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Psychiatry Clerkship
Objectives
To demonstrate knowledge of psychiatry and the ability to apply this
knowledge in compiling an appropriate differential diagnosis, making a
diagnosis, and proposing treatment options
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To
discuss clinical issues associated with the differential diagnosis,
diagnosis, and treatment options (Pharmacological and
non-pharmacological) for psychiatric illnesses
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To explain the process of various psychiatric clinical
assessments: Suicide Risk Assessment, Homicide Risk Assessment, Informed
Consent, Involuntary Hospitalization
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To describe a Mental Status Exam
To work as part of a treatment team
in the care of patients with psychiatric illnesses.
To perform a diagnostic evaluation/risk assessment to
determine the need for in-patient admission or out-patient treatment;
To (re)-assess as part of the initial in-patient History and Physical;
To do a complete history including substance history, social history;
To monitor patient’s progress during in-patient or out-patient
treatment;
To assess patient’s ability to give informed consent;
To perform a Mental Status Exam and a Mini-Mental Status Exam
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Documenting
patient interviews and patient care:
Diagnostic
evaluations/risk assessment in the ER, out-patient, or other clinical
settings In-patient
History & Physicals;
In-patient daily notes to monitor the patient’s status and the ongoing
treatment plan
Out-patient notes to monitor the patient’s status and the ongoing
treatment plan Assessment of informed
consent situations
To contribute to the optimal efficiency of the treatment
team in coordinating and carrying out the treatment plan
Interpersonal &
Communication Skills
To communicate clinical information
clearly:
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To
present interview findings to the treatment team; this includes the
initial diagnostic evaluation or follow up interviews of patients
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To
participate in the psychoeducation of patients and their families
regarding pertinent clinical issues
Practice Based Learning &
Lifelong Learning/Improvement
To demonstrate commitment to continuous improvement in
knowledge and clinical skills
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To
show evidence of reading, researching, critically reviewing scientific
evidence, and learning about issues relevant to the care of individual
patients, specific clinical issues, or a broad clinical issue not
covered in a formal didactic session.
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To
organize and present a topic with appropriate supporting visual
materials
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To
use information technology to access and manage clinical information and
perform on-line searches to support ongoing, self-directed learning
To demonstrate
awareness of ongoing professionalism issues that occur in the everyday
practice of medicine. This includes:
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To
recognize and practice communication and behaviors that fosters and
rewards the patients trust in the physician. This includes:
appropriate dress & grooming, compassion, conscientiousness,
reliability, considerateness, punctuality, honesty, and respect for
patients
confidentiality.
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To
recognize and practice appropriate communication and behaviors when
interacting with peers, residents, faculty, and non-physician staff.
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To
recognize and accept one’s own limitations in knowledge and clinical
skills
Systems Based Practice Social and Community Context of Healthcare
To demonstrate
an ability to
effectively call on health care system resources to provide care that
is of optimal value.
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To
identify considerations of cost awareness for psychiatric treatment
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To understand the challenges in providing adequate
medical/psychiatric care for psychiatric patients and work to coordinate
care for psychiatric patients within the health care system
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To
identify ways to enhance the quality of patient care.
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To
identify ways to advocate for quality patient care and for optimal patient
care Systems
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To
participate in identifying system errors and implementing potential
system solutions
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