Monthly Archives: May 2011

East vs. West: So Serious! Comments Off

When I was a medical student in California, many of my classmates expressed relief that we weren’t in a medical school on the East Coast. “Everyone is so serious over there,” they said. The stories we heard about medicine back East! “The medical students have to give all of their patient presentations from memory during rounds!” “You have […]

Decisional Capacity (I). Comments Off

Shadowfax presents a case study in applied ethics and asks: What would you do if you were the doctor in this situation (or the administrator/ethicist/judge called to offer guidance)? Would you provide supportive care and allow him to die, or would you violate his express wishes and intubate him? Physicians often call psychiatrists for consultation in […]

Unsolicited Advice to Residency Applicants. Comments Off

A medical student recently told me that he wants to become a psychiatrist. “What should I look for in residencies?” he asked. I wrote the following in September 2007. Though I am now a few years out of training, I believe much of the information still holds true. If you will be applying for a residency […]

Termination (II). Comments Off

During psychiatry training, residents are assigned “psychotherapy supervisors”. The resident sees a psychotherapy patient and then meets with his supervisor to review the session. Sometimes this means the resident will dump onto paper everything he can remember about the session: “She said A, that made me think about B, so I said C, and then […]