatry, attachment issues, bipolar illness and         Pediatrics, University of Western Ontario and Dr.
ADHD. We are eagerly awaiting an external review           Vivek Kusumaker, a child psychiatrist from Princeton
of both the division and CPRI in the new year, which       University to provide seminars on various topics in
should stimulate further growth and development. I         child and adolescent psychiatry. Dr. Heidi Haensel
was privileged to participate in a similar external        has also joined the Executive Committee of the
review of the mood disorders program this fall as          Division of Child and Adolescent Psychiatry and has
well.                                                      some excellent ideas about to enhance educational
                                                           opportunities for career child psychiatry residents.
And lest you think the innovations are limited to the
academic sphere, regular pub nights and dinner get-        At the joint meeting of the Canadian Academy of
togethers have also been added to the agenda; thanks       Child and Adolescent Psychiatry (CACAP) and the
to Rob Zalan, our in-coming chief.                         American Academy of Child and Adolescent
                                                           Psychiatry, our department was well represented.
So as we prepare to welcome 2006, I find Milestone 1       Many congratulations to Dr. Jennifer Couturier who
survived, a newly revitalized and growing department       won the best poster presentation for a CACAP
and division, many new faculty, new directions in          member for her poster on “Improving the Assessment
curriculum and training, and enthusiastic leadership       of Adolescent Anorexia Nervosa.” Dr. Sandra
among residents. I am confident in handing over the        Fisman, Dr. Vicky Wolfe, Dr. Kerry Collins, Dr. Amy
reins to my very capable successor, Rob Zalan, and         Cheung and Dr. Peter Jenson provided a workshop
wish to take this opportunity to all who made my           entitled “Innovative Prevention and Treatment
tenure so enjoy-able, particularly our masterful           Approaches in Addressing Adolescent Depression.”
administrator Patti Ciotti, our new director Dr. David     Dr. Margaret Steele presented a town hall meeting
Haslam and our chief Dr. Sandra Fisman. All the best       with Dr. John Leverette, Dr. Emanuel Persad, Dr.
to everyone in 2006!                                       Gary Hnatko, and Dr. Ruth Russell entitled
                                                           “Searching for Subspecialty Recognition in Canadian
Respectfully submitted,                                    Child and Adolescent Psychiatry.” I was also
Tamison Doey M.D., PGY5                                    fortunate to be a co-winner of the CACAP Excellence
in Education Award.                                       DEVELOPMENTAL DISABILITIES
The members of the Child and Adolescent Mental
Health Care Program, London Health Sciences               National Award
Centre, have also been extremely busy. Elizabeth
Phoenix and Kelly Finlayson presented a poster
entitled “Advancing the Student Nurse’s Learning
Experience in Child and Adolescent Mental Health;”
J. Cahill, B. Kobe, A. Ledyat, J. MacKay, E. Phoenix
and H. Small presented a poster entitled “The
Discharge Process from Leaking Boat to Sailing
Ship;” Geraldina Meriano and Karen Smith presented
a poster entitled “Family Centered Care: Building a
Healthier Home Through Parenting Groups;” and
Mary Rodenhurst and William McIntosh presented a
poster entitled “Interpersonal Psychotherapy Groups
for Adolescents with Depression” at the Canadian
Association of Pediatric Health Centres Annual
Meeting in St. John’s Newfoundland.

