Crisis Management

Definition:      

A competent psychiatrist maintains patient safety in life-threatening or potentially life-threatening situations. Crisis management could include successful acute interventions with extremely medically ill, agitated, combative, suicidal, homicidal, or grief-stricken patients.

Portfolio Entry Requirements:   

Select a life-threatening or potentially life-threatening case you managed from this academic year that best demonstrates your crisis management skills. In the cover letter, describe the situation and summarize how you managed the crisis. Include specific recommendations or interventions and their impact, even if the outcome was less than favorable.

Crisis Management Scoring Rubric

1

Important skills and/or knowledge lacking to adequately manage the case; lacks skillful approach and/or fails to provide rationale for interventions; ignores or lacks plan for safety.

2

Appropriate approach, but weaknesses would likely lead to potential problems; rationale for interventions is inadequately supported.

3

Competent to successfully manage standard cases following a conventional approach; provides adequate rationale for interventions; disposition provides for maximum safety of patient and/or others as allowed by situation.

4

Applies standard approach to a more complicated case; formulates more sophisticated plan with patient/family involvement.

5

Well-integrated knowledge and skills facilitate resolution of a complex crisis; considers creative alternatives to standard treatments or interventions; shows knowledge base that supports decision-making.

6

Wide breadth of knowledge and skills and a sophisticated, well integrated approach; utilizes varied sources to manage a very complex crisis.