spmi's and saying hi!

[Poety2]

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Well, hello everyone! I hope all of you are well!!!!

As Im trucking along through residency, I'm finding that I gravitate toward the SPMI population - and I'm really not looking for a lot of money, but more being very involved in management of my patients. I enjoy being defacto primary care, etc.

Can Sazi or someone tell me what types of community medicine are the most rewarding? I've been thinking about the different avenues to take so I'm interested in learning more about my options.

Thanks all!

And btw, the peanut is now 18 months!!!!! walking, talking, driving her mother crazy 😳

How is everyone else doing?

 

[50960]

Great to hear from you!! Have you though about consultation psych in primary care?? PM me if you have a chance, as I would love to hear how you are doing...

your favorite prescribing psychologist

 

[Poety2]

Great to hear from you!! Have you though about consultation psych in primary care?? PM me if you have a chance, as I would love to hear how you are doing...

your favorite prescribing psychologist

ha! nice to see you psici. I'm doing well, haven't thought about consultation primary care - I want to be the WHOLE thing ya knwo? I can manage the htn/dm/siadh/cuts/scratches etc.

how r u? what have you been up to?

 

[50960]

Doing my thing as usual...... I am on an integrated primary care team with a FT psychiatrist, me, and some others. We are strategically placed in several clinics and a family practice residency. The psychiatrist I work with loves it...lots of medicine and teaching of residents who know little about psych, lots of cool, weird cases, little call, good $...shall I go on??? We miss pics of the peanut..... Colorado is fantastic.

 

[Anasazi23]

Well, hello everyone! I hope all of you are well!!!!

As Im trucking along through residency, I'm finding that I gravitate toward the SPMI population - and I'm really not looking for a lot of money, but more being very involved in management of my patients. I enjoy being defacto primary care, etc.

Can Sazi or someone tell me what types of community medicine are the most rewarding? I've been thinking about the different avenues to take so I'm interested in learning more about my options.

Thanks all!

And btw, the peanut is now 18 months!!!!! walking, talking, driving her mother crazy 😳

How is everyone else doing?

I'm not sure that I know all the opportunities that are even out there...
some thing that come to mind are of course, full time inpatient, Day Treatment Program Director. There are many more, but I would think that the satisfaction aspect may drop somewhat....assuming you're not talking about higher end private residential psychiatry positions.

 

[MBK2003]

If you are interested in community psychiatry with an SPMI focus, consider joining AACP (American Association of Community Psychiatrists) because one of their perks is a listserv where topics pertinent to delivering community care for SPMI, which frequently includes primary care, is the norm.

Another thing to consider, which a colleague before me has done, is to pursue additional training in internal medicine following psychiatry residency. She had to repeat her intern year schedule due to wanting to be at a specific program, but was offered PGY-2 positions in other programs.

The reality is, within community psychiatry, some people are more comfortable managing primary care problems based upon their background training. You can consider whether to use your PGY-4 elective time for training in outpatient primary care (I would consider family medicine since their training is often more outpatient focused).

MBK2003

 

[OldPsychDoc]

Hi Poety! Got no particular additional wisdom for you in your request, but it's great to hear you're doing well and still enjoying psych.

No picture of the peanut/colorful no-longer-neonate?

OPD

 

[kugel]

some VA sites have a "Psych Primary Care" clinic where the those with schizophrenia or severe bipolar disorder get all their medical care in one clinic. This is because they found such patients were unable to navigate the usual primary care system and such pt's were getting substandard care as a result. the one i knew of yrs ago was in Albuquerque. another group that might be thrilled to have a psych-primary care physician on staff is Healthcare for the Homeless.