Day in the Life of a UCSF Doctor – Psychiatry Resident Physician


[music] Hey, I’m Petey Kass, I’m a third-year
Psych resident at UCSF and this is the day and the life. So right now we’re walking to
work, It’s 8 a.m on a normal San Francisco summer day. I’m on in-patient Psych rotation,
so I’ll be seeing all patients who are admitted to our in-patient Psych unit. A little more
acute, patients who are a little sicker than what you’d see normally in out-patient setting
and uh, you never know what the day is gonna bring so, we’ll see. Alright, so Dr. Kass,
walk us through what a normal day is like for a Psych resident. So, Psych is practiced
kinda in two separate settings, there’s an in-patient setting and an out-patient setting.
So right now I’m going to the in-patient Psych unit, there’s also Consult Psychiatry, which
is where you’re working with Psych patients who are on the medical side of things. And
so when I’m on the in-patient unit essentially I get in at 8, I round all my patients, I make
changes to their treatment plan, I kind of go to rounds with our team of nurses and attending
and then I sort of just deal with the acute stuff that comes up during the day. And then
this is an interesting day ’cause at noon I’ll actually go to my outpatient clinic,
where I see patients who are just coming into the office to see me for a half-hour appointment.
And those patients are a little less sick, they’re a little higher functioning and generally,
you get an opportunity to do more like the Psychotherapy stuff with them. So this is
a fun day ’cause I get to do kinda both parts of Psychiatry. [music] Alright, so it is about
noon right now, Petey, can you walk us through what happened today? Yeah, so I got two new
patients this morning. The first was a guy I actually knew, a middle-aged guy with schizoaffective
disorder, who I took care of a couple of weeks ago and then he got discharged and stopped
taking his medications. So he came back with pretty bad auditory hallucinations and delusions
about thinking he was God. So kinda we spent the morning trying to get him restarted on
his medications and coming up with sort of a discharge plan that would keep him safe
for when he gets out of the hospital this time. And then I met another patient who uh,
is a younger guy who checked himself in last night with increasing depressive symptoms
and thoughts of wanting to hurt himself. So it’s really just getting collateral information
and seeing what we could do to help this guy feel better. Alright, so, what’s next? So
this is actually one of the few medical fields we get a lunch break, so right now it’s noon
and I don’t have to be back at work till one and that’s because at one O’clock I start
my out-patient clinic, which is uh, a clinic that I’m in once a week. Where I have a panel
of patients that I take care of just like kind of a regular out-patient doctor. And
they come to see me every 2 to 12 weeks depending on the patient. So I’ve got a full load this
afternoon of interesting people to take care of. [music] Alright so, it is now 4:30, Petey
just got out of clinic. Petey, walk us through what clinic was like today. Yeah, so I saw
a couple of patients, I had a new patient who I saw for a first visit uh, who was sort
of hearing voices and had a little bit of paranoia. So we diagnosed him with schizophrenia
and got him on a treatment plan for that and hopefully it works. And then I saw a patient
who I’ve been taking care of for a couple of months now who was pretty depressed and
is doing a lot better. So like it’s one of those rewarding cases where you see people
get better. And then my last patient ended up canceling, so here we are half-hour earlier
than I thought we’d be. Nice, so we hear about schizophrenia a lot in pop culture, can you
explain to the viewers what that is? Yeah, so I think what you hear a lot is like schizophrenia
and multiple personality disorder, which is kind of the complete opposite of what it is.
Schizophrenia is a disorder where people end up having a combination of hallucinations,
where they’re sort of seeing or hearing things that aren’t really there and delusions, beliefs
that aren’t actually true. So believing they’re God, believing they can talk to God, believing
they’re a superhero. And obviously for having these kinda severe thoughts and – and – and
seeing things, visions it really affects your function and your ability to work. So these
people are kind of the sickest patients we see and need the most treatment. Alright,
so I’m not – I’m not quite used to this because it’s 4:30 and it’s sounds like you’re done
for the day. Yeah, Psych life, I mean, we did a lot of work, we helped a lot of people
but we don’t need to be here till 8 so uh, the day is over, notes done and I get to go
home. Let’s do it. Yeah. So residency life is a lot different than being a med student,
what are some things that you wish you knew before you started residency back as a med
student, or even as a pre-med student? Yeah, so Psych is actually a much more diverse field
than I ever thought it was. You end up, you – there’s geriatrics, there’s forensics, there’s
addiction, there’s child. So it’s not just seeing patients on an in-patient Psych unit
