Psychiatry Clerkship Objectives
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| Objectives | Linked Activities | Linked Assessments | McMaster Program Competencies |
Building on knowledge and skills learned during earlier units, (particularly MF5), by the end of this core rotation, the clerk will be able to: | |||
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Direct Observation Tool: Formulate, communicate and implement management plans
Final Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review
Mid-Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review.
| 1.1 Gather essential and accurate information about patients and their health through history-taking, physical examination, and the use of laboratory data, imaging, and other tests. 1.3 Interpret laboratory data, imaging studies, and other tests required for the area of practice 1.4 Make informed decision about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment 1.5 Develop and carry out patient management plans 1.6 Perform or assist with medical, diagnostic, and surgical procedures considered essential for the area of practice. 1.8 Provide appropriate referral of patients including ensuring continuity of care throughout transitions between providers or settings, and following up on patient progress and outcomes 2.2 Apply biomedical scientific principles fundamental to health care for patients and populations. 2.3 Apply principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based healthcare 2.4 Apply principles of epidemiological sciences to the identification of health problems, risk factors, treatment strategies, resource allocation, and disease prevention/health promotion efforts for patients and populations | ||
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Clerkship Teaching Session: Antipsychotics
Review anitpsychotics. 1st Generation, 2nd Generation, 3rd Generation? Introduce neuroleptic malignant syndrome.
Clerkship Teaching Session: Psychosis Disorders
Learn effective questioning to evaluate psychosis. Be familiar with the complete differential diagnosis of psychotic disorders.
Learn about current psychopharmacologic treatments of psychotic disorders.
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Clerkship Multiple Choice Question Exam: Psychiatry
The exam content was created based on the objectives for the rotation along with information from lecture, tutorial etc. There are 100 multiple choice questions total for the exam.
Final Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review
Mid-Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review.
| 1.1 Gather essential and accurate information about patients and their health through history-taking, physical examination, and the use of laboratory data, imaging, and other tests. 1.3 Interpret laboratory data, imaging studies, and other tests required for the area of practice 1.4 Make informed decision about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment 1.5 Develop and carry out patient management plans 1.6 Perform or assist with medical, diagnostic, and surgical procedures considered essential for the area of practice. 1.8 Provide appropriate referral of patients including ensuring continuity of care throughout transitions between providers or settings, and following up on patient progress and outcomes 2.2 Apply biomedical scientific principles fundamental to health care for patients and populations. 2.3 Apply principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based healthcare 2.4 Apply principles of epidemiological sciences to the identification of health problems, risk factors, treatment strategies, resource allocation, and disease prevention/health promotion efforts for patients and populations | |
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Clerkship Teaching Session: Antipsychotics
Review anitpsychotics. 1st Generation, 2nd Generation, 3rd Generation? Introduce neuroleptic malignant syndrome.
Clerkship Teaching Session: Anxiety Disorders
Panic disorder. DSM-IV-TR Criteria for Panic attacks. Recommendations for pharmacotherapy for panic disorder. Generalized anxiety disorder (GAD). Social Anxiety disorder (SAD). Obsessive compulsive disorder (OCD). Posttraumatic stress disorder (PTSD).
Clerkship Teaching Session: Anxiolytics/sedatives
Review Anxiolytics (Anti-Anxiety drugs). First-line: SSRIs, SNRIs, benzodiazepines, buspirone (GAD only). Second-line TCAs (clomipramine), mirtazepine, trazodone.
Clerkship Teaching Session: Bipolar Disorders
Learn how to make the diagnosis of bipolar in a time efficient manner. Learn how to use psychopharmacology to treat Bipolar Disorder, using current guidelines. Learn about issues of psychopharmacology and pregnancy
Clerkship Teaching Session: Depression
Differential diagnosis of depression. Treatment strategies. Using medication. Management of side effects. Drug interactions. Augmentation, substitution.
Clerkship Teaching Session: Mood Stabilizers
Review mood stabilizers.
Clerkship Teaching Session: Psychosis Disorders
Learn effective questioning to evaluate psychosis. Be familiar with the complete differential diagnosis of psychotic disorders.
Learn about current psychopharmacologic treatments of psychotic disorders.
Tutorial: Mood and Anxiety Disorders
Students will review the following cases and actively participate in a discussion as well as answer 2 MCQs. Case #1 - Patient tells you that he has been having difficulty sleeping over the past few months and has been feeling very tired as a result. He has tried melatonin and Benadryl, but they have not helped with his sleep. He says that his fatigue is interfering with his work performance, particularly as he has been struggling to concentrate and has become more irritable with coworkers. Case #2 - Patient is concerned about his frequent mood swings and wonders if he may have Bipolar Disorder.
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Clerkship Multiple Choice Question Exam: Psychiatry
The exam content was created based on the objectives for the rotation along with information from lecture, tutorial etc. There are 100 multiple choice questions total for the exam.
Final Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review
Mid-Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review.
| 1.1 Gather essential and accurate information about patients and their health through history-taking, physical examination, and the use of laboratory data, imaging, and other tests. 1.3 Interpret laboratory data, imaging studies, and other tests required for the area of practice 1.4 Make informed decision about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment 1.5 Develop and carry out patient management plans 1.6 Perform or assist with medical, diagnostic, and surgical procedures considered essential for the area of practice. 1.8 Provide appropriate referral of patients including ensuring continuity of care throughout transitions between providers or settings, and following up on patient progress and outcomes 2.2 Apply biomedical scientific principles fundamental to health care for patients and populations. 2.3 Apply principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based healthcare 2.4 Apply principles of epidemiological sciences to the identification of health problems, risk factors, treatment strategies, resource allocation, and disease prevention/health promotion efforts for patients and populations | |
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Clerkship Teaching Session: Anxiety Disorders
Panic disorder. DSM-IV-TR Criteria for Panic attacks. Recommendations for pharmacotherapy for panic disorder. Generalized anxiety disorder (GAD). Social Anxiety disorder (SAD). Obsessive compulsive disorder (OCD). Posttraumatic stress disorder (PTSD).
