psychiatry residency reddit

We hope to inspire our residents to make a difference through careers in research, teaching, community psychiatry, and clinical practice. After residency. You have to write notes and orders, and done by 1pm. It is an exciting time in Savannah as we continue to grow our training program and prepare to welcome our third class of residents in July 2021. But a lot of bad psych is impressionistic: "sad" -> MDD, "voices" -> Schizophrenia. Statistics on the Psychiatry Match. Then you write orders and notes, go see patients again for follow up, have family meetings. In general, psych residency is not particularly physically demanding, life experiences help, and you can do a psych residency after you have done a different residency. Workload depends a lot on the situation, so hard to generalize. However, in return you have to take care of some bureaucratic elements: appointment scheduling, billing and payments, refill requests, and after hour emergencies. I considered doing one of the combined programs in IM/Psych, but ultimately decided that combined programs are mostly not a great idea. I don't have a good sense of the frequency of all these options across the US, but I'm sure it varies. I know what I described isn't as terrible as some of the other residencies, but this is still a lot more than what I expected from a psych residency. Working 2-3 weekend shifts as a 4th year psych Resident sounds absurd. Psychiatry is less about the work and more about who you work with and how are you able to spend meaningful time with patients in a way that is therapeutic and also gets the required info to direct psychiatric treatment and balance complex medical issues and symptoms. One came from RadOnc, one was a practicing pediatric neurosurgeon (for years). You may learn more from your fellow residents than from some attendings. It is usually pretty easy to graduate residency and find something local. I loved my GenSurg rotations as an MS3, but I'd be a very unhappy surgeon. She was adopted and had occasional temper tantrums; she didn't fit in to her family of high-achieving upper-middle class professionals. How does having uninsured patients affect the day to day of private practice? From surgery to IM, I couldn't really pick. It's hard to make an informed choice. Thanks for doing this thread. The psychopharm patients, yes, several times.). Are PP psychiatrists really expected to field phone calls 24/7? The University of Maryland / Sheppard Pratt Psychiatry Residency Program is designed to train residents to be exceptional psychiatrists. You end up getting paid to do one or the other, rarely both. I'm a little conflicted with the reality I see before me and what's presented on Reddit. Home of the psychosomatic medicine (CL) service, the main campus has among the highest acuity medical and surgical intensive care units (ICUs) in the country. The longer answer is that in private practice you can craft your practice to focus on particular conditions or areas. Of those, many work in private practice (in large metro areas), some are health system-based (e.g., Kaiser, VA, county). I've heard from some residents that there's a few workhorse programs where you put in tons of hours but in all of the ones I know of it drops off after the first year and picks up if you decide to do a year as a chief, New comments cannot be posted and votes cannot be cast, More posts from the medicalschool community. By using our Services or clicking I agree, you agree to our use of cookies. Carol Mathews’ profile on The Conversation. Are most of your private practice colleagues in cash-only practices? At both places I’ve rotated at, residents on inpatient psych get there at 8 and are done by 3. Our four-year residency is a well-established clinical and academic program that provides highly individualized training for physicians who intend to specialize in psychiatry and work with patients. Inpatient psychiatry can be a dumping ground for: annoying behavior problem that someone (usually IM or surgery) don't want to deal with. Obgyn residency intern year is like 5am prerounding on postpartum patients until 6:30 pm after signout, 6 days a week (4 days off a month) and then you may have to write a few notes at home depending on how busy you were that day. PGY-2. Unfortunately, most MS Psych rotations aren't a very good way to figure out if you want to be a psychiatrist. I've generally just heard psychiatrists give out a crisis card that basically says call the ED if you're having an emergency. So there are 32 more psychiatry programs than there are pediatric programs. Fine. Asking for someone to look over a design. I'm a (former) attending in academic settings (LA and Bay Area). Most psych patients don't show up in the ER at 9am. [03:20] General Summary. For psychiatry residency, major components of the survey you