Psychiatry Clerkship: Student Learning Outcomes

UNR Med Year 3 Structure

Upon successful completion of this course, you will be able to:

  1. Demonstrate acquisition of medical knowledge about established and evolving biomedical, clinical, and cognate (e.g. epidemiological and social-behavioral) sciences and the application of this knowledge to patient care:
    1. Integrate basic science knowledge into understanding of psychopathology and psychopharmacology
    2. Recognize the clinical presentation for major psychiatric disorders with emphasis on mood disorders, psychotic disorders, anxiety disorders, personality disorders, dementia/delirium (neurocognitive impairment), substance misuse disorders and disorders first diagnosed in childhood
    3. Formulate a differential diagnosis for psychiatric symptoms, substance intoxication and withdrawal.
    4. Demonstrate an understanding of the principles of addiction treatment especially 12-step recovery programs
    5. Develop in-depth knowledge of pharmacology and prescribing of antipsychotics, antidepressants, mood stabilizers, and anxiolytics and medications used for substance withdrawal
    6. Demonstrate an understanding of fundamental aspects of non-pharmacologic treatments of psychiatric disorders including psychotherapeutic interventions, behavioral interventions, psychosocial rehabilitation, psycho educational approaches, recovery models, and self-help
    7. Be familiar with involuntary commitment laws, competency, duty to protect, and confidentiality
  2. Deliver patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health:
    1. Respectfully conduct a comprehensive psychiatric history and examination while maintaining a compassionate and empathic approach to the interview
    2. Perform and interpret the mental status examination
    3. Construct a bio-psycho-social formulation and treatment plan balancing patient autonomy with beneficence and nonmaleficense
    4. Discuss psychiatric differential diagnosis with the medical team and patients
    5. Provide a concise and inclusive oral presentation and write-up of the psychiatric assessment
    6. Assess psychiatric emergencies, especially dangerousness to self and others
    7. Assess capacity to make a decision
    8. Write progress notes that are legible, clear, concise, inclusive, and pertinent
    9. Order and interpret diagnostic tests (lab values, imaging, EKGs, etc.)
    10. Address substance use issues using motivational interviewing techniques
    11. Implement crisis intervention and brief psychotherapeutic techniques
    12. Recognize the impact of cultural differences on psychiatric presentation and intervention
    13. Effectively maintain patient privacy and confidentiality, including understanding mandated reporting/legal holds
  3. Demonstrate principles of practice-based learning and quality improvement that involve investigation and evaluation of their own patient care, appraisal and assimilation of scientific evidence, and improvements in patient care:
    1. Actively engage in self-examination and self- exploration regarding one's own strengths, weaknesses, and biases when working with mental health patients
    2. Develop skills to effectively obtain medical information and literature to educate patients, develop treatment plans, and review literature
    3. Be able to recognize and analyze one's own countertransference during and after patient encounters and learn when to seek guidance, collaboration, and mentorship when working with challenging patients
    4. Understand the implications of boundary crossings/violations and biases
    5. Utilize ACT Skills to develop psychological flexibility, identify core values, and pursue committed action in the delivery of patient care
  4. Demonstrate interpersonal and communication skills that result in effective information exchange and teaming with patients, their families, and other health professionals:
    1. Establish rapport and conduct a psychiatric interview that is organized
    2. Demonstrate the use of open and close ended questions
    3. Collaborate with team members, including physicians, PAs, RNs, social workers, APRNs, MHTs, etc.) and community providers in treatment planning
  5. Demonstrate professionalism, as manifested through a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population:
    1. Demonstrate consistency, honesty, punctuality, diligence, and thoroughness in performing professional duties
    2. Understand patient advocacy and boundaries in psychiatry
    3. Demonstrate sensitivity to a wide range of patients, including individuals having serious psychiatric disabilities and/or addictions
    4. Exhibit an empathic understanding of addiction and its socioeconomic and spiritual consequences
    5. Demonstrate professionalism in dress and demeanor with special attention to issues pertinent to psychiatric hospitals
  6. Demonstrate an awareness of and responsiveness to the larger context and system of health care and the ability to effectively call on system resources to provide care that is of optimal value:
    • Understand the multidisciplinary team approach and the roles of the various disciplines involved in mental health services
    • Have an awareness of the obstacles faced by individuals having psychiatric or intellectual disabilities, or addiction due to prejudice and discrimination
    • Understand the continuum of care in the public mental health system