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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 THE EMERGENCY PSYCHIATRY ROTATION

Goal:  The goal of the emergency psychiatry rotation is to provide organized instruction and supervised clinical experience in emergency psychiatry, leading to the development of knowledge and skills in the emergency evaluation, crisis management, triage, and safe and sound disposition of psychiatric patients in a timely and efficient manner.

Supervision:  Each resident must receive a minimum of one hour a week of direct supervision by an emergency psychiatry attending and must have direct access (in person or by telephone) to a supervising attending at all times.

Objectives:
On completing the emergency psychiatry rotation, the resident is expected to be able to:

1. Patient Care

  • Perform comprehensive, pertinent diagnostic interviews
  • Develop thorough differential diagnoses
  • Establish rapport with and assess acutely disturbed patients
  • Make rapid assessments of acutely psychotic patients
  • Effectively evaluate dangerousness (suicidality, homicidality) and intervene appropriately
  • Effectively assess alcohol and drug intoxication and withdrawal
  • Document the database and describe the assessment and plan in a complete and succinct manner.
  • Understand the medical, neurological, and other physiological causes for psychiatric symptoms and seek medical, neurological, or other specialty consultations appropriately
  • Effectively assess the need for inpatient versus outpatient treatment

2. Knowledge

  • Display appropriate knowledge of basic and clinical sciences relevant to psychiatry
  • Display knowledge of the assessment and treatment of psychiatric emergencies
  • Understand the usefulness and indications for stat laboratory and other diagnostic tests

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 (improvement based on supervision; case reviews; case conferences; CQI activities)

4. Interpersonal and Communication Skills

  • Create and sustain effective therapeutic relationships with patients, families, and caregivers
  • Display empathic listening skills
  • Work effectively with social workers, nurses, and medical staff in the emergency room
  • Provide informative sign out to other providers (e.g. night and weekend residents, other emergency room staff taking over care of the patient)

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 patients' culture, ethnicity, age, gender, socioeconomic status, sexual minority status, and/or disabilities

6. Systems-Based Practice

  • Prioritize and expedite patient evaluation and referral from the emergency room
  • Display familiarity with community referral sources
  • Effectively evaluate risk of patients to caregivers
  • Display understanding of relevant issues of Washington State Mental Health Law and be able to assess the need for civil commitment

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; demonstrate 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