Competencies for all psychiatrists
As specified for all doctors, plus the following.
• Full biopsychosocial assessment of patients, across the age range, with physical health problems, physical symptoms and mental health symptoms or psychological distress, including:
• somatisation/medically unexplained symptoms
• adjustment disorder
• the interrelationship of depression and anxiety on chronic medical conditions, for example diabetes, asthma, chronic obstructive pulmonary disease.
• Mental state examination in difficult circumstances:
• intensive care units
• breaking bad news
• variable conscious level
• lack of privacy.
• Assessment of self-harm across the age range, including children
• To advise competently on the treatment of patients with chronic mental health problems while in the general hospital
• Knowledge of medical and surgical treatments and conditions that have an impact on mental state
• Anxiety, depression and psychotic states in in-patients in medical and surgical settings
• Assessment of general medical and surgical admissions
• Demonstrate knowledge of management of alcohol and substance misuse problems in medical and surgical settings
• Diagnose psychiatric symptoms in the presence of confounding severe physical illness and biological symptoms (e.g. cancer, renal disease, severe trauma)
• Implementation of appropriate management plans, including the use of basic psychological, social and environmental interventions as well as psychotropic use from the British National Formulary
• Use risk assessment to advise management plan
• Review notes and drug cards, including investigations and results
• Awareness of medical, surgical and nursing assessment and management plan in the general hospital and its interaction with mental state
• Assessment of patient in A&E
• Identification of medically unexplained symptoms
• Identification, investigation and advice on the immediate management of delirium
• Basic management of patients with eating disorders in medical and surgical settings
• Criteria for referral and signposting to other mental health services including liaison
• Management of behavioural disturbance in medical and surgical settings including:
• assessment
• environmental measures
• use of appropriate drug treatments
• management of delirium tremens
• management of other drug withdrawal states.