PGY1
2024/2025 Academic Year
In PGY-1 year, Behavioral Medicine (BEH) training is delivered during Ambulatory Pediatrics (AMB PEDS) or Selective rotation(s), every Tuesday 8-10 am.
8 - 9 am - Independent study
9 - 10 am - Meeting with faculty - lecture or video review
Learning Goals Summary
The BEH training during PGY-1 focuses on advancing residents':
Clinical Interviewing Skills:
Use time-sensitive, patient-focused, culturally-informed interviewing skills to optimize physician-patient relationship and collaborative, patient-centered care.
Bio-psycho-social Inquiry Skills:
Assess and address emotional aspects of illness, stress, mind-body connection, family/role impact, and cultural beliefs.
Professionalism:
Self-reflection in clinical practices, impact of personal attitudes and behaviors on patient care.
Ethical issues: informed consent, patient autonomy, confidentiality, quality of care, self-direction in learning.
Punctuality, timely communication, and self-directed learning.
Training Overview
BEH training aims to deliver clearly defined, behaviorally-anchored interviewing skills as well as metrics for learners’ self-assessment.
Training will be delivered via the following:
Self-Study: There are seven brief online training modules for this course. Each module includes:
(1) Instructor-led video describing a specific interviewing domain and its importance in patient care
(2) Bibliography
(3) List of behaviorally anchored goals for patient care
Format: Online
When? Self-study materials should be completed prior to Tuesday meetings (8-9 am Tuesday, Week 1 and Week 3 of the AMB PEDS/Selective)
Lectures:
Lectures will build on the self-study material in the following 7 domains:
Agenda setting
Mechanics of interviewing
Telemedicine and EMR integration
Bio-psycho-social inquiry
Working with patient companions
Working with interpreters
Teach back
Lectures aim to consolidate knowledge in each domain and focus on development of behaviorally anchored interviewing skills. During the lectures, vignettes may be used to identify and rate target behaviors.
Format: In-Person (week 1), Zoom (week 3)
Video Review or Direct Observation:
Residents will have two bi-weekly patient care sessions either video recorded and reviewed.
Format: Recording at Farrell CFCM (sessions may be also directly observed for tele-health care)
When? Longitudinal
Self-Assessment of Performance:
Please complete weekly self-rating of patient care sessions. This rating should focus on patient care which was not recorded or reviewed.
Please rate your performance using
Format: Qualtrics Survey
When? Weekly
Course Evaluations
Learning Outcomes: Complete pre and post surveys for each of the 7 online training modules. These surveys will ask for a self-assessment of knowledge and skill in each domain. Please complete all surveys as assigned.
Format: Qualtrics Survey
When? Pre/post each training module
Weekly 'To Do' List
Week 1 - Lecture and Orientation (in person - office #214)
Review pre-lecture videos with pre- and post-video surveys. These are brief and should be completed before Tuesday 9 am meeting. Review video recording instruction documents.
Attend Lecture on Tuesday from 9-10 am. Have video recording instruction documents available for this meeting - will be reviewing video recording set up at Farrell
Weekly Self-Reflection Survey - complete by Friday of Week 1
Week 2 - Video review (in person - office #214)
Prepare for video review - be familiar with session notes and your impressions. Ensure that statement of consent are included in EMR documentation for each recorded session
Attend individual video review on Tuesday 9-10 am
Weekly Self-Reflection Survey - complete by Friday of Week 2
Week 3 - Lecture (Zoom)
Review pre-lecture videos with pre- and post-video surveys. These are brief and should be completed before Tuesday 9am meeting
Attend Lecture on Tuesday from 9-10 am
Weekly Self-Reflection Survey - complete by Friday of Week 3
Week 4 - Video review (in person - office #214)
Prepare for video review - be familiar with session notes and your impressions. Ensure that statement of consent are included in EMR documentation for each recorded session
Attend individual video review on Tuesday 9-10 am
Weekly Self-Reflection Survey - complete by Friday of Week 4
Video Recording
Review documents for video recording instructions/set up, and please bring to the first meeting
CONSENT:
All patients must sign consent forms before starting video recording. Consent form must be filled out fully, in pen, and include a session ID sticker in the top right hand corner.
File consent forms in a red folder next in the DVD filing cabinet (office #214). Do not remove completed consent forms off site.
Statement of video recording consent must be included in your sessions' documentation using the following EPIC smart phrase: .VIDEORECORDINGGENERAL (under N. Pilipenko) . Please seek consultation if you are unsure about utilization of smart phrases in EPIC.
RECORDING VIDEOS:
Please follow instructions for video recording (provided to you via Google drive)
TROUBLESHOOTING ISSUES:
If you are unable to complete video recordings during the assigned sessions - email faculty at the end of your clinical session.
If you run into any issues (with consent, recording, etc.), notify faculty via email the day of the event.
REVIEW:
Please arrive to the video review meetings ready to discuss your session(s) recored. Make notes as needed (avoid including PHI).
Each recorded/observed session will be reviewed using standardized checklist. Any additional pertinent feedback will be noted.
Evaluation
During Week #4 meeting, summative feedback will be provided and discussed.
Written feedback will be provided to the resident (via email). Copy of feedback will be submitted via MedHub