What can you do with one year of psychiatry intern year done?

[so721]

Hi,
One of my friends in residency is having some issues with visa and will not be able to get a renewal of contract for second year due to this (according to him). He plans on going back to his home country but I am encouraging him to stay here to see if he can get a job with a pharmaceutical rep or something. I was wondering if there are any real jobs a person can get without psych residency completed (only intern year)? I'm hopin his visa issues can get resolved and he can rejoin our program, but until then, what can one do with an intern year only?

---

Members don't see this ad.

 

[sunlioness]

How will he work anywhere if he has visa issues?


Sent from my iPad using Tapatalk

 

[so721]

How will he work anywhere if he has visa issues?


Sent from my iPad using Tapatalk

I'm hoping they get resolved, but assuming he can't rejoin the program.

 

[hipster22]

Can you be a medical director for a Psychiatry PA? Is this possible to do during residency (sort of like moonlighting)?

 

[st2205]

Can you be a medical director for a Psychiatry PA? Is this possible to do during residency (sort of like moonlighting)?

I presume that legally you probably could supervise a PA (if that's what you're asking). You'd also have to ask how many PAs would want to be supervised by someone who didn't complete residency (I have no idea). Then you may want to ask how comfortable you'd feel actually supervising a PA with the both of you having limited training and experience. Lastly, you'll have to ask yourself how you'd defend this on the stand or in a deposition if/when you or the PA are being sued or have an adverse outcome.

 

[birchswing]

Some states don't require completing a residency to practice medicine.

Near me, there is a "residency trained psychiatrist" (as he advertises himself) who has an MD but never completed any residency, including a psychiatry residency. He works in private practice, taking self-pay patients. He also advertises himself as offering psychotherapy.

He's even Psychology Today "verified" which obviously doesn't mean much.

As far as I can tell, in the state of Virginia, if you graduated with an MD you can practice medicine with no further education and can apparently claim to be any type of specialist you want.

 

[OldPsychDoc]

no state requires a residency to practice medicine. but you need to have a medical license. international medical graduates need at least 2 years (depending on the state it could be more) of residency training in order to obtain a medical license.

AND you'll need a visa to be able to work at all...so that's probably the primary consideration in all of this.

 

[hipster22]

For someone who just finished intern year and can get a license, what can they possibly do that is advisable with one year of postgraduate training in Psychiatry? Any psych facilities that would take someone? I know that there is always psychiatrists looking for NP's and PA's so perhaps they would be willing to take someone like this?

 

[nancysinatra]

For someone who just finished intern year and can get a license, what can they possibly do that is advisable with one year of postgraduate training in Psychiatry? Any psych facilities that would take someone? I know that there is always psychiatrists looking for NP's and PA's so perhaps they would be willing to take someone like this?

There are a ton of moonlighting jobs for someone with a medical license and a year of training in psychiatry - or any field. You could quite honestly make a living for the rest of your life without ever finishing residency, just moonlighting in various psych hospitals, or even urgent care. If you did one month of psychiatry during that intern year it's probably enough to get a moonlighting job some places. However the places that hire moonlighters might not be keen on sponsoring someone for a visa, unfortunately.

 

[hipster22]

There are a ton of moonlighting jobs for someone with a medical license and a year of training in psychiatry - or any field. You could quite honestly make a living for the rest of your life without ever finishing residency, just moonlighting in various psych hospitals, or even urgent care. If you did one month of psychiatry during that intern year it's probably enough to get a moonlighting job some places. However the places that hire moonlighters might not be keen on sponsoring someone for a visa, unfortunately.

I don't have any visa issues and I'm an AMG. I just have had enough of my program and have decided I can't tolerate living in the city anymore.

 

[FlowRate]

I don't have any visa issues and I'm an AMG. I just have had enough of my program and have decided I can't tolerate living in the city anymore.

Seems like the logical first step in that case would be to transfer programs. Would you be allowed to continue next year if you chose to do so? If not, I'd imagine that would make finding a job more difficult.

 

[serimeri]

There are a ton of moonlighting jobs for someone with a medical license and a year of training in psychiatry - or any field. You could quite honestly make a living for the rest of your life without ever finishing residency, just moonlighting in various psych hospitals, or even urgent care. If you did one month of psychiatry during that intern year it's probably enough to get a moonlighting job some places. However the places that hire moonlighters might not be keen on sponsoring someone for a visa, unfortunately.

This is not good advice. You need to have the ability to make errors during residency before going out in the real world on your own and have the potential to get sued.

 

[notdeadyet]

Also, for many moonlighting gigs, they take residents because they are residents.

I'm sure there is regional variation, but none of the places I've worked would hire a residency drop-out. It raises too many flags and screams lawsuit-waiting-to-happen. I'm sure if a place was desperate enough, they'd overlook it, but working at places "desperate enough" is not good career planning.

