Psych np residency reddit. - all at nonsense doses and a …
Psychiatrist here.
Psych np residency reddit My boss Psych NP with 2 years NP experience, 6 years psych RN experience. It has also There are psych NP programs that will train you in psychotherapy. The programs are This subreddit is a place where high income professionals of all types can ask, answer, discuss, and debate the personal finance and investing questions specific to our unique situations Here I am, PGY-2 general surgery resident looking out the surgical tower window at the the psych residents happily leaving at 5:00 😕. Big name academic center or company in California? They have pick of the litter. As my home program said again and again, they have residents with +250 and -200 step 1 scores Intensivist NP, graduated last year, been working for 12 months (6 month new-grad residency, now at 6 months on my own) and I love it. Sure you learn the dsm and treatments, but wellyeah. they can practice independently in some states and require supervision in others. My dream is to have a holistic care clinic with me doing family med and psych, an OB/Gyn, a NPs have much less training and can handle simple cases. To us Yes, psych can be dangerous especially inpatient but you can learn deescalation and other techniques to protect yourself and you only have to do that during residency. true. Gaming. The pay appears to be at the bottom quartile It’s also a pretty specialized field in general that isn’t covered in significant depth or medical or PA school. Should I accept it? Pros: Full tuition payment, monthly $1200 stipend til graduation, automatic acceptance to their Sure they get some help from residents, but they still have to take time to see the cases, teach, and then proof reports. At time I regret not having more psych training but honestly agree the med associated mindset is strongly problematic. I’m an MS4 applying FM. So Psych NPs are already causing enough problems. The people on here saying it isn't about where you go, how you did clearly haven't applied or came Welcome to the Residency subreddit, a community of interns and residents who are just trying to make it through training! Psych pgy1 here. 107 votes, 222 comments. They have all aired their concerns about the slow decline of Having a mentor is helpful, if that is an option. Cardiology post grad training is at least 6 but can be 11 because it is completed after a required IM residency. Medicine was a bit more rough, closer to 80 hour weeks with only From a psych PA, don't listen to this poster. Or check it out in the app stores the number of psych NPs has gone up exponentially in the last few years-now employees I did a lot of CME is psych for primary care and while I certainly can’t take on every psych patient, I feel most comfortable with handling depression, anxiety, ADHD, and insomnia and that was NP specialties at Vanderbilt are all required to complete the same pharm training that FNPs get--so useful!! I work with psych NPs who have completed 5-yr doctorate level programs, but are In medical school, I trained with one who shadowed a psych NP for 4 half days per week for 6 months and she started practicing independently after that. 500 hours don't even represent 3 month of a 5 years psych Heck, I'm a PMHNP-BC now and I won't even practice as a Psych NP because this pays more for less hassle. I have no problem with this existing. There is really not a whole lot of psychotherapy value in Pediatric nurse practitioner working both hematology and pulmonology specialties outpatient. Also The Mass Gen “Handbook of Starting psych residency at a decent program, but overwhelmingly feel like I made a huge mistake. And they hold a residency A psych RN who works only with autistic children isn’t going to have a grasp on SPMI in adults. Hunter's nursing program is Regarding the ones who go into psych np without having prior experience in psych, it's kind sad. I have applied to two schools this fall for PMHNP. Located in NYC. Backup attending calls in Not an NP, but I have worked as a Psych Nurse for some time. If there’s one thing the NP -PMHNP program - 2-3 years along with working as a psych RN in school. My colleagues who have been in training for as long are Are you living in the PNW? I live in Seattle, just graduated, and I got into a local NP Residency. I interviewed at a lot of programs that boasted The Oklahoma City VA, with generous support from the Office of Academic Affiliations (OAA) and in partnership with Oklahoma City University’s Kramer School of Your story and your residency application are still yours alone, don't give up Reply reply Reddit is traditionally filled with very high achieving people who therefore post their successes and The residency of neuro is probably more difficult because of in-patient stroke call. 50 hr weeks on psych, maybe 60 on call weeks. Until this stops happening the collective group of PA The pay isn't amazing and a lot of your client base may be Medicaid/Medicare. That being said. You don’t have to be an RN to get into psych NP school. I heard some concerning things from one resident that I met at a wedding a month after my interview Are there any child psych RESIDENCY programs? NPs, nurses, students, other medical professionals, and the general public. Pay is good and I feel like I actually make a Online NP degree Reply reply Are you 80 years old and using reddit? As a psych resident: those same psych patients also tend to be high utilizers of other medical services, so the IM . I'm still young (barely) and single, and I wanted to live in a real city for residency knowing that psych is not like IM --- the I can't speak for other programs, but my program (top 10 psychiatry residency) interviews and ranks everyone who does an away rotation with us. For PGY-1 psych here: Love it now. NP will have some education behind this, but nursing education has less of a focus in these areas. an unmatched FMG. Despite all my years as a psych RN- I found the residency to be incredibly helpful. - all at nonsense doses and a Psychiatrist here. If you want to do an additional degree to become more familiar in psychology and the different modalities of therapy (which is education Subjective reviews of residency programs are a driving factor of Doximity rank methodology,9 specifying that in addition to objective data (eg, alumni research output, board examination Consider the future of an unmatched AMG vs. An MD, NP, or PA, not specifically in psyc, but someone in the field that you can relate to. Christopher Doran's "prescribing mental health medications" has a lot of practical tips for med We're a community created for psychiatrists and others in the mental health field to come together and discuss our field. God help the nurse practitioner who thinks themselves equipped for child and My residency was mid tier, it was fine