Clerkship Update: In-Patient Psychiatry

Happy 2019 dear readers! I hope you had a fantastic December holiday!

Clerkship Updates! I have just completed a month in In-Patient Psychiatry and I have to say that it was an extremely humbling and eye-opening experience! My rotation consisted of following patients in the psychiatric unit, doing consults and reassessments in the ER, reassessing medical patients with psychiatric symptoms on a number of different wards, as well as interviewing and assessing families in Child Psychiatry.

What I learned from this rotation

I went into this rotation with trepidation because I felt I did not have much experience managing mental illness but I learned so much from my patients about their life-stories, hardship and resilience. I was humbled by what they have been through and how far they have come. I was surprised by how attached I got to some of my patients and how much emotion I felt towards them. These were people from all walks of life. It could be me, it could be you. A very humbling experience. I also feel that this rotation really helped me improve my interviewing skills which will be very applicable to my interests in Family Medicine.

What I enjoyed most

Seeing my patients get better and discharged from the hospital, particularly after a long admission! I also really enjoyed the human side of medicine on this rotation. Many of my patient interviews were simply about getting to know the person in great detail, which was really a wonderful and sometimes emotional experience. The teaching and support during this rotation was also excellent, with plenty of opportunities to share our reactions and feelings about the rotation.

What I struggled with the most

The greatest challenge for me on this rotation was wondering if I was really helping my patients significantly. But I was amazed how many patients appreciated simply being listened to during their moments of crisis and how the hospital was actually a refuge and place of stability for them.

My take home message

My In-patient psychiatry rotation was really great. I learned so much from the staff and patients. I am realizing now more than ever that it is really important to reflect on each day and process the feelings you have about what you see. It is human nature to feel the pain others have and so I feel it’s important to process these feelings in a way that works for you. Some suggestions include reflection, art, music, talking about it or writing about it.

Next rotation….Urban Family Medicine! Thoroughly excited! Stay tuned for more updates. Wishing you all the best for 2019!

Featured image courtesy of medium.com

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Christmas morning!
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Christmas morning!
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Birthday girl!
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Family time in the Laurentians!

 

2 thoughts on “Clerkship Update: In-Patient Psychiatry

  1. Hi Malaika
    It’s so interesting to read your posts about all that you are
    learning! Thank you for that privilege!
    If I may invoke my age and life experience for a moment, may I
    suggest that you should not completely leave this subject behind?
    In your role as a family doctor you will definitely need to
    understand about mental illness and it’s lesser cousins. This is a
    subject that has been hidden from the public eye for centuries
    with plenty of shame, abuse and loneliness associated with it. But that does not make it any less common than any other physical illnesses.
    At almost 66, I feel strongly that psychology is one of the most important fields because without a healthy mind how can we be healthy in any other way?
    If it sounds like I’m trying to influence you – I am! 😀

    Catherine Wilson

    Liked by 2 people

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