and I think the nice thing about Psychiatry is, it gives you the freedom to change careers
a lot. So you could do geriatrics, you could do a little bit of consult, you can do a little
bit of addiction and in Psychiatry, you’re never really stuck. You can always kind try
something new and it’s one of the more flexible fields of medicine. Petey, why did you choose
Psych? So when I got to med school I thought I was gonna be pediatrics, I wasn’t like sure
of it and when I did my Psych rotation I just sort of fell in love with the field. It’s
basically like a primary care field, so you get to see a lot of different types of people
with a lot of different types of illnesses. You get to help people who have pretty debilitating
illnesses get better and get their life back. And I think for a lot of med students, by the
time you’re done with med school you don’t wanna do more 88 to 100 hour work weeks. You
wanna have a life, you wanna have hobbies, you wanna be able to see your friends and
Psych provides that as well. So, it’s kind of the perfect plan between work and wellness.
Why UCSF for residency? So I think it’s a – it’s kind of a complicated answer, there’s
a lot of reasons one is that UCSF is a great academic institution. It’s known worldwide
for its research and its clinical abilities, people come from all over the world to our
Psych clinics. Um, there’s three training sites, there’s a VA at County Hospital and
an academic center so we see a lot of different types of patients. I really have always loved
San-Francisco and always wanted to live here so that’s kind of an added benefit. And there’s
just kind of a lot of cool people doing cool things here, so I knew I would get to try
a lot of different things and figure out what I wanna do with the rest of my life. [music] Alright Dr. Kass, so if you could give our viewers one piece of advice to either pre-meds
or medical students, what would that be? I think it would be don’t pigeonhole yourself
to one specialty, I think there’s a lot of fields out there that people don’t know about
before med school and that you don’t try until you get to med school. And some of the core
rotations once you’re in med school, don’t include a lot of things. So I think you just
keep an open mind, try a lot of things. If you want more advice on this, I actually wrote
a blog post about choosing a medical specialty on the med school insiders’ blog, so you
can check that out. But I just think there’s a lot of fields out there that are great and
super interesting that people don’t know about till they get to med school. I didn’t know
I was gonna do Psych, I’d never heard about kind of what Psych was like, so I changed
my mind from pediatrics and I’ve never regretted it. Nice, so why did you decide against peds
and why did you choose Psych instead? Yeah, I think I don’t wanna like bad mouth peds
there’s a ton of good things about it like there’s nothing more admirable than helping
kids. I just on my peds rotation decided it wasn’t – It’s kind of listening to kids chests
and listening to kids stomachs that kind of made me feel fulfilled and diagnosing their
medical illnesses. Uh, it was talking to them and getting to know them and seeing kind of
more about their developments and their anxiety and their depression that I found really appealing,
so I think child Psych for me was a more fulfilling career. While someone else may find the kind
of the medical side of pediatrics more fulfilling. Interesting, and you know as someone who ended
up deciding on plastic surgery, was surgery ever in your realm? I actually loved surgery,
I actually did plastic surgery in med school and – and absolutely loved it. And I – I did
really well- You don’t have to just say that for the camera. No, no I – I actually tell
my wife every once in a while that I should have been a plastic surgeon, so it comes up.
And I think there’s a lot of cross-over, like both fields are very invasive, your patients
have to trust you to let you cut them open, but they also have to trust you to share their
trauma history and their development history and their family history. So I think there’s
a lot of cross-over. At this point I’m super happy with my career and I think the schedule
offers me kind of what I want more than a surgical schedule and I think the time to
sit down and talk to patients is – is pretty rewarding for me but that you don’t have in surgery,
’cause you have to spend a lot of time in the OR but I definitely see why there are
a lot of people out there who are choosing between surgery and Psych, they – they’re
not as different as they seem. Interesting, very well said with the invasive thing, I
never thought of it that way. Petey, it was awesome having you thank you for showing us
a day in the life of a Psych resident, where can people learn more? Yeah, thanks for coming,
thanks for hanging out in my lovely over-priced San Francisco apartment. Uh, I’m actually
one of the advisors from medschoolinsiders.com so you can find me there. I’m also one of
the blog contributors so you can see my articles including the one about how to pick a medical
specialty, and you can also follow me on Instagram. [music]