We had an excellent Continuing Medical Education
morning on November 10, 2005. Dr. James Locke,            Congratulations to Dr. Jay Rao, Physician Leader,
Stanford University, was the keynote speaker and he       Developmental Behavioural Management (DBM)
talked about the family therapy approach to eating        program of Regional Mental Health Care – London
disorders. Dr. Jennifer Couturier presented the           (RMHC-L), who was recently awarded the Tourette
evidence based treatment for eating disorders in youth    Syndrome Foundation of Canada National Award for
and Dr. Alexa Veresezan provided a case study. Dr.        outstanding service to individuals with Tourette
James Locke also provided training for the Eating         syndrome. Excellent work Jay!
Disorder Team in the area of family therapy.
                                                          Tourette syndrome is a neurodevelopmental disability
Dr. Barry Evans was congratulated for his work on         and occurs in both the intellectually disabled and
the Board of the Children’s Mental Health Ontario         those who are not intellectually disabled. It is under-
Organization. He served as a member for many years.       or misdiagnosed in the people with intellectual
We said goodbye to Glenda Shilleto, who has
provided administrative support to the Division of        This award, recipients of which have been nominated
Child Psychiatry for many years. We wish Glenda all       by patients, recognizes physicians who have made
the best in her retirement although she continues to be   significant contributions to the Tourette syndrome
active within the hospital and the Department of          community in terms of either research or treatment.
Psychiatry.                                               Dr. Rao receives referrals from across the province
                                                          for his clinic.
I wish all the members of the Division of Child and
Adolescent Psychiatry a safe and happy holiday.           Upcoming Continuing Medical Education
                                                          Event – Wednesday, March 29, 2006, from
Sincerely,                                                12:30 pm, Windermere Manor
Margaret Steele, Chair
                                                          Preliminary Notice:
                                                          “Three Aspects of Developmental
                                                          Disabilities: Community Resources,
                                                          Capacity Assessment, and Treating
Aggression”                                               developments will follow particularly in the
for the Family Physician, Pediatrician and                CME arena.
Psychiatrist. Students welcome!
                                                          Research wise, new ventures are under exploration in
“Community Resources for Children and Adults              order to collaborate with other divisions, groups and
with Developmental Disabilities” – J. Dale                individuals interested in forensic populations.
Munro, MSW, RSW, FAAMR & CPRI Resource                    On behalf of the Division of Forensic Psychiatry I
Person                                                    would like to wish you a very merry holidays and a
                                                          healthy and happy new year.
“Consent and Capacity in People with
Developmental Disabilities” – Dr. Richard                 Thank you,
O’Reilly                                                  Jose Mejia, Chair

“Pharmacological Treatment of Aggression in
Persons with Developmental Disabilities” – Drs.
J. Rao and R. Nicolson

Buffet Lunch is included and registration is free!        EXTENDED CAMPUS PROGRAM
Please contact Colleen Chryssoulakis at ddd.uwo.ca
for more details or to register.                          The Extended Campus Program, Psychiatry UWO,
                                                          held its annual meeting in London on October 24,
Maria Gitta, Division Coordinator                         2005. Sites leaders from Thunder Bay, North Bay,
                                                          Sudbury and S.S. Marie represented the north, while
                                                          Dr. R. Chandrasena, Academic Director of Rural
                                                          Psychiatry – SWOMEN, represented the south west
                                                          region. Also attending from the Department of
DIVISION OF FORENSIC                                      Psychiatry were Dr. S. Fisman (meeting’s convener),
                                                          Dr. S. Jarmain, member of the Undergraduate
PSYCHIATRY                                                Committee, Psychiatry UWO and Dr. D. Haslam,
                                                          Postgraduate Program Director. S. Parker, Program
Dear Colleagues,                                          Developer, represented the Ontario Psychiatric
                                                          Outreach Programs at the Centre for Addiction and
As you may know, the Division of Forensic                 Mental Health.
Psychiatry has just been recently created. As a result,
various initiatives are in the process of being           The theme of the meeting was the enhancement of
developed. In the teaching arena, a series of lectures    undergraduate and postgraduate education in distant
in forensics is under development to recapture those      and under-serviced areas of the province in
previously done, create new ones and to make them         collaboration with the Department of Psychiatry,
available for medical students and residents through      UWO. The annual meeting held this year had a very
webpages and lectures. The division itself is starting    special character, as the UWO Residents were invited
to take form and a definition of membership will be       to attend and share with the Extended Campus
soon available to all those interested. We have also      Program members from the north their impressions of
been invited to participate in the monthly grand          training experience in the south west.
rounds, and our first assignment will take place on
November 2006. The development of a fellowship is         Dr. S. Jarmain presented the vision for under-graduate
one of the major preoccupations of the division as less   education in the ECP, and Dr. D. Haslam discussed
and less of these opportunities are available             the issues of postgraduate education. Both speakers
throughout Canada, making the current time                focused on implementation and future directions of
invaluable to introduce such program. Other               CanMEDS roles in undergraduate and postgraduate
                                                          training at the University of Western Ontario. Dr.
Jarmain reviewed CanMEDS’ Key Competencies of              partum depression; genetic aspects of schizophrenia;
Specialist Physician as essential in training for future   the treatment and course of early stages of psychosis;
health care providers.                                     a risk model for relapse in psychotic disorders in
                                                           children through to important work on service
During the meeting the residents from our                  delivery models such as shared care. As we each work
postgraduate program learned more about training           away on our own particular areas, it is important to
opportunities provided through the Northeastern            take a few minutes to look around and recognize the
Ontario Medical Education Corporation (NOMEC).             healthy range of scholarship with our department.
Dr. H. Leung, NOMEC Education Director, delivered
this information.                                          The Research Committee is just reviewing application
                                                           from this autumn’s seed funding competition, and
It was reiterated at the meeting that faculty develop-     applicants should receive feedback with a few weeks.
ment through the Northern School of Medicine in            A new competition will be held in early spring, and so
collaboration with other academic health sciences          now is the time for new faculty and residents in
centres is needed to assist in the increasing teaching     particular to give consideration to projects that they
responsibilities of faculty in the north.                  may want to submit for up to $5,000.00 in seed

