PGY I Guide: Training Objectives

The above objectives (see competancies pages) are expected to be met by the end of residency training from years I-V.  In the PGY I year, the focus will be on creating a foundation for this training by focusing on addiction assessment and treatment in a variety of modalities and settings with a large focus on addiction medicine.  The later residency years will have addiction psychiatry training objectives blended into other core rotations to allow the treating of concurrent disorders in many psychiatric populations.  Core objectives that will be focused on for the 4-week rotation are:

I. Medical Expert

• Competency in managing acute intoxication and withdrawal conditions
• Knowledge of the different levels of care and treatment modalities for substance use conditions with and without concurrent disorders
• Basic assessment of the addiction patient with and without concurrent disorders
• Basic understanding of the techniques of Motivational Enhancement

II. Communicator

• Development of communication skills as per the overall objectives for Addiction Psychiatry listed above

III. Collaborator

• Know when to consult other caregivers appropriately (Addiction and Concurrent Disorder).

IV. Manager

• Develop the understanding of how to effectively balance patient care and health care resources.
• Develop a knowledge base for understanding the interplay between governments and the health care sector in allocating finite health care resources as well as understand navigating patients between systems (addiction, mental health, justice etc).
• When the opportunity arises, to help develop effective and efficient patient management strategies.

V. Health Advocate

• Ability to adopt a preventive approach in clinical practice
• Identify important determinants of patients' (and public) health.

VI. Scholar

• Development of reflection and self-assessment skills via reflection journal and reflection paper (see below)
• Opportunity to join the Resident Addiction Curriculum Education committee (see below)

VII. Professional

• Development of appropriate professional attitudes toward individuals with addiction as per the overall objectives listed above

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