For addiction psychiatry core competencies, the psychiatry specialist (by the end of PGY V) must be able to:

1. Learn to effectively balance patient care and health care resources.

2. Understand the interplay between governments and the health care sector in allocating finite health care resources as well as understand navigating patients between systems (addiction, mental health, justice etc).

Often systems have many barriers and exclusion criteria that inhibit the treatment of patients. Understanding the systems would allow for better patient care (this also overlaps with the Advocacy roles below).

3. Work to develop effective and efficient patient management strategies.

This includes avoiding duplication of services and/or try to obtain appropriate care for a patient (e.g. concurrent disorder patients often have duplication of some services while have none for essential components of their treatment); Obtaining appropriate patient information from other health care sources in a timely fashion; and the understanding and appropriate use of information technology.

4. Learn to effectively delegate responsibility to medical students and junior residents.

These skills will be taught and evaluated in the following manner:

1. Assigning residents to appropriate roles as they graduate through the core ranks and providing

2. Observation of trainees by rotation supervisors/attending physicians with feedback on an ongoing basis.