Goals and objectives

A. Medical Knowledge

Students will be able to demonstrate medical knowledge of the following:

1. Etiology, epidemiology, clinical manifestations, differential diagnosis, and treatment of the following:   Delirium, Dementia, Illicit Substance Abuse, Alcohol Abuse/Withdrawal, Schizophrenia, Schizophreniform, Schizoaffective, Delusional Disorder, Brief Psychotic Disorder, Major Depressive Disorder, Depressive Disorder NOS, Dysthymia, Bipolar Affective Disorder, Bipolar Affective Disorder II, Panic Disorder with and without Agoraphobia, Post Traumatic Stress Disorder, Generalized Anxiety Disorder, Adjustment with Depressed Mood, Adjustment with Anxiety Disorder, Borderline Personality Disorder, Antisocial Personality Disorder, and Malingering.
   
   
2. Diagnostic approach to patients that includes consideration of underlying medical condition that may present as psychiatric problem or that may exacerbate psychiatric problem(s).
   
   
3. Principles of mental health medicine for adults including depression and anxiety screening, stress management and reduction, psychosocial education and medical referrals.
   
   
4. Evidence Based Medicine, especially as it relates to current neuroscience research, i.e. brain/central nervous system studies, neuroimaging methodology, and psychotropic medication research outcomes.

B. Communication Skills

Students participating in the Psychiatry clerkship will be able to demonstrate the ability to communicate clearly with strong emphasis on the following:

1. Present interview findings to the treatment team which includes the initial diagnostic evaluation and follow up interviews of patients.
   
   
2. Participate in the psycho-education of patients and their families regarding pertinent clinical issues. 
   
   
3. Contribute to the optimal efficiency of the treatment team in coordinating and carrying out the treatment plan.
   
   
4. Interviewing a Standardized Patient and generating a thorough differential diagnosis based on the information gathered in the standardized clinical encounter.
   
   
5. Students will demonstrate competence in research, organization, synthesis and presentation of a selected psychiatric topic in a graded small group presentation to attendings and their peers. (referred to as SPPAM).

6. Elicit, record, and present a complete history, with emphasis on the history of present illness, as:
   1. A clear, chronological narrative of the patient's problems, and
   2. A description of the patient's understanding of his or her illness, fears and concerns, and the impact of the illness and its treatment on the patient and the patient's family.
      
      
7. Explain to a patient and the patient's family the findings of a clinical investigation, plans for follow-up or possible courses of therapy.
   
   
8. Record and present a hospital admit note (including a complete H&P and problem list with assessment and plans), hospital orders and progress notes.
   
   
9. Demonstrate skills/strategies for dealing with difficult situations .
   
   
10. Participate in rounds, including presenting assigned patients and demonstrating changes in patients' status and plans.
    
    
11. Demonstrate evidence of reading around patients' problems.
    
    
12. Elicit, record and present follow-up histories for longitudinal patient care, including review of medications, preventive medicine needs, and focused histories and physicals for specific problems.

C. Professionalism

1. Care conscientiously for patients with the highest standard of professional, ethical, and moral conduct in all circumstances arising in association with the patients' illnesses.
   
   
2. Display behaviors that foster and reward the patient's trust in the physician, such as appropriate dress, grooming, punctuality, honesty, respect for patient's confidentiality, and other norms of behavior in professional relationships with patients.
   
   
3. Converse appropriately and behave with personal integrity in interactions with peers, faculty, residents, and non-physician staff.
   
   
4. Recognize and accept own limitations in knowledge and clinical skills and commit to continuous improvement in knowledge and ability.

D. Patient Care

Assist in providing overall care for assigned patients under direct supervision, including:

1. Inpatient settings –
   1. Construct and present complete H&Ps, problem lists, assessments with prioritized differential diagnoses, and diagnostic, therapeutic and patient education plans; hospital orders and daily progress notes; interact with family; collaborate with other health care personnel;
      1. Complete a through History of Present Psychiatric illness, recognizing pertinent positives and pertinent negatives related to a disorder;
      2. Provide a differential diagnosis that includes a consideration of psychiatric, medical and social problems;
      3. Generate and order labs to confirm or rule out a diagnosis;
      4. Perform and present of aspects mental status exam:   Appearance, Behavior, Speech, Mood, Affect, Thought Process, Thought Content, Perception, Cognition, Insight and Judgment
      5. Be able to properly perform a Mini-Mental Status Exam on patients
      
      
2. Work collaboratively as members of a healthcare team in a variety of settings.
   1. Develop a treatment plan in collaboration with other members of the health care team;
      
      
3. Become familiar with the psychotropic medications used for rapid stabilization and maintenance treatment of the common psychiatric disorders taught in the clerkship.
   
   
4. Describe basic principles of autonomy, paternalism, beneficence, and non-malfeasaure.
   
   
5. Describe and utilize principles of advanced directives and patient's ability to give informed consent for treatment.

E. Practice Based and Lifelong Learning

Students should be able to:

1. Use information technology access and manage clinical information and perform on-line searches to support ongoing, self-directed learning;
   
   
2. Search, evaluate and critically review scientific evidence appropriate to the care of individual patients or, as an approach to clinical problem.
   
   
3. Show evidence of reading around/researching/learning about clinical topics not covered in a formal didactic session.
   
   
4. Demonstrate the ability to organize and present a topic with appropriate supporting visual materials.
   
   
5. Demonstrate awareness of ongoing professionalism issues that occur in the everyday practice of medicine.

F. Social and Community Context of Healthcare

Students will:

1. Demonstrate an understanding that some individuals in our society are at risk for inadequate healthcare, including the poor, uninsured, children, unborn, single parents, elderly, racial minorities, immigrants, refugees, physically disabled, mentally disabled, chemically dependent, and those with incurable diseases;
   
   
2. Implement strategies to access healthcare services for patients who need advocacy and assistance;
   
   
3. Under supervision develop diagnostic and treatment strategies that are cost-effective, sensitive to limited resources, and do not compromise quality of care; and
   
   
4. Demonstrate knowledge of non-biological determinants of poor health including child abuse, domestic violence and the economic, psychological, social, and cultural factors that contribute to their development and continuation, economic, psychological, social, and cultural factors that impact the development and continuation of child abuse and/or domestic violence.
   
   
5. Demonstrate and understanding of the unique process that is individual in assuring continuity of care with the community where there is limited access to resources.

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  © 2001 Loyola University Chicago Stritch School of Medicine. All rights reserved.
Please send questions or comments to: Maralee Powderly
Updated: 05/03/05 ... Created: 05/02/00