Psychiatry Clerkship Goals

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Medical Knowledge

1.      Describe the principal underlying causes, mechanisms and processes involved in the etiology of psychiatric illnesses, including: Mood Disorders, Personality Disorders, Psychotic Disorders, Substance Use Disorder/Dependence (includes alcohol), Substance-induced Psychosis or Mood Disorder, Suicidal Patient, Dementia/Memory/Cognitive Loss, Trauma and Stress Related Adjustment/Acute Stress Reaction (ASR)/PTSD, Cultural/Religious/Ethnic Diversity, Anxiety Disorders

1.2

2.      Discuss management and treatment options (pharmacological and non-pharmacological) for psychiatric illnesses

1.3

3.      Demonstrate an understanding of economic, psychological, social and cultural factors that impact patient health

1.5

4.      Understand the various psychiatric clinical assessments, including: Suicide Risk Assessment, Homicide Risk Assessment, Ability to Give Informed Consent, Involuntary Hospitalization

1.6

5.      Explain a Mental Status Exam

1.6

Patient Care

1.      Elicit a comprehensive history for a patient presenting with psychiatric symptoms, including a substance history and social history

2.1

2.      Apply clinical reasoning skills in developing a prioritized differential diagnosis for psychiatric illnesses

2.2

3.      Perform a diagnostic evaluation/risk assessment to determine the need for inpatient admission or outpatient treatment

2.3

4.      Evaluate patient’s progress during inpatient or outpatient treatment

2.3

5.      Assess patient’s ability to provide informed consent

2.3

6.      Use a Mental Status Examination and Mini-Mental Status exam to evaluate a patient

2.4

7.      Participate in the psycho-education of patients and families regarding pertinent psychiatric issues

2.5/3.2

Interpersonal and Communication Skills

1.      Prepare and present interview findings with the team, including initial diagnostic evaluation and/or follow up plans

3.1

2.      Utilize the patient’s medical record to document: diagnostic evaluations, risk assessments, inpatient H&Ps, treatment plans, inpatient daily notes and out-patient daily notes to monitor the patient’s status and ongoing treatment plans, assessment of ability to provide informed consent

3.4/2.7

3.      Use effective communication skills and styles when working with other health care professionals

3.3

4.      Organize a presentation on psychiatric issues (with supporting visual materials)

3.6

Practice Based Learning and Improvement

1.      Recognize and accept one’s own limitations in knowledge and clinical skills

4.1

2.      Critically evaluate one’s performance to identify strengths and personal limitations in clinical knowledge or study methods, and develop learning goals to address limitations

4.1/4.2

3.      Actively seek out timely and formative feedback

4.3

4.      Collaborate with peers, other healthcare professionals, patients and families in order to integrate feedback to positively modify clinical behavior

4.3

5.      Demonstrate evidence of reading, researching, critical review of the scientific evidence relevant to the care of psychiatric patients and psychiatric clinical issues

4.4/4.5

6.      Utilize information technology to access and manage clinical information and perform online searches to support self-directed learning

4.5

Professionalism

1.      Demonstrate professionalism by behaving in a professional, courteous and respectful manner when engaged with peers, faculty, residents and non-physician staff

5.1

2.      Demonstrate behaviors that foster patients’ trust in the physician, including: appropriate dress, appropriate grooming, compassion, reliability, honesty, and respect for privacy

5.1

3.      Demonstrate professional behavior by completing all clerkship requirements, including clerkship evaluations, in a timely manner

5.2

4.      Demonstrate responsibility and accountability by attending and being punctual at all required clerkship activities, including lectures, small groups, morning report and clinical rounds

5.2

5.      Demonstrate professional behavior by requesting any excused absence from required clerkship activities in the required time frame

5.2

6.      Demonstrate professional behavior by responding to direct communication from the Clerkship Director or Coordinator in a timely fashion, particularly in circumstances related to academic performance

5.2

7.      Demonstrate advocacy for patients over personal interests

5.3

8.      Demonstrate respect for patient privacy, and sensitivity to patients with diverse backgrounds

5.3/5.4

9.      Demonstrate professional and ethical behavior by honestly completing clerkship examinations without attempting to seek advantage by unfair means, and by reporting unethical behavior of peers to clerkship administration

5.6

Systems Based Practice

1.      Identify considerations of cost awareness for psychiatric treatment

6.1

2.      Demonstrate an understanding of the impact of economic and health insurance issues on patient care

6.1

3.      Collaborate with health care professionals to assess, coordinate and improve health care delivery, to promote health, prevent disease and manage illness

6.2

4.      Recognize challenges in providing adequate psychiatric care for patients and the coordination of psychiatric care within the health system

6.2

5.      Utilize strategies to access health care services for patients who need advocacy and assistance

6.2/6.4

6.      Analyze and identify system errors and potential solutions

6.3

7.      Identify ways to advocate for quality patient care and optimal patient care systems

6.4

8.      Demonstrate commitment to and examples of service to patients in need

6.4

Inter-professional Collaboration

1.      Work collaboratively with all health professionals on the team to optimize delivery of care to the patient

7.1/7.3

2.      Respectfully and effectively communicate issues of patient care with non-physician healthcare workers

7.1/7.3

3.      Demonstrate an understanding of the roles of other members of the healthcare team

7.2

Personal and Professional Development

1.      Demonstrate a personal responsibility to maintaining one’s own physical and mental well-being

8.1

2.      Demonstrate an ongoing commitment to pursuing learning opportunities for personal and professional growth and development

8.2