What I have been doing, as opposed to what I will be doing

Last week was all training. The last two days have been all training. Monday I spent several hours sitting in a Human Rights seminar, followed by online HIPAA training during my lunch hour, Sexual Harrassment training (online), and then ER/Peds consult orientation in the Main hospital. Today I did an all day course in crisis intervention, de-escalation, and restraint. My favorite part was that we got to wear sweat pants and running shoes, my old uniform. Well that's not entirely true...I picked up some really useful escape maneuvers from choke holds, etc, and Patrice and I added Jazz Hands to the end of every move to make restraining children look extra sassy. I also received oohs and ahhhs and a "wow, that was really good" from the guys running the training when I did a take-down on the taller and beefier of the two. The Child Fellows were hilarious during this particular training...they asked "what do you say to a kid instead of saying 'because I said so'?" They actually took notes when alternatives were generated. What a different world psychiatry is. Each doc has to carry ONE therapy case. I would love to be a fly on the wall!

I have a slightly better picture of what I will actually be doing starting next week when all my training is done, and I'm turned loose on the unit:
1. 6 month rotation on the Cranial-Facial clinic, two half-day Mondays a month, providing psych consults to the kids who have cleft lips and palates
2. On call psych consults on the Peds floor of the Main Hospital all year long
3. 6 months of ER on call for psych consults, basically evaluating and recommending inpatient hospitalization or not, to the attending physician
4. Rotating weekend on call for the acute and residential units
5. Of the patients I'm assigned from the residential unit, I must see them 2-3 times a week for therapy, and have 1 family therapy session a week
6. Conduct outpatient assessments, and contribute to 15 and 30 day inpatient assessments that are multidisciplinary and partly observational, partly objective testing
7. I may co-lead a group starting in the fall, but that's TBD
8. I have the option to take on outpatient therapy cases, but that is being discouraged by the faculty because they are trying to make my hours on the Hospital Track comparable to those on the Community and Public Tracks. In the past there has been a 10-15 hour discrepancy in number of hours worked.
9. The last 2 months of internship I will work on the Acute unit providing therapy 5 times a week to those patients, and 1-2 family sessions a week.
10. Rounds are Mondays and Fridays
11. Treatment team meetings are Monday afternoons for HOURS.
12. Didactic seminars are held on Wednesdays in two 1.5 hour blocks, and also there's an intern meeting/process group sort of deal.

Tomorrow morning I learn about the wild and wonderful world of Medical Records. Friday I have my first supervision...and after that Monday I'm hooked to my pager. I can definitely feel the difference in working 8-5 as opposed to rolling into the lab at 10 and going to lunch at 12 as I used to do mere months ago! My hope is that I'll adjust quickly so I feel like doing more than laying in a heap on my bed when I get home. I mean, I haven't even seen any patients yet and I'm really freaking tired!