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Formal Goals and Objectives

In case anyone needs an official list of what students and faculty are trying to achieve during this clerkship, here's a formal statement. Make sure to read the How it Works page to begin this rotation.

The following Goals and Objectives were adapted from the University of Wisconsin.  Theirs is an excellent and fairly typical inpatient-based one-month experience. Their website has more if you wish to compare their approach. 

Goals

At the conclusion of the clerkship students will:

 

Educational Objectives

Patient Care (Problem Solving and Clinical Skills)

Students are expected to provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health.

  1. Conduct an adequate interview, including recognition of behavioral phenomena as described in the psychiatric mental status examination
  2. Engage a patient and establish rapport
  3. Introduce and discuss sensitive material
  4. Understand some means of handling behavioral or emotional difficulties commonly encountered in the psychiatric interview
  5. Perform a psychiatric diagnostic workup, to include:
    1. Acquiring and organizing the psychiatric history
    2. Including appropriate components of a mental status exam in their interview and report
    3. Making decisions regarding further diagnostic studies
  6. Diagnose a patient based on clinical history and other information
  7. Present a patient with an assessment that includes psychological and social factors in the explanation of the patient's difficulties

Medical Knowledge

Students are expected to demonstrate knowledge of established and evolving biomedical, clinical and social sciences.

  1. Describe the major psychiatric diagnoses as defined in the DSM (in transition, in 2013, from 4th to 5th edition)
  2. Explain the range of psychiatric interventional therapeutics, specifically:
    1. Indications for and possible side effects and complications of psychotherapies including fundamentals of  behavioral and cognitive approaches; and some grasp of psychodynamic principles
    2. Indications for and possible side effects and complications of psychopharmacologic treatments
    3. Indications and appropriate selection for psychosocial interventions in primary care, including case management, crisis intervention, social work, occupational therapy and vocational counseling; and psychiatric hospitalization where needed.
  3. Identify a psychiatric emergency in the clinical setting, and describe the appropriate interventions in the primary care setting for immediate management or referral of the patient
  4. List the indications for a psychiatric referral or psychiatric consultation, and derive an understanding of the concept of a psychiatric liaison

Practice-Based Learning and Improvement

Students are expected to investigate and evaluate their patient care practices by appraisal and assimilation of scientific evidence. 

  1. Formulate skills in assembling and integrating information relevant to patient care from multiple sources, including specialty information databases used in searches on psychiatric and psychological issues
  2. Recognize how these skills are a base for lifelong learning

Systems-Based Practice

Students are expected to demonstrate an awareness of the larger context and system of health care and effectively call on system resources to provide optimal care. 

  1. Demonstrate respect for, and integrate the care of patients in the outpatient setting with all team members, including primary care or other physicians, psychotherapists, social workers, case management team members, and psychiatrists involved in the patient's care
  2. Understand the concept of a medical home and of the importance of delivering mental health services in that context
  3. Recognize the contributions of the various team members and understand how psychologists and psychiatrists fit into that team.

Interpersonal and Communication Skills

Students are expected to effectively communicate and collaborate with patients, their families and health professionals. 

  1. Exhibit the ability to engage a patient in a  respectful and empathetic fashion (long live Carl Rogers)
  2. Roll with resistance; and to some degree utilize other motivational interviewing skills such as developing discrepancy and eliciting change talk
  3. Recognize and manage personal reactions and responses to the patient that may detract from an appropriate professional relationship that may include excessive sympathy, anger, rejection, fear, or emphasis on interpersonal control

Professionalism

Students are expected to demonstrate a commitment to carrying out professional responsibilities, and to be responsive and compassionate. 

  1. Describe the details and reasons for care of medical confidentiality in the mental health matters; and release-of-information procedure, including responding to family queries when no release of information has been signed
  2. Demonstrate appropriate professional interpersonal boundaries in the context of the intense relationship issues which arise in interviewing patients with mental health problems