Assigment .Apa seven . All instructions attached.

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

X

Differentiating between pathophysiological and psychopathological conditions 

X

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

X

Performing and interpreting a mental status examination 

X

Performing and interpreting a psychosocial assessment and family psychiatric history 

X

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

X

Diagnostic reasoning skill in:

Developing and prioritizing a differential diagnoses list

X

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

X

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

X

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) 

X

Evaluating patient response and modify plan as necessary 

X

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

X

Psychotherapeutic Treatment Planning:

Recognizes concepts of therapeutic modalities across the lifespan

X

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) 

X

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

X

Develop an age appropriate individualized plan of care

X

Provide psychoeducation to individuals and/or any caregivers

X

Promote health and disease prevention techniques

X

Self-assessment skill:

Develop SMART goals for practicum experiences 

X

Evaluating outcomes of practicum goals and modify plan as necessary 

X

Documenting and reflecting on learning experiences

X

Professional skills:

Maintains professional boundaries and therapeutic relationship with clients and staff

X

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

X

Identifies ethical and legal dilemmas with possible resolutions

X

Demonstrates non-judgmental practice approach and empathy

X

Practices within scope of practice

X

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 

X

Implements the screening instrument efficiently and effectively with the clients

X

Interprets results for screening instruments accurately

X

Develops an appropriate plan of care based upon screening instruments response

X

Identifies the need to refer to another specialty provider when applicable

X

Accurately documents recommendations for psychiatric consultations when applicable

X

I have a strong foundation in diagnostic reasoning, particularly in developing differential diagnoses, formulating accurate diagnoses according to DSM-5-TR, and recognizing normal versus abnormal age-related physiological and psychological changes. My pharmacotherapeutic skills are also well-developed, allowing me to confidently select appropriate evidence-based guidelines for medication management. Additionally, I excel in maintaining professional boundaries and building therapeutic relationships with clients, as well as effectively collaborating with multi-disciplinary teams to enhance clinical practice. My ability to identify and address ethical and legal dilemmas, along with my proficiency in selecting, implementing, and interpreting screening instruments, further strengthens my clinical competencies. These skills enable me to make informed recommendations and referrals, contributing to comprehensive and patient-centered care.

While I have a solid grasp of many clinical skills, there are areas where I can further develop. I need to gain more experience in conducting psychosocial and functional assessments, as I have had limited exposure to these types of evaluations. Additionally, I could benefit from more practice in psychotherapeutic treatment planning, particularly in selecting appropriate evidence-based guidelines and applying counseling techniques tailored to individual needs. Another area for improvement is in the follow-up and documentation of pharmacotherapeutic interventions; I need to enhance my ability to evaluate patient responses to treatment and accurately document any necessary adjustments to care plans. By focusing on these areas, I aim to become a more well-rounded and effective practitioner.

1. Goal: Improve skills in psychosocial and functional assessments.

a) Objective: Conduct at least 10 comprehensive psychosocial assessments under supervision within the first month of practicum.

b) Objective: Perform functional assessments for 5 different patients with varied diagnoses and review findings with a supervisor.

c) Objective: Seek feedback on assessment techniques from a preceptor after each session to enhance confidence and accuracy.

2. Goal: Enhance ability in psychotherapeutic treatment planning.

a) a) Objective: Establish 5 unique psychotherapeutic client care plans that meet the evidence-based practice guidelines within the first two months of the practicum.

b) b) Objective: Assist in 3 patient counseling sessions, employing counseling techniques appropriate to the patient’s developmental level under the guidance of a professional.

c) c) Objective: Discuss the care plans with the multi-disciplinary team and make changes to the plan during monthly care plan meetings.

3. Goal: Strengthen pharmacotherapeutic follow-up and documentation skills.

a) a) Objective: Assess patient response to medication in 5 patients and modify treatment in first 6 weeks of patient care.

b) b) Objective: Conduct at least 2 case presentations in pharmacotherapeutic outcomes and evaluate feedback from peers and supervisors.

c) c) Objective: Take the necessary steps to improve the organization of the records and the coverage of all aspects of the patient work-up in 90% of the records scrutinized by the preceptor.

4. Goal: Develop a deeper understanding of differential diagnoses.

a) Objective: Create and discuss differential diagnosis lists for 10 new patients with a preceptor within the first two months of practicum.

b) Objective: Incorporate DSM-5-TR criteria into diagnosis formulation for at least 5 patients, ensuring accuracy and comprehensiveness.

c) Objective: Attend and reflect on 2 workshops or seminars focused on diagnostic reasoning and differential diagnoses.