Table 4.

Suggested Objectives of Outpatient CL Rotation

General objectives	Examples
	Primary care	HIV clinic	Transplant psychiatry	Weight loss surgery
Medical and phychiatric knowledge
Trainees will be knowledgeable about the medical treatment of most common conditions treated in the particular medical setting, of the common complications of those conditions the psychiatric effect of such treatment; interaction of such treatment with psychiatric medications	Trainees will be knowledgeable about screening, diagnosis and treatment of depression, anxiety and substance use disorders in primary care.	•Trainees will be knowledgeable about the medical treatment of HIV disease and common neuropsychiatric complications of HIV; the psychiatric effects of such treatment; interaction of such treatment with psychiatric medications. •Trainees will be familiar with research in the diagnosis and management of HIV-associated neurocognitive disorder.	•Trainees will gain knowledge about the most common psychiatric comorbidities of transplant candidates, recipients, and donors •Trainees will gain knowledge about the psychiatric side effects of immunosuppressant medications	•Trainees will be knowledgeable about the most common psychiatric disorders encountered in patients seeking weight loss surgery. •Trainees will become proficient at assessing eating disorders and eating behaviors, recommending and providing treatment
Patient care
•Trainees will be familiar with the psychiatric issues common in the different phases of medical conditions treated in that particular setting. •Trainees will be able to conduct a psychiatric evaluation, with special expertise in the issues encountered in this special population. •Trainees will be skillful in working with the multidisciplinary team, and understand how to make appropriate referrals, supervise psychotherapeutic interventions, and work collaboratively. •Trainees will develop expertise in the use of psychotropic medications and psychological therapy in the clinic population.		•Trainees will be aware of common psychiatric comorbidities in patients with HIV and the unique ways in which these may present	Trainees will become able to conduct a comprehensive psychiatric evaluation in transplant candidates •Trainees will gain expertise in discussing psychiatric diagnosis and recommendations for treatment with patients and family in the pre and post transplantation setting	•Trainees will become familiar with the multidisciplinary evaluation for bariatric surgfery •Trainees will develop expertise in evaluating patients with eating disorders •Trainees will develop expertise in using psychotropic medications in patients who underwent weight loss surgery
Systems-based practice
•Trainees will understand the patterns of care in the relevant clinic/area of medicine •Trainees will develop the skills to communicate the results of their evaluation to referring physicians and providers and develop skills to communicate effectively with the multidisciplinary staff inside and outside the clinic as necessary	•Trainees will become familiar with the most common models for mental health care in the primary care setting (collaborative care, collocated care, integrated care)	•Trainees will understand the need to coordinate HIV care across specialties, with particular attention paid to the effects of psychiatric illness and sub stance use disorders on adherence to antiretroviral treatment	•Trainees will become familiar of various medical systems involved in the care of transplant patient: pretransplant medical teams (e.g., nephrology, cardiology), surgery, posttransplant clinic •Trainees will actively involved in multidisciplinary meetings focused on decision about listing for transplantation •Trainees will become proficient at communicating with community mental health providers clinical aspects related to transplant candidacy and psychiatric aspects of transplantation	•Trainees will understand the role of multiple discipline in the evaluation and care of weight loss surgery patients before and after surgery
Professionalism
Trainees will understand the patterns of care in the relevant clinic/area of medicine, and develop the skills to communicate effectively the results of their evaluations to other professionals inside or outside the clinic.	Trainees will become proficient in understanding and coordinating the roles of primary care staff members in providing mental health services	Trainees will understand the unique vulnerabilities of patients with HIV and the importance of balancing boundary maintenance with flexibility and harm reduction	Trainees will become familiar with role of psychiatrist in various stages and level of acuity of organ transplantation
Communication
Trainees will develop communication skills related to interacting with patients in the specialty area.	Trainees will demonstrate ability to communicate recommendation after direct and indirect consultation to primary care providers	Trainees will become familiar with communicating HIV related information to patients, their families, and medical providers	Trainees will become proficient at communicating findings and recommendations resulting from the psychiatric evaluation and to inform the transplant team about the possible impact of the psychiatric disease upon patient's participation in care	Trainees will participate in multidisciplinary meetings regarding the preoperative and postoperative care of patients who underwent weight loss surgery

CL = consult-liaison.