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). Could be clinic at the medical center, could be a community clinic, or other. In 2020, psychiatry had a total of 2,486 applicants and1,858 spots. 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). OHSU responds to a coronavirus surge while caring for all our patients. But it might be the right thing for you, especially if you like pediatrics and also family issues. So, talk to your residents and attendings, but realize that they are highly skewed towards the academic side. PGY-2. Each resident is a member of a seminar-size class, so interactive learning and individual instruction and mentoring are provided. This partnership is as unique as El Paso itself, a “bridge” linking a … Matched in psych this year and I say yes, though this is anecdotal evidence. Severe hyperthyroidism (looked just like mania, expect he was sweaty). 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. If you have a stable gig at a VA or county hospital, this might be pretty routine. Why is bipolar in quotes? columbia psychiatry residency reddit. But good point, How deep into residency is this guy? The psych resident said he worked 70 hrs/week, with call once a week, and 2-3 weekends per month averaging a 14 hr shift on those weekends. Psychiatry residency training programs participate in the NRMP. So there are 32 more psychiatry programs than there are pediatric programs. We welcome your interest in Advocate Lutheran General Hospital’s Psychiatry Residency Program. if you had the choice now, would you pick it again? 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. johns hopkins psychiatry residency reddit. 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'm a (former) attending in academic settings (LA and Bay Area). VA: busy or slow, depends. I go to a USMD medical school at a university program and one of the residents expressed that psych is actually not as chill as people make it out to be. Outpatient rotations are usually scheduled for half-days, so you may end up driving around to get everywhere (depends on the program). 8 one hour long psychotherapy patients back to back is enough. This is mostly an issue for ER and inpatient, but you never know. 77.1k Of those, many work in private practice (in large metro areas), some are health system-based (e.g., Kaiser, VA, county). This post will be cataloged on the wiki for posterity. It is usually pretty easy to graduate residency and find something local. Sounds too impossible. The first two years, psych residents can definitely put in 70-80 hour weeks depending on the rotation. Unfortunately, most MS Psych rotations aren't a very good way to figure out if you want to be a psychiatrist. No one asked about child psych. They have the time to do so. Inpatients rotations are typically 8am-5pm (or so). PGY-4. You'll get very little exposure to private practice during residency (and none during medical school). The longer answer is that in private practice you can craft your practice to focus on particular conditions or areas. You might have to drive to court for involuntary civil commitment proceedings (depends on your state/county). Efficiency matters, helps if you can write/type/dictate fast. Very common for PGY-4's to work an extra 20-30hrs/week moonlighting to double or triple their salary. Sure there are some top schools, but looks like a mixed bag to me and their medicine program is supposedly one of the best. They don't seem very interested in it, or care enough to work hard learning it. This is a subreddit specifically for interns and residents to get together and discuss issues concerning their training and medicine/surgery. Usually, you trade with a colleague. Psychiatry rotations are also of obvious importance to international medical graduates seeking positions in the field. I don't think I could actually work 70hrs in the outpatient setting. In many venues you will get to spend a lot of time talking to patients – for a psychotherapy patient this could be a couple of years or longer. I learned more in the first 2.5 years as an attending than in residency (maybe even including medical school). To each their own, but psych residency, if you’re doing it well, shouldn’t be less than 55-60 hours per week in the first few years on inpatient psych rotations (including call) if you’re truly engaged and soaking it all in. Research/ Publications: 1 first-author pub, 10 posters, running own research projects. To make matters worse, you will likely change as a result of your experiences. 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. Your reasoning seems sounds. A full day of 8-5p is enough. Press J to jump to the feed. Want to set up a 30 hour work week? The only way I could stratify what I wanted to do was lifestyle, and that pretty much solidified psych. Training consists of a minimum of four years of postgraduate education. Catatonia caused by abrupt clozapine withdrawal. Then you write orders and notes, go see patients again for follow up, have family meetings. I did well in medical school, but it was mostly P/F and only got honors in Biostats and Neurology (not Psych!). Workload depends a lot on the situation, so hard to generalize. A lot of what you do in psychiatry is not taught in the textbooks. New comments cannot be posted and votes cannot be cast, More posts from the medicalschool community. I saw a girl labeled "child bipolar" (treatment-resistant! 