Physician Patient

Psychiatry and Behavioral Medicine

Door County Summer Institute

Greetings!

Welcome to the Thirty-Second Annual Door County Summer Institute. We hope this year’s offerings will assist you in your ongoing professional development while providing an opportunity to recharge and reinvigorate yourself in Door County.

Carlyle H. Chan, MD
Institute Director

About Door County
Door County, Wisconsin, is an area of captivating scenic beauty. From its steep limestone bluffs to the spacious sand beaches, the 250-mile shoreline is both dramatic and serene. Almost every kind of outdoor activity is available, as the area has four state parks and many local parks, beaches, hiking trails, and golf courses.

2018 Brochure (PDF)

Session Information
From July 23 to August 10, thirteen separate sessions will comprise this year’s Summer Institute. The 5-day sessions are held from 9:00 am to 12:15 pm, and 2-day sessions from 8:00 am to 12:15 pm, leaving afternoons free to explore the wonders of Door County. All seminars are held at the Landmark Resort in Egg Harbor, Wisconsin. A continental breakfast will be served daily. Casual dress is standard for all sessions.

View all sessions for the 32nd Annual Door County Summer Institute (PDF)

Past Brochures

2017 Door County Institute (PDF)

2016 Door County Institute (PDF)

all
Overview of 2018 Sessions
Session 1 - Treatment of Patients with Substance Abuse Disorders and Various Co-occurring Psychiatric Disorders | Donald Meichenbaum, PhD

5 days | July 23-27 | 9 am-12:15 pm

Donald Meichenbaum, PhD, is Distinguished Professor Emeritus, University of Waterloo, Ontario, Canada, and Research Director of the Melissa Institute for Violence. He is one of the founders of cognitive behavior therapy, and in a survey of clinicians, he was voted "one of the ten most influential psychotherapists of the 20th Century." He has received a Lifetime Achievement Award from the Clinical Division of the American Psychological Association. His recent book Roadmap to Resilience offers specific examples of ways to bolster patient's resilience.

Recently, Dr. Meichenbaum has been a consultant to residential treatment centers and outpatient clinics that treat patients with addiction and co-occurring psychiatric disorders focusing on the treatment of opioid addictions. He has developed staff training manuals and patient worksheets on ways to conduct a comprehensive, integrated, phase-oriented treatment approach.

This workshop provides an opportunity to share both his clinical experience and the accompanying materials. Particular focus will be on patients who experience substance abuse disorders and complex PTSD, depression, and aggressive behaviors toward self and others. How to implement the core tasks of psychotherapy to achieve lasting changes will be presented. A detailed handout and a to-do list of clinical activities that can be implemented immediately will be provided.

Session 2 - Mindfulness and Compassion in Psychotherapy: An Educational Retreat | Ronald Siegel, PsyD

5 days | July 23-27 | 9:00 am-12:15 pm

Ronald Siegel, PsyD, is Assistant Professor of Psychology, part time, at Harvard Medical School, where he has taught for over 35 years. He’s a long-time student of mindfulness meditation, serves on the Board of Directors and faculty of the Institute for Meditation and Psychotherapy, and maintains a private clinical practice in Lincoln, MA. Dr. Siegel is coeditor of Mindfulness and Psychotherapy, 2nd Edition, author of The Mindfulness Solution: Everyday Practices for Everyday Problems, coeditor of Wisdom and Compassion in Psychotherapy, and coauthor of the professional guide Sitting Together: Essential Skills for Mindfulness-Based Psychotherapy.

Clinicians are discovering that mindfulness and compassion practices can enlighten and enliven their lives, both inside and outside the therapy hour. These techniques hold great promise for personal development and as a powerful method to enhance virtually all forms of psychotherapy. To incorporate these practices, we need an intellectual and intuitive understanding of them. In this symposium, a solid theoretical understanding of mindfulness from Buddhist and western perspectives will be developed. Instruction in meditation and the opportunity for personal practice in a relaxed and supportive atmosphere will be given.

