Residency Program

Behavioral Medicine PGY 2 Curriculum

Developmental Curriculum

GOALS:

1. To expand the resident's skills, knowledge an attitudes regarding psychosocial assessment of their patient's in the clinical setting.
2. To provide an opportunity for direct feedback of behavioral medicine skills.
3. To improve the residents' confidence in their ability to assess the most common psychosocial issues encountered in primary care practice.

Knowledge Objectives

• Patient centered relationship
• Behavior Change Model
• Basic psychopharmacology
• Most common Mental Health Diagnoses: Diagnosis and treatment
1. Major Depression
2. Adjustment Disorder
3. Dysthymic Disorder
4. Panic Disorder
5. Generalized Anxiety Disorder
6. Social Phobia
7. Post Traumatic Stress
8. Obsessive Compulsive Disorder
9. Somatiform Disorder
10. Substance Abuse
11. ADHD
12. Family Violence

Skills Objectives

• Motivational Interviewing
• Behavior Change strategies
• Screening for 1 - 12

Attitudes Objectives

Increased awareness of the:

• Value of a non-judgmental attitude
• High incidence of mental health co morbidities in primary care
• Biopsychosocial interdependence in the disease process

Educational Strategies

• Behavioral Medicine Clinic Attending
   
  Purpose: To be available for psychosocial consultations and to do direct observation of the resident's behavioral medicine skills.
   
  Objectives: At the end of the academic year the resident must have completed 10 hours of behavioral medicine consultations.
   
  The following skills must have been observed and successfully completed at least once during the academic year:
  
  • Screening for depression
  • Assessment of suicidality / homicidality
  • Screening for anxiety
  • Differential diagnosis of anxiety disorders
  • Assessment of readiness to change behavior
  • Screening for substance abuse
  • Screening for family violence
  • BATHE technique
  • Biopsychosocial assessment of the family
  • Psychopharmacology Discussion
   
  
• Change model workship/physician's strategies to promote change
• Monthly Thursday conference
• Cards screening (1-12)

Evaluation

Each resident will receive a bimonthly report of the accumulated hours and the skills successfully completed.