A Day in the Life of a Resident
A Day in the Life of a Resident
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.
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.
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, subxone 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.
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.