Through lecture, demonstration, experiential exercise, and small group discussion, we will examine how mindfulness practice can enhance therapeutic presence and transform our understanding of psychological suffering across the diagnostic spectrum. Optional non-CME guided meditation practice will be offered Tuesday through Friday morning and on Wednesday afternoon at no extra charge. While this course is suitable for seasoned mindfulness practitioners, no prior experience with meditation is required.

Session 3 - ADHD in Children and Adults: Advances in Diagnosis, Nature, Life Course, and Management | Russell Barkley, PhD

2 days | July 23-24 | 8:00 am-12:15 pm

Russell Barkley, PhD, is Clinical Professor of Psychiatry at the Virginia Treatment Center for Children and the VA Commonwealth University Health Center. He has over 40 years of research and clinical experience in ADHD. He is board certified in Clinical Psychology, Clinical Child and Adolescent Psychology, and Clinical Neuropsychology. Dr. Barkley is a clinical scientist, educator, and practitioner who has published 25 books, rating scales, and clinical manuals as well as more than 290 scientific articles and book chapters related to the assessment and treatment of ADHD and related disorders. He has received awards from the American Psychological Association, American Academy of Pediatrics, American Board of Professional Psychology, New England Educational Institute, and Children and Adults with ADHD (CHADD).

ADHD is one of the most common childhood behavioral disorders, affecting up to five to seven percent of the school-age population, accounting for the largest proportion of children referred to mental health programs in this country. Clinicians are increasingly aware that ADHD does not disappear over development and that many individuals with the disorder in childhood will continue to manifest into adulthood. ADHD will persist into adolescence in up to 80 percent of childhood cases, and up to 65-70 percent of these cases into adulthood.

This workshop will provide current information on the causes of ADHD, including neuroanatomy, genetics, and potential environmental contributors to the disorder. We will also review the implications of current etiological research for understanding and management. We will focus on key developments in research on the most effective treatment treatments for ADHD as well as an overview of treatments deemed experimental and those that have been disproven or remain unproven.

Session 4 - Current Topics in TBI & Clinical Neuropsychology | Sara Swanson, PhD, Michelle Loman, PhD, & David Sabsevitz, PhD

2 days| July 26-27 | 8:00 am-12:15 pm

Sara Swanson, PhD, ABPP, is MCW Professor of Neurology and Division Chief of Neuropsychology. She provides clinical training for Neuropsychology Postdoctoral Fellows and is co-investigator on a NIH grant to study language fMRI in epilepsy surgery candidates.

David Sabsevitz, PhD, ABPP, is MCW Associate Professor of Neuropsychology specializing in the evaluation and treatment of adults with neurological, behavioral, and developmental disorders. He is the director of the Neuropsychology Brain Tumor Clinic.

Michelle Loman, PhD, is MCW Assistant Professor of Neuropsychology whose clinical and research interests focus on neuropsychological functioning and developmental outcomes of children and adolescents with traumatic brain injury (including concussion), congenital heart disease, and epilepsy.

Neuropsychology faculty from MCW will discuss cutting edge topics in clinical neuropsychology through case examples and current research. Workshops will address current thinking on assessment and management of pediatric concussions and describe the neuroanatomical correlates and cognitive constructs underlying a variety of neurobehavioral syndromes.

Session 5 - Caring for Patients with Medical and Psychiatric Comorbidity | Thomas Heinrich, MD, & Christina Wichman, DO

2 days | July 30-31 | 8:00 am-12:15 pm

Thomas Heinrich, MD, is Professor of Psychiatry and Family Medicine at MCW. He is director of the Froedtert Hospital CL service treating complex presentations of medical, surgical, and neuropsychiatric illnesses. Dr. Heinrich is Vice Chair for Clinical Services and is also Medical Director of Process Improvement of Inpatient Medical and Surgical Services at Froedtert Hospital.

Christina Wichman, DO, is Associate Professor of Psychiatry and OB-GYN at MCW. She completed residency in Psychiatry and fellowship in Psychosomatic Medicine at Mayo Clinic. She directs a co-located perinatal psychiatric service within the Department of OB-GYN and is Director of Women’s Mental Health at MCW. She is Medical Director of The Periscope Project, a perinatal psychiatric teleconsultation service. She is director of the CL Fellowship, and Director of the CL service at Froedtert Hospital.

