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"Change is inevitable. Change for the better is a full-time job" 

Adlai Stevenson

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Goals, Objectives & Explanations
Goals, objectives and explanations

In mid December,  the candidates were at APA headquarters filming their answers to three questions.  Each response was limited to one minute.

This was one question and my response.

 

APA question:  Name one important issue facing APA and its members, and how you would plan to address it.

 

Jeffrey Geller's response:

 

Board certification and maintenance of certification are a fractious disaster. While the mean annual income of American psychiatrists is $186,000, the ABPN’s President and CEO makes over 5 times that amount at about one million dollars. 

 

A recent review of public financial disclosures by the specialty Boards suggests that the main purpose of MOC is to amass wealth for ABMS and the specialty boards, fund employee retirement plans, and finance pet real estate projects. These boards have Retirement Plan Net Assets of 141 million dollars—about double APA’s total net assets. 

 

Why should we psychiatrists support such a racket?  While ABPN’s recent newsletter gleefully informs psychiatrists that our annual MOC fee is lower than the average ABMS Member Board fee, on a percent of annual income basis, psychiatrists pay more for MOC than most other specialties. 

 

Enough!

 

My fix: APA prepares itself to grant its own board certification to all APA members as a member benefit.

Jeffrey Geller, MD., MPH

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  • Clinical Practice: Inpatients and outpatients

  • UMASS: Professor of Psychiatry; Medical Director, Worcester Recovery Center and Hospital

  • APA History: Board of Trustees, Assembly, Psychiatric Services Book Review Editor and Column Editor

  • Board of Directors (current): World Federation for Mental Health; Clubhouse International; American Association of Community Psychiatrists; Treatment Advocacy Center

  • Government Service History: WHO, USDOJ, SAMHSA

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Ballot Booklet

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Samuel Woodward, APA’s first president, was superintendent at the public psychiatric hospital where I serve as Medical Director.  I wrestle daily with the challenges of treating our patients and supporting our staff, as I imagine he did 180 years ago.

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We psychiatrists need sustenance ourselves.  APA should be a sustaining force.  Not simply through meetings and discounted travel, but through improving psychiatrists’ professional lives.

APA needs to do much more for members struggling with MOC; much more for psychiatrists marginalized in their jobs and battling Joint Commission’s capricious, expensive dictates; much more to improve psychiatrists’ compensation (a cardiologist in her first job earns 3x the average US psychiatrist’s salary); much more to move psychiatrists and our patients from the end of the benefits line and to effectively integrate psychiatry and medicine; much more to support psychiatrists in private practice so psychologists’ argument for prescribing due to inadequate access to care is eviscerated; and much more to destigmatize psychiatry.

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If elected President, I’ll assure APA helps us be better psychiatrists; this will surely benefit our patients. Maybe an inner city resident in Chicago avoids a homicide; a school avoids a mass shooting; a woman with schizophrenia is hospitalized not imprisoned.

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Throughout my career I’ve worked on behalf of our most disenfranchised patients and psychiatrists who care for them.  I’ve traversed the country consulting in 27 states and worked internationally.  I’ve been honored for this by APA with the Human Rights Award and Assembly Profile of Courage Award.

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I’ve stewarded APA Position Statements on key issues, including ending the IMD Exclusion and rejecting direct to consumer advertising.  After 11 years on the Board and 25 years in the Assembly, I know how to get things done within our organization.  Together we can assure that APA works better for us all. 

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Thank you.

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Professional Life of Jeffrey Geller

Professional life of Jeffrey Geller, MD, MPH

Informing the Public

Informing the Public

Letters to the Editor

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Books

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  • Women of the Asylum: Voices from Behind the Walls, 1840-1945

Available from the following locations:

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Amazon:

https://www.amazon.com/Women-Asylum-Voices-Behind-1840-1945/dp/0385474237

 

NYU Langone Health: http://medhum.med.nyu.edu/view/1167

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Newspaper Articles

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Sacco C, Geller J: Mental Illness: Understanding the power of words, labels. Berkshire Eagle, Manchester Journal, Brattleboro Reformer, Bennington Banner, 2/19/16.

 

Sacco C, Geller J:  Myth vs. Fact: Sorting out mental illness, violence relationship.  Berkshire Eagle, Manchester Journal, Brattleboro Reformer, Bennington Banner, The Sun: San Bernardino, San Valley Gabriel Tribune, The Daily Breeze,  3/18/2016.

 

Sacco C, Geller J:  Myth vs. Fact: Understanding what autism means. Berkshire Eagle, Manchester Journal, Brattleboro Reformer, Bennington Banner, 4/15/16

 

Geller J, Sacco C: Trauma and health: Connecting the dots. Berkshire Eagle, Manchester Journal, Brattleboro Reformer, Bennington Banner, 5/20/2016 .  

                                                                     

Geller J, Sacco C: Myth vs. Fact: Transcending barriers in the work place. Berkshire Eagle, Manchester Journal, Brattleboro Reformer, Bennington Banner, 6/17/16.

