Download learning objectives - Department of Psychiatry

Women’s Mental Health Program:
Educational Opportunities for Residents - The WMHP is a vital part of Women’s College Hospital and works collaboratively with many
WCH women-centered medical and surgical programs to offer comprehensive assessments, treatments and psychotherapy to women and their families. The WMHP also sees male patients, many of
whom have also come to value the program’s women-centered philosophy (collaboration, empowerment and relational connection).
There are 3 component programs (Mental Health in Medicine, Reproductive Life Stages and Trauma Therapy Program) in our WMHP and all 3 offer a variety of elective and selective experiences.
There are opportunities for training in a broad range of individual and multiperson psychotherapy modalities. Psychodynamic and relational, individual and group psychotherapy is in great demand by
female and male patients in all three programs.
These 3 component programs work collaboratively with each other in identifying areas of overlap in the patients’ and families’ mental health care needs, and several of our staff participate in the
clinical and educational activities of more than one component program. Each program offers separate training opportunities and for residents who would like to participate in more than one
component of WMHP, supervisors are available to help residents plan an elective/selective experience that will offer that opportunity.
Code
WMH-CE01
Title
Children, Families & Parental
Mental Illness Senior Selective
and Elective for Senior
Residents
Contact Info
Supervisor: Dr. Cintia Padoin (child psychiatrist)
Place: Women's College Hospital
Time: TBA
No. of Residents: TBA
Description
Women’s College has recently started an innovative service within the
Reproductive Life Stages program, focused on the unique needs of
families with mentally ill parents. Parenting support and workshops, as
well as child psychiatry are provided on site within a unique
interdisciplinary community of care.
For more information, please contact Erin Carter at
[email protected]
LEARNING OBJECTIVES
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To learn about the effects of parental mental illness on children
and families (and vice versa)
To participate in assessments of child mental health concerns
and parent-child or family relationship concerns
To explore the ways in which personal history and current
circumstances influence parenting and children
To become familiar with attachment theory as relates to our
patient population
To observe and/or conduct treatment with children and families,
including (depending on need, interest and length of rotation):
parent-infant therapy; child CBT; child play therapy; family
therapy; parent counseling; child pharmacotherapy
To observe and/or participate in parenting groups for mothers
with anxiety/depression
To collaborate with a variety of WCH clinicians and community
resources, including CAS where relevant, in promoting family
wellbeing
Residents should have completed their core child psychiatry rotation
before starting this (s)elective. Residents are encouraged to complement
this experience with concurrent work in any of the WCH Women’s Mental
Health Programs (Reproductive Life Stages Program, Trauma Therapy
Program, and Mental Health in Medicine Program).
WMH-CE02
CL Psychiatry and Women's
Mental Health
Inquiries: Dr. Erin Carter at 416-323-6400 Ext. 4919 or
[email protected]
Place: Women's College Hospital
Time: TBA
No. of Residents: TBA
Set at Women's College Hospital, Ontario's only fully ambulatory academic
facility, this elective will offer residents the opportunity to explore the
dynamic interaction between CL psychiatry and Women's Mental Health.
Our department sees patients with a variety of medical and surgical
problems but has particular areas of strength at the interface of psychiatry
with Endocrinology, Addictions Psychiatry and the pregnancy/postpartum
periods. Residents will have the opportunity to assess, diagnose,
formulate, and treat patients with a focus on patient-centredness and
gender sensitivity. There are opportunities to provide, and receive
supervision for, individual, couples', family, and group therapy. Residents
will work in a setting where interprofessional collaboration and education
are a central part of our work. Research and teaching opportunities are
available according to the resident's goals and objectives. All residents are
invited to play an active role in weekly team business and supervisory
meetings and in program development.
WMH-CE03
Reproductive Life Stages
Program (RLS)
Senior Selective and Elective for
Senior Residents
Inquires: Pam Kavanagh,
416-323-6400 x [email protected]
Supervisor(s): Dr. A. Fishell, Dr. D. Meschino, Dr. J. Barlas, Dr. E.
Carter, Dr. A. Israel, Dr. S. Vigod, Dr. I. Gafni, Dr. C. Padoin
Place: Women’s College Hospital
Time: To be arranged individually
No. of residents: (1 per month)
RLS Program Team
Elaine Barrons (psychiatric nurse)
Alicja Fishell (psychiatrist)
Erin Carter (psychiatrist)
Aliza Israel (psychiatrist)
Inbal Gafni (psychiatrist)
Diane de Camps Meschino (psychiatrist, Leader RLS Program)
Joanna Barlas (psychiatrist)
Dr. C. Padoin
Maura O’Keefe (MSW, therapist)
Greer Slyfield Cook (MSW, therapist)
Simone Vigod (psychiatrist)
Lindsay Witton (MSW, therapist)
LEARNING OBJECTIVES
1. To provide unique experience with focus on women’s mental
health in context of reproductive biology in an outpatient and
inpatient settings guided by CanMEDS proficiencies.
