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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 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 during residency.

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.

Objectives:
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: _____.

2. Knowledge

  • Display appropriate knowledge of basic and clinical sciences relevant to psychiatry.

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, 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 psychotherapy skills.
  • 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 care.

5. Professionalism

  • 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 system complexities.

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