Carol A. Bernstein, M.D.

Teaching "Global Mental Health": Psychiatry Residency Directors' Attitudes and Practices Regarding International Opportunities for Psychiatry Residents
Belkin, Gary S.; Yusim, Anna; Anbarasan, Deepti; Bernstein, Carol Ann
2011 NOV-DEC ;35(6):400-403, Academic psychiatry
Objective: The authors surveyed Psychiatry Residency Training Directors' (RTDs') attitudes about the role and feasibility of international rotations during residency training. Method: A 21-question survey was electronically distributed that explored RTDs' beliefs about the value, use, and availability of international clinical and research experiences during residency. Results: Of 171 RTDs, 59 (34.5%) completed the survey; 83% of respondents rated the importance of global mental health education as 3-or-above on a scale of 1 (least important) to 5 (most important), but only 42% indicated that such opportunities were made available. The value of such opportunities was thought to lie primarily in professional development and cultural exposure, less so fir enhancing core knowledge competencies. Obstacles to such opportunities included lack of accreditation, financial resources, and faculty/administrative support and supervision. Conclusion: RTD respondents endorsed the value of international experiences during residency, but their availability and educational impact are not fully supported
— id: 150808, year: 2011, vol: 35, page: 400, stat: Journal Article,

Next generation of psychiatrists: What is needed in training?
Bernstein C.A.; Bhugra D.
2011 ;4(2):88-91, Asian Journal of Psychiatry
Populations can be divided into generations. Each generation has its own characteristics and even though not every member of the same generation will share characteristics with other members of that generation, it is possible to identify generational differences. Generations frequently have different values and varying styles of functioning and learning. Since the Second World War, the generations can be divided into four cohorts: the Veterans, the Baby Boomers, Generation X, and the Millennials. Each generation has a collective identity and, in addition to understanding cultural and ethnic differences, these generational differences should also be taken into account in the teaching arena. Values and beliefs about work-life balance, learning styles, comfort with technology, methods of communication, and approaches to leadership are the types of parameters which vary across generations. As a result, medical educators would benefit from appreciating these differences in order to enhance the learning of medical students and residents and to better prepare them for delivering patient care in the twenty-first century. In this paper, the authors highlight some of the challenges and issues related to these generational divides. 2011 Elsevier B.V
— id: 134513, year: 2011, vol: 4, page: 88, stat: Journal Article,

Response to the Presidential Address
Bernstein, Carol A.
2010 OCT ;167(10):1166-1169, American journal of psychiatry
— id: 113936, year: 2010, vol: 167, page: 1166, stat: Journal Article,

Medical Psychiatry: The Quick Reference
Brogan, K; Bernstein, CA
2008 OCT ;69(10):1665-1665, Journal of clinical psychiatry
— id: 90065, year: 2008, vol: 69, page: 1665, stat: Journal Article,

Normal pressure hydrocephalus presenting as Othello syndrome: case presentation and review of the literature
Yusim, Anna; Anbarasan, Deepti; Bernstein, Carol; Boksay, Istvan; Dulchin, Michael; Lindenmayer, Jean-Pierre; Saavedra-Velez, Carlos; Shapiro, Maksim; Sadock, Benjamin
2008 Sep;165(9):1119-1125, American journal of psychiatry
— id: 87808, year: 2008, vol: 165, page: 1119, stat: Journal Article,

Competency in System Based Practice: Making the system transparent - A web module with "learner appeal"
Zabar, S; Gillespie, C; Morris, K; Bernstein, CA; Ark, T; Triola, M; Holloway, W; Kalet, A
2008 MAR ;23(2):217-217, Journal of general internal medicine
— id: 78173, year: 2008, vol: 23, page: 217, stat: Journal Article,

On call psychiatry
Bernstein, Carol A
Philadelphia PA : Saunders, 2006,
— id: 1092, year: 2006, vol: , page: , stat: ,

