Recent content by solitarius

In a "grass is greener" moment recently, I had a strange fascination with Anesthesiology because it is so different from Psychiatry. Some cool things: Limited patient interaction. Seems pretty chill until there is some crisis. Tons of PTO. Flexible work arrangements. Unusually good...

True story: I spoke to a recruiter who asked me if I was interested in a medical director position. I said no. She proceeded to set up a call with someone who was ultimately looking for a medical director. Then, she emailed me job positions with a medical director role. Interpret this as...

Everything is out of whack in California. There's another poster citing $250 hourly rate which may be the norm in California, but not other places.

Combined residency programs are universally a waste of time and a bad idea. Adding another year of unnecessary residency or even fellowship is a gift to your residency program at your expense. You cannot know how ****ty residency is until you are in it. Why would you lengthen it unnecessarily?

VA gigs are a pretty sweet deal for people with a lot of student loans.

I think our field is great, including inpatient. I would argue that psychiatric inpatient work is still far better than internal medicine hospitalist work. Nonetheless, the bean counters are determined to shorten stays to keep costs manageable. To find an area of psychiatry that you would be...

Inpatient is like a factory process that lasts 5 - 7 days on average. Then ship them off somewhere else. It's still better than being the outpatient follow-up for many of those patients.

Another perspective is their impulsivity is worsened if you don't treat their ADHD, which can't help their baseline BPD functioning.

Three big questions every medical student needs to ask: 1. Procedures or not? 2. Patient interaction? How intense? How recurrent? 3. Generalist or specialist?

Pathology. Anything non-clinical.

Hey man, the specialties you are interested are less competitive and have plenty of spots. I don't think you'll end up in the boonies.

Hot button issue. Not going away soon. I see more lawsuits in the future.

The most impactful experience I had as a premed was hospice, and psychiatry really matched the quality of that experience for me. It also didn't hurt that I can practice in multiple settings including the ED, but I'll likely pass on ED psych.

The ED is a hellhole. I can't see why it ever got as popular as it did. Oh yes I can. They tried so hard to make it seem cooler and more exclusive than it ever deserved to be, and for awhile, they did an f***in good job at marketing. The multiple aways, SLOEs, and video interview made it...

Sadly, the McDonald's down the street is paying more.