发信人: xlitx (xli), 信区: MedicalCareer
标 题: Re: Psy-IV experiences
发信站: BBS 未名空间站 (Mon Jan 19 14:20:27 2009)
University of Wisconsin-Madison Psychiatry
A very good program in terms of well-rounded education in Psychiatry. It has
very good reputation. And they did a very good job in selling this program.
Senior residents are heavily involved in the recruitment of residents. I
have total 6 interviewers and half of them are PGY-III. The PC is also very
involved. She is very nice. For the dinner before the interview day, it is
held in the institute, like a party in this department. You meet a lot of
people; residents and faculty (psychiatrists and psychologists).
This program is relatively laid back. It is also a very family friendly
program. It sounds to me all the inpatients services are in the first year.
8 months of acute service in UW psychiatry units with 18 beds. 2 months of
family practice (internal medicine) and pediatric-hemo/oncology, about Q4
for the family practice; call schedule should be better with pedi-hemo/onco.
In the second year, they started outpatient in all kinds of subspecialty
clinics and also the psychotherapy. In each patient encounter (both
medication and psychotherapy clinic), there is a live supervision from a
faculty. They called “dropping-in supervisor”. They started Neurology in
3rd year about 50% time for 6 months and also some time in PGY-IV. It is all
outpatient clinic rotation. In complement to all these outpatient clinics,
they have continuity clinic to compensate for the disadvantage. Some
residents told me that they have some patients being followed up for 2-3
years. They have multiple sites rotations, including UW hospital, student
health clinic, some county hospital, VA. VA hospital sounds like a nice one,
not like in most other VAs. . They have electronic chart and you can access
it at home, which means you can write your HPI at home after you put kids
into bed. They don’t have overnight calls in the first year, only from 5PM
to 8 or 9PM at weekdays, 8AM or 8PM at weekends.
In the PGY-II and III, you have overnight calls about Q7-8; so it means in the daytime, you are at outpatient clinic (maybe two sites), then you could have
calls at night. But according to the residents, this seems not very stressful.
I guess for most of the time, the call is about distributing sleep aids to the patients on the floor. The real task is to admit new patients and the call on ER.
I agree their philosophy on psychotherapy very much: they incorporated the
skills to the interaction with patients to establish good rapport and
compliance instead of for the sake of psychotherapy itself. They have judges
come to their inpatient unit for hearing. They also have forensic
fellowship in addition to child, research and addiction. They are also
developing a psychosomatic medicine fellowship. They have very good research
on sleep medicine and the fellowship in sleep medicine there is very
competitive. Research in imaging is strong: fMRI, rTMS, and high density-EEG
They also have very good community psychiatry model. Residents go visit patients
in their home, take patients go shopping or banking or whatever, to check their functionality. They have a very special course called brief psychotherapy. In
this course, they are trying to teach you how to do certain things within 15 minutes or so.
I think it is sort of like 面相学 in Chinese. The professor gave us several examples. Very interesting.
I believe how much you can get from it depends on your 资质. But definitely
you will be different after training.
Madison is the capital of Wisconsin. A beautiful city with several lakes
around. UW campus is claimed to the second largest campus in US, just on the
edge of the downtown. Good school district. Safe neighborhood. Quite a few
activities in Winter: ice fishing; snowshoing; skiing etc. A lot of people
in this department also like jogging or running exercise, cycling etc. very
Not very diverse in population, mainly Caucasian, especially Germany descendents; recent years, a lot of monks moved in. Da Lai La ma visited the institute
several times. Living cost is O.K. maybe relatively expensive in a city of its size. But absolutely affordable.
Questions asked: almost every interviewer asked me if I am going back to
China after residency. No harsh questions. Most are very common, like why I
come here for Ph.D., psychiatry in China. Family relocation; about the cold
weather in Madison etc. PD is in geriatric field. He asked me about my Ph.D.
research, which is related with Alzheimer’s research. He also asked me how
I feel about going back to Clinic; about my visa status etc; the interview
with a senior faculty asked about my family. He said there is no information
about it in my application package.
It was mostly a chat. Like me and my husband’s visits to Madison before; for
an IMG having psychiatry experience before, there is still plenty to learn
during the residency. The interview with another research faculty: he asked why
I chose Psychiatry at the first place. Where I see myself in 5 or 10 years?
Most of time, I asked him questions and talked about my plan. In one of my interview with a PGY-IV residency, he talked most of time, introducing the
program. When we talked about the economy, he said “I hate China”. I was surprised and asked “why?” He said because China is doing so good. I am not
sure if that is one sort of interview strategy. It could be just casual chatting.
In all, a very good program with special features in its rotation schedule.
They also just start a new track-clinician educator track. It is a further
step in teaching, like they will train you how to design a curriculum etc.
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