Post-Residency

[Guns N' Risperdal]

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Current PGY-2. I'm a planner and need something to work on/look forward to other than planning/going on vacations with my pittance q6 months. I'm academically sound, slowly studying for the psych boards, and now just enjoying on the job learning. I'm interested in moving to a few different states (all outside of my current location) post-residency. Right now, my goal is to do inpatient with an eventual tele psych/private gig on the side. I know I have a lot of time left, just looking to learn.

1. When should one start looking for jobs? Any advice on recruiters/websites to avoid? Tips on landing a job outside of the state where you did residency?
2. I'm seeking PSLF. Do most institutions forbid attendings from doing private or tele psych gigs on the side?
3. What mistake(s) did you make in the process transitioning from residency to attending hood?

 

[comp1]

PGY-2 was definitely my favorite. I think probably planning out the pittance of vacations and what you're doing when you're not working might be the best use of your time at the moment. However, if you're really looking 2.5 years into the future... You want to start looking at jobs in January of your 4th year and you want any applications in by March of your fourth year. It does indeed take about 3 months to onboard at most places. PSLF itself of course does not forbid work outside the institution, but you are correct to be concerned about individual organizations. Kaiser absolutely forbids outside work, the VA does not. You can get PSLF at both. You are sooooo far from graduation that any rules organizations currently have could change. Kaiser didn't even have PSLF 2 years ago. PSLF could even be gone by the time you graduate. In terms of finding a job, your mindset can start to change. I don't see any reason you would need to use a recruiter. Psychiatrists are desperately needed everywhere. You haven't seen most of psychiatry yet, but you need to think about the type of day practice you want. It's great to do inpatient, there's jobs all the heck over. But what sort of inpatient? Academic? VA? Correctional? Once you've decided that, you can often cold call these type of facilities in the city you want to live and probably get some sort of job off the bat. This is not med school or residency. You will be in extreme demand. That said, of course not everything is negotiable even if the need is truly massive. I think a lot of programs do a fair job of preparing you for the job market. The people who get confused or concerned post residency are those that try to leap in full time to private practice immediately. Residency definitely doesn't prepare you for that, but since you're planning to have a base employment and give yourself time to learn how to actually have a private practice, this probably won't be an issue for you. However, again...you are way out from graduation. Enjoy life right now.

 

[TexasPhysician]

Work on trying to moonlight if you can. Negotiate contracts, try different types of jobs, and get a good feel for options out there. Looking for jobs is easy come PGY-4.

 

[Merovinge]

I think it's fine to start looking for jobs at the start of your PGY 4 year, you aren't behind the 8 ball if you wait till January, but I found it easier to work on doing multiple tours/interviews and get multiple offers by spreading things out and not having it be bunched up. I certainly found employers are happy to start working with someone who is completing training well in advance at most organizations (if they employ doctors they understand how it works).

If you do want to get the juices flowing before then I agree that starting to moonlight PGY3 year is reasonable if you have good options in your local area. Certainly by PGY4 year I would recommend moonlighting to any resident, even if you come from an affluent family and don't have crazy loans to pay the experience is invaluable. This teaches you more about negotiation and gets you a first step into the business side of medicine before trying to secure that first gig.

If you do want to do IP with a small OP practice you could also check locations to see if any have MD groups that cover IP units as contractors. You won't be able to do PSLF but you still might end up equal or ahead in money depending on how bad the employed jobs are. 6 years is a long time to work a job that isn't what you want to get PSLF unless your loans are huge (in which case definitely do PSLF, it's not going away for anyone who already has started the process, I don't care how well the Republican party does).

 

[mistafab]

1. Actually look for jobs PGY4, there is plenty of time. Tips for getting a job OOS is to reach out. I have had interviews at 9 of the places I applied to. My rate of getting interviewed is 100%. That's how easy it is to get a job OOS... not speaking about if those are good or not though
2. Depends what you mean by institutions. Many will try. Some will force it if you work for them. About 50/50 for employed positions for me so far have do not competes (at least initially), and academic places will usually not budge on that but non academic sometimes do.

Current PGY-2. I'm a planner and need something to work on/look forward to other than planning/going on vacations with my pittance q6 months. I'm academically sound, slowly studying for the psych boards, and now just enjoying on the job learning. I'm interested in moving to a few different states (all outside of my current location) post-residency. Right now, my goal is to do inpatient with an eventual tele psych/private gig on the side. I know I have a lot of time left, just looking to learn.

1. When should one start looking for jobs? Any advice on recruiters/websites to avoid? Tips on landing a job outside of the state where you did residency?
2. I'm seeking PSLF. Do most institutions forbid attendings from doing private or tele psych gigs on the side?
3. What mistake(s) did you make in the process transitioning from residency to attending hood?

 

[psychmd03]

Work on trying to moonlight if you can. Negotiate contracts, try different types of jobs, and get a good feel for options out there. Looking for jobs is easy come PGY-4.

This for sure. I started moonlighting my third year which easily doubled by residency salary but more importantly it allowed me to network outside of residency. I landed one of my current jobs directly from the moonlighting converting to a full time doc and it opened the door to another dozen opportunities so I got to pick and choose options. It also allowed me to start to hone my skills outside of supervision allowing a faster learning curve when I did graduate.