FAQs for IMGs wanting to match into top psychiatry programs

dimanche 1 novembre 2015

I'm at U. of Cincinnati. While I can certainly say there's plenty of good things about the program, I didn't graduate from the general residency program and can't phenomenologically give a good description of what it's like to be in it, especially since I'm not an attending that is directly involved with the residents much.

What I can tell you is the program is respectable in research with several doctors here being highly published and being known to have advanced the state of the art in several fields. I've always stated that simply being a top doctor in terms of publication or fame does not make one a good teacher and I stand by that because so many doctors can't teach or are narcissistic. That said, I can tell you that I've sat in sessions with several top doctors here who were very approachable. Henry Nasrallah, for example, has several teaching sessions with residents, and is very cordial with them.

In terms of clinical exposure there's an emergency psychiatric center, transplant psychiatry, very good C&L (part of a nationally ranked mega-sized medical hospital), a geriatric unit (where I'm currently working), rotations at the VA, voluntary and involuntary units, a partnership with a state forensic psychiatric facility, ECT, several fellowships: child-psychiatry (with a child fellowship, and a triple board pediatrics, psychiatry and child psychiatry fellowship), addiction, geriatric, and forensic, a combined FP and psychiatry program, a very strong psychotherapy curriculum with several professors specializing in the field, and opportunities to do research with notable professors.

The university merged with the Lindner Center, a private psychiatric center where there is an eating disorder unit, transmagnetic cranial stimulation (and research in that field), specialized therapists in DBT, sensory stimulation rooms, among a few other interesting things. I don't know, however, how much involvement residents will have at this location.

Some features I've respected about this program that I didn't get where I did my training was having psychologists on-board for psychological testing (e.g. malingering, MMPIs, neuropsychological, etc), being able to have a top researcher in the field available for consults/second opinions on particularly difficult cases.

Again, I haven't been in the actual program and my own work within the department doesn't give me enough to give a real rub of what's going on. That is do the residents feel overworked, are they being treated fairly, is the pay fair, etc. I came to the area for forensic fellowship and was impressed with it but that's not what this thread is about. I have no reason to believe they are being treated unfairly, but at the same time it's not like I would know. I do know that some of my colleagues are instructors and they are good people who do care about the residents and graduated from the program.

Some drawbacks I can think of are some people might not want to do residency in a big hospital, and while Cincinnati has a fair share of great city culture (e.g. restaurants, opera, theater) it's certainly no NYC (though I actually like it better because I found NYC too big for my tastes). The weather here isn't terrible like in places such as Syracuse or Buffalo NY, but it can be like Seattle at times with lots of rain during the fall and winter months. The cost of living is relatively low, and if you really want to be cheap, you could live in Kentucky that is right across the river, has a lower cost of living vs. Ohio, and still work in Cincinnati.

I can tell you there's decent moonlighting opportunities within the dept, the local VA, and with local mental health agencies. During fellowship I was able to moonlight to the point where I was making what an attending made. If you want to practice in an area where there are hardly any psychiatrists and make a name for yourself for being one of the only ones available, merely drive 25 miles north or south (into KY) and it's no-man's land with a big opportunity for anyone to start a practice that'll fill up quickly. A buddy of mine is raking in about 250K per year only working 40 hours a week doing this.

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FAQs for IMGs wanting to match into top psychiatry programs

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