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#psychiatry residency
mashupofmylife · 1 year
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who knew that board prep questions would ask me about the common street names for all the drugs?
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wayfaringmd · 1 year
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She’s fine, she’s just psychotic. Sometimes people are just psychotic and you have to deal with it.
- local psychiatrist
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kirby-the-gorb · 7 months
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toffee-and-tandoori · 4 months
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if any of you all could send me some good vibes and well wishes for my huge exam tomorrow that would be much appreciated <3
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psychokangaroo · 10 months
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That moment when your med student commits a felony against you 🙃
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a-soul-like-you · 7 months
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I MATCHED INTO PSYCHIATRY GUYS!!!!!
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pagingdrkaraii · 1 year
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a ver si no termino autodiagnosticandome con la personalidad als ob
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voidcat · 15 days
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Shut up about Freud shut up about Freudian psychoanalysis shut the hell up about Freud for ONCE
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dratefahmed1 · 4 months
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prosponderings · 10 months
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Works Cited
Cohen, Pieter A. “The Red Hat : Academic Medicine.” LWW, July 2006,
journals.lww.com/academicmedicine/fulltext/2006/07000/the_red_hat.17.aspx. 
Doering, Alex, et al. “The Undergraduate Hospice Experience: A Way to Teach Pre-Med
Students the Importance of Compassionate Patient Care (S725).” Journal of Pain and Symptom Management, vol. 49, no. 2, 2015, pp. 420–420, https://doi.org/10.1016/j.jpainsymman.2014.11.206.
Grecu, Natalie. “Engaging Pre-Med Students in Field-Related Dialogue: Best Practices for
a Dialogic Approach to a Health-Specific Oral Communication Course.” Journal of Communication Pedagogy (Print), vol. 6, 2022, pp. 255–62, https://doi.org/10.31446/JCP.2022.1.19.
Horowitz, Gail. “It’s Not Always Just About the Grade: Exploring the Achievement Goal
Orientations of Pre-Med Students.” The Journal of Experimental Education, vol. 78, no. 2, 2010, pp. 215–45, https://doi.org/10.1080/00220970903352746.
Silverman, Barry D. “Physician behavior and bedside manners: The influence of William
Osler and the Johns Hopkins School of Medicine.” Baylor University Medical Center Proceedings, vol. 25, no. 1, 2012, pp. 58–61, https://doi.org/10.1080/08998280.2012.11928784. 
Street, Victoria. Advising Minority Pre-Med Students: Perceptions of Pre-Med Advisors at
Institutions in the Southeastern Association of Advisors in the Health Professions Region. ProQuest Dissertations Publishing, 2023.
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mashupofmylife · 2 years
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I’ve written and rewritten and debated this post on all other socials, so naturally it goes up here without a second thought.
I finished residency today. 4 years and 25 weeks after starting. But Psychiatry is a 4 year residency? And American residencies finish at the end of June? 
It took me 25 extra weeks because I spent those 25 weeks in PHPE, and PHP, and IOP, working on my eating disorder, and my depression, and my PTSD. And when I came back to residency I continued to work on all of those things, while also doing the doctor training thing.
I take more meds than most of my outpatients. I have more frequent appointments than most of my outpatients. There are definitely days where I’m jealous of patients who seem to be doing great compared to me. 
Part of me wanted the full story to get shared, because it was a lot on top of a lot, and without the full story you can’t appreciate what my life’s been like. Part of me thinks that no one needs to know how hard I worked and what I overcame to make it to the point in my career. Or that I’m fishing for compliments by sharing all of this.
But hey, shits hard and I’m trying to let myself really appreciate what life has been like.
So maybe I sometimes still end up on the couch for hours wishing I didn’t have to be alive.* I graduated psych residency while juggling treatment for my own mental health issues that have literally knocked me to the ground on more than one occasion. Maybe, just maybe, I can talk about that without turning into a giant tomatohead.
*My therapist knows. And my psychiatrist. And my primary care doc. Honestly this is an improvement from where things were.
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intrainingdoc · 2 years
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#9 of the in-House #Top10of2022:
"You will see
The fraud in me
The constant necessity..."
Paint & poetry by resident physician Vanessa Velez, MD.
