Unless that's you coming back from the future to make that post, something's wrong.I feel that I learned how to do scut work in pgy1, how to become a psychiatrist in pgy2, how to be thoughtful in pgy3, and how to be a leader in pgy4.
I am a PGY2
Unless that's you coming back from the future to make that post, something's wrong.I feel that I learned how to do scut work in pgy1, how to become a psychiatrist in pgy2, how to be thoughtful in pgy3, and how to be a leader in pgy4.
I am a PGY2
Sorry good catch. Meant to say I think I will learn how to be more thoughtful and lead the next 2 years. Time.. Er mental .. Lapse. Honestly I am frustrated at how I don't have enough time to fully reflect and learn other skills as a pgy2. But it's a step learning curve I guess, learning how to be a "good" resident.Unless that's you coming back from the future to make that post, something's wrong.
Sorry good catch. Meant to say I think I will learn how to be more thoughtful and lead the next 2 years. Time.. Er mental .. Lapse. Honestly I am frustrated at how I don't have enough time to fully reflect and learn other skills as a pgy2. But it's a step learning curve I guess, learning how to be a "good" resident.
You will work hard at the truly great programs like MGH. If you're not willing to work hard, look for other programs. Nothing comes for free...
Careful. To say that most of the best programs have residents work hard does not mean that every program that works its residents hard are among the best residencies.After doing all my interviews I'm a little confused by this conventional wisdom. In my experience it seems like the upper middle tier programs (often state universities) have worse hours than the elite programs because the middle tier programs are more strapped for cash and need the residents to function as a hospital.
Yep. But I think most of the top programs get that reputation by producing the best psychiatrists. You can best achieve that by residents working a wide variety of cases in a wide variety of environments. this is very hard to do on a 9 to 5 schedule.However the big name places seem to have tons of cash to do stuff like hire moonlighters to round on inpatients on weekends, cover extra ER or float shifts, have more in house attendings overnight/weekends, etc.
t seems that with each passing year, more and more applicants want best in the world training combined with best in the world hours. Folks need to prioritize their priorities, and find the sweet spot. Psychiatry is just like hobbies, sports, and relationships: what you get out of it is mostly depending on what you put into it.
Ivy league is a term really reserved for undergraduate education, no? The top 10 medical schools are not a very tight relationship with the Ivy league. I'm not really sure how tight the Ivy League is with the top 10 undergrads either, come to think of it; that was so outside of the realm of possibilities for me, it never came up…What exactly makes "best in the world training"? Is a program staffed by Ivy League schooled and trained faculty better than that staffed by a less prestigious University schooled and trained faculty?
4. Program Overview: Inpatient, consult/liaison, and ER psych are all combined in the first two years of the residency program. You may start your day at 7 am in the ER, go to inpatient psych around 10 am, head back to the main ER to do more ER patients/consults. Days typically end no later than 6:30 PM I was told.
Its worth pointing out that 7 am to 6.30pm is an extremely long day for psychiatry. Somewhere closer to 8.30 - 5pm is more average I would imagine.
Keep in mind that they are a brand-new program but at a long running department of psychiatry. That schedule is likely to very much be in a state of flux.This smells very distorted. Any place that needs you to work 12 hour days five days a week, but no weekends and no overnights would have to be the definition of disorganized.
Does anyone have any thoughts on Emory? It is my last interview. I've heard some people from previous application cycles rave about it, and some say hey avoided applying to it based on past hearsay. I haven't heard anything specific in recent years. The location is excellent for me, so I'd be curious to see what people's more current perception of the program is.
Ari- nothing personal, but you've made a bunch of posts looking for reviews and info about various programs without posting any reviews yourself. How come?I do need someones input on UCSF-Fresno ASAP
Agree with this. Many (I'd argue even most) PDs aren't even aware of SDN. Of those that are, few read it and even fewer pour through it. Even if PDs wanted to identify individuals, it would be near impossible based on reading a review and I'd argue that no PD out there is going to look through someone's post history to try to divine who they really are and use it for evaluation purposes. That's just silly. Who has the time is right.There probably is paranoia about posting critical reviews right after interviewing. I think the fear is that program directors might smell out who it is and be less excited about someone who was critical. There are many flaws in this fear and it is probably unfounded.
