Journal Entry

Desired Clinical Skills for Students to Achieve

Confident (Can complete independently)

Mostly confident (Can complete with supervision)

Beginning (Have performed with supervision or need 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 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, families, and/or groups

X

Develop an age appropriate individualized plan of care

X

Provide psychoeducation to individuals, family, and/or groups

X

Promote health and disease prevention techniques

X

Self-Assessment skills:

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

My foremost strength is professionalism. I definitely fathom my responsibility and I recognize how to uphold limitations with patients and colleagues. In my daily life I make it a practice not to judgment regardless of their situation. It is not hard to apply this habit in my professional practice.

My greatest opportunity for progress this quarter will be working with groups and families. This will be a new area in this semester. It will be remarkable how to traverse group and family dynamics while commerce with specific traits and interests.

1. Goal: I want to perform mental status exams on at various patients by the end of this practicum rotation.

a. Objective: Comprehensive psychiatric evaluation skill

b. Objective: Diagnostic Reasoning Skills

c. Objective: Professional Skills

2. Goal: I want to correctly identify clinical signs and symptoms to the corresponding mental illness for each patient that I see this quarter, as evidenced by acknowledging of practicum instructor.

a. Objective: Comprehensive psychiatric evaluation

b. Objective: Diagnostic Reasoning

c. Objective: Shadow and participate in patient care

3. Goal: Will complete 160 hours of clinical hours for this course as required.

a. Objective: Arrive at the clinical site on time and well prepared.

b. Objective: Enter patient information on Meditrek.

c. Objective: Complete time log and patient information on a timely manner during practicum experience.