Steven R. Daviss, MD, DFAPA

Psychiatrists practice a field of medicine that relies on one’s clinical perspective to interpret observable behaviors originating from the brains of others. In this manner, psychiatry and photography are similar. And digital technology has changed them both.

In photography, there are many technical aspects for one to master when framing and capturing a shot. The length of exposure. The amount of light needed. The speed of the film, which is its sensitivity to light. The aperture that controls how much light falls on the film. The movement of the subject across the film during the exposure. Despite the fact that physical film has mostly yielded to electronic sensors over the past couple decades, these basic aspects of photography remain.

But perspective is the critical ingredient. This is what brings the greatest impact to photography. The composition, or the subject of the photograph and how its elements – foreground, background, shapes, patterns, texture, shadow, motion, leading lines, and focal points – are arranged. The most powerful way to improve the composition – more powerful than fancy camera bells and whistles – is to move. One step to the left or right, one step forward or back. Stand on your toes, or crouch to your knees. Pivot this way or that. A simple change in perspective dramatically changes the nature and the energy of the captured image.

While the field of medicine has similarly been impacted by the onset of digital technology, physicians’ perspectives about their work remain the key factor in the nature and the energy of what we do.

In fact, many physicians are changing what they actually do for a living. Pivoting their clinical perspectives. And applying those perspectives to other areas. The latest catalyst fueling these career pivots, these changes in perspectives, has been the incredible global impact of the tiny little coronavirus known as SARS-CoV-2. The COVID-19 pandemic that began two years ago has disrupted the entire planet. The virus has caused us all to change our perspective, to see our world differently, and our place in it.

The virus has exposed defects in our health care delivery system. And physicians have necessarily reacted, injecting changes in what they do and how they do it. Many of these changes rely on digital technology, building upon the groundwork laid over the past couple of decades to convert our paper processes into electronic processes, and our manual work flows into digital work flows. This groundwork is no small thing, as it relies on conventions and standards, such as DICOM, LOINC, AES, CDA, UMLS, FHIR, ICD, NDC, USCDI, and SNOMED-CT. Establishing, maintaining, and evolving health care standards requires organized groups of people to come together to share their diverse perspectives. This is but one of many places where physicians are using their unique clinical perspective to share what they see with others.

This column will focus on these professional pivots that physicians make when they take a step to the left or right to change their perspective and share their viewpoints in different settings with diverse groups of people. Some of these pivots are small, while others are career changing. But the theme that knits them together is about taking what one has learned while helping others achieve better health, and using that perspective to make a difference.

Dr. Daviss is chief medical officer for Optum Maryland and immediate past president of the Maryland-DC Society of Addiction Medicine, and former medical director and senior medical advisor at SAMHSA. He is coauthor of the 2011 book, Shrink Rap: Three Psychiatrists Explain Their Work. Psychiatrists and other physicians may share their own experience with pivots they have made with Dr. Daviss via email ([email protected]) or Twitter (@HITshrink). The opinions expressed are solely those of the author and do not necessarily reflect those of his employer or organizations with which he is associated.

Psychiatrists practice a field of medicine that relies on one’s clinical perspective to interpret observable behaviors originating from the brains of others. In this manner, psychiatry and photography are similar. And digital technology has changed them both.

In photography, there are many technical aspects for one to master when framing and capturing a shot. The length of exposure. The amount of light needed. The speed of the film, which is its sensitivity to light. The aperture that controls how much light falls on the film. The movement of the subject across the film during the exposure. Despite the fact that physical film has mostly yielded to electronic sensors over the past couple decades, these basic aspects of photography remain.

But perspective is the critical ingredient. This is what brings the greatest impact to photography. The composition, or the subject of the photograph and how its elements – foreground, background, shapes, patterns, texture, shadow, motion, leading lines, and focal points – are arranged. The most powerful way to improve the composition – more powerful than fancy camera bells and whistles – is to move. One step to the left or right, one step forward or back. Stand on your toes, or crouch to your knees. Pivot this way or that. A simple change in perspective dramatically changes the nature and the energy of the captured image.

While the field of medicine has similarly been impacted by the onset of digital technology, physicians’ perspectives about their work remain the key factor in the nature and the energy of what we do.

In fact, many physicians are changing what they actually do for a living. Pivoting their clinical perspectives. And applying those perspectives to other areas. The latest catalyst fueling these career pivots, these changes in perspectives, has been the incredible global impact of the tiny little coronavirus known as SARS-CoV-2. The COVID-19 pandemic that began two years ago has disrupted the entire planet. The virus has caused us all to change our perspective, to see our world differently, and our place in it.