Consultation-Liaison Psychiatry is a subspecialty of psychiatry dealing with complex comorbid psychiatric and medical illness. Over ten million Americans may suffer from co-morbid medical and psychiatric illnesses, making the need to evaluate, diagnose, and treat such individuals a significant public health issue. CL psychiatry not only has a home on medical and surgical units of general medical hospitals, it is expanding to include models of collaborative care with primary and subspecialty medical care settings with mental health providers playing a key role in developing integrated care models for patients with psychiatric conditions.

This symposium provides an overview on some of the most common and interesting topics in the field of CL psychiatry including cardiac and pulmonary disease, traumatic brain injury and diabetes, women’s mental health, as well as dementia and stroke. These topics will be taught in a stimulating and interactive, often case-based, manner.

Session 6 - Integrating Trauma and Shame Work with Men Who Batter | Darald Hanusa, PhD

2 days | July 30-31 | 8:00 am-12:15 pm

Darald Hanusa, PhD, is a Senior Preceptor and Lecturer at the UW-Madison School of Social Work where he has taught since 1978. He is the founding member and past chair of the WI Batterers Treatment Providers Association and the Dane County domestic violence task force. Dr. Hanusa specializes in domestic violence with both perpetrators and survivors since 1980. He treats abusive men through the ATAM Program (Alternatives and Treatment for Abusive Men) and counsels survivors through the Midwest Domestic Violence Resource Center. He provides consultation and training to private and public agencies working with domestic and workplace violence.

Traditionally, programs for men who batter have not included a focus on their own victimization issues. Yet studies have shown that partner-violent men have insecure attachment issues more than non-partner violent men. One half or more have childhood trauma histories related to direct maltreatment and exposure to IPV. Such shame-based trauma causes problems with emotional regulation as well as in accessing conflict resolution skills.

This workshop provides an overview of treatment with men who batter and a rationale for the inclusion of shame-based trauma work with this population. Using group exercises and hands-on practice, detail about how shame-based trauma work can be integrated in treatment will be presented. Through interactive and experiential exercises, emphasis will be on understanding the trauma-shame connections from both a personal and professional perspective. Examples of shame-based treatment methodology, based in part on participant provided case examples, will provide a basis for discussion.

Session 7 - Mindful Improvisation: A Relational Form of Meditation | Fred Heide, PhD & Lee Becker

5 days | July 30-Aug. 3 | 9:00 am-12:15 pm

Frederick Heide, PhD, is Associate Professor at the California School of Professional Psychology at Alliant International University, where he has won both the Master Teacher and Teacher of the Year Awards. Dr. Heide received the Outstanding Research Contribution Award from the Association for Advancement of Behavior Therapy for his work on relaxation-induced anxiety. Dr. Heide is also co-founder of and performer with Door County’s Northern Sky Theater, which was the 2012 recipient of the WI Governor’s Award for Arts, Culture, and Heritage. He studied acting and created several shows with Paul Sills, founding director of Chicago’s Second City Theater.

Lee Becker began improvising 30 years ago with ComedySportz while attending UW Madison. He helped found ComedySportz NYC, and also worked with the group in Milwaukee, running workshops in all three locations. He is a core member of Northern Sky Theater where he is a performer, musician, and playwright. Lee was a founding member of Door Shakespeare and has also performed and written for First Stage Children’s Theater in Milwaukee.

The term “meditation” refers to a variety of practices that concentrate sustained attention on an object, such as the breath, a mantra, or sounds in the natural environment. The form of meditation that has garnered attention recently among researchers and the public is mindfulness, which involves sitting quietly while non-judgmentally directing attention to the breath and the ongoing flow of mental experience.

This workshop will explore meditative aspects of behavioral improvisation, a form of spontaneous social interaction pioneered by Second City founding director Paul Sills. Like mindfulness, behavioral improvisation employs nonjudgmental present-centered awareness to transcend the thinking mind. Rather than focusing on the breath, behavioral improvisation focuses on what existential theorists call the mitwelt, or interpersonal world. Participants will explore simple improvisational exercises to augment sustained non-conceptual awareness. After an overview of research and theory on meditation and mindfulness, the bulk of the week is devoted to engaging in these exercises in a safe, highly supportive atmosphere. Brief mindfulness practice will be included.