Recruiting and rewarding faculty for medical student teaching
Pessar, Linda F; Levine, Ruth E; Bernstein, Carol A; Cabaniss, Deborah S; Dickstein, Leah J; Graff, Sarah V; Hales, Deborah J; Nadelson, Carol; Robinowitz, Carolyn B; Scheiber, Stephen C; Jones, Paul M; Silberman, Edward K
2006 Mar-Apr;30(2):126-129, Academic psychiatry
OBJECTIVE: Finding time to teach psychiatry has become increasingly difficult. Concurrently, changes in medical student education are elevating demands for teaching. Academic psychiatry is challenged by these pressures to find innovative ways to recruit, retain, and reward faculty for teaching efforts. To address this challenge, the authors recommend a multifactorial approach to meeting the medical student educational mission of psychiatry departments. METHODS: This approach includes a variety of efforts including having Chairs serve as role models, enforcing the service requirements of volunteer faculty, expanding teaching venues, providing faculty development, elevating the status of teaching through academies, attending to promotion of faculty educators, establishing and nominating faculty for teaching awards, and using medical center resources to provide rewards for teachers. CONCLUSION: Academic leaders must acknowledge the inherent value of teaching to the academic enterprise and delegate sufficient resources to recruit, retain, and reward educators for the essential work that they perform
— id: 64756, year: 2006, vol: 30, page: 126, stat: Journal Article,

A survey of psychiatric residency directors on current priorities and preparation for public-sector care
Yedidia, Michael J; Gillespie, Colleen C; Bernstein, Carol A
2006 Feb;57(2):238-243, Psychiatric services
OBJECTIVE: This study assessed how resident psychiatrists are being prepared to deliver effective public-sector care. METHODS: Ten leaders in psychiatric education and practice were interviewed about which tasks they consider to be essential for effective public-sector care. The leaders identified 16 tasks. Directors of all general psychiatry residency programs in the United States were then surveyed to determine how they rate the importance of these tasks for delivery of care and how their training program prepares residents to perform each task. RESULTS: A total of 114 of 150 residency directors (76 percent) responded to the survey. Factor analysis divided 14 of the tasks into three categories characterized by the extent to which their performance requires integration of services: within the mental health system (for example, lead a multidisciplinary team), across social service systems (for example, interact with staff of supportive housing programs), and across institutions with different missions (for example, distinguish behavioral problems from underlying psychiatric disorders among prisoners). Preparation for tasks that involved integration of services across institutions was rated as least important, was least likely to be required, and was covered by less intensive teaching modalities. Tasks entailing integration within the mental health system were rated as most important, preparation was most likely to be required, and they were covered most intensively. Midway between these two categories, but significantly different from each, were tasks relying on integration across social service systems. CONCLUSIONS: Tasks that involved integrating services across institutions with different missions were consistently downplayed in training. Yet the importance of such tasks is underscored by the assessments of the psychiatric leaders who were interviewed, the high valuation placed on this type of integration by a substantial subset of training directors, and the extent of mental illness among populations who are institutionalized in nonpsychiatric settings
— id: 64755, year: 2006, vol: 57, page: 238, stat: Journal Article,

Kaplan and Sadock's Study Guide and Self-Examination Review in Psychiatry, Seventh Edition
Bernstein, Carol A; Ebert, Michael H [Ed]
2005 ;66(3):402-402 Mar, Journal of clinical psychiatry
Reviews the seventh edition of the book 'Kaplan and Sadock's Study Guide and Self-Examination Review in Psychiatry,' by Benjamin J. Sadock, Virginia A. Sadock and Rebecca M. Jones (2003). It provides a review guide, particularly to assist mental health professionals in preparing for examinations such as the United States Medical Licensing Examination (USMLE) and the American Board of Psychiatry and Neurology exams. This edition of the Study Guide includes new and different questions as well as modified and updated material from prior editions. By using more than 1000 questions, the authors have attempted to cover the full range of psychiatric disorders and treatments.
— id: 51397, year: 2005, vol: 66, page: 402, stat: Journal Article,

Special events in the residency program
Levin, Ze'ev; Bernstein, Carol A
Handbook of psychiatric education Washington, DC, US: American Psychiatric Publishing, Inc., 2005,
(from the chapter) Residency is a time of tremendous personal and professional growth and change. Certain events that routinely occur in training can be considered milestones. From entry into a program, marked by orientation, through departure, marked by graduation, the training experience itself helps to shape and mold the resident's identity as a psychiatrist. Other events, such as academic meetings, help promote professional development and introduce residents to colleagues and potential mentors from across the country. Departmental retreats allow for time away from the program to assess its strengths and weaknesses and to formulate ways of improving it. Planned social events for the residents, with and without faculty, foster morale and cohesion in the program. This chapter addresses these issues. Although they are less strictly educational, these topics have a marked bearing on the general climate of the training program. This chapter also addresses the appointment of a new department chair or training director and the impact that such an occurrence has on training. We have also included a section on terrorism and disasters and the impact of September 11, 2001, on our program.
— id: 3829, year: 2005, vol: , page: 289, stat: Chapter,