The virus has exposed defects in our health care delivery system. And physicians have necessarily reacted, injecting changes in what they do and how they do it. Many of these changes rely on digital technology, building upon the groundwork laid over the past couple of decades to convert our paper processes into electronic processes, and our manual work flows into digital work flows. This groundwork is no small thing, as it relies on conventions and standards, such as DICOM, LOINC, AES, CDA, UMLS, FHIR, ICD, NDC, USCDI, and SNOMED-CT. Establishing, maintaining, and evolving health care standards requires organized groups of people to come together to share their diverse perspectives. This is but one of many places where physicians are using their unique clinical perspective to share what they see with others.

This column will focus on these professional pivots that physicians make when they take a step to the left or right to change their perspective and share their viewpoints in different settings with diverse groups of people. Some of these pivots are small, while others are career changing. But the theme that knits them together is about taking what one has learned while helping others achieve better health, and using that perspective to make a difference.

Dr. Daviss is chief medical officer for Optum Maryland and immediate past president of the Maryland-DC Society of Addiction Medicine, and former medical director and senior medical advisor at SAMHSA. He is coauthor of the 2011 book, Shrink Rap: Three Psychiatrists Explain Their Work. Psychiatrists and other physicians may share their own experience with pivots they have made with Dr. Daviss via email ([email protected]) or Twitter (@HITshrink). The opinions expressed are solely those of the author and do not necessarily reflect those of his employer or organizations with which he is associated.

Psychiatrists practice a field of medicine that relies on one’s clinical perspective to interpret observable behaviors originating from the brains of others. In this manner, psychiatry and photography are similar. And digital technology has changed them both.

In photography, there are many technical aspects for one to master when framing and capturing a shot. The length of exposure. The amount of light needed. The speed of the film, which is its sensitivity to light. The aperture that controls how much light falls on the film. The movement of the subject across the film during the exposure. Despite the fact that physical film has mostly yielded to electronic sensors over the past couple decades, these basic aspects of photography remain.

But perspective is the critical ingredient. This is what brings the greatest impact to photography. The composition, or the subject of the photograph and how its elements – foreground, background, shapes, patterns, texture, shadow, motion, leading lines, and focal points – are arranged. The most powerful way to improve the composition – more powerful than fancy camera bells and whistles – is to move. One step to the left or right, one step forward or back. Stand on your toes, or crouch to your knees. Pivot this way or that. A simple change in perspective dramatically changes the nature and the energy of the captured image.

While the field of medicine has similarly been impacted by the onset of digital technology, physicians’ perspectives about their work remain the key factor in the nature and the energy of what we do.

In fact, many physicians are changing what they actually do for a living. Pivoting their clinical perspectives. And applying those perspectives to other areas. The latest catalyst fueling these career pivots, these changes in perspectives, has been the incredible global impact of the tiny little coronavirus known as SARS-CoV-2. The COVID-19 pandemic that began two years ago has disrupted the entire planet. The virus has caused us all to change our perspective, to see our world differently, and our place in it.

The virus has exposed defects in our health care delivery system. And physicians have necessarily reacted, injecting changes in what they do and how they do it. Many of these changes rely on digital technology, building upon the groundwork laid over the past couple of decades to convert our paper processes into electronic processes, and our manual work flows into digital work flows. This groundwork is no small thing, as it relies on conventions and standards, such as DICOM, LOINC, AES, CDA, UMLS, FHIR, ICD, NDC, USCDI, and SNOMED-CT. Establishing, maintaining, and evolving health care standards requires organized groups of people to come together to share their diverse perspectives. This is but one of many places where physicians are using their unique clinical perspective to share what they see with others.

This column will focus on these professional pivots that physicians make when they take a step to the left or right to change their perspective and share their viewpoints in different settings with diverse groups of people. Some of these pivots are small, while others are career changing. But the theme that knits them together is about taking what one has learned while helping others achieve better health, and using that perspective to make a difference.

Dr. Daviss is chief medical officer for Optum Maryland and immediate past president of the Maryland-DC Society of Addiction Medicine, and former medical director and senior medical advisor at SAMHSA. He is coauthor of the 2011 book, Shrink Rap: Three Psychiatrists Explain Their Work. Psychiatrists and other physicians may share their own experience with pivots they have made with Dr. Daviss via email ([email protected]) or Twitter (@HITshrink). The opinions expressed are solely those of the author and do not necessarily reflect those of his employer or organizations with which he is associated.

“Often, innovation is a product of desperation. I have seen too many of my patients die from opioid overdoses, and I’ve decided to create something that can stop this.”

This is the opening description of an innovative idea that Joseph Insler, MD, an early–career psychiatrist in Boston, pitched to the judges last October.

As one of the judges, this is how I described the item: “It’s like a Fitbit for people addicted to opioids, who are at risk of overdose. But, instead of tracking your footsteps and your sleep movements, it tracks your blood oxygen level, heart rate, and lack of movement. Based on an algorithm tuned to identify signs of an overdose, the Opioid Overdose Recovery Bracelet would give you a shot of medicine in your wrist. If you have accidentally overdosed, it will give you a premeasured dose of naloxone from its reservoir, likely saving your life.”

