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Psychiatrists

SOC 29-1223.00Job Zone 5 · Extensive Preparationv.26.05

Context coveredThis framework covers the full scope of psychiatric practice across inpatient, outpatient, community mental health, and academic medical settings, from supervised residency training through executive clinical leadership.

Sources:O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.SkillsCrosswalkSkillsCrosswalk — O*NET enrichment + adjacency index. Opens in new tab.
Emerging
Entry / Apprentice
  1. Patient social and medical histories — collect and document under attending supervision in an inpatient psychiatric unit.
  2. Diagnostic interview findings — record accurately using standardized intake forms within an institutional clinical setting.
  3. DSM diagnostic criteria — apply to straightforward presentations under direct attending guidance in a residency training program.
  4. Laboratory and screening test results — interpret basic findings with supervisor review to inform initial differential diagnoses.
  5. Psychopharmacological treatment options — identify and present to supervising psychiatrists during case rounds in a hospital setting.
  6. Patient information — maintain in electronic medical record systems under established confidentiality protocols at a teaching hospital.
  7. Mental status examination components — perform systematically on assigned patients under direct clinical supervision.
  8. Active listening and empathic communication — demonstrate during supervised outpatient counseling sessions with adult patients.
  9. Interdisciplinary team discussions — participate in by reporting patient observations to physicians and psychiatric nurses during care conferences.
  10. Professional ethics and patient rights — recognize and apply foundational principles under mentorship in a clinical training environment.
Developing
Mid-level / Established
  1. Individualized psychiatric care plans — design using a range of pharmacological and psychotherapeutic modalities for routine outpatient cases.
  2. Patient histories and evolving clinical records — gather, update, and maintain with reduced oversight across an outpatient psychiatric practice.
  3. Mental disorder diagnoses — analyze patient data, test findings, and collateral information to formulate independently for common presentations.
  4. Psychotherapeutic treatments and medications — prescribe and administer according to evidence-based guidelines for established patient panels.
  5. Outpatient counseling sessions — conduct routinely, adjusting therapeutic approach based on patient progress and session feedback.
  6. Treatment plan progress — communicate to multidisciplinary teams including psychologists, social workers, and psychiatric nurses in scheduled case reviews.
  7. Guardians and family members — advise on patient diagnosis, prognosis, and treatment expectations using clear, accessible language in clinical office settings.
  8. Electronic medical record and billing software — use proficiently to document encounters, manage scheduling, and ensure accurate coding in a community mental health center.
  9. Standardized diagnostic and psychological test batteries — administer and interpret to distinguish between co-occurring or complex mental health conditions.
  10. Critical thinking and clinical judgment — apply when adapting treatment protocols for patients presenting with comorbid medical or substance use conditions.
Proficient
Senior / Expert IC
  1. Complex, treatment-resistant psychiatric cases — evaluate autonomously and develop multi-modal care plans integrating pharmacotherapy, psychotherapy, and community support resources.
  2. Comprehensive patient data sets including longitudinal records and specialist reports — synthesize to diagnose rare or atypical mental disorders across inpatient and outpatient settings.
  3. Non-routine psychopharmacological regimens — prescribe and titrate independently, managing polypharmacy risks for patients with comorbid medical and psychiatric conditions.
  4. Individualized care plans for diverse populations — design and revise dynamically, incorporating cultural, socioeconomic, and psychosocial factors in a full-scope psychiatric practice.
  5. Challenging outpatient and crisis counseling encounters — conduct with clinical autonomy, applying evidence-based therapeutic modalities including CBT, DBT, and psychodynamic approaches.
  6. Diagnostic laboratory and neuroimaging data — examine and integrate with clinical findings to rule out organic etiologies across the full spectrum of psychiatric presentations.
  7. Families, guardians, and significant others — counsel with depth and nuance about complex diagnoses, risk factors, and long-term prognosis in high-stakes clinical situations.
  8. Interdisciplinary collaboration — lead across physician, nursing, psychology, and social work teams to coordinate integrated treatment plans for high-acuity patients.
  9. Clinical documentation and outcome data — analyze using database and spreadsheet software to monitor population-level patient progress and identify practice improvement opportunities.
  10. Emerging psychiatric research and pharmacological developments — evaluate critically and integrate into autonomous clinical decision-making within an evidence-based practice environment.
Advanced
Lead / Principal / Executive
  1. Departmental psychiatric care standards and clinical protocols — establish and refine at organizational scale to elevate quality and consistency of patient outcomes across a health system.
  2. Residency and fellowship training programs — design and lead, mentoring early-career psychiatrists in diagnostic reasoning, therapeutic skills, and professional ethics.
  3. Institutional treatment philosophy and evidence-based practice frameworks — shape through strategic collaboration with hospital leadership, policymakers, and professional associations.
  4. Multidisciplinary psychiatric teams — direct and develop, fostering coordinated care models that integrate physicians, psychologists, social workers, and community health workers.
  5. Complex system-level mental health challenges — solve by applying advanced clinical expertise and organizational leadership to address gaps in care delivery across diverse patient populations.
  6. Organizational policies on medication prescribing, documentation, and patient safety — author and champion to ensure regulatory compliance and optimal clinical outcomes across departments.
  7. Academic and professional communities — contribute to through publication, peer review, and conference presentations that advance knowledge in psychiatry and behavioral health.
  8. Quality improvement and clinical outcome measurement initiatives — lead using data analytics and health information technology to drive evidence-based reform at the enterprise level.
  9. Stakeholder communication including boards, regulators, and payers — deliver with authority and persuasion to secure resources and shape policy affecting psychiatric service delivery.
  10. Ethical dilemmas at the intersection of psychiatry, law, and patient autonomy — adjudicate and provide expert guidance on at the institutional and policy levels, protecting patient rights and societal well-being.

