Residency Policies & Procedures
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:
- 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)
- 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)
- 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
- Establish a therapeutic alliance with outpatients and engage them
in treatment (ACGME Competency: Interpersonal and Communication Skills)
- 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
- 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:
- 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.
- Achievement of Level 2 milestones or better in most categories of the Inpatient
Psychiatry, Emergency Psychiatry, and Consultation-Liaison Psychiatry
- Achievement of Level 1 milestones or better in all categories of the evaluation
forms for Continuity Clinic and the Selective rotation.
- Satisfactory evaluations of interpersonal skills and professionalism
by at least two non-attending raters (e.g. nursing staff, social workers,
other team members).
- 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).
- 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).
- Satisfactory completion of the Supportive Psychotherapy seminar and
either the Psychodynamic or Cognitive Behavioral Therapy seminar.
- Completion of 3 Clinical Skills Assessment examinations (one of which
may be the "mock Board" examination), one "mock Board" examination,
and the PRITE examination.
- 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.