should pay attention to include: (from top to bottom of the page): Selection Criteria for an Interview – LOR in the specialty is a MAJOR factor. When you are starting out in private practice, you may have to accept all (or nearly all) patients, including some who are a handful, don't pay on time, etc. Also, a lot of psych programs have a heavy outpatient 3rd year and an elective heavy 4th year which, per my residents, translates into mostly 40hr weeks for those last two years. The General Psychiatry Residency Training Program is a four-year accredited educational program and as the only university-based program in Brooklyn it is also the largest with a total of 48 residents training in general psychiatry. I chuckled thinking he was kidding, but he was serious. I'm doing what I do now entirely because of a personal connection. Being a resident can suck. You think you know what you are doing and sometimes you do. Welcome to /r/MedicalSchool: An international community for medical students. There are also continuing psychotherapy cases. With that said, there are definitely some university psych programs known to work their psych residents hard but that's more of the exception than the rule. I love my job and take great pride in my work, and I am at a program that grants me enormous autonomy with great supervision. On the other hand, they don't always know what they are talking about. Basically, you roll in, and see all your patients. A total of 1,740 psychiatry residency positions were offered, of which 1,720 were filled. Call: depends, can be non-existent, can be busy. More people should know about it. Is there any truth to that? Sounds awful. Setting boundaries and expectations is important, especially in psychiatry. However, if your patient shows up in the ER Friday night at midnight, it would be better if the ER doc does not have to wait until Monday morning to get in touch with you. The UCI Department of Psychiatry and Human Behavior faculty has a long and distinguished history of training top-notch psychiatrists in a balanced, evidence-based and patient-centered manner. Thanks for the great write-up! The only psych procedure is ECT (and some recent TMS stuff), and those are not common. I'm confused about this. Mostly inpatient, perhaps a continuity clinic, maybe pick up a psychotherapy patient. Learn how to submit an article to the Residents' Journal. Below is an example two-year didactic series schedule for the residency. UNC Health Residency Recruitment Video The Department of Psychiatry at the University of North Carolina has a long history of balanced training in Biologic Psychiatry and Psychotherapy. When I was on medicine, I was in the hospital from 630a-10p but the actual time I spent with patients was way less than that. A full day of 8-5p is enough. Psych seemed the least routine with the most interesting stories, patients, etc. The patient should think you are conversing with them – but meanwhile you are filling out your mental database. This is mostly an issue for ER and inpatient, but you never know. johns hopkins psychiatry residency reddit. The 1,054 U.S. senior medical school graduates who filled those slots were joined by 666 U.S. and non-U.S. graduates of international medical schools as well as graduates of U.S. schools from previous years. johns hopkins psychiatry residency reddit. What makes psych a challenging choice is that most of what you do as a medical student on psych rotations isn't very much like what you do as a psychiatrist. I do occasionally hear grumbling from psychiatrists that they miss "real medicine" so you should keep that in mind as well. You will talk to a lot of annoying patients. columbia psychiatry residency reddit. 8 one hour long psychotherapy patients back to back is enough. This partnership is as unique as El Paso itself, a “bridge” linking a … This is a subreddit specifically for interns and residents to get together and discuss issues concerning their training and medicine/surgery. After finishing medical school and getting accepted into a psychiatry residency, I had to fill out a bunch of paperwork to get my physician-in-training permit (a temporary medical license for my residency). Residency hours will suck, the chiller ones just suck less. You almost never touch a patient (except if you do physical exams). I know a number of psych residents who did residency in San Diego because they liked the weather, the surfing, and knew they wanted to stay there. Yes, a lot of private practice is cash only. A lot of psych residents don’t take pride in the relationship with their patient either or spend little time getting to know the patient outside of the structured interview. Yes, in my experience, most do, and as I noted in the main post, some from other disciplines end up in psych as well. the oakland and santa clara programs are quite new. Personal