Clerkship Teaching Session: Anxiolytics/sedatives
Review Anxiolytics (Anti-Anxiety drugs). First-line: SSRIs, SNRIs, benzodiazepines, buspirone (GAD only). Second-line TCAs (clomipramine), mirtazepine, trazodone.
Tutorial: Mood and Anxiety Disorders
Students will review the following cases and actively participate in a discussion as well as answer 2 MCQs. Case #1 - Patient tells you that he has been having difficulty sleeping over the past few months and has been feeling very tired as a result. He has tried melatonin and Benadryl, but they have not helped with his sleep. He says that his fatigue is interfering with his work performance, particularly as he has been struggling to concentrate and has become more irritable with coworkers. Case #2 - Patient is concerned about his frequent mood swings and wonders if he may have Bipolar Disorder.
Tutorial: Trauma and Addictions
The theme for this part of the tutorial is “Trauma and its impact in Psychiatry”. You are responsible for developing a “case presentation” for interactive learning and discussion. The case(s) can be completely made up, or based on a patient you have seen. You have one hour for your case presentation, discussion, and MCQ response/review. In preparation for this, please be familiar with and draw out the concept of Trauma- informed Care, the role of trauma in addictions (in particular) and other psychiatric presentations, and the role of psychotherapy and medication in management of trauma. The theme for this part of the tutorial is “Addictions”. The focus should be on addiction in physicians. You are responsible for developing a “case presentation” for interactive learning and discussion.
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Clerkship Multiple Choice Question Exam: Psychiatry
The exam content was created based on the objectives for the rotation along with information from lecture, tutorial etc. There are 100 multiple choice questions total for the exam.
Final Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review
Mid-Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review.
| 1.1 Gather essential and accurate information about patients and their health through history-taking, physical examination, and the use of laboratory data, imaging, and other tests. 1.3 Interpret laboratory data, imaging studies, and other tests required for the area of practice 1.4 Make informed decision about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment 1.5 Develop and carry out patient management plans 1.6 Perform or assist with medical, diagnostic, and surgical procedures considered essential for the area of practice. 1.8 Provide appropriate referral of patients including ensuring continuity of care throughout transitions between providers or settings, and following up on patient progress and outcomes 2.2 Apply biomedical scientific principles fundamental to health care for patients and populations. 2.3 Apply principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based healthcare 2.4 Apply principles of epidemiological sciences to the identification of health problems, risk factors, treatment strategies, resource allocation, and disease prevention/health promotion efforts for patients and populations | |
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Clerkship Teaching Session: Personality Disorder
Be aware of the different personlity styles. Be aware of some of the treatment approaches for these patients. Understand transference and countertransference issues and how they can enhance work with these patients. Paranoid personality. Schizoid personality. Borderline personality. Narcissistic personality. Histrionic personality. Antisocial personality. Avoidant personality. Dependent personality. Obsessive-Compulsive personality disorder.
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Clerkship Multiple Choice Question Exam: Psychiatry
The exam content was created based on the objectives for the rotation along with information from lecture, tutorial etc. There are 100 multiple choice questions total for the exam.
Final Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review
Mid-Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review.
| 1.1 Gather essential and accurate information about patients and their health through history-taking, physical examination, and the use of laboratory data, imaging, and other tests. 1.3 Interpret laboratory data, imaging studies, and other tests required for the area of practice 1.4 Make informed decision about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment 1.5 Develop and carry out patient management plans 1.6 Perform or assist with medical, diagnostic, and surgical procedures considered essential for the area of practice. 1.8 Provide appropriate referral of patients including ensuring continuity of care throughout transitions between providers or settings, and following up on patient progress and outcomes 2.2 Apply biomedical scientific principles fundamental to health care for patients and populations. 2.3 Apply principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based healthcare 2.4 Apply principles of epidemiological sciences to the identification of health problems, risk factors, treatment strategies, resource allocation, and disease prevention/health promotion efforts for patients and populations | |
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Clerkship Teaching Session: Addiction/Substance Abuse Disorder
Define substance use disorders (SUD) using DSM 5. What are the Canadian Safe Drinking Guidelines? How do you quickly screen patients for SUD? List clues that a SUD may be present.
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Clerkship Multiple Choice Question Exam: Psychiatry
The exam content was created based on the objectives for the rotation along with information from lecture, tutorial etc. There are 100 multiple choice questions total for the exam.
Final Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review
Mid-Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review.
| 1.1 Gather essential and accurate information about patients and their health through history-taking, physical examination, and the use of laboratory data, imaging, and other tests. 1.3 Interpret laboratory data, imaging studies, and other tests required for the area of practice 1.4 Make informed decision about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment 1.5 Develop and carry out patient management plans 1.6 Perform or assist with medical, diagnostic, and surgical procedures considered essential for the area of practice. 1.8 Provide appropriate referral of patients including ensuring continuity of care throughout transitions between providers or settings, and following up on patient progress and outcomes 2.2 Apply biomedical scientific principles fundamental to health care for patients and populations. 2.3 Apply principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based healthcare 2.4 Apply principles of epidemiological sciences to the identification of health problems, risk factors, treatment strategies, resource allocation, and disease prevention/health promotion efforts for patients and populations | |
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Clerkship Teaching Session: Geriatric Psychiatry
List some pharmacokinetic changes associated with aging. Identify cognitive changes associated with aging. Describe some common bed side cognitive assessment tools.