 

Geller J, Sacco C: Myth vs. Fact: Shades of Darkness: Recognizing Depression. Berkshire Eagle, Manchester Journal, Brattleboro Reformer, Bennington Banner, 7/15/2016.   

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Sacco C, Geller J:  Myth vs. Fact: Know the difference between grief, major depression. Berkshire Eagle, 8/12/2016.

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Geller J, Sacco C: Myth vs. Fact: Not always a straight path when treating depression. Berkshire Eagle 

(Pittsfield, MA), Manchester Journal (Manchester, VT), Brattleboro Reformer (Brattleboro, VT), Bennington Banner (Bennington, VT), 9/19/2016.

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Sacco C, Geller J: Myth vs. Fact: Nothing ‘natural’ about synthetic substances. Berkshire Eagle (Pittsfield, MA), Manchester Journal (Manchester, VT), Brattleboro Reformer (Brattleboro, VT), Bennington Banner (Bennington, VT), 10/24/2016.​

What you might not know about me

Personal

I was born in New York City (Manhattan), a 5th generation New Yorker.

My first room at home was a walk-in closet in a one bedroom apartment.

I am the product of the New York State public school system, grades K-12.

Virtually everyone in my quite large extended family was in the women’s shoe business.

I became the first physician in my extended family, having had no interest in the shoe business.

 

My parents were social activists and I was exposed to this perspective my whole life.  For example, they addressed the fact I was in a school system with virtually no minorities by sending me to an all-black after school program in the next town (I was the only white kid), took me on civil rights marches from the earliest years of the movement, encouraged me to work in Olympic National Park (Washington State) when I was 16 years old and to make my way back across the country on my own, and went with me to hear such speakers as Martin Luther King, Bayard Rustin and Robert Kennedy in small, local venues.

 

I am the oldest of three boys; one brother is an attorney who specializes in geriatric law and one is an artist who does public art works.  My wife, a retired social worker and I are the parents of three boys; the oldest has developmental disabilities and works at Brigham and Women’s Hospital; the middle one lives in Brooklyn, commutes by bicycle to Manhattan and works as an interaction designer; the youngest in an intensivist cardiologist who lives in Portland and works at Maine Medical Center.  I have one grandson, Maverick, age 2 years old.

 

I was an undergraduate at Williams College and spent the second semester of my junior year as an exchange student at Vassar College.  This was the first year of the exchange and there were about 50 men on a campus of 1600 women. I have always described my undergraduate years as attending an all-men’s school and an all-women’s school but never a coed school.  I have 50-year friendships from that time in Poughkeepsie.

 

I attended medical school at the University of Pennsylvania where one of my teachers was Aaron (Tim) Beck.  He remains my friend.  I had the rare opportunity to attend a lecture by Anna Freud while in Philadelphia.  I did a medical internship at Philadelphia General Hospital, the infamous city hospital.  In retrospect, my commitment to public sector work coalesced during that experience.

 

My residency was in Boston in the era that saw the transition from psychodynamic training to a more eclectic mix of psychotherapies and psychopharmacology.  I did an NIMH fellowship titled, “Psychiatry in Primary Care.”  I was a psychiatrist embedded in one of the first academic primary care clinics in the US and fulfilled functions much like what those advocating for the integration of medicine and psychiatry support today.

 

During my last year of residency and during my fellowship I would run across the Harvard Medical School campus from Beth Israel Hospital to the Harvard School of Public Health to take courses that lead to my MPH.  It was here that my interest in global health was solidified.

 

I decided I wanted to be a psychiatrist when I was in junior high school, aka middle school. My first experience at a state hospital was right after I graduated from high school.  I was working at a camp for blind adults, and took two women, attendees of that camp, to visit a friend of theirs at Rockland State Hospital.

 

Several years later, I spent my summer working as a recreation aid at Gracie Square Hospital, a private psychiatric hospital in Manhattan.  My formal exposure to psychiatry began as a first year medical student, enrolled in a didactic course with psychiatric residents.  I was an extern the summer between my first and second years of medical school at Austen Riggs Center in Stockbridge, MA. where I had the amazing experience of moving back and forth between the patient and the professional communities, not exactly identified with either.   I spent 4 months of medical school in a mission hospital in western Kenya, my first of many international work experiences.

 

In residency, in my program, trainees had to choose another institution to spend an additional six months doing inpatient psychiatry.  Most residents went to McLean Hospital.  I chose, along with one other resident, to go to Worcester State Hospital. This was another big step on my road to public sector psychiatry.  But I also never left my roots in psychodynamic psychotherapy and have done both throughout my career.

 

Many of you know me from one context or another during my years since I left training.  For those who don’t, please see other sections of my webpage.  You may also see a video of me, responding to three questions, produced by APA at psychiatry.org/elections.

 

Thank you for your time and attention.

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Jeffrey Geller

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Professional

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"I may well have done work in your state at one or more public psychiatric hospitals, public developmental disability centers, private hospitals, or state-wide mental health system. In many instances I was the state's expert in Olmstead cases, Civil Rights of Institutionalized Persons Act cases, or negligence/malpractice cases in psychiatric hospitals."

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What You May Not Know About Me
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