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Medical Psychiatry

Definition:
A competent psychiatrist recognizes the critical link between medical and psychiatric conditions. Typically referred to as consultation-liaison psychiatry, this area involves cases commonly encountered in a general hospital setting.

Portfolio Entry Requirements:
Select a case from residency training that best demonstrates your skill in managing patients with co-existing medical and psychiatric conditions. This may be a patient with co-morbid medical and psychiatric illnesses, a patient whose medical condition manifested psychiatric symptoms, a patient whose psychiatric condition complicated medical management, or a patient whose medical condition complicated psychiatric management. In the cover letter, describe the consultation question, summarize the communication between you and the treatment team, and briefly describe the outcome of your interventions. Provide your psychiatric evaluation, any relevant laboratory or radiology records or literature sources.

Medical Psychiatry Scoring Rubric

1
Important skills and/or knowledge lacking to adequately manage the case; fails to realize significant medical conditions that might contribute to psychiatric management.

2
Appropriate approach, but weaknesses could lead to potential problems; lacks thorough assessment and/or management of all facets of the case.

3
Competent to successfully manage standard cases following a conventional approach. Shows probable relationship between medical condition and psychiatric management.

4
Applies a conventional approach to a complex case.

5
Well-integrated knowledge and skills facilitate resolution of complex problems beyond the standard approach.

6
Wide breadth of knowledge and skills and a sophisticated, well integrated approach; utilizes varied sources to manage very complex problems; thorough presentation; acknowledges short-term outcomes.