PPT resources for didactics

Hello,

Does anyone have link (or access) to resources for PPT for didactics targeted for PGY-1 residents in psychiatry?

Like PPTs broadly covering the main DSM 5 criteria, treatment options etc. for anxiety disorders, psychotic disorders, trauma-related disorders and such.

I appreciate the help in advance!

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u/Proud_Border_5616 — 7 days ago

PRN physician contract — does this actually allow me to work elsewhere

Finishing residency and signing a 1099 PRN contract with a staffing group in California. My biggest concern is making sure I can take a job elsewhere if their potential full-time opportunity doesn’t materialize (will discuss this again in few months when they have better idea of their availability).

Recruiter was reassuring: this is just joining their PRN pool, no shift obligation, and I can work full-time elsewhere. He said many physicians working under this same PRN arrangement also have other jobs. I just need to notify them about outside work/availability, and something like an unrelated outpatient job would generally be fine.

The contract, however, says I cannot “compete with the Group” or do outside work “adverse to the Group,” and requires notice before contracting with another entity. Breach of the competition provision can result in two years of the Group’s lost revenue.

Would you be comfortable working another full-time/noncompeting job under this language given the recruiter’s explanation, or would you insist that the outside-work permission be explicitly added to the contract? I did record the full conversation with the recruiter, for what’s its worth. And I do really want their full time position eventually (that’s why I am signing up to be PRN with them – “waiting” until that position opens up)

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u/Proud_Border_5616 — 16 days ago

How crazy is it to put nearly all of NW for house downpayment

Mid 30s couple with one income (stable job as a physician) around 350-400k/year.

Post-tax NW around 2.5M - liquid assets, no debt, no retirement savings though.

Looking at houses around 2.8M-3.6M in South Bay, with plan to put nearly all of NW toward downpayment (hoping to get relationship discount on mortgage rate with bank, and want to minimize monthly PITI).

I understand that this is a lifestyle choice, and certainly will make me VERY house poor for many years.

But I have also seen my parents do similar (or even worse) with my childhood home in Cupertino, (they are chilling now) but I am sure that it was quite stressful for them in the past.

How financially irresponsible is this?

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u/Proud_Border_5616 — 1 month ago

Job interview prep

Hello,

Currently PGY4 interviewing in person for a dream job (in a competitive locale) - inpatient/forensics role. This being my first interview for a job, I am kinda nervous although I realize that it is not meant to be as high stakes as a residency interview. Largely because I really want this job.

Any recommendations on how to prepare? What kind of questions do they generally ask?

Thanks for the help!

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u/Proud_Border_5616 — 1 month ago

Competition finding a job

I have been pretty stressed out by the job search as PGY4, trying to find a job in a presumably competitive area (South Bay region in SF Bay Area) where I don't know anyone professionally. Because I am limited by geography, I am not really finding that many opportunities and I have been hearing that there is generally competition for a job opening.

In general, how competitive is it for a new graduate without connections to receive an offer for a particular job after submitting a CV?

That is, for a given job, how many applicants would they receive on average? Put differently, how many different places should I expect to submit my CV to secure at least one offer?

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u/Proud_Border_5616 — 3 months ago

Foreign real estate (1M+) tax situation

I have a foreign real estate property (around 1.3M in value) that I have owned for four years with my wife. To be more precise, this was handed down from her parents to me and my wife around four years ago. In the past three years, we have been receiving a small rental income (less than 1000 USD a month) from it. We have been paying taxes on it on the home country (Korea) but have not reported this to the IRS. I am US citizen while she is on green card.

 

We are planning to sell this property in the next 1-2 years and bringing the proceeds over to US in order to buy a house in the states. A few questions arise from this:

 

1)    How/when to report this property if we are planning to sell within 1-3 years? How much penalty for not having reported income from this property?

2)    In calculating capital gains, will the US recognize the cost basis and selling price that has been established in Korea?

3)    Do we only pay the difference in capital gains tax between countries (how much we owe in US vs how much we will pay in Korea)? That is, if the amount we owe in Korea is higher, we would not pay the US.

4)    Will my taxable income bracket go up significantly in the sale year due to proceeds from foreign sale? I will be moving from a lower state tax state to higher state tax next year – should I consider that as a factor in timing the sale?

 

Obviously, I would be reaching out to a CPA for this (any specific recs?), but wanted to get some initial opinion here.