                                                           Finally, I would note that we will soon start planning
                                                           for next year’s Academic Day which we have
                                                           tentatively scheduled for June 22nd. Please mark the
                                                           date in your schedules. Also feel free to suggest a
                                                           guest speaker for the occasion.

Let me begin by thanking members of the department
for providing information for the Annual Research
Report. The report has now been completed and
distributed. If you have not received a copy, please let
Glenda Shilleto know (Glenda.Shilleto@lhsc.on.ca),         CONTINUING MEDICAL EDUATION
and she can forward one to you. I hope that members
of the department will take the time to look through       Upcoming Events:
the report which demonstrates that research in the         Location: Room K091, Lorraine Ivey Shuttleworth
UWO Psychiatry Department is a going and growing           Auditorium, Monsignor Roney Building , St. Joseph’s
concern. Faculty are publishing their work in              Health Centre, 268 Grosvenor St., London.
excellent journals and peer reviewed funding is being
received from very competitive sources including           Thursdays:
Canadian Institutes of Health Research, the Stanley
Foundation, Ontario Mental Health Foundation,              January 12, 2006 – Ethics
Tourette Syndrome Association and the Ministry of          Moderator: Dr. A. Rudnick
Health Transition Fund.                                    Guest Speaker: Dr. George Agich
                                                           Faculty: Dr. Louis Charland
Most impressive of all is the diversity of the research    Resident: Dr. Sreelatha Varapravan
being carried out. It ranges from very “basic” work
on such topics as mechanisms of antipsychotic action       February 9, 2006 - Consultation-Liaison
and the possible role of specific neuroanatomic            Moderator: Dr. Joe Pellizarri
structures in animal models of psychopathology,            Guest Speaker: Dr. Robert Swenson
through neuroimaging work on clinical populations          Faculty: Dr. Carla Garcia
such as psychotic disorders, autism, PTSD and              Resident: Dr. Jennifer Oates
Tourette’s syndrome; clinical investigations of post-
March 2006 – No CME                                    Dr. Couturier’s research interests include treatment of
                                                       eating disorders in children and adolescents,
April 13, 2006 – Geriatrics                            psychotherapy particularly family-based therapy, and
Moderator: Dr. Lisa VanBussel                          outcomes and assessment of eating disorders.
Resident: Dr. Hyacinth John
                                                       Please join us in welcoming Dr. Couturier back to
May 11, 2006 – PTSD                                    UWO.
Moderator: Dr. Ruth Lanius
Resident: Dr. Simran Ahluwalia                                  Dr. Sivakumaran Devarajan
June 8, 2006 – Child
Moderator: Dr. Sandra Fisman
Guest Speaker: Dr. Amy Cheung
Resident: Dr. Abdul Al-Shaikh

Laeeq Tahir, Director

NEW FACULTY                                            Dr. Devarajan will share his time between
                                                       Specialized Adult London, RMHC – L where he is
                                                       establishing a clinic to offer specialized psycho-
New Full Time Clinical Academic Faculty                pharmacology consultation, and acute care inpatient
                                                       general psychiatry, London Health Sciences Centre
July 1, 2005                                           (LHSC) as Physician Leader.

