Fm/Psych-how competative

Discussion in 'Combined Residencies' started by medhead1990, Sep 17, 2014.

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  1. medhead1990

    medhead1990 2+ Year Member

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    Hey question or two for sdn world...

    1. How competitive is Fm/Psych programs? Regarding is there special letters of rec I should consider, should I spend more EC time doing psych or fm during med school, whats the average step score of one of these programs (I keep reading that's its a little more competitive than either FM or Psych alone but both are rather low step1 scores and as such what ends up being a little bit more)?

    2. I am still in the early stages of figuring out what I would want to specialize in as a physician and am apt to change my mind 20 times during med school, however at this point my goal is to go into addiction medicine and open up my own rehabs. I am interested in being able to address both the psych side of addiction as ell as being able to help early recovery type problems such as infections. Is it worth going through the time just to be able to treat both or is it possible to do both from both sides of the fence individually?


    thanks in advance!!
     
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  3. lizjhu

    lizjhu 2+ Year Member

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    I am also applying for Psych/FM. I have no clue how competitive it is but I was told by a psych/fm doc to attend the Med Psych conference to make connections. It's in Chicago on Oct 10-11.
     
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  4. MLT2MT2DO

    MLT2MT2DO 7+ Year Member

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    Applied to 4 of the programs here as well. Also not really sure the op would need the fp portion for what they are describing
     
  5. medhead1990

    medhead1990 2+ Year Member

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    thank you good to know... Also from a Step score standpoint what would you say a good target step 1 would be for med psych?
     
  6. lizjhu

    lizjhu 2+ Year Member

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    Has anyone heard good news yet? Hoping to meet people on the interview trail!
     
  7. MLT2MT2DO

    MLT2MT2DO 7+ Year Member

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    I've heard nothing yet. 2/4 I applied to are in cali, and being a DO without strong connections to cali I'm not surprised by this
     
  8. hallowmann

    hallowmann 2+ Year Member

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    Beyond being originally from there, what constitutes strong connections? I'm thinking about heading out there for residency, because my wife is originally from there and all her family is out there. Would that be a "strong connection"? Or should I try to become a state resident out there? (I don't know if I actually want to do that right now).
     
  9. medhead1990

    medhead1990 2+ Year Member

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    hey so you guys who are in the cycle right now what were your USMLE-1 scores? Just so i know what ballpark I should be shooting for...
     
  10. milesed

    milesed 5+ Year Member

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    Most docs I know who did any sort of combined program ended up just practicing in just one of the fields- all say they wished they'd focused only on one area.
     
  11. J ROD

    J ROD Watch my TAN walk!! Lifetime Donor 10+ Year Member

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    bingo.......:idea:
     
  12. Davole

    Davole

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    Edit: Didn't realize this was an old thread.

    Anyway, for people applying now, here's some info: I applied to the 3 non-Cali ones. I got an interview from Iowa and haven't heard from Pitt or Cincy yet.
     
  13. hallowmann

    hallowmann 2+ Year Member

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    Stats? US MD, DO, IMG?
     
  14. futuredoctor10

    futuredoctor10 7+ Year Member

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    The exception being Med/Peds
     
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  15. medimedimedi

    medimedimedi

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    what's the difference between med/peds and family medicine then?
     
  16. tantacles

    tantacles Lifetime Donor SDN Moderator 7+ Year Member

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    Nmpra.org explains this far better than any of us can.
     
  17. Mad Jack

    Mad Jack Critically Caring Gold Donor 2+ Year Member

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    Think about the difference between IM and FM. Then the differences between peds and FM. Now combine those differences. Congratulations, you have now discovered the differences between FM and IM/Peds.

    Basically you're much more qualified to specialize and take care of far sicker patients, but not as capable of dealing with Ob/Gyn.
     
  18. zany_brainy

    zany_brainy

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    NMPRA does a great job explaining this on their website, but I can give you a few differences.


    FM: 3 years of training, 4 (?) months of peds, greater emphasis on outpatient, residents rotate through OB and surgery

    Med/Peds: 4 years of training, 24 months of peds, greater emphasis on inpatient and ICU, residents do not rotate through OB or surgery, tons of fellowship options
     
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  19. medhead1990

    medhead1990 2+ Year Member

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    Wow. Two years later and this thread has 4600 views with only 16 posts-lots of lurkers. =) With only 10 total spots in the country 4100 is a surprisingly huge number looking at a post about fm/psych.

    For anyone who is interested (namely the lurkers) I recently took the advice from Lizjhu and was at the most recent med-psych conference in chicago just this last weekend. It was an excellent experience and I plan on moving forward in a combo residency, that being said it was surprisingly competitive, and i felt quite intimidated. Relative to the demand there is a miniscule amount of residency spots available for the number of applicants who apply. I believe the numbers are 150 applicants to FM-Psych 50/50 split of UMG and IMG for 10 spots, and a similar breakdown for IM-psych with 250 (ish) applicants for 22 spots. https://www.aamc.org/services/eras/stats/.

    I will say in the application process is it seems like they definitely try to screen out those who want to do a combined residency because of ambivalence in deciding one specialty or the other. Naturally the better you can do on the boards the better your chances, however that being said I feel the most salient selling point for getting into a combined program is two part 1. Are you a good fit with our program specifically? 2. Are you a good fit for our tight knit weird combo community? Because you really do have to be a certain kind of weird to want to this type of program.

    There are some very specific things that combined training are good for and if you are interested in those than it is the perfect place for you. I personally am interested in pain/addiction/correctional medicine as well as integrative primary care delivery. If you are interested in the field because you want to be a psychiatrist but "don't want to hang up the stethoscope" (as has been said in other sdn posts)- or on the other hand want to do FM/IM but still really enjoyed your psych rotations and don't want to let that go, combo training is probably not the place for you. You can still apply but that underlying mind set will probably be picked up along the way in your application process (remember they are psychiatrists). One of the biggest tragedies with so few spots in the country is for a program to take someone on and then come year 3 or 4 they drop out. PD's are very intent on making sure that does not happen. To put it plain they don't want people who have interests in both fields, they are interested in people who want to practice combined medicine.

    Disclaimer this is my take on it, I could be totally off base here but this was the vibes I got.

    Hope this helps! =)
     
  20. OrangeOrange

    OrangeOrange

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    When applying FM-Psych, do most people apply for categorical psych as a backup, or categorical IM as a backup? Do programs care?
     

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