Residency Policies & Procedures
V. CLINICAL ROTATIONS
GOALS AND OBJECTIVES FOR CONTINUITY CLINIC ROTATIONS
Goal: The goal of continuity clinic rotations is to provide supervised
clinical experience in the comprehensive, integrated, continuous care
of psychiatric outpatients. The continuity clinic gives the resident the
opportunity to follow patients for more than a year, and up to 3 years
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. In addition, each PGY-2 resident must have one
hour, and each PGY-3 and PGY-4 resident must have two hours, of individual
psychotherapy supervision per week.
On completing the long-term continuity clinic rotation, the resident is
expected to be able to:
1. Patient Care
- Perform comprehensive, pertinent diagnostic interviews.
- Develop thorough differential diagnoses.
- Formulate and carry out appropriate treatment plans.
- Each resident must have significant experience treating outpatients
longitudinally for at least one year. The number of patients this resident
has treated longitudinally for at least one year is: _____.
- Display appropriate knowledge of basic and clinical sciences relevant
3. Practice-Based Learning and Improvement
- Locate and critically appraise scientific literature relevant to
- Regularly use information technology in the service of patient care.
- Participate in practice-based improvement activities, such as case
reviews, case conferences, and/or practice improvement projects (e.g.
using outcome measures to assess effects of and improve treatment).
- Videotape at least one ongoing psychotherapy case and review videotaped
sessions with a supervisor to facilitate continuous improvement in his/her
- Display flexibility, self-awareness, and the ability to continuously
improve one's clinical skills and practice based on feedback.
4. Interpersonal and Communication Skills
- Engage patients in treatment; maintain a basic therapeutic alliance
throughout the duration of treatment.
- Recognize his/her own characteristic responses to patients ("countertransference")
and the effects of these responses on treatment.
- 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 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 health care system and of the broader
context of the patient's care; effectively access and utilize resources;
practice cost effective care.
- Appropriately advocate for quality patient care; help patients with
7. Educational Attitudes
- Display openness to supervision; accept constructive criticism.
- Seek direction when appropriate; demonstrate eagerness to learn.
©1998 - 2013, Psychiatry Residency Training Program.
All rights reserved.
Psychiatry Residency Training Program
1959 NE Pacific Street, Box 356560
Seattle, WA 98195-6560