PM&R Grand Round Series: Depression and Delirium - Online CME Course

 Leah Struss, O.T., BCPR, Sarika S. Pandey, O.T.D. OTR/L, Danielle Anshus, M.S., O.T. and Heather Clark, Ph.D.

**This course is for Mayo Clinic Personnel only**

This educational course series will differentiate the evaluation and treatment between delirium and depression. This course will benefit providers of all backgrounds that treat patients with the focus on the diagnostic criteria and pharmacology treatment for depression, delirium, as well as provider-focused evaluation and treatment for depression and/or delirium from a therapeutic approach. This course will promote professional development as the learner will gain insights regarding how to improve care for individuals with depression and/or delirium across the spectrum of PM&R, from varying provider perspectives. Staff participating in this continuing education will learn how delirium and depression are unique but have overlap as well in their treatment approaches, across the continuum of care.

Target Audience

NOTE: This course is only open to Mayo Clinic employees. The intended audience includes occupational therapists, occupational therapy assistants, physical therapists, physical therapist assistants, physicians, speech language pathologists, and therapy students.

Learning Objectives

Upon conclusion of this program, participants should be able to:

  • Identify delirium features and risk factors.
  • Recall strategies used to manage delirium.
  • Recall delirium prevention and treatment interventions from a medical provider and therapist perspective.
  • Choose the negative consequences of delirium.
  • Recall signs, symptoms, and considerations of depression.
  • Identify barriers to participation and recovery when depression needs are not met during hospitalization.
  • Identify treatment goals for addressing depression in patients.
  • Choose resources and treatment options that benefit patients experiencing depression.

Utilization of this Mayo Clinic online (enduring materials) course does not indicate nor guarantee competence or proficiency in the performance of any procedures which may be in this course.

Course summary
Available credit: 
  • 0.20 ASHA
  • 3.00 AOTA
  • 3.00 PT
Course opens: 
Course expires: 





12:10-1:00 pm

Fiona Fonseca, M.B., B.Ch., B.A.O.

Sheharyar Sarwar, D.O.

“Where am I?” Psychiatry's Approach to Delirium


12:10-1:00 pm

Emily Schmitt, O.T., O.T.D.

Kaylee Lanser, M.S., CCC-SLP

“What do I do about it?” Delirium Evaluation and Treatment


12:10-1:00 pm

Ashley Vincent, M.S., O.T.

Trish Wagle, O.T., MOT

“How Did I Get Here?” Signs and Symptoms of Depression


12:10-1:00 pm

Kalli Paukert, M.S., O.T.

Rachael Juba, O.T.

“Where Do I Go from Here?”  Interventions and Lifestyle Approaches

This education series is delivered online, synchronously using the Zoom platform. If you need accommodations or experience technical issues, please email or

Fiona Fonseca, M.B., B.Ch., B.A.O. - Dr. Fonseca is a consultation-liaison psychiatry fellow at the Mayo Clinic in Rochester, MN. Their current fellowship includes a focus on transgender medicine and reproductive psychiatry. They have special interests in cultural psychiatry, psychotherapy, medical ethics, physician wellness, and advocacy for their patients and profession.

Sheharyar Sarwar, D.O. - Sheharyar Sarwar is a board-certified psychiatrist and a consultation-liaison psychiatry fellow in the Department of Psychiatry and Psychology at the Mayo Clinic. From the onset of his training, Dr. Sarwar has been working closely with a variety of specialties to identify and treat delirium, recognizing unique cases and formulating individualized treatment plans for patients and teams to achieve best outcomes. During his fellowship, Dr. Sarwar has been working with residents to do a “deep dive” into the current literature surrounding delirium. Other areas of interest for Dr. Sarwar include cultural psychiatry, integrated behavioral health, catatonia, schizophrenia, mood disorders, neurocognitive disorders, and neuromodulation. Outside of his fellowship, he is involved in multiple national organizations, working to promote the service of humanity in the United States and abroad. Dr. Sarwar will sit for his consultation-liaison psychiatry boards in September of 2023.

