more steam venting ahoy!
Yes, my mood is accomplished and I'm planning on venting. And yes, I've got Britney Spears on. The girl can't sing but she has great producers for her dance tracks. :P
I was more pissy last night post-call (everything is worse post-call) about this, but that doesn't make it all not true. And I still feel accomplished because I'm just too damn efficient for my own good. :)
Some background prior to the actual venting: there's a social worker at the clinic that does telephone interviews prior to our intakes, screens them and assigns them out to the residents. She does see some patients individually for therapy and runs some groups in the clinics. There was an incident earlier in the academic year where one of her therapy patients mentioned she was thinking of hurting herself, paged her through the hospital over a weekend and she didn't say anything to anyone until we all found out Monday morning from the patient's family member that she slit her wrist. The kicker is that it was Katya's patient; the SW could've had Katya paged to at least alert her or have her call the patient back. But no, she said later on Monday "I didn't think it was a big deal." ::facepalm::
Additional background: we got a new attending for the ER this past year. He's very knowledgeable, loves to teach, knows A LOT about EVERYTHING you need to know in a psych ER. Problem is, he also is very slow, can't process a half dozen things at once and will wind up putting you on hold during a presentation to deal with something from hours ago that he cant' just drop. Presenting a patient doesn't take the fifteen or twenty minutes of discussion that it used to. it's at least an hour. He does see every patient himself, even the ones that are easy to kick out of the ER back into the community. Guess who was my attending last night?
Okay. Actual vent time. finally. ;)
Now, I'm a sucker. Bill (the "I'm a girl now that I have a new girlfriend" resident I griped about a while ago) was wigging out because he has a vacation planned and suddenly needs to produce the July call schedule since he's going to be the chief next year. As in, whining to anyone that would listen kind of wigging out. So he corrals me when he finds out he has one of the two scheduled intakes and pleads with me to take it. It's my own damn fault I'm a sucker, but at least the intake was easy. I had already been a bit miffed with the SW for continuing to schedule intakes for us, since we're leaving at the end of the month. Last week I had a sheduled intake for an 80-something widow with bereavement issues. I baldly asked the SW if this was a smart idea, given that I'm leaving and it's going to be another loss for her. the SW replied "Well, I can't get second years in here, so you'll just have to do it." So much for patient care and continuity. (Which I found out later is a lie, because no second year ever got approached to do intakes yet, which is kind of part of the rant) What got me pissy yesterday is that I told her about the switch, which got her miffed at Bill since she can only "use" him for another two weeks before he takes over chiefdom for fourth year and we messed up her schedule. I told her to just give him my scheduled intake for next week (see above re: second years as to why I'm pissy about that anyway). Then she tells me it's a woman with four episodes of post-partum depression and that she thought this woman would be a good match for me so I "can see what the other side looks like." I am all but gaping at her, because I've had post-partum patients this year already and WTF kind of comment is that? And then she tells me "I thought it would be interesting for the two of you to meet and see what would happen." @_@ WTF x 10!!!
Last year, third years were done in June. Because of continuity; what's the point in doing an intake now when I can't follow up because I'm leaving the clinic? What's the point in passing along my intake notes; no matter how good they are, it's not quite the same thing as seeing the patient for yourself. Bad enough I have to bequeath therapy patients. There's always a sense of abandonment there. There's always a sense that it's the patient and not the nature of an academic clinic. What the hell happened to patient care and continuity and putting their needs first?
Yeah. end of year politics, I suppose. Still bullshit and still not in their best interest. grrrrrrr.
I was more pissy last night post-call (everything is worse post-call) about this, but that doesn't make it all not true. And I still feel accomplished because I'm just too damn efficient for my own good. :)
Some background prior to the actual venting: there's a social worker at the clinic that does telephone interviews prior to our intakes, screens them and assigns them out to the residents. She does see some patients individually for therapy and runs some groups in the clinics. There was an incident earlier in the academic year where one of her therapy patients mentioned she was thinking of hurting herself, paged her through the hospital over a weekend and she didn't say anything to anyone until we all found out Monday morning from the patient's family member that she slit her wrist. The kicker is that it was Katya's patient; the SW could've had Katya paged to at least alert her or have her call the patient back. But no, she said later on Monday "I didn't think it was a big deal." ::facepalm::
Additional background: we got a new attending for the ER this past year. He's very knowledgeable, loves to teach, knows A LOT about EVERYTHING you need to know in a psych ER. Problem is, he also is very slow, can't process a half dozen things at once and will wind up putting you on hold during a presentation to deal with something from hours ago that he cant' just drop. Presenting a patient doesn't take the fifteen or twenty minutes of discussion that it used to. it's at least an hour. He does see every patient himself, even the ones that are easy to kick out of the ER back into the community. Guess who was my attending last night?
Okay. Actual vent time. finally. ;)
Now, I'm a sucker. Bill (the "I'm a girl now that I have a new girlfriend" resident I griped about a while ago) was wigging out because he has a vacation planned and suddenly needs to produce the July call schedule since he's going to be the chief next year. As in, whining to anyone that would listen kind of wigging out. So he corrals me when he finds out he has one of the two scheduled intakes and pleads with me to take it. It's my own damn fault I'm a sucker, but at least the intake was easy. I had already been a bit miffed with the SW for continuing to schedule intakes for us, since we're leaving at the end of the month. Last week I had a sheduled intake for an 80-something widow with bereavement issues. I baldly asked the SW if this was a smart idea, given that I'm leaving and it's going to be another loss for her. the SW replied "Well, I can't get second years in here, so you'll just have to do it." So much for patient care and continuity. (Which I found out later is a lie, because no second year ever got approached to do intakes yet, which is kind of part of the rant) What got me pissy yesterday is that I told her about the switch, which got her miffed at Bill since she can only "use" him for another two weeks before he takes over chiefdom for fourth year and we messed up her schedule. I told her to just give him my scheduled intake for next week (see above re: second years as to why I'm pissy about that anyway). Then she tells me it's a woman with four episodes of post-partum depression and that she thought this woman would be a good match for me so I "can see what the other side looks like." I am all but gaping at her, because I've had post-partum patients this year already and WTF kind of comment is that? And then she tells me "I thought it would be interesting for the two of you to meet and see what would happen." @_@ WTF x 10!!!
Last year, third years were done in June. Because of continuity; what's the point in doing an intake now when I can't follow up because I'm leaving the clinic? What's the point in passing along my intake notes; no matter how good they are, it's not quite the same thing as seeing the patient for yourself. Bad enough I have to bequeath therapy patients. There's always a sense of abandonment there. There's always a sense that it's the patient and not the nature of an academic clinic. What the hell happened to patient care and continuity and putting their needs first?
Yeah. end of year politics, I suppose. Still bullshit and still not in their best interest. grrrrrrr.