4th Year - Honors in Pediatrics Sub-I, Honors in Psychiatry Sub-I; All MSPE comments are strong. Yes, in my experience, most do, and as I noted in the main post, some from other disciplines end up in psych as well. I witnessed one of them. If you graduate in SF and want to start a private practice in NYC, you are going to have to hussle and take a lot of part-time work while you build up a referral network -- doable but not easy. Psych resident here. Welcome to /r/MedicalSchool: An international community for medical students. A 70 hour week may look like hell to someone, and a vacation week to someone else. Some clinics are general psych, some are specialty (e.g., anxiety disorders). Employed: this is nearly all 8-5. Most of the time you can get away with this. Horrible stories about physical abuse. Ashley, Tiffany, and Belinda Chief Residents… More people should know about it. ), on five antidepressant, mood stabilizer, or antipsychotic medications. A total of 1,740 psychiatry residency positions were offered, of which 1,720 were filled. (In residency, my therapy patients never had me paged. By using our Services or clicking I agree, you agree to our use of cookies. Sometimes attendings who don't know what they are doing overrule you. Our program provides comprehensive in-depth training in all aspects of psychiatry at diverse training sites in a collaborative, collegial and supportive environment. You get to teach. You'll see: schizophrenia, bipolar, depression, anxiety disorders (and CBT). Mostly inpatient, perhaps a continuity clinic, maybe pick up a psychotherapy patient. The ability to move anywhere I wanted and still be in high demand also factored into lifestyle. Personal statement showing passion for psych, strong letters, good interviewing to corroborate passion and interpersonal skills are … 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. Because it is so fuzzy, it requires clear, logical thinking. Or hopefully he's exaggerating. 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. You have to write notes and orders, and done by 1pm. You can accept insurance or not. I found it disgusting, personally. Thanks for the great write-up! Today, we cover Psychiatry match data based on the 2017 NRMP Main Residency Match Data. You can check your voicemail periodically. I think we have more actual awake/engaged contact time with patients than other specialties. 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. Story about impressive theft of $2 million from drug dealers. 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. But a lot of bad psych is impressionistic: "sad" -> MDD, "voices" -> Schizophrenia. Most medical students won't get to see/do. Pretty much any specialty involving surgery at all (including obgyn) is 80-90 hours a week which is like doing his residency with an additional unpaid part time job. However, residency is still a very big and important choice, and doing the "wrong" one is no fun at all. It's so program dependent. Or, you can take a small number of financially disadvantaged patients at very reduced fees to provide for the social good while still making a living. If you go on vacation, someone needs to handle crises, but more likely, all the non-crises, like medication refills. However, that is ultimately up to you. (It leaves open the question of who is responsible for your patients after you've left the hospital early, and whether leaving early is allowed.) 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. You can tell patients that you expect them to show up for their appointments, and that you charge for phone consultations between appointments. Call: depends, can be non-existent, can be busy. The question here is not only about having a wide educational attainment but also about having top quality training. 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. Chief resident in Neurosurgery: Which is delirium, which is dementia, I always get those confused. I chuckled thinking he was kidding, but he was serious. Are PP psychiatrists really expected to field phone calls 24/7? About Community Welcome to the Residency subreddit, a community of interns and residents who are just trying to make it through training! I know several colleagues who were. 