October's Milestones follow on the heels of September's--basically, we're moving from development of Formulation and Diagnosis of Psychiatric Illnesses, and the Medical Knowledge thereof, into application of these to Treatment Planning and Management. Again, note the developmental framework--identifying options, to handling the basics consistently well, to progressively working out treatment strategies for more complicated presentations. Note in PC3: 2.2A the reference to current clinical practice guidelines. It's a good idea to have these handy, know them, and refer to them. You can find a full collection on Psychiatry Online, which is available via the Regions Medical Library.
Next, all your knowledge and treatment planning is for naught if you don't document it! ICS2 emphasizes the role of documentation, presentation, and team communication in the treatment of our patients. The foundational concept is being accurate and timely at all times, but this milestone is also a reminder of the need to take special care to protect patients' confidentiality and maintain appropriate boundaries in the digital world. Note words such as discretion and judgment,as well as efficient, concise, and pertinent.
Note also 2.3B--keeping the patient (or your colleagues) at the center of communication, instead of focusing on the computer, as related here by the indomitable ZDogg, MD: "EHR State of Mind".
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