Table 1 Specific BMR Objectives by Week
Knowledge | Skills | Attitudes | |
|---|---|---|---|
The resident will demonstrate understanding of: | The resident will integrate into a clinical interview: | The resident will display: | |
Week 1 | · General principles of effective communication | · Open ended questions | · Guiding vs. imparting communication style |
MI I: General | · Stress and its influence in health | · Affirmations | |
Counseling | · Reflective listening | ||
Skills | · Summaries | ||
· Clinical feedback | |||
· Offering Advice | |||
· Assessment of stress | |||
Week 2 | · Theoretical framework for health behavior change | · Assessment of importance | · Respect for patient’s autonomy |
MI II: Health Behavior Change | · Evidence of usefulness of MI | · Assessment of confidence | |
· Scaling questions | |||
· Explore costs and benefits of change | |||
· Evocative questions | |||
Week 3 | · DSM-IV criteria for MDD | · Screening for depression (PhQ9) | · Empathy |
MI for Depression | · Differential diagnosis for depressive disorders | · Diagnosis of depression | |
· CBT theoretical background | · Psychoeducation on depression | ||
Therapeutic guidelines | · Behavioral activation | ||
· Pleasure list | |||
Week 4 | · DSMIV criteria for GAD, Panic Disorder | · Screening for anxiety | · Awareness of mind-body connections |
MI for anxiety | · Differential diagnosis for anxiety disorders | · Diagnosis of anxiety | |
· CBT theoretical background | · CBT techniques | ||
Therapeutic guidelines | · Thought challenging | ||
· Deep breathing | |||
· Thought stopping | |||
· Psychoeducation on anxiety |