I was wondering if any of you all had any information on Psych as a gateway to a palliative med fellowship. I've always been extremely interested in hospice-type care, but I'm really not sure I want to do a FM/IM residency just so I can specialize in it later on. I heard over on the Palliative Med boards that psych is a potential path towards fellowship, but I'm not sure whether this scheme will churn out psychiatrists who are less than comfortable making medical decisions in a hospice setting because the 1-2 years of fellowship isn't enough. Obviously, you have intern year of psych residency to fall back on, as far as clinical medicine skills--but honestly, by the time you're done with all 4 years of psych, you're pretty far away from knowing all the details... I can see some obvious plusses of having a psych background in a hospice setting--so it may be that the clinical medicine can be learned at the bedside of the course of a career, but that the psych training makes for better preparedness when it comes to the family psychodynamics in the context of death and dying. Any of you know any psychiatrists who did this? Are they happy with the extent of their training in the 2 year palliative fellowship?