Remember that everything you see is subject to HIPAA guidelines. Those standards of confidentiality are especially important in this realm. Do not discuss anything you see with anyone except your attending or supervisor (not your spouse or roomate or best friend or even your therapist if you have one. Period.).

Aptius is a program designed by our team to supervise psychotherapy. It’s like Skype but HIPAA compliant . You’ll see that it includes numerous features designed specifically for supervision of psychotherapy.

Signing in and starting up (then read on below for next steps)

(If you are using the computer for the first time, you may need a wired connection in order to sign into the Samaritan system. After that, it should work wireless if you have a connection and you are on the proper wireless network.)

Launch the program from your Medical Student computer desktop (blue-orange diamond icon).

  1. If offsite, call Samaritan Mental Health, ask for the attending.*
  2. Sign-in:
    • Your username and password should have arrived by email before the rotation began
    • Server:

*Call 541 768 5235 , introduce yourself as the medical student at xxxx Clinic, and ask for the Attending Psychiatrist who’s supervising residents doing psychotherapy.

On the Aptius homepage you’ll see a tab marked Supervise Sessions. Go there. You’ll see a list of active sessions you can observe.

The attending will give you the name of the patient(s) being seen so that you can look up the chart in the electronic medical record. Usually you’ll want to dig backward to find the first visit by that resident, the Initial Evaluation, to get a sense of who this person is and what brought them to treatment. As you listen you can work back up through more recent visits.

You may ask the Attending if you are stuck or puzzled by something. Please be respectful of their time: they’ll usually be working on something while listening to the resident. But they are also there to help with your education, so don’t hesitate to ask questions where warranted (from “how do I do this?” to “why is the resident choosing that approach to the patient at this point?” ). Don’t ask questions to try to impress the Attending. We’re psychiatrists, remember?