Monday, February 11, 2013

Orientation Day

Today was orientation for psychiatry, as the title completely gave away. We had a lot of discussion in the morning about what we expected, what we feared, what we wanted to see, etc. It is a short rotation, only 5 weeks, and the director wanted us to hit the ground running. The large goup discussion made me think about what I was most scared of going into psych. I realized in every other rotation I had something that scared me.
  • Neurology - It was my first rotation and I was just terrified to be a third year clerk. It wouldn't have mattered what the rotation was, I would have been just as terrified.
  • Internal Medicine - Death. I didn't think that I could handle it if any of my patients died. None of them died on that rotation, so nothing to fear I guess?
  • OB/GYN - Dropping a baby or pulling its head off. Yes, that was my legitimate fear. Babies are (1) very slippery and (2) require some twisting of their heads to get out. I really thought that I would hurt a baby and that terrified me. I did not injure any babies, but if there was a pregnant lady in labor in front of me I would still be just as scared.
  • Surgery - Getting screamed at by the residents/attendings/nurses/scrub techs/ anyone else in the hospital. Perhaps it is an unearned reputation, but surgery is not known for being warm and fuzzy. I was so afraid of breaking the unwritten rules unknowingly and then getting screamed at for it. Turned out that my teams were all fabulously nice for the most part. Nobody had the time or energy to scream at the medical students. Not sure though that it was any better being invisible...
  • Pediatrics - Breaking an infant. Notice a theme here? You should be proud of me though because I am now able to swaddle an infant, hold an infant, calm a crying infant, and feed an infant without looking too awkward.
And now I am on Psychiatry. What scares me? The violent patient? The drug seeker? The patient trying to escape? Or just having no idea what to say or how to make someone better? Can you imagine being stuck in your own head and unable to trust what your senses tell you the world is like?

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