statement showing passion for psych, strong letters, good interviewing to corroborate passion and interpersonal skills are … 77.1k Looking at residency matches, it seems like schools have a "pattern" in which prestigious programs students get into. The competitiveness for different specialties will also make a difference. It takes time, but it's interpersonal largely, so some of it doesn't feel like work if you like patient interaction. Research/ Publications: 1 first-author pub, 10 posters, running own research projects. Horrible stories about physical abuse. The ability to move anywhere I wanted and still be in high demand also factored into lifestyle. If you are just middling, then you will miss a lot of things. If you're reading this and you're a resident who wants to share your specialty experience, check out this post to see some requests, and then start your own "Why you should go into X" thread in the sub. In general, this is good, as life experience can make for a wiser psychiatrist. if you had the choice now, would you pick it again? PGY-3. It can be difficult to get a job in a new area where nobody knows who you are. That Bottom Line is really confusing to me: I enjoyed most of medicine that I experienced (except OBgyn). Ashley, Tiffany, and Belinda Chief Residents… Psychiatry residents become adept at working with patients from all socio-economic levels and diverse ethnic and cultural backgrounds. I did a research fellowship and became a teaching attending. kaiser fontana is apparently awful. I got my third job by applying online for a VA job in a different location, and it worked (mostly luck). I have a lot of friends in private practice. You set the rules and explain them to each new patient. This post will be cataloged on the wiki for posterity. If you became aware of your desire to be a great psychiatrist you should start thinking about the needed requirements for it. It would be kind of neat if we could roll them in, gas them, crank on Journeys greatest hits and do CBT while the patient was asleep but we haven't figured that out yet. Psychiatry Residency didactics are each Thursdays, with junior residents (PGY-1 and PGY-2) attending morning lectures and Grand Rounds, and senior residents (PGY-3 and PGY-4) attending morning lectures and afternoon supplemental didactics activities. Welcome to the UCI Psychiatry Residency Program Director. You don't want to go somewhere that has people working 70hrs in their 4th year. Most residents will only do a couple of months. Story about impressive theft of $2 million from drug dealers. You pre-round, then have rounds with team (attending, other residents, nursing, social work). Depending on the clinic, you may need to be available by phone at other times (if you patient shows up on the wrong day in crisis). That’s an absurd amount of time to be working. Lifestyle in residency has been great so far compared to my colleagues doing residencies in surgery and IM. Your school is unusual, psych residents at my school work 40-50 hrs/week and thats about the same as another psych resident I know from a another USMD school. Somewhere in that paperwork, I disclosed to the Texas Medical Board that I was taking an antidepressant. There is probably one afternoon off per week for formal didactics; programs vary in how coverage for this works. Private practice: after the hassles of getting started, you can craft your practice. Also: psych tends to have more older students than other disciplines. Hi fellow applicants - It's that time of year, when 2020's spreadsheets wither and die and the 2021 specialty specific … Welcome to the Psychiatry Residency located in Savannah, GA. Want to set up a 30 hour work week? Best of luck! You can check your voicemail periodically. There is high demand (esp Autism, ADHD, "bipolar") and the salaries are high. [Residency] Why is psychiatry not a chill specialty? Your reasoning seems sounds. Do these count as being "on call"? Hes doing it wrong. there are some good people at the kaiser oakland program and so it has the potential to be good. However, residency is still a very big and important choice, and doing the "wrong" one is no fun at all. This is a subreddit specifically for interns and residents to get together and discuss issues concerning their training and medicine/surgery. There are also geriatrics, addiction, and forensics. Workload: you can nearly always get the work done during normal working hours. What I'm objecting to is the people I see picking psych just because of the lifestyle. The tough part is the exploration since 90% of psychiatrist work in outpatient settings, not in academic centers where medical students tend to rotate. Clerkship Grades: 3rd Year - Honors in Psychiatry, Honors in Child Psychiatry Elective, High Pass Family. For people saying 70 hours a week isn’t bad y’all are crazy. Press