AI-at-Work Competency Framework

Sources:Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab.Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab.WEF Skills TaxonomyWEF Skills Taxonomy 2021 — Building a Common Language for Skills at Work. Opens in new tab.
Subscriber feature

Authoritative source data identified for 998 occupations

How a worker at each mastery level uses, directs, and evaluates AI tools in this occupation. Each statement cites its evidence inline; click a citation chip to verify the source.

Emerging
  1. AI-assisted documentation intake — uses an LLM tool to draft initial patient history summaries from raw notes, then reviews the output for accuracy before adding to the medical record Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab..
  2. Clinical terminology lookup — queries an AI assistant for definitions of diagnostic criteria or drug interactions during preliminary case review, confirming results against authoritative clinical references.
Developing
  1. Differential diagnosis drafting — prompts an AI tool to generate a ranked list of possible diagnoses from structured symptom data, then applies clinical judgment to accept, reject, or reorder the suggestions Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab. Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab..
  2. Treatment plan templating — directs an AI assistant to produce a first-draft individualized care plan by specifying patient variables, then revises the plan to reflect nuanced psychosocial factors the tool cannot assess Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab..
  3. Literature synthesis — delegates structured searches of recent psychiatric literature to an AI tool, extracting evidence-based treatment options to inform prescribing decisions Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab..
Proficient
  1. Structured progress-note generation — assigns the drafting of SOAP-format progress notes to an AI assistant using session summaries, reclaiming significant documentation time while retaining full clinical narrative ownership Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab..
  2. Medication regimen review — runs AI-assisted cross-checks on polypharmacy combinations for contraindications and dosing thresholds, then exercises independent prescribing authority on the final decision Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab. WEF Skills TaxonomyWEF Skills Taxonomy 2021 — Building a Common Language for Skills at Work. Opens in new tab..
  3. Interdisciplinary communication support — uses an AI tool to draft care-coordination messages to psychologists, social workers, and psychiatric nurses, editing for clinical precision and relational tone before sending Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab..
  4. Patient psychoeducation content — directs an AI assistant to produce plain-language explanations of diagnoses and medication effects tailored to individual literacy levels, then reviews for clinical accuracy and therapeutic fit.
Advanced
  1. AI output audit and workflow governance — evaluates the reliability and bias of AI-generated clinical content across the department's documentation and diagnostic workflows, setting standards for when AI output requires mandatory clinician override Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab. WEF Skills TaxonomyWEF Skills Taxonomy 2021 — Building a Common Language for Skills at Work. Opens in new tab..
  2. Precision psychiatry integration — orchestrates AI-assisted analysis of multi-modal patient data (symptom inventories, medication history, lab markers) to inform individualized treatment optimization, maintaining interpretive authority over findings where active listening and social perceptiveness cannot be automated Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab. Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab..
  3. Human-AI collaboration protocol design — designs occupation-specific protocols that partition AI-automatable tasks (record synthesis, literature retrieval) from irreducibly human tasks (therapeutic alliance, ethical judgment), embedding these boundaries into residency training and clinical supervision frameworks Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab. WEF Skills TaxonomyWEF Skills Taxonomy 2021 — Building a Common Language for Skills at Work. Opens in new tab..
Evidence pack
AEI usage
Task observations: 75
Augment share: 7.5%
Time saved: 73.3%
AI autonomy: 2.91
SAFI positioning
Top skill: Active Listening
Score: 42.2 / 100
Quadrant: Q2_ai_augmented
precision: exact
WEF cluster
Human-Technology Interaction
human_technology_interaction
Sources:Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab.Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab.WEF Skills TaxonomyWEF Skills Taxonomy 2021 — Building a Common Language for Skills at Work. Opens in new tab.

