Orientation and Introduction to Skills

By the end of this seminar, the Year 1 resident will be able to:

Knowledge:

    * Outline the subject matter of the clinical rotations

    * Describe issues of confidentiality, HIPAA requirements and training

    * State patient rights as they apply to mental health

    * Outline requisites to proper treatment planning and documentation

    * State UMDNJ policies and procedures preventing sexual harassment

    * Outline basic education law

    * State methods for individual and family engagement in treatment

    * Compare individual and family assessment methods

    * Outline core competencies and general goals and objectives for the training program

Skills:

    * Demonstrate familiarity with procedures for child abuse and neglect reporting

    * Illustrate adequate assessment of suicidal and homicidal risk in children

Attitudes:

    * Assume an attitude of open learning and acceptance and utilization of supervision.

    * Respect mental health providers in varied settings and with varied backgrounds

    * Understand and value the role and contribution of each provider in a multidisciplinary care setting

Introduction to Newark and Local Systems

By the end of this seminar, the Year 1 resident will be able to:

Knowledge:

    * State the history of Newark relevant to mental health care today

    * Define the communities that make up this city and surrounding suburbs

    * State the functions of the Department of Youth and Family Services

Skills:

    * Illustrate familiarity with the Newark court system

    * Explain education law for this city and state

Attitudes:

    * Advocate for the rights of the child and adolescent

    * Assess self for compliance with individual ethical standards

Ethnic, Cultural and Economic Mental Health Variables

By the end of this seminar, the Year 1 resident will be able to:

Knowledge:

    * Define issues related to identity group membership

    * Describe clinical impact of participating in a variety of settings with diverse populations

Skills:

    * Illustrate competence in a reflective and sensitive understandings of social constructions

    * Demonstrate effective communication of care and respect when interacting with patients and their families

Attitudes:

    * Assess for self-awareness

    * Demonstrate a desire to gain understanding of another’s position and reasoning

    * Believe in the intrinsic worth of other human beings

Clinical Research Methods in Psychiatry/Scholarly Activity Project

Year 1

Knowledge:

    * Outline basic research concepts and research designs

    * Contrast clinical and research observation

Skills:

    * Read the scientific literature critically, evaluating the impact of methodologies on reported findings

Attitudes:

    * Adhere to ethical principles and professional responsibilities

Year 2

Knowledge:

    * Define research concepts and research design

    * Describe behavioral research methods and terminology, including double-blind, cross-over, and placebo

Skills:

    * Carry out a scholarly activity project under the guidance of a mentor

    * Review and discuss research consent/assent procedure

Attitudes:

    * Commit to ethical principles pertaining to provision or withholding of clinical care, confidentiality of patient information, informed consent, conflict of interest, and business practices

Psychopharmacology for Child and Adolescent Psychiatrists

At the end of the Psychopharmacology for Child and Adolescent Psychiatrists seminar, residents will be able to:

Year 1

Knowledge:

    * Describe developmental considerations in the use of psychotropic medication with children and adolescents

    * Classify medicines used in the treatment of child and adolescent psychopathology

    * Describe mechanism-of-action and side effect considerations of psychotropic medications to guide treatment.

Skills:

    * Define the risks and benefits of using particular psychotropic medicines in children and adolescents

    * Discuss, with parents, the mechanisms and side effects of each class of medication.

Attitudes:

    * Make thoughtful, rational, evidence-based decisions regarding medication choice

    * Consider the specific developmental issues involved in treating children and adolescents as compared with adults

Year 2

Knowledge:

    * Use the pathophysiology of childhood psychiatric disorders to guide psychopharmacological interventions

    * Describe mechanism of action, drug interactions and management of short-term and long-term side-effect profiles

    * Integrate new knowledge as it emerges in literature into current treatment practice

Skills:

    * Design a comprehensive psychotropic treatment plan

    * Critically review the pediatric psychopharmacology research and clinical literature

    * Identify comorbid disorders and prioritize the selection of medication to target specific psychiatric symptoms

Attitudes:

    * Work with parents on a psychotropic treatment plan in an ethical and respectful manner, including a clear discussion of risks and benefits of the medication

    * Convey new information about psychotropic treatments to parents in a way that is balanced and informative

