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Psychiatry Residency Training Program
 
  Applicants Department GME Office Home School of Medicine UW UWHA

Residency Policies & Procedures
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V. CLINICAL ROTATIONS

GOALS AND OBJECTIVES FOR CONSULTATION-LIAISON PSYCHIATRY ROTATIONS

Goal: The goal of consultation-liaison psychiatry rotations is to provide organized instruction and supervised clinical experience in the evaluation of psychiatric and/or behavioral problems in patients on medical and surgical services, and in effectively consulting with their health care providers regarding their clinical management.

Supervision: Each 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.

Objectives:
Residents completing consultation-liaison psychiatry rotations are expected to:

1. Patient Care

  • Perform comprehensive, pertinent diagnostic interviews; collect data from important collateral sources; develop thorough, accurate differential diagnoses; formulate and carry out appropriate treatment plans
  • Effectively assess behavioral conditions commonly seen on medical/surgical services (e.g. suicidal/homicidal statements or behavior, grief, depression, anxiety, personality problems, chronic pain)
  • Perform complete and accurate assessments of patients' potential to harm self or others and of the level of psychiatric care needed after discharge
  • Display the ability to adapt psychopharmacologic and psychotherapeutic treatments for medically ill patients

2. Knowledge

  • " Recognize and know the differential diagnosis of the psychiatric conditions most commonly seen in medical/surgical settings (e.g. delirium, depression, somatoform and factitious disorders, substance abuse and withdrawal)

3. Practice-Based Learning and Improvement

  • Locate and critically appraise scientific literature relevant to patient care teach the rest of the team about literature findings, and use this information to improve patient care
  • Regularly use information technology in the service of patient care
  • Participate in practice-based improvement activities (CQI; e.g. case conferences, case reviews, quality improvement projects)

4. Interpersonal and Communication Skills

  • Create and sustain effective therapeutic relationships with patients and families
  • Display empathic listening skills and the ability to use both verbal and non-verbal communication
  • Clarify the consultation request, identify important issues, clearly communicate findings and recommendations
  • Display skills in liaison with medical/surgical services; help non-psychiatric providers to understand and manage psychiatric or behavioral problems in their patients
  • Provide informative sign out to other providers caring for the patients he/she is responsible for (e.g. other consultation-liaison psychiatry team members, short call residents, night and weekend providers)

5. Professionalism

  • Demonstrate respect for others, compassion
  • Demonstrate reliable attendance and appropriate professional attire
  • Demonstrate integrity, accountability, responsible and ethical behavior
  • Demonstrate "ownership", i.e. taking responsibility to ensure that each patient receives excellent clinical care
  • 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
  • Demonstrate concise and pertinent record keeping, and prompt completion of consult notes

6. Systems-Based Practice

  • Display an understanding of legal issues involved in consultation-liaison psychiatry, including use of restraints, involuntary commitment, and competency/decisional capacity

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
  • Display flexibility, self-awareness, and the ability to continuously improve one's clinical skills and practice based on feedback

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Psychiatry Residency Training Program
1959 NE Pacific Street, Box 356560
Seattle, WA 98195-6560
206-543-6577
email: psychres@u.washington.edu