Outcome

By graduation, residents will demonstrate the knowledge, attitudes, and skills necessary to provide patient care that is compassionate, appropriate, and effective for the treatment of psychiatric problems and the promotion of mental health. Residents are expected to exhibit progressive improvement in their level of knowledge and skill throughout their training. Methods of demonstration may include the care of patients/ families, participation in didactics and clinical conferences, presentations, or exams.

Knowledge

Definition

Residents must provide patient care that is compassionate, appropriate, and effective for the treatment of psychiatric problems and the promotion of mental health. Residents are expected to acquire the theoretical and practical information necessary to assess, treat and advocate effectively for youth and families. Patient care must include integration of the relevant medical, psychiatric, and environmental factors.

Expectations

Residents must

  • manage and make decisions to effectively provide clinical care for children, adolescents, and families
  • strive to prevent psychiatric problems or maintain mental health in the clinical care of children, adolescents, and families and in the education of parents, other professionals, and the community
  • participate in liaison and multidisciplinary team activities during various rotations to coordinate and facilitate the prevention and treatment of psychiatric disorders in children and adolescents

Attitudes

Definition

Residents must consider the provision of optimal patient care a priority with an ongoing commitment to acquiring and maintaining the necessary knowledge and skills

Expectations

Residents must exhibit consistent interest, enthusiasm, and motivation for learning and practicing knowledge and skills in didactic and clinical situations

Skills

Definition

Residents must:

  • maintain effective communication and caring, respectful behaviors with patients and families
  • gather essential and accurate information about patients and families
  • make informed decisions about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment
  • develop and carry out patient management plans
  • counsel and educate patients and their families
  • use information technology to support patient care decisions and patient education
  • perform competently all essential medical and psychiatric practices for child/ adolescent psychiatry
  • provide health care services aimed at preventing psychiatric problems or maintaining mental health - work with health care and mental health professionals to provide patient-focused care

Expectations

Residents must demonstrate through

  • the clinical care of children, adolescents, and families the abilities to
    • employ an interpersonal approach which consistently emphasizes the importance of demonstrating respect, caring, and clear communication
    • gather essential, accurate, and complete information about patients and families
    • make informed decisions about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment
  • develop and carry out comprehensive patient treatment plans which include consideration of the strengths and weaknesses of the youth, family, school, extracurricular activities, other involved agencies and the need to educate all involved on the relevant psychiatric and developmental issues
  • use of information technology to support patient care decisions and patient education
  • perform competently all medical and psychiatric practices considered essential for child and adolescent psychiatry which include
    • screening for medical problems/treatment and their impact on psychiatric disorders/ development
    • conducting a comprehensive developmentally appropriate diagnostic assessment
    • developing and implementing a comprehensive treatment plan
    • performing a variety of therapeutic interventions/ techniques including
      • Psychopharmacology/ Medication management
      • Individual psychotherapy, brief and long-term
      • Group psychotherapy
      • Family psychotherapy
      • Crisis intervention
      • Psychodynamic psychotherapy
      • Supportive psychotherapy
      • Behavioral management
      • Cognitive behavioral therapy
      • Play therapy
  • working as a consultant to other professionals and agencies working with youth and families
  • providing services aimed at preventing psychiatric problems or maintaining mental health

Assessment/ Measurement

Objective Measures

  • Regular documentation by clinical and teaching faculty of participation in didactic modules, case conferences, and other teaching sessions
  • Completion of CHILD PRITE annually with review of individual scores with the training director Supervision
  • Regular documentation of resident performance in areas relevant to patient care by supervising outpatient and on-rotation faculty Clinical Skill Evaluation
  • Direct observation of the individual resident's clinical and didactic activities by identified faculty
  • Observation and evaluation of videotaped patient interactions by supervisors and/ or teaching faculty on a regular basis
  • Annual clinical examination of “mock board” type
  • Biannual review of performance with training director Independent Learning
  • Demonstration of self-initiated as well as directed study through leadership of discussions in both didactic and clinical activities and through presentations to the residency program in various formats (e.g. required papers; seminars; grand rounds; etc)

Deficiency Remediation

  • Regular review for each individual resident with the training director of the various measures of performance and competence with the
  • identification of any specific deficits
  • documentation of all identified areas requiring remediation or additional concentration
  • development of specific remediation plans based on the particular deficiencies identified
  • planning for further assessment with the outcome being determined by a method of assessment similar to the one used to identify the original deficiency (e.g. deficits identified through the supervisory process might be reassessed by subsequent supervisory reports specifically targeted at assessing and remediation of the identified deficits; repeat clinical examinations of “Mock” board type)