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Residency Policies & Procedures
V. CLINICAL ROTATIONS
"OFF WARD" SUPERVISION
During inpatient psychiatry rotations, each R1 and new R2 will be assigned an "off ward" supervisor by the Chief Resident. The resident is expected to arrange regular supervision meetings with his/her "off ward" supervisor for one hour per week. "Off ward" supervision is designed to provide another hour of individual supervision from a regular or clinical faculty member who is not the resident's clinical attending; to provide a different perspective on patient care issues and psychiatry as a field; and to help the resident to develop skills in empathic interviewing, case formulation and presentation, clinical decision-making, reading psychiatric literature, applying basic and clinical knowledge to clinical situations, and/or working as part of a multidisciplinary inpatient team.
The particular focus of the supervision will depend on the interests and educational needs of the resident. "Off ward" supervisors may interview and assess patients with the resident, provide supervision for the resident's cases, teach the resident to present and formulate cases, provide mentorship in dealing with interpersonal issues or the resident's role on the inpatient team, or review articles from the Inpatient Psychiatry Syllabus with the resident.
Of note, each resident is required, over the course of their Inpatient Psychiatry rotations, to read, and review with a supervisor, all of the articles in the Inpatient Psychiatry syllabus; to do one formal case presentation and formulation per 3-month rotation; and to obtain documentation of completion of these educational activities from a supervising attending (either their "off ward" supervisor or their inpatient attending).
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