Residency programs effect on fellowships prospects?

[Seroquelled]

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Will which residency program, assuming all my options are at academic medical centers, I go to affect my ability to get a fellowship in forensics? Will going to certain programs limit my chances of landing a top forensics fellowship? Will it affect my long term income potential?

Thanks

 

[splik]

lots of people who go to top residency programs end up staying in academics (often at the same programs which pay junior faculty as low as 130k). Of course many go into private practice and other things and do quite well for themselves, but there isn't much correlation between where you train and your income as some of the very worst psychiatrists make the most. Its probably a bimodal thing

As for forensics, given the current top fellowships are in places no one wants to live, and fellowship in general aren't terribly competitive, even the top fellowships accept people who shouldnt even be allowed to practice medicine. the competitiveness varies year on year and for some programs might depend on how many internal applicants they get. That said, I know this year one applicant who was from a good residency program who offered to do a top forensic fellowship for free and was still rejected. I know an internal applicant who was also rejected from the home fellowship. This speaks more to personality pathology (in both residents and faculty) than it does to where one trains.

Needless to say, all things being equal, one should train at the place that will give you the best training for your needs

 

[Seroquelled]

lots of people who go to top residency programs end up staying in academics (often at the same programs which pay junior faculty as low as 130k). Of course many go into private practice and other things and do quite well for themselves, but there isn't much correlation between where you train and your income as some of the very worst psychiatrists make the most. Its probably a bimodal thing

As for forensics, given the current top fellowships are in places no one wants to live, and fellowship in general aren't terribly competitive, even the top fellowships accept people who shouldnt even be allowed to practice medicine. the competitiveness varies year on year and for some programs might depend on how many internal applicants they get. That said, I know this year one applicant who was from a good residency program who offered to do a top forensic fellowship for free and was still rejected. I know an internal applicant who was also rejected from the home fellowship. This speaks more to personality pathology (in both residents and faculty) than it does to where one trains.

Needless to say, all things being equal, one should train at the place that will give you the best training for your needs

I'm curious to know which program you're referring to but maybe I can guess. Anyway... my issue is that my career needs and my personal life needs don't align well. The chips have fallen such that I don't have a good middle ground option. My perception is that I have to choose between personal/family life and career/academic goals. I'm leaning one way but I wonder how much I'll regret it later.

 

[splik]

as I always say, good psychiatrists exist in spite of their training, not because of it. as long as you work hard and do your best in the service of your patients you will find you will be alright. if being close to family is what really matters, it is likely that is where you would thrive. From your posting history it looks like you are thinking of UK. while it may not be a great program, psychiatrists do very well for themselves in kentucky and there are some forensic psychiatrists affiliated with the dept (bob granacher and timothy allen). also in these wastelands, it is much easier to distinguish yourself if you put in the effort.

 

[clausewitz2]

as I always say, good psychiatrists exist in spite of their training, not because of it. as long as you work hard and do your best in the service of your patients you will find you will be alright. if being close to family is what really matters, it is likely that is where you would thrive. From your posting history it looks like you are thinking of UK. while it may not be a great program, psychiatrists do very well for themselves in kentucky and there are some forensic psychiatrists affiliated with the dept (bob granacher and timothy allen). also in these wastelands, it is much easier to distinguish yourself if you put in the effort.

It would probably be trivial to be the very biggest fish in that particular pond in a relatively short span.

 

[slappy]

I'm curious to know which program you're referring to but maybe I can guess. Anyway... my issue is that my career needs and my personal life needs don't align well. The chips have fallen such that I don't have a good middle ground option. My perception is that I have to choose between personal/family life and career/academic goals. I'm leaning one way but I wonder how much I'll regret it later.

Please prioritize your personal/family life.

 

[Seroquelled]

as I always say, good psychiatrists exist in spite of their training, not because of it. as long as you work hard and do your best in the service of your patients you will find you will be alright. if being close to family is what really matters, it is likely that is where you would thrive. From your posting history it looks like you are thinking of UK. while it may not be a great program, psychiatrists do very well for themselves in kentucky and there are some forensic psychiatrists affiliated with the dept (bob granacher and timothy allen). also in these wastelands, it is much easier to distinguish yourself if you put in the effort.

This is cracking me up...

Thank you, everyone, for your advice.

 

[SourceOfDenial]

This is cracking me up...

Thank you, everyone, for your advice.

Tim Allen knows a lot of people all over and would be a good connection.

Also, if you plan to practice in KY, a forensic fellowship isn't needed to do forensic psychiatry. It's not a super saturated market.

This idea that you have to go to a top residency program to get a top fellowship is pretty much bull****.