Is it possible to take vacations as a psychiatrist?

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Also, this is kinda related but as a psychiatrist can you work only half the year every year. Meaning like during 6 months every year you work and take the other half year off and resume work after 6 month break and just live that cycle.

Is that heard of or possible?

PLS reply

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Hi all,

Thanks a lot for the responses. It's very helpful. Another thing I was thinking of was how a lot of orthopods take a month off every year to do volunteer work in another country (their skillset is more amenable to short term gigs of course), but things like that. It sounds like these things would be pretty tough in psych, unless 1. doing longer term global health work (which I might) or 2. switching jobs, which might be the one or two times in a career where it would be alright to take a longer break (and 3. being locums work I suppose). Maybe that makes the most sense. Do something for 10 years, take a break for X amount of time, start something new, with little two-week breaks each year to keep healthy and sane enough in order to do your best for your patients and your family.

I suppose I could also always considering just spending a couple years in another country practicing after paying off all the loans!

And the kids and family would come too of course, that's the point! Life is short, and spending your whole life in one place is like reading only one page of a book (I think someone said once).

Anyway, thanks again for the responses! I hope the thought of wanting to travel/ explore the world with the people you love doesn't sound too selfish. Patients come first of course and so that's why I asked.

TZ
Hi
I can relate pretty well to what you want cuz its sorta like how I feel and I am also interested in psychiatry. Please let me know if you find more info about this because I'd like to be with my family rather than be compensated with a high salary. Also this might sound silly but the idea in my previous post stemmed from this 'vacation and exploring the world' thing.

I thought if maybe i could work at TWO locations -- like two diff states with completely diff environments -- I get the happiness of exploring while still working, it'd just b a change of locations. But this would of course be a CYCLE. So I would go back to the initial location at the start of the next year. Good idea? Crazzyyyy? Possible? Impossible?

I'd appreciate feedback from anybody willing to. :)
 
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Also, this is kinda related but as a psychiatrist can you work only half the year every year. Meaning like during 6 months every year you work and take the other half year off and resume work after 6 month break and just live that cycle.

Is that heard of or possible?

PLS reply

Snowbird-only Geri practice in Florida or Arizona. (no idea if this is a real thing, but seems like a lot of the FL-based providers I know lose a third or more of their patients during the summer).
 
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Hi
I can relate pretty well to what you want cuz its sorta like how I feel and I am also interested in psychiatry. Please let me know if you find more info about this because I'd like to be with my family rather than be compensated with a high salary. Also this might sound silly but the idea in my previous post stemmed from this 'vacation and exploring the world' thing.

I thought if maybe i could work at TWO locations -- like two diff states with completely diff environments -- I get the happiness of exploring while still working, it'd just b a change of locations. But this would of course be a CYCLE. So I would go back to the initial location at the start of the next year. Good idea? Crazzyyyy? Possible? Impossible?

I'd appreciate feedback from anybody willing to. :)

Yep, locums. And you can always go work in New Zealand for a year.
 
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But vacations are for rich liberal white people who hate their patients? :rolleyes:
 
Snowbird-only Geri practice in Florida or Arizona. (no idea if this is a real thing, but seems like a lot of the FL-based providers I know lose a third or more of their patients during the summer).

I wonder if you could snowbird with them.

Dr Lioness, Geriatric Psycihiatry
Philadelphia and Fort Myers.

I'm not a geriatric psychiatrists and it'd probably be way too complicated.

And speaking of New Zealand . . . I keep having people try to recruit me to Australia (specifically Queensland) on LinkedIN. Are they really that hard up for shrinks? It's intriguing, but awfully far away. And I was worried about not knowing the system when I moved to Illinois. Heh.

I had about two months off between the ending of my last job and th start of this one. It was really only supposed to be one month, but then the credentialing process got held up. A blessing in disguise really. I was fried. And I did travel a bit. Not overseas, but I did hit Graceland. So that was cool.


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I wonder if you could snowbird with them.

Dr Lioness, Geriatric Psycihiatry
Philadelphia and Fort Myers.

I'm not a geriatric psychiatrists and it'd probably be way too complicated.

And speaking of New Zealand . . . I keep having people try to recruit me to Australia (specifically Queensland) on LinkedIN. Are they really that hard up for shrinks? It's intriguing, but awfully far away. And I was worried about not knowing the system when I moved to Illinois. Heh.

I had about two months off between the ending of my last job and th start of this one. It was really only supposed to be one month, but then the credentialing process got held up. A blessing in disguise really. I was fried. And I did travel a bit. Not overseas, but I did hit Graceland. So that was cool.


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So Australia has laws that limit the licenses of foreign physicians and their ability to practice but eases those restrictions substantially in identified areas of need that very based on specialty.

For Psych, the entire country is currently classified as an area of need.
 
I just think it would be so hard to do that. Their system is just so different. I'm not even sure what the path to become a doc is in Australia, what the relevant mental health law is, and what the brand names of the meds are. I'm sure none of that is insurmountable. But I think I'd rather just go on vacation.


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A couple friends and I have non-seriously discussed taking a civilian contracting job with the US military overseas. Live and work in middle of f-cking nowhere Germany during the week and travel Europe during the weekends.
 
Also, this is kinda related but as a psychiatrist can you work only half the year every year. Meaning like during 6 months every year you work and take the other half year off and resume work after 6 month break and just live that cycle.

Is that heard of or possible?

