Internal Medicine – PGY-1

The purpose of this rotation is to provide supervised patient care and educational opportunities to develop the following competencies of internal medicine: humanistic practice, professionalism, medical ethics, lifelong learning, clinical method, continuity of care, medical interview, physical diagnosis, clinical pharmacology, nutrition, palliative care, and discharge planning. This rotation allows residents to improve and advance their level of competency in the principles of management of the most common medical conditions seen in the outpatient clinics and general medical wards.  

A.  Knowledge

     At the end of this rotation, residents should be able to:

• perform an adequate history and physical examination related to the chief complaint.
• discuss and prioritize differential diagnoses with the supervising physician.
• outline and initiate appropriate treatment plans for common acute and chronic medical complaints.

B.  Skills

      At the end of this rotation, residents should be able to:

• list appropriate diagnostic possibilities for each clinical problem.
• demonstrate cost-effective laboratory test selection.
• clearly and legibly document on the chart the patient’s history, physical examination, clinical course, assessment, and treatment plan.
• demonstrate effective communication skills with peers, patients, families, staff, colleagues, attendings, and consultants.

C.  Attitudes

     Residents must demonstrate:

• active participation, regular attendance and advanced preparation.
• a responsible, professional and ethical approach to all aspects of the experience.

Family Medicine – PGY-1

The purpose of this rotation is to provide supervised patient care and educational opportunities to improve and advance their level of competency in the management of patients seen in a general family practice setting.

A.  Knowledge

     At the end of this rotation, residents should be able to:

• perform an adequate history and physical examination related to the chief complaint.
• discuss and prioritize differential diagnoses with the supervising physician.
• outline and initiate appropriate treatment plans for common acute and chronic medical complaints.

B.  Skills

     At the end of this rotation, residents should be able to:

• list appropriate diagnostic possibilities for each clinical problem.
• demonstrate cost-effective laboratory test selection.
• clearly and legibly document on the chart the patient’s history, physical examination, clinical course, assessment, and treatment plan.
• demonstrate effective communication skills with peers, patients, families, staff, colleagues, attendings, and consultants.

C.  Attitudes

     Residents must demonstrate:

• active participation, regular attendance and advanced preparation.
• a responsible, professional and ethical approach to all aspects of the experience.

Pediatrics – PGY-1

The purpose of this rotation is to expose beginning residents to the practice of general pediatrics. 

A.  Knowledge

     At the end of this rotation, residents should be able to:

• discuss landmarks of normal childhood growth and development and to identify children who are not meeting developmental milestones.
• discuss appropriate health supervision for each well child visit with emphasis on nutrition, dental health, development, behavior, injury prevention, environmental safety, physical activity, immunizations and routine screening.
• recognize the common signs and symptoms of common conditions of children and adolescents who present with an acute illness.
• recognize reasons for hospitalization.
• understand basic principles for effective therapeutic interventions, including use of pharmacology.

B.  Skills

     At the end of this rotation, residents should be able to:

• demonstrate proficiency in the examination of children of different ages with sensitivity to the needs of the child and parents.
• accomplish assessment and evaluation of the main goals for health supervision visits for each age group.
• demonstrate ability to establish a treatment plan that takes the patient’s needs into account and set appropriate priorities.
• identify and initiate appropriate treatment of children who present with an uncomplicated acute illness.
• identify when it is appropriate to initiate consultation and/or referral of patients for specialty care.

C.  Attitudes

     Residents must demonstrate:

• an appreciation for the limitations in pediatricians managing patients with ADHD who do not respond to initial psychopharmacologic and/or behavioral management interventions.
• an appreciation for working collaboratively with pediatricians in the care of children and adolescents with psychiatric comorbities.
• appropriate interactions with patients and their families to reflect a respectful attitude towards others and their needs.
• active participation, regular attendance and advanced preparation.
• a responsible, professional, and ethical approach to all aspects of the experience.

Emergency Medicine – PGY-1

The purpose of this rotation is to provide opportunity for beginning psychiatry residents to acquire the knowledge and skills, including procedural skills, to rapidly assess, intervene and stabilize all patients presenting for care in a modern emergency department regardless of age, sex or presenting complaint. Also, residents are encouraged to acquire the skills to perform a focused and adequate evaluation of a patient presenting to the emergency department related to the chief complaint, and to subsequently properly treat, educate and arrange appropriate disposition and follow up.

