October 22, 2020
MUSC Psychiatry Chair Update

Thomas W. Uhde, M.D.
Department of Psychiatry and Behavioral Sciences
Institute of Psychiatry
Did you know that deep neural networks show promise
for predicting future self-harm based on clinical notes?
According to the American Foundation for Suicide Prevention, suicide is the 10th leading cause of death in the U.S., with over 1.4 million suicide attempts recorded in 2018. Although effective treatments are available for those at risk, clinicians do not have a reliable way of predicting which patients are likely to make a suicide attempt. 

Researchers at the Medical University of South Carolina and University of South Florida report in JMIR Medical Informatics that they have taken important steps toward addressing the problem by creating an artificial intelligence algorithm that can automatically identify patients at high risk of intentional self-harm, based on the information in the clinical notes in the electronic health record.

The study was led by Jihad Obeid, M.D., co-director of the MUSC Biomedical Informatics Center, and Brian Bunnell, Ph.D., formerly at MUSC and currently an assistant professor in the Department of Psychiatry and Behavioral Neurosciences at the University of South Florida.

The team used complex artificial neural networks, a form of artificial intelligence also known as deep learning, to analyze unstructured, textual data in the electronic health record. Deep learning methods progressively use layers of artificial networks to extract higher information from raw input data. The team showed that these models, once trained, could identify patients at risk of intentional self-harm.

Manuscript accepted for publication: Crouch, T. B., Wedin, S., Kilpatrick, R. L., Christon, L., Balliet, W., Borckardt, J., & Barth, K. (2020). Pain rehabilitation’s dual power: Treatment for chronic pain and prevention of opioid-related risks. American Psychologist, 75(6), 825–839. doi:10.1037/amp0000663

The purpose of this article is to provide a data-driven exploration of an interdisciplinary pain rehabilitation program (PRP) as a viable option for addressing the dual crises of chronic pain and opioid use.
Dr. Joshua Smith spoke with Bobbi Conner about the increased rates of depression and alcohol use being reported during the pandemic. The broadcast can be accessed here.

Psychiatry Administration

ICCE Chief (UNIV, Full-Time): The Chief of the Mental Health Integrated Center for Clinical Excellence reports to the Chief Physician Executive of MUSC Health and works in close collaboration with other MUSC Health leaders including the Chief Operating Officer and Chief Nursing Officer. As Vice Chair, this position also reports to the Chair of the Department of Psychiatry and Behavioral Sciences. The ICCE Chief is expected to provide at least 75 percent administrative time in the role devoted to strategic leadership and administrative activities.

Addiction Sciences Division

Open Rank/Assistant Professor (UNIV, Full-Time): The successful applicant for this position will have either an MD or a PhD degree and will be expected to have an established and independent research program that will interface with the multidisciplinary NIAAA P50 Charleston Alcohol Research Center at MUSC. 

Open Rank/Professor (UNIV, Full-Time): The successful applicant for this position will have either an MD or a PhD degree and will be expected to have an established and independent research program that will interface with the multidisciplinary NIAAA P50 Charleston Alcohol Research Center at MUSC.

Psychiatry Hospitalist Division

Open Rank - Psychiatry (UNIV, Full-Time): Candidate must be a psychiatrist with the ability to hold an unrestricted license to practice in South Carolina. The candidate must be board-eligible or board-certified if having completed residency training greater than five years ago. Candidate will be a member of the Psychiatry Hospitalist Division and provide inpatient care on a general adult psychiatry unit and provide coverage across other inpatient areas as needed. Candidate will provide care as a Consult Liaison, and have research coverage. *Note: This position is coded under an ECT identifier through Human Resources; however, it is not ECT for doctors. This position is for the Psychiatry Hospitalist Division.


Addiction Sciences Division

Program Assistant (UNIV, Full-Time): The candidate will serve as the primary assistant on a federally-funded randomized controlled trial among U.S. military Veterans with PTSD and alcohol use disorder. The candidate will assist the study team in the recruitment of research participants, weekly appointment reminders, the collection of psychological research data, preparing weekly reports, maintaining research supplies, data entry and organizational tasks for studies being conducted in the Department of Psychiatry/Addiction Sciences Division, and performing other duties as assigned. The candidate will work on research studies which focus on the study of and development of interventions for PTSD and Addiction.

