| Goals: |
Evaluations |
- Residents will demonstrate skills in developing rapport and conducting effective patient interviews
- Residents will gather patient information in a manner that is organized, efficient, and compassionate, demonstrating medical knowledge and communication skills that encourage patient confidence.
- Residents will demonstrate knowledge of normal individual developmental stages from birth to death and provide anticipatory guidance for their patients.
- Residents will have knowledge of family developmental tasks and be able to provide anticipatory guidance for their patients.
- Residents will be able to assist patients with psychosocial problems by providing counseling intervention or referring to another resource.
- Residents will identify more serious social, emotional, behavioral and mental health problems in individuals and families and provide primary care treatment and/or referral
- Residents will be able provide appropriate primary care crisis intervention for individuals, families, and communities
- Residents will be knowledgeable of community resources for their patients and appropriately relate to such resources.
- Residents will be knowledgeable of ethical and legal issues as it relates to primary care practice
|
These skills are taught during:
- Family and Community Medicine I & II
- Psychiatry/Behavioral Medicine Rotation
- Video tape reviews
- Family Practice Service/ as well as other primary care rotation
- 360 evaluation tools
- See specific objectives below.
|
| Objectives: |
... |
- Demonstrate a healthy level of self awareness/emotional wellness which will allow the resident to monitor stress levels and maintain good mental health
- Deal effectively with personally difficult situations so they do not interfere with patient care
- Work effectively with other professionals as a member of the health care team
- Establish effective communication and relationships with patients
- Know the developmental stages of the life cycle and appropriately assist patients with anticipatory guidance
- Know the stages and tasks of the family life cycle and provide anticipatory guidance.
- Demonstrate sensitivity to presenting medical problem, age, gender, sexual orientation, religious preferences and cultural orientation
- Understand and treat the emotional aspects of non-psychiatric disorders
- Distinguish between normal and abnormal development and be able to identify when intervention needs to occur in children, adolescents, adults and the geriatric population
- Provide assessment of functioning in individuals and families to determine necessary non-medical interventions as well as medical interventions.
- Demonstrate effectiveness of assisting patients with behavioral change-understand the stages of change in the modification of behaviors
- Demonstrate skills in primary care counseling interventions including brief therapy intervention, parent-child guidance, couple counseling, crisis intervention and family meetings.
- Be able to identify serious problem areas or mental disorders and provide the patient with compassionate and competent treatment options
- Demonstrate knowledge of psychopharmacology and prescribe medication appropriately
- Will appropriately screen and treat alcoholism and other addictive disorders
- Will be able to screen and appropriately intervene in situations of domestic violence including emotional, physical, sexual abuse and/or neglect and do so for children, adolescent, adult, or elder abuse.
- Demonstrate knowledge and application of ethics in patient care including patient self determination, confidentiality, and issues concerning quality of life
- Know and effectively deal with women’s issues including the biological and psychosocial impact of pregnancy, delivery and care of the newborn child
- Demonstrates sensitivity to sexual orientation and provides counseling for sexual dysfunction
- Know community resources, how and when to refer, and show ability to establish a working relationship with such resources
|
- Video tape evaluations
- Faculty/Nursing evaluations
- Rotation evaluations from Community Medicine I & II, Psychiatry/Behavioral Science and Family Practice Service
- Verbal evaluations from the resident advisor or other faculty members
- Review of selected patient records
- Pre-post tests
|
Teaching Strategies—rotations, tactics, resources
|
... |
| Noon Lectures |
Rotation/Cycle |
Responsible Faculty |
| Coping with stress-maintaining good health |
During orientation |
Rhonda Kewney will coordinate these noon conferences. Presenters may be a faculty member, resident, or other person with specific expertise in a behavioral medicine area. |
| Stress- Definition, impact and strategies to deal with it |
1 time during 3 year cycle |
... |
| DSM IV-TR Diagnosis and diagnostic criteria |
1 time during 3 year cycle |
... |
| Personality Disorders and diagnosis |
1 time during 3 year cycle |
... |
| Mental Health Screening Tools |
2 times during 3 year cycle |
... |
| Family Systems |
1 time during 3 year cycle |
... |
| Childhood Development |
1 time during 3 year cycle |
... |
| Family Life Stages |
1 time during 3 year cycle |
... |
| Stages of Behavioral Change |
1 time during 3 year cycle |
... |
| Interviewing Techniques |
2 times during 3 year cycle |
... |
| Ethics in Family Practice |
2 times during 3 year cycle |
... |
| Psychiatric Aspects of Common Diseases |
2 times during 3 year cycle |
... |
| Mental Status Exam |
1 time during 3 year cycle |
... |
| Disorders of Childhood |
2 times during 3 year cycle |
... |
| Mental Disorders of Adulthood |
2 times during 3 year cycle |
... |
| Well Geriatric Population/Ill Geriatric Population |
2 times during 3 year cycle |
... |
| End of Life Issues-Advance Directives/Living Will |
2 times during 3 year cycle |
Community Attorney |
| Dealing with Grief/Loss Issues |
2 times during 3 year cycle |
... |
| Giving Bad News |
1 time in 3 year cycle |
... |
| Spirituality |
1 time in 3 year cycle |
... |
| Fatigue |
1 time in 3 year cycle |
... |
Cultural Competency/
Sensitivity Training |
1 time in 3 year cycle |
... |
| Psycopharmacology |
2 times a year |
... |
|
Conference Evaluations |
Psychiatry/Behavioral Science Rotation
Goals and Objectives & Sample Schedule |
... |
|
|
... |
| Continuity of Care Clinic |
... |
| Residents must have a mixed panel of patients they see in clinic and meet at least minimum number of patient visits each year per RRC guidelines |
- SIU demographic reports of patient population by resident physician
- Videotape evaluations and periodic review of medical records
|
| Emergency Room |
... |
| Residents will appropriately and compassionately treat victims of trauma, patients in crisis or patients presenting with acute or chronic medical problems |
- Evaluations from ER attendings or senior residents/peer reviews
|
| Community Outreach Clinic (COC) |
... |
| Residents will provide appropriate compassionate care for patients at COC-demonstrate knowledge of appropriate community resources to offer as an additional support for patients. |
- Evaluation from COC director and faculty attendings at the nursing home.
|
| Pediatrics |
... |
| Residents will competently care for children, demonstrate interview techniques appropriate for the patient’s age, and provide anticipatory guidance for parents |
- Evaluations from pediatric and family practice service rotations
- Videotape evaluations
- Patient evaluations of their physician
- Use of anticipatory guidance checklist in chart
|
| Residents will have knowledge of childhood disorders, appropriately diagnose, treat, and monitor patient care |
|
| Residents will appropriately consult and refer |
|
- Gain experience in performing P & P exam.
|
Rotation Evaluation |
Rhonda Kewney, LCSW
