Goals and Objectives

PGY II INPATIENT ROTATION LEARNING OBJECTIVES

Patient care

The resident will be able to:

Perform independently a competent patient interview exploring all aspects of a patient's history and including a complete mental state examination
Use the information obtained during a patient interview to develop an accurate differential diagnosis and pertinent treatment plan
Assess suicide risk for a potentially suicidal patient
Assess risk of violence for a potentially violent patient
Document patient assessment and biopsychosocial treatment in the medical record, including effect of clinical interventions
Recognize and manage the side-effects of psychiatric medicines
Perform supportive psychotherapy
Provide effective and therapeutic environmental interventions for patients with personality disorders, including setting appropriate limits for patients
Use supportive and psychoeducation techniques with families of patients
Manage common medical problems in psychiatric patients, including knowing when to obtain consultation
Make appropriate use of time-out, restraints, and seclusion, including using methods to minimize the use of more restrictive procedures
Make appropriate use of ECT in acute psychiatric illnesses
Make effective use of the inpatient milieu

The resident will be able to:

Recognize and address common psychodynamic processes in psychiatric inpatients, such as projection and splitting
Describe the phenomena of and use the diagnostic criteria for various psychiatric disorders, with a sophisticated understanding of these disorders:

The resident will be able to:

Present findings and judgments in a coherent, orderly oral and written fashion, including differential diagnosis and biopsychosocial interventions
Engage with a family and assess family functioning
Work with a multidisciplinary treatment team

The resident will be able to:

Supervise and teach medical students and junior residents
Interact with nurses, social workers, and therapists in a professional manner
Respond to patient and treatment team needs in a timely and properly prioritized fashion

The resident will be able to:

Identify patients’ vocational needs and access such resources with help from members of the treatment team
Use the voluntary admission process and develop a voluntary admission agreement
Understand the certification process, including the documentation of need for involuntary treatment in a petition and certificate