Specific Goals and Objectives for Year 2

General Competencies

In year 1, the resident will demonstrate increasing knowledge, skills and attitudes in the six general competencies including: clinical science/medical knowledge, patient care, interpersonal and communication skills, practice-based learning and improvement, professionalism and systems-based practice.

Knowledge

In the second training year, the resident will demonstrate increasing knowledge in the following areas:

  • The principles of consultation to community systems of care
  • The role and functions of consultants to pediatrics, schools and courts
  • The indications, contraindications, benefits and potential and possible adverse effects of the full spectrum of outpatient treatment modalities that may be used for children, adolescents and families, including individual therapy, supportive therapy, psychodynamic psychotherapy, crisis intervention, family therapy, group therapy, cognitive-behavior therapy, interpersonal psychotherapy, pharmacotherapy, and combined psychotherapy and psychopharmacology
  • Methods of performing complete outpatient assessments of children, adolescents and families, including the use of a range of interview techniques, and the range of ancillary laboratory, medical and psychological tests used in data gathering
  • Familiarity with issues of health care financing, principles and practices of managed care and health care delivery
  • Sufficient knowledge of child development, psychopathology and family systems theory so as to actively incorporate this knowledge into clinical interventions
  • Knowledge of disorders related to pediatric neurology, including the appropriate examination, evaluation, knowledge about the interface with psychiatric disorders, and appropriate treatment modalities
  • Methods of supervising and teaching a range of students and professionals that care for children, adolescents and families in clinical and community settings, parents and the public regarding normal and abnormal development, psychopathology, methods of therapeutic intervention and prevention
  • Techniques of interfacing with the judicial system in the best interest of children, including techniques of report writing for the Courts and testifying
  • A working knowledge of will be able to make a critical evaluation of past and present literature in child and adolescent psychiatry
  • The basic information presented in the Year 2 clinical and didactic curriculum of the training program, augmented by self-directed learning, in biological, social, and clinical sciences related to child and adolescent psychiatry
  • The system of health care as it pertains to children, adolescents and families, including the role and function of community and state agencies

Skills

In the second training year, the resident will build upon the skills developed in the first training year. The resident will demonstrate increasing skills in the following areas:

  • The ability to develop and implement a comprehensive assessment and treatment plan for children and adolescents in outpatient settings
  • The ability to provide specialty assessments of children and adolescents with complex neurodevelopmental difficulties, obsessive-compulsive symptoms and tic disorders
  • The ability to provide competent school-based assessments and consultations, and to collaborate effectively with the educational team in providing a school environment which optimizes learning and development
  • The ability to provide a thorough court-ordered assessment of adolescents in the juvenile justice system
  • The ability to provide a thorough court-ordered assessment of children and adolescents with complex issues of custody and visitation rights
  • The ability to work as a member of a multidisciplinary outpatient team, and to increasingly provide leadership within the team structure
  • The ability to provide a full range of therapeutic services to children, adolescents, and families, as appropriate, including individual psychotherapy (psychodynamic/insight-oriented, cognitive-behavioral or interpersonal, supportive), family therapy, group therapy, psychopharmacological treatment and combination treatments
  • The ability to effectively consult to community systems of care
  • The ability to teach medical students, residents, allied professionals caring for children, adolescents and families, and lay individuals about normal and abnormal development, psychopathology, and principles of prevention
  • The ability to perform a complete pediatric neurological examination
  • The ability to provide effective consultation-liaison with pediatricians and other health professionals on the pediatric wards concerning psychiatric needs of children and adolescents on the service
  • The ability to provide psychiatric and medication assessments and treatment within a multidisciplinary context, including effective collaboration with colleagues in the multimodal treatment of the patient and his/her family

Skills

In the second training year, the resident will build upon the skills developed in the first training year. The resident will demonstrate increasing skills in the following areas:

Attitudes

In the second training year, the resident will demonstrate attitudes which are consistent with professionalism and ongoing professional growth, including an openness and desire to gain new knowledge to better his/her medical practice, a respectful and caring attitude towards patients and families of all cultural and ethnic origins, a respectful and collaborative attitude towards professionals in all disciplines, a commitment to ethical principles of care and practice, and holding responsibility for excellence in patient care as the highest standard. Each resident will demonstrate the following attitudes:

  • A strong sense of responsibility for patients
  • Utilization of supervision provided to continuously improve his/her skills in the evaluation and treatment of children and adolescents with psychiatric disorders
  • Ethical conduct in the treatment of all patients and families
  • Cultural and ethnic sensitivity to patients and their families
  • A strong commitment to continuing professional development