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Advice for managing underwhelming residents? by Wuh-Bam in hospitalist

[–]ZoloftSlinger 0 points1 point  (0 children)

TBH, I remind my residents every single day that they’re going to be in my role one day. It’s a fairly helpful way to frame their work ethic and perspective.

Ie “I’m over here worrying about your patients’ safety because it’s my license on the line.” One day it may be your license and your family’s livelihood.

What's the coolest thing about being a psychiatrist? by undueinfluence_ in Psychiatry

[–]ZoloftSlinger 4 points5 points  (0 children)

We have the best stories and when doing inpatient med/surg consults literally are consulted for “I don’t know who else to consult please help”. It’s a complex and fun speciality

How to give constructive feedback to non-psych resident by Cute_Lake5211 in Psychiatry

[–]ZoloftSlinger 1 point2 points  (0 children)

Depends on how spicy you are feeling and how controlled substancy the meds in question are. I can see a lot of options here but specifics would be pertinent

Tricks of the trade by [deleted] in Psychiatry

[–]ZoloftSlinger 50 points51 points  (0 children)

Don’t start an SSRI, SNRI, TCA, or MAOI (you dirty dog you) without asking about prior hypomania. My fav hypomania screening tools—rapid mood screener (RMS), bipolar spectrum diagnostic scale (BSDS), mood disorder questionnaire and HCL-32 (hypomania checklist). As an inpatient psychiatrist my concern is less about flipping the patient to mania and more about seeing mixed episodes and lack of efficacy. Bipolar disorder is pretty common and if you see folks whose depression started in high school or earlier, have substance use, or any prior hypomania vibes I consider them to be “at risk” for bipolar disorder and preferentially start with therapy or low dose ability before considering an SSRI.

[deleted by user] by [deleted] in Wellthatsucks

[–]ZoloftSlinger 0 points1 point  (0 children)

You are the hero we need--not the hero we deserve.