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


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.


[User Picture]From: jedisparkles
2010-05-16 03:43 pm (UTC)
Finishing Psych now, and our "call" was basically one evening per week, not all night, in our CPEP. This felt pretty appropriate in terms of what you could learn just being there triaging and seeing what the emergency setting was like. More than a few hours per week probably wouldn't work for us because only a few of the attendings there let us interview ourselves - most of what we did was shadowing. In terms of evaluating suicidal and homicidal ideation, we also did a bunch of this in our week of consult service at the main hospital.

For what it's worth, our school has multiple sites and each approaches the psych rotation. One site divides the students between the inpatient floor and the consult service, and the students don't switch. Some like ours do a little bit of everything. Some are only inpatient units, so there's no consult service to do. So really, I think that there are limits based on the way the clinical site works.
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