Pathsmith Durable Skills Framework

Sources:Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Subscriber feature

Ten durable-skill domains mapped to four proficiency/role levels for each occupation. Each statement is aligned to the Pathsmith taxonomy, derived from trusted grounding data and mapped to occupation-specific O*NET tasks and skills.

1Communication11 statements
Emerging
  1. Patient intake narrative — elicits basic presenting symptoms and chief complaints through structured interview while maintaining a calm, non-judgmental tone Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Diagnostic vocabulary — uses foundational psychiatric terminology accurately in written case notes and verbal handoffs to supervising clinicians Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Developing
  1. Family psychoeducation — explains diagnosis, prognosis, and treatment rationale to guardians or relatives in accessible, non-clinical language during care conferences Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Interdisciplinary reporting — summarizes patient progress and medication response clearly in verbal rounds and written documentation shared with psychologists, social workers, and nurses Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Collateral history gathering — obtains corroborating clinical information from family members and prior providers through targeted, open-ended questioning O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Applying
  1. Therapeutic disclosure — delivers difficult diagnoses such as schizophrenia or bipolar disorder to patients using calibrated language that balances clinical accuracy with emotional sensitivity Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Treatment plan communication — authors individualized care plans with sufficient clinical detail and plain-language summaries for multidisciplinary team members and patients alike Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Medication consent dialogue — communicates benefits, risks, and alternatives of psychotropic prescriptions clearly enough to support fully informed patient consent O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Exceeding
  1. Systemic advocacy communication — translates complex psychiatric research findings into policy briefs, grand rounds presentations, or public-facing materials that influence clinical practice or community mental health standards Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Cross-disciplinary knowledge transfer — mentors residents and trainees in communicating differential diagnoses and biopsychosocial formulations with precision, empathy, and appropriate clinical authority Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Crisis narrative management — guides patients and families through acute psychiatric crises using real-time verbal de-escalation strategies that reduce immediate risk and preserve therapeutic alliance Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
2Leadership10 statements
Emerging
  1. Care team participation — contributes psychiatric perspective to treatment team meetings, advocating for patient-centered approaches under the guidance of senior clinicians Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Self-directed caseload management — organizes own patient schedule and documentation responsibilities with minimal supervision, demonstrating early ownership of clinical outcomes Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Developing
  1. Treatment plan ownership — takes primary clinical responsibility for designing and implementing individualized psychiatric care plans, coordinating input from psychology, social work, and nursing Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Trainee guidance — provides structured feedback to medical students or residents during clinical rotations, modeling evidence-based diagnostic reasoning and ethical patient interaction Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Applying
  1. Multidisciplinary team leadership — chairs case conferences and care coordination meetings, synthesizing input from diverse clinicians into coherent, actionable treatment strategies Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Clinical protocol development — leads departmental efforts to revise admission criteria, medication management protocols, or crisis response procedures based on outcome data and clinical evidence Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Organizational crisis response — directs psychiatric emergency response within an inpatient or outpatient setting, assigning roles and making rapid decisions under pressure Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Exceeding
  1. Psychiatric service innovation — leads the design and implementation of new treatment programs, community mental health initiatives, or integrated care models that measurably improve population-level outcomes Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Professional culture stewardship — models ethical, compassionate, and intellectually rigorous psychiatric practice in ways that shape departmental norms and inspire commitment to patient welfare across the care team Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Field-level leadership — contributes to national or regional psychiatric associations, clinical guideline panels, or policy bodies, influencing the direction of mental health care delivery Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
3Metacognition9 statements
Emerging