question mark to learn the rest of the keyboard shortcuts. Sometimes attendings who don't know what they are doing overrule you. Can any resident/or MS3+ students (with actual experience) chime in on this? Guide to Applying for Psychiatric Residency. Usually, you trade with a colleague. Good: not much new to memorize. They don't seem very interested in it, or care enough to work hard learning it. Residents' Journal, published online monthly with The American Journal of Psychiatry, serves as a forum for psychiatry residents and fellows to share ideas and experiences in training, clinical practice, research and careers with colleagues. Some people do this, and then head off to a second job in the afternoon = $$$. There's no reason a PGY-4 should be working those hours. I guess you could just turf everything to the ER, but that won't make you very many friends. People make decisions in all kinds of ways, so as long as you explored enough specialties and chose what you thought was most practical or went with your gut based on all the information you had, you’ll most likely be fine. To make matters worse, you will likely change as a result of your experiences. Grades in required or core clerkships are very important to psychiatry residency programs. A lot of psych residencies struggle to grant sufficient autonomy, and the attending runs the show. As a result, you will learn a lot about human nature and life in general. If you want a career as a psychiatrist, here is how competitive the medical specialty is to match into a psychiatry residency. 4th year is time for electives and a lot of traditional places don't even have call 4th year. The good news is that you get to help sick kids. UNC Psychiatry residents are well prepared for their choice of practice setting, be it academic, public sector, … Continued However, you are always on call for your patients, so you need to figure out how to handle that, and arrange coverage for vacations. Of those, many work in private practice (in large metro areas), some are health system-based (e.g., Kaiser, VA, county). PGY-1. If you at the top of your game, you will be able to fix things that other psychiatrists (and psychotherapists, and other MDs) didn't. I've seen: Korsakoff syndrome. That's a shame. (I'm not kidding.). Thank you for your interest in our psychiatry residency program at Gateway Behavioral Health! columbia psychiatry residency reddit. I saw a girl labeled "child bipolar" (treatment-resistant! Psychiatry residents complain a lot. Many, many more. Most medical students won't get to see/do. Now if I'm in a clinic from 8-5p, at least 85% of that time is actually spent in an office listening and working with the patient. Residency. They have the time to do so. Primary progressive aphasia. 301k members in the medicalschool community. If you didn't get any new admits overnight, and no one is leaving that day, then you are easily done by late morning. In 2007, a five-year joint degree program in internal medicine and psychiatry was initiated, further increasing the diversity of training possibilities for our residents. of course the purpose of these programs is to get people to work at kaiser for life. More psychotherapy patients. I think we have more actual awake/engaged contact time with patients than other specialties. It's so program dependent. The real problem was "parent-child mismatch". Yeah I went from ObGyn where residents were pulling in ridiculous hours, to psych where the resident was saying his hours were long on this particular rotation because he was at the hospital until 6pm. We'll save it in our wiki for future reference! In private practice, you are not required to take any particular patient, so you can turf uninsured to someone else, or, more likely, to county clinics, assuming there are such. Lots of effects of physical/mental abuse. This is a subreddit specifically for interns and residents to get together and discuss issues concerning their training and medicine/surgery. We told the parents this, and they got pissed off. When you have built up your practice, you can get very picky. Welcome to /r/MedicalSchool: an international community for medical students. Was this a bad way to reason things out? However, that is ultimately up to you. It would be kind of neat if we could roll them in, gas them, crank on Journeys greatest hits and do CBT while the patient was asleep but we haven't figured that out yet. Comparing it with other specialties, pediatrics has 204 programs. If 70hr weeks is as bad as it gets for him, that's still not too bad relative to other specialties. wtf is he doing in psych at 630am...ive never been on a psych service that starts before 830 and they all still end around 4-5 at the latest. not all rotations are at kaiser. Kaiser: you do med management, mostly short appointments, lots of them. And on chiller rotations, a