Quirky fellowship question

Discussion in 'Psychiatry' started by nancysinatra, Dec 17, 2008.

  1. nancysinatra

    10+ Year Member

    Joined:
    Sep 27, 2007
    Messages:
    1,499
    Likes Received:
    343
    Status:
    Attending Physician
    Do people ever do fellowships in both C/A and geriatrics? What would that make them then--would they go back to being called a general psychiatrist? If they added a fellowship in C/L, then they could see ANY patient in the hospital! Except neonates maybe?

    Besides NICU patients and patients under general anesthesia (not counting for ECT), what other types of hospital patients are there that psychiatrists generally don't get to see too much of?
     
  2. Anasazi23

    Anasazi23 Your Digital Ruler
    Moderator Emeritus 10+ Year Member

    Joined:
    Feb 19, 2003
    Messages:
    3,504
    Likes Received:
    20
    Status:
    Attending Physician
    You can indeed do fellowships in both c/a and geri. However, the two will cancel all that training and your general training that falls between those extremes, you'll be forced to re-do residency from the beginning the day after your commencement from the latter fellowship.

    Psychiatrists see, as you assert, virtually every patient in the hospital (perhaps less-so with neonates). They see of course the general medical patient, acute reactions in the dialysis unit, the onco floor in droves, the SICU, the ICU, the CCU, the step-down, on rehab, on the surgery floor, in the PACU, in hospice, on detox, on the neuro floor, and just about everywhere else I can think of.
     
  3. Doc Samson

    Doc Samson gamma irradiated
    Physician 10+ Year Member

    Joined:
    Dec 2, 2005
    Messages:
    1,963
    Likes Received:
    10
    Status:
    Attending Physician
    We go everywhere. Gets us on to lots of hospital committees since all parties believe we know what it's like in their particular trench. In the past week I've been consulted (at least once) to the:

    MICU
    SICU
    Trauma ICU
    Neurosurg ICU
    Cardiac ICU
    Epilepsy unit
    ED
    Transplant unit
    Short stay unit
    Dialysis unit
    and of course, the general medical floor

    I don't see the kiddos, but the C&A folks are all over their units. Unusual week thus far in that I haven't been to L&D or post-partum. We don't have a burn unit, but at other hospitals I've been at, they tend to have a particularly heavy psych presence.

    I co-consult on cases with almost every subspecialty, with neuro, neurosurg, endocrine, renal, ID, GI, and pulm being the particular heavy hitters.
     
  4. nancysinatra

    10+ Year Member

    Joined:
    Sep 27, 2007
    Messages:
    1,499
    Likes Received:
    343
    Status:
    Attending Physician
    Do you ever find yourselves in the OR for any reason? (I mean, other than, say, watching a VNS placement or being operated on yourself).

    Do you ever go to radiology or have to consult pathology about anything? Maybe a drug test or something? I can't imagine having to go down to their lab for anything, unless it was to look at historical specimens of brains preserved in formaldehyde.

    I've also been trying to think of fellowships that would cancel each other out, but in psych I can't think of much. Sleep and pain, maybe, since if people are properly asleep they shouldn't feel pain?

    And why is there no fellowship for Middle Age Psychiatry? Isn't that when people typically have their mid-life crises (especially narcissists, I've heard?), and also isn't it in middle age that problems from earlier in life, like substance abuse, really get out of control? It seems like this age group deserves more attention!

    I like the idea of getting to be on committees! When can I sign up??
     
  5. Faebinder

    Faebinder Slow Wave Smurf
    10+ Year Member

    Joined:
    May 24, 2006
    Messages:
    3,507
    Likes Received:
    10
    Status:
    Attending Physician
    A senior of mine went to the OR the other day and even had to draw the uterus and ovaries for a patient who refused surgery for her ectopic pregnancy.... naturally they called psych... i mean how could you refuse surgery for a problem that no one bothered to explain to you? :rolleyes:
     
  6. Doc Samson

    Doc Samson gamma irradiated
    Physician 10+ Year Member

    Joined:
    Dec 2, 2005
    Messages:
    1,963
    Likes Received:
    10
    Status:
    Attending Physician
    Haven't been called to an OR, but have been to the PACU with fair frequency. The folks I know doing DBS typically have the psychiatrist in the OR. I've been called to rads a fair number of time for people "freaking out" in the scanner/refusing to get in in the first place.
     

Share This Page