2. To gain exposure and increase familiarity with mental health
difficulties women may experience during different stages of
their reproductive life (including women with history of
trauma).
 To increase familiarity with diagnosis (including measures
scales) and co-morbidities of mood, anxiety and psychotic
disorders during pregnancy and post partum period, and
with recognition of risk factors contributing to mental illness
during pregnancy and post partum period.
 To gain exposure and increase familiarity with management
of women at high risk for harming themselves and/or child,
and with Mental Health Act.
 To increase familiarity with diagnosis (including measures
scales) and treatment of mood and anxiety disorders as
related to menstrual cycle and menopausal transition.
3. To gain exposure and increase familiarity with risks and
benefits of treatment of mental illness during pregnancy and
post partum period.
 To increase familiarity with treatment options (medications,
psychotherapy) of mood, anxiety and psychotic disorders
during pregnancy and post partum period.
 To gain exposure and increase familiarity with effects of
mental illness during pregnancy and post partum period on
the fetus, neonate and child, and long term psychological
sequelae of such exposure.
4. To be introduced to a unique team approach of taking care of
women with mental illness in context of shared care model
between psychiatrists and therapists with different
backgrounds, such as social work and nursing.
WMH-CE04
Reproductive Life Stages
Program (RLS)
Senior Selective and Elective
Opportunities and Junior Elective
Opportunities
Inquires: Pam Kavanagh,
416-323-6400 x [email protected]
Supervisor(s): Dr. A. Fishell, Dr. D. Meschino, Dr. J. Barlas, Dr. E.
Carter, Dr. A. Israel, Dr. S. Vigod, Dr. I. Gafni, Dr. C. Padoin
Place: Women’s College Hospital
Time: To be arranged individually
No. of residents: (1 per month)
The RLS Program is focused on defining the psychological/psychiatric
needs of women during their reproductive life and to develop services,
programs and partnerships to enhance access to care, education,
research, and provincial outreach. The program includes expertise in
reproductive psychiatry, mood and anxiety disorders, medical psychiatry,
women’s mental health research, nursing, social work and psychotherapy.
The selective/elective opportunities offer residents participation in
psychiatric assessments and treatment of women with mood and anxiety
disorders related to the menstrual cycle, pregnancy, postpartum,
infertility, perinatal loss and the menopausal transition. Residents will
also have opportunity to take part in assessments regarding prepregnancy consultations and prevention of mood and anxiety disorders
during pregnancy and postpartum period. Treatment options include
individual, couple, group and family therapy in addition to
pharmacological interventions. Residents will have the opportunity to
observe/participate in multiple research studies currently underway in the
program. Residents will also have opportunity to take part in a shared
care model of care and attend the RLS Program clinical and research
rounds, and participate in the Women’s Mental Health Program Grand
Rounds at WCH, WMHP psychopharmacology rounds and the
psychopharmacology Motherisk rounds at Sickkids.
WMH-CE05
Women’s Health in Women’s
Hands – Shared Care Elective
Inquiries: Dr. Erin Carter at 416 3234919 or
[email protected]
Place: Women's College Hospital
Time: TBA
No. of Residents: TBA
This elective offers senior residents the opportunity to provide shared
care services to Women’s Health in Women’s Hands (WHIWH). WHIWH is
a community health centre in downtown Toronto that provides primary
care to non-white women, 75% of whom are women without legal status
in Canada. Residents would gain a broad exposure to general psychiatry
issues, as well as mental health issues affecting this marginalized
population (e.g. HIV, trauma). The purpose of the rotation is to equip
residents with the knowledge and skills to function as a consultant in a
primary care setting with a unique patient population. This includes
gaining an appreciation for the challenges in primary mental health care
with this unique cultural population, the ability to manage the range of
mental health problems seen in primary care, the capacity to function
effectively as a team member working with interdisciplinary health care
providers, and the additional ability to plan and evaluate program
components. The goal of the shared care program is to provide support to
primary care providers through behind-the-scenes case consultation,
didactic teaching and other educational activities, in addition to direct
treatment of patients. This elective provides an opportunity to experience
an alternate model of providing psychiatric care that differs from the usual
consultative model, as well as teaching opportunities, and experience with
outreach work to a community agency. Supervision would be provided for
approximately 1 hour per week plus additional supervision on an as
needed basis, and would be tailored to the resident’s individual learning
objectives. We welcome your involvement in this program.
