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Orientation Libera Clinic - Medical Students

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Julian Xue
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30 views9 pages

Orientation Libera Clinic - Medical Students

Uploaded by

Julian Xue
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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‭Orientation Information for Medical Students‬

‭Welcome to your rotation in community psychiatry at Libera Clinic.‬

‭ his orientation document will provide you with important information about‬
T
‭the program and its expectations. We hope this will help you settle in and‬
‭make the most of your experience. If you have any questions or require‬
‭further clarification, don't hesitate to reach out to your supervisors or your‬
‭academic program coordinator, Dr. Julian Xue, who can be reached at‬
‭[email protected]@protonmail.com.‬

‭Mission‬

‭ o provide medical education and introduce medical students to community‬


T
‭psychiatry.‬

‭Our Vision‬

‭ o be a leading force in shaping compassionate, holistic, and‬


T
‭interdisciplinary physicians who can have an impact in their personal and‬
‭professional communities through integrated care and to promote mental‬
‭health wellness for all.‬

‭Strategies‬

‭●‬ T ‭ o develop trainees’ interdisciplinary work ethic by modeling and‬


‭teaching open communication, mutual trust respect, as well as‬
‭cross-disciplinary training.‬
‭●‬ ‭To teach the role of the community psychiatrist, as well as the‬
‭competences required to practice in this setting.‬
‭●‬ T
‭ o encourage trainees to attend to their individual wellness as well as‬
‭the health of the work environment with the understanding that a‬
‭supportive and healthy work environment is crucial for the well-being‬
‭of both mental health professionals and the individuals they serve‬
‭within the community.‬

‭Our values‬

‭‬
● ‭ ccountability‬
A
‭●‬ ‭Curiosity‬
‭●‬ ‭Humility‬
‭●‬ ‭Cultural competence‬
‭●‬ ‭Collaboration and interdisciplinarity‬
‭●‬ ‭Learning‬
‭●‬ ‭Diversity‬
‭●‬ ‭Flexibility‬
‭●‬ ‭Passion‬
‭●‬ ‭Patience‬
‭●‬ ‭Empathy and compassion‬
‭●‬ ‭Person-centered care‬

‭1. Clinical Responsibilities‬

‭●‬ Y
‭ our engagement with patient care will be progressive. It will begin‬
‭with shadowing, allowing you to observe and gain insights into‬
‭real-world scenarios. Over time, you will gradually assume more‬
‭autonomy, involving activities such as report writing and patient‬
‭interviews. This gradual exposure is designed to enhance your skills‬
‭and confidence, ensuring a meaningful and useful experience during‬
‭your rotation.‬
‭●‬ W
‭ ednesday team meeting: You are expected to attend our weekly‬
‭Wednesday team meetings. This meeting serves as an important‬
‭platform for community check-in, complex case discussions, sharing‬
‭of important administrative or operational announcements,‬
‭collaboration with other members of the healthcare team, including‬
‭social workers, psychotherapists, nurses, and other support staff,‬
‭opportunities to seek guidance, share insights, and discuss‬
‭evidence-based approaches to complex cases, and occasional‬
‭presentation of educational materials, relevant research findings, or‬
‭guest speakers to enhance learning and professional development.‬

‭ eeting Details‬
M
‭Date: Every Wednesday‬
‭Time: 12-1 PM‬
‭Location: Board Room‬

‭2. Academic Activities‬

‭●‬ ‭Presentation on a psychiatric topic of interest‬

‭ uring your internship, you will have the opportunity to deliver a 30‬
D
‭minute presentation. This can take the form of a journal club, where‬
‭you critically review and present a relevant research article, or a‬
‭comprehensive review of research around a topic of interest in the‬
‭field of psychiatry, quality assurance, or shared care. This‬
‭presentation will be part of our clinic’s regular Wednesday team‬
‭meetings.‬