In-housestaff.org/levity-1957
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paradiseprincesss · 4 months
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need a jonathan story where reader is bruce wayne's sister with similar morals about fixing gotham so she's a psychiatrist at arkham. her and jonathan butt heads a lot as she doesn't like how inhuman he is to his patients (he has a secret obsession with her). however she starts getting in the way of his plans and que the "this is where we make the medicine" scene. batman comes to save her and even though jonathan is high on fear he hears batman call reader his sister, so he plans to kidnap and/or blackmail the reader. Can be pure dark or dark with a change of heart?
love your work, but you already know that xoxo
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all your fears are interwoven | jonathan crane
materlist
this is dark which i dont usually write so please...bare with me okay? IM SORRY IF THIS ISN'T GREAT LMFAO !! trying to write dark for u pookie <333
summary: you're a psychiatrist in the first year of your residency at arkham, working alongside doctor jonathan crane himself. however, you two are constantly butting heads due to your different beliefs in the treatment of your patients, amongst other things. one day, jonathan finds out that your the little sister of the batman himself - and he decides to act out on every sinister thought he's ever had about you.
word count: 3k
warnings: [NON-CON], 18+ mdni, smut, dark as hell, p in v, forced breeding, kidnapping, stalking, obsession, literally just all around terrible, terrible things
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"it's inhumane," you argued, "no wonder your patients are terrified of you."
"because i don't feed into their delusions and paranoia?" jonathan scoffed, "i keep them medicated because they're mentally ill. if you haven't noticed, were in an asylum for the criminally insane."
"see, that the problem when it comes to you! you're not treating them like people, but rather prisoners." you sneer, rolling your eyes at his distasteful way of speaking about his patients.
for a moment, he's silent. he doesn't say a word, but you can tell you've hit a nerve with the way he physically reacts. his jaw is clenched, his eyes narrow at you, and he takes a short but sharp breath through his nose to try and appear composed.
"i have something i'd like you to see," he says calmly, "i think it'll help you understand my 'unorthodox' methods, as you like to call it."
you were a new grad from gotham university, specifically from their medical department. you'd graduated top of your class in medical school, and you'd matched in psychiatry for your residency. hence why you were working alongside doctor jonathan crane - the renown psychiatrist of gotham city himself.
when you first met him, he was cold towards you - and nothing changed. even a year into your residency, he was still cruel towards you. actually, that's a lie because he seemed to hate you even more than he did before. you two butted heads constantly over anything and everything under the sun. you thought he was heartless, but he thought you were too cynical. you believed his methods were 'unorthodox' as you liked to say, but he thought your methods were mind-numbingly boring. you two clashed in every possible way.
nobody liked working with him. you knew that already, though. it didn't take long for you to figure out why after you first started, as for starters, none of his employees hid their distaste towards him, and he didn't hide how much he disliked them back. he often called the other nurses, doctors, or medical professionals working there an array of insulting things, including but not limited to: imbecile, idiot, braindead, and painfully stupid. that was actually a few of the nicer things he called people - we don't talk about what he's called you.
you contemplated switching over to a different speciality because of jonathan crane many times, as working with him was exhausting. you still had three years of your residency and training left! how were you supposed to stand three more years with him? your brother, bruce wayne, always listened to you vent about jonathan - he didn't like him either. he always said that man was up to something, and he didn't know what but that it was bad news.
"are you incapable of forming a proper response, doctor wayne?" jonathan sneered, bringing you out of your thoughts, "you really are dense. the fucking lights are on but clearly no one's home."
"what are you, twelve?" you bark back, "i don't fucking-"
"i'm working on a new psychopharmacological drug," he cuts you off with a smirk, "i know, you're too stupid to understand anything about medication-"
"i went to the same medical school you did, jonathan." you retaliate, but he pays no mind to your words.
"like i said, i know you're too dumb to understand such complex specialities such as internal medicine and psychopharmacology, but i think it's something you'd benefit from learning about." he explained flatly.
as much as you wanted to punch him in his face, he had a point. you weren't dumb by any accounts, you were probably just as smart, if not smarter than him. however, as a training physician in her residency, it wouldn't be such a bad idea to get some hands on training in prescribing and dosages for mentally ill patients. it would help you in your career, to be fair.
"...fine," you huff, "tell me about it."
