department of Psychiatry and Behavioral Science
Day in the life of a PGY-1
The night float shift starts with a cup of espresso and a chai tea latte. I arrive at sign-out where an upper year resident gives a quick debriefing on the patients whose care will be passed along to myself, as well as a PGY-2 in the Crisis Response Center (CRC). As an intern on night float, my primary responsibility is to the inpatient psychiatric floors. The night is full of admissions, management of minor medical problems, and attendance at all STAT 13's--the psychiatric “rapid response”. It is here where I make a clinical assessment and implement an intervention to handle acute agitation or psychosis. Night float is the real deal. I never expected to feel like a doctor so early in my training. What I love the most is the equal balance between autonomy and supervision as there is always an upper year in house available for guidance and the on-call attending a phone-call away. While the learning curve is exponential, the night flies and the month is over before you know it. As busy as it can be, the truth is, there is still time to spend getting to know your colleagues and doing the things that are most important to you. -Written by Morgan Lewis, DO
Day in the life of the PGY-2’s
Going from being an intern to a PGY-2 is an exciting and challenging transition. Not only are we responsible for helping to teach and guide the new PGY-1's, but switching from night float to a call schedule is another major change we go through. As second years, we are leaders of the Crisis Response Center (CRC) and responsible for patients, helping the psychiatry intern and coordinating with CRC staff overnight. Though this seems like this may be overwhelming, our experience as interns in the CRC, inpatient psychiatric units, and the internal and emergency medicine rotations have prepared us well for anything we may encounter. To think, it's only been a year! After learning so much this past year, we all feel that, though we still have a lot to learn, we have so much to teach and pass on to the PGY-1 class and medical students. Furthermore, our rotations this year are giving us exposure to other areas of psychiatry like child, geriatrics and addictions, as well as neurology to further round out our knowledge base and prepare us for outpatient next year. We are looking forward to the rest of the year! -Written by Rabiya Hasan, MD
Day in the life of a PGY-3
PGY 3 is a steep learning curve with independence extending beyond having our own offices and patients. The privilege of continuity applies to patient care, case conferences, and a rich series of lectures tailored to introduce us to the various therapies we are then able to practice in the 'holding environment' we are eager to create. We are exposed to the theories in psychoanalysis and learn the art of formulations from bio psychosocial and psychodynamic angles. This year is also a time of personal growth - my colleagues going into child and adolescent have applied for fellowships and embark on the interview trail, another is working towards a Master’s degree in Urban Bioethics and yet another is furthering her objectives on the research track and I am excited to begin the psychodynamic psychotherapy track at the Philadelphia center of psychoanalysis. All of us have 3 supervisors we meet with weekly; these protected hours are nothing short of osmosis with exposure to a wealth of knowledge and technique with the established and well versed in the field, generous with their time and dedicated to teaching. The construct of this year allows honing of our skills to achieve the perfect therapeutic alliance while also being the merger of all rotations and lessons learnt in our first two years of training and in preparation of our careers aiming to provide the 'corrective emotional experience'. -Written by Annie Agha, MD
Day in the life of a PGY-4
It is hard to believe that this is my last year of residency! The PGY-4 year is 9 months of electives and three months of administrative rotations. In the administrative rotation we have the option to work either in inpatient, outpatient, consult and liaison or the crisis response center. Our program gives the residents a good opportunity to pick and choose what elective they want depending on their interests. We also have the option to do electives outside of Temple, which gives the residents a diverse experience. In a nut shell, PGY 4 is the year where you have a lot of autonomy. I have a special interest to work in consultation and liaison psychiatry, hence I am doing a rotation in the Psychosomatic Clinic, which gives me the opportunity to see patients with medical co-morbidities requiring a multidisciplinary model of treatment.
I live in Maple Shade, New Jersey and it takes me 30 minutes to commute to work. I start work at 8:00 am as I am currently doing the Transplant and Bariatrics rotation where I do psychological evaluations for patients who are undergoing liver or kidney transplants, and candidates for bariatric surgery. It is challenging work dealing with donors and recipients. We have any average of 5 to 6 consults daily, which also include follow ups. I am also carrying a load of 6 outpatients from my third year, whom I see weekly for psychodynamic psychotherapy.
I am also interested in research and am currently working on retrospective chart review to see the dropout rate from the outpatient psychiatric department. This study focus on reviewing data regarding the demographics of these patients and finding out the possible correlates contributing to dropouts. Like many people, my interests have changed during residency. Temple is a program that is big enough to allow for growth in different areas, it has a faculty which is approachable and supportive who, in my opinion, have been helpful in developing those interests. At the end of the day I feel satisfied being productive and gaining more experience. I live with my family that includes my wife and three kids and enjoy spending time with them after work. -Written by Syed Iqbal, MD
Residency Program Information
Temple Episcopal Campus
Ste. 305 Medical Arts Bldg.
100 E. Lehigh Avenue
Philadelphia, PA 19125