By graduation, residents will demonstrate the knowledge, attitudes, and skills necessary
to develop and maintain appropriate interpersonal therapeutic relationships and to
communicate effectively with patients, families, colleagues, and the public. Residents
are expected to exhibit progressive improvement in their interpersonal and communication
skills throughout their training. Methods of demonstration may include the care of
patients/ families, participation in didactics and clinical conferences, presentations,
or exams.
Knowledge
Definition
Residents must know and utilize interpersonal and communication skills that result
in the effective exchange of information and the creation of effective teamwork with
patients, families, and other professionals. Relevant topics include (not inclusive):
Interviewing techniques
Transference and counter transference issues
Cultural and ethnic factors
Professional factors (i.e. different attitudes/ approaches between disciplines)
Interdisciplinary teams
Empathy
Expectations
Residents must participate in
the clinical care of youth and families with the ability to engage and communicate
effectively to obtain the relevant and necessary information, provide appropriate
treatment, and liaison with others
liaison and multidisciplinary team activities with the ability to effectively communicate
with other professionals to provide optimal care and promote the acquisition of knowledge
didactic and clinical activities demonstrating the ability to obtain and convey relevant
information
Attitudes
Definition
Residents must have an ongoing and self-exploratory interest in developing, maintaining,
and utilizing interpersonal skills with patients, families, and other professionals
to provide optimal patient care and enhance educational activities
Expectations
Residents must
exhibit consistent enthusiasm, motivation, and interest in learning and applying appropriate
communication skills in didactic and clinical situations
demonstrate the ability to
maintain a polite and courteous attitude at all times
listen to and learn from others, even those with different viewpoints and backgrounds
gain an understanding of perspectives different from their own
collaborate with patients, families, and other professionals towards common goals
continuously self-examine the impact of their own attitudes and behaviors
Skills
Definition
Residents must
demonstrate the ability to utilize a variety of interviewing and therapeutic techniques
as appropriate
create and maintain therapeutic and ethically sound relationships with patients and
their families
demonstrate fluency and proficiency in written and spoken English
work effectively with others as a member or leader of a health care/ other professional
team
employ active listening and informing techniques to effectively elicit and provide
information through the use of explanatory, questioning, and writing skills as well
as facilitating nonverbal behaviors
advocate for their patients and families
Expectations
Residents must demonstrate through
the clinical care of children, adolescents, and families the ability to
employ an empathetic style of relating and communicating to provide safe, effective,
and compassionate patient care which is ethically sound
select and utilize effective interviewing and therapeutic strategies to provide effective
diagnoses, interventions, and treatment
didactic participation and supervisory discussions the ability to examine their own
attitudes and biases and the impact on their clinical work
participation in team/ liaison activities the ability to obtain and convey information
as a consultant and/or multidisciplinary team member or leader to facilitate patient
care and promote learning
the care of individual patients and/ or organizational work the ability to effectively
advocate for children, adolescents, and their families
Assessment/Measurement
Objective Measures
Regular documentation by clinical and teaching faculty of participation in didactic
modules, case conferences, and other teaching sessions
Completion of CHILD PRITE annually with review of individual scores with the training
director
Clinical skills verification examination
Mock Boards
Regular documentation of resident performance in areas relevant to communication and
interpersonal skills by supervising outpatient and on-rotation faculty.
Supervision
Regular documentation of resident performance in areas relevant to communication and
interpersonal skills by supervising outpatient and on-rotation faculty
Clinical Skill Evaluation
Direct observation of the individual resident's clinical and didactic activities by
identified faculty
Incorporation of co-worker 360 evaluations
Observation and evaluation of videotaped patient interactions by supervisors and/
or teaching faculty on a regular basis
Annual clinical examination of “mock board” type
Clinical skills verification exam for those beginning in 2010
Biannual review of performance with training director
Independent Learning
Demonstration of self-initiated as well as directed study through leadership of discussions
in both didactic and clinical activities and through presentations to the residency
program in various formats (e.g. required papers; seminars; grand rounds; etc)
Deficiency Remediation
Regular review for each individual resident with the training director of the various
measures of performance and competence with the
identification of any specific deficits
documentation of all identified areas requiring remediation or additional concentration
development of specific remediation plans based on the particular deficiencies identified
planning for further assessment with the outcome being determined by a method of assessment
similar to the one used to identify the original deficiency deficits identified through
the supervisory process might be reassessed by subsequent supervisory reports specifically
targeted at assessing and remediating the identified deficits; etc.)
