A Day in the Life of a Resident

A Day in the Life of a Resident

PGY-1

Raven R. Price, M.D.

As a psychiatry intern, you’ll rotate through 6 months of psychiatry rotations and 6 months outside psychiatry to supplement and strengthen your general Raven Price, M.D. (PGY-1)medicine.

My first month as an intern was spent on Norton Hospital’s Psychiatry Consult Service.  The Norton psychiatry consult team consists of an attending, a fourth year resident, three medical students and an intern. We would except consults from 8am till 5pm during the week. The consult service is covered by an upper level resident after 5pm during the week and on the weekends.  Along with accepting new consults, we round on previous consults that we were taking care of. I would arrive at about 8am each morning and round on my patients. The residents and the medical students meet each day for lunch and review the patients for the day. Afterwards, we place orders and write notes. When the attending arrives, we round on all of the patients, presenting them to the attending. After rounding on all of the patients, we  discuss the patients and make appropriate changes to the patient orders and notes.

Two days a week, the interns attend lectures lead by an upper level resident, and once a week we attend academic hour with the psychiatry department with lunch provided. During this month I worked 3 week day shifts (5pm-10pm), 3 weekend shifts (8am-8pm), and 1 holiday shifts (8am-8pm) in the University of Louisville’s Emergency Psychiatry Services (EPS).  This is a good experience because there are few programs that offer/have an emergency psychiatry area that is separated from the main ER. Since my first rotation, I have completed a rotation in the ER and I am currently in Internal Medicine at the VA. I feel as though the attendings and residents that I have come in contact with are genuinely interested in teaching me and improving my understanding of medicine. I have enjoyed my time here at UofL thus far and I am happy with my decision to come here.

 

PGY-2

Parth Brahmbhatt, M.D.

Parth Brahmbatt PGY2

A typical day in a life of a PGY-2 resident varies, depending upon the rotation. I am currently working at 3N, the inpatient psychiatry unit at University hospital. We start our day with pre-rounding at around 8 AM. We go through the patient charts, mark any changes, and see the patients assigned to us. We typically carry around 8 patients as a PGY-2 resident. After pre-rounding, we go to the treatment team meeting at 9 AM. The treatment team is made of physicians, residents, nurses, social workers, therapists and medical students. We go through each patient on the unit, share information, discuss any critical issues, and formulate plan for the patient. Then, we round with the attending and medical students. After rounding, we work on the documentation, orders, and obtaining collateral information. Then, depending on the day, we have different activities in the afternoon, which includes didactics, outpatient clinic or grand rounds. After that, we return to our unit and finish any pending work. We usually get done by 5 pm.

Weekend days are more relaxed. You have more freedom, in the sense of when you want to start your day, as there are no treatment meetings on the weekends. Usually, we start our day little early, round with the attending, and get done fairly early. Regardless of what day of the week it is, the day is very relaxed. There is an ample support from other staff, students and attending themselves. There is a lot of learning, as well as teaching (to the medical students). We usually see very sick patients on the inpatient unit and there is an immense satisfaction at the end of the day. 

After work, I spend most of my time doing various activities with my wife. Things that we do as a couple are watching TV, going to different parks for hiking and, of course, eating at the wonderful restaurants in Louisville. Some days, if I am lucky enough, I get a chance to play video games :-p.

Overall, I am extremely happy that I chose this program to train in psychiatry. It offers excellent training, great work-life balance, and is located in an amazing city. 

 

PGY-3

Tymberly Seim, M.D.

PGY - 3, Tymberly Seim, M.D.

As a 3rd year resident, life is pretty good! This year is dedicated to practicing in the outpatient setting. We rotate through three sites throughout the year: the VA, Centerstone (Louisville's community mental health system) and U of L Ambulatory Care. One morning a week, I see my long-term psychotherapy patients, which has been a very valuable part of training. I have several patients that I have been following since the beginning of my 2nd year, and it has been special to grow with them as a psychiatrist. I discuss my patients with a long-term supervisor, who imparts techniques in various types of psychotherapy.

Most days, I am awoken at 6:30 by my 3-year old son crawling into my bed. After several deep discussions and maybe a storybook, I am getting ready by 7:00, out the door by 8:00 and to the VA Shively clinic by our 8:15 treatment team meeting. The physicians, as well as the nurses, social workers and support staff, discuss upcoming cases for the day. Then I see patients, making medication adjustments or additions based on clinical picture, and providing supportive psychotherapy. It is sometimes amazing to see how much I have learned in the past 2 years! After seeing patients, I discuss cases with my attending supervisor on site. The attendings are all very open, approachable and love to teach. By 4pm I am heading home or to yoga class. I have plenty of time balance life outside of residency. /p>

My family and I live in the Portland neighborhood -- the most historic neighborhood in Louisville -- which is undergoing an exciting revitalization. Portland is a burgeoning artist hub with endless opportunity. My husband, an artist-musician, is completing the first artist in residence in Portland. It is a great time to be here! Coming from Portland, OR, we have been really happy with Louisville -- a culturally rich, historic, vibrant city that is exceptionally family friendly. (And the food is stellar!) And I am very happy with my choice to come to U of L as I believe it has provided great training. I will be completing my fellowship in Child & Adolescent Psychiatry here at U of L, which I believe is a testament to the great co-residents, attendings and opportunities here.  

 

PGY-4

Cuneyt Tegin, M.D.

Cuneyt Tegin PGY4

As a fourth year, I am mostly able to shape my own rotations. Fourth years have 3-month electives which allow us to create a schedule that can satisfy our interests. I have spent a month of an elective rotation reading a psychopharmacology book. There are no calls (except 3 weeks consult coverage), which gives us huge number of free weekends.

As a fourth-year resident, part of our duty is working as a junior attending at the inpatient unit for 3-12 months, depending on what we prefer. While at the inpatient unit, we have treatment team at 9 a.m. which include nursing staff, social workers, residents, therapists and the attending. Our general adult psychiatry patients are treated by talented PGY-1 and PGY-2 residents and hard-working medical students, and we discuss treatment plans with them. 

I work at The Survivors of Torture Recovery Center half a day per week. This is a special outpatient clinic which serve survivors of torture who are refugees from 20+ different countries. The other outpatient clinic opportunity that I have is my own weekly psychotherapy clinic. I also cover telepsychiatry clinic occasionally, when one of my colleagues is out of office. 

In addition to seeing patients, I also work on clinical trials with Dr. Rif El-Mallakh that focus on psychopharmacology. 

I attend our weekly didactics on Wednesday afternoons, Academic Hour on Thursdays, and I have two hours each week protected for individual psychotherapy supervision.

In my free time, I play kick ball, run, play baglama, go fishing, take care of my chickens 🐔, lovebirds, go on road trips to different parts of the country, and read.