Geropsychiatry at Northwest Hospital Inpatient Unit
- Rotation length: 1-2 months
- Location: Northwest Hospital
- Supervising Faculty: Hisam Goueli, MD
- Evaluation: written competency-based evaluation.
||Clinic (9:30am start)
||WA Care Center
Rotation Goals and Objectives:
- Become proficient in the inpatient and outpatient management of common psychiatric problems of the elderly, including dementia, depression, bipolar disorder and delirium.
- Perform initial assessments of decompensated elderly patients, including evaluation of neuropsychiatric symptoms, cognitive and functional abilities, and medical comorbidity.
- Diagnose and understand special aspects of anxiety and depression presenting in elderly patients with complex medical or situational problems.
- Observe electroconvulsive therapy and understand indications, risks, and benefits
- Generate initial treatment plans, including appropriate first-line treatment modalities and management strategies.
- Develop expertise in the diagnostic criteria for dementia; understand the most common types, and how to differentiate them.
- Understand the available nonpharmacologic and pharmacologic treatments for dementia and depression, and the evidence behind them.
- Become facile with the use of pharmacologic and nonpharmacologic treatments for the Behavioral and Psychiatric Symptoms of dementia (BPSD).
Practice-based learning and improvement
- Recognize the criteria for referral to a geropsychiatry inpatient unit.
- Recognize the criteria for referral to a geropsychiatry outpatient consult.
- Locate and critically appraise scientific literature relevant to patient care and use evidence from the literature in clinical decision making, as appropriate.
Interpersonal and communication skills
- Create and sustain effective therapeutic relationships with patients, families, and caregivers.
- Display empathic listening skills.
- Work effectively with health care professionals (including those from other disciplines), colleagues, and staff to provide patient-focused care.
- Demonstrate respect for others, compassion.
- Demonstrate reliable attendance and appropriate professional attire.
- Demonstrate integrity, accountability, responsible and ethical behavior.
- Demonstrate "ownership", i.e. attitudes and behaviors consistent with being the patient's physician and taking responsibility to ensure that each patient receives excellent clinical care.
- Demonstrate understanding of patients and their illnesses in a sociocultural context, including displaying sensitivity to patients' culture, ethnicity, age, gender, socioeconomic status, sexual minority status, and/or disabilities.
- Demonstrate concise, pertinent, and timely record keeping.
- Understand the role of the attending geropsychiatrist in the health care system, and how to use him/her appropriately as a consultant.
- Gain knowledge of appropriate long-term placement for patients with dementia and chronic mental illness within our community.
- Adequately assess the nature and quality of the patient's caregiving network, including primary care physicians, subspecialty physicians, family members, social network, nursing home staff.
- Display openness to supervision; accept constructive criticism.
- Seek direction when appropriate; demonstrate eagerness to learn.