    * Evaluate and monitor children in a manner that supports the child and family

Evaluations and Formulations in Child Psychiatry

At the end of this seminar, the resident will be able to:

Year 1

Knowledge:

    * Classify and outline child and adolescent DSM-IV diagnoses

    * Define the role and functions of other professionals collaborating with psychiatrists, such as pediatricians, psychologists, social workers, case managers, teachers, and guidance counselors

Skills:

    * Intellectually organize a comprehensive clinical formulation of the child, adolescent and their family, utilizing a bio-psycho-social-cultural approach

Attitudes:

    * Sensitivity to cultural differences, including awareness of one’s own and the patient’s cultural perspective

    * Respect and regard for and responsiveness to the needs of patients and society that supersedes self-interest

Year 2

Knowledge:

    * Conduct a comprehensive assessment, including but not limited to interviewing, taking a history, obtaining additional information, and requesting medical and psychological testing as needed

    * Present an evaluation, formulation, and treatment plan in front of a group of colleagues

    * Describe and compare collaborative intervention methods in child and adolescent psychiatry, such as with psychologists, social workers, case managers, teachers, and guidance counselors

    * Administer advanced child, adolescent, and family assessment methods, including semi-structured, and structured assessment tools used in inpatient, outpatient, consultation, and emergency room settings

Skills:

    * Effectively communicate (both verbally and in writing) the clinical formulation and treatment plan in a concise and comprehensive manner

    * Comprehensively assess the mental status, health and psychopathology of a child or adolescent in the context of developmental status and varied settings

    * Conduct assessments of children, adolescents, or their caregivers that incorporate elements of therapeutic technique

    * Concisely and efficiently formulate, document and discuss cases in respect to health, psychopathology, and proposed interventions

Attitudes:

    * Develop awareness of the clinical and medical legal importance of developing a well formulated and communicated assessment, formulation, and treatment plan

    * Develop sensitivity and professionalism in clearly discussing the assessment, formulation, and treatment plan with the child, adolescent, parents, and family, as well as peers and colleagues

    * Embrace advanced and complex methods of assessment and care as typically described in “treatment guidelines” published by the American Psychiatric Association (APA) or American Academy of Child and Adolescent Psychiatry (AACAP)

    * Participate in learning as demonstrated by active discussion

    * Evaluate one’s own performance and competence

Departmental Journal Club

Year 1

Knowledge:

    * Demonstrate familiarity with commonly used research methods and design

    * Outline processes by which one submits for a peer-reviewed publication

Skills:

    * Critically read scientific articles

    * Itemize patient evaluation and treatment selection considerations, including diagnostic and therapeutic studies

Attitudes:

    * Promote effective communication of scientific data and ideas while enhancing the medical knowledge necessary to deliver competent patient care

    * Recognize the need for lifelong learning and monitoring of one’s own practice

Year 2

Knowledge:

    * Describe relevant research design, statistics, and data interpretation

    * Define the skills and attitudes necessary for continued learning

    * Interpret considerations in psychopathology/classification/differential diagnosis

Skills:

    * Demonstrate ability to reference and utilize electronic systems to access medical, scientific, and patient information

    * Demonstrate effective dissemination of relevant data and knowledge about child and adolescent psychiatry

    * Integrate up-to-date scientific evidence in decision-making about diagnostic and therapeutic interventions

Attitudes:

    * Participate in learning as demonstrated by active discussion

    * Evaluate one’s own performance and competence

    * Practice self-directed learning in biological, social and clinical sciences related to child and adolescent psychiatry

Departmental Visiting Lecture Series (Grand Rounds)

Year 1

Knowledge:

    * Describe the teaching points offered by each lecturer (varies)

    * Identify salient information pertinent to the practice of psychiatry

Skills:

    * Formulate appropriate questions to the presenter

    * Participate in the general discussion with all attendees

    * Participate in a stimulating informal discussion with residents in the department

Attitudes:

    * Challenge self for further learning of advanced clinical and research topics

Year 2

Knowledge:

    * Describe the teaching points offered by each lecturer (varies)

    * Identify salient information pertinent to the practice of psychiatry in an increasingly competent manner

Skills:

    * Participate in learning as demonstrated by active discussion

Attitudes:

    * Offer openness to learning despite developing competence, as demonstrated by an interest in and knowledge of current research and publications