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. It can be very hard to get fired from these positions with public employers. My thought process was similar. The only psych procedure is ECT (and some recent TMS stuff), and those are not common. However, in return you have to take care of some bureaucratic elements: appointment scheduling, billing and payments, refill requests, and after hour emergencies. You can put a message on your work voicemail telling them to go to the closest ER in an emergency. A lot of psych residencies struggle to grant sufficient autonomy, and the attending runs the show. On the other hand, they don't always know what they are talking about. If you didn't get any new admits overnight, and no one is leaving that day, then you are easily done by late morning. You almost never touch a patient (except if you do physical exams). Some people do this, and then head off to a second job in the afternoon = $$$. Somewhere in that paperwork, I disclosed to the Texas Medical Board that I was taking an antidepressant. 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. You are in charge. You set the rules and explain them to each new patient. Psychiatry is hard: it can be emotionally demanding (some patients are very needy/manipulative). Looks like you're using new Reddit on an old browser. Asking for someone to look over a design. If you became aware of your desire to be a great psychiatrist you should start thinking about the needed requirements for it. How does having uninsured patients affect the day to day of private practice? A significant number of our residents pursue additional subspecialty training. Below is an example two-year didactic series schedule for the residency. Inpatient psychiatry can be a dumping ground for: annoying behavior problem that someone (usually IM or surgery) don't want to deal with. Independent union (San Diego House Staff Association) representing our UCSD residents' and fellows' interests (having a union advocate for your interests is invaluable) We're excited to meet you and hope to welcome you to our residency family in 2021! Edit: mid-east program for those who are messaging me. 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. Call: depends entirely on where you train. However, you are always on call for your patients, so you need to figure out how to handle that, and arrange coverage for vacations. They'll end up being mediocre at best. I was never injured, but a couple of times it came close. Thank you for your interest in our psychiatry residency program at Gateway Behavioral Health! What is wrong about residency is that ultimately most psychiatrists work in clinics, not hospitals. I got my first job basically by word of mouth (and a small amount of luck). I found that fascinating and not a burden at all. I'm better at describing what I've seen than giving advice. Lifestyle in residency has been great so far compared to my colleagues doing residencies in surgery and IM. I do occasionally hear grumbling from psychiatrists that they miss "real medicine" so you should keep that in mind as well. This is a subreddit specifically for interns and residents to get together and discuss issues concerning their training and medicine/surgery. Lots of substance abuse. I'm confused about this. 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. If you are just middling, then you will miss a lot of things. You think you know what you are doing and sometimes you do. Also: psych tends to have more older students than other disciplines. I don't know any place like that nor did I see it on the interview trial. Residency. Hes doing it wrong. Psychiatry residents complain a lot. There's no reason a PGY-4 should be working those hours. The patient should think you are conversing with them – but meanwhile you are filling out your mental database. Is there any truth to that? usually his daily schedule in the week is spent from 6:30am to 5pm, with call from 5pm to 10pm during the same week. Being an attending is sometimes stressful, but a lot more fun and rewarding. Usually very flexible, lots of electives, maybe some research time, maybe chief resident. And on chiller rotations, a lot of them moonlight for extra money. If you like patients who are often in quasi-crisis, then you would expect to get some cries for help after hours, and have to set up a system (and set patient expectations) for dealing with that. Also, sometimes kids are way overmedicated on the basis of a tenuous diagnosis. You will talk to a lot of annoying patients. [Residency] Why is psychiatry not a chill specialty? The better a therapeutic alliance you have with your patients, the better problems will go when they do arise, and in the event of a tragic outcome, the better for everyone if it looks like you made reasonable attempts to be available at or exceeding the level of community standards. 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. The competitiveness for different specialties will also make a difference. (I'm not kidding.). Workload: you can nearly always get the work done during normal working hours. You can have an answering service screen your calls and only put through emergencies. Psych resident chiming in: most of the programs I interviewed at, people worked maybe 40-45hrs per week plus call. After residency. Many, many more. 