Residency Policies & Procedures
V. CLINICAL ROTATIONS
GOALS AND OBJECTIVES OF CHILD AND ADOLESCENT PSYCHIATRY
Goal: The goal of Child and Adolescent Psychiatry rotations
is to provide an organized clinical experience, under the supervision
of qualified child and adolescent psychiatrists, in the evaluation, diagnosis,
and treatment of children, adolescents, and their families.
Supervision: Each inpatient/consult resident must receive
a minimum of two hours of direct supervision per week, at least one of
which is individual, and must have direct access (in person or by telephone)
to a supervising attending at all times. For outpatient rotations, each
resident must receive a minimum of one hour of direct supervision per
clinic day (or 30 minutes per clinic half-day).
On completing the Child and Adolescent Psychiatry rotation, the resident
is expected to be able to:
1. Patient Care
- Evaluate children and adolescents of different ages and with a variety
of psychiatric conditions, and their families.
- Make appropriate Axis I DSM-IV diagnoses of children and adolescents.
- Gather information from a variety of sources, including the child/adolescent,
their family, their school, and relevant social or mental health agencies
involved in their care.
- Develop and implement appropriate treatment plans, including psychopharmacologic
treatment and individual and family therapy.
- Understand indications for intervention in, and how to refer, children
of the resident's own adult patients.
- Demonstrate adequate knowledge of child development and psychopathology.
3. Practice-Based Learning and Improvement
- Locate and critically appraise scientific literature relevant to
- Regularly use information technology in the service of patient care.
- Participate in practice-based improvement activities, including improving
his/her practice as a result of supervision, case conferences, M&M-type
case reviews, or quality improvement projects.
4. Interpersonal and Communication Skills
- Create and sustain effective therapeutic relationships with patients
- Display empathic listening skills " Work effectively with health care
professionals (including those from other disciplines), colleagues,
and staff to provide patient-focused care.
- Demonstrate respect for others, compassion.
- Demonstrate reliable attendance and appropriate professional attire.
- Demonstrate integrity, accountability, responsible and ethical behavior.
- Demonstrate understanding of patients and their illnesses in a sociocultural
context, including displaying sensitivity to patients' culture, ethnicity,
age, gender, socioeconomic status, sexual minority status, and/or disabilities.
- Demonstrate concise, pertinent, and timely record keeping.
6. Systems-Based Practice
- Display an understanding of the health care system and the broader
context of the patient's care; effectively access and utilize resources;
practice cost effective care.
- Appropriately advocate for quality patient care; help patients with
7. Educational Attitudes
- Display openness to supervision; accept constructive criticism.
- Seek direction when appropriate; demonstrate eagerness to learn.