WMH-CE06
Trauma Therapy Program
Selective and Elective
Opportunities
Inquiries: Dr. Erin Carter at 416-323-6400 Ext. 4919 or
[email protected]
Place: TBA
Time: ½ day up to 5 days/week.
No. of Residents: TBA
The Trauma Therapy Program offers a broad range of educational
experiences for residents to learn about the psychological impact of
chronic childhood traumatization, adulthood revictimization and other
psychological traumas that can occur in adulthood.
Residents will learn about the relationship between childhood trauma and
major psychiatric disorders (such as mood, anxiety and dissociative
disorders) and the importance of addressing the role of trauma in the
comprehensive treatment of the patient. In our program there is an
emphasis on helping patients understand the function of their survival,
albeit maladaptive, coping strategies such as eating disorders, self-harm
behaviour and substance abuse to manage intolerable affects and
memories. Residents will have ample opportunity to learn psychotherapy
skills to help patients develop more adaptive affect regulation and distress
tolerance skills.
Residents will participate in the assessment and treatment of patients
and, in doing so, develop expertise in a broad range of trauma treatments;
(psychopharmacological, partial day hospitalization) and individual and
group psychotherapy modalities (supportive - expressive, CBT,
psychodynamic/relational, expressive arts and body -oriented).
Interdisciplinary ambulatory care learning is an important component of
this program, and residents will work with clinicians and students from
psychology, social work, occupational therapy, expressive arts therapies
and nursing.
There are both selectives and electives available in the Trauma Therapy
Program, with Dr. Nancy McCallum as the primary supervisor. Residents
can participate in this elective from ½ day up to 5 days/week.
Residents also have the option of doing a selective or elective where they
can divide their educational experience between any of the 3 components
of the Women’s College Hospital, Women's Mental Health Program (TTP,
Reproductive Life Stages Program and Mental Health in Medicine
Program).
WMH-CE07
WCH Jr/Sr Psychiatry Research
Elective/Selective
Contacts:
Simone Vigod, MD, MSc, FRCPC
Valerie Taylor, MD, PhD
The WMHP at Women's College Hospital offers research rotations for
junior and senior residents in the following content areas: women's
mental health, reproductive mental health, trauma, medical psychiatry
and mental health systems. Methodologies include biological, clinical and
Catherine Classen, PhD
epidemiological research.
Electives/selectives may be month-long or longitudinal (I.e 1 day/week)
for junior residents. For senior residents, full 6-month and/or year-long
rotations are offered. In addition, we are able to supervise ClinicianScientist Stream and Clinician-Scientist Program residents.
WMH-CE08
Psychiatry Resident Research
Electives in Mental Health
Services and Population Health
Research
For further information, please contact:
Paul Kurdyak ([email protected])
John Cairney ([email protected])
Simone Vigod ([email protected])
The Mental Health and Addictions (MH&A) research initiative at the
Institute for Clinical Evaluative Sciences (ICES) is committed to building a
program of research excellence in mental health and addictions services
and population health to contribute to new knowledge generation and to
produce policy relevant findings.
Our main foci of interest include: addictions, vulnerable populations,
primary care and access to and delivery of services, and comorbidity, both
within MH&A and between MH&A and medical illnesses. In each of these
areas, we take a lifespan or developmental approach, recognizing the
importance of transitions (e.g., adolescence to adulthood), continuities
and change in the experience of mental health and addiction problems
(etiology, chronic course of illness), and the influence of developmental
period on the interface between individuals with these problems and care
provision (micro-, meso- and macro levels).
Elective and selective opportunities for interested residents are available
at junior and senior levels. Supervision in the Clinician-Scientist Stream
and Clinician-Scientist Program is available.
WMH-CE09
WCH Substance Use Service
Elective
Contact: Inbal Gafni at [email protected]
Place: Women's College Hospital
Time: Starting in July 2013 for 1 or 2 days per week
No. of Residents: TBA
Women’s College Hospital has recently started an innovative
ambulatory addiction service focused on the needs of women. It is staffed
by a multidisciplinary team comprised of addiction psychiatry,
addiction medicine and social work. This elective will provide an
opportunity for residents to participate in all aspects of the clinic,
including out-patient withdrawal management for alcohol and opioid
dependence, addiction consultations and medication management for
substance use. The use of buprenorphine for opioid dependence is a
unique feature of this clinic. The elective will also provide opportunities to
practice and receive direct supervision in a variety of
psychosocial interventions for substance use disorders, including
motivational interviewing, cognitive behavioural therapy and group
therapy. In addition, as this program is growing and evolving,
interested residents will have an opportunity to observe and participate
in program development and evaluation.
This elective will be available starting in July 2013 for 1 or 2 days per week.