PMHNP Competency Based Evaluation

The UCSF PMHNP Program is committed to excellence in clinical training and ensuring competency in our learners. This competency evaluation tool is
centered on 6 core domains of advanced practice nursing care: Patient Care, Knowledge for Practice, Practice Based Learning and Improvement,
Commucation and Collaboration, Professionalism, and Systems Based Practice.

Please see definition of the domain and rate learner based on the rating scale below.

Definitions

Rating 1 2 3 4 5 6
Critical Deficiency Basic Novice Intermediate Advanced Beginner Competent
Definition The trainee demonstrates Trainee performs the Trainee performs Trainee performs Trainee performs the Trainee performs
critical deficiencies in task under direct the task under the task under task under occasional the task safely and
knowledge, skill, and guidance of the extensive guidance frequent guidance guidance of the effectively using
attitude to safely perform preceptor (greater of the preceptor of the preceptor preceptor (less than own judgement
the task. than 75% of the (between 50% and (between 25% and 25% of the time). without supporting
time). 75% of the time). 50% of the time). cues.
 Knowledge for Practice
Demonstrates knowledge of established and evolving bio-psychosocial, clinical, epidemiological and nursing science for the provision of evidence-based patient
care.
1st Year
1 Demonstrates knowledge of bio-psycho-social evaluation and domains necessary to complete a comprehensive history.
2 Demonstrates knowledge of major psychiatric diagnoses including: mood disorders, thought disorders, anxiety disorders, and substance use disorders
3 Demonstrates sufficient knowledge to identify common medical conditions (e.g., hypothyroidism, hyperlipidemia, diabetes) and their impact on
psychiatric disorders.
4 Demonstates knowledge of professional boundaries in the behavioral health setting.
5 Demonstrates awareness of motivation and readiness for change to improve self-care and wellness.
6 Demonstrates knowledge of psychoeducation for individuals, families, and groups.

Patient Care
Provides patient-centered care that is compassionate, valued, appropriate and effective for the treatment of health problems and the promotion of health.
1st Year
1 Builds rapport using skills of engagment, active listening, and reflection.
2 Identifies patients’ symptoms and problems, including precipitating and predisposing life events, as well as perpetuating and protective factors.
3 Gathers, organizes, and documents bio-psycho-social history appropriate to the clinical situation and specific population.
4 Screens and assesses for patient safety, including suicidal and homicidal ideation. Lists major risk and protective factors for danger to self and others.
5 Recognizes and manages patient crises or acute presentations with supervision.
6 Completes and accurately documents a mental status examination.
7 Conducts and documents comprehensive and focused physical examinations.
8 Organizes and accurately presents patient case for purpose of supervision and feedback to preceptor or other clinical mentors.
9 Identifies and maintains professional boundaries to preserve the integrity of the therapeutic process.
10 Considers motivation and readiness to improve self-care and healthy behaviors when teaching individuals, families, and groups of patients.
11 Provides psychoeducation regarding mental health problems and psychiatric disorders to individuals, families, and groups.
12 Applies therapeutic relationship strategies based on theories and research evidence to reduce emotional distress, facilitate cognitive and behavioral change,
and foster personal growth.

Practice-Based Learning & Improvement

Demonstrates the ability to evaluate one’s own practice and improve outcomes of patient care based on best available evidence, constant self-evaluation, and life-long
learning.
1st Year
1 Identifies strengths, deficiencies, and limits in one's knowledge and expertise.
2 Sets learning and improvement goals.
3 Identifies and performs learning activities that address one’s gaps in knowledge, skills, and/or attitudes.
4 Uses information technology to optimize learning and patient care.

Communication & Collaboration

Demonstrates effective communication and collaboration with patients, their families, and interprofessional colleagues. Demonstrates the ability to practice within an
interprofessional team in a manner that optimizes safe, effective patient and population-centered care.
1st Year
1 Uses respectful language with preceptor, staff, patients, and families
2 Communicates effectively with all members of the interprofessional team involved in a patient's care.
3 Demonstrates understanding of roles and responsibilities of interprofessional team members.
4 Collaborates and participates with interprofessional team.
5 Manages conflict between personal and professional responsibilities.

Professionalism
Demonstrates a commitment to carrying out professional roles and responsibilities and adherence to ethical principles.
1st Year
1 Demonstrates accountability, dependability, and integrity when interacting with preceptor, peers, interprofessional healthcare providers, patients, and
families.
2 Practices ethically, including maintaining patient confidentiality, obtaining appropriate informed consent, and responding to medical errors.
3 Demonstrates respect for patient dignity, privacy, and autonomy.
4 Demonstrate sensitivity and responsiveness to a diverse patient population, including but not limited to diversity in gender, age, culture, race, religion,
disabilities, and sexual orientation .

System-Based Practice
Demonstrates awareness and responsiveness to the larger context and system of health care, as well as the ability to call effectively on other resources in
the system to provide optimal health care.
1st year Year
1 Incorporates considerations of cost awareness and risk-benefit analysis in patient and/or population-based care.
2 Advocates for quality patient care and optimal patient care systems.