"this way, please." he says, ushering you to follow him into the elevator.
with annoyance, you follow him silently, not wanting to talk to him or give him any form of a verbal response at all. jonathan looked at you with a hunger in his eyes; unbeknownst to you, the brilliant but sociopathic psychiatrist had a deep, twisted, and disturbing obsession with you. he had your pictures plastered on the walls of his house. he knew where you lived as he'd broken in a few times unnoticed, and he knew pretty much everything about you - down to the smallest details.
for someone as brilliant as him, he had yet to figure out you were bruce wayne's sister, though. he knew your last name was wayne, but he didn't really put two and two together because he didn't expect you to be the sister of bruce wayne himself.
once you two reached the basement of the asylum, he led you through a series of dark, eerie hallways and you made note to shoot your brother a text about how crane was being extra strange and creepy at work today. in an attempt to slip away from jonathan, you clear your throat and try to come up with a feasible excuse.
"um, doctor crane," you say to him, your tone starting to become shaky, "i-i'm not feeling too well, i think i'm going to go back to my office to grab some advil."
the trembling of your voice doesn't go unnoticed by jonathan, and he knew that you knew where this was going. he grabs your arm harshly, and drags you through a door in which you're met with a distressing sight - multiple inmates of arkham mixing up chemicals in a makeshift lab, and pouring the liquids into what appeared to be a sewerage of some sort that seemed to leak into gotham city's plumbing and piping.
as your eyes were fixated on the scene in front of you, you failed to notice jonathan putting on his scarecrow mask and when you did - it was too late. a white, potent gas was sprayed in your face, and you immediately started to gag and cough on it as it felt like you were suffocating from the inside out. your lungs started to burn and your head was clouded, along with your vision.
"awe, having trouble?" he cooed as he grabbed you by the neck, choking you harshly.
before you could even formulate a response, a loud bang echoed in the lab. jonathan released his grip on your neck instantly, and though all your senses were disturbed, you could still articulate a few of his words through your current state. he said something about "the batman," and you knew that bruce was here to rescue you. internally, you thanked every higher power you could think of for having your brother come to your rescue.
not long after you heard jonathan say that, you looked up from the ground to see bruce with his hands gripped on jonathans face, his pale blue eyes widened and crazed. it appeared that bruce - the batman - had sprayed crane with whatever he had sprayed you with, and he was definitely seeing some shit while on his own drugs.
bruce's words were unintelligible at this point as you were just as drugged up as jonathan was, but you managed to hear jonathans voice meekly say something along the lines of "she's your sister?" bruce threw jonathan onto the ground, and the sound of police sirens could be heard in the background before your words were starting to become heavily slurred, and finally, your vision went black.
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as your eyes fluttered open, you noticed that you were back inside of your own apartment. as your vision adjusted to the light, you noticed bruce calling your name softly as you sat up on your bed groggily.
"you're awake," he said quietly, coming over to sit on the edge of your bed, "how are you feeling?"
"what happened?" you ask as your head started to spin.
"long story," he sighed, "but i've been looking into crane for a while - all his experiments on his patients and such. it's inhumane, like you said, but it turns out he's been slowly trying to poison gotham city as a whole."
"what?" you say with surprise, "wait, i...what?"
"gordon had him arrested," he explained, "he had him locked up in arkham, but there was a mass escape. he's on the loose again."
everything that bruce was telling you was making you sick - what did he mean jonathan was just prowling around the city again?! with a deep breath, you look down and shake your head, tears welling in your eyes.
"i don't understand..." you whisper, and bruce reaches a hand out to your shoulder.
"i think you should stay at wayne manor for a while," he says softly, "it's safer for you there, i don't want you to be alone in your apartment."
"yeah, i think so too." you agreed.
"great," he says, "i'll grab us some food, and then we can start packing and head over to mine. sound good?"
"okay, can we get takeout from that chinese place i like?" you ask with a soft smile, and your brother nods.
"yeah, i'll go pick it up right now. do you think you'll be okay for about half an hour alone? maybe we should just head to mine first..." he says, looking at you with concern.
"bruce," you say softly, "i'll be okay. the sun is still out, it's like, mid-day still. don't worry."
it takes some convincing, but bruce eventually agrees and leaves to go pick up the takeout a few blocks down from your place. after a few minutes, you hear your door being unlocked. you get up from your bed inquisitively, unsure as to why bruce was back so soon. knowing him, he probably forgot his wallet or something. however, once you entered your living room, you were met with a sight that made your heart drop.
jonathan crane himself, standing there in your living room, with his scarecrow mask on. his unsettling but strikingly blue eyes met with yours as he looked at you through the small cutouts of his mask, and he smirked to himself.