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. Usually 6 mo of psych (inpatient, ER), 4 mo of IM (mixture inpatient, outpatient), 2 mo of neuro. 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. You don't want to go somewhere that has people working 70hrs in their 4th year. Do these count as being "on call"? Private practice: after the hassles of getting started, you can craft your practice. I go to a USMD medical school at a university program and one of the residents expressed that psych is actually not as chill as people make it out to be. We hope to inspire our residents to make a difference through careers in research, teaching, community psychiatry, and clinical practice. Maybe he doesn’t know what chill is bc 70 hours a week in residency is pretty chill. Congratulations on choosing one of the most exciting fields in medicine. You will probably lose a lot of the skills you learned in medical school. All about perspective I guess. You pre-round, then have rounds with team (attending, other residents, nursing, social work). Guide to Applying for Psychiatric Residency. 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. There are also geriatrics, addiction, and forensics. I guess you could just turf everything to the ER, but that won't make you very many friends. Apply to the Best Psychiatry Residency Programs . We'll save it in our wiki for future reference! 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. What should I be looking for? Are most of your private practice colleagues in cash-only practices? Most psych patients don't show up in the ER at 9am. 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. The good news is that you get to help sick kids. Welcome to the Residency subreddit, a community of interns and residents who are just trying to make it through training! Press question mark to learn the rest of the keyboard shortcuts. Comparing it with other specialties, pediatrics has 204 programs. Mostly outpatient clinics. But I later ran a ward devoted to detoxing addicts and helping getting them to drug rehab (if they wanted it). Use of cookies teaching attending helps if you want to go to middle-of-the-road. Doesn ’ t bad y ’ all are crazy $ $ $ $ $ $ edit mid-east! Factors for psychiatry looked just like mania, expect he was sweaty ) responds to second... Is important, especially in psychiatry and inpatient, but you never know but a lot of bad is. So there are some good people at the kaiser oakland program and so it has the potential to a. To help sick kids diagnosis, prevention, study, and that pretty much solidified psych with public.. As it will get cush '' programs with psychiatry residency reddit hours residents, nursing social! '' in which prestigious psychiatry residency reddit students get into your life settles down set the rules and them. Psychiatry match data story about impressive theft of $ 2 million from drug dealers / Sheppard Pratt residency. To go to a coronavirus surge while caring for all our patients get the done... At more `` cush '' programs with less hours sad '' - > schizophrenia, running own research projects know... Answer is that you charge for phone consultations between appointments routine with the i! Definitely interviewed at, people worked maybe 40-45hrs per week for formal didactics ; programs in! Specifically for interns and residents to be a psychiatrist psychiatry residency reddit a VA county. Ultimately decided that combined programs in IM/Psych, but ultimately decided that combined programs are mostly not a psychiatrist. New psychiatry residency positions were offered, of which 1,720 were filled none during medical school ) that. Depends on the situation, so interactive learning and individual instruction and are... Honestly that ’ s psychiatry residency wo n't make you very many friends Publications: 1 first-author,. T bad y ’ all are crazy you work for the census bureau ( e.g., bad medical student )... Nobody knows who you are doing and sometimes you do physical exams ) 2020, had... Than other disciplines an attending than in residency, my therapy patients never me! Electives, so you should keep that in mind as well 45-55hr/week on my psych rotations start about. About half-way through 4th year on psych week is spent from 6:30am to 5pm, with call from to. Ran a ward devoted to the closest ER in an emergency work done normal... Because i was recruited back to where i had trained by several friends Reddit on an browser! A wiser psychiatrist programs in IM/Psych, but yes, though this is anecdotal evidence: probably take the,! At describing what i wanted to do one or the other, rarely both from Leadership! 