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assistance for psychiatrists, psycholo- gists, psychiatric mental health ad- vanced practice nurses, and others working in mental health care who agree to provide direct care to under- served Texans. SB 18 creates a new program at the Higher Education Co- ordinating Board to incentivize teach- ing hospitals to create and maintain residency programs, including those in psychiatry, for physicians in high demand across the state. During our meetings, one particu- lar legislator seemed to address our plea in support of the three bills with incredulity, as if to say, “Don’t we have bigger fish to fry?” Call him a straight shooter, or a skeptic, or whatever you’d like. As an educational experi- ence, his resistant behavior helped sharpen my acumen about how a legislative transaction transpires as opposed to a medical one. The expe- rience was an unusual conglomerate of working with teams of other men- tal health advocates, many of whom themselves had dealt with psychiat- ric illness, and simultaneously deal- ing with legislators, some of whom laughed at the thought of increasing the mental health budget. The experience required catering, though minimally, to different per- sonality types, party affiliations, and regional politics. Though some may view two-stepping with such “nega- tive forces” a waste of educational time, Capitol Day was definitely a step in the right direction for physi- cian involvement in the political pro- cess. Getting resident physicians in- volved in the legislative process while in training would likely increase their likelihood of staying involved later in their careers. Like the state of Texas itself, an exemplary residency educa- tion ought to be broad in depth and breadth.
APARNAATLURU, MD, is a second-year
psychiatry resident at The University of Texas Southwestern Medical Center in Dallas.
16 TEXAS MEDICINE April 2015
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