Clerkship Teaching Session: Psychotropic Medications for ADHD & Dementia
Drugs for ADHD. Drugs for Dementia.
Tutorial: Geriatric and Medical Psychiatry
Demonstrate an understanding of the interface between psychiatry and medicine and the importance of identifying and treating psychiatric illness in medical patients. Discuss how medications can result in mood disorders and how to identify and treat mood disorders in medical patients. Discuss the importance of multi-disciplinary care in the treatment of patients with medical and psychiatric illness as well as issues such as addiction and chronic pain. Discuss the potential medical implications of treatment with SSRI medications. List some pharmacokinetic changes associated with aging. Identify cognitive changes associated with aging. Describe some common bed side cognitive assessment tools.
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Clerkship Multiple Choice Question Exam: Psychiatry
The exam content was created based on the objectives for the rotation along with information from lecture, tutorial etc. There are 100 multiple choice questions total for the exam.
Final Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review
Mid-Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review.
| 1.1 Gather essential and accurate information about patients and their health through history-taking, physical examination, and the use of laboratory data, imaging, and other tests. 1.3 Interpret laboratory data, imaging studies, and other tests required for the area of practice 1.4 Make informed decision about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment 1.5 Develop and carry out patient management plans 1.6 Perform or assist with medical, diagnostic, and surgical procedures considered essential for the area of practice. 1.8 Provide appropriate referral of patients including ensuring continuity of care throughout transitions between providers or settings, and following up on patient progress and outcomes 2.2 Apply biomedical scientific principles fundamental to health care for patients and populations. 2.3 Apply principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based healthcare 2.4 Apply principles of epidemiological sciences to the identification of health problems, risk factors, treatment strategies, resource allocation, and disease prevention/health promotion efforts for patients and populations | |
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Clerkship Teaching Session: Developmental Disabilities and Dual Diagnosis
Understand the terminology associated with intellectual disabilities, including definitions used internationally. Know the DSM-5 criteria for intellectual disability. Differentiate between different levels of developmental disability (i.e. mild/moderate/severe/profound) in terms of developmental age, IQ level, and adaptive skills. Identify possible etiologies of intellectual disabilities.
Clerkship Teaching Session: Psychiatric Disorders of Childhood and Adolescence
Define and understand what a psychiatric disorder is
in this age group and discuss range of normal
variants. Develop a framework to evaluate the child or
adolescent presenting with a potential mental
disorder. Recognize common disorders in this age-group and
be familiar with their treatment. Discuss controversies in the area.
Clerkship Teaching Session: Psychotropic Medications for ADHD & Dementia
Drugs for ADHD. Drugs for Dementia.
Tutorial: Eating Disorders and Child and Adolescent Psychiatry
Apply knowledge of the expected changes across the lifespan in the care of patients with psychiatric disorders and medical conditions; Apply knowledge of the major psychiatric disorders in the care of pediatric patients (including but not exclusive to mood disorders, anxiety disorders such as separation anxiety disorder, reactive attachment disorders, etc.); Prioritize a differential diagnosis by applying knowledge of psychopathology and medical illnesses;Apply knowledge of potential signs/symptoms of abuse when developing treatment plans, including when to report suspected abuse.
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Clerkship Multiple Choice Question Exam: Psychiatry
The exam content was created based on the objectives for the rotation along with information from lecture, tutorial etc. There are 100 multiple choice questions total for the exam.
Final Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review
Mid-Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review.
| 1.1 Gather essential and accurate information about patients and their health through history-taking, physical examination, and the use of laboratory data, imaging, and other tests. 1.3 Interpret laboratory data, imaging studies, and other tests required for the area of practice 1.4 Make informed decision about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment 1.5 Develop and carry out patient management plans 1.6 Perform or assist with medical, diagnostic, and surgical procedures considered essential for the area of practice. 1.8 Provide appropriate referral of patients including ensuring continuity of care throughout transitions between providers or settings, and following up on patient progress and outcomes 2.2 Apply biomedical scientific principles fundamental to health care for patients and populations. 2.3 Apply principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based healthcare 2.4 Apply principles of epidemiological sciences to the identification of health problems, risk factors, treatment strategies, resource allocation, and disease prevention/health promotion efforts for patients and populations | |
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Clerkship Teaching Session: Somatizing
Appreciate the range of diagnoses that make up “Somatic Symptom and Related Disorders (DSM-V). Understand the range of conscious and unconscious mechanisms involved in these disorders. Be aware of treatment modalities for these disorders both psychopharmacolgic and psychotherapeutic.
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Clerkship Multiple Choice Question Exam: Psychiatry
The exam content was created based on the objectives for the rotation along with information from lecture, tutorial etc. There are 100 multiple choice questions total for the exam.
Final Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review
Mid-Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review.
| 1.1 Gather essential and accurate information about patients and their health through history-taking, physical examination, and the use of laboratory data, imaging, and other tests. 1.3 Interpret laboratory data, imaging studies, and other tests required for the area of practice 1.4 Make informed decision about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment 1.5 Develop and carry out patient management plans 1.6 Perform or assist with medical, diagnostic, and surgical procedures considered essential for the area of practice. 1.8 Provide appropriate referral of patients including ensuring continuity of care throughout transitions between providers or settings, and following up on patient progress and outcomes 2.2 Apply biomedical scientific principles fundamental to health care for patients and populations. 2.3 Apply principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based healthcare 2.4 Apply principles of epidemiological sciences to the identification of health problems, risk factors, treatment strategies, resource allocation, and disease prevention/health promotion efforts for patients and populations | |
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Tutorial: Geriatric and Medical Psychiatry
Demonstrate an understanding of the interface between psychiatry and medicine and the importance of identifying and treating psychiatric illness in medical patients. Discuss how medications can result in mood disorders and how to identify and treat mood disorders in medical patients. Discuss the importance of multi-disciplinary care in the treatment of patients with medical and psychiatric illness as well as issues such as addiction and chronic pain. Discuss the potential medical implications of treatment with SSRI medications. List some pharmacokinetic changes associated with aging. Identify cognitive changes associated with aging. Describe some common bed side cognitive assessment tools.
