PGY 4: Family Counseling Services of Northern Nevada

Student Handbook, Appendix A

PGY-4 Rotation in Dual Diagnosis at Family Counseling Services of Northern Nevada

Competencies to be achieved by the end of the rotation:

Patient Care

  1. Demonstrate the ability to appropriately treat co morbid anxiety and substance use disorders.
  2. Demonstrate the ability to appropriately treat co morbid depression and substance use disorders.
  3. Demonstrate the ability to appropriately treat co morbid psychotic and substance use disorders.

Medical Knowledge

  1. Show knowledge of the criteria for substance induced psychiatric disorders by discussion with attending psychiatrist.
  2. Know how to adequately work up a patient with both mood and substance use disorders by appropriately evaluating and treating a minimum of 12 new patients.

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 to knowledge to patient care issues.
  4. Show ability to analyze own documentation for clinical relevance with physician reviewers.

Interpersonal and Communication Skills

  1. Demonstrate the ability to work with ancillary staff by regular and routine communication with other professionals working with the resident’s patients.
  2. Demonstrate the ability to effectively communicate with patients who have duel diagnosis by consistently establishing good rapport.

Professionalism

  1. Show respectful and professional behavior by being on time to team meetings.
  2. Demonstrate appropriate diligence to paper work by completing evaluations, patient care notes and other documentation on time.

System-based Practice

  1. Know how to refer to other agencies within the system as demonstrated by discussion with attending psychiatrist.