Ari- nothing personal, but you've made a bunch of posts looking for reviews and info about various programs without posting any reviews yourself. How come?
This thread was really helpful back in the day. It had a real sense of community and pooling of information. Every year it gets weaker and weaker with fewer people helping. There are always a handful of folks posting reviews and helping peers, but they're a smaller and smaller bunch.
But come March day, count the number of folks posting their info there. It's sad...
This isn't directed at you, Ari, just a trend I've noticed. I'm not sure if it's a reflection on the generation of applicants, the demographic of personality types attracted to psych, of the changing makeup os SDN.
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Fresno is a great program in all aspects and suffers only the fate of being in Fresno.
I never received an interview from them. But as someone who has lived in Fresno (granted I was little), it is not a bad place to be. It's certainly smaller than LA, but there are worse places you could be. For that matter, I also think Visalia is a decent place to be in California. Living in the big cities (SF and LA is extremely pricey) so if you have loans to pay, and other stuff to deal with, I think its a good place to be.
fair enough. I'll try and compile a review for a program when I get a chance. I'm doing my surgery sub internship right now for fourth year and have been busy with stuff at home. also, I'm quite superficial in my reviews, and did not go in depth into the nitty gritty of things, call schedule etc, because its not going to be that awful wherever you go in psych (i don't think it should be a factor in decision making for this specialty).
my preferences are based on location, happiness of the residents, and the organization of program.
Anonymous Review: Yale-research interview
1. Ease Of Communication: Communication was good but given the size of the program, I was contacted by numerous people in an effort to secure dates, RSVP for dinners and confirm research interests. Given everything else going on, this felt more disjointed and stressful. That said, while I prefer communicating with one person, I understand why that’s not possible for a program this size.
2. Accommodation & Food: No accommodations provided but the Yale rate for the New Haven Hotel is cheap (I stayed with family). A car isn’t needed but parking was validated both days. First night had walking tour of undergrad campus with a lot of cool history followed by dinner at a really nice restaurant. First day has Bfast/coffee in the am, lunch at a local pizza place, wine and cheese in the afternoon and a nice dinner. Bfast, lunch and coffee/pastries in the afternoon were provided for day 2 as well. I was very well fed at Yale.
3. Interview Day (Schedule, Type Of Interview, Unusual Questions, Experiences): First day included an overview by PD and APD of curriculum at and history of Yale. Didactics are collaborative and group-based (as opposed to ppt/traditional teaching, which isn’t consistent with good long-term retention). Interviews were all prior to lunch and 30-45 min each. Questions were fair, standard and format was conversational. After lunch, we had a tour of the facilities, which were nice-mix of newer and older-nothing super old. Day 2 was a research day with an overview and history of program, meetings with researchers, tour of research facilities and presentations about different types of research at Yale. The interview days were a lot of fun but pretty long and tiring.
4. Program Overview: Research track a has a lot of flexibility CASE for all residents is 3 months of elective time in PGY2 year. Residents have taken electives abroad, worked on research, done whatever they want (within reason) with this time. PGY1 year has 6 months of peds or medicine but refer to website for specifics. Didactics have recently been revamped and are very PBLish with rave reviews from residents. I’m not the best person to comment on the structure of the program since my interview days focused on the research track. I can comment on the fact that for such a huge program with lots of $$$ and prestige, the feel of the program is very warm, collegial and close knit. Numerous residents I met have kids, took medical/personal leaves and emphasized how much they were supported. The residents are diverse in age, race, background etc and seem close to each other and with residents in other departments. These were some of the nicest, happiest residents I’ve seen on the interview trail. Most residents do research of some type but it’s not required. Residents rotate through nearby VA and community site. PD and APDs seem very invested in helping residents pursue their interests within psychiatry and are really respectful and considerate of demands on residents and make changes to the program in real tie based on feedback. Psychotherapy training is strong with local psychoanalytic institute and opportunities for additional training if one desires. Residents can do psychodynamic cases with Yale graduate students, which sounds like a good experience.
