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Also how much call, if any, does your program have in PGY4?
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How much elective time do you get in PGY4?
- Thread starter ksharp33
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A lot (5-6 months). None. If that makes sense 
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With the exception of two 4-week blocks of consults, our entire year is electives. Other than our time on the consult service, we don't take any regular call.
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No call third or fourth years for us. I believe we have a tequired forensic rotation but otherwise the entire fourth year is elective. Honestly apart from three half day clinics our entire third year is essentially elective as well (must do a community psych rotation but have many options). I made my own elective for third year and I am not even the only one in my class to have done this.
Then again, 70 hour weeks were not that rare for me second year so part of me feels like I earned it.
Then again, 70 hour weeks were not that rare for me second year so part of me feels like I earned it.
Rough. My program never violates duty hours or even gets near it. Basically 8-5 M-F (but often less), one whole day of didactics per week, weekend call Q7-8 weekend, and short call probably once every two weeks. But the downside is we take call up until the last 6 months of pgy4
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No call 4th year. We keep our outpatient panel through 4th year (and do a few new intakes), but other than that its all electives.
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Our program had no call R4, later started administrative call. Electives were basically "extra hands" on other rotations, were residents took more of a supervisory roll, no "real electives" to be spoken of unfortunately..
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7-8 blocks of electives, and no call except for possible "buddy" call where you help out interns as they learn the ropes. Usually don't even have that. Have 5 blocks that are required.
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If you wind up with lots of elective time in 4th year, put it to good use. Get into a specialty clinic for the year. When you graduate it can be a great help to say you have focused experience in such and such. I didn't appreciate the added value just a little extra experience can get you in the real world when so many adult psychiatrists look the same on paper.
No real electives in 3rd year, though most of it is outpatient. Two months of consult and two months of ED are fairly taxing, 10-11 weekend 12 hour calls for ED.
Fourth year 7 months of elective time, 4 months of IOP + 2 specialty clinics (5 half days of clinical duty), one month of child day hospital. Overall 7-8 weekend 12 hr ED calls, 4-5 child overnight calls for the children's hospital. We also started Jeopardy this year, so we now have 10 "backup" calls.
Fourth year 7 months of elective time, 4 months of IOP + 2 specialty clinics (5 half days of clinical duty), one month of child day hospital. Overall 7-8 weekend 12 hr ED calls, 4-5 child overnight calls for the children's hospital. We also started Jeopardy this year, so we now have 10 "backup" calls.
4th year is nothing but elective time at my program with the exception of a half day a week of required psychotherapy but the site (university vs state vs VA) and type of therapy (DBT vs CBT vs supportive etc) is completely up to the resident so it's essentially an elective. If not doing a research project we also get 2 months of mornings of elective time during 2nd year.
Call in 4th year is <10 evening calls (2.5 hours) teaching or backing up the interns and 4 weekend day calls (12 hours) again teaching and backing up the interns. 4th year call is often completed by December unless residents trade shifts to do them later in the year.
Call in 4th year is <10 evening calls (2.5 hours) teaching or backing up the interns and 4 weekend day calls (12 hours) again teaching and backing up the interns. 4th year call is often completed by December unless residents trade shifts to do them later in the year.
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Three weeks of night float 3rd year + some weekends.
Half of your FTE in 4th year is elective, the other is ongoing required outpatient time. Lots of "chief"-ships, less common for people to actually follow-through with making their own elective experiences. I think people are too burnt out by 4th year to electively add a bunch of work to their lives. It does happen, though.
4th year we rotate taking "teach call" (backup for the PGY1-3 to run things by us if they don't think it's at attending level yet).
Half of your FTE in 4th year is elective, the other is ongoing required outpatient time. Lots of "chief"-ships, less common for people to actually follow-through with making their own elective experiences. I think people are too burnt out by 4th year to electively add a bunch of work to their lives. It does happen, though.
4th year we rotate taking "teach call" (backup for the PGY1-3 to run things by us if they don't think it's at attending level yet).