Recent developments in alcoholism: Volume 17. Alcohol problems in adolescents and young adults
Levin, Ze'ev; Bernstein, Carol A; Manley, Myrl R. S; Trachtenberg, David; Galanter, Marc
New York, NY, US: Kluwer Academic/Plenum Publishers, 2005,
(from the preface) In this edition, the authors cover the wide spectrum of epidemiologic, prevention, neurobiological, behavioral and clinical issues related to alcohol use and adolescents. The wide range of topical areas mirrors the prominence of alcoholism and alcohol abuse in the American landscape. Each of these areas alone presents significant challenges and opportunities to assist in understanding the fundamental issues and crafting effective remedies
— id: 1451, year: 2005, vol: , page: , stat: ,

"Mood disorders in women"
Bernstein, CA
2002 Apr;63(4):373-373, Journal of clinical psychiatry
— id: 27497, year: 2002, vol: 63, page: 373, stat: Journal Article,

Training psychiatry residents in outcome measurement
Bernstein, Carol A; IsHak, Waguih William
Outcome measurement in psychiatry: A critical review Washington, DC, US: American Psychiatric Publishing, Inc., 2002,
(from the chapter) In this chapter, the author discusses teaching psychiatric residents to measure the outcome of psychiatric treatments, the educational value of training psychiatric residents to use outcome measures, and the implementation of outcome measurement training for psychiatric residents. A brief example shows how outcome assessments are used to monitor a depressed patient during the training of fourth-year residents in intensive short-term dynamic psychotherapy at Bellevue Hospital Center and New York University School of Medicine.
— id: 4012, year: 2002, vol: , page: p. 377, stat: Chapter,

Deceptions of psychiatry residents
Bernstein CA; Goldstein MS
2001 ;22(3):21-36, American journal of forensic psychiatry
This article examines deceptions on the part of psychiatry residents with respect to their training programs and program directors. Two clinical case vignettes are presented in an attempt to explore deceptions of commission and deceptions of omission as well as the boundary between a resident's right to privacy and a program's need for disclosure of personal information which impacts upon patient care. Residency training programs are the gateway into the medical community and residency directors are responsible for ensuring the competency of their residents. The two clinical vignettes will demonstrate the ways in which this is no small task when a resident makes the decision to deceive. [References: 6] <7>
— id: 26877, year: 2001, vol: 22, page: 21, stat: Journal Article,

On call psychiatry
Bernstein, Carol A
Philadelphia PA : Saunders, 2001,
— id: 1090, year: 2001, vol: , page: , stat: ,

Emergency psychiatry - Preface
Bernstein CA
1999 Dec;22(4):XIII-XXIV, Psychiatric clinics of North America
Spontaneous magnetoencephalographic activity was recorded in awake, healthy human controls and in patients suffering from neurogenic pain, tinnitus, Parkinson's disease, or depression. Compared with controls, patients showed increased low-frequency a rhythmicity, in conjunction with a widespread and marked increase of coherence among high- and low-frequency oscillations. These data indicate the presence of a thalamocortical dysrhythmia, which we propose is responsible for all the above mentioned conditions. This coherent a activity, the result of a resonant interaction between thalamus and cortex, is due to the generation of low-threshold calcium spike bursts by thalamic cells. The presence of these bursts is directly related to thalamic cell hyperpolarization, brought about by either excess inhibition or disfacilitation. The emergence of positive clinical symptoms is viewed as resulting from ectopic gamma-band activation, which we refer to as the 'edge effect.' This effect is observable as increased coherence between low- and high-frequency oscillations, probably resulting from inhibitory asymmetry between high- and low- frequency thalamocortical modules at the cortical level
— id: 8606, year: 1999, vol: 22, page: XIII, stat: Journal Article,

