Which programs are strong in eating disorders ?

[iqureshi7]

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Would like your feedback on which programs are strong in eating disorders?

Thanks in advance.

 

[Dienekes]

😴

 

[MBK2003]

Columbia/NYSPI has 2 months in PGY-2 on an inpatient eating disorder unit, and a large cohort of outpatient EDO patients via their treatment arrangement with Columbia & Barnard.

I leave out my editorial comments about the struggles of treating reluctant EDO inpatients. 😉

MBK2003

 

[Dienekes]

😴

 

[OldPsychDoc]

Walk in with an Ewald gastric lavage tube instead of a feeding tube and tell them the choice is either eat or this *wave end of tube a little* is going up your nose (lie to them, they don't know any better)* and see how quick most will agree to that turkey and cheese sandwich.

You've really never done this before, have you....🙄

*(Every ED pt I've ever had the misfortune to treat has known very well what they can and can't get by with...)

 

[Dienekes]

You've really never done this before, have you....🙄

*(Every ED pt I've ever had the misfortune to treat has known very well what they can and can't get by with...)

No, I haven't (especially since I'm a premed)....but it was told to me by an EM doc. I was not vouching for its validity, just stating something I was told.

 

[MBK2003]

No, I haven't (especially since I'm a premed)....but it was told to me by an EM doc. I was not vouching for its validity, just stating something I was told.

Not to start a war of flames (she says with great trepidation), but not everything EM doctors tell you about the diagnosis and treatment of psychiatric illnesses is true.

MBK2003

 

[Dienekes]

Not to start a war of flames (she says with great trepidation), but not everything EM doctors tell you about the diagnosis and treatment of psychiatric illnesses is true.

MBK2003

Of this, I am well aware. I don't consider treating a malnourished patient necessarily a psychiatric problem. The underlying problem maybe psychiatric, but the initial management is medical. He was not speaking towards getting to the root of the patient's problem, but simply correcting the comparatively easily remedied issues.

 

[Therapist4Chnge]

*Some of the comments in here are unprofessional, and I'd suggest being more responsible with the posting, or the thread will be locked.*

If there are any other inappropriate posts, please report them.

-t

 

[Hurricane]

I don't know which programs are considered the best, but here at UTSW there is a ED unit that we rotate on as a PGY1, which everyone loves, and of course ample elective time. Our neighbors to the south at Menninger are supposed to have a really nice ED program, so I would guess Baylor residents get good training in this area...

 

[whopper]

In NJ, there's an Eating DO clinic at Princeton's Medical Center.

Problem is Princeton doesn't have a residency.

So--the next best thing is if you're a resident close to Princeton--E.g. UMDNJ at Piscataway, Camden or Stratford, you can set up an elective.

I just did and I'm starting in October.

 

[pingouin]

Strong programs to which I routinely send my child/adolescent ED patients for treatment include University of Iowa, Colorado/The Children's Hospital in Denver, and Children's Hospital in Omaha (which was associated with Creighton, but someone there told me that was severed.. website doesn't reflect it, though).

I know that St. Louis U psych has added a 2-month elective rotation at a local residential treatment facility as of this year.

 

[zen76]

10 weeks in PGY2 on inpatient floor dedicated exclusively to eating disorders at WPIC in Pittsburgh + PGY4 electives inpt or outpt

 

[BabyPsychDoc]

Of this, I am well aware. I don't consider treating a malnourished patient necessarily a psychiatric problem. The underlying problem maybe psychiatric, but the initial management is medical. He was not speaking towards getting to the root of the patient's problem, but simply correcting the comparatively easily remedied issues.

You are missing the point entirely. Everything in management of an anorexic patient is "psychiatric", starting from your greeting and initial assessment. Trying to categorize the interventions into "medical" and "psychiatric" is a mistake in this case. And trust me, feeding an anorexic patient is not "a comparatively easily remedied issue".

 

[billypilgrim37]

Everything in management of an anorexic patient is "psychiatric", starting from your greeting and initial assessment. Trying to categorize the interventions into "medical" and "psychiatric" is a mistake in this case.

Double true. You're not describing medical management, you're describing rape. No one starves to death in the ED. They have fatal arrhythmias from electrolyte imbalances, but those are correctable without threatening a vulnerable patient with assault.

I'm usually the first to appreciate gallow's humor, so if we were in the same room and you were obviously being sarcastic, I'd probably laugh with you. But EDs require a sensitivity that most of us aren't necessarily willing to tread on, for many reasons.

There are plenty of card-carrying feminists in psychiatry, even among those of us with Y chromosomes, and I'm certainly one of them.

 

[PsychMD2100]

Dienekes,

You seem to be aware of a lot of things for a premed student. Learn more about eating disorders before posting.

 

[cleareyedguy]

That's a tough question. There are programs that have very well-known, well-funded senior researchers who are poor teachers, and others whose popular teachers are neither especially knowledgeable nor well connected. There are programs that will give you no guaranteed inpatient time but will prepare you well by providing excellent supervision in treating inpatients with borderline personality disorder and then providing excellent outpatient supervisors for the ed patients. You can ask around a bit, and you might find a specific mentor, but unless you anticipate a research career or have some actual background (in which case, I might politely email researchers directly after you interview), I'd go with the place that appears to offer the best overall training.