A Day in the Life of a Resident

A Day in the Life of a Resident

PGY1

Eugenia Brikker, M.D.

Eugenia Brikker, M.D.I normally arrive on the Inpatient Psychiatry Unit at University Hospital sometime between 7 and 8 am. My day starts with pre-rounding on my patients before joining the Attending Physician, other interns, medical students, social workers, and therapists at treatment team at 9 am to formulate comprehensive treatment plans for all of the patients on the Unit. Each of the interns then takes turns rounding on patients with the Attending and medical students – this is where a lot of teaching happens. After rounds the rest of the morning is then spent putting in orders, discharging patients, or working on transfers to other facilities. If there is not a lunchtime meeting, I have plenty of time to eat lunch with my co-interns. Afternoons are usually a lot slower. I spend my time working up new patients, dictating discharge summaries, teaching med-students, or going to didactics. On days that I am not on call, I usually leave the hospital around 5pm. After work I go to yoga at a local wellness studio and after I may grab dinner out with friends at one of the many local restaurants. So far I’ve found intern year to be a great experience and I couldn't be happier with my decision to stay at the University of Louisville for my training.

PGY2

Muhamedlatif Saiyad, M.D.

Muhamedlatif Saiyad, M.D.My alarm beeps and I snooze it off only to wake up in the next few minutes as my team meeting starts promptly at 8 and I need to be there on time. We have our attending, social workers, nurses and other residents in the room.  We go through behavioral issues that happened overnight with each individual patients  and the future treatment plan on each of our patients during that time. It’s a great opportunity  to discuss doubts about patient and get valuable input regarding outpatient follow up and resources available from the social workers.

After that usually we see the patients and write our notes and discuss with the attending if any changes are needed in the plan later during the day. Around 12-1 is when we take our usual lunch break in a great cafeteria with multiple choices.  We catch up with colleagues in other rotations during the period and usually plan our social get-togethers.

Being a typical Monday morning, I have my afternoon long term continuity clinic where I see my long term psychotherapy patients once a week. I have my supervisor, Dr. Ruth, who is amazing with psychodynamic therapy.  We meet every Friday and discuss my patients, learning how to go about therapy with a particular patient and brainstorm ideas.  Usually my day gets done by 5 p.m  on Mondays.

Other days of the week, we have a great curriculum with Didactics on most weeks, a mortality and morbidity conference once every month from different  clinical sites, Journal club once a month which gives us an opportunity to discuss an article that a resident usually presents and a great learning opportunity.

Coming to Louisville has been remarkable.  It has the choicest of restaurants and places to hang out after work and usually most of the psychiatry residents are an enthusiastic bunch. Best part of the residency has also been my amazing colleagues from different areas and the diversity that my program offers.

PGY3

Kimberley Siscoe, M.D.

Kimberley Siscoe, M.D.Third year of residency has been quite exciting so far!  Up until now my training has been mostly inpatient work and all third year service sites are outpatient.  My day usually starts at 8 AM and I am usually done my work by 5pm.  I have my own office which I have decorated with unique art work and furniture.  Currently, I am at the U of L resident clinic and I see patients alone or with medical students and then present patients to the attending who then briefly sees the patient.  It has been really great to have so much autonomy with my treatment plans!  I also get to take part in bipolar clinic and Suboxone clinic, which are both one afternoon per week.  I also continue to see my long term therapy patients that I followed during my second year of residency.  The resident clinic also has 1-2 seminars per week which are reserved times to talk about different topics or challenging issues in outpatient care.  I also take call twice per month in emergency psychiatric services at U of L hospital and also occasionally cover the consultation and liaison pager for one week at a time.  In 6 months time I will start at a new outpatient service site at the VA which I really look forward to! Third year is where I am really learning to work with patients and fine tune their treatment which is both challenging and satisfying!

PGY4

Brian Quinn, M.D.

Brian Quinn, 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 8 am to pre-round on some patients, drink my morning coffee and prepare for morning treatment team at 8:45.  I am currently working alongside two interns 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 interns, teaching, and acting in a supervisory role to help prepare myself for practice after residency.  The morning goes by quickly but at a comfortable pace.  By noon, it’s time for a free lunch in the physicians’ lounge downstairs (and I never pass on free anything).

My afternoon schedule varies according to day.  Mondays are generally weekly didactic lectures from 1 until 5 pm.  On Thursday afternoons, I have a personal clinic at our outpatient building where I see a handful of weekly to biweekly therapy patients.  Starting in a few months, I will begin participating in a resident Suboxone clinic to gain some addition exposure with substance dependence treatment (as I plan to apply for addiction fellowship after this year).  Other days, I stay on the inpatient unit to finish daily notes, teach, study for boards, and assist with afternoon admissions.  After a 30 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 affords 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.