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Psychiatry
- Thread starter ItNeverEnds
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For some reason psyche is not very popular. Good things about psyche = easy call, good hours, quick and visible results, well compensated, incredibly interesting (peoples circuits really get screwed up).
Bad things about psyche = usually just managers of medications (no real challenges), residency is too long.
I really enjoyed my rotation but can't see myself doing med checks for outpatients half the day, and med checks for inpatients half the day. Very few psychiatrists are involved in psychotherapy anymore due to crappy compensation. The doc I worked with billed $85 for a fifteen minute med check ($340/hr), and could only bill $75-85 for an hour of therapy.
Bad things about psyche = usually just managers of medications (no real challenges), residency is too long.
I really enjoyed my rotation but can't see myself doing med checks for outpatients half the day, and med checks for inpatients half the day. Very few psychiatrists are involved in psychotherapy anymore due to crappy compensation. The doc I worked with billed $85 for a fifteen minute med check ($340/hr), and could only bill $75-85 for an hour of therapy.
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troll.
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Thanks, p-bo! May I ask which specialty you are interested in pursuing?
Thanks again for your post!
ItNeverEnds
____________________________________________
"The business of deciding what's normal and what's psychopathology gets influenced by culture and politics. It's not hard science."
--Alvin Poussaint, M.D. Quoted in Emily Eakin, "Bigotry as Mental Illness Or Just Another Norm," New York Times, Jan. 15, 2000.
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Thanks again for your post!
ItNeverEnds
____________________________________________
"The business of deciding what's normal and what's psychopathology gets influenced by culture and politics. It's not hard science."
--Alvin Poussaint, M.D. Quoted in Emily Eakin, "Bigotry as Mental Illness Or Just Another Norm," New York Times, Jan. 15, 2000.
____________________________________________
The +/-'s are-
intellectually stimulating, sedate pace, rare emergencies -the so-called lifestyle issues that has become so important for doctors these days! It has become more competitive as AMGs are entering more in the field. The residency is absolutely different from the average docs life- they predominantly manage out-patients in their usual private practice (it's similar to IM in this respect).
Average docs earn between 120-150K-it's not much if you consider the time you are putting.
Psychotherapy is dead and psychologists are putting pressure to get the right to prescribe medications and some states have granted it.
A lot of people mainly IMGs(not necessarily with bad creds/scores), have entered the field by having no other choice- so you will find cynical/burned-out people more in this speciality than any other(a debatable issue).
Hope this helps. 😎
intellectually stimulating, sedate pace, rare emergencies -the so-called lifestyle issues that has become so important for doctors these days! It has become more competitive as AMGs are entering more in the field. The residency is absolutely different from the average docs life- they predominantly manage out-patients in their usual private practice (it's similar to IM in this respect).
Average docs earn between 120-150K-it's not much if you consider the time you are putting.
Psychotherapy is dead and psychologists are putting pressure to get the right to prescribe medications and some states have granted it.
A lot of people mainly IMGs(not necessarily with bad creds/scores), have entered the field by having no other choice- so you will find cynical/burned-out people more in this speciality than any other(a debatable issue).
Hope this helps. 😎
Sanman
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Its not my place to judge, but I thought the cynical/ burned-out trophy went to ER docs. By the way, any opinions on the future of the specialty? A change back to more psychotherapy or getting devoured by psychologists?
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Sanman,
While clinical psychologists are making the push to presribe, most psychologists are ambivalent about the entire issue. Clinical psychology is built upon the tradition of cognitive-behavioral therapy (CBT), interpersonal therapy, family therapy, as well as a host of other forms of psychotherapy. In fact, clinical psychology PhD programs are adamant about keeping to their "talk therapy" and psychometric test tradition in educating aspiring clinical psychologists. Drug therapy will do no more than complement their treatment approach. Paradoxically, however, many clinical psychologists are claiming that in treating certain psychological maladies, CBT and other forms of psychotherapy are actually MORE effective than psychopharmacologic interventions. At the same time, most experts see a "combination approach" as the future of both clinical psychology and psychiatry.
In my opinion, I think that psychiatrists will continue to play a pivotal role in psychopharmacology and less so in psychotherapy similar to how they do today simply because, compared to clinical psychologists, they have a more thorough understanding of the medical reasons underlying psychiatric illness. In the course of their training, clinical psychologists do not receive any such training aside from a basic course in brain and behavior. Instead, their education centers around psychosocial aspects of mental illness. They are trained to give and interpret psychological tests, and to provide psychotherapy. In contrast, psychiatrists have an undergraduate background in the sciences, take a broad array of advanced science classes in medical school, and receive four or more years of residency training. Importantly, they learn by experience that the root of psychiatric illness is not always in the brain.
If all else fails (which I do not think will be the case), psychiatrists can always turn to neurology. As it is, psychiatrists are certified by the American Board of Psychiatry and Neurology.
I'm curious to know what people with more experience have to say. 🙄
INE
While clinical psychologists are making the push to presribe, most psychologists are ambivalent about the entire issue. Clinical psychology is built upon the tradition of cognitive-behavioral therapy (CBT), interpersonal therapy, family therapy, as well as a host of other forms of psychotherapy. In fact, clinical psychology PhD programs are adamant about keeping to their "talk therapy" and psychometric test tradition in educating aspiring clinical psychologists. Drug therapy will do no more than complement their treatment approach. Paradoxically, however, many clinical psychologists are claiming that in treating certain psychological maladies, CBT and other forms of psychotherapy are actually MORE effective than psychopharmacologic interventions. At the same time, most experts see a "combination approach" as the future of both clinical psychology and psychiatry.
In my opinion, I think that psychiatrists will continue to play a pivotal role in psychopharmacology and less so in psychotherapy similar to how they do today simply because, compared to clinical psychologists, they have a more thorough understanding of the medical reasons underlying psychiatric illness. In the course of their training, clinical psychologists do not receive any such training aside from a basic course in brain and behavior. Instead, their education centers around psychosocial aspects of mental illness. They are trained to give and interpret psychological tests, and to provide psychotherapy. In contrast, psychiatrists have an undergraduate background in the sciences, take a broad array of advanced science classes in medical school, and receive four or more years of residency training. Importantly, they learn by experience that the root of psychiatric illness is not always in the brain.
If all else fails (which I do not think will be the case), psychiatrists can always turn to neurology. As it is, psychiatrists are certified by the American Board of Psychiatry and Neurology.
I'm curious to know what people with more experience have to say. 🙄
INE
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Good question Firebird!
Anyone have information about the number of hours that a psychiatry resident typically works?
INE
Anyone have information about the number of hours that a psychiatry resident typically works?
INE
To find the resident work hours, call schedule, vacation weeks, etc., you can always do a search on FREIDA ONLINE. Here's the address online:
<a href="http://www.ama-assn.org/ama/pub/category/2997.html" target="_blank">FREIDA Online</a>
But, as a rule, Psych residencies are relatively work hours-friendly when compared to most other residencies, save Path.
Best wishes.
<a href="http://www.ama-assn.org/ama/pub/category/2997.html" target="_blank">FREIDA Online</a>
But, as a rule, Psych residencies are relatively work hours-friendly when compared to most other residencies, save Path.
Best wishes.
