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Poll for call [May. 15th, 2010|12:56 pm]
med_students

med_students

[plungerdna]
My question is, how much call did you take as a medical student rotating in psychiatry and/or what do you think is a reasonable amount (please don't say no call... that's what I would have said as an MSIII) and what the learning objectives should be.

Also, any feedback on what was done while on call would be appreciated and what you learned from this experience (if anything).  Feel free to leave the name of your institution if you want or to remain anon that is fine too.

Cross posted in a few communities....

I am a resident in psychiatry and have Med Students complaining that the call is too much for them when they rotate at our facility, as other sites have less call.  Our facility is not attached to the medical school except to support rotating students.  I had much more call as a med students in psych and at my current institution its not really a lot of scut, but instead seeing patients in the ER and on the Wards with resident supervision and then participating in discussion.  We do not even have the students write a note and of course I am biased since this is my specialty, but I think that seeing a psych patient in an emergency setting and having to evaluate suicidal and homicidal ideation is valuable to a lot of other specialties (even though most other specialties seem to get frustrated with psych).

I am all about reform, but before I go to someone higher up in my chain of command I wanted more input.  I think part of the problem is that my program is a lot more intense and has a lot higher patient volume than some of the other places the students rotate in psychiatry.  Its definitely less than an IM or surgical work schedule and part of the problem is that the expection is that psychiatry should be an easy rotation.  If you can help me out by giving me feedback perhaps I could suggest some changes to my department if it is needed...or at least justify the expectations that we have now.

Thanks!
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Comments:
[User Picture]From: ndstoic44
2010-05-15 05:41 pm (UTC)
My psych rotation sort of sucked, and call was similar. We basically were expected to shadow someone after hours in the ED once a week. Honestly, I would have preferred to have no psych rotation and no psych call, so it's hard to say what amount of call I would consider "reasonable." I generally found the whole experience very uncomfortable and felt unsafe much of the time. I think that if the program really made efforts to emphasize safety I wouldn't have minded call as much. I actually got a pretty good amount of psych experience from other rotations (ie, psych interviews on my ED rotation).

I think that it would be fair to have students interview patients in the ED. I even think it would be ok to ask them to do this after hours as long as they had a call room where they could sleep and they had access to staff who would chaperon them if they felt unsafe seeing a patient alone. Honestly, though, I don't think that the experience I got after hours was any better or worse than the experience I got during regular hours.

That probably didn't help much. Sorry.
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