wk9pt

Desired Clinical Skills for Students to Achieve

Confident (Can complete independently)

Mostly confident (Can complete with supervision)

Beginning (Have performed with supervision or needs supervision to feel confident)

New (Have never performed or does not apply)

Comprehensive psychiatric evaluation skills in: 

Recognizing clinical signs and symptoms of psychiatric illness across the lifespan

Confident

Differentiating between pathophysiological and psychopathological conditions 

Mostly confident

Performing and interpreting a comprehensive and/or interval history and physical examination (including laboratory and diagnostic studies) 

Beginning

Performing and interpreting a mental status examination 

Confident

Performing and interpreting a psychosocial assessment and family psychiatric history 

Confident

Performing and interpreting a functional assessment (activities of daily living, occupational, social, leisure, educational).

Mostly confident

Diagnostic reasoning skill in:

Developing and prioritizing a differential diagnoses list

Confident

Formulating diagnoses according to DSM 5-TR based on assessment data 

Confident

Differentiating between normal/abnormal age-related physiological and psychological symptoms/changes

Confident

Pharmacotherapeutic skills in:

Selecting appropriate evidence based clinical practice guidelines for medication plan (e.g., risk/benefit, patient preference, developmental considerations, financial, the process of informed consent, symptom management) 

Mostly confident

Evaluating patient response and modify plan as necessary 

Confident

Documenting (e.g., adverse reaction, the patient response, changes to the plan of care)

Confident

Psychotherapeutic Treatment Planning:

Recognizes concepts of therapeutic modalities across the lifespan

Confident

Selecting appropriate evidence based clinical practice guidelines for psychotherapeutic plan (e.g., risk/benefit, patient preference, developmental considerations, financial, the process of informed consent, symptom management, modality appropriate for situation) 

Mostly confident

Applies age-appropriate psychotherapeutic counseling techniques with individuals and/or any caregivers

Mostly confident

Develop an age appropriate individualized plan of care

Beginning

Provide psychoeducation to individuals and/or any caregivers

Confident

Promote health and disease prevention techniques

Confident

Self-assessment skill:

Develop SMART goals for practicum experiences 

Mostly confident

Evaluating outcomes of practicum goals and modify plan as necessary 

Confident

Documenting and reflecting on learning experiences

Mostly confident

Professional skills:

Maintains professional boundaries and therapeutic relationship with clients and staff

Confident

Collaborate with multi-disciplinary teams to improve clinical practice in mental health settings 

Confident

Identifies ethical and legal dilemmas with possible resolutions

Confident

Demonstrates non-judgmental practice approach and empathy

Confident

Practices within scope of practice

Confident

Selecting and implementing appropriate screening instrument(s), interpreting results, and making recommendations and referrals:

Demonstrates selecting the correct screening instrument appropriate for the clinical situation 

Confident

Implements the screening instrument efficiently and effectively with the clients

Confident

Interprets results for screening instruments accurately

Confident

Develops an appropriate plan of care based upon screening instruments response

Mostly confident

Identifies the need to refer to another specialty provider when applicable

Mostly confident

Accurately documents recommendations for psychiatric consultations when applicable

Confident

The overall score for the professional skills is confident where I am confident when maintaining professional boundaries and therapeutic relationship with clients and staff, collaborating with multi-disciplinary teams to improve clinical practice in mental health settings, identifying ethical and legal dilemmas with possible resolutions, demonstrating non-judgmental practice approach and empathy, and practicing within scope of practice.

Secondly, I am confident on Selecting and implementing appropriate screening instrument(s), interpreting results, and making recommendations and referrals where am confident when demonstrating selecting the correct screening instrument appropriate for the clinical situation, implementing the screening instrument efficiently and effectively with the clients and interpreting the results for screening instruments accurately.

Thirdly, on comprehensive psychiatric evaluation skills I am confident when recognizing clinical signs and symptoms of psychiatric illness across the lifespan, performing and interpreting a mental status examination and performing and interpreting a psychosocial assessment and family psychiatric history.

The other strength is on overall diagnostic reasoning skills where I am confident when developing and prioritizing a differential diagnoses list, formulating diagnoses according to DSM 5-TR based on assessment data and differentiating between normal/abnormal age-related physiological and psychological symptoms/changes. On pharmacotherapeutic skills I am confident when evaluating patient response and modify plan as necessary and documenting (e.g., adverse reaction, the patient response, changes to the plan of care). On Self-assessment skill I am confident when evaluating outcomes of practicum goals and modify plan as necessary. Lastly, on psychotherapeutic Treatment Planning I am confident when providing psychoeducation to individuals and/or any caregivers and promoting health and disease prevention techniques. All these strengths are where my confidence level is high and I am in a better position to complete the assigned tasks using my available skills independently without the help of others.

Areas with opportunity for growth is where I can complete well with supervision or need supervision to feel comfortable. These areas provide the opportunity for growth in confidence when they are worked upon. They include under comprehensive psychiatric evaluation skills, they are differentiating between pathophysiological and psychopathological conditions, performing, and interpreting a comprehensive and/or interval history and physical examination (including laboratory and diagnostic studies) and performing and interpreting a functional assessment (activities of daily living, occupational, social, leisure, educational).

Under pharmacotherapeutic skills opportunity for growth is on Selecting appropriate evidence based clinical practice guidelines for medication plan, selecting appropriate evidence based clinical practice guidelines for psychotherapeutic plan, applies age-appropriate psychotherapeutic counseling techniques with individuals and/or any caregivers and developing an age-appropriate individualized plan of care.

1. Goal: To be able to practice and gain experience in conducting thorough and effective psychiatric evaluations.

a. Objective: To be able to differentiate between pathophysiological and psychopathological conditions to increase accuracy of psychiatric evaluations at the end of 10 weeks.

b. Objective: To be able to Perform and interpret a comprehensive and physical examination that include laboratory and diagnostic studies for effective medication plan at the end of 10 weeks.

c. Objective: Observe experienced clinicians as they conduct psychiatric evaluations and take notes with the aim of improving the accuracy of psychiatric evaluations at the end of 10 weeks.

2. Goal: To undergo training and experience to improve pharmacotherapeutic skills needed for psychiatric evaluations.

a. Objective: To Participate in case-based learning activities, such as case conferences or peer supervision, to discuss medication management strategies for complex cases to improve pharmacotherapeutic skills at the end of 10 weeks.

b. Objective: Seeking feedback and consultation from experienced clinicians and clinical supervisor to understand evidence based clinical practice guidelines for medication plan at the end of 10 weeks.

c. Objective: Reviewing clinical guidelines for the use of psychotropic medications in different psychiatric disorders to gain knowledge and experience about pharmacotherapeutic skills at the end of 10 weeks.

3. Goal: To upgrade Self-assessment skills for effective psychiatric process

a. Objective: To Participate in case-based learning activities to enable development SMART goals for practicum experiences at the end of 10 weeks.

b. Objective: To acquire knowledge that will enable documentation and reflections on learning experiences at the end of 10 weeks.

c. Objective: To be able to develop self-reflection skills through participating in Participate in peer supervision to be able to reflect on personal thoughts, feelings, and actions at the end of 10 weeks.