Goals and Objectives

PGY2 INPATIENT ROTATION LEARNING OBJECTIVES

Tinley Park Mental Health Center

PATIENT CARE

The resident will be able to:

Demonstrate the ability to perform an independent competent patient interview which will explore all aspects of a patient's history and will include a complete mental status examination.
Utilize the information obtained during a patient interview to develop an accuarte differential diagnosis and pertinent treatment plan.
Demonstrate the ability to perform an accurate acute and chronic suicide risk assessment for a potentially suicidal patient.
Demonstrate the ability to perform an accurate violence risk assessment for a potentially violent patient.
Provide comprehensive an accurate documentation of patient assessment and biopsychosocial treatment in the written record. This will include documentation of the effect of clinical interventions.
Demonstrate the ability to detoxify patients from alcohol, sedatives, and opiates when necessary.
Recognize and manage the side effects of psychotropic medications.
Demonstrate the ability to perform supportive psychotherapy, and will know how to utilize crisis intervention techniques in the treatment of acute inpatients.
Provide effective and therapeutic structure for patients with personality disorders. This will include the ability to set up appropriate limits for patients.
Understand the use of support and psychoeducation techniques when working with families of patients.
Provide basic management of medical problems for psychiatric patients. The resident will also know when to obtain medical consultation.
Understand the indications for use of time-out, quiet room, restraints and seclusion, and will be able to deomstrate the use of altyernative treatment modalities to minimize the use of thee two procedures.
Understand the indications for use of ECT in acute psychiatric patients.
Demonstrate the ability to effectively lead community meetings and/or other patient group meetings. The resident will lead one of these meetings on at least tweleve occasions.:
Understand the effective use of the milieu for optimum patient benefit in the inpatint setting.
Know how to utilize the voluntary admission process and voluntary admission agreement for an inpatient.
Understand the certification process. This will include a working knowledge of the paperwork involved inclduing an emergency petition.
Understand the mechanics of a hearing for a certified patient.

MEDICAL KNOWLEDGE

The resident will be able to:

Develop a basic psychological discussion of prominent stresses and areas of conflict for the patient. This should be included in the presentations.
Know phenomenology of and diagnostic criteria for various psychiatric disorders and be able to elicit those criteria clinically from the patient, and obtain relevant date from family and treating professionals. At a minimum the resident should have an in-depth understanding of the phenomenology and diagnostic criterias for the disorders as follows: schizophrenia and other Psychotic Disorders, Mood Disorders, Adjustment Disorders, Substance-Related Disroders, and Personality Disorders.
Perform the AIMS reliably and be familar with the BPS and PANSS.

SYSTEMS BASED PRACTICE

The resident will be able to:

Appreciate the vocational needs of the patients and will know how to access such resources with help from members of the treatment team.

INTERPERSONAL AND COMMUNICATION SKILLS

The resident will be able to:

Express findingd in a coherent, orderly oral and written presentation. This will include a discussion of the differential diagnosis and biopsychosocial treatment possiblities.
Demonstrate the ability to engage with a family, and perform a competent assessment of family functioning.
Demonstrate the ability to effectively work with a multidisciplinary treatment team utilizing the abilities of all the mental health professionals for the benefit of the patient.

PROFESSIONALISM

The resident will be able to:

Supervise and teach medical students on rotation and juinor residents.
Interact with nurses, social workers, and therapists in a professional manner.
Respond to a patient and treatment team needs in a timley fashion.