Residency Policies & Procedures
V. CLINICAL ROTATIONS
GOALS AND OBJECTIVES FOR THE FORENSIC PSYCHIATRY
Goal: The overall goal of the forensic psychiatry rotation is
to provide the resident with supervised clinical experience and instruction
in forensic psychiatry.
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 forensic psychiatry rotations
are expected to:
1. Patient Care
- Perform comprehensive evaluations of defendants, including assessment
of competency to stand trial, sanity, diminished capacity/mens rea,
- Display the ability to diagnose mental disorders using DSM-IV and
other legally relevant nosological approaches.
- Develop an understanding of the relevance of clinical material and
psychiatric models of behavior to legal standards.
- Display clinical skills in the treatment of patients in forensic settings,
including an understanding of the indications for and basic principles
of pharmacologic, psychoeducational, group, and/or individual therapy
- Participate in the development of appropriate treatment plans.
- Display broad general knowledge of the expected signs, symptoms,
course, treatment, and social manifestations of mental disorders (including
personality disorders), substance abuse disorders, and the psychiatric
expression of medical disorders.
- Display knowledge of historical and clinical risk factors for violence
and criminality and of interventions designed to address these risk
- Display an understanding of malingering, factitious disorders, and
3. Practice-Based Learning and Improvement
- Locate and critically appraise scientific literature relevant to
forensic questions and/or clinical care.
- Regularly use information technology in the service of patient care
and forensic evaluation.
- Locate and properly utilize legal and medico-legal information such
as statutes, case law, polices, codes, and forensic texts.
- Participate in practice-based improvement activities (CQI; e.g. case
reviews and M&M type case conferences).
4. Interpersonal and Communication Skills
- Ethically and sensitively obtain information from patients, families,
and other sources of collateral information; " Display empathic and
critical listening skills.
- Work effectively as part of a multidisciplinary team in the evaluation
and/or care of persons in forensic settings.
- Write thorough, clear and well-reasoned forensic reports.
- Testify relevantly and accurately about forensic implications of clinical
- 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 patients' culture, ethnicity,
age, gender, socioeconomic status, sexual minority status, and/or disabilities.
6. Systems-Based Practice
- Display an understanding of the relationship between the health care
system and the legal system.
- Effectively access and utilizes resources; practice cost effectively.
- Display and apply an understanding of the differing roles of forensic
evaluator and clinical practitioner.
- Appropriately advocate for quality patient care; help patients with
- 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.