A Day in the Life of a PGY-2 Resident – Dr. Khan

Sarosh Khan, DO
Class of 2026

Hi! I’m Sarosh and I am a PGY-2 Psychiatry resident at Boston Medical Center. During the second year of residency , we explore subspecialties within Psychiatry. We also practice outpatient Psychiatry at Dowling Clinic on Thursday mornings, with our own panel of therapy and psychopharm patients. We have six weeks of night float and about 10 days of weekend call scattered throughout the year. At BMC, it is acknowledged that second year of residency is tough due to night float and call. And so, we have supports, supervision, and a culture best exemplified by our motto to Never Worry Alone.
I started PGY-2 with a “swing” rotation from 1PM-10 PM at BMC’s Psychiatric Emergency Department, where we evaluate and treat psychiatric emergencies. Next, I rotated through the VA’s intensive outpatient and partial hospital substance use programs. Next, I rotated through the VA, for geriatric psychiatry and Neuromodulation, where I really enjoyed performing ECT and administering ketamine. Then, I had a forensic psychiatry rotation at the Solomon Carter Fuller Center, and went to the Boston Municipal Court. My current rotation is at BMC’s consult-liaison service. Next, I will have Child and Adolescent Psychiatry at Bournewood Hospital, followed by Consult-Liaison at West Roxbury VA.

A typical day during C/L at BMC starts with getting sign-out from the night resident for cases seen overnight. Then, I head to our department meeting, where we discuss and assign cases for the day, and discuss challenging or novel cases. We have a robust and busy C/L service, and often see acute psychiatric pathology among our diverse patient population, admitted through medical and surgical specialties, and work closely with addiction medicine and do substantial liaison work.

A little bit about night float – we do 6 weeks of night float: four weeks at BMC, being in charge of the Psychiatric ED and covering new consults, and two weeks at the West Roxbury VA. There is support through an on-call attending, and a clinician at BMC. We also meet with the director of BMC’s Psychiatric Emergency Services at regular intervals to discuss any challenges that may arise.

I am so proud of my class for navigating this year, while continuing to be a robust source of support for each other. I love my class, and I find myself invigorated and happier on Thursdays when we attend didactics together. I have really come to think of Boston as my home, and in my free time, I enjoy running, going to shows, reading and enjoying my partner’s lattes and hugs.

Written by Dr. Khan in January 2024