Show B8 — The Herald Journal Logan Utah Tuesday July 30 2002 EDocs-Sm-toatmiiin- ig Patients complain skills are lacking PHILADELPHIA (AP) — Bedside manner is a skill many patients say is lacking in modem medicine but a test program calls on medical students to “play doctor” with pretend patients to show how well they listen and talk to people in their care Tlie board in charge of the national licensing exam for doctors wants to make the handling of patients part of the exam So far the bedside manner test is being tried out as a pilot project at three Philadelphia medical schools: the University of Pennsylvania Temple University and Thomas Jefferson University Other cities are likely to low beginning with Atlanta this fall If all goes well the National Board of Medical Examiners which administers the licensing exam hopes to mpke the clinical skills test a requirement for a medical license starting in 2004 “The cost of miscommuni-catio- n that occurs in practice ' is far greater to the physician and die public' than if you do something proactively” said Dr Peter VScoles senior vice president of Ok medical examiners board “This will give the Country a common standard and will afford some added protection to the public" he said However the American Medical Association and other groups say the hefty price tag for a national clinical skills test — around $1000 plus travel expenses to the Philadelphia testing site — is too heavy a burden Medical students are already they say often carrying an average of $100000 in debt by the time they graduate The AMA is calling on the board to hold off making the test a requirement unless its effectiveness is proven and published in a medical journal and until the cost comes down “We’ve already seen a drop’ in applications to medical schools in the United States and increasing costs in this way will in fact worsen that problem” said David Bosnian an AMA Trustee and a fourth-yemedical student at the University of Massachu- and phobias There are adjustment disorders and childhood disorders and ongoing serious disorders such as schizophrenia These are the smallest in number but take the most tors Bear River psychologists make hospital calls to the behavioral units taking on the most severe cases as well as the most severely strapped clients “We usually have them out in three to five days” Pattinson said Some are directed to further confinement but “it has to be an extremely diffiissue before cult or we even consider the state' hospital" It’s worth remembering ' Pattinson noted that “the seriously mentally ill population is much less likely to cause harm than the general popula cash-strapp- ‘ ar setts Medical schools already have their own clinical skills tests but Scoles says the new test would create a national standard A clinical skills assessment used to be required for a med- ical license But it was dropped in 1964 amid con- cents about its reliability ed However graduates of foreign medical schools who seek to practicein this country are required to fake the test “We’re not objecting to the test itself but the financing issues are very worrisome” said Dr Jordan Cohen president of the Association of American Medical Colleges peer-review- ed BRMH Continued from B1 exasperated expression it may have been just as well Why we were singled out he does- n’t know — “the rate of disorders are about the same here as nationally” But if you want to talk about uniqueness here in Utah yes we are unique in one respect ' energy Pattinson points out the interrelationships of how depression can “get a biological component' If allowed to go on it can move into the biological Our body is con- nected to our minds and they impact each other” The bottom line is that “people come here because they are in pain” More than 40 percent are 18 tp 39 years old and slightly more than half are female “They’ve been everywhere else for most we’re the last resort Our job is to help alle viate that pain to help give- them skills so they don’t need to come back here” Far flung clients may not need to come tp 200 North at all Bear River has offices in Brigham City Garden City Randolph and Tremonton where there are plans for a new clinic As state contrac- -- ?We see less substance abusers Nationally about four of ten people coming into mental health centers would have a substance abuse disorder diagnosed as well as a mental health disorder In Utah that’s down to 20 per-- long-ter- main-streami- ' Happenings Chess matches Garden talks Cache Valley Garden Talks are held Wednesday evenings from 6 to 7 pm in the Logan City Office building' conference room 255 N Main “Flower Arranging” by Bryan Barfus mas-tgardener is the next installment : er Dems to party The Cache Democrats are having a Big CD Party (and fundraiser) at 6:30 pm Saturday at 154 Island Drive Logan Fellow Democrats and candidates for county legislative and congressional offices will be on hand For more inforination and 4 to RSVP contact Joyce at foundations” Cardon actually enjoys fundraising and jn retirement is proving a community resource in this area “The majority of people with money really want to be useful" he says and he gave them that dunce The 54 percent federal involvement ' ($325168) in 1977 had become just 2 percent when Cardon retired in 1997 The 5 percent “other” involvement WESTATES THEATRES 752-921- Happenings are published Tuesday! "Thursdays and Sundays in The Herald Journal JoLLuaaMMa umamamDorra 2G0 4X700 208 429 tax world qf facts and figures But he doesn’t find facts and figures sufficient to sum up what has happened in the lives of many of Bear Rivet’s 20000 clients Instead he readies for a spiritual word— “I have witnessed ' 2297 N Main MOVIE HOTLINE 7SI SUM OF AIL KARS nwMOoao WNJTAIKBSn ctartaa SNOB WARD miracles” Da7IOfltlB STOCKMAN MSflNO fm-u- i -- nat am antics IHEROQKSEm f DT 4IBS90kHtaai ' ? - SPINK STALLION OF THE CIMMARONm Deity f 04 4 SPBBT tMtra m 1130 'V- 1290210 c Stanmtr Kidl Matinee Only $1 OUyWeHawriaeel 