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Sleep deprived psych interns?
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No mistreatment but while driving home post call I dozed off and amost hit the pavement-this was the third time in 6 months. 6 very busy (no chance of sleep) calls a month, second year will be 3 calls, 3rd year 1 call, 4 th year no calls. Regular day work load is not much, get done by 2.00 but have to stay in for back up till 5.00 - only thing thats' a real pain in the b*** is the horrible call -mainly due to scutwork in admitting a new patient- everything needs to be self typed- no dictations, paper notes, verbal orders- takes an average of 2 and a half hour to three hours (official aveage is 4 hrs) to admit a patient. So if you are still interviewing please ask how much time it takes per patient in the ER and call schedule.
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Dude what? Seriously?
I'm an intern and I'm at the point where I can admit a patient (decent H&P @ 3am) in like 30 minutes.
I'm an intern and I'm at the point where I can admit a patient (decent H&P @ 3am) in like 30 minutes.
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yes that is all you need, but scutwork where you are typing all hpe and mse plus orders plus medications takes longer-thats why I recommended getting into details for scutwork or ''how long it takes to admit a patient'' if you are interviewing for a residency spot
So how is your call schedule- our calls suck, because you are wasting time typing, as I said average/ official is 4 hrs, I type fast so I save time and have my own templates but dude honestly not faster than 2.5 hrs. Interview does not take more than 20-30 minutes specially when pt is sitting in front of you and telling you 'I am God' or is someone who has a high frequency antenna in his head and hearing voices '' to kill the devil's agent''! But thankfully rest of the days are real easy and peaceful with excellent teaching and superb faculty. And the good news are they are planning to change the typing issue and hire round the clock transcription people. May be thats what we will get for christmas!
any ways all the best.
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On this note does anyone know of programs in the Southeast that have very little overnight call? I'm interested in a solid program in a smallish city. Night float doesn't bother me, or short call ('till 2100 or even 2300), but staying up all night without sleep makes me literally wanna vomit. Any ideas?
Thanks.
Thanks.
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I think it really depends on the program.
Psychiatry residency in general is not as demanding as the other medical fields, but there is a lot of variability in terms of working hours in psyche residency.
Most IM resdencies for example are tough--they'll work you the max if not more. I only knew of 1 program that didn't push their residents too hard.
As for psyche, I've seen a few programs that push the residents hard. North General in NYC works them 6 days a week, and makes them do maximum call schedule hours-all nighter every 3 days.
My own program, you work 5 days a week, as a 1st year you're on call about Q5-6, they're not all nighter calls and by the time you figure out how to run the unit you're working about 8-5, oftentimes ending earlier than that.
Bottom line: you can't say psyche residencies in general push hard schedules. You got to judge it per program.
Also depends on the program.
I can do a decent H&P in 15 minutes if I got a cooperative patient. Even less if I know the patient.
However several programs, you'll be spending about 1.5 hrs per patient. St. Francis in Trenton NJ, the program director demanded a 20 page H&P. Took 1.5 hrs, and that's if you were fast & efficient
Psychiatry residency in general is not as demanding as the other medical fields, but there is a lot of variability in terms of working hours in psyche residency.
Most IM resdencies for example are tough--they'll work you the max if not more. I only knew of 1 program that didn't push their residents too hard.
As for psyche, I've seen a few programs that push the residents hard. North General in NYC works them 6 days a week, and makes them do maximum call schedule hours-all nighter every 3 days.
My own program, you work 5 days a week, as a 1st year you're on call about Q5-6, they're not all nighter calls and by the time you figure out how to run the unit you're working about 8-5, oftentimes ending earlier than that.
Bottom line: you can't say psyche residencies in general push hard schedules. You got to judge it per program.
Also depends on the program.
I can do a decent H&P in 15 minutes if I got a cooperative patient. Even less if I know the patient.
However several programs, you'll be spending about 1.5 hrs per patient. St. Francis in Trenton NJ, the program director demanded a 20 page H&P. Took 1.5 hrs, and that's if you were fast & efficient
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Also depends on the program.
I can do a decent H&P in 15 minutes if I got a cooperative patient. Even less if I know the patient.
However several programs, you'll be spending about 1.5 hrs per patient. St. Francis in Trenton NJ, the program director demanded a 20 page H&P. Took 1.5 hrs, and that's if you were fast & efficient[/QUOTE]
The long time it takes at our program dueing admission process is because of typing requirement , doing HPI, MMSE, bprs, aims, orders, every thing needs to be typed. Solid liquid you are comparing paper notes/ dictation to typed notes, you are comparing apples to oranges. Not that we are slow and all ******s at our program ( and that you are extra efficient), dude it is the protocol we have to follow that is a pain.
I can do a decent H&P in 15 minutes if I got a cooperative patient. Even less if I know the patient.
However several programs, you'll be spending about 1.5 hrs per patient. St. Francis in Trenton NJ, the program director demanded a 20 page H&P. Took 1.5 hrs, and that's if you were fast & efficient[/QUOTE]
The long time it takes at our program dueing admission process is because of typing requirement , doing HPI, MMSE, bprs, aims, orders, every thing needs to be typed. Solid liquid you are comparing paper notes/ dictation to typed notes, you are comparing apples to oranges. Not that we are slow and all ******s at our program ( and that you are extra efficient), dude it is the protocol we have to follow that is a pain.
