Least competitive fellowship?

[psychfriend]

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Just curious but what is the least competitive psych. fellowship? Would that be psychosomatic medicine?

 

[OldPsychDoc]

Just curious but what is the least competitive psych. fellowship? Would that be psychosomatic medicine?

I'm sure Doc Samson is out there somewhere hyperventilating about this, so he can't reply 😀, but Psychosomatic Medicine is kind of new and sexy (and most like being a "real doctor"), so it's pretty competitive I think.
Addiction Psychiatry is probably least competitive. Almost always an open slot somewhere... Not too many of us like to work with druggies. 🙁

 

[Doc Samson]

While Psychosomatic Medicine is new, Consult Psychiatry fellowships have been around for decades. I think competitiveness varies by institution rather than subspecialty. I know CL/PM (and addiction) fellowships that are super-competitive and others that are fine with the "haploid, possibly eukaryotic" candidate.

 

[psychfriend]

While Psychosomatic Medicine is new, Consult Psychiatry fellowships have been around for decades. I think competitiveness varies by institution rather than subspecialty. I know CL/PM (and addiction) fellowships that are super-competitive and others that are fine with the "haploid, possibly eukaryotic" candidate.

Is there any Harvard related fellowship that is not competitive. Seriously, Harvard coud offer a 3 year fellowship in the "Psychoanalysis of the Lifetime Network" and it would be extremely competitive.

 

[Anasazi23]

I think it might be geri...

There was an article on this in psych news a while back stating how something like 3/4 of the fellow slots go unfilled.

 

[chocomorsel]

While Psychosomatic Medicine is new, Consult Psychiatry fellowships have been around for decades. I think competitiveness varies by institution rather than subspecialty. I know CL/PM (and addiction) fellowships that are super-competitive and others that are fine with the "haploid, possibly eukaryotic" candidate.

So what's the difference between psychosomatic medicine and C/L? I was under the impression they were the same thing. I did a C/L elective as an MS3 and the attendings told me it was the same as psychosomatic medicine. And yes, its what I'm interested in as a possible future psychiatrst. I was also thinking that since we get soo much elective time as PGY4's I could fill that up with C/L electives and hopefully not have to do a whole fellowship. I know, I won't be board eligible, but I don't think I really care to be. I'm not sure if that's foolish or not. I'll google and do a search, see if I come up with something. Thanks.
Choco

 

[sga430]

i heard psychosomatic is the new official name for c/l. also for many psych specialities it is not necessary to do a fellowship. u just have to take the exam. for example for a degree in addiction psychiatry it is required but not for addiction MEDECINE (non-psych docs can do this one.) for c/l, pain, and a few others it is not required. just have to take the exam. however if u wanna do academics in that sub-speciality, u should do the fellowship.

of course for child i feel it is required. i don't think it would be a good idea of any1 without the child fellowship to practice child psych.

also for psych, fellowships in general are not competitive. only one that may be competitive is finding a gas based or even psych based (only 2 i believe) pain fellowships. also i believe there are courses or rotations that r below the level of fellowship and they may be for a few months like i think eating disorders. also they have fellowships in psyhcoanalysis. they range from 1 year to i heard of the PD at rosalind-franklin did a 5 year one.

 

[Doc Samson]

So what's the difference between psychosomatic medicine and C/L? I was under the impression they were the same thing. I did a C/L elective as an MS3 and the attendings told me it was the same as psychosomatic medicine. And yes, its what I'm interested in as a possible future psychiatrst. I was also thinking that since we get soo much elective time as PGY4's I could fill that up with C/L electives and hopefully not have to do a whole fellowship. I know, I won't be board eligible, but I don't think I really care to be. I'm not sure if that's foolish or not. I'll google and do a search, see if I come up with something. Thanks.
Choco

There is no difference. Psychosomatic Medicine was the fancy name that the ABPN, APA, and APM all agreed upon for the name of the subspecialty since there were objections to the traditional names of consultation-liaison psychiatry, consultation psychiatry, and general hospital psychiatry. So, now we have ACGME approved Psychosomatic Medicine fellowships, which include a lot of the "consultation psychiatry" fellowships that have been around for ages despite the fact that there was no recognized subspecialty.
If you're interested in a career in this area, I would highly recommend a fellowship since 1) Board certification is more important than you think, and 2) a focused fellowship year is really very different from doing a bunch of electives in residency (I did >18 months of CL in residency and still learned a ton more in fellowship).

 

[Doc Samson]

i heard psychosomatic is the new official name for c/l. also for many psych specialities it is not necessary to do a fellowship. u just have to take the exam. for example for a degree in addiction psychiatry it is required but not for addiction MEDECINE (non-psych docs can do this one.) for c/l, pain, and a few others it is not required. just have to take the exam. however if u wanna do academics in that sub-speciality, u should do the fellowship.

of course for child i feel it is required. i don't think it would be a good idea of any1 without the child fellowship to practice child psych.

also for psych, fellowships in general are not competitive. only one that may be competitive is finding a gas based or even psych based (only 2 i believe) pain fellowships. also i believe there are courses or rotations that r below the level of fellowship and they may be for a few months like i think eating disorders. also they have fellowships in psyhcoanalysis. they range from 1 year to i heard of the PD at rosalind-franklin did a 5 year one.

For PM at least, there is a grandfathering period (ending in 2009) where you are considered board eligible if you either:

1) Graduated from a non-ACGME approved PM fellowship (e.g. went to fellowship before ACGME approval was required)

or

2) Spend more than 25% of you practice over the course of 3 years doing consultation psychiatry

After 2009, graduation from an ACGME approved fellowship will be required for board eligibility.

 

[OldPsychDoc]

i heard psychosomatic is the new official name for c/l. also for many psych specialities it is not necessary to do a fellowship. u just have to take the exam. for example for a degree in addiction psychiatry it is required but not for addiction MEDICINE (non-psych docs can do this one.) ...

To clarify, Addiction Medicine is not (yet) an ACGME-certified specialty. It is an added certification into which one can test via ASAM, although there is a lot of sentiment toward getting it made official, and we may see this in the next couple of years.

 

[psychfriend]

I think it might be geri...

There was an article on this in psych news a while back stating how something like 3/4 of the fellow slots go unfilled.

Do even the geriatric spots go unfilled at Harvard based on what you've heard?

 

[Doc Samson]

Do even the geriatric spots go unfilled at Harvard based on what you've heard?

I'm pretty sure the geriatric fellowships at McLean and Cambridge regularly fill.