Today was my first day of clinic since becoming a second-year resident. A lot changes from the first week of first year to the first week of second year in regards to our clinic workload. Initially we don't have much idea what we're doing, both in terms of general logistics, navigating the electronic medical record, and - ya know - practicing medicine. It is, after all, a somewhat shocking experience to suddenly be the primary care provider for children.
We start out with only one patient for an entire morning or afternoon shift in the clinic. By the second week, we are up to two patients and it stays there for a couple weeks. After that for morning clinic we see three patients and afternoon clinic we can see up to four. As second year however, we have clinic all day long, and we also increase the number of patients so we can see up to four in the morning and 6 in the afternoon. All of this means we have to be more efficient with our time or we end up having a lot of extra work at the end of the day to catch up on.
One of the more fun things that I got to experience for the first time today was working with the new interns (the first-year residents). Since I've been on an outpatient rotation the rest of the month, I haven't actually gotten to work with any of them since seeing them throughout their orientation. It was nice little dose of schadenfreude seeing these scared new doctors figure out the ropes. As we helped them throughout the day, it was a pleasant reminder how much my classmates and I have grown in the past year.
TIL: There is an old psychiatric diagnosis called the Cotard delusion or "Walking Corpse Syndrome." It is no longer a official diagnosis in the DSM-5 (the official diagnostic manual of psychiatry), but I stumbled across an old ICD-9 code in the computer for this diagnosis and I just had to look it up. Seems the vague idea used to be that this particular delusion was that the patient believed that their some or all of their body was dead or decaying. Descriptions are rather vague though, and with such a broad grouping of delusions it makes sense that they were just lumped into other somatic delusions.
We start out with only one patient for an entire morning or afternoon shift in the clinic. By the second week, we are up to two patients and it stays there for a couple weeks. After that for morning clinic we see three patients and afternoon clinic we can see up to four. As second year however, we have clinic all day long, and we also increase the number of patients so we can see up to four in the morning and 6 in the afternoon. All of this means we have to be more efficient with our time or we end up having a lot of extra work at the end of the day to catch up on.
One of the more fun things that I got to experience for the first time today was working with the new interns (the first-year residents). Since I've been on an outpatient rotation the rest of the month, I haven't actually gotten to work with any of them since seeing them throughout their orientation. It was nice little dose of schadenfreude seeing these scared new doctors figure out the ropes. As we helped them throughout the day, it was a pleasant reminder how much my classmates and I have grown in the past year.
TIL: There is an old psychiatric diagnosis called the Cotard delusion or "Walking Corpse Syndrome." It is no longer a official diagnosis in the DSM-5 (the official diagnostic manual of psychiatry), but I stumbled across an old ICD-9 code in the computer for this diagnosis and I just had to look it up. Seems the vague idea used to be that this particular delusion was that the patient believed that their some or all of their body was dead or decaying. Descriptions are rather vague though, and with such a broad grouping of delusions it makes sense that they were just lumped into other somatic delusions.
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