Session 8 - Suicide Assessment, Documentation, and the Law | Jeffrey Garbelman, PhD

2 days | August 2-3 | 8:00 am-12:15 pm

Jeffrey Garbelman, PhD, is a psychologist at the Milwaukee VA, providing forensic opinions across a 12-state area involving veteran suicides and other causes of death. He is also the Milwaukee VA Police Psychological Consultant and co-directs the VA Centralized Assessment Unit. He is a consultant for the Wisconsin Department of Corrections, overseeing their Crisis Intervention Partners training program and is certified by the American Association of Suicidology in Psychological Autopsy providing consultation, training, and forensic services in areas of PTSD and suicide risk assessment, documentation, and the law.

Suicide is one of the leading public health problems of our time. As mental health professionals, we are charged with the assessment and treatment of suicide without the capacity to meaningfully predict suicide. In many cases, we lack even a shared language to discuss suicide risk. The result is often missed treatment opportunities, failures in communication of risk, over taxing of limited resources, and concerns of litigation.

This symposium provides an approach to suicide risk assessment and documentation which is pragmatic, evidence based, and legally justifiable based upon a detailed application-based discussion of theories of suicide with the review of various suicide risk assessment inventories. This session also includes an interactive certification training in one of the gold standards in suicide risk assessment: The Columbia Suicide Severity Rating Scale (CSSRS). The CSSRS is recognized as a best practice by the WHO, AMA, and was incorporated into the suicide section of the SCID and the CDC’s definitions of suicidal ideation and behavior. It is used by dozens of government agencies, both locally and nationally.

Session 9 - Motivational Interviewing: Toward More Effective Counseling and Psychotherapy | William R. Miller, PhD

2 days | August 2-3 | 8:00 am-12:15 pm

William R. Miller, PhD, is Emeritus Distinguished Professor of Psychology and Psychiatry at the University of New Mexico where he served as Director of Clinical Training for the psychology doctoral program and as Co-Director of the Center on Alcoholism, Substance Abuse, and Addictions (CASAA). With more than 40 years of experience in addiction research and treatment, he served as principal investigator for research grants and contracts, founded a private practice group, directed a large public treatment program, and served as a consultant to organizations including the US Senate, the WHO, and the NIH. Dr. Miller and Stephen Rollnick are the developers of Motivational Interviewing.

This workshop will provide an up-to-date introduction to motivational interviewing via a combination of presentation, demonstration, and experiential practice. Particular focus will be on the linguistic and strategic features that are unique to MI. Though MI is itself an evidence-based intervention, it more generally provides a person-centered approach to clinical practice by specifying and integrating common therapeutic factors that influence treatment outcome.

Session 10 - Through Compassion to Serenity in the Mindful Viewing of Japanese Films | Francis Lu, MD

5 days | August 6-10 | 9:00 am-12:15 pm

Francis Lu, MD, is the Luke & Grace Kim Professor in Cultural Psychiatry, Emeritus, at the University of CA, Davis. As a Distinguished Life Fellow of the American Psychiatric Association, Dr. Lu has contributed to cultural psychiatry, psychiatric education, film and psychiatry, and religion and spirituality. Since 1987, he has co-led 34 film seminars at Esalen Institute in Big Sur, CA. In 2008, the American Psychiatric Foundation awarded him its Advancing Minority Mental Health Award, and the Association for Academic Psychiatry awarded him its Lifetime Achievement Award. He is Secretary of the Society for the Study of Psychiatry and Culture and on the Board of the World Association for Cultural Psychiatry.

"Only the development of compassion and understanding for others can bring us the tranquility and happiness we all seek." – Dalai Lama XIV

This seminar aims at a mindfulness experience through viewing five Japanese films in which inspiring characters embody positive psychological qualities (compassion, courage, forgiveness, gratefulness, wisdom, serenity) for the purpose of renewing these qualities in our lives and in our work with patients. These films engender mindfulness, evoke compassion, and lead viewers to serenity through their embodiment of exquisite Japanese aesthetic concepts that are accessible to all viewers. One film is shown on each of the five days with an introduction and centering process to begin the session and processing after the film focusing on the participant's own experience of the movie. Optional, non-CME evening sessions are offered in which an additional film is shown and processed. Movies take on an exquisite cumulative power when shown over five days in a group setting that is truly remarkable and unforgettable.

