PRAC 6645 -Psychotherapy with Multiple Modalities: Clinical Skills Self-Assessment

PRAC 6645 -Psychotherapy with Multiple Modalities: Clinical Skills Self-Assessment

PRAC 6645 -Psychotherapy with Multiple Modalities Clinical Skills Self-Assessment

PMHNP PRAC 6645 Clinical Skills 

Self-Assessment Form

Desired Clinical Skills for Students to Achieve Confident (Can complete independently) Mostly confident (Can complete with supervision) Beginning (Have performed with supervision or need supervision to feel confident) New (Have never performed or does not apply)

Comprehensive psychiatric evaluation skills in: 
Recognizing clinical signs and symptoms of psychiatric illness across the lifespan  

x

      
Differentiating between pathophysiological and psychopathological conditions x      
Performing and interpreting a comprehensive and/or interval history and physical examination (including laboratory and diagnostic studies) x      
Performing and interpreting a mental status examination x      
Performing and interpreting a psychosocial assessment and family psychiatric history x      
Performing and interpreting a functional assessment (activities of daily living, occupational, social, leisure, educational). x      

Diagnostic reasoning skill in:

Developing and prioritizing a differential diagnoses list x      
Formulating diagnoses according to DSM 5 based on assessment data x      
Differentiating between normal/abnormal age-related physiological and psychological symptoms/changes x      
Pharmacotherapeutic skills in:
Selecting appropriate evidence-based clinical practice guidelines for medication plan (e.g., risk/benefit, patient preference, developmental considerations, financial, the process of informed consent, symptom management)   x    
Evaluating patient response and modify plan as necessary x      
Documenting (e.g., adverse reaction, the patient response, changes to the plan of care)   x    

Psychotherapeutic Treatment Planning:

Recognizes concepts of therapeutic modalities across the lifespan   x    
Selecting appropriate evidence based clinical practice guidelines for psychotherapeutic plan (e.g., risk/benefit, patient preference, developmental considerations, financial, the process of informed consent, symptom management, modality appropriate for situation) x      
Applies age-appropriate psychotherapeutic counseling techniques with individuals, families, and/or groups x      
Develop an age-appropriate individualized plan of care.   x    
Provide psychoeducation to individuals, family, and/or groups x      
Promote health and disease prevention techniques.        

Self-Assessment skills:

Develop SMART goals for practicum experiences x      
Evaluating outcomes of practicum goals and modify plan as necessary x      
Documenting and reflecting on learning experiences x      

Professional skills:

Maintains professional boundaries and therapeutic relationship with clients and staff x      
Collaborate with multi-disciplinary teams to improve clinical practice in mental health settings x      
Identifies ethical and legal dilemmas with possible resolutions   x    
Demonstrates non-judgmental practice approach and empathy x      
Practices within scope of practice   x    

Selecting and implementing appropriate screening instrument(s), interpreting results, and making recommendations and referrals:
Demonstrates selecting the correct screening instrument appropriate for the clinical situation x      
Implements the screening instrument efficiently and effectively with the clients x      
Interprets results for screening instruments accurately   x    
Develops an appropriate plan of care based upon screening instruments response x      
Identifies the need to refer to another specialty provider when applicable x      
Accurately documents recommendations for psychiatric consultations when applicable x      

 

Summary of strengths:

 

The self-assessment offers an opportunity to reflect on the strengths and weaknesses as an individual embarks on a new experience. As such, from the assessment, it was evident that  I have various areas of strength. For example, my strength lies in the comprehensive psychiatric evaluation skills in various areas, like identification of  psychiatric illness symptoms and signs, functional assessment performance and interpretation and carrying out physical exams and interval history,  among others. In addition, my strength has also been revealed in creating and choosing differential diagnosis list and arriving at diagnosis based on DSM5 as well as observing differences between the abnormal or normal psychological and physiological changes based on age. Other areas of strength were also noted in various aspects, such as therapeutic skills and treatment, self-assessment skills, and professional skills.

 

 

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Opportunities for growth:

The self-assessment exercise also revealed various areas which presented opportunities

PRAC 6645 -Psychotherapy with Multiple Modalities Clinical Skills Self-Assessment
PRAC 6645 -Psychotherapy with Multiple Modalities Clinical Skills Self-Assessment

to grow. These areas were revealed by identifying aspects in which I am still not confident. One of the opportunities to grow includes creating medication plans using clinical practice guidelines which include symptom management, informed consent process, developmental aspects, patient preference, risk, benefit and financial considerations.  Under pharmacotherapeutics skills, I can also improve in formulation of individualized care plans based on patient age, identification of legal dilemmas and potential resolution and the interpretation of the screening instruments’ results appropriately. Therefore, it is important that the practicum goals be built around these areas, which present opportunities to grow.

 

 

 

Now, write three to four (3–4) possible goals and objectives for this practicum experience. Ensure that they follow the SMART Strategy, as described in the Learning Resources.

1.       Goal:  To identify and select appropriate evidence based clinical practice guidelines for medication within the first four weeks of practicum

 

 

a.       Objective:  To study literature sources on the existing evidence based clinical practice guidelines for medication

b.      Objective: To discuss with my preceptors on the best strategies for selecting appropriate medication guidelines

c.       Objective: To appropriately select at least one medication guideline every week

 

2.       Goal: To explore and identify therapeutic modality concepts across the lifespan and formulated effective individualized therapeutic plans by the end of week six of practicum  experience

 

a.       Objective: To study literature on the concepts of therapeutic modalities

b.      Objective: complete quizzes on therapeutic modalities to enhance my knowledge

c.       Objective: To formulate at least two individualized therapeutic plans every week.

 

3.       Goal: To study and enhance my skills and knowledge on the ethical and legal dilemmas experienced in the care of mental illness patients across the life span within the first six weeks of my practicum experience.

a.       Objective: To discuss with the senior members of staff  regarding their experience with ethical and legal dilemmas and how they deal with them

b.      Objective: To collaborate with my mentor on how to deal with the ethical and legal dilemmas

c.       Objective: Document every incidence of ethical or legal dilemma experienced during the practicum experience.