Typical day at VA postdoc

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tartar

Psychologist
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Hi all,

I'm currently on internship at a rural VA and will be starting a VA post doc in a big metropolitan city. I'm very excited and wanted to see if anyone is willing to share some of their insight regarding what a typical day at a VA specialty clinic looks like? Thank you! 🙂
 
Whoops - sorry! Case load, # of pt hours/day, level of autonomy, or anything that you encountered during a VA postdoc

I meant specific beyond just "specialty clinic"
 
Haha it's a trauma fellowship
Totally varies by site and supervisor. If it's a clinical PTSD fellowship, you'll probably be doing some mix of co-leading groups, individual therapy clients (with a focus on PE and/or CPT), and intakes. There will also probably be weekly individual and group supervision, postdoc seminar, and maybe a PTSD theme seminar. This should all be in the fellowship manual...your day will just be some combination of all these things. Usually the seminars/supervision/groups are at set times, and you will have flexibility for when you'll see individual clients.
 
I have similar concerns as the OP. Mainly, I am stresssed to the max working 12 hour days on Internship which consist of clinical work+testing+finishing dissertation. I am seriously hoping my postdoc (also at a VA) will be somewhat of a reprieve. Frankly, a big draw of a VA postdoc and career, for me, is my notion that they essentially kick you out after 4:30pm/at the end of your tour. I am used to staying until 9pm doing clinical work on Internship (that's just weekdays - weekends I work at home) and before grad school when I worked in research there would be nights I didn't leave the lab until 11:30pm. I could do that in my 20's but I just can't take it anymore. Some of it was that I am a careful, thorough worker. But it's also just that I gave up my life to building my career. With my first baby on the way I no longer want to be that sacrificing and simply won't be able to. I won't be studying for the EPPP until at least 6 to 9 months into postdoc due to baby and family issues, so with just having the postdoc itself on my plate for a little while, I am hoping things will ease up on the work front. I wonder if other people who have completed a VA postdoc found it less all-consuming than Internship? Granted, everyone's Internship year may not be as taxing as mine. I am hoping Postdoc will feel more like a job, less like I have to be scrambling 24/7. I want weekends again!
 
I have similar concerns as the OP. Mainly, I am stresssed to the max working 12 hour days on Internship which consist of clinical work+testing+finishing dissertation. I am seriously hoping my postdoc (also at a VA) will be somewhat of a reprieve. Frankly, a big draw of a VA postdoc and career, for me, is my notion that they essentially kick you out after 4:30pm/at the end of your tour. I am used to staying until 9pm doing clinical work on Internship (that's just weekdays - weekends I work at home) and before grad school when I worked in research there would be nights I didn't leave the lab until 11:30pm. I could do that in my 20's but I just can't take it anymore. Some of it was that I am a careful, thorough worker. But it's also just that I gave up my life to building my career. With my first baby on the way I no longer want to be that sacrificing and simply won't be able to. I won't be studying for the EPPP until at least 6 to 9 months into postdoc due to baby and family issues, so with just having the postdoc itself on my plate for a little while, I am hoping things will ease up on the work front. I wonder if other people who have completed a VA postdoc found it less all-consuming than Internship? Granted, everyone's Internship year may not be as taxing as mine. I am hoping Postdoc will feel more like a job, less like I have to be scrambling 24/7. I want weekends again!

Our interns average about 18 to 20 direct contact hours per week. They all leave by 430. How many direct contact hours are you being expected to see/provided with?
 
Our interns average about 18 to 20 direct contact hours per week. They all leave by 430. How many direct contact hours are you being expected to see/provided with?

Hi Erg,
For postdoc I'm not sure yet. For Internship, the number really doesn't matter because if someone cancels or no shows (all the time in Community Mental Health), you have to find a way to see/recruit another patient so you can meet your hours quota. That means staying until however long it takes in the evening or coming in however early to make that happen. If the VA has a quota, how is it not the same (stay until you meet your quota)?
 
Hi Erg,
For postdoc I'm not sure yet. For Internship, the number really doesn't matter because if someone cancels or no shows (all the time in Community Mental Health), you have to find a way to see/recruit another patient so you can meet your hours quota. That means staying until however long it takes in the evening or coming in however early to make that happen. If the VA has a quota, how is it not the same (stay until you meet your quota)?

There is no quota. The va does not have to make money. It expected that an intern will have about 600 hours of direct contact within a one year full-time internship. That about 15 hours/week. Not hard to get, even with no shows.

Intern cant stay late to do clinical work because the faculty/supervisor won't stay late And you can do any clinical work without access to a licensed provider in the clinic.
 
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There is no quota. The va does not have to make money. It expected that an intern will have about 600 hours of direct contact within a one year full-time internship.

Intern cant stay late to do clinical work because the faculty/supervisor won't stay late And you can do any clinical work without access to a licensed provider in the clinic.

They can't stay late to have F2F time with patients, but those that are not efficient at notes and/or reports stay late at times. It is a relatively lighter work load than many internships/postdocs, but not all trainees are created equal.
 
There is no quota. The va does not have to make money. It expected that an intern will have about 600 hours of direct contact within a one year full-time internship.

Intern cant stay late to do clinical work because the faculty/supervisor won't stay late And you can do any clinical work without access to a licensed provider in the clinic.
You mean 600 hours for postdoc? (Not Internship - we are talking about postdoc, right)
 
No. I'm talking about internship.

Since this thread is about postdoc and my question was about VA postdoc, do you have any insights about hours and workload for VA postdocs?
 
Since this thread is about postdoc and my question was about VA postdoc, do you have any insights about hours and workload for VA postdocs?
I have seen more variability by site, speciality, and if the VA is academically affiliated...so it'd probably be difficult to get specific information w/o looking at the program level.
 
Since this thread is about postdoc and my question was about VA postdoc, do you have any insights about hours and workload for VA postdocs?

Post docs are not necessarily expected to see more volume than an intern. Just a greater degree of autonomy and expected competence.
 
Since this thread is about postdoc and my question was about VA postdoc, do you have any insights about hours and workload for VA postdocs?
This is SO dependent on site. On my VA internship, I was working 60 hour weeks at first, but not because of clinical duties; I was having trouble adjusting to the EMR. My supervisors worked with me to adjust and limit my hours to ~45.
 
I did a VA internship and I'm on a VA postdoc at a different site now. I worked 40 hrs/wk on internship, and my postdoc workload is 40 hours as well. Solid 8-4:30 every day. With no-shows, annual leave, sick leave, and holidays I probably work less than 40 hours most weeks. Luckily my VA supervisors value work/life balance. Also, they don't need us to meet workload quotas - we're trainees first and foremost and our hospital is fairly well-staffed, so there's no incentive for them to work us harder. I imagine it varies a lot but I've been quite satisfied with my postdoc workload.
 
Is your internship supportive of you being pregnant? were you pregnant during interviews? (asking because I'm thinking about my own timing)
 
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