September's Milestones of the Month are basic tools of the trade for us: Formulation and Differential Diagnosis, and Medical Knowledge of Psychopathology. Again note the development of these skills over time. As a novice, one evaluates, reports, and develops a working diagnosis. As one advances, that working diagnosis becomes more complex, taking into account the patient's development and present stressors. With experience, you will synthesize these into a comprehensive formulation, that accounts for more subtle and idiosyncratic findings. Along with this, your knowledge grows and develops as well. Read down the Level 4 column in MK2 and make the mastery of that knowledge your goal by the end of residency.



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