How likely to go from community program to working in academic center?

[caxoo]

Ideally I'd see myself working in an academic center - I was wondering how likely this would be from a community program during residency?

Further, do community programs frown upon it when you want to go to an academic center after training? (i.e. during interviews or general discussion)

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[ksharp33]

Completely possible. There is a shortage of psychiatrists nearly everywhere. I do not anticipate this being a large obstacle for you in terms of getting a job at an academic medical center.

 

[Shufflin]

Be an excellent psychiatrist. From there, sky's the limit.

 

[caxoo]

Be an excellent psychiatrist. From there, sky's the limit.

Do yall think it'd be fine to tell community programs I plan to go into academics without...offending them or something?

 

[OldPsychDoc]

A lot of this depends on what you mean by "working in an academic center" or "going into academics".

If you're thinking about getting a "professor" title, writing papers, getting grants, teaching in big lecture halls, a community program isn't likely to prepare you well for that. They just won't have the mentorship you need to launch an academic career.

If you want to have medical students rotating on your clinical service, want to provide mentoring and feedback, develop a personal "niche" of expertise--then plenty of strong community hospitals are looking for that type of faculty. Look at programs listed on FRIEDA as "university-affiliated" community programs.

I wouldn't be offended or put off an applicant who wants "academics", but I'd want them to know what that means and to be able to communicate that, and have a realistic idea of what it takes to do what they propose as "academics".

 

[caxoo]

A lot of this depends on what you mean by "working in an academic center" or "going into academics".

If you're thinking about getting a "professor" title, writing papers, getting grants, teaching in big lecture halls, a community program isn't likely to prepare you well for that. They just won't have the mentorship you need to launch an academic career.

If you want to have medical students rotating on your clinical service, want to provide mentoring and feedback, develop a personal "niche" of expertise--then plenty of strong community hospitals are looking for that type of faculty. Look at programs listed on FRIEDA as "university-affiliated" community programs.

I wouldn't be offended or put off an applicant who wants "academics", but I'd want them to know what that means and to be able to communicate that, and have a realistic idea of what it takes to do what they propose as "academics".

I was thinking more of the latter than former. I like the idea of constantly teaching and learning, and I also like having more time for each patient (though I don't know if community programs usually differ from academics in this regard).

I'd like the option of doing research though - not necessarily a huge grant-churning powerhouse type of place, but if I had an idea, I'd like to be able to easily put it into action and have an easy time recruiting from the patient population. At my medical school, whose residencies are more community based, researchers have told me the biggest disadvantage is smaller patient population pool and harder time getting things started as a result

Thx to all for feedback

EDIT: also something a bit intangible, but I want to work with people who geek out about psych and who are excited about it and enjoy talking psych nonsense just for the sake of itself. I'm sure community programs offer that too, but just from the few experiences I've had, those types are more in academics, while community programs have people who are more...ah, normal and perhaps more well adjusted, for lack of a better term

 

[OldPsychDoc]

No worries--plenty of geeks here.

You may want to ask around whether the programs/hospitals you're interested have active IRBs (institutional review boards). It is a requirement for human subjects research, so if a resident or faculty at a community program knows what those 3 letters mean, it might be a sign that your interest is feasible, at least in theory. In practice, however, these things are always easier said that done.

 

[Crayola227]

Personally, my goal was to be a clinician educator, and community programs seemed really pleased when I said that my goal wasn't a research heavy career, but to be involved in medical education in one way or another, most likely at a community program!

For any residency program, there are stipulations from ACGME about what the faculty do, in that they must be "active" in academics. Does that mean these folks are bench side with petri dishes? No. Many of them do generate publications here and there, and attend meetings and such.

People forget that residency programs at community hospitals, that the attendings that work there with residents, are "academic" in that regard. Recognizing that can get you brownie points.

You don't have to end up a university-affiliated community program to be poised to teach at a community program or to work with med students or residents.

It's possible to be involved beyond the day to day grind of clinical medicine inpt or outpt, and to find other attendings that are "nerds" and want what you want, in a lot of practice scenarios.

 

[M1i]

A lot of this depends on what you mean by "working in an academic center" or "going into academics".

If you're thinking about getting a "professor" title, writing papers, getting grants, teaching in big lecture halls, a community program isn't likely to prepare you well for that. They just won't have the mentorship you need to launch an academic career.

If you want to have medical students rotating on your clinical service, want to provide mentoring and feedback, develop a personal "niche" of expertise--then plenty of strong community hospitals are looking for that type of faculty. Look at programs listed on FRIEDA as "university-affiliated" community programs.

I wouldn't be offended or put off an applicant who wants "academics", but I'd want them to know what that means and to be able to communicate that, and have a realistic idea of what it takes to do what they propose as "academics".

If you don’t mind me asking, I know this is the psychiatry forum. But are you aware if what you described in the third paragraph is a possibility for most specialties. The option to train medical students in the clinical setting. As well as focus on a particular aspect of a specialty. Without the need to complete research, write papers etc. still in undergrad. So forgive me if the answer is obvious.

 

[OldPsychDoc]

If you don’t mind me asking, I know this is the psychiatry forum. But are you aware if what you described in the third paragraph is a possibility for most specialties. The option to train medical students in the clinical setting. As well as focus on a particular aspect of a specialty. Without the need to complete research, write papers etc. still in undergrad. So forgive me if the answer is obvious.

That is frequently the case in hospital medicine, large EM programs, etc.