A.  Knowledge

     At the end of this rotation, residents should be able to:

• work with the attending physician in the initial evaluation and treatment of patients presenting to the emergency department for rapid stabilization.
• perform an adequate history and physical examination related to the chief complaint, and be able to accurately and concisely present patients to attendings and consultants.
• perform proper documentation of the medical record.
• formulate appropriate discharge plans, and to justify these to the attending, patient and family including patient education and injury prevention.
• outline an appropriate treatment plan, including when not to treat, and to be able to defend such a plan to the attending physician, and to explain the reasons for the plan to the patient and family.

B.  Skills

     At the end of this rotation, residents should be able to:

• list appropriate diagnostic possibilities for each clinical problem, in approximate order of probability and risk of mortality or major morbidity, and to outline an assessment plan, including immediate stabilization if needed.
• demonstrate cost-effective laboratory test selection, with awareness of the sensitivity, specificity, and cost of the test in relation to the patient’s complaint.
• perform under observation basic Emergency Department procedural skills.
• clearly and legibly document on the chart the patient's history, physical examination, clinical course, assessment, and plan, including documentation of patient instructions.
• demonstrate effective communications skills with peers, patients, families, attendings and consultants, Emergency Department nurses and other staff.

C.  Attitudes

     Residents must demonstrate:

• active participation, regular attendance and preparation.
• a responsible, professional and ethical approach to all aspects of the experience.

Neurology – PGY 1

The purpose of this rotation is to expose residents to the practice of general neurology.

A.  Knowledge

     At the end of this rotation, residents should be able to:

• demonstrate comprehension of the diagnosis and treatment of neurological disorders commonly encountered in psychiatric patients
• demonstrate a firm foundation in the pathophysiology and treatment of frequently occurring neurological illnesses.
• understand the neurological indications and uses for many psychotropic medications. 

B.  Skills

     At the end of this rotation, residents should be able to:

• skillfully perform a thorough neurological examination.
• conduct an adequate initial neurological evaluation and provide reasonable differential diagnoses.
• assess neurologic patients for psychiatric comorbidity.
• demonstrate competence in performing and interpreting basic neurological diagnostic procedures (lumbar punctures, CT, MRI, etc).

C.  Attitudes

     Residents must demonstrate:

• an appreciation for the close relationship between neurology and psychiatry.
• knowledge of the importance and limitations of the relationship between neuropathology and symptomatology.
• active participation, professionalism and ethical approach to all aspects of the experience.

General Adult Inpatient Psychiatry – PGY 1

The goal of this rotation is to provide beginning residents the opportunity to learn about the management of acutely ill, voluntary adult psychiatric inpatients on the general psychiatric unit. Residents are exposed to a broad range of DSM-IV diagnoses and a variety of treatment modalities are utilized in acute stabilization of patients in crises. This rotation provides a solid base from which beginning residents can build their psychiatric knowledge and skills. Participating institutions are MCG and the VA.

A.  Knowledge

     At the end of this rotation, residents should be able to:

• effectively understand the principles of general adult inpatient psychiatric practice.
• perform a comprehensive biopsychosocial assessment and differential diagnoses. 
• understand how to best supply sequential and integrated treatment planning and execution, including subsequent post-inpatient care.
• participate as a working member of a multidisciplinary team and gain knowledge of team leadership. 
• understand group and systems principles and components of an effective milieu as they apply to inpatient psychiatry.
• appreciate the impact of third party payors on psychiatric patients in health care systems.

B.  Skills

     At the end of this rotation, residents should be able to:

• assess patients in a comprehensive format utilizing a biopsychosocial model and construct a differential diagnosis utilizing DSM-IV criteria.
• assess patient for and provide appropriate somatic interventions, including psychopharmacology and referral for ECT.
• demonstrate competency in working as a member of a multidisciplinary team on an acute inpatient service.
• work with third party payors, including managed care entities, in the provision of the best and most appropriate psychiatric care to patients.

C.  Attitudes

     Residents must demonstrate:

• an appreciation for the importance of collateral history from appropriate sources of information, including family and friends.
• appropriate interactions with patients and their families to reflect a respectful attitude towards others and their needs.
• active participation, regular attendance and preparation.
• a responsible, professional and ethical approach to all aspects of the experience.

Emergency Psychiatry – PGY-2

The goal of this rotation is to provide experience in the acute management of psychiatric illnesses and emergencies. The resident collaborates with emergency department colleagues to triage patients with psychiatric concerns, participate in the emergency assessment and crisis intervention of these patients.