145-23- 0 SPIDERMANpm I Cl Da 28 400 7:00 Matinees All Seats S200 MO 70525 WidoWmaker K-1- 9: 2K ' In honor of our parents and " ' grandparents on their 50th wedding anniversary the chil- - V dren and grandchildren of Gary ami Roberta Bowen are hosting anold fashioned dance tube held at the His-toric Elite Hall" 94 West Mp ! in HyTum Utah bathe evening of Friday Aug 2 a 2002 from 7 to 9pm Music mons Brothers of River ' Heights We invite all family ' friends and neighbors to lease come and join in on the' fun with usPNo gifts please Gary and Roberta Were mar- ried Aug 31 1952 in the IJ3S TempleThey -V have lived their entire married life together in Paradise for AT&TMountain BellUS West until he retired in April 1992 He enjoys rid--' - : d t ro-t- a ratio Road lo Perdition Bowens’ 50th v ! Men In Black 2 So-- edition ofTke Herald Journal: v have to be changed I’ve never heard of a medication that replaces the thought process" Whatever it does for the clients talk can do wonders for the therapist When he practiced clinical psychology Pattinson would leave group therapy sessions “wallring on a cloud” That feeling would come with helping persons “take responsibility for their lives and see that they are the only ones who can do anything about it” That’s what’s going ori at the Bear River House on 1000 North in Logan where clients “experience the most therapeutic thing you can experience an everyday routine tint is productive ” The adult day program for those with long term mental illnesses is based on a work day Clients practice perform ing jobs and when they are ready they take jobs offered by cooperating employers in the community Nearly 100 are involved in Logan and another 30 in Brigham City “They are being trained to be employees" is how Pattin- son put iL That scrutiny also has merit right at headquarter! where Bear River’s own staff is bearing down “moving more in the direction of accountability with improved caliber of supervision” Pattinson said The expansion of the build-in- g may bring an expansion of the staff Pattinson said there are plans for more apartments and another group home Cardon noted that the Bear River House “has been said to be die most beautiful of its kind in the world I believe that” Believe is a word you hear often at Bear River Belief is the bedrock of the Bear River Mental Health Services The beauty of BRMHS is that it has come to have so many believers people with die faith and commitment to change lives 2450 North Main Austin flowers: The following announce rhent wax inadvertently left out of the Sunday July 28 - vice fees contracts grants and donations As a behavioral scientist Cardon has operated in a blessed with more medical approaches verbal therapies will never be replaced We often assume that medication cures but the person is still left with perceptions and assumptions about life that headphones a resident at AS! MOVIESiS Anniversary Gary-worke- ng in 1977 grew to 66 percent in 20 years The bulk of fois nearly $3 million was Medicaid hut it also included ser- Continued from B1 “Chess in the Park” is held from 3 pm on Wednesdays throughout the summer at Merlin Olsen Park Players of all levels are invited For information call Mike Thomas at 363-2- 7 17 straight to treatment” Pattinson says “But sometimes they get lumped together” For criminals there is incarceration but for the mentally ill warehousing is so 20th century The aim for years has been to move clients into the mainstream or keep them there To this end BRMHS offers affordable apartments a group house and a slew of services from psychologists social workers and marriage and family therapists Medication also helps make possible and when Pattinson said “many more meds are about to hit the market” he leaned forward as if in anticipation Still he emphasized meds are most effective when taken with a dose of psychotherapy and some disorders are treated oply with talk BRMHS has always been about one of the oldest remedies of all — conversation Pattinson ’s predecessor BRMHS founder Dr Bartell Cardon says that although “we are increasingly ' m Conversely “It’s very rare that somebody committing a crime is so mentally ill they can’t understand what they’ve done or the consequences” Often the insanity plea is entered “to buy time” he said “It’s not a successful defense the vast majority of die time” The crime du jour sexual predation may have nothing to do with mental illness and in any case pedophiles are notoriously resistant to there- - -- The religious climate and the support systems it fosters help make treatment more effective but “they don’t take away the disorder or the need for treatment” Depression is foremost said Pattinson followed by anxiety disorders such as panic attacks py “Some need to go straight to jail and some need to go tion" -- cent” APpholo Dr Gerald Whelan vice president of the Clinical Skills Assessment Program left plugs In that will be used to listen to and observe sn examination given by Dr Shahram Sani right Abington Memorial Hospital in Philadelphia m 200 430 700235 Me Deeds ' 205 430 710 230 CINEMAt3 60 Wm 100 North Stuart LjMe2r ' 495 700 230 Raigri Of Hrtpo-i- t v 425 700900 Croaxfls Hunter ' nV Gary and Roberta Bowen ing horses in the summer and( showmobiliog in the wjjhter Roberta lias enjoyed being a wife mother and grandmother She has also y taught piano lessons for many yean The proud childrcn are Conrad (Paula) Bowen tifol Teresa (Steve?) Earley CfenterViUe Janene Bowen Logan and Wejidy Ann Eliason Bountiful The Bowen’s have 12 special grandchildren stay-at-ho- Boun-LOg- an C ACHExVALLE 130p North Main Bahind 42S 74X 220 43S7iW235-'"-'- l Swi Ihe Bourne Identify m o ''if' " ?k ' V Star VMhk Anode Of Ihe 290 Sunbqwrg (TiR Mol ro--u 795 North Mdn (Except t Et legged Freda rou 230 am - 9KK) pm KMs-lnt- Yr3 Uo&Stikhra Country Bean n" ' U-0- - August : 430 709 225 --1 July 26th 0 j i ' American West Heritage Center WsftwWe UT South 4028 Hwy II ‘ 1 89-9- (7 - ' IS 'WMOKCCDilL -- |