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Clerkship Multiple Choice Question Exam: Psychiatry
The exam content was created based on the objectives for the rotation along with information from lecture, tutorial etc. There are 100 multiple choice questions total for the exam.
Clerkship Tutorial Evaluation: Medical and Geriatric Psychiatry
Tutorial evaluation will be based upon: Knowledge, skills and professionalism (attitude) demonstrated in all tutorial sessions
Preparation (including looking up any unresolved topics which were assigned) and participation (quantity and quality) in all tutorial sessions. Quality of the tutorial which the student leads (format, leadership, content, objectives, MCQ’s, etc.)
Student’s general performance on all MCQ’s across the tutorials.
Final Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review
Mid-Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review.
| 1.1 Gather essential and accurate information about patients and their health through history-taking, physical examination, and the use of laboratory data, imaging, and other tests. 1.3 Interpret laboratory data, imaging studies, and other tests required for the area of practice 1.4 Make informed decision about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment 1.5 Develop and carry out patient management plans 1.6 Perform or assist with medical, diagnostic, and surgical procedures considered essential for the area of practice. 1.8 Provide appropriate referral of patients including ensuring continuity of care throughout transitions between providers or settings, and following up on patient progress and outcomes 2.2 Apply biomedical scientific principles fundamental to health care for patients and populations. 2.3 Apply principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based healthcare 2.4 Apply principles of epidemiological sciences to the identification of health problems, risk factors, treatment strategies, resource allocation, and disease prevention/health promotion efforts for patients and populations | |
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Clerkship Teaching Session: Anxiety Disorders
Panic disorder. DSM-IV-TR Criteria for Panic attacks. Recommendations for pharmacotherapy for panic disorder. Generalized anxiety disorder (GAD). Social Anxiety disorder (SAD). Obsessive compulsive disorder (OCD). Posttraumatic stress disorder (PTSD).
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Clerkship Multiple Choice Question Exam: Psychiatry
The exam content was created based on the objectives for the rotation along with information from lecture, tutorial etc. There are 100 multiple choice questions total for the exam.
Final Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review
Mid-Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review.
| 1.1 Gather essential and accurate information about patients and their health through history-taking, physical examination, and the use of laboratory data, imaging, and other tests. 1.3 Interpret laboratory data, imaging studies, and other tests required for the area of practice 1.4 Make informed decision about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment 1.5 Develop and carry out patient management plans 1.6 Perform or assist with medical, diagnostic, and surgical procedures considered essential for the area of practice. 1.7 Counsel and educate patients and their families to empower them to participate in their care and enable shared decision-making 1.8 Provide appropriate referral of patients including ensuring continuity of care throughout transitions between providers or settings, and following up on patient progress and outcomes 2.2 Apply biomedical scientific principles fundamental to health care for patients and populations. 2.3 Apply principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based healthcare 2.4 Apply principles of epidemiological sciences to the identification of health problems, risk factors, treatment strategies, resource allocation, and disease prevention/health promotion efforts for patients and populations | |
Other: Impulse control disorders, Factitious Disorder and Malingering |
Clerkship Teaching Session: Personality Disorder
Be aware of the different personlity styles. Be aware of some of the treatment approaches for these patients. Understand transference and countertransference issues and how they can enhance work with these patients. Paranoid personality. Schizoid personality. Borderline personality. Narcissistic personality. Histrionic personality. Antisocial personality. Avoidant personality. Dependent personality. Obsessive-Compulsive personality disorder.
Clerkship Teaching Session: Psychiatric Disorders of Childhood and Adolescence
Define and understand what a psychiatric disorder is
in this age group and discuss range of normal
variants. Develop a framework to evaluate the child or
adolescent presenting with a potential mental
disorder. Recognize common disorders in this age-group and
be familiar with their treatment. Discuss controversies in the area.
Clerkship Teaching Session: Somatizing
Appreciate the range of diagnoses that make up “Somatic Symptom and Related Disorders (DSM-V). Understand the range of conscious and unconscious mechanisms involved in these disorders. Be aware of treatment modalities for these disorders both psychopharmacolgic and psychotherapeutic.
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Clerkship Multiple Choice Question Exam: Psychiatry
The exam content was created based on the objectives for the rotation along with information from lecture, tutorial etc. There are 100 multiple choice questions total for the exam.
Final Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review
Mid-Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review.
| 1.1 Gather essential and accurate information about patients and their health through history-taking, physical examination, and the use of laboratory data, imaging, and other tests. 1.3 Interpret laboratory data, imaging studies, and other tests required for the area of practice 1.4 Make informed decision about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment 1.5 Develop and carry out patient management plans 1.6 Perform or assist with medical, diagnostic, and surgical procedures considered essential for the area of practice. 1.8 Provide appropriate referral of patients including ensuring continuity of care throughout transitions between providers or settings, and following up on patient progress and outcomes 2.2 Apply biomedical scientific principles fundamental to health care for patients and populations. 2.3 Apply principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based healthcare 2.4 Apply principles of epidemiological sciences to the identification of health problems, risk factors, treatment strategies, resource allocation, and disease prevention/health promotion efforts for patients and populations |
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Tutorial: Trauma and Addictions
The theme for this part of the tutorial is “Trauma and its impact in Psychiatry”. You are responsible for developing a “case presentation” for interactive learning and discussion. The case(s) can be completely made up, or based on a patient you have seen. You have one hour for your case presentation, discussion, and MCQ response/review. In preparation for this, please be familiar with and draw out the concept of Trauma- informed Care, the role of trauma in addictions (in particular) and other psychiatric presentations, and the role of psychotherapy and medication in management of trauma. The theme for this part of the tutorial is “Addictions”. The focus should be on addiction in physicians. You are responsible for developing a “case presentation” for interactive learning and discussion.
