A Day in the Life of a Resident

PGY-1

Ali A. Farooqui, M.D

The PGY-1 year in psychiatry serves as an introduction to the specialty and to medicine in general. Our program has been conscientiously structured to provide incoming residents with a firm foundation in general medicine and the clinical neurosciences. As such, the year is divided into 6 months of psychiatric rotations, 2 months of Neurology, 2 months of Internal Medicine, a month in Emergency Medicine, and a month in Pediatrics. This allows our residents to be well equipped to manage and treat the varied pathology that we will be exposed to at the University of Louisville’s diverse academic environment.

The year starts with a rotation in Psychiatry. I personally rotated at the University Hospital’s Inpatient Psychiatry ward, which was a rewarding educational experience. The medical treatment team consists of an attending, a PGY-4 resident, and either three PGY-1s or two PGY-2s. Each day begins with the residents pre-rounding on their respective patients, reviewing patient’s charts for any overnight events, and seeing any new admissions to the unit. Table rounds begin at 9 am, with the entire treatment team, which includes the clinical staff, social work, nurse managers, therapists, and other support staff. This allows residents to be informed and involved in all aspects of a patient’s care, and in the process we learn systems based practice. Following table rounds we begin formal teaching rounds with the attending physician; and the day culminates with residents following up on notes, orders, and general daily patient care.

In addition to the responsibilities of each specific rotation, our program emphasizes didactic education and professional development. As such, we attend weekly lectures with our fellow residents and a weekly academic hour with the entire department. The topics of discussion range from current research, to psychiatry board review. In addition, we cover one or two weekend shifts in the Emergency Psychiatry Service. This unique opportunity allows us to be introduced to patients with the highest level of clinical acuity early in our training. Overall, our program is designed to train well-rounded psychiatrists that can comfortably practice in today's ever-changing medical and mental health landscape.

When not in the hospital, the residents in our program enjoy an active social life and soak everything that Louisville has to offer. Whether it is sports, rock climbing, musical concerts and festivals, hiking, culture, arts, theater, or cuisine; Louisville has everything and our residents and faculty are involved in every imaginable social and community activity. We have a wonderful work-life balance, and are given the opportunities and support to develop personally, professionally, and academically.

 

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

Raven Price, M.D., M.H.A.

Raven Price, M.D. (PGY-1)

During the fourth year, I am mostly completing electives and inpatient rotations. While on the inpatient unit, I am getting practice running the unit as if I were the attending. I am supervising lower level residents, leading treatment teams with social workers, therapists, and nursing staff, as well as making treatment plans for patients. All while under the supervision of an the attending physician.