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Behavioral Science Education

BSE Rotations

Behavioral science education and a biopsychosocial approach to patient care is woven throughout the curriculum during all three years of residency. Opportunities for experiential activities and case-based learning are emphasized when working with our behavioral science faculty (Dr. Tovar) during various rotations with protected time for BSE (see table).  These educational experiences take the form of:

Shared office sessions: In some clinic sessions, patients are seen jointly by the behavioral scientist and resident. This experience provides the opportunity to be directly observed with patients and receive feedback specific to interviewing, communication and counseling skills. With Dr. Tovar as a co-participant, best practice approaches are modeled.  

Extended Evaluation Visits:  During certain office sessions shared with the behavioral faculty, longer appointments can be scheduled to allow for more comprehensive evaluations of patient’s psychosocial and medical problems for the purpose of treatment planning.  These extended visits can also be used for focused counseling or motivational interviewing, and can be arranged during the rotations listed as BSE.    

Standardized Patients:  Scenarios using actors as standardized patients involve handling common but challenging situations encountered in practice (such as breaking bad news, substance abuse counseling, disclosing a medical error) take place in our simulation center, with debriefing and performance feedback provided immediately thereafter.

One on One Didactic Sessions: Protected time for individual education and coaching provide opportunities for consultation regarding difficult cases or instruction on motivational interviewing, cognitive-behavioral approaches to anxiety, insomnia and other conditions, personal stress management, etc. 

Ongoing, Longitudinal BSE Experiences

Lectures:   During the Thursday morning educational block, Dr. Tovar presents topics with a behavioral science focus. Among the topics covered this past academic year were: 

  • Addressing Health Care Disparities (Sept)
  • Self-Care in the Face of Trauma (Oct)
  • Engaging family and support systems for Transgender Patients (Dec)
  • CBT for Insomnia (Jan)
  • Approaches to engaging patients with depression (Feb)
  • Test-taking with Confidence (March)
  • Assessment of Bipolar Depression (Apr)
  • Role of Religion and Spirituality in Patient Health (May)
  • MBTI Workshop; Intro to Patient Caring Behaviors (June)
  • Chronic Pain Protocol; De-Escalation; Behavioral Health Education and Maintaining Wellness (July)
  • Adult ADHD, Bondary Crossing (August)

Personal Wellness: Practicing self-care ensures that you can fully participate in your education and offer the best of yourself to patients. As part of the Quality Improvement curriculum, first-year residents are required to complete a personal improvement project (PIP) under the guidance of our behavioral science faculty. This project can be crafted to serve as a personal wellness exercise (for example, adopting a daily meditation practice) so that residents are actively engaged in self-care while meeting this educational objective. 

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