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Final Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review
Mid-Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review.
| 1.1 Gather essential and accurate information about patients and their health through history-taking, physical examination, and the use of laboratory data, imaging, and other tests. 1.3 Interpret laboratory data, imaging studies, and other tests required for the area of practice 1.4 Make informed decision about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment 1.5 Develop and carry out patient management plans 1.6 Perform or assist with medical, diagnostic, and surgical procedures considered essential for the area of practice. 1.8 Provide appropriate referral of patients including ensuring continuity of care throughout transitions between providers or settings, and following up on patient progress and outcomes 2.2 Apply biomedical scientific principles fundamental to health care for patients and populations. 2.3 Apply principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based healthcare 2.4 Apply principles of epidemiological sciences to the identification of health problems, risk factors, treatment strategies, resource allocation, and disease prevention/health promotion efforts for patients and populations | |
Employ procedures and clinical skills so as to be able to: | |||
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Clerkship Teaching Session: The Psychiatric Interview and mental status exam
Interviewing techniques. Review of Psychiatric Interview. Risk Assessment. Cognitive Assessment
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Direct Observation Tool: Communicate in difficult situations
Direct Observation Tool: Obtain a history and perform a physical examination adapted to the patient’s clinical situation
Final Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review
Mid-Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review.
| 1.1 Gather essential and accurate information about patients and their health through history-taking, physical examination, and the use of laboratory data, imaging, and other tests. 2.2 Apply biomedical scientific principles fundamental to health care for patients and populations. 2.5 Apply principles of socio-behavioural sciences to the provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care-seeking, care concordance, care adherence and barriers to and attitudes toward care. 4.1 Communicate effectively with patients, families, and the public, as appropriate, across a broad range of socioeconomic and sociocultural backgrounds 4.3 Demonstrate sensitivity, honesty, and compassion in difficult conversations, including those about death, end of life, adverse events, bad news, disclosure of errors, and other sensitive topics 4.4 Demonstrate insight and understanding about emotions and human responses to emotions that allow one to develop and manage interpersonal interactions, including the ability to manage one’s own interpersonal responses 5.5 Demonstrate sensitivity and responsiveness to a diverse patient population, including all dimensions of diversity such as those that are included in human rights legislation and federal and provincial law. | |
Perform a mental status examination of a patient with psychiatric illness. |
Clerkship Teaching Session: The Psychiatric Interview and mental status exam
Interviewing techniques. Review of Psychiatric Interview. Risk Assessment. Cognitive Assessment
Clinical Exposure: Psychiatric Clinical Skills
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Direct Observation Tool: Obtain a history and perform a physical examination adapted to the patient’s clinical situation
Final Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review
Mid-Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review.
| 1.1 Gather essential and accurate information about patients and their health through history-taking, physical examination, and the use of laboratory data, imaging, and other tests. 2.5 Apply principles of socio-behavioural sciences to the provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care-seeking, care concordance, care adherence and barriers to and attitudes toward care. 4.1 Communicate effectively with patients, families, and the public, as appropriate, across a broad range of socioeconomic and sociocultural backgrounds |
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Clerkship Teaching Session: The Psychiatric Interview and mental status exam
Interviewing techniques. Review of Psychiatric Interview. Risk Assessment. Cognitive Assessment
Clinical Exposure: Psychiatric Clinical Skills
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Final Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review
Mid-Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review.
| 1.1 Gather essential and accurate information about patients and their health through history-taking, physical examination, and the use of laboratory data, imaging, and other tests. 1.4 Make informed decision about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment 2.5 Apply principles of socio-behavioural sciences to the provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care-seeking, care concordance, care adherence and barriers to and attitudes toward care. 4.1 Communicate effectively with patients, families, and the public, as appropriate, across a broad range of socioeconomic and sociocultural backgrounds | |
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Clerkship Teaching Session: Acute Psychiatry
Serotonin Syndrome. Neuroleptic malignant syndrome. Lithium toxicity.
Clerkship Teaching Session: Toxidromes and the Agitated Patient
Sympathetic toxidrome. Anticholinergic toxidrome. Cholinergic toxidrome. Opioid toxidrome. Sedative Hypnotic toxidrome. Hallucinogens
Clinical Exposure: Psychiatric Clinical Skills
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Final Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review
Mid-Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review.
| 1.1 Gather essential and accurate information about patients and their health through history-taking, physical examination, and the use of laboratory data, imaging, and other tests. 1.4 Make informed decision about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment 2.5 Apply principles of socio-behavioural sciences to the provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care-seeking, care concordance, care adherence and barriers to and attitudes toward care. 4.1 Communicate effectively with patients, families, and the public, as appropriate, across a broad range of socioeconomic and sociocultural backgrounds | |
Assess (including relevant physical exam) and manage substance use. |
Clerkship Teaching Session: Addiction/Substance Abuse Disorder
Define substance use disorders (SUD) using DSM 5. What are the Canadian Safe Drinking Guidelines? How do you quickly screen patients for SUD? List clues that a SUD may be present.
