Disciplinary Psychiatry

[Anasazi23]

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I read this article a long while back, but recently found it again in another forum. It talks about being a resident, and the 'disciplinary psychiatry' techniques that unabashed PDs use to punish residents, among other things.

http://www.findarticles.com/p/articles/mi_m1374/is_6_63/ai_110459878

I've personally seen this happen 3 times. Though, I can't necessarily say it wasn't warranted.

Has anyone else?

What about the rest of the article? Any similar experiences in psych residency?

 

[Doc Samson]

I read this article a long while back, but recently found it again in another forum. It talks about being a resident, and the 'disciplinary psychiatry' techniques that unabashed PDs use to punish residents, among other things.

http://www.findarticles.com/p/articles/mi_m1374/is_6_63/ai_110459878

I've personally seen this happen 3 times. Though, I can't necessarily say it wasn't warranted.

Has anyone else?

What about the rest of the article? Any similar experiences in psych residency?

I've seen it happen in other specialties... usually cluster B personality disorders that make the resident a nightmare to work with. Not sure that I agree with "disciplinary psychiatry" as a description, more like "required personality remediation." It's still better than just being fired, and (in my experience) represents a genuine desire to help the resident understand their difficulties and give them the tools to work through them.

Googling the author of that article, seems OSU didn't renew her contract after 1 year of neuro residency, prompting her to sue. Final decision in 2004 was to deny her case. Looks like she's an attorney in AZ now.

 

[Poety]

I've seen it happen in other specialties... usually cluster B personality disorders that make the resident a nightmare to work with. Not sure that I agree with "disciplinary psychiatry" as a description, more like "required personality remediation." It's still better than just being fired, and (in my experience) represents a genuine desire to help the resident understand their difficulties and give them the tools to work through them.

Googling the author of that article, seems OSU didn't renew her contract after 1 year of neuro residency, prompting her to sue. Final decision in 2004 was to deny her case. Looks like she's an attorney in AZ now.

Soemone said in the other thread there was hitting going on? I'd love to see someone hit me and think they're not gunna pay for the rest of their life for doing it ohhhhhh maybe I should get someone to hit me, so i can sue and get payed ... just enough to cover my loans?? !! 😱 😉 😀 🙄

 

[Hurricane]

Soemone said in the other thread there was hitting going on? I'd love to see someone hit me and think they're not gunna pay for the rest of their life for doing it ohhhhhh maybe I should get someone to hit me, so i can sue and get payed ... just enough to cover my loans?? !! 😱 😉 😀 🙄

I know surgery residents who have been head-butted (to the point of a nosebleed), rapped on the knuckles, and had instruments thrown at them. If anyone needs some "disciplinary psychiatry", it's not the residents...

Anyway, I have not seen the disciplinary psychiatry thing at my med school. If you do see a psychiatrist, they have it set up so that students get a reduced rate with a group that doesn't have any teaching responsibilities, so you won't run into them ever in a professional setting. And they make a big deal about confidentiality. But as the author mentioned, voluntary psychiatric care is very different from what she's talking about.

 

[Doc Samson]

I know surgery residents who have been head-butted (to the point of a nosebleed), rapped on the knuckles, and had instruments thrown at them. If anyone needs some "disciplinary psychiatry", it's not the residents...

I've also heard of attendings getting the same offer... therapy or dismissal. It really is a chance to remediate, not a punishment.

 

[Poety]

I've also heard of attendings getting the same offer... therapy or dismissal. It really is a chance to remediate, not a punishment.

Hurricane, you know of HEADBUTTING? oh nonnonononono - goes to show medicine really does attract some of the brightest.... and some of the most socially inept around 🙄

 

[Anasazi23]

Hurricane, you know of HEADBUTTING? oh nonnonononono - goes to show medicine really does attract some of the brightest.... and some of the most socially inept around 🙄

I know a guy who was shoved in the OR by an attending. He nearly fell over, then stormed out and told the surgeon to meet him outside at the end of the day.

I know three residents who have been admitted to inpatient units while in residency. It was either "do this, or you're fired."

 

[Poety]

I know a guy who was shoved in the OR by an attending. He nearly fell over, then stormed out and told the surgeon to meet him outside at the end of the day.

I know three residents who have been admitted to inpatient units while in residency. It was either "do this, or you're fired."

Yuck, what specialty?

 

[Anasazi23]

Yuck, what specialty?

One surgery, two medicine.