Reflect on the study plan you created in NRNP 6665. Did you accomplish your SMART goals? What areas of focus still present opportunities for growth? The

Desired Clinical Skills for Students to Achieve

Confident (Can complete independently)

Mostly confident (Can complete with supervision)

Beginning (Have performed with supervision or needs 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-TR 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 and/or any caregivers

x

Develop an age appropriate individualized plan of care

x

Provide psychoeducation to individuals and/or any caregivers

x

Promote health and disease prevention techniques

x

Self-assessment skill:

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

My clinical strengths lie in extensive psychiatric examinations and diagnostic reasoning, pharmacotherapy, and psychotherapy. I can evaluate patients and prioritize their needs since I am competent in mental status tests and psychiatric signs and symptoms throughout the age. I may also discover evidence-based psychopharmacological therapies and evaluate patient reactions to medication, making necessary changes. My DSM-5-TR diagnosis accuracy and ability to distinguish normal and abnormal age-related changes indicate my diagnostic reasoning abilities. I also provide psychoeducation and promote health and illness prevention to empower people in their treatment regimens. I also excel in multidisciplinary teamwork to enhance clinical practice and provide holistic patient care. I pride myself on my non-judgmental attitude and professional boundaries, which are necessary for effective client therapy interactions. These characteristics and my drive to ongoing growth underpin my clinical knowledge and patient-centered, compassionate treatment.

My clinical practice has several development opportunities in psychotherapy treatment planning, diagnostic reasoning, and screening instrument integration. I am confident in my psychotherapy skills, but I might improve by choosing and using therapeutic modalities targeted to multiple age groups and individual requirements for more complete, personalized treatment. While I can diagnosis using DSM-5-TR criteria, I need to improve my ability to distinguish subtle psychological and physiological changes, especially in complicated patients with comorbid disorders. Screening instrument selection and implementation may also improve. I have some familiarity with assessment tools, but I want to learn more about their proper usage and nuanced interpretation to improve diagnosis accuracy and treatment planning. I can also improve patient outcomes and contribute to the healthcare team by working better with interdisciplinary teams and leading them. I will enhance patient outcomes and deliver evidence-based treatment in varied clinical settings with these growth opportunities.

1. Goal: Improve diagnostic reasoning skills in psychiatric evaluations.

a) Objective: By the end of the practicum, I will independently formulate a differential diagnosis for at least five patients based on comprehensive psychiatric evaluations, including history, mental status examination, and psychosocial assessment, with 90% accuracy as measured by supervisor feedback.

b) Objective: Understand age-related variations in psychiatric presentations and accurately diagnose at least three individuals with mood and anxiety disorders using DSM-5-TR criteria within four weeks.

c) Objective: Complete medical history reviews and utilize appropriate diagnostic methods to increase comorbid condition detection accuracy by 20% during the practicum.

2. Goal: Improve pharmacotherapeutic decision-making and patient monitoring.

a) a) By practicum's end, I hope to customize medication management regimens for 10 patients utilizing evidence-based methods, patient preferences, and risk/benefit analysis. 90% of these ideas will get positive feedback from my supervisor.

b) Objective: Monitor patient responses to drug modifications, including adverse reactions, and revise treatment regimens in 8/10 instances throughout practicum.

c) Objective: Attend at least three case talks on pharmacotherapy to discover opportunities for treatment adjustments based on patient input and clinical results, ensuring ongoing improvement in my approach.

3. Goal: Improve psychotherapy treatment planning and patient education.

a) Objective: I will develop individualized treatment plans incorporating evidence-based therapeutic modalities for five patients, focusing on age-appropriate counseling techniques, by the midpoint of the practicum.

b) Objective: By the end of the practicum, I will deliver psychoeducation sessions to at least 10 patients or caregivers, ensuring they understand the treatment plan and are empowered to participate in their care.

c) Objective: I will improve my ability to assess patient readiness for therapy by conducting a pre-therapy evaluation for at least five patients and adjusting the therapeutic approach as needed, achieving a 75% patient engagement rate in subsequent sessions.

2. Goal: Improve interprofessional collaboration and leadership in the clinical setting.

a) Objective: Over the course of the practicum, I will actively collaborate with at least five multidisciplinary team members (e.g., psychiatrists, social workers, therapists) to discuss patient care plans, improving communication and teamwork, as evidenced by supervisor evaluations.

b) Objective: I will initiate or participate in two case reviews to promote evidence-based practices and contribute to team discussions, aiming to identify strategies for improving patient care and clinical outcomes.

c) Objective: I will lead a team meeting or case discussion by the end of the practicum, presenting a comprehensive patient case and suggesting a treatment approach, demonstrating leadership and communication skills.