5. Location & Lifestyle: New Haven has a lot of great food and culture but it definitely has some rough parts. Yale has tons of resources that you have access to as a resident. The undergrad gym is ridiculous and costs 20-30/month for residents (can use med school gym free). Library is beautiful as are the undergrad facilities, art gallaries. Salary is among the highest I’ve seen with a pretty standard call schedule-check online for specifics. Residents are often able to sleep on call. There are tons of in house moonlighting opportunities and many residents moonlight and double their salary in house or at VA which pays better. Residents were some of the nicest, happiest and most down to earth I’ve seen on the interview trail. A lot of residents live in New Haven and don’t have cars but a large number live nearby and drive.
6. Salary & Benefits: Intern salary 64ish, highest I’ve seen and New Haven is very affordable. Good health insurance that covers own psychotherapy if interested. Access reduced price arts tickets, Yale gym and other perks.
7. Program Strengths: Amazing research opportunities with lots of support and mentoring. VA exposure. Good community psych exposure. Warm and friendly atmosphere. In house moonlinghting with high base salary. Program is very flexible and responsive to resident feedback. Strong in addiction and child.
8. Potential Weaknesses: New Haven isn’t for everyone. Not sure about forensic exposure. I’m pretty blown away by how awesome this place is and really didn’t detect any major weaknesses.
9. Tips: Dress warm. It was chilly!
I agree. I'm thinking more generally and less personally. In other words you take the same PD who is in it for the long haul and works hard to make the program educational as possible, good but small group of attendings, super sweet coordinator and so on and so forth and put it in a magnet coastal city and put university big money behind it, it'd be on everybody's list.
Fresno like other mid paced mid sized cities, in the midway between this and that other place. With agriculture as stand out feature. Will give you less of the panache but more of the practical. Better turn of coin on your salary. Innumerable moonlighting opportunities from people desperate for coverage. And so on.
In some ways I'm very envious of these preeminently practical advantages that are also in nice but not hotly contested pieces of real estate.
And I've got half a mind to settle down in one for a time after I graduate.
Before I submit any more, it'd be good to hear if this consolidation of information is useful or not. Thanks!I don't know if it will be regarded by many (or any) as helpful, but my own review system does not fit well with the standard 9 question system; so I'm going to submit the reviews I've completed a bit differently. I apologize if it is not helpful, but I wanted to contribute.
Program: NYPH-Cornell
Inpatient psychiatric beds: 282; 250 @Westchester; 32 @Payne Whitney Manhattan.
Inpatient psychiatry specialty units: 16; 10 @Westchester, including Personality Disorders, Eating Disorders; 6 @PayneWhitney.
Outpatient psychiatry specialty clinics: 26+.
Outpatient psychiatry visits/year: Not stated.
PES visits/year: New CPEP; 90,000 ER visits (PES visit # not stated).
Full-time faculty: 160 full-time (some said "nearly 200"); 400 voluntary.
Didactics: 3 hrs/wk protected plus grand rounds, etc.; weekly therapy case conferences as PGY3; Professor's Rounds with stand-out clinicians; numerous other weekly specific conferences residents may attend (including personality disorder research conferences).
Medicine training: 11 wks inpatient at NYPH or Memorial Sloan Kettering; 4-5 wks in urgent care ED setting.
Psychotherapy: CBT, DBT, IPT, long-term psychodynamic, group, couples/family.
Supervision: 6-7 hrs/wk; meet with a "meta-supervisor", scholarship supervisor, and therapy supervisor.
