chemist157

10+ Year Member
7+ Year Member
Apr 30, 2007
237
0
141
Status
Fellow [Any Field]
Is this possible after a year of Internal Medicine to start a psych res at the 2nd year level? Would that count towards your 48 months of requirements. According to the ACGME document it sounds like IM, FM, or peds year could count for PGY-1 and that year towards the 48 months. Is this program-specific?
Would you be behind because you missed all those PGY-1 inpatient months?

E.g. decide one does not like IM that much and made the wrong decision but does not want to screw his colleagues so stick it out for one year since already matched. THen, graduate internship and slide into psychiatry...?
can anyone corroborate this? Particularly in the Army programs.

Thanks!
 

Gastrapathy

no longer apathetic
Lifetime Donor
10+ Year Member
Feb 27, 2007
4,881
3,974
281
Status
Attending Physician
Is this possible after a year of Internal Medicine to start a psych res at the 2nd year level? Would that count towards your 48 months of requirements. According to the ACGME document it sounds like IM, FM, or peds year could count for PGY-1 and that year towards the 48 months. Is this program-specific?
Would you be behind because you missed all those PGY-1 inpatient months?

E.g. decide one does not like IM that much and made the wrong decision but does not want to screw his colleagues so stick it out for one year since already matched. THen, graduate internship and slide into psychiatry...?
can anyone corroborate this? Particularly in the Army programs.

Thanks!
You still screw your colleagues to a degree but that is not a reason to do a specialty you don't like. You would probably have to make up some ward months for psych, as well. More than likely, you'd get sent out as a GMO and be able to apply back after that (but you never know, you might just be able to switch directly by applying to the coming GMESB).
 

Ziehl-Neelsen

If you will it, Dude, it is no dream.
10+ Year Member
Feb 17, 2005
466
189
281
Status
Attending Physician
I'm sure that it's all program dependent, but here at WRAMC, Psych interns only do 3 months of Psych in their intern year. They do however do another 3months of neurology which is a pretty ironclad requirement. I don't think that you could graduate in 3 years due to these requirements.

I would not say that a GMO tour is imminent should you decide to switch. WRAMC program almost never fills. Some of the residents are pretty poor (to be frank) causing a surprising amount of attrition during residency, and with the current reputation of the WRAMC psych program (unearned by the way, but nobody ever said life is fair) I don't forsee applicants clambering to train here.

Finally, at WRAMC there is the option of doing an IM/Psych combined residency. This program has a history of picking up intelligent psych and medicine residents who decide after their intern year that they really would like to be boarded in both.
 

USUHS2008

Army Doc
10+ Year Member
Aug 6, 2005
37
1
241
Silver Spring, MD
Status
Resident [Any Field]
I'm a WRAMC (potentially pretty poor) psych PGY-2 right now, and every year we have 1-3 new PGY 2's added to our ranks, mostly from IM or FP but sometimes also from surgery. They all graduate on time, even with the Neuro requirements. There are about 6 months of elective time our PGY-4 year, so the off-cycle residents just make up those months then, or sometimes give up some of their elective time in their PGY-2 year to take care of one. It's really, really no big deal. Get in touch Dr. Moran ( scott. campbell. moran @ us.army.mil ), our program director, he could give you the absolute final word on what would need to be done.
 
Last edited: