Allopathic Psychiatry Residency Program
OVERALL PROGRAM EDUCATIONAL GOALS AND OBJECTIVES
- Mission and Goals
· Our didactic mission will extend far beyond the context of a required residency program in the way to obtain a medical license. We are faithful in preparing our residents as self-directed competent physicians and life long learners, with the highest academic, ethical, clinical and professional values of medicine, capable of providing a comprehensive health care using the bio-psychosocial model.
· To provide a comprehensive residency program in total compliance with the ACGME requirements for residency in Psychiatry in order to prepare the residents to fulfill requirements for certification by the American Board of Psychiatry and Neurology.
· Prepare excellent psychiatrists for the increasing demand in the community.
· Encourage our graduates to practice in medically underserved communities and areas of critical need in our state of Florida when they complete their training
· Promote the growth of future leaders in research and clinical psychiatry.
· Assure an educational environment that must fulfill the physical, emotional and educational needs of all our residents and be devoted to excellence in medical education, patient care and scholarly activity.
· Graduate proficient psychiatrists capable of providing a high-quality psychiatric care to the individual through all cycles of life; including the neonatal stage, pediatric, adolescent, adult and elderly.
· Train residents of psychiatry emphasizing on the bio-psycho-social model of patient care.
· To provide a comprehensive educational experience which assures that graduating residents in psychiatry will possess the clinical skills and knowledge to prepare them for the independent practice of psychiatry while exposing them to the broad range of career opportunities including clinical practice, teaching, research, and administrative psychiatry.
· To provide an extensive educational experience such that residents successfully pass the written and oral examinations for certification in psychiatry by the American Board of Psychiatry and Neurology.
· To advance the development of psychiatrists who practice critical thinking including an evidence-based approach in all aspects of their medical practice.
· To train residents who will be required to skillfully collect and synthesize information involving the biological, psychological, and social dimensions, including spiritual aspects of each patient. The careful, thoughtful, and sophisticated integration of each of these areas lays the groundwork for successful formulation of a clear, safe, and reasonable treatment plan. To provide a learning environment that will be favorable to the achievements of the program and rotations educational goals and objectives.
To provide the didactics and experiences essential to guarantee that residents attain competence in the ACGME core competencies:
1.PATIENT CARE - Residents must be able to provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health
2.MEDICAL KNOWLEDGE - Residents must demonstrate knowledge about established and evolving biomedical, clinical, and cognate (e.g. epidemiological and social-behavioral) sciences and the application of this knowledge to patient care.
3.PRACTICE-BASED LEARNING AND IMPROVEMENT - Residents must be able to investigate and evaluate their patient care practices, appraise and assimilate scientific evidence, and improve their patient care practice.
4.INTERPERSONAL AND COMMUNICATION SKILLS - Residents must be able to demonstrate interpersonal and communication skills that result in effective information exchange and teaming with patients, their patients families, and professional associates.
5.PROFESSIONALISM - Residents must demonstrate a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population.
6.SYSTEMS-BASED PRACTICE - Residents must demonstrate an awareness of and responsiveness to the larger context and system of health care and the ability to effectively call on system resources to provide care that is of optimal value.
