Residency Policies & Procedures
V. CLINICAL ROTATIONS
GOALS AND OBJECTIVES FOR PRIMARY CARE CONSULTATON
Goal: The goal of primary care consultation rotations is
to provide supervised clinical experience and organized instruction
in the evaluation of psychiatric and/or behavioral problems in outpatients
in primary care settings, and in working in collaboration with the patient's
primary care provider to develop and implement a comprehensive treatment
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.
On completing the primary care consultation rotation, the resident is
expected to be able to:
1. Patient Care
- Perform comprehensive, pertinent diagnostic interviews.
- Recognize and diagnose psychiatric and/or behavioral conditions common
in primary care settings (e.g. depression in medically ill patients,
anxiety, substance abuse, grief).
- Display appropriate knowledge of the interaction between medical illness,
prescribed medications, and psychiatric conditions, including the contribution
of such interactions to treatment non-compliance, exacerbation or amplification
of somatic symptoms, and functional impairment.
3. Practice-Based Learning and Improvement
- Locate and critically appraise scientific literature relevant to
patient care, and use evidence from the literature in clinical decision
making, as appropriate.
- Regularly use information technology in the service of patient care.
- Participate in practice-based improvement activities, such as improving
clinical practice as a result of supervision and reading, case conferences,
case reviews, and/or practice improvement projects.
4. Interpersonal and Communication Skills
- Establish rapport with patients in primary care settings, engage
them in the evaluation and treatment process, and provide an explanatory
model for their symptoms that facilitates their acceptance of psychopharmacologic
and/or psychotherapeutic treatments.
- Communicate effectively with primary care providers; make clear recommendations;
help them to understand psychiatric conditions in their patients and
possible treatment options; and work with them collaboratively to develop
and monitor the success of treatment plans.
- 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.
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Psychiatry Residency Training Program
1959 NE Pacific Street, Box 356560
Seattle, WA 98195-6560