Psychotherapy

Psychotherapy

Definition:

A competent psychiatrist should be able to apply behavioral, brief, cognitive, psychodynamic, or supportive theory in treating or managing patients.

 Portfolio Entry Requirements:

Select a case from residency training that best demonstrates your understanding of the underlying theory of a specific therapy (psychodynamic, cognitive behavioral or supportive therapy) and your ability to apply that theory. Using an audiotape or process notes, transcribe a ten-minute segment that demonstrates your skill. In the cover letter explain why this case is suitable for the therapy you are using. As part of your self-assessment, comment upon therapeutic techniques you used that are consistent or inconsistent with the theory, the rationale for selecting the various therapeutic techniques you did, and details of how you implemented or modified them as needed. Please highlight relevant portions of your transcription to illustrate your points.

Psychotherapy Scoring Rubric

1.     Important skills and/or knowledge lacking to adequately manage the case; case report is inadequate for the theory selected; the case report does not consider the evaluation of the patient for this specific therapy; or this type of therapy is contraindicated in the patient’s diagnosis.

2.     Appropriate approach, but weaknesses could lead to potential problems; case demonstrates a match of patient to theory, but is weak in application.

3.     Competent to successfully manage standard cases following a conventional approach with the selected therapy; identifies therapeutic techniques and illustrates basic application of theory.

4.     Applies a conventional approach to a more complex case; strategies reflect a clear understanding of the theory, and the application of theory is well demonstrated.

5.     Well-integrated knowledge and skills facilitate therapeutic change in a complex case; modifies therapeutic techniques when necessary; innovatively implements techniques beyond a conventional approach.

6.     Wide breadth of knowledge and skills and a sophisticated, well integrated approach; utilizes varied sources to manage a very complex case; interventions are well timed in response to the state of the patient; thorough presentation; acknowledges short-term outcomes.