In this thought-provoking episode of the American Journal of Psychiatry – Resident's Journal Podcast, we dive into the rapidly evolving intersection of artificial intelligence and psychiatric training with a close look at the article "ChatGPT and Psychiatric Documentation: Balancing Trainee Education and Administrative Burden" from the American Journal of Psychiatry Residents' Journal (June 2025).

Psychiatric residents face immense administrative pressures—endless notes, charts, and assessments—that contribute to burnout and eat into valuable learning time. Enter tools like ChatGPT: they promise to generate succinct assessments, draft progress notes, and lighten the load, potentially freeing trainees to focus more on patient care and clinical reasoning.

But is the shortcut worth the cost? The episode explores the article's core tension: while AI can produce reasonable outputs (like a differential diagnosis for a patient grappling with grief-related depression), over-reliance risks undermining the foundational educational value of documentation. Writing assessments forces trainees to analyze patient data, synthesize information, spot knowledge gaps, and justify high-stakes decisions—such as involuntary holds or medication choices—where objective tests are scarce and ethical/legal stakes are high.

Whether you're a resident navigating documentation fatigue, an educator shaping future psychiatrists, or simply curious about how AI is reshaping medicine, this episode asks the big question: Can generative AI ease the burden without eroding the skills that define great psychiatric care?

The background music featured in this episode is "Open Up (Pour Your Spirit Out) (Instrumental Version)" by JOYSPRING, courtesy of Epidemic Sound.

(Used under subscription license – thank you to the artist and Epidemic Sound for this uplifting, royalty-free track!)

In this episode, we dive into a compelling narrative review from the American Journal of Psychiatry Residents' Journal (September 2025) on harm reduction interventions specifically designed for women and gender minority individuals who use drugs.

While traditional harm reduction approaches save lives, this review highlights how gender-responsive programs—addressing overlapping risks like sexual health, violence, stigma, and criminalization—can deliver even stronger outcomes.

Join us as we discuss practical implications for clinicians, the power of meeting people where they are, and why prioritizing gender-specific harm reduction could transform addiction psychiatry. Essential listening for anyone passionate about equity, evidence-based care, and reducing harm in vulnerable communities.

The background music featured in this episode is "Open Up (Pour Your Spirit Out) (Instrumental Version)" by JOYSPRING, courtesy of Epidemic Sound.

(Used under subscription license – thank you to the artist and Epidemic Sound for this uplifting, royalty-free track!)

We interview Dr Lia Gaggino about primary care and psychiatry- especially in the context of child and adolescent psychiatry.