PGY 2: Child and Adolescent Psychiatry

Student Handbook, Appendix A

PGY-2 Three Month Rotation in Child and Adolescent Psychiatry

Competencies to be achieved by the end of the rotation:

Patient Care

  1. Demonstrate the ability to conduct a child and adolescent psychiatric assessment including an age appropriate metal status examination.
  2. Demonstrate the ability to utilize appropriate evaluation tools including medical, laboratory, radiological and psychological testing.
  3. Demonstrate the ability to develop a comprehensive formulation and inpatient treatment plan that includes biological, psychological, social and spiritual domains.
  4. Demonstrate the ability to conduct therapeutic interviews as tools for evaluation and treatment.
  5. Demonstrate the ability to prescribe appropriate psychopharmacologic agents for children and adolescents.
  6. Learn and apply specific treatment strategies for adolescent substance use disorders.

Medical Knowledge

  1. Show knowledge of the DSM criteria for the major diagnostic categories seen in child and adolescent psychiatry settings.
  2. Know how normal and pathological family dynamics and their relationship to growth and development of children and adolescence contribute to psychopathology.
  3. Know strategies for management of acute agitation of children and adolescents.
  4. Show knowledge of the risk factors for suicide and violent behavior in children and adolescents.
  5. Describe the impact of school and peer groups in the normal development and psychopathology of childhood and adolescence.
  6. Show knowledge of the standards and procedures for mandated reporting of child abuse.
  7. Show understanding of mechanisms for creating therapeutic systems of behavioral change within a milieu setting such as dialectical behavioral therapy or functional behavioral analysis with contingency management.

Practice Based Learning and Improvement

  1. Demonstrate the ability to learn independently by identifying one knowledge deficit and appropriately collecting new information in that area.
  2. Show awareness of how personal reactions and life history contribute to counter transference.
  3. Show awareness of counter transference and the effect on patient care.

Interpersonal and Communication Skills

  1. Demonstrate the ability to work with ancillary staff by appropriately participating in all treatment team meetings.
  2. Demonstrate the ability to effectively communicate with families by conducting diagnostic and therapeutic interviews with family members.
  3. Demonstrate effective communications skills by obtaining informed consent for psychiatric treatment from parents and informed consent from minors including the ability to discuss risks, benefits and alternative treatments in language understandable to minors and families.
  4. Demonstrate the ability to use developmentally appropriate nonverbal means of evaluating and communicating with children through play.

Professionalism

  1. Show respectful and professional behavior by being on time to team and family meetings.
  2. Demonstrate appropriate diligence to paper work by completing all evaluations and patient care notes in a timely manner.
  3. Show sensitivity to the dependent status of children and the ramifications of this in the treatment alliance.

System-based Practice

  1. Know how to refer to other agencies that work with children and adolescents as demonstrated by developing and implementing discharge plans that include school personnel, pediatricians, speech therapists, occupational therapist or other mental health specialists as needed for ongoing treatment.
  2. Show knowledge of adult services that may be necessary to treat family system issues.
  3. Understand how the residential milieu environment works to positively or negatively influence the treatment of individual children or adolescents.