- Joined
- Aug 23, 2011
- Messages
- 1,621
- Reaction score
- 1,247
I wanted to share my observations regarding the current practice environment in my area. As many of you may know I have been out of residency for almost a year. I have a part-time community mh job and a private practice in one of the 10 largest cities in the US.
First observation: Psychiatric nurse practitioners out number Psychiatrists 4:1 in several of the community agencies. In a state that offers independent practice without differentiation of roles except in certain legal situations such as inpatient psychiatry this significantly reduces the number of job openings.
Second observation: 2 fresh grads from my program were laid off from a large multispecialty clinic after the outpatient psychiatry department was axed. They are back at home.
Third observation: One of the major community mh providers laid off a large number of their child psychiatrists and replaced them with psychiatric nurse practitioners.
Fourth observation: Several large multispecialty practices in pediatrics, developmental pediatrics are hiring psychiatric nurse practitioners to perform the role of a child psychiatrist and self referring.
Fifth observation: Nurse practitioners are taking an entrepreneurial role and hiring large numbers of therapists and generating internal referrals for their private practices.
First observation: Psychiatric nurse practitioners out number Psychiatrists 4:1 in several of the community agencies. In a state that offers independent practice without differentiation of roles except in certain legal situations such as inpatient psychiatry this significantly reduces the number of job openings.
Second observation: 2 fresh grads from my program were laid off from a large multispecialty clinic after the outpatient psychiatry department was axed. They are back at home.
Third observation: One of the major community mh providers laid off a large number of their child psychiatrists and replaced them with psychiatric nurse practitioners.
Fourth observation: Several large multispecialty practices in pediatrics, developmental pediatrics are hiring psychiatric nurse practitioners to perform the role of a child psychiatrist and self referring.
Fifth observation: Nurse practitioners are taking an entrepreneurial role and hiring large numbers of therapists and generating internal referrals for their private practices.
Last edited: