Looking at this thread. One has to note that dhm deleted all of his responses the same day that we got a flood of positive reviews of this program.
IT could be for a multitude of reasons. DHM may have been the voice of honesty now quieted, he/she may have been a troller.
The internet affords anonymity, and that creates situations where people are more honest than they would be otherwise or more dishonest.
I mentioned in a few other threads about when I interviewed at LIJ. Similar situation, someone posted a very bad review. I later felt the review was unfair because I talked to several residents at LIJ under the table and they thought the review was way off. Being that it was under the table, I felt the reviewer was unfair.
In this particular situation we don't know the exact reasons.
Anyways, I agree with what's been said above about calls. If you do more intense calls, you learn more & more quickly. However (one branch of my program does follow the 11pm model, the other branch of my program does the all night model), I felt the learning curve for psyche calls topped off by the end of my first year. There's still more to learn but I still felt I learned as much with an off-site call instead of the on-site call being that the program is 4 years and there's less acute situations in psychiatry vs other fields (e.g. in IM, anything can happen, including psychiatric emergencies. In psyche, IM emergencies are rare and usually handled by IM).
(I also think medstudents wanting to go into psychiatry shouldn't do so many psyche electives, because they're still going to eventually reach the same learning plateau. Why not then learn some other fields of medicine outside of psyche, especially ones that'll help you in psyche practice?)
However I do think that its better for the IM rotation to include IM calls, and intense ones at that because its only 4 months. As a psyche resident you're probably never going to work in IM ever again, you're done with it before your learning curve plateaus. THat's it--nada later. You need to learn as much in this as you can while you're in it. (my program--one branch doesn't have IM calls, the other does-I'm criticizing one end & praising the other end).
I feel that as a psychiatrist, we need to make double sure we learn our medicine. I've seen enough psychiatrists not know their medicine to the point where its bothersome.
