Core Competencies and Outcomes for Integrated Care Track

Core Competencies and Outcomes (see descriptions of rotations/electives for related competencies at those sites)

Goal 1 Develop comprehensive understanding of common medical conditions and chronic illnesses and how they interplay with psychological factors.

Interns will be able to identify physical symptoms of various medical conditions.
Interns will develop an advance understanding of medical terminology
Interns will learn what various medical tests and lab values indicate along with desired targets for optimal health
Interns will develop an appreciation for how specific medical conditions impact psychological well-being
Interns will learn specific ways that psychological factors can have negative and positive impacts on the progression of various physical symptoms

Goal 2 Develop advanced skills to effectively collaborate with providers form other disciplines including physicians

Interns will become skilled at reviewing medical records for pertinent information.
Interns will demonstrate the ability to seek out input and integrate information from other providers.
Interns will demonstrate the ability to provide feedback and suggestions to medical providers in a concise, relevant and respectful manner.
Interns will demonstrate ability to engage in joint treatment planning
Interns will develop comfort and skill to intervene with patients along side other providers, often in medical exam rooms
Interns will be able to effectively modify their collaborate approach depending upon different demands of various organizational structures, physician practice styles, and patient needs.

Outcome Measures: Supervisor evaluations, observation in multidisciplinary team meetings, review of cases during supervision, written reports and progress notes, and review of feedback from multidisciplinary team members.

Goal 3 Develop optimal skills to communicate effectively with physicians and other providers.

Interns will become skilled at identifying key information that needs to be communicated to various other care providers.
Interns will learn to communicate key information using appropriate terminology in a respectful and useful manner
Interns will write succinct and clear chart notes that include assessment, intervention, plan and recommendations.

Goal 4 Become skilled at patient-centered interventions that take into account cultural perspectives and optimize outcomes for underserved populations.

Interns will gain an advanced appreciation of cultural and social factors that contribute to healthcare disparities and need to be taken into account for optimal treatment planning
Interns will become skilled at using techniques such as motivational interviewing that take into account patient values and circumstances to collaboratively determine optimal interventions
Interns will interact with community advisory boards and patient volunteers to gain greater appreciation of related issues

Goal 5 Become skilled at assessments relevant to medical settings.

Interns will become knowledgeable about a wide range of standardized assessments that can be used for screening and follow-up monitoring.
Interns will become skilled at choosing most appropriate tools dependent upon clinical need.
Interns will become skilled at administering, interpreting and conveying key findings from assessments to patients and to other medical care team members.
Interns will develop advanced clinical interviewing skills .

Goal 6 Develop advanced intervention skills to be optimally effective during brief in-clinic sessions as well as during scheduled follow-up sessions.

Interns will become skilled in interventions targeting specific conditions commonly seen in medical settings such as pain management, smoking cessations, lifestyle changes, management of chronic illness and stress reduction.
Interns will develop advanced skills to develop and implement group therapies relevant to the needs of the target population.
Interns will develop advanced skills at employing longer term therapies as warranted and feasible to individual patients.

Goal 7 Become skilled consultants and teachers to a variety of other learners and medical staff

Interns will gain confidence and skills to provide feedback and coaching to other providers that not only helps with specific cases but enhances the other provider's understanding of psychological factors.
Interns will gain comfort and skills to give effective presentations.

Goal 8 Develop skills that will position interns to become leaders in integrated care settings

Interns will develop an appreciation for and understanding of various integrated care models and how they can be tailored and implemented to best meet the needs of various medical settings
Interns will develop a skill set related to the various roles that a psychologist can play in development, administration, program evaluation, teaching, supervision and clinical care within medical settings
Interns will develop an understanding of various barriers and challenges related to setting up and administrating integrated care programs and effective strategies to address them.
Interns will develop an understanding of political and economic factors that contribute to the success and sustainability of integrated care programs including grant writing and grant management.