Courtesy Dr. Steven R. Daviss

New lab will set records

On May 21, at the APA annual meeting in San Diego, the third Innovation Lab event will take place with record sponsorship and funding. More than $30,000 in prizes will be awarded to winning teams in the following categories: Grand Prize, Audience Choice, Outstanding Progress, Most Promising Innovation, and Most Disruptive Innovation. New this year, the Accelerator Prize will be awarded to the alumni team that has made the most progress since its participation in a previous Innovation Lab. A special prize from Google, worth $20,000, will be given to the innovation that best uses the potential of Cloud services, including Web applications, software, and machine learning.

Courtesy Dr. Steven R. Daviss

Dr. Daviss is the chief medical informatics officer at M3 Information and chairs the American Psychiatric Association’s Committee on Mental Health Information Technology.

Psychiatry Innovation Lab alumni

Entrepreneurs from the October 2016 competition created products that addressed addiction, autism, Alzheimer’s, posttraumatic stress disorder, and other mental disorders.

Finalists

• Overdose Recovery Bracelet – “A novel solution to the opioid epidemic” – Joseph Insler
• Spectrum – “An app to encourage facial processing and emotion recognition in autism spectrum disorder” – Swathi Krishna
• Spring – “Enabling personalized behavioral healthcare using machine learning and big data” – April Koh
• Alzhelp – “Using augmented reality and intelligent personal assistant software to keep Alzheimer’s patients safe” – Akanksha Jain, Michelle Koh, and Priscilla Siow
• MiHelper – “Identifying patterns of distress and determining optimal periods for real time mental health interventions” – Kammarauche Isuzu and Mackenzie Drazan
• WEmbrace – “A mobile application for foreign-background psychiatric patients to effectively provide critical care” – Ellen Oh

Semifinalists

• Broadleaf Mental Health –“Reaching school-aged children in the rural eastern Himalayas” – Michael Matergia
• TechLink – “Connecting students and tech” – Akanksha Jain, Michelle Koh, and Priscilla Siow
• Beacon – “Smarter therapy. Together” – Shrenik Jain and Ravi Shah
• Muse – “Assisted meditation in mental health” – Graeme Moffat
• MiResource – “Helping adolescents find the right therapeutic fit” – Gabriela Asturias and Mackenzie Drazen
• BraVe Reality – “Virtual treatment for PTSD patients” – Monica Kullar
• SKNR – “A user-centric psychotherapy tool for the digital age” – Hyun-Hee Kim
• We2Link – “Connect better” – Michael Malone PRISM – “Helping patients gain insight through digital art mobile app” – Kenechi Ejebe and Whitney McFadden

SOURCE: Dr. Daviss

“Often, innovation is a product of desperation. I have seen too many of my patients die from opioid overdoses, and I’ve decided to create something that can stop this.”

This is the opening description of an innovative idea that Joseph Insler, MD, an early–career psychiatrist in Boston, pitched to the judges last October.

As one of the judges, this is how I described the item: “It’s like a Fitbit for people addicted to opioids, who are at risk of overdose. But, instead of tracking your footsteps and your sleep movements, it tracks your blood oxygen level, heart rate, and lack of movement. Based on an algorithm tuned to identify signs of an overdose, the Opioid Overdose Recovery Bracelet would give you a shot of medicine in your wrist. If you have accidentally overdosed, it will give you a premeasured dose of naloxone from its reservoir, likely saving your life.”

Courtesy Dr. Steven R. Daviss

New lab will set records

On May 21, at the APA annual meeting in San Diego, the third Innovation Lab event will take place with record sponsorship and funding. More than $30,000 in prizes will be awarded to winning teams in the following categories: Grand Prize, Audience Choice, Outstanding Progress, Most Promising Innovation, and Most Disruptive Innovation. New this year, the Accelerator Prize will be awarded to the alumni team that has made the most progress since its participation in a previous Innovation Lab. A special prize from Google, worth $20,000, will be given to the innovation that best uses the potential of Cloud services, including Web applications, software, and machine learning.

Courtesy Dr. Steven R. Daviss

Dr. Daviss is the chief medical informatics officer at M3 Information and chairs the American Psychiatric Association’s Committee on Mental Health Information Technology.

Psychiatry Innovation Lab alumni

Entrepreneurs from the October 2016 competition created products that addressed addiction, autism, Alzheimer’s, posttraumatic stress disorder, and other mental disorders.

