Posted on June 29, by Scott Alexander I. A while back one of my patients was having a foot problem, so I consulted the hospital podiatrist. I thought about this because as of today I am halfway done with my four-year psychiatry residency. One of my teachers told me that you go to medical school to learn things, and then you go to residency to get used to them. But my last time on call, somebody also had a seizure, and I sort of strolled in half-asleep, ordered the necessary tests and consultations and supportive care, then strolled out and went back to bed. And then there are the little things, like learning to tune out a psychotic guy banging on the window and yelling threats at you. In fact, psych hospitals are much more orderly than you would think. For a place where two dozen not-very-stable people are locked up in a small area against their will, violence is impressively rare.