Psychiatry rotation - office based practice

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2DEG

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I am starting my second rotation in psychiatry with a physician who has a solo office-based practice. Because of family, she doesn't work full-time. I wonder if I will miss out a lot by not being in a hospital setting. I guess I will.

I plan to read First Aid Psychiatry and do questions. But unfortunately, I didn't have any choice. I was supposed to do my rotation with someone else..but I learned that he left the practice and I had to find someone with a very short notice.
 
It depends on what kind of patients the psychiatrist sees and how much she lets you do. Some outpatient psychiatrists see a wide range of patients. Work on your interviewing skills. Ask to do more. Ask if she knows anyone who sees patients in the hospital and if she can ask them to let you go there too. You can learn a great deal on outpatient. If you do not get to do much, you need to let your med school know and get them to help you out.
 
Thank you for your response. I am learning a lot from this rotation. Fortunately, this psychiatrist is a great teacher. I am doing some interview but I definitely need to work on that skill. She told me that she will try to find someone so that I can go to the hospital sometimes.

I see a lot of adolescent/child cases, some adults too. I have to say, before doing this rotation, I didn't know much about psychiatry practice. But so far, this has been a great experience. I like the fact that the doctor has to think comprehensively - medical side, psychological etc.

It depends on what kind of patients the psychiatrist sees and how much she lets you do. Some outpatient psychiatrists see a wide range of patients. Work on your interviewing skills. Ask to do more. Ask if she knows anyone who sees patients in the hospital and if she can ask them to let you go there too. You can learn a great deal on outpatient. If you do not get to do much, you need to let your med school know and get them to help you out.
 
Thank you for your response. I am learning a lot from this rotation. Fortunately, this psychiatrist is a great teacher. I am doing some interview but I definitely need to work on that skill. She told me that she will try to find someone so that I can go to the hospital sometimes.

I see a lot of adolescent/child cases, some adults too. I have to say, before doing this rotation, I didn't know much about psychiatry practice. But so far, this has been a great experience. I like the fact that the doctor has to think comprehensively - medical side, psychological etc.

I kinda wished I had more outpatient experience than hospital experience for psych. At least in an outpatient clinic you have a much less chance of getting assaulted by a patient.
 
For me inpatient part of my rotation was >>>>>> then outpatient. Inpatient is where you see the real crazies. Try to get some hospital experience. Its much easier to identify an acute manic or acute psychotic episode on a board question when you have seen it live and took part in the management.
 
If you are interested in psych as a career, the outpatient experience should be good. I don't have hard numbers, but I think somewhere around 75% + of care takes place in the outpatient setting. This should give you some idea of what a future career would be like.

You might not see acute presentations, but you could learn a lot about follow up.
 
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