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Description of Rotation or Educational
Experience
Family medicine residents will spend four weeks on the CL
service at Henry
Ford Hospital.
The CL service is primarily responsible for the evaluation, treatment, and management
of psychiatric issues in patients admitted for medical illnesses.
Additionally, CL is involved in other activities that support specific areas
inching evaluations regarding decision making ability and ability to function
independently. Family Practice residents will work with psychiatry residents,
psychology interns, and medical students. One-on-one daily supervision with
senior staff psychiatrists and psychologists occurs. Family medicine
residents will be involved in evaluation, treatment planning and
implementation, daily follow up, and discharge planning. During the CL
service rotation, residents will be asked to give brief presentations on
relevant areas as well as participate in small group learning experiences.
In addition, Family medicine residents will spend four and
one-half days at the Henry Ford Behavioral Services – One Ford Place. This innovative
experience will allow the resident to gain increasing comfort in diagnosis
and pharmacological treatment of psychiatric illnesses. The resident after
the first day of observation will be interviewing new psychiatric patients,
developing treatment plans and initiating treatment.
Additionally, residents will participate in a psychiatric
medication clinic for increased exposure to the continued maintenance of
patients requiring psychopharmacology. Third-year psychiatric residents will
observe/supervise these activities.
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Patient Care
Goal
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.
Residents are expected to:
Competencies
- Receive
training to perform those clinical procedures required for their future
practices in the ambulatory and hospital environments.
- Receive
training that focuses on the core principles of Family Medicine:
including Continuity of Care, Family-Oriented Comprehensive Care
Experience, Family Medicine Center Experience, Patient Care Experience,
FMC Continuity and Accessibility, Medical/Surgical Experiences, and
Inpatient Experiences.
Objectives
By the end of the rotation the resident is expected to:
- Strengthen
the resident’s ability to diagnose and treat basic psychiatric illness
- Perform
a psychiatric evaluation with a formal mental status examination
- Formulate
a treatment plan for common psychiatric illnesses including
pharmacological, psychological, and social interventions
Medical Knowledge
Goal
Residents must demonstrate knowledge of established and
evolving biomedical, clinical, epidemiological, and social-behavioral
sciences, as well as the application of this knowledge to patient care. Residents are expected to:
Competencies
- This
rotation fulfills family medicine-specific training and educational
requirements in Adult Medicine and Human Behavior and Mental Health.
Objectives
By the end of the rotation the resident is expected to:
- Understand
the principles of behavioral medicine and psychosomatic illness
- Expand
the resident’s repertoire of psychopharmacology and behavioral
interventions
- Detail
the risk factors associated with suicide/homicide/violence as well as
appropriate interventions
- Become
familiar with medical illnesses that commonly have psychiatric
presentations
- Understand
symptoms and sequelae of common drugs of abuse/dependence
- Describe
the phamacological treatment of common psychiatric illnesses
Practice- Based Learning and
Improvement
Goal
Residents must demonstrate the ability to investigate and
evaluate their care of patients, to appraise and assimilate scientific
evidence, and to continuously improve patient care based on constant
self-evaluation and life long learning.
Residents are expected to develop skills and habits to be able to :
Competencies
- Set learning
and improvement goals
- Systematically
analyze practice, using quality improvement methods, and implement
changes with the goal of practice improvement
- Participate
in the education of patients, families, students, residents and other
health professionals, as documented by evaluations of a resident’s teaching abilities by
faculty and/or learners
Objectives
By the end of the rotation the resident is expected to:
- Expand
his/her ability to understand the complex interactions of psychological
and physiological factors in psychiatric illness
- Conceptualize
psychiatric illness using a biopsychosocial model
Systems Based Practice
Goal
Residents must demonstrate an awareness of and
responsiveness to the larger context and system of health care, as well as the
ability to call effectively on other resources in the system to provide
optimal health care. Residents are
expected to:
Competencies
- Work
effectively in various health care delivery settings and systems
relevant to their clinical specialty
- Advocate
for quality patient care and optimal patient care systems
Objectives
By the end of the rotation the resident is expected to:
- Resident
will assist in consultations through out the hospital system, seeing the
other side of the consult process.
Professionalism
Goal
Residents must demonstrate a commitment to carrying out
professional responsibilities and an adherence to ethical principles. Residents are expected to demonstrate:
Competencies
- Respect
for patient privacy and autonomy
- Sensitivity
and responsiveness to a diverse patient population, including but not
limited to diversity in gender, age, culture, race, religion,
disabilities, and sexual orientation
Objectives
By the end of the rotation the resident is expected to:
- Exercise
attentiveness to the need for privacy and autonomy as experienced by
patients suffering psychiatric illness and disease.
Interpersonal and Communication Skills
Goal
Residents must demonstrate interpersonal and communication
skills that result in the effective exchange of information and teaming with
patients, their families, and professional associates. Residents are expected to:
Competencies
- Communicate
effectively with patients and families across a broad range of
socioeconomic and cultural backgrounds
- Act
in a consultative role to other physicians and health professionals
Objectives
By the end of the rotation the resident is expected to:
- Develop
skill in interviewing patients, performing a focused psychiatric
examination including a formal mental status examination, to formulate a
psychiatric diagnosis
- Elicit
diagnostic symptoms associated with common psychiatric disorders
including major depression, bipolar disorder, panic disorder, delirium,
dementia, and schizophrenia
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