Residency Policies & Procedures
V. CLINICAL ROTATIONS
GOALS AND OBJECTIVES FOR GERIATRIC PSYCHIATRY ROTATIONS
Goal: The goal of geriatric psychiatry rotations is to provide
general psychiatry residents with supervised clinical experience and training
in the comprehensive assessment and initial treatment planning of elderly
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.
On completing a geriatric psychiatry rotation, the resident is expected
to be able to:
1. Patient Care
- Perform initial assessments of elderly patients, including evaluation
of neuropsychiatric symptoms, cognitive and functional abilities, and
- Identify clinically meaningful cognitive impairment when present,
conduct a suitable differential diagnostic evaluation, and interpret
the results with adequate supervision.
- Diagnose and understand special aspects of anxiety and depression
presenting in elderly patients with complex medical or situational problems.
- Generate initial treatment plans, including appropriate first-line
treatment modalities and management strategies .
- Display adequate knowledge of geriatric psychiatry.
3. Practice-Based Learning and Improvement
- Locate and critically appraise scientific literature relevant to
patient care and use evidence from the literature in clinical decision
making, as appropriate.
- Regularly use information technology in the service of patient care.
- Participate in practice-based improvement activities (e.g. improve
his/her clinical practice as a result of supervision; participate in
case conferences, case reviews, and/or CQI projects)
4. Interpersonal and Communication Skills
- Create and sustain effective therapeutic relationships with patients,
families, and caregivers.
- Display empathic listening skills.
- Work effectively with health care professionals (including those from
other disciplines), colleagues, and staff to provide patient-focused
- Demonstrate respect for others, compassion.
- Demonstrate reliable attendance and appropriate professional attire.
- Demonstrate integrity, accountability, responsible and ethical behavior.
- Demonstrate "ownership", i.e. attitudes and behaviors consistent with
being the patient's physician and 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.
- Demonstrate concise, pertinent, and timely record keeping.
6. Systems-Based Practice
- Adequately assess the nature and quality of the patient's caregiving
network, including primary care physicians, subspecialty physicians,
family members, social network, nursing home staff.
7. Educational Attitudes
- Display openness to supervision; accept constructive criticism.
- Seek direction when appropriate; demonstrate eagerness to learn.
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Psychiatry Residency Training Program
1959 NE Pacific Street, Box 356560
Seattle, WA 98195-6560