  1. Diagnostic self-monitoring — identifies personal knowledge gaps in DSM criteria or psychopharmacology and seeks targeted supervision or reference resources before clinical decision-making Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Clinical bias awareness — recognizes when personal assumptions about a patient's demographic background may be influencing the diagnostic impression and pauses to re-examine the evidence Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Developing
  1. Formulation reflection — reviews own biopsychosocial case formulations after peer consultation or supervision to identify reasoning errors, missed diagnoses, or incomplete data sets Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Learning strategy adaptation — adjusts approach to staying current with psychiatric literature based on reflection about which formats—journal clubs, case reviews, or CME—most effectively translate into clinical skill improvement Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Applying
  1. Prescribing pattern audit — periodically evaluates own medication prescribing trends against outcome data and clinical guidelines, identifying systematic deviations that warrant practice change Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Countertransference management — monitors own emotional responses to complex or challenging patients, distinguishing therapeutic reactions from personal biases to maintain clinical objectivity Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Uncertainty calibration — accurately assesses the limits of one's own diagnostic certainty, communicating appropriate confidence levels to patients and teams rather than projecting false authority Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Exceeding
  1. Expert metacognitive modeling — explicitly teaches residents and fellows to recognize cognitive shortcuts, anchoring bias, and premature closure in psychiatric diagnosis through structured case debriefs Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Practice evolution planning — constructs a longitudinal professional development plan that integrates reflection on clinical outcomes, peer feedback, and emerging research to systematically expand psychiatric expertise Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
4Critical Thinking9 statements
Emerging
  1. Differential diagnosis construction — generates an initial ranked differential for a psychiatric presentation by applying DSM criteria, ruling out organic causes, and considering comorbidities Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Evidence appraisal — evaluates the relative strength of patient-reported history, collateral information, and screening tool results when forming a preliminary clinical impression Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Developing
  1. Diagnostic data integration — synthesizes findings from clinical interviews, standardized assessments, laboratory results, and neuroimaging to refine or revise a working psychiatric diagnosis Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Risk stratification reasoning — applies structured clinical judgment frameworks to assess suicide, homicide, and self-harm risk, weighing static and dynamic factors to determine appropriate level of care Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Applying
  1. Treatment refractory analysis — systematically evaluates reasons for inadequate medication response by examining diagnosis accuracy, adherence factors, pharmacogenomics, and comorbid medical conditions Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Ethical dilemma resolution — analyzes competing obligations in complex cases—such as involuntary hospitalization, confidentiality breaches, or capacity determinations—by identifying assumptions, weighing principles, and reasoning toward a defensible clinical decision Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Comorbidity disambiguation — distinguishes overlapping psychiatric and medical presentations, such as differentiating depressive disorder from hypothyroidism or ADHD from anxiety, through systematic exclusion of alternative explanations O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Exceeding
  1. Diagnostic uncertainty leadership — manages diagnostically ambiguous or novel presentations by designing structured data-gathering protocols, consulting cross-specialty expertise, and iterating on working hypotheses with explicit clinical reasoning Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Systems-level outcome critique — critically evaluates departmental or institutional psychiatric outcomes data, identifying systemic patterns such as diagnostic disparities or medication overuse, and developing evidence-based corrective strategies Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
5Collaboration9 statements
Emerging
  1. Interdisciplinary orientation — participates constructively in team rounds, seeking to understand the roles and perspectives of nurses, social workers, and psychologists in the psychiatric care continuum Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Referral communication — initiates timely referrals to specialist colleagues with sufficient clinical context to enable seamless continuation of patient care O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Developing
