I practice at Denver Health, an academic safety-net system, as an inpatient psychiatrist. For our professional education programs, I serve as Chief Education Officer and DIO.
I grew up in Colorado, read literature and religion at Swarthmore, and worked a series of starter gigs. (First job in medicine? A temp assignment, telling residents that their holidays had been cancelled.) I then studied medicine, psychiatry, social medicine, and theology at the University of North Carolina and Duke University.
After training, I came home to practice. This site gathers some of the resulting work –any errors are mine, not those of the hospitals and schools with which I affiliate.
The themes of my work are caring for the underserved and forming human connections between people. I pursue this work through patient care, teaching, reading, writing, and listening. When you listen well to a person and hear how they have stuck themselves into the world, they usually surprise you.
The practice of medicine can become routine, one patient after another. To refresh my practice, I write. Writing enables me to share some of the stories of the people I am privileged to meet as patients and learners. Writing clarifies thought and practice. To date, the chief products of my writing are a memoir, The Finest Traditions of My Calling, and a trio of DSM-5 Pocket Guides.
The Finest Traditions of My Calling recounts practicing medicine during healthcare reform. Reform altered the patient-physician relationship, but you can still find what Hippocrates called the “joy of healing.”
To improve my practice, we put together three DSM Pocket Guides: the Pocket Guide to the DSM-5™ Diagnostic Exam, The DSM-5™ Pocket Guide to Child and Adolescent Mental Health, and The DSM-5™ Pocket Guide to Elder Mental Health.
I work clinically on adult inpatient psychiatry units which care for people experiencing mental health crises. Doing so teaches me to listen to people estranged from themselves and their communities. My calling is to seek ways to care for people through person-centered and evidence-based care while training the next generation of practitioners.
- Authored and co-authored evidence-based, person-centered guides for the care of persons with mental illness.
- Previously worked as medical director of an interdisciplinary free clinic and an adult psychiatric unit.
- Teach as an associate professor of psychiatry and assistant dean of graduate medical education at the University of Colorado School of Medicine while serving on the executive staff of Denver Health. (Nothing here reflects or represents Denver Health or the University of Colorado.)
I speak often at international conferences and medical schools about practitioner resilience, patient-centered communication, and lessons learned from caring for persons with mental illness.
- The reading cure for physician resiliency. Ohio State Wexner Medical Center. Columbus, OH
- Listening to noise: outcomes, quality measures, and what we are missing in the physician-patient relationship. Vanderbilt University School of Medicine. Nashville, TN
- Mistaking the map for the territory: how we got lost in the practitioner-patient relationship. University of Utah School of Medicine. Salt Lake City, UT
Patient-Centered Communication and Clinical Interviewing
- Checklists and Dance Lessons: how psychiatry can move healthcare from reform to renewal. The University of Texas Health Science Center at San Antonio. San Antonio, TX
- The Three Maps of Martha: how we got lost in the physician-patient relationship. Texas Tech University School of Medicine. Lubbock, Texas 2018
- Talk Like a Shrink. University of Colorado Physician Burnout Conference. Beaver Creek, CO
- Diagnostic Interviewing using DSM-5 Workshop. American Psychiatric Association. New York, NY
Caring for Persons with Mental Illness
- Far from Disadvantage: encountering persons with mental illness. Saint Louis University. Saint Louis, MO
- A Measure Meaningful to Martha: towards measures which build therapeutic alliances. Duke University Medical Center. Durham, NC
- Mile High Mints and Red Cards: lessons from the first decade of Colorado’s medical marijuana experiment. Yale University School of Medicine. New Haven, CT
The Listening Cure
When your ears are ringing with alarm fatigue, you need music. If you don’t have a Maxell UD II 90 mixtape of your own, try these: See all playlists >
The Reading Cure
People sometimes confuse psychics and psychiatrists. Shrinks can’t read minds; we read books. A few years ago, I left social media and resumed reading. Reading builds resiliency and the ability to form therapeutic alliances. Here are some books about doctoring that I have been reading lately. See all book reviews >
Sense and Sensibility, Jane Austen
The secrets we keep. The society we keep. Each can, for #janeausten, make us sick. The novel hinges on Marianne’s psychosomatic illness in chapter 43. In the end, the heroine lives, against herself, within society. “Marianne Dashwood was born to an extraordinary fate. She was born to discover the falsehood of her own opinions, and to counteract, by her conduct, her favorite maxims.” Ophelia, Marianne, Cathy. Interior freedom can be […]
American Prison, Shane Bauer
For-profit prisons stay efficient by excluding the chronically ill and the mentally ill says @shane_bauer, who went undercover in a LA prison run by CCA. He documents how working there as a guard changed him. Food for thought: is the same true of working at for-profit hospitals?
``May I always act so as to preserve the finest traditions of my calling and may I long experience the joy of healing those who seek my help.``