New Application: Child and Adolescent Psychiatry

New Application: Child and Adolescent Psychiatry

Review Committee for Psychiatry

ACGME

Sponsoring Institution

1. Will the sponsoring institution provide the program director with at least 50 percent salary support and protected time of 50 percent FTE (at least 20 hours per week) for program administration, education, and supervision? [PR I.A.2.] ☐YES ☐NO

1. Will programs with an approved fellow complement of 20 or more require 30 hours per week effort and/or the appointment of an associate program director? [PR I.A.3.] ☐YES ☐NO

1. Is a designated program coordinator available to support the program? [PR I.A.4.]...... ☐YES ☐NO

Program Personnel and Resources

Program Director

Briefly describe how the program director will monitor fellow stress, including mental or emotional conditions inhibiting performance or learning, and drug- or alcohol-related dysfunction. [PR II.A.4.p)]

Resources

Will the program provide fellowsaccess to:

1. office space? [PR II.D.1.]...... ☐YES ☐NO

1. space for physical and neurological examinations? [PR II.D.2.]...... ☐YES ☐NO

1. access to laboratory testing? [PR II.D.2.]...... ☐YES ☐NO

1. equipment with the capacity for recording and viewing clinical encounters? [PR II.D.3.]...... ☐YES ☐NO

1. space and equipment specifically designated for seminars, lectures, and other educational activities? [PR II.D.5.] ☐YES ☐NO

Fellow Appointments

Will the programaccept only applicants who, prior to appointment, demonstrate sufficient command of English to permitaccurate and unimpededcommunication? [PR III.A.2.] ☐YES ☐NO

If NO, explain how non-English fluency is addressed.

Educational Program

Scheduled Didactic Seminars

For each year of the program, list all scheduled seminars and didactic courses which will be attended by fellowsusing the format below.If attended by all fellows, list in bothyears, but provide a full description only the first time the course is listed.Number seminars consecutively so that they may be more easily referenced in later narratives.Do not include teaching experiences — ward rounds, treatment conferences, etc. — that are primarily service-related activities attended by fellowsonly when assigned to a particular service.Such activities should be described in the Clinical Servicestable below.Do not include these examples in the final submission of the document. [PR IV.A.3.]

Format:

Year

No.:Title

a)Required or elective; level of education

b)Principal instructor(s) with professional degree

c)Brief description

d)Additional attendees

e)Length of session, frequency, and total number of sessions

Example:

Seminar and Course Listing:

Patient Care

Indicate the settings and activities in which fellows will demonstrate competence in the evaluation and management of the following areas of patient care. Also indicate the method(s) that will be used to assess competence.

Medical Knowledge

Indicate the activities (lectures, conferences, journal clubs, clinical teaching rounds, etc.) in which fellows will demonstrate knowledge in each of the following areas. Also indicate the method(s) that will be used to assessknowledge.

Practice-based Learning and Improvement

1. Briefly describe one learning activity in which fellows demonstrate the ability to investigate and evaluate their care of patients, to appraise and assimilate scientific evidence, and to continuously improve patient care based on constant self-evaluation and life-long learning. [PR IV.A.5.c)] (Limit response to 400 words)

1. Briefly describe one planned learning activity in which fellowsengage to identify strengths, deficiencies, and limits in their knowledge and expertise (self-reflection and self-assessment); set learning and improvement goals; and identify and perform appropriate learning activities to achieve self-identified goals (life-long learning). [PR IV.A.5.c).(1)-(3)] (Limit response to 400 words)

1. Briefly describe one planned quality improvement activity or project that will allow fellowsto demonstrate the ability to analyze, improve, and change practice or patient care. Describe planning, implementation, evaluation, and provisions of faculty member support and supervision that will guide this process. [PR IV.A.5.c).(4)] (Limit response to 400 words)

1. Briefly describe how fellowswill receive and incorporate formative evaluation feedback into daily practice. (If a specific tool is used to evaluate these skills, have it available for review by the site visitor.) [PR IV.A.5.c).(5)] (Limit response to 400 words)

1. Briefly describe one example of a learning activity in which fellowsengage to develop the skills needed to use information technology to locate, appraise, and assimilate evidence from scientific studies and apply it to their patients' health problems. [PR IV.A.5.c).(6)-(7)] (Limit response to 400 words)

The description should include:

• Locating information
• Using information technology
• Appraising information
• Assimilating evidence information (from scientific studies)
• Applying information to patient care

1. Briefly describe how fellows will develop teaching skills necessary to educate patients, families, students, fellows, and other health professionals. [PR IV.A.5.c).(8)] (Limit response to 400 words)

Interpersonal and Communication Skills

1. Briefly describe one learning activity in which fellowsdemonstrate interpersonal and communication skills that result in the effective exchange of information and collaboration with patients, their families, and health professionals. [PR IV.A.5.d)] (Limit response to 400 words)

1. Briefly describe one learning activity in which fellowsdevelop competence in communicating effectively with patients and families across a broad range of socioeconomic and cultural backgrounds, and with physicians, other health professionals, and health-related agencies. [PR IV.A.5.d).(1)-(2)] (Limit response to 400 words)

