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Apache said:But I already did a whole year of medicine -- and I already took a boatload of call -- doesn't that count as a psych internship? Thanks for the input...
ABPN Page 14 said:An applicant seeking admission to examination for certification in psychiatry must have satisfactorily completed an ACGME accredited PGY-1 (See below.) and three full years of postgraduate, specialized residency training in a psychiatry program accredited by the ACGME.
Different requirements apply for applicants who began training in psychiatry prior to 1986. These candidates should call the Board office if they have any questions.
Two patterns of training are acceptable:
1. Three-Year Psychiatry Residency Program
A broad-based clinical year of ACGME-accredited training in internal medicine, family practice, or pediatrics; or an ACGME-accredited transitional year program that included a minimum of four months of primary care; or an ACGME accredited residency in a clinical specialty requiring comprehensive and continuous patient care.
AND
Three full years of postgraduate, specialized residency training in a psychiatry program accredited by the ACGME.
OR
2. Four-Year Psychiatry Residency Program
Four years of training in an ACGME-accredited program in psychiatry is acceptable. A psychiatry PGY-1 must include at least four months in internal medicine, family practice, and/or pediatrics. This training must be in a clinical setting that provides comprehensive and continuous patient care. No more than one month of this requirement may be fulfilled by an emergency medicine rotation, as long as the experience predominantly involves medical evaluation and treatment, rather than surgical procedure. Neurology rotations may NOT be used to fulfill this four-month requirement.
SeaviewMD said:Although psychiatric residencies are sometimes considered more "lifestyle friendly" than other residencies, I would caution you against switching into psychiatry soley on the basis of this (largely undeserved) reputation. I've found that management of psychiatric patients often requires intellectual and emotional reserves utilized far less frequently in other areas of medicine. Remember, "difficult" patients are often referred to psychiatry by other providers, and these are the patients you will be seeing the majority of the time! Additionally, keeping up with the explosion of new literature on both the biologic and psychotherapeutic aspects of psychiatry, as well as understanding current modes of practice and historical perspectives (which remain very important in psychiatry) can be very demanding; I can't imagine it being significantly less than in a radiology residency. In sum, this is an incredible field for physicians interested in psychiatric illness, but if manageable work hours are your primary concern, you may be better off exploring other specialties that consider "quality of life" for their residents an important consideration.
jdog said:I heard dermatology has a really good lifestyle and is really easy for foreign grads to get into. That is probably a better lifestyle than psychiatry in my opinion. Derm is basically an 8 to 5 job in residency. And you get to look at people's skin all day too. It is awesome. That is your best bet
Apache said:Musicman: It's not radiology per se that I don't like, but rather the inherent mechanics of residency training. Regardless of specialty, to me it seems like it's all the same process:
10 Experience/read knowledge
20 Put knowledge in brain
30 Try to recall knowledge
40 If successful, GOTO 60
50 If not, GOTO 10
60 Spit knowledge out
70 If knowledge in sync with current expected response, GOTO 90
80 If knowledge not in sync with current expected response, GOTO COURT
90 Collect paycheck, buy large German auto, go to kids soccer games, build up 401K
100 Die
Not much room anywhere for independant thinking if you ask me. Not to knock people who do this -- different strokes for different folks -- we need good docs out there that's for sure. But it is just not for me. I am thinking/hoping that psych might be a little different, or if the same, at least less of the same.
DrIng: Good thought -- I dropped my appy to McKinsey a few days ago... thanks.
Apache said:Musicman: It's not radiology per se that I don't like, but rather the inherent mechanics of residency training. Regardless of specialty, to me it seems like it's all the same process:
10 Experience/read knowledge
20 Put knowledge in brain
30 Try to recall knowledge
40 If successful, GOTO 60
50 If not, GOTO 10
60 Spit knowledge out
70 If knowledge in sync with current expected response, GOTO 90
80 If knowledge not in sync with current expected response, GOTO COURT
90 Collect paycheck, buy large German auto, go to kids soccer games, build up 401K
100 Die
Not much room anywhere for independant thinking if you ask me. Not to knock people who do this -- different strokes for different folks -- we need good docs out there that's for sure. But it is just not for me. I am thinking/hoping that psych might be a little different, or if the same, at least less of the same.
DrIng: Good thought -- I dropped my appy to McKinsey a few days ago... thanks.