- Joined
- Dec 16, 2016
- Messages
- 443
- Reaction score
- 307
So this isn't going to be a popular position, but I have to disagree here, and disagree quite strongly.
I've been fortunate enough to get to oversee residents at a few programs in my young career, and the quality of the residents at any particular point in their training is directly related to the amount of call they've taken. Reflecting on your patients is great and all, but it's no substitute for seeing a large number of patients that are otherwise similar, and being able to pick up the subtle differences in presentation and being able to tell when something is "off" that you need to worry about...and having the experience to know what you need to do: from actually doing it, multiple times. I take call at a pretty cushy program and I find myself frustrated at the level of resident diagnostic and management skill I see on weekend coverage, and it mostly comes down to "It's already Feburary. You should have more experience with this stuff by now."
People on this thread every year tend to laud programs that ease their interns into the program, but I was fortunate to fall into a program that tosses their trainees into the fire early on and was a lot of work throughout. It allowed me to become a lot more confident as a clinician more quickly in training and allowed me to develop more advanced skills with a better basic foundation. The more you see, the more you know, and the less you miss. It's still psychiatry. Even the worst programs have a pretty good lifestyle during training.
Agreed. I’m just happy that those extra hours will be gathered while being paid moonlighting hours rather than under the residency. More autonomy, harder, and undoubtably some of the best experience we can get. Fortunately our staff are supportive in these endeavors and often willing to share advice even “off service” when needed.