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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. Educational Goals by Year

Educational Goals for the PGY-2 Year*

The Psychiatry Residency PGY-2 year consists of 4 months Inpatient Psychiatry, 1 month Emergency Psychiatry, 4 months Consultation-Liaison Psychiatry, 1 month Night Float, 2 months Selective (Addictions, Geriatrics, Child, Forensics, or Research), and a one-half-day per week outpatient continuity clinic*. The general goals of the PGY-2 year are to provide residents with supervised experience (a) in the evaluation for admission, diagnosis, case formulation, and treatment of acutely ill psychiatric inpatients, and the leadership of a multidisciplinary inpatient treatment team; (b) as a consultant, collaborating with medical and surgical services to diagnose, treat, and manage psychiatric and behavioral problems in their patients; (c) evaluating and managing patients presenting to psychiatric emergency services; (d) in a subspecialty or research area of psychiatry to help the resident begin to explore potential career options; and (e) in treating two outpatients, together with an introduction to the theory and practice of psychotherapy.

Specific goals for the PGY-2 year include the goals listed for the PGY-1 year, in addition to the resident's being able to:

  1. Communicate and collaborate effectively with, and exercise appropriate leadership within, an inpatient multidisciplinary treatment team, appreciating the roles and skills of each team member (ACGME Competency: Interpersonal and Communication Skills)
  2. Evaluate patients presenting to psychiatric emergency services; manage psychiatric emergencies such as suicidal or homicidal ideation or aggression in an effective and therapeutic manner; and, as appropriate, refer patients for inpatient admission, evaluation for involuntary treatment, or other psychiatric care (ACGME Competency: Patient Care, Systems Based Practice)
  3. Assess medical and surgical inpatients with psychiatric or behavioral problems, formulate appropriate treatment recommendations, and relate effectively to the primary treatment team in understanding the problem and communicating treatment recommendations clearly (ACGME Competency: Patient Care, Interpersonal and Communication Skills, Systems Based Practice)
  4. Establish a therapeutic alliance with outpatients and engage them in treatment (ACGME Competency: Interpersonal and Communication Skills)
  5. Relate to patients and their families, as well as other members of the health care team with compassion, respect, and professional integrity (ACGME Competency: Professionalism, Interpersonal and Communication Skills)
  6. Display a commitment to excellent patient care, teaching medical students, and developing his or her own knowledge and skills through active participation in supervision and didactic sessions, as well as through critical appraisal and assimilation of scientific literature (ACGME Competency: Practice Based Learning and Improvement, Professionalism)

Satisfactory completion of the PGY-2 year requires:

  1. Satisfactory completion of an additional 12 months of training, including 4 months Inpatient Psychiatry, 4 months Consultation-Liaison Psychiatry, 1 month Emergency Psychiatry, 1 month Night Float, and 2 months Selective rotations.
  2. Achievement of Level 2 milestones or better in most categories of the Inpatient Psychiatry, Emergency Psychiatry, and Consultation-Liaison Psychiatry evaluation forms.
  3. Achievement of Level 1 milestones or better in all categories of the evaluation forms for Continuity Clinic and the Selective rotation.
  4. Satisfactory evaluations of interpersonal skills and professionalism by at least two non-attending raters (e.g. nursing staff, social workers, other team members).
  5. Attendance at 70% of all scheduled didactics sessions OR 85% or more of didactic sessions for which the resident is not excused (e.g. for vacation, illness, post-call, on call).
  6. Completion of an evidence based medicine presentation on a topic relevant to Psychiatry and/or a quality improvement exercise (generally done during the UWMC or VA Inpatient Psychiatry rotation).
  7. Satisfactory completion of the Supportive Psychotherapy seminar and either the Psychodynamic or Cognitive Behavioral Therapy seminar.
  8. Completion of 3 Clinical Skills Assessment examinations (one of which may be the "mock Board" examination), one "mock Board" examination, and the PRITE examination.
  9. Evidence of compassionate, respectful, professional, and ethical behavior as well as openness to feedback and supervision

* Residents entering at the PGY-2 level do 8-9 months Inpatient Psychiatry, 3-4 months Consultation Liaison Psychiatry, and one half day per week of continuity clinic. Schedule may vary for residents in the Idaho Track.

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Psychiatry Residency Training Program
1959 NE Pacific Street, Box 356560
Seattle, WA 98195-6560