           Dr. Jennifer Couturier                      After receiving his medical degree from the
                                                       University of Sri Lanka (Ceylon), Dr. Devarajan
                                                       moved to the United Kingdom and in 1991 completed
                                                       his psychiatry residency. Dr. Devarajan certified in
                                                       advanced clinical psychopharmacology in 1998 and
                                                       completed a mini fellowship in transcranial magnetic
                                                       stimulation at Harvard University in 2002.

                                                       From 1989 to 2005, Dr. Devarajan was a staff
                                                       psychiatrist at the Queen Elizabeth II Health Sciences
                                                       Centre in Halifax. He became an Associate Professor
                                                       at Dalhousie University in 2001 and has won various
Dr. Couturier joined the department as Physician       teaching awards.
Leader of the Child and Adolescent Psychiatry Eating
Disorders Program.                                     Dr. Devarajan has given numerable professional
                                                       presentations, many on the topic of psycho-
She completed an undergraduate degree from Queen’s     pharmacology. He is well published and has been an
University, a medical degree and residency training    investigator and co-investigator on several drug trials.
with a diploma in child and adolescent psychiatry
from UWO and a postdoctoral research fellowship in     Welcome Dr. Devarajan!
child and adolescent eating disorders at Stanford
            Dr. David Goldman                             Welcome Dr. Mejia, Chair of the Division of
                                                          Forensic Psychiatry!

                                                          In 1990, Dr. Mejia obtained his medical degree from
                                                          the Universidad Nacional Autónoma de México
                                                          (UNAM) in Mexico City. In 1991, he completed a
                                                          Master’s of Science in Neuro-psychology and in
                                                          1994, psychiatry residency training at the Mexican
                                                          Institute of Psychiatry and UNAM. From 1999-2000,
                                                          Dr. Mejia attended Queen’s University, completing a
                                                          fellowship in forensic psychiatry. In 2002, he
                                                          attended McGill University, graduating with a PhD in
                                                          human genetics.
Dr. Goldman has joined the DBM at RMHC-L.
                                                          At Douglas Hospital in Montreal, Dr. Mejia
                                                          developed a forensic psychiatry unit. He also had a
After completing an undergraduate degree in French
                                                          child and adolescent forensic practice in Edmonton
and a medical degree from the University of
                                                          before joining the department.
Wisconsin-Madison, Dr. Goldman attended McGill
University for psychiatry residency training and the
                                                          Dr. Mejia’s research focus centers on the genetic
Canadian Institute of Psychoanalysis for psycho-
                                                          basis of aggressive and criminal behaviors, and he has
analytic training.
                                                          published several articles and abstracts.
Dr. Goldman was employed at the Allan Memorial
                                                          September 1, 2005
Institute of the Royal Victoria Hospital in Montreal
where he became chief of the day hospital and was
part of one of the first ACT teams in Canada. Later,                Dr. Krishna Balachandra
he moved to Topeka, Kansas to work at the
Menninger Clinic. In Ogdensburg, New York and
Brockville he has worked with people with develop-
mental disabilities.

Dr. Goldman has presented papers internationally and
published papers on the history of psychiatry, forensic
psychiatry, partial hospitalization and psychoanalysis.

