Child and Adolescent Psychiatry Program Training Competencies

CHILD AND ADOLESCENT PSYCHIATRY TRAINING

Competency Development

Approved by the Residency Training Committee, February 18, 2008.
[Core Competency requirement in brackets]

See rotation descriptions for specific Knowledge, Skills, and Attitudes objectives.

I.  Specific Goals

1. Diagnostic Goals; sites where implemented
   1. Perform a psychiatric evaluation with appropriate documentation.  All sites.  [Patient  Care]
      
   2. Be able to diagnose the spectrum of disorders as listed in DSM-IV.  All sites.  [Patient Care]
      
   3. Assess family/group function.  ASH; Austin Child Guidance; Children’s Shelter (CS); Dell Children’s Hospital of Central Texas (D)  [Patient Care]
      
   4. Diagnose genetic or acquired physical conditions contributing to psychiatric disorders.  All sites.  [Medical Knowledge] 
   5. Perform physical examinations and neurological examinations; follow up with indicated diagnostic procedures.   ASH  [Patient Care]
   6. Demonstrate sensitivity to patients from culturally diverse backgrounds.  All sites.  [Interpersonal Skills]


2. Therapeutic Goals; sites where implemented
   1. Be able to establish and maintain effective therapeutic relationships for individuals and groups; complete required therapy experiences.  All sites.  [Practice-based Learning and Improvement] 
   2. Acquire an integrated personal theory of therapy and be practiced in application of knowledge.  ASH.  [Medical Knowledge]
   3. Be able to monitor patient-child psychiatrist relationship boundaries.  All sites.  [Professionalism]
   4. Understand how the patient's function in other areas impacts on therapy in progress; be able to develop an individualized treatment plan based on the diagnostic formulation.  All sites.  [Patient Care]
   5. Understand and be competent in using a variety of therapeutic modalities, including somatic therapies.  ASH; ATCMHMR; CS  [Practice-based Learning and Improvement]


3. Administrative Goals; sites where implemented
   1. Understand and develop the skills necessary for leadership.  ASH  [Interpersonal Skills]
   2. Maintain patient logs and other administrative documentation.  All sites.  [Practice-based learning and Improvement]
   3. Assist in in-service training.  ASH; D  [Medical Knowledge]
   4. Be able to establish and supervise a variety of therapeutic modalities. [Medical Knowledge]  ASH   
   5. Maintain and audit documentation following accreditation guidelines.  All sites.  [Practice-based Learning and Improvement]
   6. Serve on hospital committees.  Shoal Creek Hospital (SCH) [Professionalism]
   7. Be familiar with legal issues and practiced in maintaining ethical standards.  ASH  [Professionalism]


4. Teaching/Research Goals; sites where implemented
   1.  Supervise at least two trainees.  ASH; CS; D  [Interpersonal Skills]
   2.  Team teach one of the resident seminars.  SCH  [Medical Knowledge]
   3.  Carry out approved research project.  All sites.  [Practice-based Learning]


5. Liaison Goals; sites where implemented
   1. Serve as liaison for support groups.  ASH  [System-based Practice]
   2. Provide consultation to community agencies/schools/court.  ACGC; CS  [System-based Practice]
   3. Give seminars on request to community groups.  All sites.  [Medical Knowledge]
   4. Become effective communicators with mental health professionals and physicians in other specialties sharing systems-based information.  ASH; ACGC; CS; D  [Interpersonal Skills]

II. Clinical Experience - specific duties and experience noted in the Child Psychiatry Rotation Folder in APRP Resident Study.

1. First Year
   1. Pediatric Neurology.
   2. Austin State Hospital Child and Adolescent (Inpatient) Psychiatric Service.
   3. Dell Children’s Hospital of Central Texas - Consultation Liaison
   4. Austin Travis County MHMR Child Service – up to ½ day per week

Based on the site specific goals, the first year child psychiatry residents acquire competencies in the following:

• Demonstrate skills needed for leadership Interpersonal Skills]
• Serve of hospital committees [Professionalism]
• Supervise trainees on request [Interpersonal Skills]
• Be familiar with legal issues and practiced in maintaining ethical standards [Professionalism]
• Give seminars on request to community groups [Medical Knowledge]
• Be able to diagnose the spectrum of disorders as listed in DSM-IV [Patient Care]
• Assess family/group function [Patient Care]
• Diagnose genetic or acquired physical conditions contributing to psychiatric conditions [Medical Knowledge]
• Perform physical and neurological examinations and follow up with indicated diagnostic procedures [Patient Care]
• Develop an individualized treatment plan [Patient Care]
• Establish and maintain effective therapeutic relationships for individuals and groups [Interpersonal skills]
• Monitor patient-child psychiatrist relationship boundaries [Professionalism]
• Maintain and audit documentation following agency and training guidelines [Practice-based Learning and Improvement]


2. Second Year
   1. Austin Child Guidance Center - (Outpatient), Community Partners for Children
   2. Austin Travis County Mental Health Mental Retardation Center - (Outpatient)
   3. Childrens’ Shelter - consultation at a residential facility for abused and neglected children.
   4. Research
   5. Juvenile Justice System
   6. School Consultation, UT Child and Family Laboratory
   7. Elective time
      • Learning Abilities Center
      • Speech and Hearing Center
      • Administrative Psychiatry
      • Preschool Program
      • Austin State School

Second year residents are expected to maintain the above competencies and to achieve additional competencies in treatment programs and systems of care:

• Be able to supervise a variety of therapeutic modalities [Medical Knowledge]
• Complete required therapy experiences [Professionalism] [Patient Care]
• Acquire an integrated personal theory of therapy and be practiced in application of knowledge [Medical Knowledge]
• Effectively use a variety of therapeutic modalities, including somatic therapies [Practice-based Learning and Improvement]
• Assist in in-service training [Medical Knowledge]
• Supervise at least two trainees [Interpersonal Skills]
• Team teach one of the resident seminars [Medical Knowledge]
• Carry out an approved research project  [Practice-based Learning and Improvement]
• Provide consultation to community agencies/schools/court [System-based Practice]
• Serve as liaison for support groups [System-based Practice]
• Effective  communication with mental health professionals and physicians in other specialties sharing system-based information  [Interpersonal Skills]

III.       Seminars

                The seminars cover literature, normal and abnormal growth and development, cultural variation, psychopathology, schools of theory and application of therapeutic modalities, pediatric psychopharmacology, neurology, developmental disabilities, psychological testing, legal issues, research methodology, as well as other topics.  A copy of the seminar schedule for the year may be obtained from the departmental secretary.

IV.       Other Required Experiences

• • Oral examination in child psychiatry annually
  • PRITE and CPRITE annually
  • Columbia Psychotherapy Test annually
  • Monthly meetings with Program Director                               
  • Individual evaluation and feedback
  • Experiential Group every two weeks in first year of training
  • Journal Club monthly and case conferences classes biweekly
  • Provide educational programs for community groups
  • Resident retreat attended by residents annually to evaluate classes, rotations, and supervisors; written evaluation given to the training director.

Training sites and patient populations:  www.ameppsych.net/-training sites.