A.  Knowledge

     At the end of this rotation the resident should be able to:

• identify common disorders and presentations of psychiatric emergencies.
• demonstrate knowledge of the necessary steps in evaluating a psychiatric emergency.
• apply effective psychotherapeutic approaches most often utilize in these circumstance (supportive, crisis intervention, debriefing, etc.).
• demonstrate knowledge of relevant ethical and forensic issues, including an understanding of involuntary hospitalization procedures and patient confidentiality.

B.  Skills

     At the end of this rotation the resident should be able to:

• accurately assess patients for dangerousness to selves or others.
• assess patients and their difficulties to the extent necessary for a reasonable differential diagnosis.
• efficiently triage patients to determine level of urgency for evaluation and treatment.
• utilize ,as necessary, referral sources such as inpatient units, partial hospital programs, individual providers, and community agencies such as SAFE Homes and DFACS for appropriate disposition and management.
• appropriately utilize and monitor psychopharmacological treatment interventions.

C.  Attitudes

     The resident should demonstrate:

• an appreciation for crisis intervention and be able to recognize the need for community support in caring for mentally ill patients.
• active participation, regular attendance and preparation.
• a responsible, professional and ethical approach to all aspects of the experience.

Geriatric Psychiatry – PGY-2

The goal of this rotation is to expose residents to the is to provide upper level residents the opportunity to understand the complexities of caring for the variety of psychiatric disorders seen in the geriatric psychiatric patient population and to  understand the management of both the psychiatric disorders and the interplay that comorbid medical disorders have in this age group.

A.  Knowledge

     At the end of this rotation the resident should:

• understand systems-based care as they apply to geriatric psychiatry patients.
• effectively understand the principles of general geriatric psychiatry practice.
• know how to perform a comprehensive biopsychosocial assessment and diagnosis in this age group.
• have knowledge of team leadership/management in the context of working with a multidisciplinary geriatric’s team.
• understand how to best supply sequential and integrated treatment planning and execution, including subsequent post-inpatient care.

B.  Skills

     At the end of this rotation the resident should be able to:

• demonstrate competency in team leadership/management skills in a geriatric population.
• assess patients and their comprehensive difficulties utilizing the biopsychosocial model to generate a differential diagnosis following DSM-IV diagnostic criteria.
• develop an integrated biopsychosocial treatment plan to address needs unique to geriatric patients.
• assess patients for, recommend and provide somatic interventions, including psychopharmacology and ECT when appropriate.
• utilize medical consultants and work collaboratively with other specialties in the provision of care to the geriatric psychiatric patient.
• work with third party payors, including managed care entities, in the provision of the best possible psychiatric care to patients.

C.  Attitudes

     The resident should demonstrate:

• an interest in learning about and interacting with geriatric psychiatry patients.
• active participation, regular attendance and preparation.
• a responsible, professional and ethical approach to all aspects of geriatric psychiatry.

Consultation-Liaison Psychiatry – PGY-2

Residents on the consult psychiatry rotation are exposed to psychiatric presentations of patients on the medical/surgical teams and in the subspecialty clinics. Trainees gain a new understanding of the med/psych interface and the challenges psychiatric patients can present to their primary care providers. Key goals and objectives include learning how to best evaluate psychiatric patients in the hospital setting and how to best triage these patients for further care including inpatient psychiatric care, outpatient psychiatric follow-up and referral to other community resources. Additional goals and objectives include the ability to work with the referring physicians and ward teams, and to collaborate with them in the delivery of comprehensive patient care.

A.  Knowledge

     At the end of this rotation the resident should be able to:

• demonstrate an understanding of the interface between medicine and psychiatry and  the interplay of these issues in medical/surgical patients.
• demonstrate competency with the DSM-IV criteria of the more common disorders seen by the C/L section including delirium, depression, substance abuse, and somatoform disorders.
• possess knowledge of the necessary steps in the psychiatric evaluation and work-up of a consult patient with particular attention to medical and psychiatric aspects.
• have familiarity with the field of psychosomatic medicine and treatment approaches.
• discuss appropriate psychopharmacologic, psychotherapeutic and somatic treatment interventions in the medically ill.

