UK training in place of internship

[BabyPsychDoc]

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Hi,

I am a GP resident in the UK. I am considering moving to the US once I complete my training here (moving for family reasons). By that time I hope to have MRCGP qualification (ie, board certified in the UK in FM), as well as possibly additional qualifications in peds and psych (Diploma in Child Health, Diploma in Clinical Psychiatry - have not decided yet whether to take these exams or not. They are not mandatory for my training, but I guess would be good indicators of my interest in respective fields).

I know that I will be able to claim a credit for one year of residency if I apply to train in FM again in the US (thank you, f_w, I appreciate it!)

Now, I also considering changing my career and switching to either psych or peds (to specialize either in child psych or devo peds).

My question is: does anyone know if I could claim credit for one year in peds or the internship in psych in the US for the training in these specialties I have had in the UK? I spent 10 months in peds (including all major subspecialties) and 7 months in psych (General Adult and C/L). I have also done six months of IM. The only thing I have not done is Neuro (necessary for psych board certification, but I guess I could do it as an elective later on).

I have looked at AAP and APA websites, but have not found any relevant info.

Thank you.

 

[Dr.Millisevert]

Hi,

I am a GP resident in the UK. I am considering moving to the US once I complete my training here (moving for family reasons). By that time I hope to have MRCGP qualification (ie, board certified in the UK in FM), as well as possibly additional qualifications in peds and psych (Diploma in Child Health, Diploma in Clinical Psychiatry - have not decided yet whether to take these exams or not. They are not mandatory for my training, but I guess would be good indicators of my interest in respective fields).

I know that I will be able to claim a credit for one year of residency if I apply to train in FM again in the US (thank you, f_w, I appreciate it!)

Now, I also considering changing my career and switching to either psych or peds (to specialize either in child psych or devo peds).

My question is: does anyone know if I could claim credit for one year in peds or the internship in psych in the US for the training in these specialties I have had in the UK? I spent 10 months in peds (including all major subspecialties) and 7 months in psych (General Adult and C/L). I have also done six months of IM. The only thing I have not done is Neuro (necessary for psych board certification, but I guess I could do it as an elective later on).

I have looked at AAP and APA websites, but have not found any relevant info.

Thank you.

I have no idea, sorry. I would suggest emailing the ACGME, American Board of Peds, Psyc, etc, as well as send an email to the program director of the particular programs you're interested in and ask them. You may get different answers from all of them. But at least you will have more information.

Again, I don't have a source at the moment for you.. but I have heard that this might be possible in some psyc programs. Good luck!

 

[Winged Scapula]

I know that I will be able to claim a credit for one year of residency if I apply to train in FM again in the US (thank you, f_w, I appreciate it!)

Semantics I know, but you will be able to APPLY for credit for a year of residency in FM. You may or may not be awarded it.

My question is: does anyone know if I could claim credit for one year in peds or the internship in psych in the US for the training in these specialties I have had in the UK? I spent 10 months in peds (including all major subspecialties) and 7 months in psych (General Adult and C/L). I have also done six months of IM. The only thing I have not done is Neuro (necessary for psych board certification, but I guess I could do it as an elective later on).

I have looked at AAP and APA websites, but have not found any relevant info.

Thank you.

You want to look at the ACGME and Boards of these specialties rather than the professional sites. For psychiatry, the relevant ACGME link is here:http://www.acgme.org/acWebsite/downloads/RRC_progReq/400pr07012007.pdf It states that your first year (ie, intern year) must be completed in an ACGME approved residency. I do not see any qualifiers or notations of credit for foreign training (doesn't mean it can't happen but they don't comment here). There are pages on the main page (www.acgme.org) with links to Pediatric programs as well.

You'll also need to make sure that your training is accepted by the relevant US board. Most US residency programs will be loathe to take someone on who cannot ever be Board Eligible...from here: https://www.abp.org/ABPWebSite/ I do not see any credit given for foreign training, but again I did not have time to thoroughly read through the site. Many specialties DO allow credit, so its worthwhile looking through these sites (and the corrolary one for Psych - Google Board of Psychiatry to get the address).

So three things must be satisfied:

- ACGME requirements for training
- Specialty Board requirements
- Individual program requirements/preferences

best of luck...

 

[f_w]

Child psych is a 2 year fellowship after 3 years of general psych. A long climb for a short slide as kids with psych problems don't tend to have gold-plated health insurance...

You may get a couple of months of credit depending on the specialty you are going for. This credit can either be 'external' in the sense of shortening your residency (typically requires pre-approval of the respective specialty board), or it can be 'internal' in the sense that your program director allows you to do additional electives instead of 'general psych' rotations for example. This wouldn't shorten your residency, it just may make it a bit more bearable.

 

[BlondeDocteur]

Btw I think a good deal of the "credits" will be on a program-by-program basis. Apply to pediatrics / psych programs and, when interviewing, bring up your past experience in detail. (Of course you will mention it on your applications). Ask what sort of credit they would award you. My guess is if you come across as bright and competent you might get a good deal of wiggle room.

The only problem is, both peds and psych are generally categorical residencies-- meaning they start with a PGY-1 year. Unless you were interviewing for an open spot where someone had already left, you'd be twiddling your thumbs for a year after the match.

 

[Hurricane]

Child psych is a 2 year fellowship after 3 years of general psych. A long climb for a short slide as kids with psych problems don't tend to have gold-plated health insurance...

Actually, child psychiatrists tend to make more than general psychiatrists. And it's possible to fast track so it's only 1 year extra.

Anyway, the psychiatry residency is 4 years. There isn't really a separate internship anymore like in the old days. But psych is a specialty that gets "switched into" a lot, and many programs have PGY2 spots in the match for this reason. The residents that take these spots usually did a year of (or completed training in) another specialty and then decided to switch to psych. They often haven't done neuro and end up doing that in their PGY4 year. My advice would be to email the program directors of some of the programs that have these PGY2 spots, and briefly explain your situation and see what they say.

There are also a a dozen or so places that have a 6 year "triple board" program, where you end up boarded in peds, psych and child psych.