My site evaluation with Dr. Saint Martin was an intellectually stimulating experience. As an experienced psychiatrist, Dr. Saint Martin brought a unique approach to the evaluation process, asking thought-provoking questions that challenged me to think critically about my case presentations. One discussion that stood out was centered on my decision to diagnose a patient with major depressive disorder (MDD) versus adjustment disorder based on their history and physical exam. Dr. Saint Martin’s probing questions encouraged me to reevaluate the subtle distinctions between the two diagnoses and consider how the patient’s context and stressors influenced their presentation. This exchange deepened my understanding of diagnostic criteria and the nuanced decision-making process in psychiatry.
I also had the opportunity to present a journal article on geriatric psychiatry, which highlighted the complexities of diagnosing and treating psychiatric conditions in older adults and related to my case. Preparing for and delivering this presentation enhanced my appreciation for the intersection of psychiatry and aging, particularly the importance of addressing medical comorbidities and polypharmacy. Hearing my classmates Isra and Ali present their cases and journal articles added to the depth of the discussion. Each of us brought unique perspectives and patient scenarios to the table, and Dr. Saint Martin guided us in connecting these to broader psychiatric principles.