pediatrics/psychiatry/child psychiatry

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MSV MD 2B

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what are the merits of pediatrics/psychiatir/child pyschiatry programs. do graduates usually go into pediatrics or chidl psychiatry or somehow do both? are thes eporgrasm competitive? i was looking for combined pychiatry/child psychiatry programs. does anyone know of these? also what is the job outlook for child psychiatry over the next 20 years?

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There are several merits to the triple board, as it is called. It is especially convenient if you are interested in academics or research. Obviously with the extra pediatrics training you will be more well versed in general pediatric illnesses (and how the affect, influence any psychiatric comorbidities). I've heard from most people that most triple boarders end up practicing more of the child psych than straight peds. I would guess that is largely secondary to the fact that the need for child psych is so extremely great. I can't speak to the competitiveness of the programs since I decided to go straight psych/child psych rather than triple board (esp. if that's what I would end up practicing anyway even with the triple board). I just know that the programs are few and far between (last I checked there were maybe 9 programs and maybe 17 total spots across the U.S., but it's been a while so my info may be outdated).

I ultimately want to practice child psych so as I have applied to residency, I've only looked at programs that have child fellowships at the same institution. Most places are pretty open about the fact that they like to 'take their own' when it comes time for fellowships - this is of course assuming you are a nice person to work with and you haven't killed people. The only official combined program I looked at was Univ. of California at Davis. There may be others out there. I know that the Institute of Living in Connecticut is talking about having a child track program. Child psych is such a needed subspecialty that most general psych programs are very glad to hear of your interest in child. And almost all the programs I looked at allow you to start your child fellowship in your fourth year, thus finishing residency in five years rather than six (4 general yrs + 2 child fellowship yrs).

As far as job outlook, I think it's spectacular because the need is so profound. Child psychiatry is the MOST needed subspecialty in all of medicine. There are around 6500 child psychiatrists in the country right now and the estimated need is over 30,000!! I heard one stat that about 5 yrs ago there was only one child psychiatrist for the entire state of Idaho...

I hope this helps. Feel free to PM me if you have any more questions.
:) :)
 
thanks for your help! i wonder if there is anyway to practice pediatrics and child psychiatry? like days for eahc duringt he week? has anyone done this?
i also want to ask about the field of psych in general. many people talk about how psychiatrists feel like glorified social workers, insurance won't pay, and how psychiatrists in general get now respect. how trus is this? it probably wont' affect my decision anyway but i was a bit shocked when i read this.
thanks!
 
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Child psychiatry is usually a fellowship after doing a psychiatry residency; you could do a combined pediatrics/psychiatry/child psychiatry residency, but there are very few of these programs and I don't know how competetive they are. The job outlook for this field is excellent. There has been a huge surge in the number of very young patients being diagnosed with ADHD, autism, bipolar d/o, depression, etc for whatever controversial reason, and general pediatricians almost never make the diagnosis nor reccomend treatment plans; they almost always refer to child psychiatrists. I think that there is a real shortage in certain areas of the country because of this. I have attached some links that you may find useful too:
http://www.aacap.org/training/DevelopMentor/Content/1998Fall/f1998_a1.cfm
http://www.ama-assn.org/vapp/freida/spcstsc/0,1238,730,00.html
 
Originally posted by MSV MD 2B
thanks for your help! i wonder if there is anyway to practice pediatrics and child psychiatry? like days for eahc duringt he week? has anyone done this?
i also want to ask about the field of psych in general. many people talk about how psychiatrists feel like glorified social workers, insurance won't pay, and how psychiatrists in general get now respect. how trus is this? it probably wont' affect my decision anyway but i was a bit shocked when i read this.
thanks!

