PGY1

Overarchingly, BEH training aims to advance residents’ knowledge and skills in the following areas:

Clinical Communication: efficient, patient-centered, culturally-informed, bio-psycho-socially-grounded, and evidence-based interviewing skills for collaborative patient care

Behavioral Medicine Interventions/Techniques: brief, evidence-based behavioral medicine interventions/techniques for non-pharmacological illness management and wellness promotion across a range of medical and psychiatric conditions

Identification and Management of Common Psychiatric Conditions: brief screening, diagnostic assessment per DSM-5-TR, case conceptualization, pharmacological interventions, non-pharmacological interventions

Screening and Management of Suicidality: screening/assessment, safety planning

Interprofessional Practice: team-based care and interdisciplinary work

BEH curricula are based on the American Academy of Family Physicians (AAFP), Human Behavior and Mental Health Curriculum Guidelines can be found here AAFP_Curriculum_Behavior&MentalHealth.pdf and ACGME Program Requirements for Graduate Medical Education in Family Medicine (2023)

Clinical Interviewing

By the end of the rotation/training, residents will demonstrate:

1. Following interviewing skills: collaborative agenda setting, EHR integration, fundamental interviewing techniques, bio-psycho-social/culturally-informed inquiry

2. Best practices for working with interpreters

3. Effective practices for working with patient companions

during routine clinical encounters, as demonstrated by video review of clinical care. 

See Video Recording - Direct Observation/Video Review sections for further specifics

Weekly plan/materials can be found in the shared Google Folder 

Folder: Behavioral Medicine 2025/2026 - PGY-1_2025&2026 - Behavioral Medicine (BEH) Rotation PGY - 1

Please ensure that you review this document prior to Week 1 meeting (Tuesday 9am)

If you experience any problems with access or are unable to locate any materials, please contact Dr. Pilipenko (np2615@cumc.columbia.edu

• Total of 4 clinical sessions should be recorded during the course of the training/rotation

• Each recorded encounter will be reviewed

• Feedback will be provided in line per Direct Observation/Video Review Form - see Google Drive

• Please ensure that you are familiar with the Direct Observation & Video Review: Comprehensive Form as it elaborates on key areas of assessment/observation - see Google Drive

• At the end of the rotation, summary feedback for all encounters will be provided and reviewed. This summary feedback will directly inform training evaluation

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Video recording 

Please use detailed instructions about process of video recording set up, consent process and storage - provided - see Google Drive.

Resident Responsibilities:

(1). Review, understand, and follow all technical aspects involved in observation via EPIC/video recording

(2). Documented patients' consent for recording/observation (using .VIDEORECORDINGGENERAL in EPIC under N. Pilipenko)

Use of Interpreter Services

- Completion of the Linguistic Clinical Communicator (LCC) Assessment certification is required for all clinicians who provide services in languages other than English. If you completed this training, please send your certificate to faculty.

Direct Observation - In Person or Via TH/Phone

- Will take place for TH sessions via phone, Doximity or EPIC Connect/Zoom

- Ensure that your Doximity access allows for 3-person visits. Contact Doximity IT support to address any issues.

- Faculty will join the visit together with the resident and will complete informed consent of the patient(s) to perform observation of clinical care for educational purposes

- For phone visits, residents should call faculty before reaching either the patient or the interpreter.

- Direct observation will only be scheduled under exceptional circumstances following discussion with the resident.

Along with the Learning Objectives, the following points will inform residents' performance evaluation: 

Practice Based Learning:

- Self-directed learning as demonstrated by:

1. Active discussion of the learning goals 

-Reflective practice as demonstrated by:

1. Openness to feedback as evidenced by participation in review of own clinical work

2. Discussing and implementing strategies for care improvement (as evidenced by subsequent video reviews) 

Professionalism:

 - Timely completion of tasks and responsibilities. Specifically:

1. During the rotation, acknowledge (and/or) provide response to all email communication within 24 work hours

2. Proactively communicate about schedule changes and access issues 

3. Complete assigned readings, Q&A,  surveys prior to scheduled review date(s)

-Accountability and conscientiousness, as demonstrated by:

1. Ability to engage in discussion/Q&A pertaining to assigned learning content 

2. Familiarity with own patient care/work at the time of the video review as demonstrated by clear patient identification and brief presentation

-Professional behavior. Specifically:

1. For remote meetings: use setting conducive to discussion/learning i.e. noise, disruptions, presence of non-related persons should be minimized

2.  Follow NYP policies regarding professional conduct and attire for all rotation-related activities.

• Please discuss any  personalized training-related needs or anticipated challenges as early as possible, so that these can be collaboratively navigated.

Review of training will take place during Week #4 meeting (following the completion of video review and will include the following:

• Summary of recorded sessions

• Review of post rotation/training questionnaire - see Google Drive 

• Rotation feedback - review of learning goals, accomplishments, challenges, etc.

Written feedback will be provided to the resident (via email).  Copy of feedback will be submitted via MedHub