Curriculum Block

Objectives

• Perform a mental status examination of a patient with psychiatric illness.
• Conduct a suicide risk assessment and management.
• Assess and manage violence/agitation/homicidality
• Assess self-care.
• Propose a preliminary understanding of a patient in a biopsychosocial model including being able to: Reach reasonable hypotheses about a patient's pre-morbid personality, coping styles, and their link to the present predicament. Specify relevant medical considerations, including substance and medication misuse. Recognize relevant environmental and social stresses. Describe the level of everyday functioning and realistic goals for improvement.
• Assess a sexual and trauma history.
• Assess sleep history and provide counselling.
• Assessment of cognitive deficits (and use of screening instruments e.g. MMSE, MOCA, etc.).
• Recommend medication management, monitoring and counselling, including: Classes of psychiatric medications and their indications. Medication counselling: indications, choice, side effects, etc. Pre-medication work-up. Medication monitoring and work-up. Side effects (blood tests and physical e.g. AIMS). Metabolic syndromes and monitoring. Special populations (pediatric, geriatric, pregnancy). Acute syndromes/reactions (NMS, dystonia, serotonin syndrome, toxicity).
• Demonstrate psychoeducation skills with respect to diagnoses, medications, prognosis, family education.
• Demonstrate proficiency in documentation and communication in psychiatry.

Tags

Mental Status Examination Diagnosis Communicator Elicit and synthesize accurate and relevant information, incorporating the perspectives of patients and their families. Medical Expert Perform a complete and appropriate assessment of a patient; Share health care information and plans with patients and their families. Clerkship Psychiatry Rotation Psychiatry Adult Abuse / Intimate Partner Abuse Anxiety Depressed Mood Sleep-Wake Disorders Substance Use or Addictive Disorders Suicidal Behavior Trauma Suicide [F01.145.126.980.875] Activities of Daily Living [I03.050] Interview, Psychological [F04.669.599] Medical History Taking [E01.370.510] Mental Status Schedule [F04.586.574] Patient Education as Topic [N02.421.726.407.680] Personality Assessment [F04.513] Personality [F01.752] Self-Injurious Behavior [F01.145.126.980] Sleep Wake Disorders [F03.870] Stress, Psychological [F01.145.126.990] Violence [I01.880.735.900]