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Residency Policies & Procedures
V. Educational Goals by Year
Educational Goals for the PGY-4 Year
The Psychiatry Residency PGY-4 year consists of the Continuity
Clinic (at least one half-day per week), a Primary Care Consultation rotation,
completion of any remaining required rotations, and elective rotations
to allow the resident to explore his or her career interests. The general
goals of the PGY-4 year are to: (a) complete all required training; (b)
consolidate and further develop clinical skills in preparation for independent
practice; (c) develop skills in consultation to primary care providers,
managing and teaching them about the psychiatric and behavioral conditions
in their patients; (d) develop the skills of life-long learning; (e) develop
particular specialized knowledge; administrative, leadership, research,
or teaching skills; and an understanding of practice settings and systems
to facilitate further career development.
Specific goals for the PGY-4 year include the goals listed for the PGY-1,
PGY-2, and PGY-3 years, in addition to the resident's being able to:
- Integrate knowledge, skills, conceptual and practical assessment and
treatment approaches in providing effective, patient-focused clinical
care
- Effectively and independently formulate treatment plans incorporating
a variety of psychopharmacologic and psychotherapeutic modalities, alone
and in combination
- Take responsibility for his/her own learning, keep up with and critically
appraise the scientific literature relevant to psychiatry, and use research
findings appropriately in the care of individual patients
- Provide consultation to primary care providers regarding the behavioral
and/or psychiatric problems of their patients
- Display leadership in clinical care settings, administrative roles,
teaching of medical students and junior residents, and supervision of
other mental health care providers
- Relate to patients and their families, as well as other members of
the health care team with compassion, respect, and professional integrity,
and display sensitivity to the sociocultural context of patients' illnesses
- Display an understanding of practice settings, systems, and career
options within psychiatry
- Display an understanding of his/her own limitations, a commitment
to ongoing professional development, and openness to seeking appropriate
supervision and consultation within and beyond residency
Satisfactory completion of the PGY-4 year requires:
- Satisfactory completion of a total of 48 months of training, including
all rotations necessary to meet program graduation and Board requirements
- Ratings of "proficient" or better in all categories of the Continuity
Clinic and Primary Care consultation evaluation forms, as well as in
all elective rotations.
- Passing at least 3 Clinical Skills Assessments, passing a "mock Board"
examination, and completion of the PRITE examination
- Satisfactory demonstration of all ACGME psychotherapy competencies,
as assessed by the program's psychotherapy competency standards and
evaluations
- Demonstration of life-long learning skills through journal club, completion
of a scholarly project, and practice-based improvement activities and
didactics
- 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).
- Participating in teaching PGY-1 residents in their didactics
- Evidence of compassionate, respectful, professional, and ethical behavior
as well as openness to feedback and supervision
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