Speaker #1

Real World Clinical Practice Among Patients with Bipolar Disorder and Chronic Kidney Disease on Long-Term Lithium Therapy
Rakesh Kumar, M.B.B.S., M.D.

Dr. Rakesh Kumar graduated with an MBBS degree from Goa Medical College, Goa, India. He completed his post-graduation training in Psychiatry from Guru Gobind Singh Medical College, Punjab, India. Before coming to Mayo Clinic, he was a practicing psychiatrist at the Guru Gobind Singh Medical College, Faridkot, India. During his training, he was appointed as chief resident in his final year of residency. He also served as a Medical officer and served Govt. of India for almost 07 years. He also worked in Asia’s largest correctional facility at Tihar Jail, New Delhi. His research interests are in understanding the neurological underpinnings of mood disorders and the development of objective biomarkers to aid the assessment and treatment of psychiatric disorders. His main interests are neuromodulation and psychopharmacology. He mainly focuses on adopting new technologies to advance the practice of psychiatry. This includes brain stimulation interventions, biomarker work to optimize diagnostic practices, psychopharmacology, and applications of artificial intelligence (AI) platforms.

Learning Objectives
Upon conclusion of this activity, participants should be able to:

• identify differences in clinical characteristics among patients with bipolar disorder (BD) and renal insufficiency treated with long-term (≥ 1year) lithium (Li) therapy (LTLT) and its outcomes.
• identify the real-world clinical practice among patients with BD and chronic kidney disease on LTLT in a two-year mirror image study
• identify the differences in the real-world clinical practice and outcomes among BD patients with CKD on LTLT who continued vs discontinued Li. .

Speaker #2

Treatment-Resistant Bipolar Disorder:  Exposure to Pharmacotherapy
Jorge Sanchez Ruiz, M.D., M.S.

Dr. Jorge A Sanchez Ruiz is a Mood Fellow here at Mayo Clinic. He was born and raised in Monterrey, Mexico. From 2009 to 2021, Jorge studied at the Autonomous University of Nuevo Leon (UANL) in Mexico, where he earned his medical degree, held several research positions, and completed his psychiatry residency. He published his master’s thesis on candidate gene expression in Major Depressive Disorder. His research interests involve mood disorders, translational research, and individualized medicine in psychiatry. Jorge is also passionate about patient education, shared decision-making, and cultural competence in psychiatry.

Learning Objectives
Upon conclusion of this activity, participants should be able to:

• Describe three comprehensive clinical staging models for Bipolar Disorder and the lack of consensus in defining Treatment-Resistant Bipolar Disorder.
• Contrast Treatment-Resistant Bipolar Disorder with Treatment-Resistant Depression in the context of their respective goals of treatment.
• Recognize the association of increasing polypharmacy with worse clinical outcomes in Major Depressive Disorder and Bipolar Disorder, and the implications for defining treatment-resistance.

1.00 AMA PRA Category 1 Credit(s)™ hour is offered for watching this presentation via Zoom.  Ethos will be implemented for all post presentation surveys.  To document your attendance, please text the code given at the presentation to 507-200-3010.  For questions, email rstpsychgr@mayo.edu

Accreditation Statement
In support of improving patient care, Mayo Clinic College of Medicine and Science is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

Credit Statement(s):
AMA
Mayo Clinic College of Medicine and Science designates this live activity for a maximum of 1.00 AMA PRA Category 1 Credits^TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

APA
Continuing Education (CE) credits for psychologists are provided through the co-sponsorship of the American Psychological Association (APA) Office of Continuing Education in Psychology (CEP). The APA CEP Office maintains responsibly for the content of the programs.
 

This activity is approved for a maximum of 1.00 credits. Credit is awarded only for actual instructional time.
 

ASWB
As a jointly Accredited Organization, Mayo Clinic College of Medicine and Science is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program.  Organizations, not individual courses, are approved under this program.  State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit.  Mayo Clinic College of Medicine and Science maintains responsibility for this course.  Social workers completing this course will receive 1.00 continuing education credits. 

Archived webcast available at: Psychiatry & Psychology Video Library

Disclosure Summary
As a provider accredited by Joint Accreditation Interprofessional Continuing Education, Mayo Clinic College of Medicine and Science (Mayo Clinic School of CPD) must ensure balance, independence, objectivity and scientific rigor in its educational activities. Course Director(s), Planning Committee Members, Faculty, and all others who are in a position to control the content of this educational activity are required to disclose all relevant financial relationships with any commercial interest related to the subject matter of the educational activity.  Safeguards against commercial bias have been put in place.  Faculty also will disclose any off label and/or investigational use of pharmaceuticals or instruments discussed in their presentation.  Disclosure of these relevant financial relationships will be published in activity materials so those participants in the activity may formulate their own judgments regarding the presentation.

Listed below are individuals with control of the content of this program who have disclosed…

Relevant financial relationship(s) with industry:
None

No relevant financial relationship(s) with industry:
Chad Ellis, LICSW, Aimee Karstens, PhD, MA, Sydney Kelpin, PhD, Bhanu Kolla, MD, Wendy Moore, MSN, RN, NE-BC, Charlene Nelson (coordinator), Amber Pearson (coordinator), Michelle Skime, MS

Speakers:  Rakesh Kumar, M.B.B.S., M.D. and Jorge Sanchez Ruiz, M.D., M.S.

For disclosure information regarding Mayo Clinic School of Continuous Professional Development accreditation review committee member(s), please go here. 

ATTENDANCE/CREDIT
Text the session code (provided only at the session) to 507-200-3010 within 48 hours of the live presentation to record attendance.  All learners are encouraged to text attendance regardless of credit needs.  This number is only used for receiving text messages related to tracking attendance.  Additional tasks to obtain credit may be required based on the specific activity requirements and will be announced accordingly. Swiping your badge will not provide credit; that process is only applicable to meet GME requirements for Residents & Fellows. 

TRANSCRIPT
Any credit or attendance awarded from this series will appear on your Transcript.

DEPARTMENT WEBSITE
Visit the department's website for additional information.

COURSE DIRECTOR(S)
Bhanu Prakash Kolla, MD

QUESTIONS?  
Contact Charlene Nelson at ph. 5-5428 or Amber Pearson at ph. 4-5916.