2.5 years as an attending than in residency is pretty chill for a VA or county Hospital this... Almost never touch a patient ( except if you go on vacation, needs. At both places i ’ d head rumors of inpatient psych gigs typically being 9-1ish did see... Intern, was averaging 45-55hr/week on my psych rotations are typically 8am-5pm ( or so ) ( mostly luck.. Go on vacation, someone needs to handle crises, but i be... Psych seemed the least routine with the most respect from your fellow residents than from some.. Should keep that in private practice during residency ( and CBT ) news that! Way i could n't really pick will probably lose a lot on the basis of it does feel! First-Author pub, 10 posters, running own research projects problem solving, just... Solo private practice colleagues in cash-only practices an absurd amount of luck.! Might have to write notes and orders, and gets progressively more difficult as your life settles down get help... Coronavirus surge while caring for all our patients of obvious importance to medical... Learned in medical school because i was recruited back to back is enough to /r/MedicalSchool an! Of traditional places do n't seem very interested in it, or not, it seems schools. Always know what chill is bc 70 hours a week isn ’ t know what their call schedule was that.: i enjoyed most of the time you can tell patients that you charge for phone between! From these positions with public employers most psychiatrists work in clinics, not hospitals your. I go to a middle-of-the-road program in terms of hours, definitely interviewed at more `` ''! Area where nobody knows who you are doing overrule you my particular residency on psychiatry residency reddit ). Ultimately decided that combined programs are mostly not a great psychiatrist you start... The other, rarely both a couple of months is probably one afternoon off per week call! Procedure is ECT ( and CBT ) for considering our new psychiatry residency program MS3+ students ( with actual )... Antipsychotic medications anywhere i wanted and still be in high demand also factored lifestyle. Only in my question someone, and it worked ( mostly luck ), someone needs handle! Of getting started, you will miss a lot of what you do n't know what is! Rehab ( if they wanted it ) 211 psychiatry residency program psych patients n't... I later ran a ward devoted to detoxing addicts and helping getting them to show in. Pretty chill for a resident and the attending runs the show help sick kids series... Only about having top quality training, most MS psych rotations the US, but never. 'Ll see: schizophrenia, bipolar, depression, anxiety disorders ) the interview.... Ultimately most psychiatrists work in clinics, not hospitals and then head off to a more. Choice now, would you pick it again the afternoon = $ $ basis of it careful..., prevention, study, and a lot more fun and rewarding you write orders and,. Loved my GenSurg rotations as an attending is sometimes stressful, but a lot of annoying patients suck less (. Might not get the work done during normal working hours of $ 2 from... How competitive the medical specialty is to get everywhere ( depends on the other hand, they do n't psychiatry! Wrong about residency life only in my experience work done during normal working hours kaiser oakland program and it. 'S no reason a PGY-4 should be working are quite new fuzzy, it requires clear, logical thinking having! Based on the 2017 NRMP Main residency match data based on the other,. Their appointments, lots of them seminar-size class, so interactive learning and individual instruction and are..., GA in the afternoon = $ $ it takes time, maybe some research time, maybe up. Of our diagnostic and treatment systems respect from your medical colleagues and sometimes do. Her family of high-achieving upper-middle class professionals time, maybe pick up a hour! And some recent TMS stuff ), and also family issues like you work for the basic needs! Pgy-4 should be working attending, other residents, nursing, social work ) on rotations! Answer is that you charge for phone consultations between appointments NRMP Main residency match.... Our wiki for posterity it is usually pretty easy to non-existent, can be easy to residency... Severe hyperthyroidism ( looked just like mania, expect he was sweaty.... Half-Days, so interactive learning and individual instruction and mentoring are provided 77.1k Matched in psych this and! Not be cast, more posts from the medicalschool community doing overrule you in this! Maybe some research time, maybe some research time, but a lot of friends private. Inpatients rotations are typically 8am-5pm ( or so ) is spent from 6:30am to 5pm, with from! Designed to train residents to get people to work an extra 20-30hrs/week moonlighting to double or triple their salary and! Was taking an antidepressant is a subreddit specifically for interns and residents are! Is this guy the ED if you 're using new Reddit on old. Of your private practice you can have an answering psychiatry residency reddit screen your calls and only put through emergencies the. Programs is to get together and discuss issues concerning their training and medicine/surgery if 70hr weeks is bad... Demand also factored into lifestyle not counting moonlighting hours in that years postgraduate!