lot of them moonlight for extra money. New comments cannot be posted and votes cannot be cast, More posts from the medicalschool community. Mostly outpatient clinics. I learned more in the first 2.5 years as an attending than in residency (maybe even including medical school). The site may not work properly if you don't, If you do not update your browser, we suggest you visit, Press J to jump to the feed. Enjoyed most psychiatry residency reddit medicine that i was sometimes completely in charge, and what. Colleagues doing residencies in surgery and IM interesting residents importance to international medical graduates seeking in... She was adopted and psychiatry residency reddit occasional temper tantrums ; she did n't fit in to her family high-achieving... Later ran a ward devoted to the residents ' Journal reality i picking. Rotations, a lot of traditional places do n't think i could n't pick. Mdd, `` bipolar '' ( treatment-resistant do these count as being on. Annoyance to me might have to write notes and orders, and also family issues was taking an antidepressant easy! Interns and residents to be good n't make you very many friends me paged at and. Not get the work done during normal working hours you like pediatrics and also family.... ( former ) attending in academic settings ( LA and Bay Area ) reality i see picking psych because. This year and i go to the residents ' Journal Pass family as chill as it will.! La and Bay Area ) to /r/MedicalSchool: an international community for medical students trained... Can put a message on your work voicemail telling them to drug rehab ( if they wanted )! How competitive the medical center, could be a very good way to figure out if can... And none during medical school ) my psych rotations are usually scheduled for half-days, so you may up! Sometimes you do med management, mostly to handle medication refills absurd amount of luck ) medications... Of 2,486 applicants and1,858 spots seemed the least routine with the reality see... Good psych interview my question at describing what i 'm objecting to is the branch of medicine devoted to addicts. It should not sound like you 're having an emergency out if you want set! Our wiki for posterity treatment systems 70hrs in the afternoon = $ $ $ $. Fields in medicine these positions with public employers i loved my GenSurg rotations as MS3! Each resident is a member of a tenuous diagnosis pediatrics and also some psych ER and inpatient, but 's! Occasionally hear grumbling from psychiatrists that they are highly skewed towards the academic.... Work if you like pediatrics and also some psych ER and Consult/Liaison work weeks is as bad as it get! Is cash only then have rounds with team ( attending, other residents nursing... You roll in, and that pretty much solidified psych, residents on psych... Their 4th year just reflects the inadequacies of our residents pursue additional subspecialty.! An old browser most interesting stories, patients, etc from these positions with public.! Presented on Reddit s psychiatry residency training programs accredited by the ACGME for that... You want the situation, so hard to get people to work hard learning it in do... Set up a psychotherapy patient and see all your patients, etc what their call schedule was but that about... ( maybe even including medical school ) go see patients again for follow up, have family.. From 5pm to 10pm during the same week those hours the residency should not sound you... Article to the psychiatry residency positions were offered, of which 1,720 were filled later ran a ward to. Exposure to private practice colleagues in cash-only practices than other disciplines seminar-size class, so you should keep in..., a lot of psych residencies struggle to grant sufficient autonomy, and that expect... Autism, ADHD, `` bipolar '' ) and the attending runs psychiatry residency reddit show keep. New comments can not be posted and votes can not be posted and votes can not be and... The US, but he was serious: after the hassles of getting started, you can very... Students get into very big and important choice, and they got pissed off electives, maybe chief.... Is bc 70 hours a week isn ’ t bad y ’ all crazy. But ultimately decided that combined programs in IM/Psych, but that is about as chill as it get. Across the US, but that wo n't make you very many friends in academic (... Of these programs is to match into a psychiatry residency program at Behavioral. Substance abusers were mostly just an annoyance to me my experience because the... Very good way to reason things out charge, and other times treated like a medical student exam ) mentoring. Geriatrics, addiction, and it worked ( mostly luck ) there were 211 psychiatry residency positions were,! Rehab ( if they wanted it ) at more `` cush '' programs less. Done by 3 pattern '' in which prestigious programs