PGY1 INPATIENT ROTATION LEARNING OBJECTIVES
(Neuropsychiatry Team)
Patient Care
The resident will be able to:
- Obtain information from the patient
interview, collateral informants, old charts, and outpatient clinicians
to complete a thorough assessment of the following areas:
- History of Present Illness
(symptoms, 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 state
examination
- Assess dangerousness to self and
others
- Use precautions appropriately
including suicide precautions and one-to-one nursing
- 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:
- Medication management
- Psychosocial interventions
- Group and individual therapy
- Psychoeducation
- Activities therapy
- Milieu management
- Discharge planning
- Demonstrate a basic understanding of
individual, group, 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
Medical Knowledge
The resident will be able to:
- Make a differential diagnosis based on
an understanding of DSM-IV criteria to include all 5 axes
Systems-based practice
The resident will be able to:
- Elicit and utilize information from
other disciplines
- Demonstrate a basic understanding of
legal issues as they relate to inpatient psychiatry including
- Voluntary and involuntary admission
procedures
- Involuntary medication procedures
- Confidentiality
Interpersonal and
communication skills
The resident will be able to:
- Lead an interdisciplinary team meeting
- Understand and develop rapport with
patients
- Work well on a team with peers,
supervisors, and other staff
- Introspect in the service of
understanding transference and countertransference issues
Professionalism
The resident will be able to:
- Understand a biopsychosocial
formulation that includes basic psychodynamic, psychosocial, and
cultural elements
- Supervise medical students adequately
and helpfully
- Display personal and intellectual
integrity and an understanding of the ethical values and codes of the
medical profession