By graduation, the residents will demonstrate the knowledge, attitude, and skills
necessary to practice professionally responsible, ethical and culturally sensitive
child and adolescent psychiatry. 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 exhibit a commitment to being professionally responsible, adherent
to ethical principles, and sensitive to a diverse patient population
Expectations
Residents will acquire and practice the ethical and professional standards and behavior
compatible with the standards of child and adolescent psychiatry. Suggested topics
(not inclusive) include:
AACAP and other professional codes of ethics
Institutional and governmental ethical and professional standards
Patient confidentiality and disclosure of information
Mandated reporting
Informed consent
Treatment consent and refusal
Commitment
Custody and guardianship
Rights of minors
Standards of treatment
Individual and societal/ community needs
Consent and assent in research
Competency
Professional relationships with pharmaceutical and other commercial organizations
Cultural and ethnical influences on development, psychiatric disorders and care, and
family systems
Advocacy for individuals, families, children in general, and the field
Attitudes
Definition
Residents will display a consistent interest in the clinical, advocacy, and consultant
roles and responsibilities of a child and adolescent psychiatrist
Expectations
Residents will demonstrate
Respect, compassion, responsibility, and integrity
Responsiveness to the needs of patients and society that supercedes self-interest
Accountability to patients, families, society, and the profession
Commitment to excellence and on-going professional development
Commitment to ethical principles
Sensitivity and responsiveness to patients' culture, ethnicity, age, gender, and disabilities
Skills
Definition
Residents will demonstrate
the roles and responsibilities of a child and adolescent psychiatrist
attitudes and behavior which are consistent with the professional and ethical standards
of child and adolescent psychiatry
the ability to consider and manage the common and unique attributes of various groups
based on their culture, ethic origin, gender, age, medical or psychiatric disabilities
when providing clinical care to children, adolescents, and families
Expectations
Residents will
participate actively in clinical and didactic situations and local and national professional
organizations displaying the characteristics of an ethical and responsible child and
adolescent psychiatrist
be able to interact with professionals of diverse backgrounds to provide effective,
culturally sensitive clinical care to children, adolescents, and families
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
Completion of essay exam annually with review with the training director
Supervision
Regular documentation of resident performance in areas relevant to professionalism
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. relative deficits
identified on the CHILD PRITE might be subsequently reassessed by later performance
on the CHILD PRITE or another written examination; deficits identified through the
supervisory process might be reassessed by subsequent supervisory reports specifically
targeted at assessing and remediating the identified deficits; etc)