Research: Required scholarly paper for all residents; extensive support from faculty.
Leadership training: 2 chief resident positions; Clinical Scholar Initiative starting this year with new PD, focus seems to be on personal career development as an academic psychiatrist.
Neuroscience curriculum: Yes; neuroscience and psychotherapy have a "common language".
Call schedule: Night float system; 4 weeks PGY1.
Chairman presence: Dr. Barchas sits down with applicants as a group and delineates his vision for the future of the department and the field; quite well-connected and accomplished.
Program director: Dr. Penzner took over for Dr. Auchincloss this year; Dr. Auchincloss remains present, now a Dean for education overseeing the program; PD was quite dynamic and is implementing the Clinical Scholars Initiative, previously for faculty development, for residents.
Cost of living: Rent is $1800+ (studio) in hospital-subsidized housing located on Upper East Side.
Vacation: 4 wks/yr
Moonlighting: Yes; at Westchester
Post-graduation plans: Mostly attending/fellowship positions at other NYC hospitals (including NYPH-Columbia, NYU).
Fellowships: 5, including psychooncology with MSKCC.
Bonus points: 3-5 wks elective time as PGY2; scholarly writing seminar.
Your review is great, I would like to know what your opinions and feel of the residents and closeness as a group are as well.Before I submit any more, it'd be good to hear if this consolidation of information is useful or not. Thanks!
A caveat before answering: I think any interview day is limited in its ability to faithfully answer your question by the small sample size of residents we are exposed to in such a short period of time.Your review is great, I would like to know what your opinions and feel of the residents and closeness as a group are as well.
I'd caution against putting too much stock in this.Your review is great, I would like to know what your opinions and feel of the residents and closeness as a group are as well.
A caveat before answering: I think any interview day is limited in its ability to faithfully answer your question by the small sample size of residents we are exposed to in such a short period of time.
That said, the residents who stand out in my mind are a few PGY4s. The chief residents were quite impressive; thoughtful, empathic, diplomatic, with outstanding potential to lead. I met two others who were less impressive, likely because their career goals matched less well with my own. These impressions are based upon an interview with one of the chiefs, a brief intro at the start of the day with the other chief, and a 20-minute conversation with the other two over lunch--so I'm more confident in my assessment of the one chief who interviewed me than in the others.
I didn't interact with the residents as a group; their focus during the lunch was intermingling with the applicants. So I can't accurately assess that aspect. Hope that's helpful.
I'd caution against putting too much stock in this.
Aside from getting only a random sampling of residents to meet on interview day that will skew your impressions positively or negatively, class closeness isn't so much a representation of that program as it is of that CLASS. Of which you will not be a part.
The fact is that almost every program out there has close/tightknit classes and classes that don't quite click.
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I can empathize with the fear. It'll get better.I'm just a scared 3rd year who has finally committed to psych and now i'm scavenging for any information that I can get from programs not through their website.
Thank you both for your help and guidance that you provide on this site!!
I can empathize with the fear. It'll get better.
To your point about information beyond what is available on the website: you're absolutely right that you'll need more resources to make an informed decision. Program websites are--simply put--lacking, poorly maintained, and sometimes inaccurate. Objective information about core rotations, electives, supervision time, psychotherapy modalities, patient volume, specialty floors/clinics (if specifically provided at all) is usually found only by painstakingly extracting it from large blocks of text, video montages of short bumper-sticker quips, or tables that have been constructed for other purposes than information-gathering; the page tabs are usually poorly thought-out, with some links leading to non-existent webpages and others to departmental webpages for patient use (rather than for prospective residents). Few and far-between are the websites that feel clean, well thought-out, and user-friendly. It's unfortunate given how a well-put-together web presence can really sell a program (or at least attract more interest), especially when you otherwise get only a snapshot on your interview day. PD's seem to be aware of the issue, but haven't got the time/resources to improve them (yet).