I’m going to try to share a Day In The Life post for each of my rotations if I have time. Just like the first two years, I didn’t know what to expect when I got to clerkships, so hopefully this is helpful some of you.
I’m on the Psychiatry Consult and Liaison team right now. We get called in whenever another team (on the floors or in the emergency department) think a patient needs a psych evaluation. These can be for psychosis, depression, suicide risk assessments, overdose, competency to make decisions, etc. I’m learning a lot because the patients have such varying medical conditions along with their psychiatric issues.
Here’s this past Wednesday!
5:30am – My body annoyingly wakes me up a 1/2 hour early, so I lie in bed and mess around on my phone.
5:50am – Winston (the dog!) woke Alli up to eat breakfast and jumps on my bed to give me good morning kisses afterward.
6:00am – Alarm goes off. Up, make some coffee and get ready. I put on an episode of Grey’s Anatomy while I get ready because I stupidly started watching it again, thinking that I wouldn’t get that into it since I’ve already seen it before, but now I’m hooked.
6:45am – I make a Vega smoothie. I try adding some coffee to it today for some extra energy. Grab my things and go!
7:13am – I get to the Psych Consult office. Two of the other med students are there already so we chat a little while we get settled and upon up Epic to check on our patients.
7:30am – Our chief resident is here now. He’s looking through the patient list and organizing things. He confirms we are signing off on my patient from yesterday so I’m waiting to get assigned some new patients to see today.
7:45am – The chief resident observed my History & Physical yesterday, so and takes me into the hall to give me feedback on that and on the note I wrote. He was really happy with my note which is great, and gave me really good tips for better H&Ps! It’s really nice to have residents that take time to teach.
8:00am – I get assigned my patient, read up on him, then go talk to him for a bit and see how he’s doing.
8:45am – I’m back in the consult room, looking up more info on my patient while I wait for the attending to arrive.
9:10am – The attending physician arrives and is ready for patient reports. We all gather around (the current team is 3 residents, 1 nurse practitioner, four 3rd year med students and one 4th year sub-i, so it’s full in the little room!) Each attending has a different style, and this one likes to be very thorough. We go through all the psychiatric and medical details of each patient for a few hours. It is so great for learning, but it takes a long time!
12:00pm – We just finished reports, which is almost two hours longer than it usually takes. The attending is ready to start rounds, but we med students have Case Based Learning at lunch. We quickly grab lunch in the cafeteria and head over to the psych department building across the street. A few of the residents host this each week, and it’s mainly a time for us to bring cases or questions we want to talk about. It’s nice to see other friends, too!
1:00pm – Meet up with our team on the 9th floor to finish rounds.
1:45pm ish – We are finished rounding and head back to the consult room to check out the new patient’s we’ve been assigned. There are five new cases for us since the morning, so we divide them up amongst the students. I read up on my patient before going to see her. When I get to her room I find out she’s getting dialysis, so I go talk to her there and do a full psych H&P.
(what most of the afternoon looks like while we write our notes!)
2:30pm – Back to the consult room to write my notes. I’m still really slow at writing notes so it takes me a few hours. I want to make sure I get all the pertinent information, write it in the proper way, and read up on my patient’s differential diagnosis in the DSM-5 for a thorough assessment and plan.
4:00pm – The residents get back from clinic (or wherever they were all afternoon) and ask why we are all still there! Usually we are gone by now, but it’s been a long, busy day!
4:15pm – Our 4th year sub-i is being really great and offering to give us feedback on our notes. He reads through mine with me for a few minutes and then I make some edits before starting on my second note. The second one is just a progress note which is way quicker than a full H&P.
4:59pm – I click “Sign” on my second note and get ready to go!
5:20pm – I’m at the gym to do some legs. I changed clothes and then hop on the stair mill to warm up. After 10-ish minutes I quickly run through a few leg circuits:
- Squats + single lead dead lifts
- Barbell Lunges + glut kick backs + side lunges
6:15pm – I get home and go outside to find Alli doing a ton of yard work (as usual!) Her current project is turning a corner of our yard into a little garden! The pups and I hang out and talk to her for a few minutes.
6:45pm – Shower + dinner. I made PaleOMG Pizza Spaghetti Pie this week and heat some up. Hershey’s Kisses for dessert while I write some of this post and start on a presentation for tomorrow.
7:15pm – Start work on my presentation for the week. My attending assigned the med students a quick 5-10 minute presentation on a topic of their choice. I’m going to do mine on cannabis induced psychosis. An attending brought it up to me earlier in the week and I thought it was really interesting, so I wanted to learn more!
9:30pm – Finished my presentation. Time to get ready for bed! I’m going to watch some more Grey’s until I fall asleep.
10:00pm – Lights out!
For other Day In The Life posts, check out the Medicine Page.