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Im a psychiatrist looking to do a 2nd residency in fp
PCPs prescribe more psych meds than psychiatrists.
I miss "the rest" of medicine, I like the long term patient relationship but I want to treat rashes, sore throats, manage diabetes, I want to work on primary and secondary prevention.
I actually did a ton of FP electives and a TRI year and volunteered in a primary care clinic the year after graduation, I know what FP is, I'm sorry you seem unhappy with it. I have some FP friends who love it, some who hate it. I was urged to do FP , wish I would have. I have had a ton of success using motivational interviewing for my patients with their psych and health issues. There's a book on Amazon for primary care providers, you may want to check it out. It doesn't happen over night and ultimately the choice lies in the patients hands which is the whole point of motivational interviewing. The PATIENT makes the choice.Oh, and I forgot, the part where you say "my motivational interviewing skills to help people decide to make healthier choices". Good luck using your motivational interviewing skills to make people lose weight, and quit smoking, and quit pot, and quit unsafe sex, and quit....
Again, make sure you talk to experienced PCPs. It seems you have an unrealistic view of Family Medicine.
Oh I get a ton of patients who had PCP prescribe inappropriately. In Michigan at least they realized their is an Opoid crisis and they are cracking down and hard on all controlled substances, PCPs who prescribed Ambien Xanax, Adderall etc are less likely to continue and bam new patient for me. But I guess it depends on where you live. If you google, overall more primary care docs do prescribe more psych meds than shrinks. NOT trying to argue, I wanna be one of youNot in my experience. Local psych docs prescribe 2-3x more psych meds than I do, particularly benzos and hypnotics.
Be careful what you wish for.
Anyway, good luck with your future plans, but I would recommend you speak to your FM colleagues and think long and hard before plunging in.
Thank you for the brief primer on motivational interviewing. I had no idea what it was (sarcasm).
I can see you pretty much made up your mind, so again, good luck with your future plans. Apply broadly, and have a creative PS (don't state you want to do FM because you want to "help others and to be happy", it's trite and PDs won't like it).
Also, I do enjoy primary care, it's just that I'm realistic. It sometimes just plain sucks. Trust me, I live primary care every day, you don't. There's a book on Amazon on primary care, you might want to check it out.
I hope you do become "one of us", it's a great profession with a great lifestyle. Just want to make sure it's what you want, that's all.
The majority of my patients enjoy coming to see me (I hope) but sadly, most of our patients will begrudgingly take their medications and do none of the lifestyle changes that would possibly allow discontinuation later on down the line.
...This is also true with psych though, alot of the stuff can be treated with lifestyle changes, exercise, yoga, meditation etc. but people would rather take a pill and forget about their issue until the pill wears off..
PCPs prescribe more psych meds than psychiatrists
There are a lot more PCPs than psychiatrists. Each PCP prescribes fewer psych meds than each psychiatrist and it makes up a smaller percentage of each PCP's practice, but as a whole group the PCPs prescribe more psych meds to more patients than psychiatrists.Not in my experience. Local psych docs prescribe 2-3x more psych meds than I do, particularly benzos and hypnotics.
yupThere are a lot more PCPs than psychiatrists. Each PCP prescribes fewer psych meds than each psychiatrist and it makes up a smaller percentage of each PCP's practice, but as a whole group the PCPs prescribe more psych meds to more patients than psychiatrists.
It doesn't happen overnight, but done correctly with patience and perserverance I have had a lot of success with it.Thank you for the brief primer on motivational interviewing. I had no idea what it was (sarcasm).
I can see you pretty much made up your mind, so again, good luck with your future plans. Apply broadly, and have a creative PS (don't state you want to do FM because you want to "help others and to be happy", it's trite and PDs won't like it).
Also, I do enjoy primary care, it's just that I'm realistic. It sometimes just plain sucks. Trust me, I live primary care every day, you don't. There's a book on Amazon on primary care, you might want to check it out.
I hope you do become "one of us", it's a great profession with a great lifestyle. Just want to make sure it's what you want, that's all.