Friday is probably the busiest and most representative day for me. I start at 8:00 A.M. by attending on the inpatient unit, where I supervise 2 residents and 2 medical students. Our service is typically very hectic, with approximately 12 to 16 patients on any given day and a very high level of acuity. We see everything from severe eating disorders to alcohol detox patients, and most patients have, in addition to complex psychosocial issues, reluctant insurance companies. My biggest challenge becomes finding a way to take care of patients, get their stay paid for, and all the while find time to teach the residents and medical students. Unfortunately, when things really get busy, the only teaching that goes on occurs in the heat of the battle. I use the word "battle" only somewhat metaphorically, because at times it really does feel like a war zone up there. The patients often have severe personality disorders and substance dependence and resist appropriate treatment. I spend a good deal of time trying to manage their interpersonal issues, which if untended can wreak havoc on the unit. Meanwhile, I am on the phone with insurance companies everyday, trying to justify the
A Friday in the Life of an Academic Psychiatrist
Abstract
Friday is probably the busiest and most representative day for me. I start at 8:00 A.M. by attending on the inpatient unit, where I supervise 2 residents and 2 medical students. Our service is typically very hectic, with approximately 12 to 16 patients on any given day and a very high level of acuity. We see everything from severe eating disorders to alcohol detox patients, and most patients have, in addition to complex psychosocial issues, reluctant insurance companies. My biggest challenge becomes finding a way to take care of patients, get their stay paid for, and all the while find time to teach the residents and medical students. Unfortunately, when things really get busy, the only teaching that goes on occurs in the heat of the battle. I use the word "battle" only somewhat metaphorically, because at times it really does feel like a war zone up there. The patients often have severe personality disorders and substance dependence and resist appropriate treatment. I spend a good deal of time trying to manage their interpersonal issues, which if untended can wreak havoc on the unit. Meanwhile, I am on the phone with insurance companies everyday, trying to justify thePreview Only. This article cannot be rented because we do not currently have permission from the publisher.
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A Friday in the Life of an Academic Psychiatrist
Lembke, Anna
Follow Academic Psychiatry
, Volume 27 (3): 214
American Psychiatric Publishing, Inc (Journal) – Sep 1, 2003
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