B.  Skills

     At the end of  this rotation the resident should be able to:

• comprehensively and biopsychosocially assess patients and their difficulties, constructing a DSM-IV differential diagnoses utilizing a biopsychosocial model.
• assess patients for and provide, somatic interventions, including psychopharmacology and ECT.
• have an ability to develop rapport based on mutual respect with referring services and staff.
• facilitate the involvement of other services (chaplain, social services, nursing, psychology) when appropriate.
• have the ability to appropriately utilize and monitor psychopharmacological treatment interventions.

C.  Attitudes

     Residents must demonstrate:

• an appreciation for the importance of working collaboratively with referring physicians and other members of the treatment team in medical/surgical setting.
• appropriate interactions with patients and their families to reflect a respectful attitude towards others and their needs.
• active participation, regular attendance, and preparation.
• a responsible, professional, and ethical approach to all aspects of the experience.

Substance Abuse – PGY-2

This rotation provides trainees with experience in the clinical management of patients with alcohol dependence and other substance abuse disorders. Residents gain experience in detoxification, intervention and long term management as well as familiarity with self-help groups.

A.  Knowledge

     At the end of this rotation, residents should be able to:

• diagnose substance disorders in accordance with DSM-IV criteria.
• understand the antecedents and repercussions of substance abuse from a biopsychosocial perspective.
• utilize intervention techniques to promote abstinence and sobriety.
• initiate routine detoxification protocols on appropriate patients. 
• comprehend the interplay between substance abuse and other Axis I disorders in patients with dual diagnoses. 

B.  Skills

     At the end of this rotation, residents should be able to:

• perform a comprehensive biopsychosocial assessment of patients and the understand the impact of substance abuse on their lives.
• manage routine detoxification of patients.
• apply appropriate therapeutic techniques which address key issues related to substance abuse in individual, group, or family settings.
• demonstrate familiarity with various medications used as adjuncts (Antabuse, Naltrexone, etc.) in the treatment of substance abuse and to use as appropriate.

C.  Attitudes

     Residents must demonstrate:

• the ability to function as a medical professional and team leader on a multidisciplinary treatment team.
• appreciation of understanding the unique difficulties of treating patients with dual diagnoses.
• active participation, regular attendance and preparation.
• a responsible, profession and ethical approach to all aspects of the experience.

Child and Adolescent Psychiatry – PGY-2

The goal of this rotation is to expose general psychiatry residents to the practice of child and adolescent psychiatry, learning the broad range of disorders and difficulties seen in these age groups. Residents are taught to employ a number of interventional strategies including parent training, family and individual therapy as well as judicious use of medications. 

A.  Knowledge

     At the end of this rotation, residents should be able to:

• discuss normal developmental stages and identify patients with abnormal development.
• demonstrate a working familiarity with the DSM-IV classification of developmental disorders and other common diagnoses seen in children and adolescents.
• outline the necessary steps in a thorough psychiatric evaluation of a child or adolescent and family, including necessary laboratory tests and commonly used screening tools.
• formulate appropriate nonpharmacological treatment modalities appropriate for treating common diagnoses seen in this population. 
• discuss the indications for and utilization of psychopharmacological treatment modalities commonly employed in treating children and adolescent.

B.  Skills

     At the end of this rotation, residents should be able to:

• interview a child or adolescent, using developmentally appropriate techniques.
• identify aberrant developmental processes and make appropriate referrals for such difficulties.
• gather pertinent collateral information from a variety of community agencies including schools, social service agencies and families. 
• develop a differential diagnosis for the presenting problem. 
• develop and articulate an assessment and biopsychosocial formulation of the patient.
• demonstrate understanding of a variety of psychotherapeutic approaches to child and adolescent psychiatry (individual, play therapy, parent training, family therapy).
• discuss the unique factors that need to be considered when deciding to initiate psychopharmacological intervention to children and adolescents. 

C.  Attitudes

     Residents must demonstrate:

• an appreciation for the importance of input from schools, social agencies and families in the evaluation and assessment process of minors.
• active participation, regular attendance and advanced preparation.
• a responsible, professional and ethical approach to all aspects of the experience.

The goal of this rotation is to provide residents with an opportunity to work and consult in a community mental health setting. This is a unique opportunity to participate as a psychiatric physician in the work of a public community mental health center in rural Georgia.

A. Knowledge

    At the end of this rotation, the resident should be able to:

• discuss the types of patients seen in a community mental health setting.
• discuss the need for advocacy for patients seen in the community mental health system.
• understand the milieu within which psychiatric treatment and consultation occurs.
• recognize the contribution of the various members of the community mental health treatment team.
• recognize the variety of disorders and potential psychiatric and social interventions including psychopharmacology and psychosocial therapies.

