Applying to child psych-can I lose my position in General residency if I don't match?

[ara96]

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I'm a PGY2 gearing up to apply to Fellowships this upcoming July. I am going to be applying to positions in geographically desirable areas so I am not sure how everything will pan out seeing as though I am not the most competitive applicant in the world (being honest). I was wondering lets say I don't match, would I lose my position in General Psychiatry Residency (my current program)? like would they say at the end of PGY-3 year, "you didn't match, we thought you would match somewhere and we don't see any reason to spend funding for a PGY4 position at this stage." I just don't want to be in that position.

I know I'm probably being paranoid but given how hard it is to get a position, I just want to make sure I go into this with all my ducks in a row.

Thanks in advance.

 

[splik]

is your program really that toxic that you have to ask? they would have to non-renew you with good reason (i.e. they would have to say you are not clinically up to scratch to continue as a PGY4, which they would have almost no incentive to do. does your program have call PGY-4 year? If so, even less incentive to get rid of you). btw even if you don't match there are so many positions left outside the match that you can easily find a spot somewhere if you really need to.

 

[ara96]

is your program really that toxic that you have to ask? they would have to non-renew you with good reason (i.e. they would have to say you are not clinically up to scratch to continue as a PGY4, which they would have almost no incentive to do. does your program have call PGY-4 year? If so, even less incentive to get rid of you). btw even if you don't match there are so many positions left outside the match that you can easily find a spot somewhere if you really need to.

no its not that toxic. no call 4th year either. i just wanted to ask.

 

[psychattending]

no its not that toxic. no call 4th year either. i just wanted to ask.

You should talk with your PD. You will need to eventually as he/she must write a letter for you when you apply.

 

[Monocles]

OP, to my understanding when you match in general psychiatry the ACGME funding is granted for the length of the full 4 years (as in they expect to have you for 4). Even if you don't get in CAP fellowship your funding should still be there.

 

[psychattending]

OP, to my understanding when you match in general psychiatry the ACGME funding is granted for the length of the full 4 years (as in they expect to have you for 4). Even if you don't get in CAP fellowship your funding should still be there.

The issue is what the agreement he/she has with the program and what it decides to do with him/her leaving. Some places might seek to replace a leaving CAP person with a new resident. In such a case there might not be a place for the person if there is no Match.

In addition a program might feel that a resident is not ready for transfer to a CAP program and instead needs to stay in the adult program for educational reasons. Finally the PD will need to write a letter supporting the transfer and indicating what educational issues there are.

Given all the above, the first step is for the resident to talk with the PD. PDs deal with this every year. As part of the conversation, the resident should bring up the issue of not matching.

 

[heysexylady]

The issue is what the agreement he/she has with the program and what it decides to do with him/her leaving. Some places might seek to replace a leaving CAP person with a new resident. In such a case there might not be a place for the person if there is no Match.

In addition a program might feel that a resident is not ready for transfer to a CAP program and instead needs to stay in the adult program for educational reasons. Finally the PD will need to write a letter supporting the transfer and indicating what educational issues there are.

Given all the above, the first step is for the resident to talk with the PD. PDs deal with this every year. As part of the conversation, the resident should bring up the issue of not matching.

I don't understand how a program director will write a letter of recommendation but later decide that a resident isn't academically ready to leave the program... Doesn't make any sense and just an assholy thing to do.

 

[psychattending]

The timeline would be the other way around. The PD would tell a resident that he/she is not academically ready to leave a program (this would be very rare). If a resident then insists on transferring then the PD would likely be putting things in the transfer document indicating where the resident has weaknesses (PDs are required to send such documentation to the next program). The key point is that residents need to be talking to their PD if they are seriously thinking about transferring, be it for CAP or another reason. The vast majority of PDs are not ogres. We do this because we like teaching and helping students.