Right now I’m rotating on geriatric psychiatry (in the words of my orthopedic surgeon friend, “my two least favorite words”). While I don’t share his sentiment about psychiatry, I agree that the geriatric part is a drag. There’s nothing like a full roster of patients with advanced dementia and behavioral agitation to make you want to add “self-euthanization” to your advanced directive. I have to say, though, thus far intern year has been relatively benign, and this is the first time I’ve gone from passively questioning what’s so great about this medicine thing to seriously looking for a way out.
I love psychiatry, but sometimes I feel I don’t share the same passion for work as a lot of my colleagues. They eagerly stay late, spending the extra time to spruce up their progress notes, or make phone calls to check in with family members, or read the latest articles on Haldol vs. Seroquel for delirium, or whatever it may be. In comparison, my desire for thoroughness is woefully inadequate. I’m more of a “just get the job done” type of person. I never do anything work-related outside of the time I spend in the hospital, unless I have to. Similarly, it seems like a lot of future-doctors like the security and stability that medicine offers, and look forward to having a day job. To me, the idea of giving hours of my time in exchange for a stable amount of money feels like a trap. I don’t want to be stuck [Read more…]