James K. Rustad, MD

Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire; Larner College of Medicine at University of Vermont; White River Junction VA Medical Center, White River Junction, Vermont; Burlington Lakeside VA Community Based Outpatient Clinic, Burlington, Vermont

PCC
How to Document Complex Cases
Rounds in the General Hospital

April 9, 2026

Case presentations often drive differential diagnosis creation by what is said (and not said) and by whether information given is the "lead" or merely a (potentially interesting) tidbit.
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PCC
Diagnosing and Treating Impulsivity
Rounds in the General Hospital

February 5, 2026

Impulsivity is a characteristic of many psychiatric and neuropsychiatric conditions throughout the lifespan; however, in older adults it frequently signals an emerging neurodegenerative process.
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PCC
Facilitating Academic Success for Clinicians
Rounds in the General Hospital

December 16, 2025

Many clinicians, experience “imposter syndrome,” which can foster the false belief that they are unqualified for promotion.
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PCC
Using Digital Technologies to Avoid Doctor’s Orders
Rounds in the General Hospital

December 2, 2025

The availability of portable technologies and application-based services can complicate caretaking in the hospital setting, as patients can circumvent medical recommendations.
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PCC
Sequelae of Toxic Exposures in Veterans
Rounds in the General Hospital

November 25, 2025

A 45-year-old veteran has ongoing symptoms likely related to past exposure to burn pits, dust storms, airborne industrial pollutants, and head trauma from hard parachute landings.
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PCC
Primary Care and Mental Health Collaboration
Rounds in the General Hospital

November 13, 2025

Since PCPs are often the first health care professionals to see patients with symptoms of a mental health disorder, they play a vital role in the identification, management, and...
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PCC
Managing Somatic Delusions
Rounds in the General Hospital

October 16, 2025

Management of somatic delusions involves a multimodal treatment approach incorporating pharmacotherapy, somatic treatments, and psychotherapy.
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PCC
Diagnosing and Treating Dizziness
Rounds in the General Hospital

September 18, 2025

Psychiatric treatment of dizziness includes behavioral therapy to decrease arousal to the identified stimulus and pharmacologic interventions to decrease acute anxiety and prevent onset of downstream anxiety.
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PCC
Managing Psychotropic Medication–Induced Priapism
Rounds in the General Hospital

July 31, 2025

A 30-year-old man with schizoaffective disorder presented to the ED with a prolonged, painful erection of spontaneous onset. His current medications included long-acting injectable paliperidone palmitate, valproic acid, and...
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PCC
FND in Active-Duty Military Personnel and Veterans
Rounds in the General Hospital

July 24, 2025

The most common presentations of functional neurologic disorder are functional seizures and functional movement disorders, including paresis. Other common manifestations are somatosensory or visual symptoms and speech disorders.
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PCC
Time-Limited Teaching of Psychiatry to Medical Students
Rounds in the General Hospital

June 17, 2025

Educational practices such as a “flipped classroom” or “layered learning” can allow the educational experience to be better tailored to the needs of learners.
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Insightful. Evidence-based. Human-centered.

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