Are you restricted by region because I know that rwjbh are hiring psychiatrist.
For addictions I'll go anywhere. For general psychiatry I want outpatient and SE Mich
How is it a lawsuit waiting to happen?
I am working for a facility where a psychiatrist sees a patient once a year, the rest of the time they are seen by RNs and supervised by NPs.
That's how my very first psychiatrist was. I saw him and most subsequent appointments were with his wife, who was a nurse. I didn't mind at the time because she was so much nicer than he was. I didn't know how deleterious the treatment was, though (although it was his treatment plan). I've had a couple of other psychiatrists who were geriatric whose wives also filled in when they couldn't make appointments and would call in scripts, and they weren't even nurses. One of them was my college's psychiatrist. The wives acted like secretaries but often went beyond that scope.
I live in metro Detroit. The places advertising are inpatient or corrections or child psych. Addictions would have been nice but right now I just want to move back home and do adult outpatient. If this job I currently have was what it was described to be, I would have sucked it up and stayed. But I honestly am quite homesick. I fly home 3 weekends a month to work. From reading the posts here, it sounds like being in the location where I want to work would make it easier to find a job. I fly home near the end of February to work at a hospital for the weekend. I'll give the locums company which I work through at my weekend hospital job notice next week to time with my flight home for my hospital job and just pray there are no bad outcomes or lawsuits that result at my current job before that. It's a 30/30 because it's a locums position thank God. My recruiter keeps saying that next week they are going to change my duties to what I was promised they would be, but I spoke with the medical director and he said he didn't see it happening and neither do I.
Although the treatment plan wasn't good, at least he was overseeing it. I see a patient once and it goes to the nurses. The polypharmacy, the inappropriate diagnoses, it's too much to clean up in one visit. I saw a patient yesterday who was diagnosed with MDR GAD and PTSD. It was a review for her being a new therapy patient. She has borderline personality disorder and nothing else based on the interview I did. The therapist just said she was complicated and didn't get very far by the time I went in. So I did the therapists job for her. She had been seen once prior for a psychiatric evaluation and the nurse diagnosed her with the 3 diagnoses I mentioned without any supporting symptoms for any of her diagnoses mentioned.
And they pay dirt, relatively speaking, given region (mostly central/northern NJ) and workload. Crappy call schedule and compensation for that as well. I do not have all the details, but I remember thinking "I make more moonlighting as a resident" for call.
I'm a Jersey guy and I love my home state, most importantly the people there. The beaches are beautiful and access to NYC, Philly, mountains for hiking/skiing is a plus as well. (We do have some of the BEST pizza on the planet even when stacked up against the Big Apple, FWIW... a lot to me). That said there are better packages out there in less expensive locales that offer a much better quality of life (ie less traffic/congestion, easier access to entertainment, culture/arts, pro/college sports, outdoor activities, and great culturally diversified cuisine etc).
What? I'm from NJ (still here, never leaving), but how can you love the people here? We're purposefully unlikeable.
I didn't even know this was possible... This reminds me of what psychiatrists from developing countries do -- by necessity, of course. The psychiatrist develops the tx plan and the RNs function as midlevel providers or residents. But that's what happens when you have one psychiatrist per millions people. (Yay for gigs and conferences abroad that I know this.)
I didn't know either. I came to an out of state job for the purpose of seeing addictions patients by myself under the supervision of a board certified addictions psychiatrist. My recruiter knew this as did the physicians I did a phone interview with. And I may be able to see addictions patients, but not mine. I NEVER would have accepted this position if I had known what it really was. I am giving my 30 day required locums notice next week to coincide with my locums paid flight home for the weekend a month position I have. I pray no bad outcomes happen with the patients I see during that time. I am looking like crazy for a new position.
IF you look at the requirements, you need a BC addiction specialist to write a letter for you saying you have completed the hours and are competent. Where is "around here?" At this time, I just want to get out of my lawsuit waiting to happen job if that's what it needs to be. General psychiatry is fine with me. I don't care. I need to get out of here and FAST, but I only have part time jobs
unless something changed this year, the requirement is a letter from a board certified physician in ANY FIELD (not an addiction specialist)
I've had a lot of short term positions. I don't remember when they were. One was just a weekend of vacation coverage. Another was 3 weeks of geriatrics coverage and that was all it was meant to be and then some awful jobs. I really need to get out of here ASAP. It's a lawsuit waiting to happen. Some people do locums to travel. I need income.
Oh wow. Reading that really makes me cringe. Would you consider Hawaii? On Oahu, there is a lot of need. There is a company called Advanced Psychiatric Therapeutics. They have several offices on the island. I believe they are hiring now.
they pay much less. I have cats who are really important to me. I don't vaccinate them per my veterinarians advice and flying them there would require that they are vaccinated four months early . Unless it's an addictions position, I really want to just go home. I have some personal stressors going on and I did a phone interview today in my home area and we are having breakfast two weeks from Sunday, Thank you for the suggestion though.
Good luck to you! I hope it works out for you.
No, Whopper is not too picky. This is the theme out there in the job scene. Evidenced by simply scanning a website like Practicelink. You will consistently see over time the majority of jobs are the same employers, or even in the back of the APA newsletter, its postings are usually the same, too. There is a reason why these jobs are frequently posted. There are also dynamics at play in the healthcare system as whole that are driving these changes, and most employers respond to these pressures in similar fashion.
