CAP II Mood and Anxiety Clinic (University of Chicago)

Patient Care

  1. Residents will demonstrate the ability to perform and document a comprehensive psychiatric history and examination
    • a complete present and past psychiatric history
    • a social and educational history a family historya substance abuse history
    • a medical history and review of systems
    • a physical and neurological examination if necessary
    • a comprehensive mental status examination including the assessment of cognitive functioning
    • a developmental history

The resident will demonstrate the ability to conduct therapeutic interviews, e.g. enhance the ability to collect and use clinically relevant material through the conduct of supportive interventions, and exploratory interventions and
clarifications.

The resident will demonstrate the ability to conduct a range of individual, and family therapies using standard, accepted models that are evidence-based, and integrate these psychotherapies.

Medical Knowledge

Residents will demonstrate knowledge of psychosocial therapies used in the treatment of mood and anxiety disorders in children and adolescents.

Residents will demonstrate knowledge of psychopharmacological  therapies used in the treatment of mood and anxiety disorders in children and adolescents.

Residents will demonstrate knowledge of patient evaluation and treatment selection.

This will include:

  • psychological testing
  • laboratory methods
  • mental status evaluation
  • diagnostic interviewing
  • treatment comparison and selection

Residents will demonstrate knowledge of outpatient psychiatric treatment. This
will  include:

  • specific syndromes, e.g., stress reactions, PTSD, panic disorder, OCD,  Depression,   bipolar Disorder, generalized anxiety disorder , and other mood and  anxiety disorders
  • psychiatric aspects of non-psychiatric illness
  • psychosomatic disorders and other manifestations in children nonetheless.

Interpersonal and Communication Skills

  1. Interpersonal skills refer to the ability of the resident to develop and maintain therapeutic relationships with patients and their respective families.
  2. Residents will demonstrate willingness to continuously self-observe and confront their    own respective biases and transferences.
  3. Residents will demonstrate techniques and methods, which facilitate effective and empathetic communication between residents, patients, colleagues, staff, and system.
  4. Residents will demonstrate the following skills:
    • ability to listen to and understand patients
    • ability to communicate effectively with patients, using verbal, nonverbal, and writing skills, as appropriate
    • ability to foster a therapeutic alliance with patients, as indicated by instilling feelings of trust, openness, rapport, and comfort in the relationship with the   physician
    • ability to use negotiation skills to develop an agreed upon health care management plan with patients’ families.
    • ability to transmit information to patients in a clear and meaningful manner
    • ability to provide explanations of psychiatric disorders and treatment (both verbally and in written form) that are geared to the educational/ intellectual level of the   patients and their families

Professionalism

Residents will demonstrate responsibility for their patients’ care.

This includes:

  • use of the medical record for appropriate documentation of the course of illness and its treatment
  • providing coverage if unavailable, e.g., out of town, on vacation
  • coordinating care with other members of the medical and/or multidisciplinary team
  • providing appropriate transfer or referral if this is necessary
  • The resident will demonstrate ethical behavior, as defined in the Principles of
    Medical Ethics with Special Annotations for child and adolescent psychiatry.
  • Residents will be empathic, respectful, curious, open, nonjudgmental, and collaborative.

Practice-based Learning and Improvement

  1. Resident must recognize and accept limitations in their knowledge base and clinical skills, and appreciate the need for life-long learning
  2. The resident will have appropriate skills and demonstrate the ability to obtain current information from scientific and practice literature and other sources to assist in providing high quality patient care.
  3. The resident will demonstrate an ability to critically evaluate the psychiatric
    literature regarding the treatment of mood and anxiety disorders in children and adolescent.

Systems-based Practice

The resident will learn to work with primary care providers and their offices to augment the treatment done at UCH with supportive care/ monitoring for other disease processes and reporting back of vital signs and labs as appropriate.  This is especially important for those patients who can not come in weekly due to distance traveled, problems with transportation.