Emily Bodensteiner Schmitt, OTD, OTR/L - Emily has worked at Mayo Clinic Rochester as an occupational therapist since September 2016, and her career to date has been dedicated to ICU rehab. She currently serves at the ICU clinical lead OT, and she is a Mayo Clinic Gold Quality fellow. She is actively involved in research, projects, committees, and presentations related to the ICU embedded therapy model, delirium management, and Post-Intensive Care Syndrome. Emily completed her Master of Occupational Therapy degree at the University of Minnesota Rochester in 2016 and her Occupational Therapy Doctorate at University of St. Augustine for Health Sciences in 2022.

Kaylee Lanser, M.S., CCC-SLP - Kaylee is a speech-language pathologist at Mayo Clinic Rochester. Over the past nine years at Mayo Clinic, she has provided evaluation and treatment to both inpatients and outpatients in the areas of speech, language, cognitive communication, and dysphagia. She enjoys working with patients along the entire continuum of care, rotating among acute care, inpatient rehabilitation, and outpatient communication/cognition settings throughout the year. Her clinical interests include interdisciplinary collaboration, functional and patient-centered goal setting, family/caregiver training and, above all, empowering and training patients in self-advocacy despite their various communication challenges. She has published and presented nationally on dysphagia issues related to Parkinson disease and public perception of non-oral nutrition. She enjoys providing education and observation opportunities for PM&R and Neurology residents, nursing staff, Mayo Clinic's Clinical Fellows and PT/OT colleagues.

Ashley Vincent, M.S., O.T. - Ashley is a mental health occupational therapist at Mayo Clinic in Rochester, MN. Ashley’s practice interests include adolescent and young adult, geriatric, and community mental health. Before joining Mayo Clinic, Ashley worked with geriatric Veterans. Ashley completed a clinical rotation focused on mental health at Mayo Clinic. In fall, 2020, Ashley graduated from University of Illinois at Chicago. Prior to occupational therapy, Ashley worked as an educator in Portland, Oregon.

Trish Wagle, O.T., MOT - Trish is an occupational therapist at Mayo Clinic Rochester, MN. She works in several areas of mental health including inpatient therapy, outpatient therapy, and the adult Pain Rehabilitation Center program. Her practice interests include chronic pain management, mood disorders, adult-onset ADHD, and cognitive assessment. Prior to starting her career as an OT, Trish was a middle school and high school teacher and instructional designer.

Kalli Paukert, M.S., OTR/L - Kalli has been an Occupational Therapist at Mayo Clinic in Rochester, MN since June 2020. Her educational background includes a bachelor’s degree in psychology and her master’s degree in occupational therapy from the University of Wisconsin- La Crosse. Kalli completed a level two fieldwork at Mayo Clinic on the mood disorders unit. She continued to pursue this field of interest as she joined the OT mental health practice at Mayo Clinic. Kalli works in inpatient and outpatient mental health with adolescents and adults as well as the pediatric pain rehabilitation program. She also supports the acute care practice providing weekend coverage. Recently, Kalli expanded her skill set and is trained in using biofeedback as a treatment intervention to promote stress management and use of relaxation skills.

Rachael Juba, MA., OTR/L. - Rachael has worked in a variety of mental health practice areas including inpatient settings, partial hospitalization programs, and residential treatment facilities. Her practice interests include program development, values-driven interventions, and biofeedback.

Physical therapy credit: Sponsored by the Program in Physical Therapy, College of Medicine, Mayo Clinic. This course meets the criteria for up to 3.00 category I Continuing Education Units per Minnesota Physical Therapy Rules 5601.2400, 5601.2500.

Occupational therapy credit: Mayo Clinic - Rochester Campus is an approved provider of continuing education by the American Occupational Therapy Association #5660. PD activity approval number 05876. This distance learning – interactive course is offered at up to 0.30 CEUs, and 3.0 contact hours, educational level, intermediate. The assignment of AOTA CEUs does not imply endorsement of specific course content, products or clinical procedures by AOTA. At the conclusion of this conference, participants will be awarded a certificate for up to 3.0 contact hours or 0.30 AOTA CEUs.

Speech language pathologist credit: At the conclusion of this conference, participants will be awarded a certificate for up to 2.00 contact hours or 0.20 ASHA CEUs.

General credit: At the conclusion of this conference, PT and OT participants will be awarded a certificate for up to 3.00 contact hours maximum based on actual contact hours. Please see your state specific requirements for licensure credits.

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

Available Credit

  • 0.20 ASHA
  • 3.00 AOTA
  • 3.00 PT
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**This course is for Mayo Clinic Personnel only**

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