Hello all, So, I am halfway through my FM residency in the UK, and now firmly decided that a) I want to train in psych and b) my family will relocate to the US. So, I am looking into applying for psych residency next year or so. I have 4 months experience in Adult Psych (mixed inpatient/outpatient, because this is how things work in this country) and 3 months of solid experience in C/L. I also have 10 months experience in Peds - because I love it - and a Diploma in Child Health from the Royal College of Pediatrics in the UK. I love both peds and psych, and briefly considered triple-boarding, but then decided against it, because I think I already have more than enough experience in peds, and I am not bothered about (not) being board certified in peds in the US. However, I am considering applying to Adult/CA integrated programs, as well as straight Adult programs. The problem is that I have not actually had any experience in kiddie psych, so I do not even know if I am going to like it or not. So, I wonder if it is worth my while applying for integrated Adult/CA programs, and risk sacrificing a year of training for something I may or may not like? Or, would it be better to apply for Adult programs and then apply for CA fellowship IF I like my child psych rotation in residency? Another problem is that I also love C/L psych, and with my extensive general medical training I would be very comfortable as a C/L psychiatrist (once I complete the psych residency, of course). Would a CA fellowship or an integrated Adult/CA residency be of any disadvantage when applying for C/L fellowship? Finally, is it possible to practice as a C/L CA psychiatrist - ie, is there any demand for them? Or, would I ultimately have to choose between the two of them (in which case, I might as well just think hard what I like most and only do one fellowship instead of two)? Sorry for the long post. I would appreciate any insights. P.S. As this is not a "what are my chances post", I left all the personal info (like my USMLE scores, years of experience, etc) out, as I do not consider them relevant. If you think they are relevant, I could post them, too.