Finalists

• Overdose Recovery Bracelet – “A novel solution to the opioid epidemic” – Joseph Insler
• Spectrum – “An app to encourage facial processing and emotion recognition in autism spectrum disorder” – Swathi Krishna
• Spring – “Enabling personalized behavioral healthcare using machine learning and big data” – April Koh
• Alzhelp – “Using augmented reality and intelligent personal assistant software to keep Alzheimer’s patients safe” – Akanksha Jain, Michelle Koh, and Priscilla Siow
• MiHelper – “Identifying patterns of distress and determining optimal periods for real time mental health interventions” – Kammarauche Isuzu and Mackenzie Drazan
• WEmbrace – “A mobile application for foreign-background psychiatric patients to effectively provide critical care” – Ellen Oh

Semifinalists

• Broadleaf Mental Health –“Reaching school-aged children in the rural eastern Himalayas” – Michael Matergia
• TechLink – “Connecting students and tech” – Akanksha Jain, Michelle Koh, and Priscilla Siow
• Beacon – “Smarter therapy. Together” – Shrenik Jain and Ravi Shah
• Muse – “Assisted meditation in mental health” – Graeme Moffat
• MiResource – “Helping adolescents find the right therapeutic fit” – Gabriela Asturias and Mackenzie Drazen
• BraVe Reality – “Virtual treatment for PTSD patients” – Monica Kullar
• SKNR – “A user-centric psychotherapy tool for the digital age” – Hyun-Hee Kim
• We2Link – “Connect better” – Michael Malone PRISM – “Helping patients gain insight through digital art mobile app” – Kenechi Ejebe and Whitney McFadden

SOURCE: Dr. Daviss

“Often, innovation is a product of desperation. I have seen too many of my patients die from opioid overdoses, and I’ve decided to create something that can stop this.”

This is the opening description of an innovative idea that Joseph Insler, MD, an early–career psychiatrist in Boston, pitched to the judges last October.

As one of the judges, this is how I described the item: “It’s like a Fitbit for people addicted to opioids, who are at risk of overdose. But, instead of tracking your footsteps and your sleep movements, it tracks your blood oxygen level, heart rate, and lack of movement. Based on an algorithm tuned to identify signs of an overdose, the Opioid Overdose Recovery Bracelet would give you a shot of medicine in your wrist. If you have accidentally overdosed, it will give you a premeasured dose of naloxone from its reservoir, likely saving your life.”

Courtesy Dr. Steven R. Daviss

New lab will set records

On May 21, at the APA annual meeting in San Diego, the third Innovation Lab event will take place with record sponsorship and funding. More than $30,000 in prizes will be awarded to winning teams in the following categories: Grand Prize, Audience Choice, Outstanding Progress, Most Promising Innovation, and Most Disruptive Innovation. New this year, the Accelerator Prize will be awarded to the alumni team that has made the most progress since its participation in a previous Innovation Lab. A special prize from Google, worth $20,000, will be given to the innovation that best uses the potential of Cloud services, including Web applications, software, and machine learning.

Courtesy Dr. Steven R. Daviss

Dr. Daviss is the chief medical informatics officer at M3 Information and chairs the American Psychiatric Association’s Committee on Mental Health Information Technology.

Psychiatry Innovation Lab alumni

Entrepreneurs from the October 2016 competition created products that addressed addiction, autism, Alzheimer’s, posttraumatic stress disorder, and other mental disorders.

Finalists

• Overdose Recovery Bracelet – “A novel solution to the opioid epidemic” – Joseph Insler
• Spectrum – “An app to encourage facial processing and emotion recognition in autism spectrum disorder” – Swathi Krishna
• Spring – “Enabling personalized behavioral healthcare using machine learning and big data” – April Koh
• Alzhelp – “Using augmented reality and intelligent personal assistant software to keep Alzheimer’s patients safe” – Akanksha Jain, Michelle Koh, and Priscilla Siow
• MiHelper – “Identifying patterns of distress and determining optimal periods for real time mental health interventions” – Kammarauche Isuzu and Mackenzie Drazan
• WEmbrace – “A mobile application for foreign-background psychiatric patients to effectively provide critical care” – Ellen Oh

Semifinalists

• Broadleaf Mental Health –“Reaching school-aged children in the rural eastern Himalayas” – Michael Matergia
• TechLink – “Connecting students and tech” – Akanksha Jain, Michelle Koh, and Priscilla Siow
• Beacon – “Smarter therapy. Together” – Shrenik Jain and Ravi Shah
• Muse – “Assisted meditation in mental health” – Graeme Moffat
• MiResource – “Helping adolescents find the right therapeutic fit” – Gabriela Asturias and Mackenzie Drazen
• BraVe Reality – “Virtual treatment for PTSD patients” – Monica Kullar
• SKNR – “A user-centric psychotherapy tool for the digital age” – Hyun-Hee Kim
• We2Link – “Connect better” – Michael Malone PRISM – “Helping patients gain insight through digital art mobile app” – Kenechi Ejebe and Whitney McFadden

SOURCE: Dr. Daviss