Guidance Along the Path: 20 Meditations for Psychiatry Residents

October 15, 2019

James L. Knoll IV, MD, James L. Knoll III, MD

In the spirit of honoring and guiding trainees, the authors provide advice to today’s psychiatric residents-the psychiatric leaders of tomorrow.

We offer the following advice, in the spirit of honoring and guiding trainees-today’s psychiatric residents-who will become tomorrow’s psychiatric leaders.

James L. Knoll IV, MD, is Director of Forensic Psychiatry and Professor of Psychiatry at SUNY Upstate Medical University in Syracuse, NY. He is Editor in Chief Emeritus of Psychiatric Times (2010 to 2014). James L. Knoll III, MD, is retired Clinical Professor of Psychiatry at the University of Texas Southwestern Medical Center and Medical Director of Presbyterian Hospital of Dallas.

1. Never waste supervision-take it as the very special, once-in-a-lifetime experience that it is.

2. Seek out the best supervisors from different disciplines.

3. Do not leave residency training without very solid skills.

4. Know thyself.

5. Become acquainted with every art.

6. Develop a sound and reliable method of documentation.

7. Understand that although you have had to learn much and have worked very hard, life after residency is different and presents unforeseen challenges.

8. Be aware that over time, people claim to “discover” theories which, upon closer examination, are actually older, well-known psychiatric/ psychological principles wrapped in a new package.

9. Learn and rely upon on the latest practice guidelines or clinical pathways, but not so rigidly that the patient becomes secondary.

10. Try your hand, even if it makes you uncomfortable, at public speaking.

11. In difficult periods, take time to slow down, recall, and refocus on why you chose this path.

12. Make time to read poetry and works of literary excellence.

13. Tip the balance of work versus family too far in one direction at your own peril.

14. Think lightly of yourself and deeply of the world.

15. Do your best to live in a state of detachment from the 3 tormenting lusts.

16. Arrogance or loss of temper is repugnant and dishonorable. Resentment and complaint are appropriate neither for yourself nor for others.

17. Seek supervision or consultation liberally after graduating residency.

18. Communicate effectively and work collaboratively with other healthcare professionals.

19. Assume leadership positions when possible and appropriate.

20. Do not be false towards your chosen profession. Become familiar with the ethical and legal principles of psychiatry.

This slideshow is adapted from a 2012 article: Twenty Meditations For Residents. -Ed