First Year

General Competencies

In year 1, the resident must demonstrate increasing knowledge, skills and attitudes in the six general competencies including: patient care, medical knowledge, interpersonal and communications skills, practice-based learning and improvement, professionalism and systems-based practice.

Knowledge

In year 1, the resident must demonstrate increasing knowledge in the following areas:

1. Normal and abnormal development in infants through adults
2. The full spectrum of psychopathology in children, adolescents and families, including all DSM IV conditions
3. Methods of performing complete outpatient assessments of children, adolescents and families, including the use of a range of interview techniques, and the range of ancillary laboratory, medical, and psychological tests used in data gathering.
4. The indications, contraindications and possible adverse effects of the full spectrum of treatment modalities that may be used for children, adolescents and families, including individual and brief individual therapy, supportive therapy, psychodynamic psychotherapy, crisis intervention, family therapy, group therapy, cognitive-behavior therapy, pharmacotherapy, and combined psychotherapy and psychopharmacology.
5. The role and functions of consultant to pediatrics
6. Principles of cultural difference in patients
7. Principles of medical ethics in care of children, adolescents and families in multiple settings
8. The system of health care as it pertains to children, adolescents and families, including the role and function of community and state agencies
9. The conceptual understanding of neurological disorders affecting children and adolescents
10. The role of the child psychiatrist within the multidisciplinary team on inpatient units
11. The medical and psychological manifestations of eating disorders in children and young adults

Skills

In year 1, the resident must demonstrate increasing skill in each of the following areas:

1. Assessment of children, adolescents and families in a range of settings, including the outpatient clinic, emergency room, inpatient medical and psychiatric units
2. Ability to develop a comprehensive differential diagnosis and multimodal treatment plan for children, adolescents and families, including use of appropriate laboratory, medical and psychological examinations
3. Ability to comprehensively assess, discuss, document and intervene concerning the patients' potential for self-harm or harm to others
4. Ability to conduct therapeutic interviews with children, adolescents and families
5. Ability to conduct a range of therapies including individual brief and long-term psychotherapy, supportive therapy, family therapy, group therapy, psychodynamic psychotherapy, cognitive-behavioral therapy, and pharmacotherapy and combined psychotherapy and psychopharmacology
6. Ability to effectively provide consultation to pediatrics
7. Ability to evaluate and conduct emergency interventions in a range of settings, including outpatient clinics, pediatric wards, the emergency room and inpatient settings
8. Ability to conduct assessments and treatments with diverse populations of children, adolescents and families with attention to differences in age, gender, race, culture and socioeconomic status
9. Ability to take an accurate history and perform a neurological examination of a child and adolescent.

Attitudes

In year 1, the resident must demonstrate the attitudes indicated in the six core competencies.