| Department of Psychiatry |
PGY-2 MACNEAL GERIATRIC ROTATION LEARNING OBJECTIVES
PATIENT CARE
The resident will be able to:
- Perform appropriate testing & work-up of newly elderly admitted patients
- Make a broad differential diagnosis of psychiatric disorders including medical causes
- Use collateral information appropriately to get a thorough history
- Use appropriately neuroimaging and EEG in the differential diagnosis of psychiatric illness in the elderly
- Distinguish between dementia and delirium
- Make a differential diagnosis of delirium and dementia including iatrogenic causes
- Evaluate the patient's decisional competency
- Recognize and treat substance use (especially alcohol and prescription drug abuse) including withdrawal protocols, psychoeducation, and appropriate outpatient referrals
MEDICAL KNOWLEDGE
The resident will be able to:
- Be familiar with neuropsych testing used to assess geriatric patients
- Make a broad differential diagnosis for mania and late onset psychosis
- Be knowledgeable about the interaction of medical and psychiatric illness
- Be aware of indications and benefits and risks of anticholinesterase inhibitors
- Be aware of indications and benefits and risks of typical and atypical antipsychotics, anxiolytics, mood stabilizers, and antidepressants in the treatment of behavioral complications of dementia.
- Have an awareness of anticholinergic side effects of psychotropics and other medications
- Manage a complex regimen of medications including knowledge of potential drug interactions
- Use age appropriate dosing strategies and be aware of pharmacokinetic and pharmacodynamic differences in the elderly
- Have knowledge of the indications and special considerations for ECT in the elderly
INTERPERSONAL AND COMMUNICATION SKILLS
The resident will be able to:
- Work as an integral part of a multidisciplinary treatment team
- Take on a leadership role for patient care
- Recognize and manage countertransference in the care of the elderly
- Adapt their style of interaction specific to age and cognitive capacity
- Co-lead a meeting with family or care givers
PROFESSIONALISM
The resident will be able to:
- Recognize and adapt to cultural and ethnic differences
- Effectively liaison with the primary care physician
- Communicate with family and caregivers in a timely fashion
SYSTEMS BASED PRACTICE
The resident will be able to:- Plan appropriate follow-up care including medication management, therapy, and day program
- Be aware of indications for nursing home placement vs. assisted living or board and care placements
- Be aware of the regulations governing nursing home placement including the role of Geriatric Evaluation Services
- Be aware of regulations governing psychotropic prescriptions and restraints in nursing homes.
Rotations and Clinics Goals and Objectives
PGY-1 Medicine MacNealPGY-1 Neurology MacNeal
PGY-1 Pediatric Medicine (optional)
PGY-1 Pediatric Neurology (optional)
PGY-1 Inpatient Psychiatry
PGY-1 Child and Adolescent Psychiatry
C/L (PGY-1 & PGY-2)
PGY-2 ER
PGY-2 Inpatient Psychiatry
PGY-2 Chemical Dependency Lakeshore
PGY-2 Tinley Park
PGY-2 Community Psychiatry
Clinics:
General Adult
Anxiety Disorders
Geriatric
Memory
Mood Disorders
CCC (Schizophenia)
SCRS
Personality Disorders
Psychotherapy
Forensic Psychiatry