"are you feeling alright?" he asked with a sickeningly sweet tone, "i'm sure my fear toxin had you feeling quite...disoriented."
you stagger backwards, gripping onto your bedroom doorframe as fear consumed you once more. you swallowed hard, and continued to backup as he stepped forward menacingly.
"m-my brother is going to be home soon." you whimper.
"oh, batman?" he chuckles lowly, his voice seemingly distorted with his mask, "i wouldn't be too sure of that, sweetheart. i thought i heard him say he was going to be at least half an hour."
your mind went stagnant as he told you that, and you wondered with panic on how he would know that information. jonathan seemed to have picked up on what you were thinking, as he took a step closer and lifted his wrist up to show that he had some sort of contraption that could gas you with his so called "fear toxin" at any given moment.
"you really are brainless, aren't you, sweetheart?" he cooed, "silly girl, i can't believe you didn't notice all the little cameras and recording devices i've been planting in your home."
"wh-what cameras?" you say as you felt tears run down your cheeks out of sheer panic and fear.
"i've been breaking in for months, i can't believe you haven't noticed," he snickered, getting closer and closer to you, "i want you so bad, sweetheart. and to think, i almost had you before the batman had to come and ruin things for me."
"please," you whimper, "don't...d-don't hurt me."
"don't give me a reason to." he shrugged, before lunging at you and pinning you against the wall with his hands wrapped around your neck. "it'll be easier if you don't struggle. otherwise, i might have to dose you with my medicine again."
"please, n-no-" you gasp, as his hands tightened around your neck.
"maybe i will, you look so beautiful when your fears are interweaving themselves with your reality. isn't the nightmare just to die for?" he asked dramatically, before throwing you onto your own bed harshly.
your lack of response must have set him off, though, because he decided to harshly grab at your hair. he cranked your head back so roughly that you could feel the strain in your neck, and you would rather he just strangulate you right now rather than put you through whatever he was about to.
"say you love it," he growled, "say you love me."
"f-fuck, no." you weakly whined, and he was lifting his other hand up before you started talking again, "i-i'm sorry, yes - i love you!"
you immediately rushed your words out, even if they were forced and untrue, because you really didn't want to be dosed with his fear toxin once more. the effects were worse than any fucked up nightmare you'd ever had.
"good girl," he cooed as he started to forcefully undress you, making you choke back a sob, "ugh, i can't wait to absolutely fucking ruin you."
the smell of his cologne flooded your senses, and you felt more tears drip down your face as he continued to undress you with zero resistance. you tried to tell yourself that maybe you were just having a nightmare, a side effect from the drugs - but you knew that wasn't true. bruce wouldn't be back for at least another half hour, giving jonathan free range to do whatever he wanted to you.
you had zoned out so deeply to cope that when you finally stopped dissociating, he was already fumbling with his belt buckle. as you tried to grab his wrist to force him away from you, the pressure from your hand accidentally triggered his wrist band to spray his fear toxin directly at you. you choked and sobbed as you heard him chuckle lowly through his mask, and at this point - you'd given up.
you stopped trying to fight it because it was no use. he had already won. his fear toxin was seeping into your every sense. the fears that were interwoven in your subconscious were now playing out right in front of you. it was like watching your worst nightmare, only fifty times worse, on repeat. at this point, you thought you were going to lose your sanity permanently.
jonathan had pulled your panties off of you with ease, as you were too high on the toxin to even understand what was going on in this very moment anymore.
the less you fought, the better.
with a groan, he forced himself into your cunt, breeching your hole painfully. obviously, there was a struggle because one, you weren't even in contact with reality right now and two, he was forcing himself onto you.
he spat down onto your cunt after a few moments, and that seemed to work. he let himself sink into you slowly, stretching you out painfully as you laid there in tears, unintelligibly whispering and pleading. he didn't bother to prep you or even try to make this enjoyable for you, since it was never really about you in the first place. it was about him; his pleasure and sick, disgusting, twisted obsession with you.