‭●‬ ‭Video-assisted group learning‬


‭ s part of your academic activities, you may have the opportunity to‬
A
‭engage in group learning sessions facilitated by video footage of‬
‭patient encounters. This activity aims to enhance your clinical skills‬
‭and promote collaborative learning among your peers. The sessions‬
‭may involve watching recorded patient interviews or therapy‬
‭sessions, followed by a group discussion where you can analyze and‬
‭interpret the dynamics of the interaction, identify therapeutic‬
‭interventions, and explore alternative approaches. This activity‬
‭encourages critical thinking, enhances your ability to observe and‬
‭interpret non-verbal cues, and fosters a collaborative learning‬
‭environment where you can learn from each other's perspectives and‬
‭experiences.‬

‭●‬ D
‭ uring your rotation, we have scheduled a mid-rotation feedback‬
‭session with Dr. Xue. This session aims to provide insights, address‬
‭queries, and align your experience with your learning objectives.‬

‭3. Optional Opportunities‬

‭●‬ S
‭ hadowing opportunities: Throughout your internship, you may have‬
‭the option to shadow experienced clinicians in various specialties‬
‭within Libera Clinic and in the network of community psychiatrists.‬
‭This will allow you to observe different approaches to patient care,‬
‭gain insight into different therapeutic modalities, and broaden your‬
‭understanding of the field. Shadowing experiences are optional and‬
‭can be arranged based on availability and your specific interests.‬

‭4. Other General Expectations‬

‭●‬ U
‭ nderstand the presentations of psychosocial problems and distress‬
‭in primary care.‬
‭●‬ D ‭ iscuss ways in which partnerships between primary care and mental‬
‭health services are constructed, and can be improved.‬
‭●‬ ‭Expertly handle a broad array of clinical problems in adults, as they‬
‭present in primary care and community psychiatry care.‬
‭●‬ ‭Effectively provide consultation to the family physician, mental health‬
‭team, and the system (practice), bridging the gap between mental‬
‭health and primary care services.‬
‭●‬ ‭Communicate clearly and effectively with primary care staff, patients,‬
‭and their families via consultation reports and educational‬
‭interventions.‬
‭●‬ ‭Allocate finite health care resources appropriately.‬
‭●‬ ‭Advocate for both the needs of patients assessed and the needs of‬
‭primary care within the mental health system.‬

‭ e hope this orientation document provides you with a comprehensive‬


W
‭overview of your internship in community psychiatry. Remember, this is an‬
‭exciting opportunity for personal and professional growth. Embrace the‬
‭challenges, seek guidance when needed, and make the most of your time‬
‭in this unique setting. We wish you a rewarding and successful internship‬
‭experience.‬

‭CanMEDS Competencies‬

‭A. Medical Expert / Clinical Decision Maker‬

‭Knowledge‬

‭ tudents will have synthesized an effective level of clinical knowledge‬


S
‭(assessment, diagnosis and treatment) and understanding of topics‬
‭relevant to Community Psychiatry including but not restricted to:‬
‭●‬ P ‭ ace, demands, and needs of family physicians and other primary‬
‭care health professionals who have referred us patients‬
‭●‬ ‭Hierarchy of mental health services (i.e. which problems can and‬
‭cannot be managed in primary care, appropriate referrals to‬
‭psychiatry, etc.).‬
‭●‬ ‭Problems that arise at the interface of mental health and primary care‬
‭services, including barriers to accessing traditional mental health‬
‭services.‬
‭●‬ ‭Principles of working as a consultant; types of consultation.‬
‭●‬ ‭Strategies to minimize medico-legal risk associated with collaborative‬
‭mental health care provision.‬
‭●‬ ‭Mental health and the workplace (occupational disability).‬

