forced to do research by pd! ths is wrong!

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doomedgloomed

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I have no interest in research and yet my pd has started somethng new this year--a mandatory research requirement to do a lit revw journal art or poster....like wht the hell. It is going to be optional next year and was optional last year but for my year it is mandatory. IIs this even allowed. I feel like my program is ruled by a dictator. I mean nobody is interested in doing this but one person and my pd knows thisand yet still we r required. It is a lose lose situation and i feel. Completely powerless. My pd has said there is nothing we can do instead of it and thts tht. I mean what can i do?
 
A scholarly project is fairly standard issue for many residency programs. You're supposed to be an educated consumer of medical research, and having you prepare something is a reasonable way of facilitating that while you have the opportunity for academic supervision.
 
Oh boy. I'm going to sound very very judgmental.

I think the better residents that will eventually become a better psychiatrist will do a lit review, post presentation, journal article on their own if they are of quality unless for some reason they can't (e.g. the person is a parent or has strong commitments outside of residency).

It develops characteristics that will eventually transfer into attendings. There's a difference between the attendings that keep on the literature vs. the ones that simply want a job that pays about $100/hr that do poor quality work.

As an attending, you will occasionally get a case that stumps you. Only by dilligent work, consulting colleagues, and doing work very similar to a lit-review will you sometimes find the answer. Guess what? Ever see that type of attending that doesn't know what he's doing? He gives out wellbutrin to someone with panic disorder and after 6 months of that person still having that disorder the attending still doesn't know why it's working? There's a reason for that.

Now I don't want to sound judgmental. There are several who don't have the time to do research due to undertsndable commitments. It's not everyone's fit, but IMHO a lit review is not "hard" research. A lit review is merely reviewing the latest and presenting it in an easy to understand---"it's all here" manner instead of having 20 articles all advancing the state of the art without a cohesive one stop source. It's somethign a "real" doctor should be doing anyway at least mentally by keeping up with articles to make sure they are delivering quality practice, but in a lit-review, the person focuses on one topic.

But getting aside from my own personal judgment, if a PD makes a requirement above the standard demanded by the ACGME, that program should at least warn candidates while they are applying into the program. It is, unfair, in my opinion for a program to demand something out of a resident outside of ACGME requirements after the person has already started the program.

Again, I don't want to sound judgmental. If I knew you, you'd likely give me a very understanding reason why doing research is troubling you. If there's anything I can do to help via this forum let me know.

On my own, my first year and second years I did a research projects, 3rd year did work that led to an article being published, 4th year did a poster presentation at IPS. I was required to do a grand rounds.

As an attending, I'm currently working on a project that will be presented at the American Academy of Forensic Sciences convention in Chicago this February. I'm currently mulling with the idea to leave my state job and work for a university program so I can teach and do research.
 
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Given how skewed and industry-bought much "research" is, you better be able to read between the lines and get a thorough comprehension of how to read the relevance of the articles.
 
There is a requirement to this effect by the ACGME.
However, you don't actually have to publish. How your TD interprets that is up to them.

I agree with most of the above posts. Just do it. It is a VERY valuable lesson and you are going to have to learn it anyways.
 
A lit review is basically a 2-page paper. It won't take you that long, and if you choose something that interests you, you should enjoy it.

Like many med schools, we have to do research to graduate. So, having that requirement in residency doesn't sound too crazy.

Good luck to you
 
Maybe I have to feel how busy residency is to get it, but as of right now I just can't feel too bad for you. It sucks you have to do something you don't like, but a literature review is not really a big deal at all. I'm not sure if you can do so (what does journal art entail?), but a case study/educational review article is also pretty quick and easy.

How is this such a big issue?
 
I'm going to say something harsh and radical here: If you are not academically capable of constructing some level of reasoned, analytical approach to a question in psychiatry by discussing at least briefly what is known about that topic, based on the scientific literature available to you, then you do not deserve the title "Doctor", and I wonder what you have been doing with the last 8-10 years of your life.
 
I'm going to say something harsh and radical here: If you are not academically capable of constructing some level of reasoned, analytical approach to a question in psychiatry by discussing at least briefly what is known about that topic, based on the scientific literature available to you, then you do not deserve the title "Doctor", and I wonder what you have been doing with the last 8-10 years of your life.

Knives out, OPD!
 
I'm going to say something harsh and radical here: If you are not academically capable of constructing some level of reasoned, analytical approach to a question in psychiatry by discussing at least briefly what is known about that topic, based on the scientific literature available to you, then you do not deserve the title "Doctor", and I wonder what you have been doing with the last 8-10 years of your life.

I was actually thinking the same when I read the post. I tried to be a bit more diplomatic because sometimes someone is under extenuating circumstances.

That said, even if someone is under extenuating circumstances---this is one of those things we have to bear as a doctor to be worthy of that title. I've had several times where I came late to dinner, had to call of plans with the wife, burned the midnight oil, etc to figure out a case, not as a resident but as an attending. Residents have to pay their dues, but if you're worth your title as a doctor, even as an attending you'll have to put in the effort (though at least your quality of life will get better! Besides, if you are worth your title you should enjoy doing such things at least once in awhile!)

Good patient care needs to be our top priority. If someone does not believe in putting good care as a priority, and is not willing to engage in a lit-review which is something needed for good care....then this is the type of doctor I wouldn't want my friends or family seeing.
 
I'm going to say something harsh and radical here: If you are not academically capable of constructing some level of reasoned, analytical approach to a question in psychiatry by discussing at least briefly what is known about that topic, based on the scientific literature available to you, then you do not deserve the title "Doctor", and I wonder what you have been doing with the last 8-10 years of your life.

👍
 
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