 

[hipster22]

I guess I'm going to have to stick it out. I really am miserable here and I don't expect next year to get any better (believe me I've tried changing my attitude, it does not help when you see your senior residents getting yelled at by the PD for minor things).

I was unhappy at the middle portion of the year as well, but for some reason I thought there was some perceived benefit to finishing my intern year. I guess I was wrong (?) and that unless I finish the entire residency, I won't have much of a future in this profession.

We don't even have process groups in our program because of how busy it is. Seriously, if the ACGME knew how many things we as residents are being deprived of and how difficult it is to work here, I doubt they would let this program stay acreddited.

 

[notdeadyet]

Any possibility in transferring? Sorry for your troubles...


Sent from my iPhone using Tapatalk

 

[hipster22]

Any possibility in transferring? Sorry for your troubles...


Sent from my iPhone using Tapatalk

I tried looking for transfer positions as a PGY-2 and they are few and far between. Especially since I'd like to be on the west coast (where all my family is and where I could make a good case to transfer) they have very limited openings. The only thing I can think of is trying to get my intern year credit and get a license doing something very menial then apply next year.

Also I know that there are negatives and positives to all sorts of places. But I feel that the location and conservative nature of the area where I'm at is also very frustrating for me to work with, especially when the conservative ideals are applied to patient care.

 

[smalltownpsych]

But I feel that the location and conservative nature of the area where I'm at is also very frustrating for me to work with, especially when the conservative ideals are applied to patient care.

That's kind of a strange statement. I have worked in a variety of settings in several states and seen a wide variation of political climate and it hasn't seemed to play that much role in patient. The involuntary commitment proceedings do vary and some states err on the side of commitment and others on the side of individual liberty and there are pros and cons with each. I don't think anywhere has adequate treatment resources and services for mentally ill and I don't think most politicians regardless of stripe really care that much about our patients. Regardless, if the system is broke, which it is all over, then fight the power. You're a doctor dammit.

 

[chicagochildpsych]

In my residency my very southern very religious program director told me to provide therapy to a patient because she was gay. No depression, no symptoms, just gay. Also, we were consulted because the patient opted to come out to her family after being found with her girlfriend after an mva. I've been there... Do your training and escape to civilization.


Sent from my iPhone using SDN mobile app

 

[downwithDTB]

In my residency my very southern very religious program director told me to provide therapy to a patient because she was gay. No depression, no symptoms, just gay. Also, we were consulted because the patient opted to come out to her family after being found with her girlfriend after an mva. I've been there... Do your training and escape to civilization.

Only answer there is to get the PD on tape suggesting that... and torch their career.

 

[surfguy84]

Only answer there is to get the PD on tape suggesting that... and torch their career.

Agreed, just make sure it's not a two-party consent state before doing so.

 

[hipster22]

In my residency my very southern very religious program director told me to provide therapy to a patient because she was gay. No depression, no symptoms, just gay. Also, we were consulted because the patient opted to come out to her family after being found with her girlfriend after an mva. I've been there... Do your training and escape to civilization.


Sent from my iPhone using SDN mobile app

Absolutely appalling and sad that someone with such intolerance would be allowed to be a program director. This is a very unfair system.

 

[finalpsychyear]

I guess I'm going to have to stick it out. I really am miserable here and I don't expect next year to get any better (believe me I've tried changing my attitude, it does not help when you see your senior residents getting yelled at by the PD for minor things).

I was unhappy at the middle portion of the year as well, but for some reason I thought there was some perceived benefit to finishing my intern year. I guess I was wrong (?) and that unless I finish the entire residency, I won't have much of a future in this profession.

We don't even have process groups in our program because of how busy it is. Seriously, if the ACGME knew how many things we as residents are being deprived of and how difficult it is to work here, I doubt they would let this program stay acreddited.

Probably one of the best decisions you'll make in your life. A lot of residents are unhappy in intern year. Most of my medicine residents were miserable the entire time and their schedule is much worse. Mentally when it came time to go to residency I kind of said to myself that I'm going to jail for 4 years. That helped set the bar low. Since juggling 6 weeks of night float (12 hour shifts and no sleep during shift), step 3 studying, prite studying, whilef CL service surrounding those night float weeks during 2nd year the rest of residency has been downhill. Once you get to 3rd year I feel the outpatient is more chill and usually better hours especially if you can schedule your own hours at the university clinic. 4th year is almost like ms4 year in some ways. Smart move.

 

[Guyton]

For someone who just finished intern year and can get a license, what can they possibly do that is advisable with one year of postgraduate training in Psychiatry?

