PGY1

During PGY-1 year, Behavioral Medicine training focuses on advancing residents' foundational knowledge and skills  in clinical interviewing.  During the 4 weeks of training, residents will develop foundational knowledge of key interviewing techniques and skills. Residents will apply these skills during patient care and receive feedback on strengths and areas of improvement.

Clinical Interviewing

By the end of the rotation/training, residents will demonstrate:

1. Following interviewing skills: collaborative agenda setting, EHR integration, funademntal interviewing techniques, bio-psycho-social/culturally-informed inquiry

2. Best practices for working with interpreters

3. Effective practices for working with patient companions

during routine clinical encounters, as demonstrated by video review of clinical care. 

See Video Recording - Direct Observation/Video Review sections for further specifics

Weekly plan/materials can be found in the shared Google Folder. This folder is shared with each resident at the start of the academic year via emails provided.

Folder: Behavioral Medicine 2026/2027 - PGY-1_2026&2027 - Behavioral Medicine (BEH) Rotation PGY - 1

Please ensure that you review this document prior to Week 1 meeting (Tuesday 9am)

If you experience any problems with access or are unable to locate any materials, please contact Dr. Pilipenko (np2615@cumc.columbia.edu) as soon as possible

• Total of 4 clinical visits should be recorded by the resident during the course of the training/rotation.

• Each recording will be reviewed. When recording is reviewed with resident present, resident will complete self-rating of their work and will review/submit self-rating to faculty.

• Direct Observation/Video Review Form will be used for self-rating/video review.

• Residents should be familiar with Direct Observation & Video Review: Comprehensive Form as it elaborates on key areas of assessment/observation as outlined in the Direct Observation/Video Review Form. Both forms are available in Google drive.

• At the end of the rotation, summary feedback for all visits will be provided and reviewed. This feedback will directly inform training evaluation.

Video recording 

Please use detailed instructions about process of video recording set up, consent process and storage - provided - see Google Drive.

Resident Responsibilities:

(1). Review, understand, and follow all technical aspects involved video recording/direct observation (if applicable)

(2). Documented patients' consent for recording/observation (using .VIDEORECORDINGGENERAL in EPIC under N. Pilipenko)

Use of Interpreter Services

- Completion of the Linguistic Clinical Communicator (LCC) Assessment certification is required for all clinicians who provide services in languages other than English. If you completed this training, please send your certificate to faculty.

Direct Observation - In Person or Via TH/Phone

- Will take place for TH sessions via phone, Doximity or EPIC Connect/Zoom

- Ensure that your Doximity access allows for 3-person visits. Contact Doximity IT support to address any issues.

- Faculty will join the visit together with the resident and will complete informed consent of the patient(s) to perform observation of clinical care for educational purposes

- For phone visits, residents should call faculty before reaching either the patient or the interpreter.

- Direct observation will only be scheduled under exceptional circumstances following discussion with the resident.

Along with the Learning Objectives, the following domains will inform residents' performance evaluation: 

Practice Based Learning:

- Self-directed learning as demonstrated by:

1. Active engagement in the discussion about own learning goals 

-Reflective practice as demonstrated by:

1. Openness to feedback (as evidenced by participation in review of own clinical work)

2. Implementation of strategies for care improvement (as evidenced by subsequent video reviews) 

Professionalism:

 - Timely completion of tasks and responsibilities. Specifically:

1. During the rotation, acknowledge (and/or) provide response to all email communication within 24 work hours

2. Proactively communicate about schedule changes and access issues 

3. Complete assigned readings, Q&A, surveys prior to scheduled review date(s)

-Accountability and conscientiousness, as demonstrated by:

1.  Engage in discussion/Q&A 

2.  Be familiar with own patient care/work at the time of the video review (as demonstrated by clear patient identification and ability to accurately present patient)

-Professional behavior. Specifically:

1. For remote meetings: use setting conducive to discussion/learning i.e. noise, disruptions, presence of non-related persons should be minimized

2.  Follow NYP policies regarding professional conduct and attire for all rotation-related activities.

• Please discuss any  personalized training-related needs or anticipated challenges as early as possible, so that these can be collaboratively navigated.

Review of training will take place during Week #4 meeting (following the completion of video review) and will include the following:

• Review and summary of feedback for all recorded clinical visits

• Review of post rotation/training questionnaire - see Google Drive 

• Rotation feedback - review of learning goals, accomplishments, challenges, etc.

Written feedback will be provided to the resident (via email).  Copy of feedback will be submitted via MedHub.