Being an intern in any residency is exciting, intimidating and challenging but if you are a PGY-1 resident at Griffin, you can know that you will be offered plenty of support. Intern year is the hardest year of any residency program by default and it is no different for our interns as well. A typical year consists of inpatient rotations, medicine, and neurology as well as the child psychiatry rotation. A regular day on inpatient unit starts with a formal 30 min check out with Dr. Ardoin and the on call resident Monday through Friday at 7:30 am. After check out residents head to their assigned units and conduct treatment teams with their supervising faculty. These treatment teams last typically until noon. Residents complete their notes and take care of patient care needs later during the day. Inpatient residents also cover admission in the ER on designated days. Wednesday and Fridays are our didactic days in the afternoons. As interns we cover weekend shifts for the whole intern year to keep in line with ACGME work hour requirements. A typical weekend call consists of walk in evaluations, emergency detention patient admissions, house call coverage for our 4 inpatient units as well as admissions and house call coverage at the Children Recovery Center. As interns at Griffin, we get a minimum of 8 weeks of supervised call experience from July to August along with short call with supervision during those two months as well. Having upper level residents with us for 8 weeks helps us transition from students to residents and eventually transition into independent confident interns. While we are off campus for rotations, we follow the schedule set by the respective rotation.
Life as an intern is a blur at times but knowing that there are residents who have gone through this before us and are there to help us transition is definitely one of the best parts of being an intern at Griffin.
Transition to PGY-2 is a great time for our residents. Confidence continues to build from intern year and PGY-2's transition into more independent care. The whirlwind of intern year is behind us and it is time to settle down and assume the leadership role of helping the incoming intern class. Long gone are the weekend calls and we are ready to move into the weekday call pool with a post call day and a more consistent presence at Griffin. Second year consists mainly of inpatient months at Griffin, a child psychiatry month, two consultation liaison months at OUHSC, and a month of forensic medicine as well as telemedicine. A typical day on inpatient is similar for interns and 2nd years with the exception of a higher patient load for PGY-2's. As a PGY-2 you start to carry therapy patients and attend weekly therapy supervision with your supervisor. The didactic schedule remains the same for 2nd years and interns.
Life as a 2nd year is definitely less hectic and very well earned after a challenging intern year. This is also a time to have more consistent presence at GMH and a great time to bond with each other and fellow residents as you assume more of a leadership role in the program.
PGY-3 Residents (Dr. Lail not present)
PGY-3 is the time to move on to the world of outpatient psychiatry. There are 12 months of outpatient clinic as a 3rd year resident. A typical day starts at 8:00 am, with med clinic Monday through Friday. Residents see patients in 30 min time slots for follow ups and 1.5 hour slots for new evaluations. We get supervision daily and attending are available at all times. A typical 3rd year carries approximately 150 patients for our case load. 3rd years are also able to choose from variety of tracks including therapy, child, substance, and med management. This year is essential for learning skills to establish self as an independent psychiatrist and get ready to graduate in a year. 3rd year call responsibilities are similar to 2nd year call responsibilities. As 3rd years we continue to see our therapy patients and supervisors for our therapy cases. 3rd years have didactics on Friday afternoons.
Life as a 3rd year resident is geared towards independent practice in preparation for life outside of residency. This is the year when most of us also start to moonlight and exert the skills we have learned so far as independent physicians.
This is the last year of residency. A year to get ready for graduation, start getting ready for board exams and variety of rotations including child residential unit, research, and clinical elective months. In addition as 4th year residents we do not have call duties other than the 8 weeks of initial supervision with the intern class. A typical day as a 4th year revolves around the rotation we are assigned to at the time.
Life as a 4th year is the last step towards finally saying good bye to life as a resident, moving on as fully trained physicians and taking on life as psychiatrists. It is exciting, intimidating and challenging much like the intern year, as the training comes full circle as we prepare for our careers in medicine.