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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 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 patients.

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.

Objectives

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 medical comorbidity.
  • 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 .

2. Knowledge

  • 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 care.

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. 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
206-543-6577
email: psychres@u.washington.edu