  1. Coordinated care planning — collaborates with psychologists, social workers, and primary care physicians to develop integrated treatment plans that address biological, psychological, and social dimensions of a patient's condition Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Conflict navigation — addresses clinical disagreements with team members by inviting evidence-based discussion, acknowledging others' expertise, and working toward consensus in the patient's best interest Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Applying
  1. Integrated care partnership — co-manages patients with primary care providers in collaborative care models, providing psychiatric consultation, shared decision-making, and timely feedback to optimize treatment outcomes Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Family systems collaboration — engages families and significant others as active partners in treatment planning, psychoeducation, and safety monitoring while preserving appropriate patient confidentiality Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Crisis team coordination — collaborates in real time with emergency medicine, security, and behavioral health staff during acute psychiatric emergencies to ensure patient safety and appropriate disposition O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Exceeding
  1. Interprofessional model design — architects collaborative care frameworks that define role boundaries, communication protocols, and shared outcome metrics across psychiatric, medical, and social service teams Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Community partnership leadership — builds sustained collaborative relationships with community mental health organizations, schools, or justice system stakeholders to extend psychiatric care access to underserved populations Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
6Character9 statements
Emerging
  1. Patient confidentiality adherence — applies HIPAA standards and professional ethics codes consistently in managing patient records, disclosures, and information-sharing with third parties Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Boundary awareness — recognizes and maintains appropriate therapeutic boundaries with patients, avoiding dual relationships or actions that could compromise clinical objectivity or patient welfare Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Developing
  1. Informed consent integrity — ensures patients have genuine understanding of diagnosis, treatment alternatives, and risks before initiating interventions, even under time pressure or when patients are reluctant Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Cultural humility practice — examines personal cultural assumptions in clinical encounters and adapts diagnostic and treatment approaches to respect patients' cultural identities and values without stereotyping Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Applying
  1. Accountability in error — acknowledges diagnostic or prescribing errors transparently to supervisors, patients, and teams, initiates corrective action, and uses the experience to improve clinical practice Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Vulnerable population advocacy — consistently prioritizes the rights, dignity, and autonomy of patients with severe mental illness, intellectual disability, or diminished capacity, especially when institutional pressures conflict with patient welfare Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Documentation integrity — produces clinical records that are accurate, timely, and truthful, resisting pressures to alter documentation for billing, liability, or convenience purposes Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Exceeding
  1. Ethical climate leadership — actively shapes departmental or organizational culture by modeling and articulating high ethical standards in clinical practice, research conduct, and trainee supervision Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Systemic justice engagement — identifies and challenges diagnostic or treatment disparities affecting marginalized psychiatric populations, advocating for equitable care through policy, research, or institutional practice change Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
7Creativity8 statements
Emerging
  1. Therapeutic modality exploration — considers multiple evidence-based treatment approaches—including pharmacotherapy, psychotherapy, and psychosocial interventions—when constructing initial treatment options for a new patient Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Case conceptualization innovation — applies biopsychosocial and culturally informed frameworks creatively to generate hypotheses about a patient's psychiatric presentation that go beyond surface-level symptom matching Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Developing
  1. Individualized care design — adapts standard treatment protocols creatively to account for a patient's unique history, comorbidities, cultural context, and life circumstances, producing genuinely personalized care plans Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Novel psychoeducation methods — develops patient- and family-facing materials, analogies, or explanatory tools that make complex psychiatric concepts understandable and actionable for diverse populations Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Applying
  1. Treatment-resistant innovation — generates creative, evidence-informed clinical strategies for patients who have not responded to conventional pharmacotherapy, including augmentation approaches, somatic therapies, or cross-specialty collaboration Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Program design creativity — develops new group therapy formats, psychoeducation curricula, or integrated care workflows that address unmet clinical needs within the practice setting Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Exceeding
