Psychiatry Resident transferring into PGY-4 Year

[twospadz]

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Would it be possible for resident to do their last year at a different psychiatry residency? I'm more curious than anything. Does anyone have any experience with this?

 

[Coupd'Cat]

Yup. Particularly in programs where several PGY3s fast-track into child, opening up more spaces for PGY4 year. Yale is one such program that accepts a number of PGY4 transfers each year.

 

[twospadz]

Yup. Particularly in programs where several PGY3s fast-track into child, opening up more spaces for PGY4 year. Yale is one such program that accepts a number of PGY4 transfers each year.

Another scenario. If a resident did their first year at 1 program, transferred to pgy 2 psych and did two years at a different program, would they be board eligble if they transferred to another program for their pgy 4 year?

 

[Psychferlyfe3000]

Wouldn't this cause a lot of bitterness from your PD? Or is it considered reasonable even without an amazing justification?

 

[OldPsychDoc]

Another scenario. If a resident did their first year at 1 program, transferred to pgy 2 psych and did two years at a different program, would they be board eligble if they transferred to another program for their pgy 4 year?

Yes.

 

[OldPsychDoc]

Wouldn't this cause a lot of bitterness from your PD? Or is it considered reasonable even without an amazing justification?

99% of PDs only want what is best for their residents. They aren't our possessions. If there's a good (doesn't need to be "amazing", but it should justify the inconvenience to the resident and both programs) reason to move to a new program, then most of us are going to try to make it happen. I've sent once and accepted once in G4, in both cases for family reasons. Works out fine.

 

[Mass Effect]

Another scenario. If a resident did their first year at 1 program, transferred to pgy 2 psych and did two years at a different program, would they be board eligble if they transferred to another program for their pgy 4 year?

A resident who went to 3 different residencies in four years would be a huge red flag at my institution.

 

[asdf123g]

99% of PDs only want what is best for their residents. They aren't our possessions. If there's a good (doesn't need to be "amazing", but it should justify the inconvenience to the resident and both programs) reason to move to a new program, then most of us are going to try to make it happen. I've sent once and accepted once in G4, in both cases for family reasons. Works out fine.

Does coming from a small program make it more difficult for a PD to allow a trainee to switch programs (as wouldn't losing a resident cause a big increase in workload for the others? ex: 1 of 4 residents is probably worse than losing 1 of 16 residents)?

When considering a transfer, how much is that decision is generally based on, the candidate, the program they are coming from, and the candidates CV? (ex: new program, big name vs no-name program, strong CV, et cetera).

 

[MacDonaldTriad]

We had someone do a PGY-I and II year with us, then transferred out of state for love, then fast-tracked into child and got hit with a lack of 12 months of continuous outpatient. I got hit with a lot of emails begging me to change the credit they had for the first two years, but the ABPN already had my letter and I explained that for everything I add, something has to be taken away. You only get 24 months in 2 years. Anyway it took a PGY-6 year to clean it up.

I don't think moving between PGY-I and PGY-II is that big of a flag. Moving between PGY-III and PGY-IV isn't that easy. I would have trouble trusting anyone I had for only 12 months to earn my certifying them as "capable of independent practice". What if they show up with some deficits? If deficits were not filled in 3 years, they may not fill completely in the fourth. Honestly, we lose so many PGY-4's to fast tracking, we don't depend on them much. They are mostly doing electives anyway. I would rather not replace them.

 

[asdf123g]

We had someone do a PGY-I and II year with us, then transferred out of state for love, then fast-tracked into child and got hit with a lack of 12 months of continuous outpatient. I got hit with a lot of emails begging me to change the credit they had for the first two years, but the ABPN already had my letter and I explained that for everything I add, something has to be taken away. You only get 24 months in 2 years. Anyway it took a PGY-6 year to clean it up.

I don't think moving between PGY-I and PGY-II is that big of a flag. Moving between PGY-III and PGY-IV isn't that easy. I would have trouble trusting anyone I had for only 12 months to earn my certifying them as "capable of independent practice". What if they show up with some deficits? If deficits were not filled in 3 years, they may not fill completely in the fourth. Honestly, we lose so many PGY-4's to fast tracking, we don't depend on them much. They are mostly doing electives anyway. I would rather not replace them.

Is there any harm that can be done or burden that can be caused by replacing them?

 

[Mass Effect]

Is there any harm that can be done or burden that can be caused by replacing them?

He just explained what those burdens were.

"I would have trouble trusting anyone I had for only 12 months to earn my certifying them as "capable of independent practice". What if they show up with some deficits? If deficits were not filled in 3 years, they may not fill completely in the fourth."

 

[Coupd'Cat]

99% of PDs only want what is best for their residents. They aren't our possessions.

👍If 99% of hospital management felt this way, the world would be a better place.