- In general less hrs than medicine and much less than surgery
- Hrs vary by program I'd imagine, but PGY1-2 are heavier (which I think is typical of most psych residencies - front loaded) - could get up to 65-70/wk when you factor in call, but again that varies depending on institution. I interviewed at places that hit 60 maybe a month out of the whole 4 years. Some programs advertise no call period. I know some programs let you do outpatient for your medicine months too, so that should be super chill
- PGY3-4 usually outpt so a lot more chill, maybe 50 hrs/wk?
- Off service rotations will be institution dependent, I've been 65-85 depending on team/workload on medicine past 2 mos. Neuro is variable too, but in general 60-80 depending on how busy consults/inpatient can be
- Difficulty is subjective. You couldn't pay me to do OB/GYN, but obviously those that go into it love the field and they are much needed, just like everyone in medicine.
- Stress is also subjective. I personally do better talking to people about their behavior/mood/delusions/etc than trying to explain to someone with metastatic disease why they won't be walking again. Prob emotionally draining as everyone says, so depends on your forte
- People on inpatient psych are generally medically stable, but they can be stably sick (i.e. have chronic disease).
- When consulting you will see pts everywhere in the hospital from the floridly psychotic teenager trying to throw his poo at RNs to some postop hypoactive delirious old dude, they can be "sicker", but you are there to address their psych issues, though often med titration can involve consideration of their underlying medical illnesses (i.e. kidney/liver disease, other stuff being treated like infections with antibiotics etc)
- Would love to see others' input on these questions! Glad you have an interest so early (and if you're in med school/college, time to upgrade your flair
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