Thank you

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u/Proud_Border_5616 — 3 months ago
▲ 0 r/tax

Foreign real estate (1M+) tax situation

I have a foreign real estate property (around 1.3M in value) that I have owned for four years with my wife. To be more precise, this was handed down from her parents to me and my wife around four years ago. In the past three years, we have been receiving a small rental income (less than 1000 USD a month) from it. We have been paying taxes on it on the home country (Korea) but have not reported this to the IRS. I am US citizen while she is on green card.

 

We are planning to sell this property in the next 1-2 years and bringing the proceeds over to US in order to buy a house in the states. A few questions arise from this:

 

1)    How/when to report this property if we are planning to sell within 1-3 years? How much penalty for not having reported income from this property?

2)    In calculating capital gains, will the US recognize the cost basis and selling price that has been established in Korea?

3)    Do we only pay the difference in capital gains tax between countries (how much we owe in US vs how much we will pay in Korea)? That is, if the amount we owe in Korea is higher, we would not pay the US.

4)    Will my taxable income bracket go up significantly in the sale year due to proceeds from foreign sale? I will be moving from a lower state tax state to higher state tax next year – should I consider that as a factor in timing the sale?

 

Obviously, I would be reaching out to a CPA for this (any specific recs?), but wanted to get some initial opinion here.

Thank you

reddit.com
u/Proud_Border_5616 — 3 months ago

Price projections for Saratoga/LG/Cupertino

Of course, no one has a crystal ball. But if you had to guess, what do you think will happen to the house prices in these desirable regions in the next 12-24 months? Especially for houses that are in the foothills (not full mountain living, but perhaps <5 min drive from flats).

I feel like there are some factors to consider here. Interest rates trend, layoffs, AI boom, prices having been essentially flat since 2022 spike...

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u/Proud_Border_5616 — 3 months ago

Tiny side business, huge tax year, worth claiming a small loss?

For context, I'm a medical resident in a low-tax state and this year I realized around $600k of capital gains from selling a concentrated stock position. In hindsight I probably sold more than I needed to, including a decent amount of short term gains, but part of the reasoning was that I'll be moving to California in 2027 for an attending job and wanted to de-risk before that happens. I'm also hoping to buy a house in the Bay Area in the next couple years so having more liquidity felt worth it.

Now that the dust is settling and I'm staring at a pretty painful tax bill, I've been going through everything to make sure I'm not missing any legitimate deductions. One thing that came to mind is a tiny stock photography side business I've had for years. It only makes maybe $500-700 annually, but it is real income and I occasionally upload new photos.

Looking back, I could probably justify around $500 of losses this year from software subscriptions, mileage, equipment related expenses, etc. So I'd end up showing something like $600 income and $1,100 expenses.

The tax savings would be pretty small, so I'm less concerned about the money and more wondering whether this is the kind of thing that could raise eyebrows. Is a ~$500 loss on a business this small a realistic IRS audit flag, or would most people just report it if the expenses are legitimate and move on? 

Another potential issue is that I have not reported income on these stock photography sites in previous years (300$ a year or less per site, aggregated around 500-600 dollars annually). I have been only receiving 1099s on a site producing around 300 dollars yearly - and I was planning on reporting that one for this purpose. 

reddit.com
u/Proud_Border_5616 — 3 months ago

Tiny side business, huge tax year, worth claiming a small loss?

For context, I'm a medical resident in a low-tax state and this year I realized around $600k of capital gains from selling a concentrated stock position. In hindsight I probably sold more than I needed to, including a decent amount of short term gains, but part of the reasoning was that I'll be moving to California in 2027 for an attending job and wanted to de-risk before that happens. I'm also hoping to buy a house in the Bay Area in the next couple years so having more liquidity felt worth it.

Now that the dust is settling and I'm staring at a pretty painful tax bill, I've been going through everything to make sure I'm not missing any legitimate deductions. One thing that came to mind is a tiny stock photography side business I've had for years. It only makes maybe $500-700 annually, but it is real income and I occasionally upload new photos.

Looking back, I could probably justify around $500 of losses this year from software subscriptions, mileage, equipment related expenses, etc. So I'd end up showing something like $600 income and $1,100 expenses.

The tax savings would be pretty small, so I'm less concerned about the money and more wondering whether this is the kind of thing that could raise eyebrows. Is a ~$500 loss on a business this small a realistic IRS audit flag, or would most people just report it if the expenses are legitimate and move on? 

Another potential issue is that I have not reported income on these stock photography sites in previous years (300$ a year or less per site, aggregated around 500-600 dollars annually). I have been only receiving 1099s on a site producing around 300 dollars yearly - and I was planning on reporting that one for this purpose. 

reddit.com
u/Proud_Border_5616 — 3 months ago