Clerkship Teaching Session: Toxidromes and the Agitated Patient
Sympathetic toxidrome. Anticholinergic toxidrome. Cholinergic toxidrome. Opioid toxidrome. Sedative Hypnotic toxidrome. Hallucinogens
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Final Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review
Mid-Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review.
| 1.1 Gather essential and accurate information about patients and their health through history-taking, physical examination, and the use of laboratory data, imaging, and other tests. 1.4 Make informed decision about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment 2.5 Apply principles of socio-behavioural sciences to the provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care-seeking, care concordance, care adherence and barriers to and attitudes toward care. 4.1 Communicate effectively with patients, families, and the public, as appropriate, across a broad range of socioeconomic and sociocultural backgrounds |
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Clerkship Teaching Session: Acute Psychiatry
Serotonin Syndrome. Neuroleptic malignant syndrome. Lithium toxicity.
Clerkship Teaching Session: Toxidromes and the Agitated Patient
Sympathetic toxidrome. Anticholinergic toxidrome. Cholinergic toxidrome. Opioid toxidrome. Sedative Hypnotic toxidrome. Hallucinogens
Clinical Exposure: Psychiatric Emergency Service
Each Hamilton campus clerk will be assigned 2 Psychiatry Emergency Services (PES) shifts.
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Clerkship Multiple Choice Question Exam: Psychiatry
The exam content was created based on the objectives for the rotation along with information from lecture, tutorial etc. There are 100 multiple choice questions total for the exam.
Final Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review
Mid-Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review.
| 1.1 Gather essential and accurate information about patients and their health through history-taking, physical examination, and the use of laboratory data, imaging, and other tests. 1.4 Make informed decision about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment 2.5 Apply principles of socio-behavioural sciences to the provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care-seeking, care concordance, care adherence and barriers to and attitudes toward care. 4.1 Communicate effectively with patients, families, and the public, as appropriate, across a broad range of socioeconomic and sociocultural backgrounds 4.3 Demonstrate sensitivity, honesty, and compassion in difficult conversations, including those about death, end of life, adverse events, bad news, disclosure of errors, and other sensitive topics | |
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Clerkship Teaching Session: Mental Health Law & Consent and Capacity
To discuss the roles of the Health Care and Consent Act; Substitute Decisions Makers Act; Mental Health Act.To review Consent and Capacity. How to evaluate Capacity. Beyond the Form 1.
Clinical Exposure: Psychiatric Clinical Skills
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Final Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review
Mid-Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review.
| 1.1 Gather essential and accurate information about patients and their health through history-taking, physical examination, and the use of laboratory data, imaging, and other tests. 2.5 Apply principles of socio-behavioural sciences to the provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care-seeking, care concordance, care adherence and barriers to and attitudes toward care. 4.1 Communicate effectively with patients, families, and the public, as appropriate, across a broad range of socioeconomic and sociocultural backgrounds | |
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Clerkship Teaching Session: Mental Health Law & Consent and Capacity
To discuss the roles of the Health Care and Consent Act; Substitute Decisions Makers Act; Mental Health Act.To review Consent and Capacity. How to evaluate Capacity. Beyond the Form 1.
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Final Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review
Mid-Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review.
| 1.1 Gather essential and accurate information about patients and their health through history-taking, physical examination, and the use of laboratory data, imaging, and other tests. 2.5 Apply principles of socio-behavioural sciences to the provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care-seeking, care concordance, care adherence and barriers to and attitudes toward care. 4.1 Communicate effectively with patients, families, and the public, as appropriate, across a broad range of socioeconomic and sociocultural backgrounds 5.7 Demonstrate the application of ethical principles to commonly encountered ethical issues such as the provision or withholding of care, confidentiality, informed consent, and including compliance with relevant laws, policies, and regulations | |
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Clinical Exposure: Psychiatric Clinical Skills
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Final Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review
Mid-Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review.
| 1.2 Organize and prioritize responsibilities to provide care that is safe, effective, and efficient 1.4 Make informed decision about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment 2.2 Apply biomedical scientific principles fundamental to health care for patients and populations. 2.5 Apply principles of socio-behavioural sciences to the provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care-seeking, care concordance, care adherence and barriers to and attitudes toward care. | |
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Clinical Exposure: Psychiatric Clinical Skills
Tutorial: Trauma and Addictions
The theme for this part of the tutorial is “Trauma and its impact in Psychiatry”. You are responsible for developing a “case presentation” for interactive learning and discussion. The case(s) can be completely made up, or based on a patient you have seen. You have one hour for your case presentation, discussion, and MCQ response/review. In preparation for this, please be familiar with and draw out the concept of Trauma- informed Care, the role of trauma in addictions (in particular) and other psychiatric presentations, and the role of psychotherapy and medication in management of trauma. The theme for this part of the tutorial is “Addictions”. The focus should be on addiction in physicians. You are responsible for developing a “case presentation” for interactive learning and discussion.
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Final Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review
Mid-Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review.
| 1.1 Gather essential and accurate information about patients and their health through history-taking, physical examination, and the use of laboratory data, imaging, and other tests. 2.5 Apply principles of socio-behavioural sciences to the provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care-seeking, care concordance, care adherence and barriers to and attitudes toward care. 4.1 Communicate effectively with patients, families, and the public, as appropriate, across a broad range of socioeconomic and sociocultural backgrounds | |
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Clinical Exposure: Psychiatric Clinical Skills
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Clerkship Multiple Choice Question Exam: Psychiatry
The exam content was created based on the objectives for the rotation along with information from lecture, tutorial etc. There are 100 multiple choice questions total for the exam.
