Recent content by Ironspy

When I was in nyc an appt with 3 bedrooms (we were in a 2 bedroom with multiple kids) was an additional 3-5k/month which makes the au pair option less affordable

So much this. I love my job but 30 hours of direct patient care is my absolute limit before I start getting salty. 25 hours/week is better. You have to like talking&listening, be ok with uncertainty and be curious about who your patients are and what is driving their thoughts and behaviors to do...

200+ per hour in the northeast The range you’re being quoted is an outlier

I have an account with labcorp and a generic lab slip patients can take to their lab of choice. The results get faxed to me (Doximity fax) or patients upload in the portal. I do labs a couple times a month so this isn’t too onerous You can link prescriptions to a note if you got to more-> link...

You can add an MSE with check boxes to your note yourself or upload your desired format and PracticeQ will do it for you for a nominal fee. If you know someone using practiceQ they can share forms. I’d offer to share mine but I detest MSE with checkboxes and use a snippet instead

You have to edit the templates to your liking or make new ones. Once this work is done charting is a breeze because you have a note that’s optimally formatted to your charting style and billing needs. I spend 1-3 min charting for a 30 min follow up and ~10 min for intakes PracticeQ has a bunch...

https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2809201

I am a private practice psychiatrist and agree with this. I have had patients who I suspect use a fake name while seeking care as well. Some state boards are more draconian than others in questions about mental health. The better states ask about current impairment but a number of states still...

Agree with this. Away rotations are an additional stressor and are more likely to hurt than help you at this point

If you schedule a call with Headway or Alma they will show you their rates during that call which will give you some idea about local rates

A number of eRx platforms do not work outside the US. You can use a vpn

That’s how things are done in most outpatient (not just psych) practices. If I need med refills my cardiologist asks for 3 business days to fill. The office responds to non urgent questions within 1-2 business days and they direct me to call 911 for emergencies

For people who work in CMHC how do you handle SMI patients who have a violence history when decompensated? If a patient is not sick enough for involuntary hospitalization but with increasing paranoia & irritability and has a history of assaults when paranoid, does your clinic have safety...

You can’t retake the failed tests but most/all of the answers are available if you just search the pdf for the keywords in the question stem.