Goals and Objectives: Medicine-Psychiatric Outpatient Clinics

Patient Care

  • The resident will understand and provide the psychiatric care of patients with complex medical and psychiatric co-morbidities.
  • Referrals are received from all Medical Center specialties and from local as well as regional geographic areas. Many patients have come to UCMC for tertiary treatment of complex multimorbidities.
  • Residents participate in diagnostic evaluations, treatment recommendations, and ongoing management. 

Medical Knowledge

Residents will

  • learn to evaluate psychiatric symptomatology in medical patients and will become adept at distinguishing between symptoms arising directly from medical illness (e.g. Multiple Sclerosis brain involvement) or as the result of psychosocial adjustment to devastating illness. 
  • gain an increased knowledge of the psychopharmocologic considerations in a medically ill population and learn to work with the neuropsychiatric side effects of complex medical and psychiatric treatments
  • Learn to identify and promote adaptive coping abilities in patients and their families.

Practice based learning and improvement

  • Residents will have the opportunity to participate in ongoing QA/QI projects and present cases in M&M conferences. 

Interpersonal and communications skills

  • The resident will learn to work with patients with advanced medical illness and be sensitive to their physical limitations.
  • The resident will learn to work with the families of patients undergoing complex treatments.   

Professionalism

  • Residents will have a unique opportunity to gain understanding of the concept of suffering and of compassion (“suffering with”).
  • Residents will have the opportunity to work with patients who are dying and to develop skills dealing with end of life issues. 

Systems-Based Practice

  • Residents will communicate with multidisciplinary treatment teams effectively and will incorporate feedback from them.
  • Residents will gain experience in liaising with community based (IBD support groups) and web-based resources.