You can practice medicine. I have a colleague who filed an ACGME complaint against his program which led to an investigation. He quit residency after his intern year. After the investigation, the program was put on probation, the PD resigned, the chair resigned, even the DIO resigned. It was a bloodbath. He is now the medical director at a nursing home, a hospice, and runs a successful private practice. Last time I talked to him he was appointed to a teaching position for the school he "burned." I am not advising you to do anything, but you have a lot more power and influence than I think you understand. You are a physician.

 

[hipster22]

You can practice medicine. I have a colleague who filed an ACGME complaint against his program which led to an investigation. He quit residency after his intern year. After the investigation, the program was put on probation, the PD resigned, the chair resigned, even the DIO resigned. It was a bloodbath. He is now the medical director at a nursing home, a hospice, and runs a successful private practice. Last time I talked to him he was appointed to a teaching position for the school he "burned." I am not advising you to do anything, but you have a lot more power and influence than I think you understand. You are a physician.

What did your friend complete his intern year in? Internal Medicine or Psychiatry?

 

[Guyton]

What did your friend complete his intern year in? Internal Medicine or Psychiatry?

Look for my private message.

 

[Wilf]

In my residency my very southern very religious program director told me to provide therapy to a patient because she was gay. No depression, no symptoms, just gay. Also, we were consulted because the patient opted to come out to her family after being found with her girlfriend after an mva. I've been there... Do your training and escape to civilization.

Absolutely appalling and sad that someone with such intolerance would be allowed to be a program director. This is a very unfair system.

OMG! You are like so brilliant and enlightened and accepting and magnanimous! With brilliance like yours, I bet you want to feel the bern!

(Was that the recognition you wanted?)

 

[smalltownpsych]

Absolutely appalling and sad that someone with such intolerance would be allowed to be a program director. This is a very unfair system.

Yeah, we need to eliminate all of these intolerant people who think that way. Oh wait, isn't that intolerant too? Naw, I only have to be tolerant of people who see the world in the same way as me. I watched To Kill a Mockingbird play last night and saw how Atticus told his kids they had to understand the hateful racists too. That was harder for them than challenging the status quo of racism in their community.

 

[hipster22]

Yeah, we need to eliminate all of these intolerant people who think that way. Oh wait, isn't that intolerant too? Naw, I only have to be tolerant of people who see the world in the same way as me. I watched To Kill a Mockingbird play last night and saw how Atticus told his kids they had to understand the hateful racists too. That was harder for them than challenging the status quo of racism in their community.

I never said that I wanted to eliminate them, I just feel that it's extremely difficult and uncomfortable to be in a place where backwards thinking still exists.

 

[Shikima]

1 yr? Work as a midlevel in MO?

 

[smalltownpsych]

I never said that I wanted to eliminate them, I just feel that it's extremely difficult and uncomfortable to be in a place where backwards thinking still exists.

I guess my question is where doesn't it exist? Sure there are regional variations in this type of thinking, but in metropolitan Southern California a few years back, a friend of mines parents sent him to a Christian psychiatrist to cure his homosexuality. Thankfully, he only went once, and realized it was crap. I think they made a law in California outlawing conversion therapy recently. Anyway, my point is that small-minded, ignorant, racist, sexist, homophobic people are everywhere and some of the worst are the ones who are more subtle or even "enlightened" about it.

 

[Rogue Penguin]

OMG! You are like so brilliant and enlightened and accepting and magnanimous! With brilliance like yours, I bet you want to feel the bern!

(Was that the recognition you wanted?)

Wtf, dude

 

[Rogue Penguin]

I never said that I wanted to eliminate them, I just feel that it's extremely difficult and uncomfortable to be in a place where backwards thinking still exists.

Most people on SDN are dicks and don't know what they're talking about. What you're talking about is real and it's legitimate to not want to work in a place where it's ubiquitous. Yeah, there are racist/homophobic/otherwise conservative people everywhere, but to pretend that there's no difference in rural Mississippi and North Hampton, MA is either douchey or delusional.

 

[smalltownpsych]

Most people on SDN are dicks and don't know what they're talking about. What you're talking about is real and it's legitimate to not want to work in a place where it's ubiquitous. Yeah, there are racist/homophobic/otherwise conservative people everywhere, but to pretend that there's no difference in rural Mississippi and North Hampton, MA is either douchey or delusional.

This was an intelligent well-thought out post that really added to the discussion. Glad you are not like the rest of the posters here.

 

[hipster22]

I just feel like it's going to be incredibly miserable to get through next year living here and getting through this program, i can only imagine what the next 3 years will be like. All of my co -interns are also dreading it too.

 

[MacDonaldTriad]

people on SDN are dicks.

It would be hard to think of any five words that could be more empirically validated.