A Day in the Life of a Resident

A Day in the Life of a Resident

PGY1

Tymberly Seim, M.D.

As an intern in psychiatry, you participate in 6 months off-service rotations where you complete other training outside of psychiatry in hopes of strengthening your basic medicine skills. Currently, I am off service on VA medicine wards. On average, my day starts off at 7am where I begin my day pre-rounding on my patients and figuring out my plan for them for the day. Next we round with the attending and make final changes to their treatment according to what is discussed. After rounds the remainder of the morning is spent putting in orders, discharging patients, or working on transfers. At noontime, there are conferences where upper level residents present interesting patients for learning. On non-call days, I leave between 2-3pm and return home to my family. On call days, I stay until 7-8pm admitting patients. After work, I return home and spend time with my 1 year-old son and husband. We like to frequent many of the vintage/antique stores in town, go out to dinner at any one of the fantastic restaurants around, or visit Cherokee Park for great playtime. Next month I will be working in the Emergency Department at the University Hospital. I am looking forward to carrying these special skills learned on these off-service months to my practice as a psychiatrist.

We made a big move to U of L for residency and have fallen in love with Louisville. It is a great city with unique perspective and lots of opportunity. I have really enjoyed my training experiences thus far. I am very happy with my decision to come to U of L for psychiatry training.

 

PGY2

Juan Pablo Galindo, M.D.

After snoozing in bed for a glorious 20 minutes, I finally wake up around 7:15. I get ready for work, take my dog to school (doggy day care) and enjoy the 7-10  minute drive downtown to Norton Hospital where I am on service with the psychiatry consult-liaison team. After enjoying a free breakfast in the doctor’s lounge of granola and fresh fruit, I settle down and review my patient’s electronic charts for any changes overnight. At 8 AM, one of my fellow residents who was on call the previous night calls me and updates me on any new consults that came in overnight. I then meet with the eager third year med students and assign them their patients for the morning. We then split off and I see my patients, taking my time listening to their concerns and providing supportive therapy. Because we don’t round until 1 PM, I then have plenty of time to write notes and come up with assessments and treatment plans to discuss with my attending later in the day. Even better is that I have ample time to go over high yield psychiatry topics with the medical students which is always rewarding. After rounding, putting in orders. and taking in the various medical gems of wisdom my attending hands out during the day, I head home around 4:45, pick up my dog and am home at 5.

My girlfriend and I live in the beautiful neighborhood known as the Highlands, lined with beautiful old trees and old Victorian homes.  It is the perfect setting to relax after a day’s work. Even better is that the neighborhood lines the famous Cherokee Park which is a haven for us, with its limitless walking/jogging trails, picnic areas, and beautiful scenery. On the other side of the neighborhood is the happening Bardstown Road, where we walk to amazing restaurants/bars and coffee shops. Being from California, I was skeptical of the Kentucky Life, but after being here for a year, I could definitely see myself settling down here.  This was only confirmed after I finally found a good Mexican food spot!

 

PGY3

Anjali Dhanda, M.D.

My day starts at 8 am with 30 minute med checks with the last patient being scheduled at 4:05 pm. We are given enough time to see the patient, formulate a plan and also have the patient precepted by an attending. This method allows for the resident to have autonomy with the plan and is a teaching opportunity while meeting with the preceptor to discuss the patient. We will occasionally be scheduled a 90 minute intake with a patient not previously seen by the clinic. We also have specialty clinics once a week: bipolar, suboxone and continuity (where we see our long term therapy patients). Once a week, we are allotted 1 hour to study for PRITE or the board exam, and also have a unique dream series lecture. Weekly didactics include journal club, morbidity and mortality, grand rounds, PRITE I-clicker series, year round lectures (the spring and summer didactics include movie lectures where we talk about psychopathology in cinema). If there is nothing scheduled during lunch, I usually spend that time eating with my co-residents. I am usually home by 5 pm and the rest of my day is spent hanging out with the other residents, checking out a new restaurant and reading.

 

PGY4

Sufian Ahmad, M.D.

I have started my final year of residency on our inpatient psychiatric unit at Norton Hospital.  As a senior resident, I generally arrive to the hospital around 7:30 am to pre-round on some patients, drink my morning coffee and prepare for morning treatment team at 8:00. Being a senior resident, my Attending lets me run the  morning treatment team to help prepare myself for practice after residency. I am currently working alongside two 2nd year residents on the unit and while they split caring for the majority of the patients on our 20-bed unit to gain experience, I will still carry a few of my own.  Since I’m no longer caring for as many of my own patients, much of my mornings are spent providing assistance to the residents, teaching, and acting in a supervisory role.   By noon, it’s time for a free lunch in the physicians’ lounge downstairs.

My afternoon schedule varies according to day.  Mondays are generally weekly didactic lectures from 1 until 5 pm, but for July and August, we are doing a film series on Monday afternoons  where we watch a movie with a psychiatric perspective and then talk about it at the end. On Wednesday afternoons, I have a Telepsych clinic where I usually see 5 to 6  patients, which is a unique experience getting to know patients out in the community. On Friday afternoons, I have a personal clinic at our outpatient building where I see a handful of weekly to biweekly therapy patients. On Tuesday afternoons, I meet my Supervisor/ Mentor  to talk about my therapy patients and any problems I am encountering.  Other days, I stay on the inpatient unit to finish daily notes, teach, study for boards, and assist with afternoon admissions.  After a 20 minute drive back home, I am home by 5 pm most days.  I no longer take overnight call, and average a 40-hour week these days.  This gives  me plenty of time to enjoy relaxing with my wife after work, watching TV, cooking, or going out to many of the amazing local restaurants in Louisville.