Final Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review
Mid-Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review.
| 1.1 Gather essential and accurate information about patients and their health through history-taking, physical examination, and the use of laboratory data, imaging, and other tests. 1.7 Counsel and educate patients and their families to empower them to participate in their care and enable shared decision-making 1.9 Provide health care services to patients, families, and communities aimed at preventing health problems or maintaining health 2.5 Apply principles of socio-behavioural sciences to the provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care-seeking, care concordance, care adherence and barriers to and attitudes toward care. 4.1 Communicate effectively with patients, families, and the public, as appropriate, across a broad range of socioeconomic and sociocultural backgrounds 4.2 Participate in the education of patients, families, students, trainees, peers and other health professionals | |
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Clerkship Teaching Session: Psychiatric Disorders of Childhood and Adolescence
Define and understand what a psychiatric disorder is
in this age group and discuss range of normal
variants. Develop a framework to evaluate the child or
adolescent presenting with a potential mental
disorder. Recognize common disorders in this age-group and
be familiar with their treatment. Discuss controversies in the area.
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Final Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review
Mid-Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review.
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Assessment of cognitive deficits (and use of screening instruments e.g. MMSE, MOCA, etc.). |
Clerkship Teaching Session: Geriatric Psychiatry
List some pharmacokinetic changes associated with aging. Identify cognitive changes associated with aging. Describe some common bed side cognitive assessment tools.
Clerkship Teaching Session: Movement Disorders and Cognitive Assessment
To review the common movement disorders relevant to psychiatry. A general approach to management of the specific disorders. To review the key components of cognitive assessment.
Clinical Exposure: Psychiatric Clinical Skills
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Clerkship Multiple Choice Question Exam: Psychiatry
The exam content was created based on the objectives for the rotation along with information from lecture, tutorial etc. There are 100 multiple choice questions total for the exam.
Final Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review
Mid-Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review.
| 1.1 Gather essential and accurate information about patients and their health through history-taking, physical examination, and the use of laboratory data, imaging, and other tests. 2.5 Apply principles of socio-behavioural sciences to the provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care-seeking, care concordance, care adherence and barriers to and attitudes toward care. 4.1 Communicate effectively with patients, families, and the public, as appropriate, across a broad range of socioeconomic and sociocultural backgrounds |
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Clerkship Teaching Session: Acute Psychiatry
Serotonin Syndrome. Neuroleptic malignant syndrome. Lithium toxicity.
Clerkship Teaching Session: Toxidromes and the Agitated Patient
Sympathetic toxidrome. Anticholinergic toxidrome. Cholinergic toxidrome. Opioid toxidrome. Sedative Hypnotic toxidrome. Hallucinogens
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Final Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review
Mid-Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review.
| 1.1 Gather essential and accurate information about patients and their health through history-taking, physical examination, and the use of laboratory data, imaging, and other tests. 1.4 Make informed decision about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment 2.5 Apply principles of socio-behavioural sciences to the provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care-seeking, care concordance, care adherence and barriers to and attitudes toward care. 4.1 Communicate effectively with patients, families, and the public, as appropriate, across a broad range of socioeconomic and sociocultural backgrounds | |
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e-Learning Module: Introduction to Psychotherapy
Be able to describe what psychotherapy is. Be familiar with the evidence for psychotherapy. Be able to describe the major therapy modalities and their indications. Be able to practice some basic therapy skills which are translatable to any type of practice.
Tutorial: Psychotherapy
Using 2 patient/case examples, students will work in pairs to practice CBT skills taking turns to play the role of the
patient and the therapist working together using the sample cases and materials provided.
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Final Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review
Mid-Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review.
| 1.4 Make informed decision about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment 2.5 Apply principles of socio-behavioural sciences to the provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care-seeking, care concordance, care adherence and barriers to and attitudes toward care. | |
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e-Learning Module: Introduction to Psychotherapy
Be able to describe what psychotherapy is. Be familiar with the evidence for psychotherapy. Be able to describe the major therapy modalities and their indications. Be able to practice some basic therapy skills which are translatable to any type of practice.
| 1.4 Make informed decision about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment 2.5 Apply principles of socio-behavioural sciences to the provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care-seeking, care concordance, care adherence and barriers to and attitudes toward care. | ||
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Final Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review
Mid-Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review.
| 1.2 Organize and prioritize responsibilities to provide care that is safe, effective, and efficient 1.4 Make informed decision about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment 2.2 Apply biomedical scientific principles fundamental to health care for patients and populations. 2.5 Apply principles of socio-behavioural sciences to the provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care-seeking, care concordance, care adherence and barriers to and attitudes toward care. | ||
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Clerkship Teaching Session: Acute Psychiatry
Serotonin Syndrome. Neuroleptic malignant syndrome. Lithium toxicity.
Clerkship Teaching Session: Antidepressants
General pharmacology overview. Review antidepressants. Discuss augmentation strategies. Introduce serotonin syndrome.
Clerkship Teaching Session: Antipsychotics
Review anitpsychotics. 1st Generation, 2nd Generation, 3rd Generation? Introduce neuroleptic malignant syndrome.
Clerkship Teaching Session: Anxiolytics/sedatives
Review Anxiolytics (Anti-Anxiety drugs). First-line: SSRIs, SNRIs, benzodiazepines, buspirone (GAD only). Second-line TCAs (clomipramine), mirtazepine, trazodone.
Clerkship Teaching Session: Geriatric Psychiatry
List some pharmacokinetic changes associated with aging. Identify cognitive changes associated with aging. Describe some common bed side cognitive assessment tools.
Clerkship Teaching Session: Mood Stabilizers
Review mood stabilizers.