Welcome to London Dr. Goldman!
                                                          Dr. Balachandra has joined the Concurrent Disorders
                                                          Program at RMHC-L. Welcome back Dr.
August 1, 2005

             Dr. Jose Mejia                               After receiving an undergraduate and medical degree
                                                          from the University of Manitoba, Dr. Balachandara
                                                          completed psychiatry residency training at UWO
                                                          where he was chief resident from 2002-2003. He won
                                                          many awards during his residency, including the Paul
                                                          Patterson teaching award twice, resident of the year,
                                                          best CME presentation and the UWO University
                                                          Students’ Association award for excellence in medical
                                                          education. Most recently, he completed a clinical
                                                          fellowship in forensics at the University of Ottawa
and an addictions/concurrent disorders fellowship at                       Dr. Carla Garcia
Yale University.

In 2004, Dr. Balachandra was recognized by the
Ontario Psychiatric Association for his contributions
as a council member.

Dr. Balachandra’s research has produced
publications, including five as first author.

             Dr. Prakash Gangdev
                                                           Dr. Garcia is the Physician Leader of Adult
                                                           Consultation Liaison at LHSC. Welcome back to
                                                           UWO Dr. Garcia!

                                                           In 2000, Dr. Garcia received a medical degree from
                                                           UWO, after already graduating with an under-
                                                           graduate degree in Zoology. From 1996 to 2000, she
                                                           had various editorial roles on the medical journal and
                                                           from 1997 to1998, was a member of the UWO
                                                           Medical Genders Issues committee. She has won
                                                           several post secondary awards and scholarships.
Dr. Gangdev has joined the Mood Disorders Program
at RMHC-London.                                            After completing a psychiatry residency at the
                                                           University of Toronto, Dr. Garcia worked in various
In 1985, Dr. Gangdev received his medical degree in        health care facilities in Toronto.
psychological medicine from Bombay University and
had a clinical practice in Bombay.                         Dr. Garcia has participated in the Women’s Issues
                                                           Network,UNICEF, Osler Society, Common Ground
At the Medical University of Southern Africa, Dr.          and Tachycardia.
Gangdev completed general adult psychiatry training.
From 1996 to 2001, he practiced as a community                          Dr. Elizabeth Osuch
psychiatrist, providing some liaison/inpatient services,
as well as service to rural populations in New Zealand
and Australia, and the elderly. In 2001, Dr. Gangdev
moved to England to work as a clinical director and
senior staff specialist at Liverpool Hospital and then
clinical team leader and consultant at Springfield
Hospital Tooting in London.

Dr. Gangdev’s research interests include the
relevance of co-morbidities to outcome in serious and
persisting mental illnesses (SPMI), the classification
of “depression” and psychiatric problems in the work       Dr. Osuch joins the department as the Rea Chair in
place.                                                     Affective Disorders.
Please join us in welcoming Dr. Gangdev to London!         Prior to medical school, Dr. Osuch was a Peace Corps
                                                           Education Volunteer, in Lesotho, South Africa. In
                                                           1993, she received her medical degree from Michigan
State University, followed by psychiatry residency       As a member of several professional associations and
training at Shepherd Pratt in Baltimore. From1997 to     committees, some on suicide prevention, Dr. Heisel
2000, Dr. Osuch was enrolled in a clinical research      has received awards and distinctions in Canada and
fellowship at the National Institute of Mental Health    the United States. He is a member also of various
(NIMH) in Bethesda, Maryland and was the Unit            review boards.
Chief of Anxiety Disorders at the Biological
Psychiatry Branch of NIMH. She served also as the        Dr. Heisel’s research focuses on assessment and
Ward Chief of the inpatient research unit and as a       treatment of late-life depression and suicidality,
Senior Staff Fellow in treatment trials for mood and     cognitive and personality vulnerability to depression
anxiety disorders. Dr. Osuch was also a Special          and suicide, psychological resiliency and assessment
Volunteer staff at the Mood Imaging Branch. She was      and psychotherapy. He has published widely in peer
the principal investigator of a multicentre study        reviewed journals and presented on various topics.
funded by NIMH on functional neuroimaging in acute
stress disorder and PTSD.

