Goals and Objectives

PGY1 INPATIENT ROTATION LEARNING OBJECTIVES

The resident will be able to:

Obtain information from the patient interview, family contact, old charts, outpatient providers to complete a thorough assessment of the following areas:
History of Present Illness-Complete assessment of symptomatology, chronological order of events, recent stressors and precipitants, level of functioning
Past Medical History
Past Psychiatric History
Substance Abuse History
Family History
Social History
Developmental History
Complete a comprehensive mental status examination
Assess for dangerousness to self and/or others
Use precautions appropriately including close observation, suicide precautions, and one to one
Understand and appropriately apply criteria for inpatient hospitalization
Determine if a patient is medically stable enough for psychiatric hospitalization
Formulate a basic treatment plan including the following:
Acute stabilization
Medication management
Psychosocial interventions
Group and individual therapy
Psychoeducation
PT/OT/Art therapy
Discharge planning
Demonstrate a basic understanding of individual, gropu and family treatment as it relates to inpatient psychiatry
Document the full history, mental status examination, hospital course, basic differential diagnosis, basic diagnostic formulation and basic treatment plan in the discharge summary
Provide appropriate documentation on patients seen in the ER (if applicable) including a complete HPI, MSE, and clinical rationale for triage decisions and treatment recommendations

The resident will be able to:

Make a reasonable differential diagnosis based on a basic understanding of DSM-IV criteria to include all 5 axes

The resident will be able to:

Elicit and utilize information from other disciplines
Demonstrate a basic understanding of medical-legal issues as it relates to inpatient psychiatry
Voluntary and involuntary admission procedures
Certification paperwork
Testifying in hearings
Court ordered patients
Issues of confidentiality
Forced medications/medication panels

The resident will be able to:

Demonstrate interdisciplinary team leadership
Co-lead community and team meetings on the unit
Demonstrate capacity to be empathetic and develop rapport with patients
Demonstrate capacity to relate and work well as a team player with peers, supervisors and other staff
Demonstrate the capacity for introspection and increased self-awareness, especially in understanding and appreciating transference and countertransference issues

The resident will be able to:

Understand and appreciate a biopsychosocial formulation that includes basic psychodynamic, psychosocial and cultural elements
Demonstrate adequate supervision of medical students
Exemplify personal and intellectual integrity, and demonstrate an understanding of the ethical values and codes of a member of the medical profession