Procedures in Psychiatry

[detroitdoc]

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Hi fellow psychers,

I have always intended on going in to psych and i love it. I am realizing that i really enjoy doing procedures. This is making me consider neurology but i am torn because i love psych. Can i do any procedures as a psychiatrist?

If anyone has thoughts or advice, please let me know.
Thank you so much! 🙂

 

[OldPsychDoc]

Hi fellow psychers,

I have always intended on going in to psych and i love it. I am realizing that i really enjoy doing procedures. This is making me consider neurology but i am torn because i love psych. Can i do any procedures as a psychiatrist?

If anyone has thoughts or advice, please let me know.
Thank you so much! 🙂

There's always ECT, as well as its new versions: TMS and VNS. I suppose you can also insist on doing your own LPs and IV placements, if you want--but I'd rather talk to the patient...

 

[MJD503]

Speaking of procedures, I would LOVE to see any videos of modern/old school versions of ECT and/or video of Lobotomy... Anyone? A quick Google search turned up nothing of substance.

 

[PublicHealth]

Speaking of procedures, I would LOVE to see any videos of modern/old school versions of ECT and/or video of Lobotomy... Anyone? A quick Google search turned up nothing of substance.

Shadow a psychiatrist who does ECT. This is MUCH better than watching a video, as you'll get a sense of what each person in the room (psychiatrist, anesthesiologist, nurses, etc) does during an ECT session.

 

[iatrosB]

Speaking of procedures, I would LOVE to see any videos of modern/old school versions of ECT and/or video of Lobotomy... Anyone? A quick Google search turned up nothing of substance.

Look for a psychiatry museum around your area. I know where I'm from, there is a psychaitry museum that is quite interesting with relics of old techniques. Tom Cruise would love it since only he "knows the history of psychiatry".

 

[detroitdoc]

Look for a psychiatry museum around your area. I know where I'm from, there is a psychaitry museum that is quite interesting with relics of old techniques. Tom Cruise would love it since only he "knows the history of psychiatry".

Thanks for all of the replies. I don't know much about ECT, where is the psych museum you speak of?

 

[iatrosB]

Thanks for all of the replies. I don't know much about ECT, where is the psych museum you speak of?

The one I am refering to is in Missouri. I am not sure if there are any in your area, you might check the yellow pages.

 

[50960]

Hey, I removed a patient's brain today...Does that count?? 😱

 

[Anasazi23]

Only if they were alive and you did it under sterile conditions. 😛

 

[BCS_001]

Hey everyone, I had a quick question on the topic of procedures. How does training for the various procedures work? I know my home school's program includes a rotation in ECT, but would you need extra post-graudate training and/or certification? Additionally, how about for VNS or TMS? It has been my understanding that neurosurgeons did VNS?

Thanks!

Take care 🙂

 

[OldPsychDoc]

Hey everyone, I had a quick question on the topic of procedures. How does training for the various procedures work? I know my home school's program includes a rotation in ECT, but would you need extra post-graudate training and/or certification? Additionally, how about for VNS or TMS? It has been my understanding that neurosurgeons did VNS?

Thanks!

Take care 🙂

There is usually a separate credentialling process to have ECT privileges in a hospital. This involves documentation of a number of "proctored administrations", and is often done as an advanced elective during residency. Typically, though, you get some supervision and mentoring from the ECT service director(s) at the hospital where you are proposing to perform the procedure as you are starting out your career. (This is helpful, as every place has little "quirks" re: anesthesia preferences, internal documentation, etc., etc,...) There is a society that certifies and credentials ECT providers as well.

VNS is probably going to be in cardiology or neurosurgery territory, as it involves actual cutting--though "outpatient level". We'll probably be "tweaking the dials" though. TMS is still a ways away...