Speaker: Alexandar Sebastion Roth, M.D., M.P.H

Title: Capacity Without Architecture: Clinical and Systems Observations from a Rural Ugandan Mental Health Program

Introduction:  Alex Roth, MD, MS, MPH is a PGY-4 psychiatry resident at Mayo Clinic. He completed his undergraduate degree in cognitive science at Yale (2015), an MS and MPH at Boston University (2018), and his MD at Mayo Clinic Alix School of Medicine (2022). His clinical and scholarly interests include addiction psychiatry, global mental health, and the intersection of psychiatry with emerging technology. In early 2026 he completed an eight-week rotation at Bwindi Community Hospital in rural southwestern Uganda through the Mayo International Health Program, serving as clinical lead for the mental health team. The work has produced a case report, a cross-cultural diagnostic perspective paper, an operational analytics evaluation of the hospital's community mental health program, and a poster on reciprocal innovation between rural psychiatric systems in Uganda and Minnesota presented at the Minnesota Psychiatric Society Spring Meeting. He will begin an Addiction Psychiatry fellowship at the University of California, San Francisco in July 2026.

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

1. Describe how diagnostic, pharmacologic, and continuity-of-care infrastructure constraints shape clinical decision-making in a rural Ugandan psychiatric program. 

2. Analyze how legal authority for involuntary psychiatric care interacts with facility-level capacity for safe containment and human-rights protections in a low-resource setting. 

3. Identify cross-cultural diagnostic patterns, including under-recognition of generalized anxiety disorder, presentation of functional neurologic symptoms, and the channeling of non-psychotic behavioral presentations toward psychosis, that bear on clinical practice in international and underserved settings. 

Speaker: Majd Al-Soleiti, MD

Title: Thinking About Thinking: On Philosophy and Conceptual Competence in Psychiatry and Residency

Introduction: Dr. Majd Al-Soleiti is a 4th year psychiatry resident and one of the executive chief residents at Mayo Clinic in Rochester, MN. He is also currently enrolled in the research track of residency, a current fellow of the American Psychoanalytic Association for the year of 2025-2026, and the founder of the Philosophy of Psychiatry interest group in Mayo Clinic residency program. Dr. Al-Soleiti finished his medical school education in Amman, Jordan after which he worked in Jordan as a field researcher and collaborator with Yale Child Study Center and Yale Macmillan Center. Subsequently, he joined Mayo Clinic for residency training. Dr. Al-Soleiti is particularly interested in philosophy of psychiatry, suicidality, mood disorders, psychosis, and psychodynamic psychotherapy. Throughout his training, he was recognized by the MJ Martin award for outstanding performance in consultation liaison psychiatry and by winning the resident teacher of the year in 2024. Dr. Al-Soleiti has various published scholarly works that span a wide range of disciplines and fields, including mood disorders, psychopharmacology, public mental health, refugee mental health, and child development. After concluding his residency training, Dr. Al-Soleiti will be joining mood fellowship here at Mayo Clinic.

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

• Describe the importance of philosophy in psychiatric education, citing at least two clinical implications for patient care.

• Recognize the pillars of conceptual competence in psychiatry as suggested in the literature (knowledge, tools, discourse, humility, and awareness) and their impact on diagnostic formulations and therapeutic approaches.

• Evaluate the attitudes of psychiatry residents towards philosophy of psychiatry, and the preliminary impact of incorporating philosophical conversations during residency.

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TRANSCRIPT
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