Participants complete a series of seventeen culturally-informed, interactive online modules prior to completing the rotation:
Module 1A: Screening and diagnosis of anxiety in the primary care setting
Module created by Tonya Hansel, PhD, LMSW
Objectives:
Distinguish between normal and problematic anxiety.
Discuss validated screening tools for anxiety disorders.
Module 1B: Treatment of anxiety in the primary care setting
Module created by Brittnie Fowler, MD
Objectives:
Discuss initiation of pharmacologic and non-pharmacological interventions for treating anxiety disorders in the primary care setting.
Describe indications, side effects, and contraindications to various pharmacologic treatment modalities for anxiety.
Describe monitoring response to and titration of pharmacotherapy in the treatment of anxiety disorders in the primary care setting.
Module 2A: Screening and diagnosis of depression in the primary care setting
Module created by Tonya Hansel, PhD, LMSW
Objectives:
Recognize the symptoms and complications of depression.
Discuss validated screening tools for depression.
Module 2B: Treatment of depression in the primary care setting
Module created by Brittnie Fowler, MD
Objectives:
Discuss pharmacologic and non-pharmacological interventions for treating depressive disorders in the primary care setting.
Describe indications, side effects, and contraindications to various pharmacologic treatment modalities for depression.
Module 3: Suicide Prevention
Module created by Samantha Francois, PhD
Objectives:
Know the continuum of suicidal behaviors and the prevalence and incidence of suicidality in adolescents.
Recognize risk factors, protective factors, and warning signs for suicide in adolescents.
Select and administer validated suicide risk screeners and assessments with adolescent patients.
Demonstrate knowledge of adolescent suicide prevention best practices in healthcare settings.
Module 4: Disruptive Behavioral Disorders
Module created by Bruce Lovelace IV, MD
Objectives:
- Discuss the assessment and treatment of disruptive behavioral disorders in the primary care setting, paying particular attention to the most common underlying conditions and the differences between conduct disorder and oppositional defiant disorder.
- Describe a comprehensive treatment plan for oppositional behaviors, including parent education, positive parenting practices, consequences, and safety planning.
Module 5A: Pathophysiology, epidemiology, and presentation of substance abuse disorders & addiction
Module created by A. Kenison Roy III, MD
Objectives:
Recognize the ubiquitous prevalence of use, misuse, and addiction involving both substances and addiction-like compulsive behaviors.
Describe the reluctance in medicine to examine for the potential contribution of substance use and compulsive behaviors.
Module 5B: Screening, diagnosis, and referral of substance use disorders and addiction in the primary care setting
Module created by Smita Prasad, MD
Objectives:
Describe the SBIRT Pathway and how to implement it.
Describe “Brief Intervention” and “Brief Treatment” techniques as well as how and when to use them.
Recognize the different levels of care available to treat addiction and when to refer patients to them.
Module 5C: Medication for opioid use disorder
Module created by A. Kenison Roy III, MD
Objectives:
Become familiar with the DSM 5 assessment criteria for the diagnosis of opioid use disorder.
Describe indications for the initiation of Medication for Opioid Use Disorder (MOUD).
Describe strategies for initiation and maintenance treatment with MOUD.
Compare and contrast buprenorphine, methadone, and naltrexone in the treatment of OUD.
Module 6A: Adverse & Beneficial Childhood Experiences
Module created by Lauren Teverbaugh, MD and Susan Davies, PhD
Objectives:
- Understand the definition of Adverse Childhood Experiences and the role they play in long-term health outcomes.
- Understand positive childhood experiences, protective factors, and factors that facilitate resilience and how to foster them.
- Understand how to assess and screen for Adverse Childhood Experiences and Positive Childhood Experiences and discuss results and next steps with patients/family members.
Module 6B: Firearm Violence
Module created by Julia Fleckman, PhD, MPH
Objectives:
- Define the incidence and prevalence of firearm violence.
- Understand risk factors, warning signs, and protective factors for firearm violence.
- Evaluate how to screen and counsel for firearm violence and safety.
- Assess firearm violence prevention and intervention best practices in healthcare settings.
Module 6C: Trauma-informed care
Module created by Tonya Hansel, PhD, LMSW
Objectives:
Define trauma and trauma-informed care.
Describe the prevalence of trauma and adversity nationally, locally, and within specific populations.
List the principles of trauma-informed care.
Describe practical strategies to assist in working with adolescents and young adults who have experienced trauma.
Module 7A: Screening for ADHD in the primary care setting
Module created by Elizabeth Phillips, MD
Objectives:
Identify validated methods for screening for ADHD.
Explain the diagnostic criteria for ADHD.
Recognize that the evaluation, diagnosis, and treatment of ADHD are a continuous process.
Module 7B: Treatment of ADHD in the primary care setting
Module created by Elizabeth Phillips, MD
Objectives:
Discuss non-pharmacologic interventions for treating ADHD.
Discuss pharmacologic interventions for treating ADHD.
Module 9: Mental and behavioral health issues related to incarceration
Module created by Anjali Niyogi, MD, MPH
Objectives:
- Review incarceration statistics in the United States
- Recognize the historical and political factors underlying the criminality of mental illness.
- Discuss the effects of the criminal legal system on people with mental illness
- Discuss potential solutions for people with mental illness within the criminal legal system.
Module 10: Motivational Interviewing
Module created by Smita Prasad, MD, and Susan Davies, PhD, MEd
Objectives:
- Define Motivational Interviewing and its association with the Stages of Change model.
- Describe the spirit and principles of Motivational Interviewing.
- Explain the core skills of Motivational Interviewing utilized to achieve Change Talk.