Special events
Bernstein CA; Nadelson CC
Handbook of psychiatric education and faculty development Washington DC : American Psychiatric Association, 1999,
— id: 4017, year: 1999, vol: , page: ?, stat: Chapter,

Emergency psychiatry
Bernstein, Carol A.
Philadelphia, Pa. : W.B. Saunders, c1999,
— id: 703, year: 1999, vol: , page: , stat: ,

Professional development of residents throughout the training experience
Nadelson CC; Bernstein CA
Handbook of psychiatric education and faculty development Washington DC : American Psychiatric Association, 1999,
— id: 4018, year: 1999, vol: , page: ?, stat: Chapter,

Patterns of drug use and their relationship to entitlements in a psychiatric emergency service population
Rosenberg RC; Schwartz M; Ying P; Bernstein CA
1998 ;4(3):43-50, Journal of the American Association for Emergency Psychiatry
— id: 64776, year: 1998, vol: 4, page: 43, stat: Journal Article,

On call psychiatry
Bernstein, Carol A
Philadelphia PA : Saunders, 1997,
— id: 1091, year: 1997, vol: , page: , stat: ,

Psychiatrists treating physicians. Countertransference of a resident treating a depressed physician
Sulkowicz K; Bernstein C; Dess P; Hasan A; McCarthy M; Schweitzer G; Heussy J
1997 Summer;6(3):250-261, Journal of psychotherapy practice & research
— id: 7265, year: 1997, vol: 6, page: 250, stat: Journal Article,

Psychiatric-legal decision making by the mental health practitioner
Bluestone H; Bernstein C; Rosner R
1995 ;?:?-?, ACP psychiatric update
— id: 50919, year: 1995, vol: ?, page: ?, stat: Journal Article,

Is managed care good for mental health clients?
Bernstein CA
Controversial issues in mental health Boston : Allyn and Bacon, 1994,
— id: 4016, year: 1994, vol: , page: 240, stat: Chapter,

Beware of cost players playing doctor
Bernstein CA
1992 April 25;:1.22-, New York times
— id: 64770, year: 1992, vol: , page: 1.22, stat: Journal Article,

Clozapine and the mandatory monitoring system
Bernstein CA
1991 Feb 14;324(7):491-491, New England journal of medicine
— id: 64771, year: 1991, vol: 324, page: 491, stat: Journal Article,

"Psychiatry for medical students", 2nd ed. by Robert J. Waldinger, M.D.
Rieder RO; Bernstein CA
1991 Sept;148:1249-1249, American journal of psychiatry
— id: 64772, year: 1991, vol: 148, page: 1249, stat: Journal Article,

Medical and dental students' attitudes about the AIDS epidemic
Bernstein CA; Rabkin JG; Wolland H
1990 Jul;65(7):458-460, Academic medicine
This study investigated changes, over a one-year period, in medical and dental students' attitudes toward various issues related to contact with AIDS patients. In 1988 and 1989, the authors surveyed second- and third-year medical and dental students at one medical school both before and after they completed a year of required clinical training. The dental students remained consistently more anxious and more restrictive in their attitudes toward treating patients with AIDS than did their medical student counterparts, and became more conservative (fearful) in their attitudes after working with AIDS patients, whereas the medical students became more liberal. Overall, both groups were more concerned about contracting AIDS in their professional lives than in their personal lives. Over one-third of the medical students and two-thirds of the dental students indicated that they did not wish to train in a specialty or hospital with a high percentage of AIDS patients, and a substantial minority of the students in both groups did not feel that they were responsible for treating all patients whom they were qualified to treat. These and related results suggest that AIDS-related anxiety may influence students' career choices and behaviors and the quality of care patients receive. Suggestions for educational strategies to address students' fears--both warranted and unwarranted--and the differences in attitudes between students of different health-care professions are discussed
— id: 64754, year: 1990, vol: 65, page: 458, stat: Journal Article,

How to tell psychologists from psychiatrists
Bernstein CA
1988 ;:1.22- May 30, New York times
— id: 64769, year: 1988, vol: , page: 1.22, stat: Journal Article,

Pasteurella multocida subdural empyema. Case report
Stern J; Bernstein CA; Whelan MA; Neu HC
1981 Apr;54(4):550-552, Journal of neurosurgery
— id: 64753, year: 1981, vol: 54, page: 550, stat: Journal Article,