Hello dear readers. My Psychiatry rotation is now underway. The biggest reason I'm excited about this is it's my LAST ROTATION OF THIRD YEAR!!! So far things are pretty chill, which is exactly what I hoped for when I asked to have Psych and Neuro as my last block of the year. My resident called me a gunner when he found out I had no plans to go out last night. He stood by that assessment even after I told him I had no plans because I was on call.

Even in such a relatively laid-back environment, I am tired of being a third year, with a capital T-I-R-E-D. I don't know what I'd do if I were on Surgery right now. On that rotation more than any other, I think I wasn't evaluated based on any actual knowledge, or even technical skill, but on how happy I looked to be there. Or how well I faked looking happy when I wasn't. I think this because I recently got my evaluation back, and some of the comments basically said just that. I get the feeling I would have been better off had I studied less and devoted more energy to being loud and enthusiastic. At least in January it took me four weeks to "look tired." Now, I'm sure I look tired at baseline.

Call last night was pretty good. The intern who was taking evening admissions didn't seem too enthusiastic to have me there, but the overnight PGY-2 was awesome. He gave me some really good tips on taking a psychiatric history, and did some teaching about all the various psych meds. When I left at 9, he thanked me for being willing to "do work and stay late." With a q25 call schedule, it's not hard. The next time I have call, the rotation (AND THIRD YEAR!!!!) will be nearing its end.