A first taste of Psychiatry
This week I have had my Psychiatry placement. I haven’t had any previous experiences in psychiatry before, so I was really looking forward to spending a week learning more about the speciality. All of the students have different placements for ‘Psychiatry Week’ so our experiences will all be different. My placement was in community learning disability services, which was interesting as I had already encountered some patients with learning disabilities in my GP and hospital teaching, so the week would give me an opportunity to learn more about the specialised care these patients receive.
We arrived at our placement on Monday morning and spent the day meeting the team, which included more professionals than I expected! The team included doctors, nurses, physiotherapists, psychologists, social workers, speech and language therapists and many more. I had no idea about all of the different groups that were involved in learning disability services.
On Wednesday we had a chance to attend a meeting which was facilitated by the psychiatrist to which we were attached for the week. It was really fascinating to observe how the psychiatrist communicated to the service user, and will really make me think more about my own communication skills and how my approach is accessible to all patients. In the afternoon we spent time in a respite centre for individuals with learning disabilities, which gave us the chance to meet some service users and also chat to the carers about what they do. The centre was really well run and supportive in helping their service users when they needed to stay over to give their parents or carers a respite break.
We also attended a home visit with one of the trainee psychiatrists, this gave us the chance to meet a service user in their own environment and see how they are cared for at home. The psychiatrist also had to deal with physical health problems while they were there, and I hadn’t considered this before – I had thought psychiatrists only dealt with mental health issues which definitely isn’t the case! Overall, the week really made me think about how we help service users with learning disabilities; both how we communicate with them and also how they could receive substandard care in a standard hospital environment not tailored to their specific needs. Taking the time to understand someone’s needs in a busy hospital environment can be challenging but it can really help us to make a difference in improving their health and providing the best care we can.
I also found out this week that a poster that another medical student and I submitted to a medical education conference actually won best poster! I unfortunately wasn’t able to go to the conference because of other commitments, so it was a nice surprise. The poster was the result of a project I was involved with over the summer with other students and members of faculty and focused around how to teach professionalism to medical students. The ensuing poster was around a mnemonic that another student came up with to help students deal with tricky scenarios while on placement. As medical students, we can often find ourselves in difficult situations and haven’t been around the medical field for long so can struggle to decide what can be the most professional or appropriate action to take. The mnemonic offers a structure to aid thinking around these issues. It was lovely to hear that others who are often experienced in medical education found our work interesting!
Jordan
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