week assgnt 11

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

· Able to independently complete comprehensive psychiatric evaluation skills, including recognizing clinical signs and symptoms of psychiatric illness, performing and interpreting assessments, and formulating diagnoses.

· Skilled in pharmacotherapeutic management, including selecting appropriate medication plans, evaluating patient response, and documenting outcomes.

· Proficient in psychotherapeutic treatment planning, including selecting evidence-based guidelines, applying counseling techniques, developing individualized plans, and providing psychoeducation.

· Capable of self-assessment, setting SMART goals, evaluating outcomes, and reflecting on learning experiences.

· Demonstrates professional skills such as maintaining boundaries, collaborating with multi-disciplinary teams, identifying ethical and legal dilemmas, practicing non-judgmentally, and working within the scope of practice.

· Competent in selecting and implementing screening instruments, interpreting results, and making appropriate recommendations and referrals.

· Need for supervision or further development in differentiating between normal/abnormal age-related physiological and psychological symptoms/changes.

· May benefit from additional supervision or guidance in identifying and resolving ethical and legal dilemmas.

· Continual improvement in the efficient and effective implementation of screening instruments and accurate interpretation of results.

· Further development in accurately documenting recommendations for psychiatric consultations when applicable.

1. Goal: Enhance Diagnostic Reasoning Skills

a. Objective: By the end of the practicum, independently develop and prioritize a comprehensive and accurate differential diagnoses list for at least 80% of assigned cases at the end of 10 weeks.

b. Objective: Improve the ability to differentiate between normal and abnormal age-related physiological and psychological symptoms/changes by successfully identifying and distinguishing them in at least 90% of cases at the end of 10 weeks.

c. Objective: Demonstrate proficiency in formulating diagnoses according to DSM 5-TR based on assessment data, achieving an accuracy rate of 95% or higher at the end of 10 weeks.

2. Goal: Improve Pharmacotherapeutic Skills

a. Objective: Select evidence-based clinical practice guidelines for medication plans with consideration for risk/benefit, patient preference, developmental considerations, financial aspects, and informed consent for 100% of cases at the end of 10 weeks.

b. Objective: Evaluate patient response to pharmacotherapy and modify the plan as necessary in at least 90% of cases, ensuring optimal symptom management and minimal adverse reactions at the end of 10 weeks.

c. Objective: Document all relevant information, including adverse reactions, patient response, and changes to the plan of care, accurately and consistently for 100% of cases at the end of 10 weeks.

3. Goal: Enhance Psychotherapeutic Treatment Planning

a. Objective: Gain familiarity with therapeutic modalities across the lifespan by actively incorporating at least three different evidence-based modalities into psychotherapeutic plans for diverse cases at the end of 10 weeks.

b. Objective: Apply age-appropriate psychotherapeutic counseling techniques effectively with individuals and/or caregivers, demonstrating proficiency in at least three techniques and achieving positive outcomes in 80% of cases at the end of 10 weeks.

c. Objective: Develop individualized, age-appropriate plans of care that address the specific needs and goals of each client for 100% of cases at the end of 10 weeks.

4. Goal: Strengthen Professional Skills

a. Objective: Maintain professional boundaries and therapeutic relationships with clients and staff by consistently demonstrating appropriate behavior and communication in 100% of interactions at the end of 10 weeks.

b. Objective: Collaborate effectively with multi-disciplinary teams in mental health settings by actively participating in team meetings, contributing insights, and implementing agreed-upon strategies in at least 90% of cases at the end of 10 weeks.

c. Objective: Identify ethical and legal dilemmas that arise in practice and propose possible resolutions based on ethical principles and guidelines for 100% of relevant situations at the end of 10 weeks.