Chances of Matching Psychiatry with Low Step1 Score?

Discussion in 'Medical Students - MD' started by MDMohawk, Aug 12, 2017.

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  1. MDMohawk

    MDMohawk

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    Aug 12, 2017
    Hey, all. I'm new to SDN, but I had a question pertaining to my chances of matching in psychiatry? I ended up scoring a 199 on Step1 on first attempt and haven't taken Step2 yet. No psychiatry-specific research and only a neurology project that's been dragging its feet; no poster or presentation, yet. Couple of research projects with presentations from undergrad. I do have a few leadership positions and I anticipate strong LORs. No red flags from the first two years of med school. US MD. I'm just curious what my chances are for matching and how many programs would be a reasonable number to apply to? I really don't have any preference on a particular region of the country. Thanks for your time-I really appreciate it!
     
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  3. bananafish94

    bananafish94 SDN Gold Donor Gold Donor

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    I'm only a lowly M2, but the odds don't look terrible to me. According to this chart, 59/77 US senior psychiatry applicants matched with a Step 1 from 191-200.
    Screen Shot 2017-08-12 at 10.09.46 PM.png
     
  4. grapefruit17

    grapefruit17 2+ Year Member

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    im a psychiatry intern, DO student at a MD program. you almost certainly will match.Especially since you aren't super picky region wise, I would think you'll be fine.

    I know some say "apply 30" others say 50, some say 20 etc. Honestly I say apply to as many as you can afford, you can always cancel interviews but you can't cancel interviews you don't have.
     
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  5. Stagg737

    Stagg737 2+ Year Member

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    I'm in a somewhat similar boat in terms of having a mediocre app, OP. I'll be applying to a lot of programs and if I don't get X number of interviews by X date, I'll be sending more out. As long as you're applying to reasonable programs and not just reaches, you'll probably be alright. That being said, apply to enough programs that you'll be confident you'll match somewhere. It's better to spend too much on residency apps and match than to be frugal now and risk not getting a position.
     
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  6. 12glaucoma34

    12glaucoma34 Banned Banned Account on Hold

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    Approaching 100% match rate
     
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  7. cellsaver

    cellsaver

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    Many UFAP evangelical medical students at my university wont reveal their Step 1 Score. When asked what area of medicine they will be practicing, pyschiatry is the most oft heard field.

    I think the field deserves better than to be seen as a dumping ground of low board scores, never mind UFAP evangelists.

    OP, choose a field that you think you will love and apply to over 100+ programs including in BFE. A residency on an Indian Reservation in Montana for a field you will be passionate benefits you and the patients you will be serving. Don't let your Step 1 score choose your future for pete's sake
     
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  8. Stagg737

    Stagg737 2+ Year Member

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    May be true, but psych was more competitive than ever last year for some reason. There were only 4 positions in the country that were available for people to SOAP into and several attendings in the psych subforum said they weren't even interviewing people they would have ranked at the top of their lists 2-3 years ago. Psych may very well be going the way of EM and be much more competitive in the next 5 years (or maybe last year was an anomaly, too early to know).

    I wouldn't assume that OP isn't serious about psych just because his Step 1 sucks and he hasn't done research in the field. Even if I had a 250 Step 1 (which I don't), I'd still be applying for psych. No field "deserves" to be the dumping ground for low scores, but the reality is some fields are just more desirable than others (largely because $$$ due to the way reimbursement is set up).
     
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  9. 12glaucoma34

    12glaucoma34 Banned Banned Account on Hold

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    That wouldn't surprise me. I'm surprised it isn't more competitive. The job market is idea and the hours are great. All psychiatrists I have worked with have short days (8-9ish until 3 PM and no weekends) that aren't often that difficult and they still make over $225,000. If they wanted to work a little harder, faster, and/or longer they could probably increase their salary dramatically.

    My insight into this is limited, but I would be interested to read why I'm right or wrong?
     
  10. Mad Jack

    Mad Jack Critically Caring Gold Donor 2+ Year Member

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    That's still a pretty solid chance of not matching, ouch.

    I'm on the DO side of things, you don't even want to see how bad they are here.

    Hell, it's hard to even get a decent sub-I or rotation in psych this year.
     
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  11. grapefruit17

    grapefruit17 2+ Year Member

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    I actually didn't do any SUBis for psych. But I would recommend doing them in places you are dead set on. One place that interested me exclusively only took people who did a subi there.

    yea its competitive. Not what people think it is. I talked to some top 4 carib students last year on the interview trail with average-slightly higher than average usmles and they only had 1-2 interviews. One DO on the interview trail I met only had 2 interviews for MD by late dec..but her personality was..interesting...to say the least
     
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  12. Stagg737

    Stagg737 2+ Year Member

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    For the most part you're right. Psychiatry is one of the lowest paying specialties because psychiatrists commonly work fewer hours than everyone else, not because reimbursement sucks. I've worked with a few guys that clear 500k easy because they put in the hours. If you're willing to work 12 hour days in psychiatry, you can definitely make bank.

    Additionally, I think more people are starting to realize that Psych is actually closer to a ROAD specialty (especially in terms of lifestyle) than most people realized with a solid job market, which is why it's becoming more competitive imo. The trade-off is that it's a very different field from everything else in medicine as there's almost no physical aspect to it, which turns a lot of people off. I think in the next few years we're going to see more people that are chasing the $$$ going into psych as lifestyle is becoming more and more of a draw for our generation.
     
  13. Crayola227

    Crayola227 Callisto, Undead Warrior Queen 2+ Year Member

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    seems to me a lot of people underestimate the number of programs they need to apply to for psych, as the main issue

    as for why more people don't do psych? well why don't more people do peds or surgery?

    it's not very "general" medicine - it's a particular type of work and it takes a particular type of person to want to do it and be good at it

    it's not for everyone
     

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