PLS reply

Many licence apps/renewals ask if you have been out of the practice of med for a 3 month period in the last year(s). NOt insurmountable, but a red flag
 
Snowbird-only Geri practice in Florida or Arizona. (no idea if this is a real thing, but seems like a lot of the FL-based providers I know lose a third or more of their patients during the summer).

I lose 1/3 in winter..... they fly south.
Maybe if I sit in a blind....
 
I work for several psychiatrists as a remote administrator, and they do indeed take vacations. One is taking a month off starting next week! How? He works with a group of local psychiatrists that all provide coverage for each other when they need it. He IS a private practice, it's just him... but they have a mutual agreement that they switch off with weekend coverage and holiday/vacation coverage as needed, for all of their benefit. It's a great system, and allows them to still take time away knowing someone is available to their patients for any emergencies.
 
So Australia has laws that limit the licenses of foreign physicians and their ability to practice but eases those restrictions substantially in identified areas of need that very based on specialty.

For Psych, the entire country is currently classified as an area of need.

I just think it would be so hard to do that. Their system is just so different. I'm not even sure what the path to become a doc is in Australia, what the relevant mental health law is, and what the brand names of the meds are. I'm sure none of that is insurmountable. But I think I'd rather just go on vacation.


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As far as I know it's only General Practitioners that are subject to the 10 year moratorium where they have to practice in areas of need for that period of time, and don't have the option to necessarily choose where they practice. Otherwise all IMGs (International Medical Graduates) have to under take certain pathways to registration depending on things like their training, and what overseas institute they studied at. My understanding is IMGs are given provisional registration with the medical board of Australia until they've completed whatever pathway is most relevant to them, at which point they can apply for full registration (no restrictions on practice). The specialist pathway is slightly different and that is where some restrictions come into place, but that also depends on what you're actually planning to do. If you're looking for Specialist recognition then as long as you have completed the requirements to be admitted as a Fellow of an accredited college you can apply for full Specialist registration.

More info here:

http://www.medicalboard.gov.au/Registration/International-Medical-Graduates.aspx

In regards to Psychiatry specifically, here are RANZCP's guidelines.

https://www.ranzcp.org/Pre-Fellowship/Overseas-specialists/Specialist-pathway-to-Fellowship.aspx
 
I just think it would be so hard to do that. Their system is just so different. I'm not even sure what the path to become a doc is in Australia, what the relevant mental health law is, and what the brand names of the meds are. I'm sure none of that is insurmountable. But I think I'd rather just go on vacation.

The system is different, but for the most part, it's actually a much easier system from the doctor's perspective. Everybody has the same basic insurance (although some people have secondary insurance to top it up), which makes billing and prescribing much easier. You know exactly how much you'll get paid for everything. Billing codes are much simpler. All drugs are covered by the public health system (with a copay). The inpatient psych units are nicer. Most of the meds have the same brand names, except for some older drugs. Strangely, a couple of meds have different generic names (really just two drugs - acetaminophen is paracetamol and albuterol is salbutamol). Social services are more comprehensive. Addiction resources are more accessible. You don't have as many trainwreck patients because everybody has access to preventive care and early treatment.
Cultures are pretty similar. The hardest thing would be learning some of the Australian colloquialisms, but Australians understand American English pretty well (they all watch American TV), so they can easily translate for you.

Overall, transitioning to Australia will probably be easier than transitioning to a different health system in the US.

Also, while I think that Australia is nice for a vacation, there's as certain character to Australian culture that's really nice to experience if you can spend an extended period of time there and actually work there. Everybody is much more relaxed.


As far as I know it's only General Practitioners that are subject to the 10 year moratorium where they have to practice in areas of need for that period of time, and don't have the option to necessarily choose where they practice. Otherwise all IMGs (International Medical Graduates) have to under take certain pathways to registration depending on things like their training, and what overseas institute they studied at. My understanding is IMGs are given provisional registration with the medical board of Australia until they've completed whatever pathway is most relevant to them, at which point they can apply for full registration (no restrictions on practice). The specialist pathway is slightly different and that is where some restrictions come into place, but that also depends on what you're actually planning to do. If you're looking for Specialist recognition then as long as you have completed the requirements to be admitted as a Fellow of an accredited college you can apply for full Specialist registration.

The moratorium is for all specialties, but doesn't apply to psychiatrists because the whole country is an area of need. It becomes more relevant for GPs because their training is short and there aren't as many areas of need, so they have to travel somewhere else to fill the moratorium. Other specialists spend a lot more time in training (the training there is more gradual - it can last 7-8 years for most specialties, but the hours/pay are better than they are here, so it doesn't feel like residency), and I think that counts towards the moratorium, so it's not as hard to fill the requirements.

But that mostly applies to people who aren't fully-trained specialists in countries that are considered to have equivalent training (including the US). If you fall into that group (as most of us do), each specialty board has its own requirements.
 
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The moratorium is for all specialties, but doesn't apply to psychiatrists because the whole country is an area of need. It becomes more relevant for GPs because their training is short and there aren't as many areas of need, so they have to travel somewhere else to fill the moratorium. Other specialists spend a lot more time in training (the training there is more gradual - it can last 7-8 years for most specialties, but the hours/pay are better than they are here, so it doesn't feel like residency), and I think that counts towards the moratorium, so it's not as hard to fill the requirements.

But that mostly applies to people who aren't fully-trained specialists in countries that are considered to have equivalent training (including the US). If you fall into that group (as most of us do), each specialty board has its own requirements.

Ah, okay you're referring to the restrictions on medicare provider numbers not actual registration and licensing. Now I've gotcha. :thumbup:
 
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