I've been following your posts for a while and I just want to give you my honest opinion about everything you've posted.
I really think you need to take some time and work with someone to determine what YOU want to do in life and what is realistic to do. The job you just quit was a nightmare from the things you said, but you were happy there if it had to be psych and that's what mattered. You wanted FM and now you think that's impossible (it isn't). Now you took another psych job, one that requires you to relocate to a place you hate, and in addictions and you're giving up your job, but you're flying back 3 weekends a month to see patients? And another weekend doing telepsych? And you're having IVF? So many things wrong with this. No one can do all that, let alone someone who doesn't even like psych to begin with.
More below.
I'd love to land a 2nd residency in FP. That's really unlikely. I got a position for addictions which could enable me to do the practice pathway to addictions, but it's in a VERY undesirable location. Do addiction specialists make a lot more than psychiatrists?
Addiction specialists are primarily psychiatrists. They get paid as much as any psychiatrist with an additional board certification. But if you're trying to escape the monotony of psychiatry, addictions isn't the way to do it. Your panel will be full, but your dx and treatment plans are going to be similar. If you want more medicine, try geripsych or neuropsych and you'll see more dementia that you know what to do with. Try brain injury medicine. Try CL. There are so many other ways to get more medicine into your life without having to relocate to a place you hate to do a job that, frankly, doesn't sound that great and on top of that, commuting back to your current state every weekend.
I would be flying home 3 weekends a month - one to moonlight at a hospital where I have been for over a year and a half and 2 other weekends to continue seeing my private patients. The fourth weekend would be spent doing telepsych addictions which I would do both for the paycheck and more importantly so I can get enough hours in for the practice pathway. I am going through IVF this year and will need time off for that so the telepsych position would be extra hours.
Again, this is crazy! I'm sorry to be so blunt. I'm just an anonymous idiot on a message board and I don't know you or the details of your circumstances besides what you've shared over the years, but felt the need to tell you how bad an idea this is in case others hadn't.
I actually like FP. I would be HAPPY doing FP . My PCP is certified in both and rounds at a hospital daily and every other weekend. It was actually his suggestion to do an addictions certification because they aren't required to have expensive EMRs because he does addictions as well. I have no idea if this is a Michigan or national law but apparently in Michigan FPs must have an EMR And he says it is so costly he couldn't do it without doing addictions as well.
What? Your PCP told you that addictions specialists aren't required to have expensive EMRs? Why? That doesn't make sense. Also just because he makes more doing addictions than he does as a PCP exclusively doesn't mean you will as a psychiatrist.
but it is in a place I REALLY don't want to live and also gives you little autonomy over time off
Don't do this. You're too far into your career to live some place you really don't want to, unless you're doing another residency.
I am going to an event in Tampa the week after I start- Olivia Newton John and John Travolta are having a sing along to the movie Grease and a meet and greet which I only learned about after agreeing to start the week prior. I reached out to my recruiter and said hey, I am going to Tampa. Being that the flight is costly and this will be my only vacation for the whole year, I would like to spend a week in Tampa and then start and it was not even negotiable
What do you mean this will be your only vacation for the whole year? Do you mean the year as in until 12/31? Or do you mean the year as in one year from your start date? If the latter, why would you only get one week of vacation for the year (and why would you spend it going to Tampa)? In fairness, regardless of the answers to those questions, I would still say don't take this job.
I am getting off an hour early the day prior to leaving and that Friday off. And this is BEFORE I even started. I was planning to maintain my BC in psych (if I can figure out what the whole PIP thing is) and planned to moonlight a weekend or two a month in psychiatry to make a little bit more than most FPs make. Honestly, the proposed changes to medicine are scary and soon the physician title may be meaningless.
This is not true and convincing yourself of this (and things of a similar nature) is sending you down a strange path.