Dr. Osuch has been the recipient of several awards,
including the Alpha Omega Award and the NIH staff
recognition award.
                                                         STAFF WHO ARE MAKING A
October 1, 2005                                          DIFFERENCE

               Dr. Marnin Heisel                              Colleen Chryssoulakis

                                                         So many of our administrative team work quietly in
We welcome Dr. Heisel who has joined the
                                                         the background to make so much difference to our
department in the role of health services researcher.
                                                         department. Each December newsletter, I would like
                                                         to recognize a member of our staff who are making
After obtaining his undergraduate and doctor of
                                                         wonderful contributions.
philosophy degrees at York University, Dr. Heisel
completed a postdoctoral fellowship in suicide studies
                                                         Colleen Chryssoulakis is the Administrative Assistant
at the University of Toronto. He is a licensed
                                                         for the Developmental Disabilities Division. She
psychologist in Ontario and New York State. His
                                                         joined the precursor of the Division (the
academic activities include work as course director
                                                         Developmental Disabilities Program) in 1994, when
and student supervisor.
                                                         Dr. Benjamin Goldberg was Director and other than
                                                         one year, when she worked for the Divisions of
Dr. Heisel came to London from Rochester, New
                                                         Community Dentistry and Orthodontic and Pediatric
York where he was Senior Instructor and Director of
                                                         Dentistry (including special needs), she has been with
the Psychological Testing Service in the Department
                                                         the department.
of Psychiatry at the University of Rochester.
                                                         I first met Colleen in 1989 and had the pleasure of
working with her when she was in the UWO                   her tremendous knowledge of the workings of
Psychiatry Administrative office as departmental           the Department of Psychiatry and the university
secretary under Dr. Quentin Rae Grant, and I was           as a whole in order to ensure that things “run
Postgraduate Program Director. In fact, Colleen’s          smoothly,” and without her I'm sure we'd have
association with UWO and psychiatry has been               much more difficulty with ongoing operations.
longstanding and dates back to her co-op placement at      Her ability to integrate information from
“London Psychiatric Hospital” when training as a           diverse areas is remarkable, and she has a
medical secretary. She was hired on after graduation       remarkable ability to facilitate communication
in 1985. She left the hospital in 1987 for an              among different people and programs.
opportunity to work with the UWO Department of
Psychiatry Dementia Study, moving to the department        Despite her large work-load, she is willing to
office two years later when research funding for the       take on more work in order to help the Division
project ended.                                             and the program, and she does this tirelessly
                                                           and without complaint. Her work is also
Colleen epitomizes the team player as she works for        marked by obvious care and attention, and she
the good of the Developmental Disabilities Division        does an excellent job at whatever it is that is
and the Department of Psychiatry. She has been the         requested of her.
editor of our newsletter for the past year and its
quality is a testament to her. She recently became a       Colleen is also willing to adapt and to learn
member of the Department Website Committee.                new skills and is very self-directed, both in her
                                                           acquisition of new skills and in her work. She
Colleen is dedicated to her work with the                  provides tremendous input into areas that could
Developmental Disabilities Division academic team          be changed to enhance productivity and
along with Dr. Rob Nicolson, Ms. Maria Gitta, Dr.          efficiency.
Jay Rao and Dr. Greg Gillis. Together they are
devoted to educating students and physicians and           There is no doubt in my mind that Colleen truly
promoting research in an effort to improve health and      “makes a difference.” She is a highly valued
mental health in people with developmental                 member and a tremendous asset to our program
disabilities.                                              and our department. We are very fortunate to
                                                           have her as a member of the staff in the
Dr. Nicolson, Division Chair, writes:                      Department of Psychiatry.

   I have known Colleen for several years, and          Dr. Jay Rao, himself an advocate for people with
   there is absolutely no doubt that she makes a        development disabilities, who has known and worked
   difference, both to the Division of                  with Colleen for several years has the following to
   Developmental Disabilities and to the                say about her:
   Department of Psychiatry.
                                                           Colleen provides excellent support for research
   As the Administrative Assistant for the                 and education related efforts. She is always
   Division of Developmental Disabilities, Colleen         willing to help, and the quality of her work is
   is an essential member of our program. She is a         one of the best I have ever seen. The best thing
   pleasure to work with and at the same time is           about her is that she takes initiative and is
   able to keep “on top of things” despite the large       knowledgeable.
   demands placed on her. She gets along well
   with everyone and is very well-liked, attributes     He adds: “She has also come under the spell of
   which undoubtedly are related to her excellent       chocolate lovers and is partial to a dark chocolate or
   communication skills.                                two!”