  1. Clinical research ideation — formulates original research questions, study designs, or intervention models that advance the field's understanding of psychiatric diagnosis, treatment, or prevention Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Systemic problem reframing — reconceptualizes persistent clinical or organizational challenges—such as high readmission rates or medication non-adherence—from novel angles that reveal previously overlooked solutions Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
8Growth Mindset9 statements
Emerging
  1. Supervision receptivity — accepts critical feedback from supervisors regarding diagnostic reasoning or clinical technique without defensiveness, identifying specific behaviors to change in subsequent patient encounters Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Diagnostic humility — approaches complex or ambiguous psychiatric presentations with curiosity rather than premature certainty, treating uncertainty as a learning opportunity Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Developing
  1. Continuing education commitment — actively pursues CME, journal reading, and case-based learning in areas of identified clinical weakness, tracking skill development over time Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Peer feedback integration — seeks and incorporates collegial input on challenging cases, adjusting treatment approaches based on new perspectives rather than defending initial clinical decisions Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Applying
  1. Setback reframing — responds to adverse clinical outcomes such as patient deterioration or treatment failure by analyzing contributing factors systematically and implementing practice improvements rather than avoiding similar cases Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Evidence base updating — revises diagnostic criteria application, prescribing practices, and psychotherapy recommendations as new research evidence emerges, even when it requires unlearning established habits Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Scope expansion initiative — voluntarily develops competency in emerging psychiatric modalities—such as transcranial magnetic stimulation, ketamine therapy, or digital mental health tools—to expand clinical effectiveness Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Exceeding
  1. Growth culture cultivation — creates a training environment where residents, fellows, and colleagues view diagnostic errors and clinical setbacks as structured learning opportunities rather than threats to professional identity Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Field-level learning leadership — engages with emerging paradigm shifts in psychiatry—such as precision psychiatry, dimensional diagnosis, or social determinants frameworks—and integrates validated advances into practice while guiding teams through the transition Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
9Mindfulness9 statements
Emerging
  1. Clinical presence — maintains focused attention during patient interviews, resisting distraction from electronic records or interruptions in ways that would compromise the therapeutic alliance Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Emotional signal recognition — notices shifts in own emotional state during difficult patient encounters—such as frustration, anxiety, or sadness—without allowing them to alter clinical behavior in that moment Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Developing
  1. Therapeutic attunement — sustains moment-to-moment awareness of patients' verbal and nonverbal cues during counseling sessions, adjusting communication style and pacing in response to emotional shifts Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Between-session recovery — employs intentional reset practices between patient appointments to prevent emotional carryover that could compromise the quality of care delivered to subsequent patients Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Applying
  1. Crisis presence — maintains regulated attention and deliberate, calm affect during acute psychiatric emergencies, modeling emotional stability that reduces patient agitation and supports team functioning Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Burnout-aware practice — monitors own wellbeing indicators—sleep disruption, compassion fatigue, cynicism—and takes proactive steps to address them before they impair clinical judgment or patient safety Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Intentional prescribing presence — approaches each medication decision with full situational awareness, resisting autopilot prescribing by reviewing current patient data before initiating, continuing, or changing pharmacotherapy Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Exceeding
  1. Mindful supervision modeling — demonstrates and teaches present-moment awareness and emotional regulation techniques to trainees as clinical competencies integral to effective psychiatric practice and clinician sustainability Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Organizational mindfulness advocacy — champions institutional practices—such as protected reflection time, structured debriefs after adverse events, and clinician wellness programs—that support mindful practice across the psychiatric workforce Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
