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1 of 1 people found the following review helpful:

PGY4 Overall Rating: 28-Jan- 2013
Teaching: Atmosphere: Research:

Schedule

PGY2 is the hardest year with the most call - about 33 24 hour calls for the entire year. PGY1s do long-day (5-9pm) a couple times a week while on psych rotations - they work on admissions under a senior resident. Call in PGY-3 is about 20 calls in a year and PGY4 call is about 4 for the whole year.

The worst rotations are probably ED (dealing with malingering drug addicts that wander in from downtown Boston - but there a good mix of actual psychosis mixed in) and C/L - can be quite busy. Both rotations are good learning experiences however and the work hours are about 9 hrs daily. (There are few calls when on these services).

Residents on inpatient psych carry about 5 patients each, the unit is very acute with good range of psychopathology but despite the seemingly small case load things can be quite intense and you definitely stay busy. Good SW support on the unit. Substance abuse is referred to dual dx facilities for the most part which can be a plus or minus as you see it. We do have a dual rotation and see substance in the ED so I am satisfied with the exposure as it is not an interest of mine. Everyone gets at least one month of ECT experience.

Work hours range from approx 45-60 hours a week depending on the number of calls while on psych rotations. In 3rd and 4th year it is closer to 40-45 hrs a week.

There is little scut - med students work closely with you on most rotations and are a big help. Most annoying "scut" work is occasionally having to do bed searches in the ED in the middle of the night but this is rare. You have to schedule your own outpatients in outpatient clinic but this is not as bad as it sounds and actually has its pluses.

Teaching

Faculty is knowledgeable, teaching is Q wednesday from 12-5 pm for PGY 1 and 2 and from 9-5 pm for PGY3 and PGY4, the time is protected by a day call resident which rotates among PGY-2s and 3s. Almost all didactics are taught by attendings except intro lectures in the beginning of the year taught by PGY3 and 4s. There are also additional weekly grand rounds and monthly ethics grand rounds. Courses change a bit each year in response to resident feedback. Some didactic lecturers are biased towards their own perspectives so sometimes a grain of salt must be used.

Atmosphere

Very great life-style. Everyone in the program is friendly and many are friends outside of work. The environment not competitive. Faculty really is supportive and good natured and is available for extra meetings if desired. The program seeks out residents with strong interest and sincere motivation for psychiatry, people who get along well with others (very important in a small class - 24 residents), people who will be good psychiatrists with critical thinking skills and the ability to question and seek knowledge. The program is big on Quality Improvement and everyone is expected to leave having made things a little better which is a great leadership skill. It is a psychodynamically oriented program so an interest in incorporating psychodynamic theory into your practice (not necessarily a desire to become an analyst) is a plus. Through the roof board scores are not as important as coming off as intelligent and hard working even if you may not be such a hot test taker. Similarly FMGs that have gone to known medical schools with good reputations and DOs with good letters and experiences are not dinged for their schooling as perhaps they are with other programs. About 25% of the classes are FMG but strong communication skills in English is essential. Research is not as big of a priority although opportunities are available for those interested.

Conclusion

Psychodynamic perspective, emphasis on formulating patients not just using a checklist, emphasis on the importance of therapy, good environment all stand out. Class size (24) can be a plus or minus but since calls are only covered at one institution this is not a hindrance in this case. If someone is sick or on leave you may end up covering more for them. The building is somewhat old but it is undergoing recent renovations to improve work space and number of available computers. Perks are ok - only recently implemented a stipend for conference and books (several hundred a year), all professional societies are paid for. Only get free food for lunch once a week. Parking is expensive in Boston so most resident take the T. I feel very prepared for practice and got several good job offers. I would definitely choose Tufts again. About 1/3 of grads go on to fellowship. Child is very popular with many going to the Tufts child fellowship. Upcoming grads are going to Case Western for forensics and UNC chapel hill for C/L fellowships. Going into outpatient psychotherapy practice is a very popular option for those not going on to fellowship.


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15 of 61 people found the following review helpful:

Intern Overall Rating: 18-Apr- 2007
Teaching: Atmosphere: Research:

Schedule

I am a PGY-1 and most of the year, you are on away rotations, in medicine and neurology. There are 4 months of medicine, including 2 months of inpatient medicine, 1 month of medicine C/L and 1 month of medicine ER. The inpatient medicine months are intense, but you learn the bread and butter of medicine. Days usually start around 7AM and you stay until about 5-6PM. The Medicine C/L month is mostly a M-F 9-5 service. The Medicine ER month is 8hr shifts, with 2 days off/week. You are required to do 2 months of Neurology, days start around 7AM and you finish around 5-6PM, mostly you see neuro consults. There are 6 months of Pysch rotations; with combination of inpatient psych, psych ER and 1 month of substance abuse.

Teaching

Most of the faculty are willing to teach and are very supportive of residents. I can not say enough wonderful things about the PD. He is very supportive and understanding and helpful, and he is also a psychoanalyst who teaches an excellent psychodynamic seminar class. Teachings are usually clustered into one day out of the week, and that time is STRICTLY protected, unless you are on non-psych rotations. The lectures are helpful and very interesting.

Atmosphere

The program is very small, with about 15-16 residents, but most of the residents are willing to help each other out. There is not that much socializing out of work, b/c many of the residents have families. I have been able to have a life outside of work and been able to enjoy alot of Boston.

Conclusion

Some of the drawbacks are being on-call by yourself, but with attendings reachable by phone.


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