Committed : dispatches from a psychiatrist in training / Adam Stern, MD.

Enhanced descriptions from Syndetics:

Grey's Anatomy meets One L in this psychiatrist's charming and poignant memoir about his residency at Harvard.



Adam Stern was a student at a state medical school before being selected to train as a psychiatry resident at one of the most prestigious programs in the country. His new and initially intimidating classmates were high achievers from the Ivy League and other elite universities around the nation. Faculty raved about the group as though the residency program had won the lottery, nicknaming them "The Golden Class," but would Stern ever prove that he belonged?



In his memoir, Stern pulls back the curtain on the intense and emotionally challenging lessons he and his fellow doctors learned while studying the human condition, and ultimately, the value of connection. The narrative focuses on these residents, their growth as doctors, and the life choices they make as they try to survive their grueling four-year residency. Rich with drama, insight, and emotion, Stern shares engrossing stories of life on the psychiatric wards, as well as the group's experiences as they grapple with impostor syndrome and learn about love and loss. Most importantly, as they study how to help distressed patients in search of a better life, they discover the meaning of failure and the preciousness of success.



Stern's growth as a doctor, and as a man, have readers rooting for him and his patients, and ultimately find their own hearts fuller for having taken this journey with him.

Table of contents provided by Syndetics

• Prologue (p. xiii)
• Part 1 Year One
• 1 Welcome to Longwood (p. 3)
• 2 The Golden Class (p. 14)
• 3 It Will Pass, and You Will Be Fine (p. 20)
• 4 First Paycheck Party (p. 33)
• 5 The Mythical Day Team (p. 38)
• 6 Mania (p. 46)
• 7 The Lightbulb Has to Want to Be Changed (p. 55)
• 8 These Are Bad, but I Think You Can Do Worse (p. 59)
• 9 Night Float (p. 69)
• 10 Controlled Chaos (p. 78)
• 11 Insomnia and Electric Shocks (p. 85)
• 12 Bread-and-Butter Medicine (p. 96)
• 13 Stern and Sons (p. 107)
• 14 A Face Worth Licking (p. 112)
• 15 Tongue-Tied Cherry Stems South of the Border (p. 117)
• Part 2 Year Two
• 16 Like the First Year, but More (p. 125)
• 17 Unwelcome Departures (p. 136)
• 18 Snoozers Lose (p. 145)
• 19 Tell Me What Brings You into the Office (p. 155)
• 20 The Irresistible Lure of Delivering Chinese Food (p. 165)
• 21 Just Needing Some Air (p. 176)
• 22 Some Kind of Chicken Sociopath (p. 183)
• 23 Like Free Therapy (p. 190)
• 24 The Joy and Sorrow of Musical Staircases (p. 198)
• 25 EXP (p. 205)
• 26 An Office with a Window (p. 211)
• 27 Friends Don't Have Sleepovers (p. 217)
• Part 3 Years Three and Four
• 28 Don't Just Do Something, Sit There (p. 229)
• 29 Being Present (p. 243)
• 30 California Nightmares (p. 255)
• 31 Not My Choice (p. 264)
• 32 The Match Redux (p. 273)
• 33 I've Got Muscles (p. 279)
• 34 An Impostor Once More (p. 285)
• 35 This Is Where Change Happens (p. 292)
• In Memoriam (p. 298)
• Acknowledgments (p. 300)

Reviews provided by Syndetics

Publishers Weekly Review

Stern debuts with a mesmerizing memoir of the four years he spent in a psychiatry residency program at Harvard. He joined the staff in 2010, as part of a group of 15 residents, and was charged with observing patients in the emergency room and the psych ward, and working the grueling "night float," which required working two consecutive weeks of overnights. While he admits that "managing patients was a never-ending maelstrom of chaos and uncertainty," Stern came to understand that psychiatry is all about helping patients become their best selves "in spite of, or even because of, the immense challenges they face." Throughout, he paints sensitive and often touching portraits of his patients, who dealt with everything from paranoia to anorexia to severe depression. In spending "half my day as a reflective window" for others' struggles, he often carried their despair with him. At the same time, he writes, these intense trials led to deep bonds with the other residents--one of whom would eventually become his wife--and taught him how "to purposefully keep moving forward." Compassionate and candid, this is as human as it gets. Agent: Karen Murgolo, Aevitas Creative Management. (July)

Booklist Review

With high-stakes drama, interesting characters, and a predictably appealing protagonist, it's no wonder that medical memoirs are often compelling reading. Stern's is no exception as he recalls his four years of psychiatric residency training at Harvard. He emphasizes his feelings of inadequacy, intense work, the vast amount of information that must be mastered, and the unique challenges presented by psychiatric patients. The camaraderie with other residents helps him survive the experience. He portrays patients with suicidal thoughts, mania, psychosis, catatonia, depression, and anorexia. Descriptions of a locked psychiatric unit, treating mentally ill patients without their consent, psychotherapy, and electroconvulsive therapy add intensity to his account. As Stern struggles to become a proficient psychiatrist, he and his patients sometimes falter. But moving forward, no matter how small the steps, is crucial. Complicating his training is his personal search for love. Stern sees psychiatry as the medical specialty "aimed at helping patients to find and become the best versions of themselves" despite formidable challenges. A sensitive chronicle about becoming a doctor and the value of human connection and empathic listening.

Kirkus Book Review

The highs and lows of a grueling four-year psychiatry residency. As Stern notes in this dynamic debut memoir, though he was armed with the empathetic drive to "become an expert in the human condition," he was unprepared for the difficult work he would face. After graduating from SUNY Syracuse, he matched with the residency program at Harvard Medical School in 2010. The author writes about how he was intimidated after being paired with classmates from more prestigious medical schools, but as the son of a cardiologist, high expectations were established early, which only added to the pressure to outperform the 14 other residency scholars in his class. After several shaky introductory shifts, Stern found his footing in a work environment characterized by elaborate clinical processes, murky treatment ethics, nagging self-doubt, and sheer physical exhaustion. Eventually, the author got worn down by weeks of consecutive overnight shifts handling the "firestorm" of a full patient caseload in the psych ward and rotation schedules in the emergency department. Nonetheless, Stern remained committed, and he was also able to find romantic fulfillment with a fellow resident, Rachel, who later became his wife. As the author vividly captures the urgency, chaos, and eerie fascination involved with the treatment of mental illness, he also candidly shares numerous patient portraits, which provide some of the most moving and disturbing moments in the book. Stern capably handled patients plagued with severe anorexia, manic depression, bipolar disorder, and schizophrenia, but he was still blindsided by some of the unique, situational "stuff we never covered in med school." The combination of patient case studies and medical trainee journal creates an intense reading experience and an eye-opening appreciation for medical professionals charged with psychiatric care. Residents and those contemplating a career in mental health will find much to glean from this spirited memoir of dedication and dogged determination. Engrossing, indelible, and brimming with genuine humanity. Copyright (c) Kirkus Reviews, used with permission.