PGY 3: Outpatient Psychiatry at Renown and Student Health

Student Handbook, Appendix A

PGY-3 Twelve Month Rotation in Outpatient Psychiatry at Renown and Student Health

Competencies to be achieved by the end of the rotation:

Patient Care

  1. Demonstrate the ability to apply supportive, psychodynamic and cognitive-behavioral psychotherapies in both brief and long term practice.
  2. Demonstrate the ability to safely use pharmacologic regimens which are evidence based and appropriate for the identified disorder
  3. Demonstrate the appropriate use of medications and psychotherapy in the same patient.
  4. Demonstrate the ability to formulate bio-psycho-social formulations which lead to appropriate treatment interventions

Medical Knowledge

  1. Demonstrate, from clinical interviews, the ability to appropriately diagnose mood disorders, anxiety disorders and psychotic disorders in an outpatient setting
  2. Show how to appropriately dose, titrate and taper antidepressant mediations
  3. Show how to appropriately dose, titrate and taper medications used in the treatment of bipolar disorder
  4. Demonstrate the effective use of medications uses in adjunctive treatment of Mood and anxiety disorders

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. Demonstrate the ability to appropriately collect new information in knowledge deficit area.
  3. Demonstrate the ability to apply new knowledge to patient care issues.

Interpersonal and Communication Skills

  1. Demonstrate the ability to work with ancillary staff by responding quickly and professionally to staff requests concerning patient care issues.
  2. Demonstrate appropriate and effective communication with primary care physicians involved in care of the residents patients.
  3. Demonstrate appropriate communication with other treatment providers involved in the care of the resident’s patients.
  4. Effectively communicate patients condition and needs when making referral to other treatment providers

Professionalism

  1. Show respectful and professional behavior by being on time to team meetings and patient appointments.
  2. Demonstrate appropriate diligence to paper work by having all notes and write-ups completed by time of supervisor’s weekly review.
  3. Demonstrate at all times appropriate boundaries in M.D. – Patient relationship.
  4. Always notifies site personnel when sick, late or delayed for duties.

System-based Practice

  1. Know how to refer to other agencies within the system as demonstrated by making such referrals when appropriate
  2. Demonstrates the ability to work with formularies to minimize costs to patient.
  3. Appropriately follows procedures to procure needed medical treatment when necessary
  4. Works with health care managers to improve quality of and access to patient care within the facility.