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Behavioral Science Curriculum, General Info
Psychiatric Consultant: Jennifer Vincent, MD Resident Chair (2009-2010): Kristin Anderson, MD
Longitudinal Curriculum
Patient co-visits at all three sites present unique learning opportunities for residents to advance their interviewing and intervention skills. Jonathan Wulf, Psy.D. and Jennifer Vincent, MD, are available for short-term co-counseling, and assist residents in recognizing patients who are appropriate to brief office counseling. Residents should discuss potential patients with faculty prior to scheduling appointments, and meet briefly before and after co-visits to strategize and debrief. Residents are free to choose their level of involvement in co-visits, from being an observer to taking primary leadership. Diagnostic and Treatment Skills In addition to co-visit opportunities, residents may also consult with the behavioral science faculty by discussing the case or inviting her or him to observe a patient interview. Personal Practice Style The development of an effective and satisfying personal practice style is a primary goal of our Family Medicine residency. The development of such a style occurs gradually over the entire period of training and continues to be refined during one's professional career. R1s are in the early stages of developing a practice style, and problems are often due to minimal experiences with difficult patients and an unfamiliarity with the clinic system. R1s thus profit from prospective exposure to practice style elements and discussion of available options when facing common difficult situations. By the R3 year, residents have familiarized themselves with the system and have dealt with nearly every type of patient situation several times. R3s are ready to identify particular problem areas in their own emerging practice styles and to experiment with different approaches. Behavioral Science Curriculum Conferences The behavioral science faculty, the resident chairperson and the behavioral science curriculum committee are responsible for collaboratively planning and scheduling the Tuesday afternoon didactics designated for behavioral science topics. Tuesday Didactics Current faculty and residents, or other community experts, give lectures as part of the behavioral science curriculum conferences. Balint Groups These seminars focus on the physician-patient relationship, not from the traditional case management perspective, but from an experiential and subjective orientation. The goal is to heighten self-awareness for the physician. Balint groups meet every Tuesday from 1:45 to 2:30. Dr. Wulf oversees the Balint groups and alternates weeks sitting in on the three class groups. This is a protected time on most services. Balint is a time when residents can discuss issues and experiences challenging to their identity and confidence as a physician. Residents meet in their respective class groups, and periodically may join as a larger group. Didactics
The
conference list for Family Medicine includes Behavioral Science didactics. The
specific conference titles and speakers are chosen by the Behavioral Science
Committee. Didactic sessions may include the following: RRC Recommended Core Curriculum Guidelines
Evaluations Skills 1. Interviewing skills which enhance data collection in short periods of time, and optimize doctor/patients relationship 2. Performance of mental status examination 3. Indications for special procedures in psychiatric disorders diagnosis, including psychological testing, laboratory testing and brain imaging testing 4. Capability to elicit and recognize the common signs and symptoms of the disorders in section I 5. Psychiatric consultations procedures Therapeutic Skills 1. Management of emotional aspects of non-psychiatric disorders 2. Skills in enhancing compliance with medical treatment regimens 3. Initial management of psychiatric emergencies - the suicidal patient, the acutely psychotic patient 4. Proper use of psychopharmacological agents Goals
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