Learning Objective

Achieved

Date

Signature

·       Induction

·       Start of Block meeting with educational supervisor

·       Mid Block meeting with educational supervisor

·       End of Block meeting with educational supervisor

·       Mini-CEX

·       CBD

·       Case history 1

·       Case history 2

·       Attendance with specialty service 1

·       Attendance with specialty service 2

·       Attendance with specialty service 3

·       Attendance with specialty service 4

·       Attendance at ward round 1

·       Attendance at ward round 2

·       Attendance at ward round 3

·       Attendance at ward round 4

·       Shadow duty doctor

·       Attendance at OP clinic 1

·       Attendance at OP clinic 2

·       Attendance at OP clinic 3

·       Attendance at OP clinic 4

·       Other -

·       Other -

·       Other -

·       Other -

Learning Objective

Achieved

Lecture

Supervision / Tutorial

Clinic / Ward round

Independent reading

Other

Attitudes

·       By the end of your attachment in psychiatry you should be able to -

·       Understand that psychiatric illness creates problems with stigma, how this affects patients and their families, and recognize your role in combating this stigma

·       Be aware of the ethical dilemmas and controversies involved in the diagnosis and management of mental disorder

·       Treat patients and their carers with professionalism and confidentiality.

·       Understand when the patient’s wish for confidentiality should be over-ridden

·       Appreciate the inter-relationship between physical and psychological symptoms and the need to be aware of psychological factors in all medical conditions

·       Understand that your emotional responses to patients and patients’ corresponding emotional responses to clinicians may influence the presentation and management of illness

·       Appreciate the function of the multidisciplinary team and the role of each of its members

·       Recognise when it is appropriate to refer a patient to psychiatry

Skills

By the end of your psychiatry attachment you should be able to -

·       Conduct a full psychiatric history

·       Carry out a mental state examination, including cognitive assessment

·       Carry out an assessment of capacity

·       Assessment of suicide risk

·       Assessment of risk of harm to others

·       Explain how different biological, psychological and social factors may combine to precipitate psychiatric disorder

·       Provide a differential diagnosis for each patient seen with evidence for and against each diagnosis

·       Devise an appropriate investigation list

·       Describe an appropriate management plan

·       Present clinical findings in a clear verbal or written form

·       Use an interviewing style that is empathic and adaptable to specific situations, including interviewing distressed, disturbed or aggressive patients

·       Explain to patients and their relatives the nature of their condition, its management and prognosis

Knowledge

During your psychiatry attachment you should gain the knowledge to address the following topics confidently

Clinical Features and Management

·       Schizophrenia and other psychotic disorders, both acute presentation

·       Schizophrenia and other psychotic disorders, both chronic presentation

·       Mood disorders – depression

·       Mood disorders – bipolar affective disorder

·       Anxiety – including generalized anxiety disorder, panic disorder, phobias, obsessive compulsive disorder and PTSD

·       Dementia

·       Delirium

·       Personality disorders – especially emotionally unstable personality disorder and antisocial personality disorder

·       Adjustment disorders

·       Deliberate self harm

·       Risk of harm to others

·       Drug misuse and dependence

·       Alcohol harmful use and dependence

·       Medically unexplained symptoms

·       Learning disability psychiatry

·       Perinatal psychiatry

·       Depression and self harm in children and adolescents

·       ADHD

·       ASD

·       Eating disorders

·       Forensic psychiatry – common associations between crime and mental illness

·       Be able to discuss the prognosis of common psychiatric conditions

Treatment  -

·       Physical treatments – psychosurgery and ECT

·       Psychopharmocology–main indications, contraindications and side effects of:

1.     Typical and atypical antipsychotics

2.     Selective serotonin reuptake inhibitors

3.     Nor adrenaline reuptake inhibitors

4.     Combined reuptake inhibitors

5.     Tricyclic antidepressants

6.     MAOIs

7.     Benzodiazepines

8.     Mood stabilizers

·       Cognitive behavioural therapy – main principles and applications

·       Main principles and indications for counselling and psychotherapy

·       Main agencies in the community for care and rehabilitation of patients with behavioural therapy – main principles and applications to mental illness

Other

·       Describe the doctor’s duties and patient’s rights under emergency provisions of the Mental Health Act