One issue: When I was debating peds vs. psych vs. triple board, the one thing I heard over and over from both child psychiatrists and pediatricians was: "if you think you will do triple board and then spend your career doing part-time peds, part-time child psych, you are wrong. You will end up doing child psych only -- that is where the demand is and what your special training will make you most qualified to deal with." If you think about it, why do the immunizations and well-child checks that patients could get just as easily from any pediatrician, when you alone have the skill to address an access-to-care issue of near crisis proportions among children? Just doesn't make a ton of sense. At least that was how the argument was posed to me. The triple board is designed mostly for those going into academic child psychiatry, so they can have a strong footing in pediatric medicine to help give them that perspective.

I will leave the general questions about psych to others.

bpkurtz
 
What are the bread and butter issues child psychiatrists deal with besides ADD, ADHD?
 
Originally posted by Aloha Kid
What are the bread and butter issues child psychiatrists deal with besides ADD, ADHD?

The child and adolescent psychiatrist is a Doctor of Medicine or Doctor of Osteopathy who specializes in the diagnosis and, if indicated, the treatment of disorders of thinking, feeling and/or behavior affecting children, adolescents, and their families. A child and adolescent psychiatrist offers families the advantages of a medical education, the medical traditions of professional ethics, and medical responsibility for providing comprehensive care.

Practice
The child and adolescent psychiatrist uses knowledge of biological, psychological, and social factors in working with patients. Initially, a comprehensive diagnostic examination is performed to evaluate the current problem with attention to its physical, genetic, developmental, emotional, cognitive, educational, family, peer, and social components. The child and adolescent psychiatrist arrives at a diagnosis and diagnostic formulation, which is shared with the patient and family. The child and adolescent psychiatrist then designs a treatment plan, which considers all the components and discusses these recommendations with the child or adolescent and the responsible adults. An integrated approach may involve individual, group or family psychotherapy; medication or consultation with other physicians or professionals from schools, juvenile courts, social agencies or other community organizations. In addition, the child psychiatrist is prepared and expected to act as an advocate for the best interests of children and adolescents. Many child and adolescent psychiatrists perform consultations in a variety of settings (schools, juvenile courts, social agencies).

Training
Child and adolescent psychiatric training requires 4 years of medical school, at least 3 years of approved residency training in medicine, neurology, and general psychiatry with adults, and 2 years of training in psychiatric work with children, adolescents, and their families in an accredited residency in child and adolescent psychiatry.

In the general psychiatry training years, the physician achieves competence in the fundamentals of the theory and practice of psychiatry. In the child and adolescent psychiatry training, the trainee acquires a thorough knowledge of normal child and family development, psychopathology, and treatment. Special importance is given to disorders that appear in childhood, such as pervasive developmental disorder, attention-deficit hyperactivity disorder (ADHD), learning disabilities, mental ******ation, mood disorders, depressive and anxiety disorders, drug dependency and delinquency (conduct disorder). The child psychiatric trainee applies and develops psychiatric skills by treating youngsters and their families.

The evaluation and treatment of inpatients and outpatients is important throughout the training, with a concentration on delivery of appropriate treatment within the family's financial and psychological means. An experience in consultation to other physicians, mental health professionals, schools, and community agencies is an important part of training.

Certification and Continuing Education
Having completed the child and adolescent psychiatry residency and successfully passing the certification examination in general psychiatry given by the American Board of Psychiatry and Neurology (ABPN), the child and adolescent psychiatrist is eligible to take the additional certification examination in the subspecialty of child and adolescent psychiatry. Although the ABPN examinations are not required for practice, they are a further assurance that the child and adolescent psychiatrist with these certifications can be expected to diagnose and treat all psychiatric conditions in patients of any age and to contribute in many ways to serve the welfare and interests of children and their families.

The child and adolescent psychiatrist, as any other physician, continues to study and learn about the new advances in the specialty by reading scientific literature and attending conferences to be able to apply new knowledge effectively in daily diagnostic, therapeutic, and consultive work.

Source: http://www.aacap.org/about/psych.htm
 
i don't have any valuable info to input (i'm a premed), i'd just like to thank u all for all this wonderful info.
 
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