10Fortitude9 statements
Emerging
  1. Clinical discomfort tolerance — engages with challenging psychiatric presentations—such as active psychosis, suicidality, or personality disorders—without avoidance, maintaining consistent professional functioning Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. High-stakes persistence — continues thorough diagnostic workups for diagnostically ambiguous or complex patients despite uncertainty and time pressure rather than defaulting to convenient but incomplete conclusions Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Developing
  1. Adverse outcome resilience — processes patient deterioration, treatment failure, or unexpected death with professional composure, extracting clinical learning while maintaining capacity to deliver quality care to other patients Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Morally distressing case engagement — continues to advocate for patients in ethically difficult situations—such as contested involuntary commitment, conflicting family demands, or resource constraints—without withdrawing from clinical responsibility Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Applying
  1. Chronic caseload endurance — sustains clinical rigor, empathy, and diagnostic quality across a high-volume or high-acuity caseload over extended periods without deterioration in care standards Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Courageous clinical advocacy — challenges institutional, insurance, or administrative barriers to patient care when they conflict with clinical necessity, accepting the professional friction required to protect patient welfare Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Stigma resistance — addresses mental health stigma within medical and community settings directly and persistently, even when doing so invites professional resistance or institutional inertia Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Exceeding
  1. Sustained field-level perseverance — maintains commitment to advancing psychiatric care quality, access, or equity over years or decades despite systemic obstacles, resource limitations, and professional setbacks Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Crisis leadership under duress — leads clinical teams through sustained high-acuity periods—such as mass casualty events, psychiatric surge scenarios, or public health crises—maintaining decision quality, team morale, and patient safety simultaneously Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Sources:Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
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Related titles
Addiction Psychiatrist · Adult Inpatient Psychiatrist · Adult Outpatient Psychiatrist · Adult Psychiatrist · Behavioral Analyst · Behavioral Specialist · Child and Adolescent Psychiatry Physician · Child Psychiatrist · Clinical Psychiatrist · Consulting Psychiatrist · DO Physician (Doctor of Osteopathic Medicine Physician) · Doctor
RAPIDS apprenticeships
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O*NET skills
Active ListeningSocial PerceptivenessCritical ThinkingSpeakingReading ComprehensionJudgment and Decision MakingWritingActive LearningMonitoringCoordinationScienceService OrientationComplex Problem SolvingLearning StrategiesInstructingPersuasionSystems AnalysisSystems EvaluationTime ManagementNegotiationOperations Analysis
Knowledge domains
Therapy and CounselingPsychologyMedicine and DentistryEnglish LanguageBiologyEducation and TrainingCustomer and Personal ServiceSociology and AnthropologyAdministration and ManagementPhilosophy and TheologyComputers and Electronics
Abilities
Oral ComprehensionOral ExpressionWritten ComprehensionWritten ExpressionInductive ReasoningDeductive ReasoningSpeech RecognitionProblem SensitivitySpeech ClarityCategory Flexibility
Work styles
EmpathyIntegrityDependabilitySelf-ControlAttention to DetailSincerity
Technology
Medical softwareTime accounting softwareBilling and invoicing softwareSpreadsheet softwareOffice suite softwareElectronic mail softwareWord processing softwareData base user interface and query softwareGraphics or photo imaging softwareInternet browser software
Tasks · seed anchors for statements
  1. Prescribe, direct, or administer psychotherapeutic treatments or medications to treat mental, emotional, or behavioral disorders.
  2. Gather and maintain patient information and records, including social or medical history obtained from patients, relatives, or other professionals.
  3. Design individualized care plans, using a variety of treatments.
  4. Collaborate with physicians, psychologists, social workers, psychiatric nurses, or other professionals to discuss treatment plans and progress.
  5. Analyze and evaluate patient data or test findings to diagnose nature or extent of mental disorder.
  6. Examine or conduct laboratory or diagnostic tests on patients to provide information on general physical condition or mental disorder.
  7. Counsel outpatients or other patients during office visits.
  8. Advise or inform guardians, relatives, or significant others of patients' conditions or treatment.
CIP education codes
51.120151.120261.010761.011761.012361.012461.240161.240261.240361.240461.240561.240661.2499

Sources: O*NET v30.2 (CC BY 4.0), SkillsCrosswalk.com, LER.me, Anthropic Economic Index, SAFI (Jadhav & Danve, 2026), WEF Skills Taxonomy 2021, Pathsmith Durable Skills Framework. © 2026 EBSCOed.