A Day in the Life of a PGY-4
by Kathleen H. Sauer — last modified Aug 19, 2013 04:23 PM
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.