What keeps things legitimately interesting in your practice of psychiatry?
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For example, de-escalation, persuasion, maintaining strong boundaries, compartmentalization, etc
The Interview? Diagnosis? Psychopharmacology? Psychotherapy?
What are some of the things that you look at to determine if you're doing a good job?
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I'm especially interested in those earning over the median for their field in an oversaturated area.
Yes, I know some people do a mix of them, but for those of you that do primarily one over the other, when did you know?
I knew I was going to be an outpatient doc after about 6 months of inpatient; the unpredictability and chaos of it was just too much for me. I'm psych if you're curious.
Edit: Oh yeah, freaking hate consults, so that was ruled out instantly
I think in my field, it's working at a state hospital for the median salary. Each patient needs to be seen about once a week.
Psych resident here seeing a depressed market compared to even 3 years ago. I'm going to move to a big city in the south after I finish residency. How do I network to find a solid job?
Just wanna sound the alarm, because usually med students are like 4 years behind on market conditions when they make their specialty choice.
There are literally like 3 "I can't find a job" posts within like the last 72 hours on the hospitalist sub
From /u/dishsoapwipe123, taken from the hospitalist sub:
>After COVID, all admin realized you can just dump on physicians more work... and they'll just do it. 25+ patient lists, no more round and go, also cover the admitting shift, oh we rotate you in the nocturnist coverage pool so have fun adjusting from days to nights.
>Internal Medicine residency is only 3 years. You fundamentally have a supply and demand issue. Look at how many US MD and DO schools have opened since 2010. IM is the shortest residency at only 3 years. Then you have family med residents who want to do hospitalist. Add in the IMGs who come here and do IM. Now look at match rates for competitive fellowships: Cardio, GI and Heme-Onc are more than 35% unmatched, Pulm Crit is like 25%. What do you think those unmatched applicants are doing? Yeah hospitalist.
>It doesn't matter if the Southern Cal job is round and stay, a list of 30 patients, no PTO for 215K. There will almost be another sucker who needs the job. Graduate with a family, student loans to pay, J1 requirement.
>Ask IM graduates over the last 2-3 years, the market is insanely tight. Rural locations suck too, not just for location but often you're asked to do procedures and cover the ICU with tele intensivist, or other shitty tele services that provide no real help.
>Anyone going into IM today should think about PCP or seriously consider a fellowship. It doesn't have to be the top competitive ones, but look at endocrinology and rheum. Primarily outpatient careers where you can work 4 days a week, no nights and no call. Sure, your salary ceiling is capped, but it's nowhere the shitty conditions of hospitalist.