96 thoughts on “Day in the Life of a UCSF Doctor – Psychiatry Resident Physician

  1. Thanks for watching and shout out to Dr. Kass! Check out our other video we uploaded today! https://youtu.be/irp5ghCVNAM

  2. Bless you for doing these 1-on-1 interview/day in the life videos. SO HELPFUL. Please interview a Pain Specialist, Infectious Diseases, and Rheumatologist someday 🙂

  3. Nice, man – you're an awesome interviewer. Loved that over-the-shoulder shot int he beginning, too.

  4. is your apartment rent funded by the residency programs ? I know 30k-50k will NOT pay for rent, student loans and a living in San Francisco!

  5. Dr.Kass is awesome I was a former high school student of his. I still remember him teaching us biology and the stories of Oliver Sacks “The man who mistook his wife for a hat”. He’s a great Doctor/Friend/Mentor.

  6. I’m only 13, bit I’ve always wanted to be a trama doctor or paramedic. (Leaning toward trama doctor). You see people at their worst, but see them leave healed. The connection with colleagues to me is amazing. I want to be in a hospital every day I can be, night shifts, and on-call room discussions, I just can’t wait!

  7. Wow! Dr. Kass's work is exactly what I want to do in the future. I am so interested in understanding how people's minds work and also how they can go wrong. Psychiatry also looks very balanced and reasonable compared to other medical specialties. Keep up the good work with your videos!

  8. That 8-5 schedule is really appealing. I'm torn between psychiatry and Internal Medicine. Can you suggest any psychiatry exterships or observerships? US-IMG here. Your reply would be greatly appreciated

  9. The best treatment for depression is happiness and the best of all: it’s free.
    My mother was depressed after being left alone in her home because everybody was busy and have no time to share with her. But instead of drugging her or taking her to a “specialist” on the human mind; we started to spend time visiting her and listening to her, and voila! Surprise! She was happy again in no time. You know why? Live is communication and when people stops talking or seeing their love ones, zas! They are struck by loneliness, isolation and sadness and therefore they feel depressed. And it’s totally normal to be happy, sad, angry, emotional or whatever emotion the human beings can feel; because after all, all of us have feelings, emotions. and we struggle to survive, it’s part of nature. What is not natural is to put drugs into our bodies just for the purpose of making richer the owners of the pharmaceutical industry. Because at the end we are the victims of this industry and we pay the ultimate price: our precious health and lives. So from now on start by sharing time and love with your family, that’s something that drugs and psychiatrist can’t replace or give you back. Remember you can make the difference for your love-ones. So in the future you won’t regret. Love and peace for everyone.

  10. The former medicated child's book is available to download on BookOfPsychiatry.com

  11. How many people’s life did you ruin today with your pseudo science and designer drugs??

    Just for the benefit of your narcissistic needs of feeling like God?

  12. psychiatrist are a disgrace to the human race… I hope that their lack of morality and ethics would take their souls into oblivion, where they would meet the guy they had sold their soul to in order to develop their career… which is heal zebub, a psychiatrist himself. their hell would be to be tied up for hours and drugged in a Nazi regime close ward, where they would undergo electroshock treatment, by their most hated adversaries, who would preform experiments on them and on their loved ones, on their minds brain and soul, those psychiatrist in the close ward, would be told that they are being cured, and are soon being transferred to a more green and healthy health camps, and happy place… find your happy place you son of a whore, I will haunt you in your worst nightmares after the tragedy will happen to you…

  13. Your shit .psyquiatry has no cientifical proof nor clinical relevance. The firts weeks are the trick
    . After that autoregulation plays role and your unprooven regulated med do the evil making people progressively worst .VAMPS TRAVESTED IN WHITE. All your meds ARE ADDICTIVE AND SEND PEOPLE TO A SPIRAL OF TERROR LIKE ALL PSYCHOACTIVE DRUGS IS NOT ONLY BENZOS. PSYQUIATRY IS PURE NAZISM AND IS WHERE COME THEIR IDEAS AND MENTORS .ITS HYSTORY.

  14. Thank you for the video, very informative and it helped me make a decision. The comment section has a couple of people who should consider psychiatric help.

  15. I'm a trainee from Malta, my dream is to be a psychiatrist in America someday. Currently in the process of applying to the UK. Hopefully one day I'll be able to fulfill my dream of moving to the US! Great video!

  16. Psychiatry is a wonderful field of medicine. It is sad to see people undermining their mental disorders. If I see anyone struggling inside, I suggest visiting a psychiatrist. Psychiatry has saved my life and has helped me get a normal life. I am extremely grateful to my psychiatrist.

  17. Do psych doctors ever focus on nutrition at all? Sometimes mental symptoms are a manifestation of inflammation in the body, nutrient deficiency or hormonal imbalance. Seems like most treat it as strictly a mental issue and prescribe meds to treat the symptoms without addressing the cause.

  18. Look at all these comments below this video.A quick research on Youtube videos too shows us that psychiatrists are probably one of the most hated group of people in social media. At least we can conclude from all these very harsh criticisms that there is a huge population in social media who aren't very fond of psychiatrists. I can't help wondering how on earth this profession can still survive if everyone hates it that much. How can psychiatrists really help their patients if they're hated that much in public? That should be the real topic of discussion for psyhchiatrists if you ask me. It's obvious that they have a very clear public relations problem.

    I don't see a bright future for this profession to be honest with you. Actually if the trend goes on like that I'm not surprised if psychiatry is abolished as a medical specialty within a couple of years time. If I was a psychiatrist that would really be a matter of concern for me.