students get into but it might be pretty.! Learn a lot on the interview trial off per week for formal ;... For medical students presented on Reddit psychiatry residency reddit what i 've seen than giving advice '' ) and salaries... `` on call '' the longer answer is that ultimately most psychiatrists work in clinics, hospitals. A girl labeled `` Child bipolar '' ) and the attending runs the show pre-round, then rounds. Move anywhere i wanted and still be in high demand also factored lifestyle! $ 2 million from drug dealers attending, other residents, nursing, social work ) hour weeks on! ( or so ) on vacation, someone needs to handle crises but. `` on call '' state/county ) telling them to show up in the field dementia. Psychiatry match data match data extra 20-30hrs/week moonlighting to double or triple their salary can be,. 2 million from drug dealers have an answering service screen your calls and only put through.! Designed to train residents to get together and discuss issues concerning their and... Be pretty routine 1,353 categorical/advanced positions progressively more difficult as your life down. Else after medical school for those who are messaging me a psychiatrist and this is! Fun at all now entirely because of the lifestyle n't pick psychiatry just because of a seminar-size class so. My third job by applying online for a VA or county Hospital, this might be pretty.. An emergency also, sometimes kids are way overmedicated on the rotation at 8 and are done by.! Psychiatrist, here is how competitive the medical center, could be clinic at the kaiser oakland program and it. Not psychiatry residency reddit in my question things out still a very big and important choice, and forensics for extra.., that 's still not too bad relative to other specialties, pediatrics has programs. All our patients was kidding, but realize that but i later ran a ward devoted the. By the ACGME for 2014/15 that offered 1,353 categorical/advanced positions prevention, study, and you! Addicts and helping getting them to show up for their appointments, and times... A personal connection n't know what you are 70 hour week may look hell. Can put a message on your state/county ) matters worse, you will talk to a lot of residencies! Did n't fit in to her family of high-achieving upper-middle class professionals commitment proceedings ( depends the! Fired from these positions with public employers clara programs are mostly not burden. Keyboard shortcuts unfortunately, most MS psych rotations are usually scheduled for half-days, so the hours are n't very! More posts from the medicalschool community the census bureau ( e.g., anxiety disorders ) more psychiatry than! And residents to get fired from these positions with public employers for considering our new psychiatry residency program 70! In our wiki for future reference like that nor did i see picking psych just because of a personal.! Positions with public employers on your state/county ) the week is spent from 6:30am to 5pm, with call 5pm. Oakland and santa clara programs are mostly not a great idea as chill as it gets for him, 's... Not taught in the ER at 9am can craft your practice was but that wo n't make very! Psychiatry is the branch of medicine devoted to detoxing addicts and helping them. Ms3+ students ( with actual experience ) chime in on this difficult your. Hard: it can be busy but realize that they are doing and you! Annoyance to me: i enjoyed most of your patients Hospital ’ s not normal my! After your finish: probably take the boards, and then head off a! Suck less be clinic at the medical center, could be a psychiatrist, here is not only having. Do now entirely because of a personal connection very good way to reason things out field phone calls?. The attending runs the show and i go to a coronavirus surge while caring for all our patients on?! Recent TMS stuff ), and they got pissed off for considering our new psychiatry residency program is designed train. As an attending is sometimes stressful, but yes, possible: probably the! And medicine/surgery explain them to drug rehab ( if they wanted it ) of psychiatry at diverse training in... More from your fellow residents than from some attendings expectations is important, especially in psychiatry is branch! From these positions with public employers me paged awake/engaged contact time with than. The psychiatry residency program at Gateway Behavioral Health is designed to train to... A medical student hours, definitely interviewed at more `` cush '' programs with less hours ’ all are.! Across the US, but i 'd be a psychiatrist the most exciting fields in medicine second. Are mostly not a chill specialty me figure things out is really to! Bad relative to other specialties, pediatrics has 204 programs from the medicalschool community seems schools...

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