Session 11 - Practical Update to Prescribing Psychiatric Medications | Ronald Diamond, MD & David Katzelnick, MD

5 days | August 6-10 | 9:00 am-12:15 pm

Ronald Diamond, MD, is retired Medical Director of Journey Mental Health and retired from the UW-Madison Department of Psychiatry in January 2018. He has been involved in community-based treatment of persons with severe and persistent mental illness for over 40 years. Dr. Diamond has taught and written on issues of staff training, ethics, decreasing coercion, medication compliance, psychiatric administration, and system design and is interested in how to integrate concepts of recovery and cultural competence into clinical practice.

David Katzelnick, MD, is Co-Chair of the Division of Integrated Behavioral Health and Professor of Psychiatry at the Mayo Clinic. His major clinical and research interests are mood and anxiety disorders and dissemination of effective treatments in primary care. He has been principal investigator for a number of retrospective and prospective randomized trials. He has lectured extensively on mood and anxiety disorders and ways to improve treatment of mental disorders in real world settings.

This workshop presents an update of psychopharmacology focusing on the needs of practicing clinicians by covering medications used to treat the most common psychiatric disorders including psychotic disorders, unipolar and bipolar disorders, anxiety, and borderline personality disorder. We will focus on indications for the use of medications, side effects, issues around use and risks, and review both what is well known and new findings that will improve outcomes. This workshop is appropriate for all clinicians prescribing psychotropic medications including psychiatrists, primary care physicians, APNPs, nurses, and social workers who work with patients taking psychiatric medications.

Session 12 - Personality & Politics | Jerrold Post, MD

2 days | August 6-7 | 8:00 am-12:15 pm

Jerrold Post, MD, is Professor Emeritus of Psychiatry, Political Psychology, and International Affairs at George Washington University. Prior to his position there, he had a 21-year career with the CIA, where he founded and directed the Center for the Analysis of Personality and Political Behavior, providing assessments of foreign leadership and decision making for the President and other senior officials to prepare for high level negotiations and for use in crisis situations. Dr. Post is author of several books including, Narcissism and Politics: Dreams of Glory, and The Mind of the Terrorist: The Psychology of Terrorism from the IRA to al-Qaeda.

Political Psychology addresses the nexus between politics and psychology – what leads leaders to lead, followers to follow? How can ordinary people perpetrate extraordinary evil? This symposium will survey the field of political psychology, the interdiscipline concerned with the connection between political and psychological processes. Consideration will be given to influences on political behavior from the perspective of the individual, the group, the organization, and the nation-state. Special consideration will be given to crisis decision making, the psychology of international conflict, and the need for enemies.

Session 13 - The Mind of the Terrorist | Jerrold Post, MD

2 days | August 9-10 | 8:00 am-12:15 pm

Jerrold Post, MD, is Professor Emeritus of Psychiatry, Political Psychology, and International Affairs at George Washington University. Prior to his position there, he had a 21-year career with the CIA, where he founded and directed the Center for the Analysis of Personality and Political Behavior, providing assessments of foreign leadership and decision making for the President and other senior officials to prepare for high level negotiations and for use in crisis situations. Dr. Post is author of several books including, Narcissism and Politics: Dreams of Glory, and The Mind of the Terrorist: The Psychology of Terrorism from the IRA to al-Qaeda.

There is not one terrorism, but rather a spectrum of terrorisms, and accordingly there is a spectrum of terrorist psychologies. This symposium strives to convey an understanding of the individual, social, and organizational psychology of terrorism that impels members to righteously kill civilians in pursuit of their goals. Consideration is given to the implications of current trends for the future course of terrorism, and implications for counter-terrorism.
Tuition and Refunds
Tuition for five-day sessions is $610. Two-day sessions are $350. Tuition for full-time graduate students and resident physicians is $360 per week with a letter from the training director. Please note: A $10 non-refundable processing fee is assessed on all registrations.