"fuck," he groaned, "you're so tight i think i might fucking break you, sweetheart."
he continued to fuck himself in and out of you, his length reaching places inside of you that shouldn't be reached. you couldn't tell which one was worse: the terrifying nightmares being fuelled in front of you or the pain in your lower region from his fat, veiny cock breaking your cunt in.
the tears never stopped, continuously pouring down your face as you tried to beg him to stop - but the words never came out. they couldn't. you were starting to feel every ounce of sanity you had left slip away from your body, leaving you in a permanent state of living hell.
"it's a concentrated - mm, f-fuck,- dose, my love. you're slipping away, i can feel it in the way your squeezing me." he groaned as he continued to split you open on his cock, rocking his hips back and forth as he held your waist still with an iron grip.
"s-stop." you weakly whispered, but he laughed lowly at the sad attempt.
you knew that you'd never recover from this, whether it be the assault or the effects of the fear toxin - both were things that would cause you to never live a normal life again.
"m'gonna take you away from here," he huffed, already close, "shit, you feel good- gonna fuck you every god damn day and fill you with my cum 'till you have my babies. keep giving you my cum over and over again."
that almost sounded worse than the disturbing, mind-rotting imagines that were flashing before your eyes right now from the toxin. you couldn't imagine a life that hellish - but you couldn't exactly object with the state you were in.
"don't worry," he says as he kept talking to you, "you're not going insane, sweetheart. fuck - like i said; it's a concentrated dose. you'll be back to your stuck up, whorish, braindead self in about twenty four hours."
twenty four hours? how were you suppose to survive for twenty four hours like this? how? you didn't know, but jonathan didn't seem to care. he did not care at all - all he cared about was kidnapping you and stuffing you full of his cum. all he craved for months was to give you his babies. get you nice and full, pregnant by him.
you didn't even notice when his hips stilled and his cum poured into your abused cunt, filling you with every drop he had. he let out a satisfied groan, and hesitantly, he pulled out.
you lay there as still as ever, tears still pouring down your face as you tried to remind yourself that the shadows, the whispers, and whatever other hellish things you were hallucinating were not real. jonathan then threw your pyajamas back on you in a hurry, and picked you up bridal style.
"c'mon," he says softly, as if he cared about you - as if you liked this, "let's go home."
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psychokangaroo · 1 year
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Access to a timely court date is a human right that is essential to survival
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a-soul-like-you · 3 months
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What I love about my program
1. High volume = stronger psychiatrist
2. Severe pathology = you'll be comfortable with anything that comes through your door bc you've treated the sickest of the sick
3. Very early autonomy = transition to moonlighting is basically seamless
4. Crazy moonlighting opportunities = able to triple your salary or make even more (we can moonlight in PGY-2!)
5. Strong faculty and PD support = great working environment, better learning, help with finding jobs
Really loving my program. It's got some real negatives too, but God really niced me boy. He answered my prayers and even over-delivered 😊
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medstudentblues · 7 months
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Happy saturday!
It’s our last weekend break (the last golden period). I worked out this morning which was gorgeous, then I went to a cafe to have breakfast, read a book, and journal. I also bought flowers for my kitchen because they looked and smelled so good this may be a weekly thing now.
An update recently.
ER was just a waste of time because there wasn't much responsibility put on us. They just thought, "Hey, let's make the kids go in," but our roles in the ER has been unclear so basically we did nothing other than saved (we did CPR and such) and monitored some of the patients.
Now we are in Psychiatry, where we take care of our mental health. Our duty is only from 8am-4pm, everyone's nice -- the residents and nurses, and we see some interesting cases (Schizophrenic patients, bipolar people in their manic phase, and so on). I'm actually a little sad that the rotation is ending next week and we'll start our Surgery rotation because in Psychiatry, there's life-work balance. People are good at listening. People know that mental health is important, and Doctors can sometimes feel things too and go through some difficulty in life. It's still not challenging for me like IM (internal medicine), but my rotation in Psychiatry has made me insightful without realizing it. The past few months had been a roller coaster because we were in IM. Our adrenaline was always on peak, but we were also mostly tired and we took the toxicness as a challenge and therefore, we enjoyed the past rotation. It is only in Psychiatry that we are finally slowing down. We are finally able to process our emotions, our mental and emotional state, where we stand, etc. Even if we didn't have our break in ER rotation, perhaps this slowness in Psychiatry rotation is just what we needed.
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