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Clinical Rotation or Experience Forensic Training Topics Didactic Learning Experiential Learning General Psychiatry Milestone Postgraduate Year 1 Inpatient Psychiatry Introduction to forensic psychiatry Principles and practice of psychiatry Applying basic principles of consent, capacity and commitment Suicide risk assessment Suicide risk tools, suicide risk management and documentation Inpatient supervision of care of suicidal patients, level of precautions, disposition plan PC3, MK2 Violence risk assessment Violence risk tools, violence risk management and documentation, evaluation of psychopathy Inpatient supervision of care of violent patients, level of precautions, disposition plan PC3, MK2 Civil commitment Voluntary and involuntary commitment, outpatient commitment Civil commitment court filings and proceedings, opportunity to testify Liability Malpractice and other forms of liability Standard of care; documentation in medical record SBP1 Postgraduate Year 2 Emergency Psychiatry Malingering How to detect malingering Assessment and documentation of suspected malingering ICS2 Suicide risk assessment Suicide risk tools, suicide risk management and documentation Emergency care of suicidal patients, disposition plan PC3, MK2, ICS2 Violence risk assessment Violence risk tools, violence risk management and documentation Emergency care of violent patients, disposition plan PC3, MK2, ICS2 Psychosomatic Medicine Capacity Medical decision making Clinical evaluation of medical capacity MK6, SBP4, PROF1 Informed consent Competency, consent and substituted decision making Obtaining informed consent for medical procedures MK6, SBP4, PROF1 Substituted decision making Competency, consent and substituted decision making Issues of medical guardianship, medical power of attorney, advance directives SBP4, PROF1 End of life care Withdrawal or refusal of care, advance directives, POLST/MOLST laws, death determinations Psychiatric consultation of palliative care patients SBP4 Right to and right to refuse treatment Refusing medical treatment in competent patients Advance directives, medical power of attorney SBP4 Postgraduate Year 3 Outpatient Psychiatry Liability Malpractice and other forms of liability Establishing and terminating care; standard of care PROF2 Forensic referral & consultation When to consult a forensic expert referrals for forensic evaluations MK6 Patient privacy regulations, HIPAA Confidentiality and privilege Limits of confidentiality in clinical treatment; release of information; collateral informants MK6 Disability Disability evaluations Clinical evaluation of disability applications Duty to warn, duty to protect Tarasoff laws Risk assessment Outpatient Child and Adolescent Psychiatry Consent and medical guardianship Mature minor, assent/dissent in adolescent healthcare Clinical treatment of child and adolescent patients Child abuse Child abuse reporting laws Making a child abuse report Consent and medical guardianship Competency, consent and substituted decision making Clinical treatment of geriatric patients, elder abuse Addiction Psychiatry Drug laws and regulations Decriminalization of addiction Treatment of addiction patients MK2 Forensic Evaluation Criminal responsibility Introduction to forensic psychiatry, M'Naghten Evaluation of criminal responsibility of criminal defendants SPB4 Treatment of incarcerated populations Correctional psychiatry Principles of treating incarcerated patients Treatment of incarcerated patients, accreditation standards, prisoners' rights, correctional culture SPB2 Postgraduate Year 4, Elective/General Forensic Unit of State Psychiatric Hospital Competency to stand trial Introduction to forensic psychiatry Restoration of competency/sanity SBP2 Mock Trial Civil/criminal case scenarios Expert witness qualifications Mock court testimony ABPN Board Prep PRITE/general psychiatry board Forensic Electives/Independent Study Landmark cases in psychiatry PC, Patient Care; MK, Medical Knowledge; PROF, Professionalism; SBP, Systems-Based Practice; ICS, Interpersonal and Communication Skills; POLST, Provider Orders for Life-Sustaining Treatment; MOLST, Medical Orders for Life-Sustaining Treatment; HIPAA, Health Insurance Portability and Accountability Act of 1996; ABPN, American Board of Psychiatry and Neurology; PRITE, Psychiatry Resident-In-Training Examination.
