would you suggest doing Inpt early in attending career?

[finalpsychyear]

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Hi. Have recently moved in an area where there are numerous free standing psych hospitals. Currently, I do telepsych and 1 day PP 90 min from where i now live ( where i moved from ). I feel doing some inpt psych will help me develop more colleagues and a name for myself in the area and while i know not necessary it would help to fill another PP office in this area even quicker than were i just to do it without a hospital support. Most of the private hospitals have established their own outpatient NP led med clinic but the one i am looking at does not have it.

I find myself going through a career crisis of sorts for these reasons:

1. PP is isolating and I essentially had no colleagues in the past area which i wound like to change. Hospital environment may provide more of a social outlet but not sure how much chit chat goes on at 6-7am...

2. Ultimately, my goal is 100% outpatient with a few midlevels doing med management and of course you could argue if that is the goal just forget inpt and just work on that 100% from the start.

3. TMS would be great to incorporate and a hospital as support with no outpatient would really get that going.

Lifestyle wise doing morning inpt rounding and afternoon PP clinic is going to burn me out long term so i am looking at a timeline of just 6 months to kind of put myself through a little bit of hardship for what i feel will amount to a great lifestyle long term as i am plan to settle in this area for the next 10-15 years minimum.

Thoughts welcome.

 

[futuredo32]

Hi. Have recently moved in an area where there are numerous free standing psych hospitals. Currently, I do telepsych and 1 day PP 90 min from where i now live ( where i moved from ). I feel doing some inpt psych will help me develop more colleagues and a name for myself in the area and while i know not necessary it would help to fill another PP office in this area even quicker than were i just to do it without a hospital support. Most of the private hospitals have established their own outpatient NP led med clinic but the one i am looking at does not have it.

I find myself going through a career crisis of sorts for these reasons:

1. PP is isolating and I essentially had no colleagues in the past area which i wound like to change. Hospital environment may provide more of a social outlet but not sure how much chit chat goes on at 6-7am...

2. Ultimately, my goal is 100% outpatient with a few midlevels doing med management and of course you could argue if that is the goal just forget inpt and just work on that 100% from the start.

3. TMS would be great to incorporate and a hospital as support with no outpatient would really get that going.

Lifestyle wise doing morning inpt rounding and afternoon PP clinic is going to burn me out long term so i am looking at a timeline of just 6 months to kind of put myself through a little bit of hardship for what i feel will amount to a great lifestyle long term as i am plan to settle in this area for the next 10-15 years minimum.

Thoughts welcome.

Inpatient- the nurses will talk endlessly to you as will the patients, some inpatient psychiatrists are chatty some not. Many facilities want a 12 month contract in my experience. Depending on the area, if there aren't a lot of psychiatrists in the area you can likely start outpatient and do a locums job until you have a sufficient patient base for you.

 

[michaelrack]

In my area, for freestanding psych hospitals, there is no contract (except for a contract for reimbursement for certain insurances). At 1 hospital I work at, I bill on my own for seeing a lot of the patients, and then invoice the hospital for certain other insurances. No other contract or time commitment

 

[Sushirolls]

Improving social network at free standing psych hospitals likely won't yield what you hope. Most people get in, do their work, get out. A general hospital with or without a psych unit is more likely to yield social connections, especially if there is a lounge that offers food. If the lounge/hospital doesn't offer food it will be a ghost town. But those social connections aren't guaranteed to be your psych colleagues. Just like residency people are a whole range of different, and many have their own lives which doesn't include socializing with colleagues.

Furthermore the nuances of insurance related to the freestanding psych hospitals takes time to get paneled with them. Not going to be worth your time or theirs for 6 months unless its as a locums, which I believe has specific codes they are able to use to piggy back off of other NPI numbers for billing.

Time to just do option number 2.

Building a name, and relationship simply happens just by being in an area and practicing. Its more difficult to showcase your work from an inpatient perspective that is meaningful to other clinicians than outpatient.