WEEK 1

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 

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

Performing and interpreting a mental status examination 

Performing and interpreting a psychosocial assessment and family psychiatric history 

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

Diagnostic reasoning skill in:

Developing and prioritizing a differential diagnoses list

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

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

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) 

Evaluating patient response and modify plan as necessary 

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

Psychotherapeutic Treatment Planning:

Recognizes concepts of therapeutic modalities across the lifespan

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) 

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

Develop an age appropriate individualized plan of care

Provide psychoeducation to individuals and/or any caregivers

Promote health and disease prevention techniques

Self-assessment skill:

Develop SMART goals for practicum experiences 

Evaluating outcomes of practicum goals and modify plan as necessary 

Documenting and reflecting on learning experiences

Professional skills:

Maintains professional boundaries and therapeutic relationship with clients and staff

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

Identifies ethical and legal dilemmas with possible resolutions

Demonstrates non-judgmental practice approach and empathy

Practices within scope of practice

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 

Implements the screening instrument efficiently and effectively with the clients

Interprets results for screening instruments accurately

Develops an appropriate plan of care based upon screening instruments response

Identifies the need to refer to another specialty provider when applicable

Accurately documents recommendations for psychiatric consultations when applicable

I always maintain professional boundaries and a therapeutic relationship with clients and staff. My professionalism is my greatest strength. I understand my responsibilities and know how to set limits with clients and coworkers. I have a propensity of not judging in my everyday life, and thus it is not difficult to use this practice in my professional activity. Identifying areas of weakness is another strength. Especially when being entrusted with health care decisions for others, it is essential to know when to seek counsel and ask for direction from those with more proficiency. Communication is a key element to my professionalism. Communicating with multidisciplinary teams, patients, and families. Communication involves using verbal, non-verbal, and written forms. I strive to express empathy while sharing information with patients and family members. Sharing information with nurse practitioners and physicians improves the safety and welfare of patients (Durmaz et al., 2018).

This quarter I will have the opportunity to grow and improve my skills in performing and interpreting a psychosocial assessment and family psychiatric history. Patient assessment is vital in developing accurate diagnoses (Pelin & Ayise, 2019). During this quarter I will focus on assessing children and adolescents. I will broaden my knowledge pertaining to ethical and legal dilemmas concerning this patient population. This will facilitate selecting the appropriate evidence based clinical practice guidelines for psychotherapeutic plan. Focusing on this patient population this quarter will allow me to differentiating between normal/abnormal age-related physiological and psychological symptoms/changes in children and adolescents.

·

Goal: This quarter I will independently select appropriate evidence based clinical practice guidelines for psychotherapeutic plan for modality appropriate for situation. I will improve on my skills by preforming psychiatric examinations for least 180. At the end of independently select an appropriate therapeutic plan for each client’s situation.

·
Objective: independently assess developmental considerations,

·
Objective: independently assess symptom management

·
Objective: independently assess risk/benefit

·
Goal: This quarter I will Identify ethical and legal dilemmas and develop possible resolutions by the end of this quarter. I will develop my skills in this area by collaborating with a multidisciplinary team member e.g., social worker at least 20 times this quarter to discuss legalities and financial considerations involving psychiatric clients across the life span.

·
Objective: I will independently resolve ethical dilemmas

·
Objective: I will independently resolve legal dilemmas

·
Objective: I will independently identify the need for a referral to social worker or legal authority

·
Goal: This quarter I will independently differentiate between normal/abnormal age-related physiological and psychological symptoms/changes. I will improve on my skills by assessing at least 40 children and 40 older adults this quarter. By the end of this quarter, I will be able to independently differentiate between normal/abnormal age-related physiological and psychological symptoms/changes.

·

·
Objective: To independently differentiate between normal/abnormal physiological and psychological symptoms/changes in children between five and twelve

·
Objective: To independently differentiate between normal/abnormal physiological and psychological symptoms/changes in adolescents between thirteen and seventeen

·
Objective: To independently differentiate between normal/abnormal physiological and psychological symptoms/changes in adults sixty-four and above

·
Goal:

·
Objective:

·
Objective:

·
Objective: