I have a friend who is a fellow new grad PA, and she is considering a 2-year residency program in psych. She has a passion for psychiatry and could see herself making big differences there, however she is worried that she may begin to forget general medicine if she only works in psych for 2 or 3 years. Her other passion is ortho surgery (and other general surgery). She has also considered pediatrics and inpatient neonatal as other close-2nd choices.
So, I'm wondering if anyone has had to decide between two fairly distinct specialties or switched between the two, years down the road. In particular has anyone here gone from a psych residency program to another specialty (or moonlighted / floated elsewhere)... or any other residency program to something else?
In general, how difficult is it to find a general medicine or even surgery job after working only in psych for a while?
Need some help/advice for dealing with anxiety.
I just started my first quarter of PA school about a month ago. At first glance, everything is seemingly going great- classmates are nice and I have made A's on all exams up to this point.
However, I have been dealing with a LOT of anxiety since day 1. It makes me feel not like myself at all! It has turned me into a quiet, sheepish, and slightly awkward person. I hate this.
At first, it was believing I wasn't as smart as my peers or outgoing enough (so, more of a social intimidation, unintentionally). Then, I convinced myself I'd probably not make it through the first quarter because of the sheer volume of info. Now that I've proved to myself I can conquer the material (so far), I still feel insecure because I find it difficult to connect with my peers. Sometimes I feel like I can't be my true self around them since we are supposed to maintain our professionalism.
Overall, I just feel a bit lonely and anxious with moving out of state and starting this rigorous program and I don't feel like I have an outlet. I don't want anyone to feel sorry for me, honestly why I am posting about this anonymously. I don't like to ask for help- and actually no one who knows me knows I struggle with this. But this kind of anxiety is a new beast I haven't dealt with before. Almost feels like my throat is being strangled :/. Considering therapy, but who has time for that??
Will any of this get better?
I graduated December 2017 and my specialty of choice is Psychiatry. However, the only Psych position that I found in my area was Locum Tenens for 6 months, outpatient. I can't move at this moment. Any advice? Should I start with this or wait for the right position? Loan repayment starts in May so I'm a little worried.
Does anyone use any of these? I find it useful with my patients to have for 2 reasons:
1- It gives you a number for future reference, to use as a base line for tracking patient progress.
2- Something objective in the patient's own hand to scan into the record for future reference.
If anyone is interested I have about 15 different ones I use. I also made short MACROS for pasting into the PE section when having the patient fill one out. Bonus: while the patient is filling out the assessment, I update the EMR, check the PMP and look at the intake documents.
Tomorrow I am posting a dilemma that I have been struggling with.... Stay tuned and please comment..