Training Question

[brawdcoverage]

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...Wanted to get some thoughts on this. If your specialty interest spans psychiatry and other fields, say internal medicine and neurology, can you do three years of psychiatry then begin training in the other field to be dual-boarded, since this is what's done in combined programs more-or-less (though I guess the 3 years of psych are condensed)? I know there's debate about the fourth psych year right now. Combined programs aren't so hot with acgme these days from what I hear.

Of course the more common consensus is to look into fellowships like psychosomatics, neuropsych, maybe geropsych or some fellowships open to psychiatrists in other fields.

 

[billypilgrim37]

Would make more sense to do psychiatry second, and then you would only need to do 3 years. Combined programs were never hot with the ACGME. Point being, it makes sense to cut out the intern year, not the 4th year, of psychiatry.

 

[brawdcoverage]

Would make more sense to do psychiatry second, and then you would only need to do 3 years. Combined programs were never hot with the ACGME. Point being, it makes sense to cut out the intern year, not the 4th year, of psychiatry.

no doubt it would make sense to do a non-psych residency first, but curious to know if anyone has heard of customizing a combined residency after 3 of psych?

 

[notdeadyet]

no doubt it would make sense to do a non-psych residency first, but curious to know if anyone has heard of customizing a combined residency after 3 of psych?

You'd likely have to finish psych first and apply as a PGY-1 in medicine or family. Combined residencies, in their push to get through the training of two specialties in as little time as possible, leaves very little wiggle room. It would be next to impossible to get one to try to customize something for you.

The trend seems to be away from combined residencies. More programs are closing than opening. I'm curious what it will look like in 5 years.

 

[OldPsychDoc]

You also all need to be aware that if your resincy slot is funded by Medicare, as ~85% of the US residencies are, you cost your hospital unreimbursed money for every year beyond what you originally matched into. Some hospitals are willing to "eat" that--but a lot can't, and frankly, I think that that money pipeline is going to be getting gradually choked down.

 

[michaelrack]

but curious to know if anyone has heard of customizing a combined residency after 3 of psych?

It's not really possible; the paperwork is too complex