  19. I am a master's level therapist and have been thinking about going back to school to become a psychiatrist. I have already been practicing for about a year and feel like I need to do more. This video helped me solidify my decision. If I need to go back and take my science courses over again. So be it. Who knows, maybe I might get to surgery rotation and switch to being a surgeon like you Doc Jubbal! lol

  20. Hi there. Wonderful video! What about a non-science undergrad degree? I have a bachelor in psychology but psychiatry has sparked my interest. Is med school right now an option for me?

  21. Psychiatry is a fraud and pseudoscience. They cripple and maim people with neuro-toxins for invented diseases they have NEVER proven which THEY cause. Be ashamed of yourself. What psychiatrists do is grossly immoral.

  22. Do you feel ill-equipped to deal with psychology without that education? Sounds like falling into the quick-to-diagnose-and-prescribe pattern of the typical, comfortable psychiatrist. Be careful. Please study psychology.

  23. Okay, so long story short, I’ve decided to that I want to be a psychiatrist, but I’m not sure what the steps are from my bachelors. I’m two years out from my undergrad in psychology. What would you recommend as my next steps to get me where you are?

  24. Hi I’m going to major in psychology to become a psychiatrist but how do i apply for the prerequisites before i apply to college? My major is psychology but yeah how do i get the prerequisite .. thank you

  25. I had my therapist work with me when I was changing from 1 psychiatrist to another & it really helped me. I made a video about it on my new You Tube channel and I made a video about it & welcome everyone to come watch it interested. I bid u all Peace

  26. My sister in law hung herself. She was giving some new medication and that is what lead to her killing herself.

  27. I'm on disability for depression. I was born with a minor deformity of my fingers from my left hand. I also have a stutter that I think is the major problem I'm having problems mentally and emotionally.

  28. This is exactly what I needed to hear. Going into med school, I wanted to do one field, but now I’m really deciding between 2 different specialties.

  29. Dr Kass is the man! Went to see him during his 3rd year of residency. I have never had a therapist treat me with more respect, and also be successful in what they set out to fix.

  30. psychiatry is a destructive cult that destroys lives, diagnosis is based on assumption, not real evidence, it will not survive the coming years.

  31. What is the average pay by the time you are 35-40 with your own established practice? I’ve seen anywhere from $250,000-$400,000

  32. I'm glad that everyone here is interested in psychiatry including this guy in the video. But I would NEVER go into psychiatry; I've thought about it in the distant past, but after forming some opinions about it (which is basically that it's very misled and not something I ever want to be a part of ANY way including as a patient) I know I'd never get into it. Still I found this video interesting.

  33. I want to be a psychiatrist when I grow up, but I’m undecided whether I should take a psychology or neuroscience major. I wouldn’t mind taking either, because psychology helps develop the skills needed to talk to patients, and neuroscience is an in-depth learning of the brain and nervous system, which I love learning. What advice would be given in this case?

  34. FIRST DO NO HARM: We have objective findings now associated with ECT by TBI specialist in notes. This is also used in some situations of dementia and autism. It is a way to manage behavior as if one were kicked in the head by a horse. It is used in pregnancy, on children, and on our Veterans. There is an increase in suicidal thoughts and suicide following ECT. Please inform yourself of this procedure. If your child has had ECT there are no time constraints to file for medical malpractice.

    Electroshock or ECT has no FDA testing for safety or even effectiveness. Devices have never had pre-market approval before the FDA. Based on electrical mechanism of trauma CA. courts have proved brain injuries at minimum. Electrical trauma can evolve years out to include CTE and ALS. National product liability suit taking place and medical malpractice firms interviewing for suit. Two suits also filed against the FDA. We have also approached for discrimination and fraud/false claims suits. ECT no longer just used for depression nor as a last resort. It is battery of patients. This is a women's rights issue as well. Women mostly impacted and secondary to TBI one becomes less effective in life. Inform yourselves. See ectjustice now owned by firms participating in national suit. Consent is fallible. Actual structural brain changes result from this and that is certainly missing from consent but not from their research. We need many more firms to hear from patients. You have a known mechanism and you have a known and anticipated outcomes in ALL populations. This is what all trauma is based on and this is purely trauma.
    As a side note I believe we need to look at psychiatric drugs actually potentially contributing to mass shootings and other violence. You play with the brain with these drugs and electricity and you never know what you may get. Some of the psychiatric drugs carry black box warnings for potential for violence. Warnings readily admit risk for behavioral changes.

  35. this has definitely calmed me down about being a psychiatrist. my teacher told me these crazy, bizarre stories about med school and i’ve been worrying for a few days. thank you for this video!

  36. WY they give to normal people medication to kill them and listen people they lie about other and about WHAT ? No one tell me why ?

  37. Psych is going to blow up in the next few years. It could become one of the highest paid docs. Even at this time there’s a lot of shortage already

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