Program Coordinator I (UNIV, Full-Time): The candidate will provide technical and professional research services in the Addiction Sciences Division of MUSC. This position is for an employee who is capable of performing the full range of professional duties in their assigned program area. The applicant will be responsible for overseeing the day-to-day aspects of a federally-funded randomized controlled trial among U.S. military Veterans with PTSD and alcohol use disorder. The applicant will assist with all aspects of the trial, including participant recruitment, clinical interviews, data collection and management, data quality control, dissemination of findings, and performing other duties as assigned.

Child & Adolescent Psychiatry Division

Social Worker (MUSCP, Full-Time): This position is for a licensed independent social worker (LISW-CP) who will be working in a team environment in the Outpatient Clinic of the Child and Adolescent Division of the Department of Psychiatry and Behavioral Health Services at the Medical University of South Carolina. Specific responsibilities include interviewing clients and or families; developing and discussing proposed treatment plans with the client and detailing the recommendations and the reasoning for them; monitoring and documenting the progress of clients, and making service treatment plan adjustments as necessary.

Mental Health Disparities and Diversity Program

Program Coordinator I (UNIV, Part-Time): This Program Coordinator provides coordination services for the Tele-mental health Outreach Program (TOP) to include assessment of referrals and assignment of, monitoring of data, completion of progress reports, consultation with schools and other sites regarding telehealth equipment, and other administrative duties.

Psychiatry Hospitalist Division

Advanced Practice Provider (APP - NP/PA) (MUSCP, Part-Time): Part-time (20 hours per week) APRN/PA working in the Emergency Department in a collaborative role with the ED providers to assist in the triage and management of psychiatric patients who present to the MUSC ED, under the supervision/collaboration of a psychiatrist. Will work as part of a multidisciplinary team and work with a team of ED based psychiatrists as part of the Mental Health ICCE, within the Department of Psychiatry. Currently eligible or licensed as an Advanced Practice Nurse in the state of SC or Licensed (or certification eligible) as a Physician Assistant by the National Board of Medical Examiners or the American Academy of Physician Assistants. Requires certification in Basic Life Support.

Sleep and Anxiety Treatment and Research Program

Human Services Coordinator II (Resiliency Program Clinician) (UNIV, Full-Time): This Human Services Coordinator II will provide evidence-based resiliency building skills and curricula for health care providers across the Medical University of South Carolina. This position will serve as coordinator and clinical provider within the COVID-19 Resiliency Program in the Sleep and Anxiety Treatment and Research Program (SATRP). Evidence based interventions including psychological first aid, skills for psychological recovery, cognitive behavioral interventions for anxiety and sleep will be provided during individual sessions as well as in group formats and workshops. Assisting health care providers in assessment of and implementing communication skills and fostering group cohesion to strengthen support and resilience will be core components of responsibilities. Individual counseling sessions will also be provided within the SATRP clinic. This position includes conducting early intervention and longer-term counseling via in person and virtual platforms. Interdisciplinary team collaboration is essential.
All MUHA and MUSCP employees as well as clinical providers (physicians, residents, fellows, nurse practitioners, physician assistants, social workers, etc.) are required to have flu shots or have completed the declination by December 14. Please remember that, if you receive your flu shot outside of the MUSC system, you will need to upload documentation to the system. For additional information on where to receive the shot or upload documentation, please see the link below.

This is an important reminder to the research community of the requirements to follow the latest University Directives for MUSC Faculty, Staff and Students for Staying Safe (some information updated as of 9/16). To clarify, these directives supersede recommendations issued to research teams in May 2020 for the incremental reactivation of research, including wearing masks indoors even when social distancing is possible. These requirements can be reviewed via the link above. We also urge you to review MUSC’s Academic Plans for Fall 2020.
Among its myriad impacts, COVID-19, compelled organizations worldwide, our enterprise included, to pivot almost entirely to remote meetings and events. As a result, MUSC senior leadership asked Information Solutions (IS) to recommend a meetings and events solution for the entire enterprise. After thorough evaluation, including surveys and interviews with stakeholders, IS recommended that MUSC adopt Microsoft Teams as the single enterprise platform for remote business connectivity. The MUSC senior leadership team concurred with the IS recommendation, noting that Microsoft Teams will simplify the remote meeting experience, reduce the complexity of using multiple systems and focus our supportive resources.

Over the next few months, multiple enhancements will be made to MS Teams, including call-in functionality that will make it our premier solution for meetings and events. IS professionals will work with MUSC team members to increase your comfort level with MS Teams as it replaces Skype and WebEx as the enterprise solution in December. More information and education will follow. Please visit www.musc.edu/teams to get started. 

