interesting you should say this. my experience during my psychiatry rotation has proven otherwise. the place i did my rotation was filled with FMGs (very close 100%) a few of them were, Orthopedic surgeons, Trauma surgeons, and internists back home. Many of them were very bitter that they couldn't match into their specialty, and had to do psychiatry, i know this because they would verbalize this everyday. many of them would also take these frustrations out on the patients, by either overestimating their drinking or documenting other behavior that wasn't present to committee a patient. On admission history and physical forms were copied from old records or were simply faked, for example for a lung exam they would ask the patient do you have any trouble breathing, the patient would say no so they would document that lungs were clear bilaterally and breath sounds were equal. they would also provoke patients to get angry by repeating questions that a patient didn't want to answer or didn't know the answer to and then would just sedate him/her when they became agitated. these residents didn't care and simply went through the motions. When they asked me to do an admission history and physical i proceeded to do a real exam when they told me no no just copy it from the previous admission i refused or I would refuse to sign those papers.. from that day on I tell everyone that if you need to see a psychiatrist make sure that they are a US grad and picked psychiatry because that's what they wanted to go into not because they had no other choice.
