CAP II Eating Disorders Psychotherapy Clinic (University of Chicago)

Patient Care

The resident will demonstrate the ability to:

  1. Complete an in-depth assessment to determine the diagnosis of an eating disordered patient including:
    • A Psychiatric history
    • A Social and educational history
    • A Family history
    • A Substance abuse history
    • A Medical history and review of systems
    • A Physical and neurological examination, as deemed necessary
    • A Developmental history
    • Mental status examination including assessment of cognitive functioning
    • Laboratory, radiologic, and ECG studies
  2. Understand and have knowledge of the techniques used in the evaluation of children and adolescents with eating disorders, especially as it relates to denial of the illness, and be able to determine the best treatment for each patient
  3. Identify the associated medical complications of eating disorders, as well as other co-morbid psychiatric diagnoses.
  4. Understand why a multimodal treatment team approach is necessary for the treatment of many patients with eating disorders
  5. Incorporate the various treatments used in the treatment of the resident's individual patient with an eating disorder and the family of that patient

Medical Knowledge

  1. Be familiar with the standardized rating scales and evaluation tools including the Eating Disorders Evaluation used in evaluation of eating disorderd patients.
  2. Knowledge of the associated medical complications of eating disorders, as well as other co-morbid psychiatric diagnoses
  3. Knowledge of the roles the multimodal treatment team plays in the treatment of many patients with eating disorders.
  4. Understand and be familiar with the literature and current research related to their effectiveness in treating eating disordered patients
  5. Be familiar with the manualized family-based treatment as well as cognitive-behavioral treatment for patients with eating disorders and their families

Interpersonal and Communication Skills

The resident will develop skills during this time to:

  1. Educate patients and families regarding eating disorders including the risk of morbidity and mortality, and treatment options
  2. Collaborate effectively with other members of the team, primary care physicians and other therapists
  3. Maintain a therapeutic relationship with the patient and their parents/ primary caregivers
  4. Learn to work collaboratively with supervisors and other care providers.
  5. Respect the privacy and confidentiality of the patient, while learning how to make sure that important information is not left out of family treatment.
  6. Residents will demonstrate the ability to communicate effectively with allied healthcare professionals

Professionalism

The residents will demonstrate a collaborative and nonjudgmental attitude characterized by empathy, respect, curiosity, and openness. Residents will also demonstrate the ability to tolerate ambiguity and show confidence in the efficacy of supportive therapy.

Residents will be sensitive to the sociocultural, socioeconomic, and educational issues that arise within the therapeutic relationship as demonstrated by:

  1. Respect for the patient's and the family's stress during evaluation and treatment
  2. Willingness to seek supervision for all treatments, especially those which engender strong countertransference responses
  3. Respect for the members of the treatment team and their differing roles

Practice-based Learning and Improvement

  1. The resident will learn how to educate families with eating disordered children and teenagers.
  2. The resident will receive feedback from the supervising attending, and incorporate suggestions in the clinical care of patients.
  3. The resident will identify their own strength and weaknesses in dealing with this clinical population, and work with the clinic supervisor to develop a plan of care to work on these issues.

Systems-Based Practice

  1. Each resident must recognize and accept limitations in his/her knowledge base and clinical skills, and understand the need for life-long learning.
  2. Residents will possess research appropriate skills and demonstrate the ability to obtain current scientific research and clinical practice guidelines to assist in promoting high quality patient care. This will include, but not be limited to:
    • use of medical libraries
    • use of information technology, including Internet-based searches and research databases (e.g., MedLine)
    • use of drug information databases
  3. Residents will understand how their patient care affects and is affected by other health care providers.
  4. Residents will understand the regulation of outpatient psychiatric treatment including patient confidentiality, HIPAA, state regulations regarding drug prescription and scheduled medications.