Recent content by heartsink

Programs start reviewing in May? Do most residents apply during the end of PGY4 then?

I matched into psychiatry for the incoming 2024 cohort starting in July. I have long wanted to pursue forensic psychiatry even during undergrad, and I can see that while fellowships in general are not competitive, the more "prestigious" programs are getting more selective over time. My program...

Talk to your schools psychiatry faculty advisor. They typically have resources for this, or can at least point you in the right direction.

The specialty's shelf exam being easier =/= the specialty in practice is easier. Nothing has made this more clear to me than when my Sub-I attending asks me what my plan is for my patients in the ED who present with different degrees of psychosis, intoxication,+/- suicidal / homicidal ideation.

Abysmal training sounds pretty bad. Where is this program? How do they justify calling themselves a fellowship if you're doing it all yourself?

I would say these replies have largely addressed the initial post. My take-away summary of what you've been told: - it will be frowned upon at locations where you have applied to both of their EM and Psych programs - it will likely be frowned upon at other locations if they learn of your dual...

It was quoted on this forum once that almost every psychiatrist is statistically guaranteed to face a lawsuit at least once in their careers. The overwhelming majority of these do not result in the psychiatrist losing or having to face any penalties because in most cases the psychiatrist was not...

Just us and the attendings. No residents on the unit.

Our attending joined us for the initial interview we had when seeing new patients on the floor our first couple days, and then after being satisfied we weren't completely inept or unaware of our surroundings let us interview most other patients (including new consults and follow ups) on our own...

From a financial standpoint, earning + investing more in your early career weighs more heavily on your ultimate wealth outcome than an even larger income invested later. I know you weren't asking about wealth building specifically, but it is something to consider in the calculus of leaving a...

In regards to compensation, or job scarcity? Could you elaborate?

This is the gray area where I struggle to understand the nuance of treatment. At what point does treating pathology become just improving performance? What exactly is being defined as the pathology to treat? In the example of the fireman who repeatedly struggles to complete his haz mat test...

Do you think this is true even for classic (childhood) diagnosis of ADHD?

To put that into context, currently there is a projected surplus of EM physicians of over 7800 by 2030. Obviously EM is feeling the oversaturation now, but relative to EM, Psychiatry will - Only reach half that level - In 30 years - In the worst case scenario - And still have the option for PP...

Can you expand on why you would not recommend NHSC / what is different about PSLF that is much better? Is NHSC very restrictive in what jobs qualify?