Page 20 - July Aug 2022 Newsletter Final_Neat

Continued from page 19 arrangements of multiple windows on our computer desktops: our video platform, the elec-

tronic health record, perhaps also our email, calendar, messaging services (with which we may prompt our attend-
ings to virtually “pop-in” to staff our cases, or ask our co-residents questions we would otherwise have asked during
an impromptu coffee break), helpful reference materials (such as Carlat’s, Stahl’s, DSM 5, UptoDate), and the state
CURES database. All of these are now just a click and a glance away. But every glance is also a glance away from
our patients, who occupy their own window on our screens.

We speak of Zoom fatigue, but “distraction fatigue” or “multitasking fatigue” is more accurate. Without a concerted
effort to close application windows or turn off notifications, we are constantly receiving multiple streams of infor-
mation, each prompting a decision of whether to react or respond. In this context, the idea of being fully present
with a patient has at times felt aspirational.
While telehealth and work-from-home have their advantages for the clinician (Such a short commute! Snacks and
drinks from one’s kitchen PRN! Wearing sweatpants all day!), by the second half of our PGY-3 year, we became in-
creasingly aware of what had been lost from the residency training experience in outpatient psychiatry. Now that
our department has moved its outpatient services into the new Nancy Friend Pritzker Building in the Dogpatch
neighborhood, we are transitioning back to something closer to “the way things were,” increasing the frequency of in
-person care.
This year and beyond, we have a new skill set to learn, both concrete and psychological. For example, many of us
have become accustomed to charting during the virtual patient visit, an aspect of our workflow that we’ll need to
relearn in the physical consulting room. In many of the Pritzker Building office spaces, if sitting with a patient, it is
physically impossible to face them and see our computer monitor at the same time! Without the separation of the
screen and the comfort of our charting and reference materials, we will undoubtedly feel more vulnerable, even if
both patient and clinician are wearing masks. However, we are looking forward to regular opportunities to feel fully
present with a patient, not just because we want to be able to pick up on more subtle physical signs revealing their
mental state, but also because shared presence—and, indeed, vulnerability, —allows for a different kind of therapeu-
tic connection. Beyond patient care, we also hope that the transition back to in-person work will foster a renewed
sense of togetherness with colleagues, and the chance to build more shared meaning within our training communi-
ty.

Thankfully, we know that our learning will continue past residency, and that the experience of the past three years
will also inform our ability to adapt to future challenges.
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Office space for rent in San Francisco
SF Offices for Rent / View of the Golden Gate Bridge in quaint Cow Hollow
Neighborhood near Cafes and Restaurants

Prosperity Spot: Three (3) Offices Available,
each can be rented individually
• Minutes away from Golden Gate Bridge and Sausalito Marin 101 Corridor
• Just minutes from Marin County
• Light Filled Illuminated Offices
• Corner of Union/ Webster, 2nd/top floor
• Located near a public parking garage a block and a half away
• Larger offices can accommodate groups of 12-15 or more
• Rent is Below Market b/c we have had the lease for 30 years.
• Has Kitchen with fridge and microwave; charming waiting room
• Larger offices can accommodate groups of 12 or more
• Cute health conscious supermarket a half a block away
• All offices come unfurnished
• Many of the Lovely therapists’ Sub-letters looking to stay if you want to subsidize your rent if they can.
Rents vary depending on size of the office,
most start at $1250.

sfbay.craigslist.org/sfc/off/d/san-francisco-union-street-webster/7496864778.html

NORTHERN CALIFORNIA PSYCHIATRIC SOCIETY Page 20 July/August 2022