Goals and Objectives at Each Educational Level
· To have initiatory / introductory working knowledge of general psychiatry, internal medicine and neurology
· To provide an initiation to the essentials of psychiatric practice through series of didactics, seminars and clinical teachings and supervisions
At the end of the year, the resident will be able to:
· Obtain a detailed psychiatric and medical history, perform a thorough mental state examination
· Initiate appropriate laboratory and psychological investigations or consultation with other professionals
· Develop DSM-IV diagnostic, case presentation and formulation skills appropriate for first year residents
· Develop a differential diagnostic framework appropriate for first year residents
· Acquire knowledge and skills of civil commitment of psychiatry patients
· Understand the theory and clinical standards of assessing and managing inpatient psychiatric patients
· Acquire knowledge and skills assessing (physical, laboratory and radiological assessment) essential for medical causes of psychiatric syndromes
· Be familiar with the neurologic examination and how to use it for localization in the nervous system
· Acquire knowledge and skills to review and manage acute neurological disorders
· Acquire initiatory (introductory) knowledge of psychiatric treatment modalities – psychological, pharmacological, physical and rehabilitative
· To build on the initiatory / introductory knowledge and skills acquired during the first year of residency training
· To introduce more advanced knowledge in psychiatric methods of care, developmental stages of life and introduction to research in psychiatry
· These goals are achieved by close supervision of residents on a variety of outpatient units and also by introducing residents to integrated continuum of care through dyadic – one-on-one supervisions, and didactic program of lectures in psychiatric assessment, treatment and research.
At the end of the 2nd year, the resident will:
· Develop a thorough competence in the assessment and bio-psycho-social formulation of psychiatric disorders
· Develop a comprehensive understanding of the psychological, pharmacological, and physical treatments involved in the care of the seriously mentally ill
· Acquire initiatory / introductory knowledge and skills in time-limited symptom-focused and long-term insight oriented psychological treatments by delivering psychotherapy, under close supervision, to selected patients followed in outpatient settings
· Be exposed to managing patients with severe and chronic / persistent mental illness in the community, these concepts include multi- disciplinary treatment teams, working with families, psychosocial rehabilitation and dual diagnosis
· Understand the key developmental stages throughout the life cycle, approach clinical assessment on a developmental continuum
· Be introduced to cultural psychiatry and its significance in psychiatric diagnosis and treatment
· Recognize and give appropriate emphasis to the individual and family strengths and community services which can be mobilized in the management of psychopathology
· Understand research hypothesis testing, including the concepts of independent and dependent variables
· Understand basic research designs and strategies, such as true experimental design, quasi-experimental design
PGY 3 Goals
· To enhance competencies acquired in the first two years and develop mastery of assessment, and management of resistant-refractory disorders, special population, and more complex psychiatric cases / scenarios
· Emergency psychiatric consultation
At the end of the 3rd year, the resident will be:
· Proficient in gathering clinical data relevant to a psychiatric evaluation, arriving at correct diagnosis of psychiatric patients, and generate differential diagnosis for patients with psychiatric disorders
· Able to select, synthesize and appropriately balance the biological, developmental, familial, social and psychological factors contributing to psychopathology
· Be proficient in planning and implementing bio-psychosocial plans for patients with psychiatric disorder
· Effectively utilize the resources and skills of related mental health professionals Have gained experience and skills to the point of being regarded as a team leader by clinical colleagues
· Demonstrate competence in evaluation of the medical literature
PGY 4 Goals
· To complete psychiatry residency training and prepare for post residency career
· To develop advanced experience in a psychiatric subspecialty through electives
· To become familiar with psychiatric administration through a weekly meeting with the Medical Director of one of the affiliated sites
At the end of the 4th year, the resident will:
· Have completed the core rotations as required by Psychiatry Residency Review Committee.
· Have a good understanding of the psychological, social, economic, ethnic, family and biological factors that influence development as well as psychiatric illnesses and treatments
· Have achieved diagnostic and clinical skills at the level of a qualified general psychiatrist
· Have achieved consultative skills, and the ability to lead case discussions and present scholarly material at the level of a qualified general psychiatrist
· Communicate findings and recommendations to other professionals, referring physicians, community mental health agencies and, where appropriate, to the family and other services
· Have played a substantial role in the teaching of junior residents
· Have initiatory / introductory knowledge and understanding of the various subspecialties in psychiatry through elective rotations and close mentoring by faculty members
· Have an understanding of the changing health-care environment and of the competencies necessary for success in clinical practice and in other professional leadership roles
· Have an appreciation of the rational approaches to administrative decisions within a system of psychiatric service.