family medicine rotator learning content

Re: DJNRHS Family Medicine Psychiatry RESIDENT Rotation LEARNING CONTENT

 

A.   PRIMARY CASES = The FamMed Res shall carry out all phases of Dx & Tx WITHOUT consultation in 90% of cases. The Tx will consist of SUPPORTIVE THERAPY.

1.    Stress Reaction

a.    Grief (mourning)

b.    Death, separation, etc. (with depressive & anxiety features)

2.    SITUATIONAL REACTIONS

3.    Psychosomatic Illnesses – MILD Syndrome

a.    Peptic ulcer

b.    Colitis, anorexia

c.    Asthma (with minimal psychological dysfunction)

d.    Rheumatoid arthritis

e.    Hypertension

f.     Dermatoses

g.    Migraine

 

B.    SECONDARY CASES = the FamMed Res shall maintain PRIMARY responsibility to the case but usually needs consultation at one point. Therapy mainly SUPPORTIVE with some INSIGHT-DIRECTED therapy.

1.    SITUATIONAL REACTION

2.    Psychosomatic Illnesses – SEVERE Syndrome (with greater dysfunction of the px)

3.    TRANSIENT Situational Disturbance

a.    Adjustment Reaction of Adolescence

b.    Adjustment Reaction of Late Life

4.    Chronic Psychotic, per discretion of Psychiatry Res Coord (by mutual agreement of PRC & FMR)

 

C.   TERTIARY CASES = the FamMed Res shall recognize those cases but does NOT maintain primary responsibility & refers px for both Dx & Tx.

1.    Psychoses not attributed to physical conditions

a.    Schizophrenia

b.    Affective Disorders (Affective psychosis) – involutional, manic-depressive

c.    Paranoid States

d.    Other Psychoses

2.    Neuroses

a.    Anxiety Neurosis

b.    Hysterical Neurosis

c.    Obsessive-Compulsive Neurosis

d.    Depressive Neurosis

e.    Hypochondriasis

f.     Depersonalization Neurosis

3.    Borderline syndrome

4.    Personality disorders

a.    Paranoid

b.    Cyclothymic

c.    Schizoid

d.    Explosive

e.    Obsessive-compulsive

f.     Hysterical

g.    Passive-aggressive

h.    Inadequate personality

5.    Sexual Deviation

a.    Homosexuality

b.    Fetishism

c.    Pedophilism

d.    Transvestism

e.    Exhibitionism

f.     Voyeurism

g.    Masochism

6.    Alcoholism – Drug Dependence

7.    The Psychosomatic Illnesses (psychological factors play a critical role in the illness) – duodenal ulcer, lleo-colitis, bronchial dysfunction, genital dysfunction, organic neurosis, etc.

8.    Behaviour Disorders of Childhood and Adolescence

9.    Speech Symptoms: Speech Disturbance, Disorders of Sleep, Enuresis, Coprolalia, etc.