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Psychiatry Residency Training Program
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Residency Policies & Procedures
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Goals and Objectives for Addictions Psychiatry Rotations

Goal:  The goal of addiction psychiatry rotations is to provide supervised clinical experiences increasing the resident's knowledge and skills in the assessment and treatment of substance use disorders and coexisting psychiatric conditions.

Supervision:  Each resident must receive a minimum of one hour of direct supervision per clinic day (or 30 minutes per clinic half-day), and must have direct access (in person or by telephone) to a supervising attending at all times.


Residents completing addiction psychiatry rotations are expected to:

1. Patient Care

  • "Perform comprehensive evaluations of patients with substance use disorders, including assessment of associated medical, legal, and psychosocial consequences of substance use; social support and psychosocial stressors; prior history of and risk for withdrawal symptoms; and comorbid primary and secondary psychiatric conditions
  • Display the ability to diagnose DSM-IV substance use disorders and to assess their severity.
  • Develop comprehensive stabilization and treatment plans for patients with substance use disorders, integrating various treatment modalities as appropriate
  • Display clinical skills in the treatment of patients with substance use disorders and dual disorders, including an understanding of the indications for and basic principles of pharmacologic, psychoeducational, group, and/or individual therapy approaches

2. Knowledge

  • Display knowledge of the expected symptoms, risks, course, and treatment of intoxication with, addiction to, and withdrawal from alcohol and other commonly used drugs, such as cocaine, marijuana, stimulants, opiates, hallucinogens, sedative-hypnotics, and tobacco
  • Display knowledge of how coexisting substance use and other psychiatric disorders ("dual diagnosis") can interact with and exacerbate each other, and the implications of these interactions for treatment

3. Practice-Based Learning and Improvement

  • Locate and critically appraise scientific literature relevant to patient care
  • Regularly use information technology in the service of patient care
  • Participate in practice-based improvement activities (CQI; e.g. case conferences, M&M-type case reviews, quality improvement projects)

4.Interpersonal and Communication Skills

  • Create and sustain effective therapeutic relationships with patients and families
  • Display empathic listening skills
  • Work effectively as part of a multidisciplinary team in the care of patients with substance use disorders with or without coexisting psychiatric disorders.

5. Professionalism

  • Demonstrate respect for others, compassion
  • Demonstrate integrity, accountability, responsible and ethical behavior
  • Demonstrate understanding of patients and their illnesses in a sociocultural context, including displaying sensitivity to the patient's culture, ethnicity, age, gender, socioeconomic status, sexual minority status, and/or disabilities.

6. Systems-Based Practice

  • Display an understanding of the health care system and of the broader context of the patient's care; effectively accesses and utilizes resources; practices cost effective care
  • Appropriately advocate for quality patient care; help patients with system complexities

7. Leadership

  • Display effective team leadership skills, including the ability to triage, prioritize tasks, and delegate work as appropriate
  • Display skills in teaching and supervising medical students

8. Educational Attitudes

  • Display openness to supervision; accept constructive criticism
  • Seek direction when appropriate; display eagerness to learn


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Psychiatry Residency Training Program
1959 NE Pacific Street, Box 356560
Seattle, WA 98195-6560