B. Skills

    At the end of this rotation, the resident should be able to:

• function as a psychiatric physician comfortably in the community mental health center.
• participate in a multidisciplinary outpatient treatment team.
• work effectively with public sector mental health patients.
• provide psychiatric consultation to the multidisciplinary team, its patients, and patients’ families.
• work at the interface of the community mental health center, the state hospital, community referral resources, and other state agencies to facilitate care for the mentally ill seen in the community mental health setting.

C. Attitudes

    The resident should demonstrate:

• an interest in learning about the chronically mentally ill and the public mental health system.
• a non-prejudicial approach to patients, families, and providers within the public mental health system.
• motivation to work with a diverse range of patients and patients’ families.
• a responsible, professional and ethical approach to all aspects of the experience.

Forensic Psychiatry at Augusta State Medical Prison – PGY-2

The ASMP rotation is designed to provide the trainee with a unique educational experience working with prisoners in a state forensic setting. It is an opportunity for residents to gain exposure to a distinct clinical population and also to consult with and utilize the skills of the prison MH/MR staff.

A.  Knowledge

     At the end of this rotation, the resident should be able to:

• Demonstrate a working familiarity with the DSM-IV criteria of the more common disorders which are seen in this setting.
• Exhibit knowledge of the necessary steps in the psychiatric evaluation and work-up of mental disorders in an inmate with attention to medical, biological, social, and psychological aspects.
• Have an understanding of the roles for psychological and neuropsychological testing in this clinical environment.
• A thorough understanding of the indications for and utilization of psychopharmacological treatment modalities available in a prison setting.
• Have familiarity with issues common to a forensic environment such as competency, forced medication, right to refuse treatment, adjustment to a prison environment, and transition back to the community.

B.  Skills

      At the end of this rotation, the resident should be able to:

• Comprehensively assess patients and their difficulties, constructing a reasonable, accurate DSM-IV diagnosis.
• Assess patients for and provide appropriate psychopharmacologic intervention.
• Have an ability to work well and cooperatively with other mental health professionals who are part of the multidisciplinary team in a correctional setting.
• Safely and accurately assess inmates for suicidality and dangerousness to self and others.
• Set appropriate limits on various acting out and manipulative behaviors.

C.   Attitudes       

      The resident should demonstrate:

• An interest in learning about the psychiatrically ill in a forensic/correctional setting.
• A non-prejudicial approach to patients, families, and providers within the criminal justice system.
• Active participation, regular attendance, and preparation.
• Responsible approach to all aspects of the experience.
• Professional and ethical approach to all aspects of the experience.

Electroconvulsive Therapy – PGY-2

The goal of this rotation is to expose residents to the practice of electroconvulsive therapy such that they are introduced to this treatment modality. This rotation provides opportunity for residents to identify patients who are appropriate for ECT, to assess patients prior to initiating ECT and to participate in a supervised administration of ECT. Residents are encouraged to become active participants in tracking patients through the index series and to determine when maintenance ECT is indicated. The practice of convulsive therapy follows the American Psychiatric Association guidelines for ECT.

A.  Knowledge

     At the end of this rotation the resident should be able to:

• discuss the use of ECT as applicable to a variety of DSM-IV diagnoses.
• discuss the risks, benefits and treatment goals of ECT.
• identify patients who are best treated with ECT.
• initiate appropriate pre-treatment assessment for patients electing for ECT.
• formulate the treatment approach and track patients through the index series.
• determine when maintenance ECT is indicated.

B.  Skills

     At the end of this rotation the resident should be able to:

• identify patients appropriate for ECT referral.
• discuss with patients the risks, benefits and therapeutic goals of ECT as an effective modality to treat certain psychiatric illnesses.
• complete a thorough pre-treatment assessment, including appropriate medication adjustments for patients scheduled to receive ECT.
• select appropriate treatment approach.
• perform ECT in a supervised setting.

C.  Attitudes

     The resident should demonstrate:

• an interest in learning about the history and current standards of providing ECT as an effective treatment intervention to patients with certain psychiatric illness.
• an appreciation of the limitation in access to and provision of ECT due to economic restraints and distorted community perceptions of ECT in its historical context.
• active participation, regular attendance and preparation.
• a responsible, professional and ethical approach to all aspects of the experience.