Currently, MS Teams is available on your computer, tablet or smartphone. IS will roll out the new enhancements to you automatically as they become available.

Anyone who needs assistance with meetings or other requirements, please feel free to reach out to [email protected].
SCTR and the College of Medicine announce an RFA for the COM Clinician Scientist K12 program, which provides mentored, protected research experiences to enhance the development and retention of early career physician scientist investigators. The goal of the program is to increase clinical and translational research capacity through the training of junior faculty to help drive research independence. This funding opportunity is open to junior faculty in the College of Medicine who hold an MD, DO, or MD/PhD (or foreign equivalent) and requires 40% full-time professional effort.

Application Deadline: November 30, 2020 @ 5:00 PM

Funding opportunity announcement:

A call for applications for the SCORE Career Enhancement Core Scholar Program has been issued. Interested junior faculty members should submit their application no later than 5:00 PM on Friday, December 4th. Interested candidates who plan on applying should provide a Letter of Intent no later than Monday, November 2nd. Please direct this and any questions regarding this career development award or the application process to Amanda Wagner, at [email protected].

The full RFA including an application link can be found at:
The College of Medicine Enhancement of Team Science (COMETS) Program, implemented with the goal of helping to expand federally funded research programs for active mid-career and senior investigators by supporting a newly established research team, is accepting Letters of Intent for the 2020-2021 application cycle. Letters of Intent are due by October 30, 2020.

Teams consisting of two faculty members in the same or different departments may self-nominate or be nominated by their department chair(s). Funding in the amount of $150,000/year for two years will be provided. The expected outcome from the selected team is the submission of two competitive NIH R01 proposals (or equivalent), one from each PI, in two years.

The Department of Psychiatry and Behavioral Sciences is pleased to announce that it will begin accepting applications for the Fall cycle of the Chair’s Research Development Fund Pilot Grant Program (CRDF) from junior faculty members (i.e. assistant professors or below in rank) or trainees within the Department of Psychiatry and Behavioral Sciences. The CRDF provides funding for pilot research grants to collect preliminary data designed to enhance the viability and success of independent external funding in the future. The CRDF will support several awards each year to be determined by available financial resources. Most awards will be in the $5,000 – 10,000 range. Applications must be submitted to Romeka Washington ([email protected]) by 5:00 PM on November 1, 2020. Please see link for further details. Any inquiries should be directed to Dr. Alyssa Rheingold at [email protected].
2020-2021 GRAND ROUNDS
WebEx Information

Meeting number (access code): 120 226 2525
Meeting password: mT2BqenKW78
The following resource provides MUSC Health lab and testing options pertaining to COVID-19. Included on this page is information regarding drive-thru and “pop-up” mobile COVID testing locations, antibody or serology tests, drive-in lab and nurse visits, and original/classic lab testing.

In addition to updates provided by MUSC Enterprise, the Department of Psychiatry and Behavioral Sciences will also provide updates through our employee intranet, The Horseshoe. Updates will be provided regularly as new information becomes available. For your convenience, direct links are provided below.


Given the COVID-19 pandemic and until further notice, all volunteers and observers are barred from participation in departmental and MH-ICCE based activities. If there are circumstances wherein this policy causes a significant and critical issue, it should be brought to my attention for consideration of a written waiver (on an individual basis) of this policy. Thank you.

Thomas W. Uhde, M.D.
Professor and Chair
Department of Psychiatry and Behavioral Sciences
Due to the activity of COVID-19 within the hospital and community, all employees, residents, fellows and students within all MUSC entities are directed to begin daily self-monitoring for COVID-19 symptoms. This applies regardless of whether you have been working remotely on a full-time or intermittent basis. You need to continue daily self-monitoring, even if symptoms are not present.

NAMI Connection and NAMI Family Support Offered Online 

Social distancing does not mean that you have to go through difficult times alone. NAMI is here to help! We are offering NAMI Family Support and NAMI Connection online. 
NAMI Connection Support is offered every Monday at 6PM until further notice.

NAMI Family Support Group is offered the 2nd and 4th Thursdays
of the month at 6PM until further notice.

By clicking HERE you can sign up to receive the meeting login information or you can email us at [email protected] or call/text 843-284-3091. 
If you would like to submit content to include in next week's
Chair Update, please submit to Dr. Jamie Fisher
by 12:00 pm on Monday. Thank you.