So after finishing the psychiatry clerkship I can honestly say that things have gone by way too fast! It seems like third year just started, but here I am halfway done with it. I know I say that every time I post, but it is so true. You will not believe how fast medical school goes by, especially during your third year. I’ve been at it since July 1 and it seems like it has only been a two months since I stepped into the hospital with my white coat on for the first time.
The psychiatry clerkship was six weeks long. I spent three weeks on the inpatient unit and three weeks doing consults. I also had experience with outpatient psychiatry one afternoon a week. The inpatient unit was probably my favorite portion of the clerkship. It was a great opportunity to really sit down and talk to patients and learn their stories. I did not feel as rushed as I did with patients during family medicine and I really had as much time as I needed to get their stories. And let me tell you, some of the stories I heard are very sad, while others are quite comical. For example, I had a patient tell me I looked like John Lennon. I don’t see it.
The consult service was interesting in its own way. These were patients that other services, like a hospitalist, would consult us on for various reasons. Most of the time we were asked to determine if a patient had the capacity to make medical decisions. Other times we were helping to manage depression and anxiety. There was a lot of down time during the consult service but I learned a lot during it and the residents had plenty of time to teach the medical students.
I must say that I was not interested in psychiatry at all before starting this clerkship. However, my opinion has changed a little. In the first two years of medical school we do not get much exposure to psychiatry. We have one course that lasts a few weeks during second year and that is about it. Don’t get me wrong, I have always been interested in surgery and still am, but if I ever lose my hands I will definitely put psychiatry as one of my top choices.
We also had a meeting about fourth-year scheduling a week or two ago. Fourth-year scheduling? What?!?!?! It is hard to believe that I will soon be entering my last year of medical school and I still feel like there is so much more to learn. As far as the scheduling is concerned I am feeling a little lost, but I really have not taken the time to sit down and think about it yet. Perhaps by the next time I post I will have a finalized schedule.
Pediatrics is up next for me and I am not sure how I feel about it. I know it will be a mix of inpatient and outpatient medicine but other than that I don’t know what to expect. See you in 8 weeks!