Geeks, Fandoms, and Social Engagement.

The Internet changed the way the global community interacts and communicates. This cultural shift allows like-minded individuals to connect and share ideas. It creates spaces for stigmatized communities to gather in a virtual presence. Youth now have greater options to explore identity, and to reach peers with niche interests. From a clinical perspective, it is helpful to understand the nature of communities our patients join on the Internet. This article focuses on the broad umbrella of "geek" culture, exploring a variety of interests such as cosplay, fanfiction, and gaming.

Comparing and Contrasting the Use of Problem-Based Learning in Child and Adolescent Psychiatry Programs.

OBJECTIVE: Problem-based learning (PBL) is one of the core components of medical education. To facilitate the spread and use of PBL in child and adolescent psychiatry (CAP) fellowship training, a special interest study group (SISG) was formed at the American Academy of Child and Adolescent Psychiatry (AACAP). Different approaches to the implementation of PBL between programs represented at the SISG are compared in this report. METHODS: The authors distributed a survey to SISG participants after the 2015 annual AACAP meeting, which gathered information about the different approaches programs use to implement PBL in graduate medical education. RESULTS: Six CAP training programs responded to the survey, providing descriptions of the structure and content of PBL seminars. Programs chose to include a wide variety of topics in PBL courses and approach course organization in a number of ways. To the degree that PBL draws from identified reference texts, programs were similar in selecting definitive textbooks, practice parameters, and seminal articles. CONCLUSIONS: This small pilot study is intended to provide a snapshot of the state of PBL implementation in CAP fellowship programs. It reflects that programs can incorporate PBL in a variety of ways, tailored to the needs of the institution. Future directions of research include assessment of resident satisfaction with PBL, impact on resident education, and identifying successful methods of implementation of PBL.

How connected are people with schizophrenia? Cell phone, computer, email, and social media use.

Technologies such as Internet based social media network (SMN) websites are becoming an important part of many adult lives; however, less is known about their use in patients with schizophrenia. We need to determine (1) how "connected" are patients with schizophrenia?, (2) do these technologies interfere with the patient׳s illness?, and (3) do patients envision these technologies being involved in their treatment? We recruited 80 inpatients and outpatients age 18-70 with schizophrenia to complete a brief survey on the prevalence and frequency of cell phone, text messaging, computer, email, and SMN use, and associated attitudes. 56% of subjects use text messaging, 48% have an email account, and 27% of subjects use SMN sites daily, with Facebook being the most popular. Many current users agreed that these technologies help them interact/socialize more, expressed interest in receiving text messages from their doctors, and disagreed that these technologies make symptoms worse. These preliminary findings should be investigated in larger samples, but suggest that these technologies afford a unique opportunity to engage and improve treatment for some patients with schizophrenia.

US Medical Licensing Exam scores and performance on the Psychiatry Resident In-Training Examination.

OBJECTIVE: This study explores relationships between US Medical Licensing Examination (USMLE) and Psychiatry Resident In-Training Examination (PRITE) scores over a 10-year period at a university-affiliated program. METHODS: For all MD general psychiatry residents who matriculated from 2003 to 2012 (n = 51), we extracted three-digit first-attempt and passing USMLE Step 1 and Step 2 clinical knowledge (CK) scores and PRITE percentile scores, stratified by global psychiatry and neurology scores, for postgraduate year (PGY)-1, 2, 3, and 4. A mixed model repeated measures analysis was performed to assess the association between USMLE and PRITE scores, adjusting for age, sex, and US medical graduate versus IMG status. Multiple linear regression models of USMLE and PGY-1 PRITE scores were also constructed. RESULTS: USMLE Steps 1 and 2 CK scores were significant predictors of PRITE psychiatry and neurology scores, both in PGY-1 as well as across all years of training (p < 0.01 for each). CONCLUSION: Given that PRITE scores are a significant predictor of success on the ABPN written examination, USMLE scores may be an important quantitative predictor of performance during residency.

Sadness, suicide, and their association with video game and internet overuse among teens: results from the youth risk behavior survey 2007 and 2009.

We investigated the association between excessive video game/Internet use and teen suicidality. Data were obtained from the 2007 and 2009 Youth Risk Behavior Survey (YRBS), a high school-based, nationally representative survey (N = 14,041 and N = 16,410, respectively). Teens who reported 5 hours or more of video games/Internet daily use, in the 2009 YRBS, had a significantly higher risk for sadness (adjusted and weighted odds ratio, 95% confidence interval = 2.1, 1.7-2.5), suicidal ideation (1.7, 1.3-2.1), and suicide planning (1.5, 1.1-1.9). The same pattern was found in the 2007 survey. These findings support an association between excessive video game and Internet use and risk for teen depression and suicidality.