   Her organizational abilities are a tremendous        Maria Gitta, Division Coordinator, states:
   benefit to our program, and she is able to use
   What I admire about Colleen is her openness to        March 22, 2006 – 1:00-3:30 pm
   change, and her continuing motivation for             ”Ethical Decision Making in a Clinical Setting:
   education. The status quo is not enough. She          Resources and Skills”
   pulls together her considerable knowledge of
   the department and university systems to create       April 3, 2006 – 8:30-10:30 am
   opportunities and form help informatics to            “Am I Missing Out on Research Money?
   those trying to chart the university education
   waters. Colleen facilitates communication with        April 5, 2006 – 8:30 am – 4:30 pm
   and for other players to create pathways for          “Teaching in a Clinical Setting: A Workshop for
   change and achievement.                               Residents”

Colleen is a lifelong learner. After several years of    For more events or registration information, go to:
night school, in 2002, Colleen received an Honors BA     http://www.schulich.uwo.ca/facultydevelopment/Wi
in English Language and Literature from UWO,             nterSpring_2006_Calendar.pdf or phone: (519)
graduating with distinction. She is currently enrolled   661-2074.
in undergraduate French and hopes to get a master’s
degree in the future.

We are indebted to Colleen’s ongoing contributions
and loyalty to the Developmental Disabilities
Division and to the department. Thank you Colleen        MENTOR PROGRAM FOR
for making so much difference!                           DEPARTMENT OF PSYCHIATRY


                                                                Mentorship for new faculty
                                                                Extend mentorship to current junior faculty
NEWS & ANNOUNCEMENTS                                            (for discussion)
                                                                Match mentor to faculty mentee job
Best Poster Presentation
                                                                Create a supportive family friendly
                                                                environment in the Dept. of Psychiatry
Congratulations to Andrea Ens, a third year medical
student, who won/tied for her presentation of a poster
                                                         Mentorship Plan for New Faculty
on tracking UWO clinical clerk eldercare objectives
at the Canadian Academy of Geriatric Psychiatry          Selection of mentor(s) when offer letter goes out with
national meeting in November.                            input from executive
Faculty & Staff Development – Winter/Spring              Mentor(s) notified by Bonnie Ideson when mentee
2006 Calendar                                            signs on

Workshops for faculty, staff, residents and graduate     Mentor(s) contact(s) mentee by phone or email to
students to enhance skills in teaching, administration   congratulate them on acceptance of position and
and research. Held in room H101, Health Sciences         welcome them to London. Asks if he/she can provide
Bldg., UWO.                                              any information/assistance.

A sample of workshops offered:                           Mentor contacts mentee one week after arrival to
                                                         ensure that they are settling in and arrange to get
February 15, 2006 – 4:00-6:00 pm                         together for an informal evening within the first
“How to Get Promoted”                                    month of arrival.
Mentor alerts appropriate resource if areas of struggle
or difficulty are encountered.
Mentor continues to make monthly contact through
the first year following arrival in London.

For research intensive faculty mentor(s) invited to
attend mentee’s CDP

In Addition
Mentee and mentor are provided with the following
by Bonnie Ideson                                          YEAR
       Schedule for UWO Faculty Mentor Sessions
       for the year to select from
       Schedule      for    Faculty   Development
       Workshops in the Schulich School
       Information about network facilitation at the
       Schulich School and London Hospital and
       Schulich School of Medicine Orientation for
       new faculty
       Date for annual seminar on legislative issues
       provided by Dr. Richard O’Reilly or designate

Other Supports for New Faculty

Liaison between Dept. of Psychiatry and Medical
Affairs for new faculty to ensure that all instrumental
issues are taken care of (office, computer,
administrative support).

Development of site specific orientation coordinated
by site chief, physician leader and administrative


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