Psychiatry Outpatient Clinic – PGY-3

The outpatient psychiatry rotation is an opportunity for residents to gain exposure to the clinical skills and knowledge relevant to the treatment of a wide variety of psychiatric disorders in the outpatient setting. Time is divided between the Outpatient Clinic at the Uptown VAMC, the MCG Psychiatric Outpatient Clinic, and the outpatient clinic at Ogeechee Community Mental Health Center. Residents at the Uptown VA see a wide variety of psychiatric problems affecting the veteran population. At MCG residents divide their time between the Schizophrenia and Mood Disorders program and the Health Behavior programs of the outpatient clinic. At the community mental health center residents will see public sector patients with chronic mental illness. Psychotherapy patients are seen both at MCG and the VAMC.

A.  Knowledge

     At the end of this rotation the resident should be able to:

• demonstrate an understanding of the ability to conceptualize illnesses in terms of biological, psychological, an sociocultural factors that determine normal and abnormal behavior.
• discuss the database necessary to develop a comprehensive formulation of the patient problems, to support a well-reasoned differential diagnosis, to formulate a biopsychosocial treatment plan and implement appropriate treatment and follow-up. The training provides residents with the opportunity to develop knowledge, clinical skills, and sensitivity to cultural diversity and professional principles.
• demonstrate an understanding of the basic principles of several psychotherapeutic modalities including psychodynamic therapy, cognitive – behavioral psychotherapy, supportive therapy, brief therapy, and psychotherapy with medication management.
• discuss the use of  the multitude of somatic treatment approaches that can be utilized in  the outpatient setting.
• appreciate the need to gain further knowledge about life-long learning and the ethical practice of psychiatry.

B.  At the end of this rotation the resident should be able to:

• demonstrate the necessary  skills to provide ongoing treatment over time to a diverse outpatient population.
• gather and organize data necessary for development of a biopsychosocial treatment approach.
• utilize a variety of psychotherapy skills including psychodynamic psychotherapy, cognitive-behavioral therapy, supportive therapy, brief therapy, and psychotherapy with medication management.
• work effectively with the interdisciplinary mental health team in the outpatient setting.
• make appropriate referrals  to other clinicians and consultants when necessary.
• deal effectively with complex psychiatric illness in the outpatient setting through clinical reading and expert consultation.

C.  Attitudes

     The resident should demonstrate:

• an interest in learning about the dealing with outpatients and the mentally ill in the MCG, VA, and public mental health system.
• a non-prejudicial approach to patients, families, and providers.
• the motivation to work with as many different patients and families as possible.
• a responsible approach to all aspects of the experience.
• a professional and ethical approach to all aspects of the experience.

Administrative Psychiatry – PGY-4

The goal of this rotation is to provide upper level residents the opportunity to take a leadership role in both the management of adult psychiatric inpatients and in the supervision/education of more junior psychiatric residents and third-year medical students.

A.  Knowledge

     At the end of this rotation, residents should be able to:

• effectively understand the principles of general adult inpatient psychiatric practice.
• perform a comprehensive biopsychosocial assessment and differential diagnoses.
• understand how to best supply sequential and integrated treatment planning and execution, including subsequent post-inpatient care.
• demonstrate knowledge of team leadership/management and psychiatric resident supervision principles.
• understand group and systems principles and components of an effective milieu as they apply to inpatient psychiatry.
• appreciate the impact of third party payors on psychiatric patients in health care systems.

B.  Skills

     At the end of this rotation, residents should be able to:

• demonstrate competency in team leadership and management skills.
• demonstrate competency in psychiatric resident supervision skills as well as in educational skills related to third-year medical students.
• assess patients in a comprehensive format utilizing a biopsychosocial model and construct a differential diagnosis utilizing DSM-IV criteria.
• assess patient for and provide appropriate somatic interventions, including psychopharmacology and referral for ECT.
• demonstrate competency in working as a member of a multidisciplinary team on an acute inpatient service.
• work with third party payors, including managed care entities, in the provision of the best and most appropriate psychiatric care to patients.

C.  Attitudes

     Residents must demonstrate:

• an appreciation for the importance of collateral history from appropriate sources of information, including family and friends.
• appropriate interactions with patients and their families to reflect a respectful attitude towards others and their needs.
• active participation, regular attendance and preparation.
• a responsible, professional and ethical approach to all aspects of the experience.