‭Skills‬

‭●‬ U ‭ nderstand the phenomenology, epidemiology, etiology, course and‬


‭co-morbidity of psychiatric disorders commonly seen in community‬
‭psychiatry including treatment resistant depression, anxiety disorders,‬
‭ADHD, substance use disorders and personality disorders.‬
‭●‬ ‭Conduct a focused interview to develop a complete and pertinent‬
‭understanding of psychiatric problems from a biopsychosocial‬
‭perspective.‬
‭●‬ ‭Conduct a mental status examination including risk assessment.‬
‭●‬ ‭Appropriately use laboratory exams and other investigative‬
‭techniques‬
‭●‬ ‭Assess and manage urgent medical and psychiatric situations‬
‭including agitation, suicidality and adverse drug reactions.‬
‭●‬ ‭Formulate a reasonable DSM V diagnosis and differential diagnosis‬
‭for psychiatric problems in second-line care‬
‭●‬ ‭Formulate a biopsychosocial understanding of psychiatric problems‬
‭●‬ D ‭ evelop a comprehensive treatment plan from a bio-psycho-social‬
‭perspective that can be implemented by a referring physician and/or‬
‭team.‬
‭●‬ ‭Learn the basics of psychotropic agents and how to pursue ongoing‬
‭treatment.‬
‭●‬ ‭Learn the basics of supportive therapy and crisis intervention‬
‭techniques.‬
‭●‬ ‭Assess suitability for psychotherapies.‬
‭●‬ ‭Actively participate in the continuous improvement of healthcare‬
‭quality and patient safety.‬

‭Communicator‬

‭●‬ E ‭ stablish professional therapeutic relationships with patients and their‬


‭families‬
‭●‬ ‭Elicit and synthesize accurate and relevant information, incorporating‬
‭the perspectives of patients and their families.‬
‭●‬ ‭Share health care information and plans with patients and their‬
‭families‬
‭●‬ ‭Engage patients and their families in developing plans that reflect the‬
‭patient’s health care needs and goals.‬
‭●‬ ‭Document and share written and electronic information about the‬
‭medical encounter to optimize clinical decision-making, patient safety,‬
‭confidentiality, and privacy.‬

‭Collaborator‬

‭●‬ W
‭ ork effectively with physicians and other colleagues in the health‬
‭care professions, understanding the role of the consultant.‬
‭●‬ W ‭ ork with physicians and other colleagues in the health care‬
‭professions to promote understanding, manage differences, and‬
‭resolve conflicts.‬
‭●‬ ‭Hand over the care of a patient to another health care professional to‬
‭facilitate continuity of safe patient care‬

‭Leader‬
‭●‬ ‭Demonstrate leadership skills with respect to organization, efficiency,‬
‭prioritizing, delegating, and flexibility.‬
‭●‬ ‭Demonstrate the ability to use and allocate psychiatric resources‬
‭appropriately.‬
‭●‬ ‭Participate in quality improvement initiatives.‬

‭Health Advocate‬
‭●‬ ‭Advocate on behalf of the patient to obtain appropriate medical‬
‭attention, social service involvement, follow-up or community‬
‭resources.‬

‭Scholar‬
‭●‬ ‭Critically appraise the medical literature and integrate best available‬
‭evidence into practice.‬
‭●‬ ‭Engage in the continuous enhancement of their professional activities‬
‭through ongoing learning.‬
‭●‬ ‭Contribute to the development or dissemination new knowledge.‬

‭Professional‬
‭●‬ ‭Demonstrates professional behaviours including integrity, honesty,‬
‭compassion, respect for diversity, and altruism.‬
‭●‬ ‭Respond appropriately to specific medico-legal issues affecting‬
‭patients in the primary care setting.‬
‭●‬ ‭Manages conflicts of interest.‬
‭‬ R
● ‭ ecognizes the principles and limits of patient confidentiality.‬
‭●‬ ‭Maintains appropriate relationships with patients, colleagues, and‬
‭students, respecting boundaries in all areas of interaction.‬
‭●‬ ‭Demonstrates an awareness of one’s own limits, seeking advice‬
‭when necessary.‬
‭●‬ ‭Accepts feedback and advice graciously.‬
‭●‬ ‭Demonstrates responsibility, dependability, self-direction, and‬
‭punctuality.‬

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