    * Develop individual professional goals that reflect his/her competencies and attitudes in training

Integrated Therapies

By the end of this seminar, the Year 2 resident will be able to:

Knowledge:

    * Outline the epidemiology, pathophysiology, diagnosis, treatment, and prognosis for specific disorders with onset during childhood or adolescence

    * Analyze pertinent information from peer-reviewed publications

    * Interpret the learning modules from AACAP/ABPN as they become available (presently, Module 1: Disruptive Behavior Disorders, Violence and Homicide)

    * Demonstrate familiarity with AACAP and APA practice guidelines

Skills:

    * Select and offer standard treatments to children, adolescents and their families, including psychodynamic, somatic, behavioral, and cognitive interventions

    * Conduct assessments of children, adolescents, or their caregivers that incorporate elements of therapeutic technique

Attitudes:

    * Motivation to take advantage of didactic and clinical training opportunities

    * Seek supervision for a range of issues from treatment choices to ethical considerations

Special Topics for Child Psychiatrists

By the end of this seminar, the Year 2 resident will be able to:

Knowledge:

    * Outline administrative physician tasks as it pertains to child and adolescent psychiatry

    * Define the role of a community psychiatrist

    * Define principles of preventive medicine as it pertains to child and adolescent psychiatry

    * Explain forensic dimensions of child and adolescents presenting at the interface of law and psychiatry

    * Explain ethical principles that guide the practice of child and adolescent psychiatry

    * Describe the role of psychological and educational testing in a comprehensive evaluation

    * Outline American Academy of Child and Adolescent Psychiatry (AACAP) 10-year reviews from the Journal of the AACAP

    * Define the genetic basis of selected psychiatric disorders

    * Describe psychiatric manifestations of Fetal Alcohol Syndrome.

Skills:

    * Comprehensively assess the mental status, health and psychopathology of a child or adolescent in the context of developmental status and varied settings.

    * Develop and implement a comprehensive assessment and treatment plan, interpreting ancillary assessments, while offering appropriately selected standard-based and specialized treatments.

    * Perform consultation and liaison services for typical presentations of children and adolescent

Attitudes:

    * Active participation in didactic offerings by being able to discuss assigned readings and effectively present various topics in different forums, making relevant comments during discussions

Child Psychiatry Journal Club

Year 1

Knowledge:

    * Demonstrate familiarity with commonly used research methods and design relevant to child and adolescent psychiatry

    * Outline processes by which one submits for a peer-reviewed publication

Skills:

    * Critically read scientific articles

    * Itemize patient evaluation and treatment selection considerations, including diagnostic and therapeutic studies

Attitudes:

    * Promote effective communication of scientific data and ideas while enhancing the medical knowledge necessary to deliver competent patient care

    * Recognize the need for lifelong learning and monitoring of one‘s own practice

Year 2

Knowledge:

    * Describe relevant research design, statistics, and data interpretation

    * Define the skills and attitudes necessary for continued learning

    * Interpret considerations in psychopathology/classification/differential diagnosis

Skills:

    * Discuss scientific articles relevant to child and adolescent psychiatry in terms of research methods employed, validity, and implications for practice

    * Demonstrate ability to reference and utilize electronic systems to access medical, scientific, and patient information

    * Demonstrate effective dissemination of relevant data and knowledge about child and adolescent psychiatry

    * Integrate up-to-date scientific evidence in decision-making about diagnostic and therapeutic interventions

Attitudes:

    * Participate in learning as demonstrated by active discussion

    * Evaluate one’s own performance and competence and challenge self for further learning

    * Practice self-directed learning in biological, social and clinical sciences related to child and adolescent psychiatry

The Art and Science of Child Psychiatry

By the end of the seminar, the Year 2 resident will be able to:

Knowledge:

    * Outline selected classical and seminal works in child and adolescent psychiatry

    * Name major contributors to the field of child and adolescent psychiatry

Skills:

    * Demonstrate discriminatory skills through examination of depictions of the mentally ill and mental health professionals in the arts

Attitudes:

    * Challenge self to gain understanding of another’s position and reasoning

    * Persuade self on the intrinsic worth of other human beings

    * Show desire to build collaboration and achieve mutual understanding

    * Show desire to share information in an open fashion