1. Briefly describe one learning activity in which fellowsdevelop their skills and habits to work effectively as a member or leader of a health care team or other professional group. In the example, identify the members of the team, responsibilities of the team members, and how team members communicate to accomplish responsibilities. [PR IV.A.5.d).(3)] (Limit response to 400 words)

1. Briefly describe how fellowswill be provided with opportunities to act in a consultative role to other physicians and health professionals. [PR IV.A.5.d).(4)] (Limit response to 400 words)

1. Briefly describe how fellows will be provided with opportunities to maintain comprehensive, timely, and legible medical records, if applicable. [PR IV.A.5.d).(5)] (Limit response to 400 words)

1. Briefly describe how fellows will collaborate with other professional mental health personnel, pediatricians, teachers, and other school personnel in the evaluation and treatment of patients. [PR IV.A.5.d).(6)] (Limit response to 400 words)

Professionalism

1. Briefly describe the learning activity(ies), other than lecture, by which fellowsdemonstrate a commitment to carrying out professional responsibilities and an adherence to ethical principles, including: compassion, integrity, and respect for others; responsiveness to patient needs that supersedes self-interest; respect for patient privacy and autonomy; accountability to patients, society, and the profession; and sensitivity and responsiveness to a diverse patient population, including to diversity in gender, age, culture, race, religion, disabilities, and sexual orientation.[PR IV.A.5.e).(1)-(5)] (Limit response to 400 words)

1. Briefly describe one learning activity in which fellows will demonstratethe ability to maintain appropriate professional boundaries, including those specific to psychiatric practice. [PR IV.A.5.e).(6)] (Limit response to 400 words)

Systems-based Practice

1. Briefly describe the learning activity(ies) through which fellows demonstrate an awareness of and responsiveness to the larger context and system of health care, as well as the ability to call effectively on other resources in the system to provide optimal health care. [PR IV.A.5.f)] (Limit response to 400 words)

1. Briefly describe the learning activity(ies) through which fellowsdemonstrate competence in the elements of systems-based practice: working effectively in various health care delivery settings and systems, coordinating patient care within the health care system; incorporating considerations of cost-containment and risk-benefit analysis in patient care; advocating for quality patient care and optimal patient care systems; and working in interprofessional teams to enhance patient safety and care quality. [PR IV.A.5.f).(1)-(5)] (Limit response to 400 words)

3.Briefly describe an activity that fulfills the requirement for experiential learning in identifying system errors and implementing potential systems solutions. [PR IV.A.5.f).(6)] (Limit response to 400 words)

1. Briefly describe one learning activity in which fellows will develop knowledge of how types of medical practice and delivery systems differ from one another, including methods of controlling health care cost, assuring quality, and allocating resources. [PR IV.A.5.f).(7)] (Limit response to 400 words)

1. Briefly describe one learning activity in which fellows will advocate for quality patient care and assisting patients in dealing with system complexities, including disparities in mental health care for children and adolescents. [PR IV.A.5.f).(8)] (Limit response to 400 words)

1. Briefly describe one learning activity in which fellows will develop knowledge of how to advocate for the promotion of health and the prevention of disease and injury in populations. [PR IV.A.5.f).(9)] (Limit response to 400 words)

1. Briefly describe one learning activity in which fellows will participate in the practices of utilization review, quality assurance, and performance improvement. [PR IV.A.5.f).(10)] (Limit response to 400 words)

Child and Adolescent PsychiatryUpdated 5/2015

©2015 Accreditation Council for Graduate Medical Education (ACGME)Page 1 of 10

Curriculum Organization and Fellow Experiences

1. Indicate the clinical experiences for each required patient care experience.

Child and Adolescent PsychiatryUpdated 5/2015

©2015 Accreditation Council for Graduate Medical Education (ACGME)Page 1 of 10

2.Describe how faculty child and adolescent psychiatrists will be involved in the supervision of the fellows. [PR IV.A.6.g)]

3.Will each fellowbe provided at least two hours of facultypreceptorshipweekly?[PR IV.A.6.h)]
...... ☐YES ☐NO

a)Will at least one hour of this faculty preceptorship be individual? [PR IV.A.6.h)]...... ☐YES ☐NO

Fellows’ Scholarly Activities

Briefly describe and reference seminar numbers from the ScheduledDidactic Seminars section.
[PR IV.B.2.]

Evaluation

Fellow Evaluation

1. Will there be anannualevaluationprocedure, including a written examination of the knowledge base? [PR V.A.2.e)] ☐YES ☐NO

If “YES,” describe briefly.

2Will there be a formal documented clinical skills examination? [PR V.A.2.e)]...... ☐YES ☐NO

If “YES,” describe briefly.

3.Will the final evaluation of each fellowdocument unethical behavior, unprofessional behavior, or clinical incompetence? [PR V.A.3.b).(4)] ☐YES ☐NO

Child and Adolescent PsychiatryUpdated 5/2015

©2015 Accreditation Council for Graduate Medical Education (ACGME)Page 1 of 10