Clerkship Teaching Session: Psychiatric Disorders of Childhood and Adolescence
Define and understand what a psychiatric disorder is
in this age group and discuss range of normal
variants. Develop a framework to evaluate the child or
adolescent presenting with a potential mental
disorder. Recognize common disorders in this age-group and
be familiar with their treatment. Discuss controversies in the area.
Clerkship Teaching Session: Psychotropic Medications for ADHD & Dementia
Drugs for ADHD. Drugs for Dementia.
Clerkship Teaching Session: Toxidromes and the Agitated Patient
Sympathetic toxidrome. Anticholinergic toxidrome. Cholinergic toxidrome. Opioid toxidrome. Sedative Hypnotic toxidrome. Hallucinogens
Clinical Exposure: Psychiatric Clinical Skills
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Clerkship Multiple Choice Question Exam: Psychiatry
The exam content was created based on the objectives for the rotation along with information from lecture, tutorial etc. There are 100 multiple choice questions total for the exam.
Final Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review
Mid-Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review.
| 1.5 Develop and carry out patient management plans 1.7 Counsel and educate patients and their families to empower them to participate in their care and enable shared decision-making 1.9 Provide health care services to patients, families, and communities aimed at preventing health problems or maintaining health 2.3 Apply principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based healthcare 2.5 Apply principles of socio-behavioural sciences to the provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care-seeking, care concordance, care adherence and barriers to and attitudes toward care. | |
Assess the appropriateness for and recommend ECT and TMS: indications for use, side effects. |
e-Learning Module: Physical Therapy of Psychopathology
Demystifying ECT (Electroconvulsive Therapy): A discussion of ECT, TMS (transcranial magnetic stimulation) , DBS (deep brain stimulation) and VNS (vagal nerve stimulation)
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Clerkship Multiple Choice Question Exam: Psychiatry
The exam content was created based on the objectives for the rotation along with information from lecture, tutorial etc. There are 100 multiple choice questions total for the exam.
Final Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review
Mid-Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review.
| 1.4 Make informed decision about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment 2.2 Apply biomedical scientific principles fundamental to health care for patients and populations. |
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Clinical Exposure: Psychiatric Clinical Skills
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Final Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review
Mid-Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review.
| 1.7 Counsel and educate patients and their families to empower them to participate in their care and enable shared decision-making 1.9 Provide health care services to patients, families, and communities aimed at preventing health problems or maintaining health 4.2 Participate in the education of patients, families, students, trainees, peers and other health professionals | |
Demonstrate proficiency in documentation and communication in psychiatry. |
Clerkship Teaching Session: The Psychiatric Interview and mental status exam
Interviewing techniques. Review of Psychiatric Interview. Risk Assessment. Cognitive Assessment
Clinical Exposure: Psychiatric Clinical Skills
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Direct Observation Tool: Present oral and written reports that document a clinical encounter
Final Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review
Mid-Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review.
| 4.5 Maintain comprehensive, timely, and legible medical records |
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Final Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review
Mid-Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review.
| 5.2 Demonstrate compassion, integrity, and respect for others 6.3 Advocate for quality patient care and optimal patient care systems that support patient- and population-centred care that is safe, timely, efficient, effective, and equitable | ||
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Clinical Exposure: Advocacy
Practice non-stigmatizing attitude and advocacy towards those experiencing mental illness.
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Final Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review
Mid-Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review.
| 1.8 Provide appropriate referral of patients including ensuring continuity of care throughout transitions between providers or settings, and following up on patient progress and outcomes | |
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Clerkship Teaching Session: Mental Health Law & Consent and Capacity
To discuss the roles of the Health Care and Consent Act; Substitute Decisions Makers Act; Mental Health Act.To review Consent and Capacity. How to evaluate Capacity. Beyond the Form 1.
Clinical Exposure: Advocacy
Practice non-stigmatizing attitude and advocacy towards those experiencing mental illness.
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Final Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review
Mid-Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review.
| 5.7 Demonstrate the application of ethical principles to commonly encountered ethical issues such as the provision or withholding of care, confidentiality, informed consent, and including compliance with relevant laws, policies, and regulations 6.1 Understand the systems of healthcare, including federal, provincial, municipal and local, and the influences they have on the health of individuals and populations | |
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Clinical Exposure: Advocacy
Practice non-stigmatizing attitude and advocacy towards those experiencing mental illness.
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Final Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review
Mid-Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review.
| 2.1 Demonstrate an understanding of what knowledge is, the strengths and limitations of different ways of knowing, and how knowledge is created in historical, cultural and social contexts. 2.5 Apply principles of socio-behavioural sciences to the provision of patient care, including assessment of the impact of psychosocial and cultural influences on health, disease, care-seeking, care concordance, care adherence and barriers to and attitudes toward care. 6.2 Identify aspects of the healthcare system that serve as barriers and enablers of providing healthcare to and optimizing the health of patients and the population | |
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Clinical Exposure: Advocacy
Practice non-stigmatizing attitude and advocacy towards those experiencing mental illness.
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Final Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review
Mid-Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review.
| 6.3 Advocate for quality patient care and optimal patient care systems that support patient- and population-centred care that is safe, timely, efficient, effective, and equitable 6.6 Coordinate patient care within the health care system relevant to a variety of clinical specialties | |
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Final Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review
Mid-Rotation Assessment: Psychiatry Rotation
Domains assessed: Fund of Knowledge, Knowledge Integration, History taking, Clinical Examination, Clinical Management, Learning Skills, Communication Skills, Professional Responsibility and Integrity, Pursuit of Excellence and Insight, Personal Interactions. Essential Clinical Encounters review.
| 5.2 Demonstrate compassion, integrity, and respect for others 6.3 Advocate for quality patient care and optimal patient care systems that support patient- and population-centred care that is safe, timely, efficient, effective, and equitable | ||