Tuition for five-day sessions will be reduced to $560, and to $300 for two-day sessions, if received by May 18. Groups of three or more may deduct an additional $50 from each five-day registration and an additional $25 from each two-day registration if submitted at the same time with payment.

Refunds, minus a $50 administrative fee, may be obtained if requested in writing no later than 15 days prior to the beginning of each session. There will be no refunds thereafter.
Accommodations
Lodging in July and August is in great demand; it is crucial that you make reservations early. A block of suites has been set aside at the Landmark Resort. These suites will be held until June 15, or until they are filled. After that, the rooms are on a space available basis.

From its site on the bluff, the Landmark offers outstanding views of the waters of Green Bay with 294 units comprised of 1, 2, and 3-bedroom suites. Facilities include the Carrington Pub and Grill, 10 meeting and function rooms, 1 indoor and 3 outdoor pools, 2 tennis courts, whirlpools and steam rooms, and a fitness center and game room. The Landmark Resort is Door County’s largest and best full-service facility. As of May 2017, all suites at the Landmark have been renovated. Visit their website for photos and details.

The Landmark Resort
4929 Landmark Dr.
Egg Harbor, WI 54209

Reservations: (800) 273-7877 or book online.

Please indicate that you are attending the Summer Institute.
Accreditation and Designation of Credit
Accreditation

The Medical College of Wisconsin is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Designation of Credit

The Medical College of Wisconsin designates each week-long session of this live activity for a maximum of 15 AMA PRA Category 1 Credits™ and each two-day session for a maximum of 8 AMA PRA Category 1 Creditstm. Physicians should claim only the credit commensurate with the extent of their participation in the activity. MCW designates each week-long session for up to 15 hours of participation and each two-day session for up to 8 hours of participation for continuing education for allied health professionals.

The Medical College of Wisconsin is approved by the American Psychological Association to sponsor continuing education for psychologists. MCW maintains responsibility for this program and its content.

This activity contains content or processes that may be potentially stressful.

MCW is registered with the Illinois Department of Professional Regulation as a Continuing Education Sponsor for social workers (license number 159-000664).

Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending.
Special Needs
Please call our office at (414) 955-7250 at least two weeks in advance of any session if you have special needs.

Disclosure
Consistent with ACCME policy, faculty for all MCW continuing education programs must disclose all relevant financial relationships with commercial organizations. MCW has a mechanism in place to identify and resolve conflicts in advance of the DCSI.

Registration

Please note that we are no longer accepting payment by check. Please access the EthosCE website to register and pay by credit card.

  • If you do not already have an EthosCE account, select "Create Account" in the upper right corner and enter all the required information.
  • You will need to access this account again to complete a course evaluation and print your CME certificate, so please make a note of your username and password.
  • The deadline for claiming CME credit is December 31, 2018, after which a $25 late fee will be applied.

Register and Pay for a Session

 Log in to your newly-created, or existing, EthosCE account, then select:

  1. Learning Groups
  2. Behavioral Health
  3. The 33nd Annual Door County Summer Institute
  4. Select a session you wish to attend
  5. Add to cart
  6. Click Checkout to pay or Continue Shopping to add another session

Registration instructions (PDF)

Registration Fees

5-Day Sessions: 1, 2, 7, 10 & 11

Before May 18: $560
After May 18: $610

Additional Session (enter coupon code +DCSI)
Before May 18: $460
After May 18: $510

2-Day Sessions: 3, 4, 5, 6, 8, 9, 12 & 13

Before May 18: $300
After May 18: $350

Group Rate (Minimum 3 registrations)

5-Day Sessions
Before May 18: $515 per person
After May 18: $560 per person

2-Day Sessions
Before May 18: $275 per person
After May 18: $325 per person

Please call (414) 955-7250 with names of group members and receive a coupon code before registering.

Full time students/residents

Before May 18: $310
After May 18: $360

Call (414) 955-7250 for coupon code.

Contact Us

Brenda Konczal
CME and Residency Education Coordinator I
bkonczal@mcw.edu | (414) 955-7250