Adult Psychiatry

Location

Rush

# Weeks

4

Hours/week on site

<20, 41-50

Open to M3s?

yes

Scheduled through OASIS?

yes

On Rush schedule?

yes

# other students

1, >4

Prerequisites

psych core

Interviewing/Step 2 flexibility

they don’t care if you take days off as long as you tell them ahead of time

Overnight call?

no

Work weekends?

variable

Weekend call?

no

Is there an exam at the end of the rotation

no

Students required to give a presentation

yes

Teaching hours/day

1-3

Teaching style

Patient rounds, Morning report/Case conference, Lecture given by resident or attending, Student presentations, Goldberg rounds

Suggested reading/pocket contents

Anything you used for core psych will do.  DSM-IV or pocket psychiatry green book.

Structure of rotation

Team-based, One-on-one with attendings/residents

Individual notes and patient interactions were one-on-one with resident or attending, but daily meetings with team to discuss cases.

Amt/quality of time residents/attendings

1-3 hours per day with residents and attendings.  Similar to M3 core rotation.  Rounds with Dr. Bagri 3x/week, and rounds with senior daily.  Regular interaction with residents regarding patient care.

Proportion of time evaluating pts alone

75-100%

# pts evaluated/day

2-4

Procedures

never

Typical day

You see your patients (usually 2-3), drop a note in the chart, and attend "rounds" with Dr. Bagri for one hour per day. Residents do not also see your patients- you share them only with Dr. Bagri.

If one of my patients were undergoing ECT, meet at 7AM in PACU with Dr. Bagri for ECT for about 1:30 hours.  Then see patients, meet with team at 9AM.  At 10AM, rounds with Dr. Bagri for 2 days a week, otherwise additional time to see patients and write daily progress notes.  On Thursday, R1 lectures go from 8-12:30.  On Friday, Goldberg Rounds go from 8-10:30.   We see patients afterward.  Typical day goes until 3-4PM.  Occasionally, work lasts until 5-6 PM.

Usefulness for any residency (# stars/5)

3, 4

Usefulness for this residency (# stars/5)

5, 5

Useful for other specialties

medicine, Psychiatry,  Neurology,  Family

Overall rating (# stars/5)

3, 5

Recommended to other students (# stars/5)

3, 5

Other comments

Experience overall is good, but our role as M4 is poorly defined.  We act as R1-equivalents, except we are limited in our ability to make decisions for our patients.  More guidance and contact with the senior resident would have been helpful