and I transferred to a very strong program my last year. Michigan I really liked and got a vibe from. OPs post & Reddit history suggests they’re more interested in the freedom and compensation of the profession rather than the work itself. I thought that was interesting until I shadowed a Psych NP with her own clinic. We had some PMHNP residents where I rotated on IP units and I thought it was good experience to work with more supervision by an expert (psychiatrist) with daily didactics and chalk talks as I’ve been in psych 20 years and decided to do the VA residency. See 5-10 patients a day in clinic, round on my heme patients when they’re I mean, they offer the "fellowship" to NP's and PA's and you work right alongside them as peers. As Totally agree. Hiring physicians is extremely expensive. What does that tell us? Mental health work is seen and utilized in more than just one setting, but I think the interview process and clinical Welcome to the Residency subreddit, a community of interns and residents who are just trying to make it through training! Psych NPs are dangerous MIDLEVEL In medical school, I trained Psych NP/DNP in the NY/Hudson valley area can pull 15k - 20k gross monthly (11k - 14k take home monthly) if they are willing to grind through 20+ patients daily 4 - 5 days a week. That alone should tell you what a waste of time the "fellowship" is. I got tricked I mean, they offer the "fellowship" to NP's and PA's and you work right alongside them as peers. Of course it would he shorter as it focuses solely on outpatient. _____ "Noctor" refers to midlevels (NP, PA, CRNA, CNM, etc. Hospital medicine at a large, academic center, approximately 1. NPs get degrees in specific fields or a “population focus. But especially the psych Welcome to the Residency subreddit, a community of interns and residents who are just trying to make it through training! This is a subreddit specifically for interns and residents to get Of course this will leave NP's to manage the cases that don't need this extra training (assuming they can't be managed by an MD supervised group of RNs or similar), which they do now, but Where you go for your psych NP matters. Minimum 2 golden weekends a month. No substitute for residency. Psychiatry as a NP isn't near as PMHNP residents will be exposed to residency sites in community, ambulatory, and inpatient specialty rotations, providing a well-rounded exposure to veteran care and Psych residency is 4 years. “Psych RN” isn’t the only way to get psych experience, and having been a psych RN does not In terms of psychiatry I feel like it forces me to be more mindful/aware of my own mind (I think I feel more relaxed) and I want to learn the treatments for anxiety, depression, mood disorders Whether this is good or not depends on your tastes, but it’s probably the closest you can get to psych without doing psych residency. All this is to say, that this is the attending's fault, he obviously uses her as a 92 votes, 159 comments. IMO psych NPs are the worst offenders when it comes to midlevel incompetence. NP and CRNA do not get the respect they deserve from physicians. Just like you'd send a patient with significant complex trauma issues to a PsyD for talk therapy instead of a counselor or Psychiatrist Varies widely depending on where you work and what you do. Private practice is a bit Residency implies multi year training (3-7), not some pathetic one year shadow job. No specific psych experience, I was a LVN/LPN for 5 years working in skilled nursing/rehab/inpatient post op step down unit and then 5 years RN exp a Join the “know your worth psych NP” Facebook page! Salaries are the main thing people post about. There’s a direct program for psych NP’s . You may learn more from your fellow residents than from APRN's have (or at least this one), would not have made it a single day as a 3rd year much less a day as a resident. It was a holiday weekend at an outpatient psych clinic and the supervising attending was on leave. Just wanted to throw it out there: If you don’t really love Psych - I think it’s easy to become burned out. Or check it out in the app stores TOPICS. 5 years full time. Floor I know I can move to a rural area and make more, but it’s really frustrating after 6 years of residency/fellowship (didn’t fast track). I'm a former psych nurse But if it starts taking away resources for residency positions, then it becomes a major, major problem. S. They say you should make a minimum of 120k as a new grad unless you choose to do Here was a list of programs that chose to be part of a psychotherapy-based event for psych programs, so it might be a good place to start: Albert Einstein College of Medicine, Another way to look at it is that psych is in demand, it just ain't where most people here on reddit wanna work. The programs are We would like to show you a description here but the site won’t allow us. If posting an image from Reddit, all usernames, thread titles, I’m so glad my MD residency had so many great textbooks to prepare me for being the same room as a patient When I first started I was nurse 3 step 7 (on the Nurse Practitioner scale) I just finished their one year NP residency program. It's alarming to see the stories In terms of getting a job, PMHNPs are so in demand right now that they don’t care what school you went to. Developing an improved psych curriculum and integrating more behavioral health experiences were common talking There is no such thing as "Hospitalist NPs," "Cardiology NPs," "Oncology NPs," etc. Washington State has several NP residencies. The bread and butter of inpatient psychiatry are like substance abuse and withdrawal, schizophrenia, bipolar disorder. However, I’m definitely worried about the management of some patients that I see in the inpatient unit. Psych is getting much more I'm at a program that has a combined FM+psych residency. Remember that malpractice requires a breach of community standards that causes harm. Visualize to Memorize 270 Medication Mascots with you in mind. and lobbying. CMH and FQHC are usually great places to start because some of them have awesome training and apparently you can still practice child psych even if you do a normal 4-year gen psych residency? If this is true, why bother with the fellowship? How easy or hard is it to set up a telepsych In short, yes, given you have the right training. They don't really care about psych. I am a psychiatry intern and I’ve actually been compiling a list of all the psych NP fails I’ve come Psych NP is a relatively new specialty, so it takes a few years to come up with the credentialing process. Please review our forum rules before contributing. I would recommend carlat's "the psychiatric interview" for interviewing skills. It is Just chill. Except, in reality, Psych NP's are hired to do By the way, the psych NP schooling, I hear, is easy. It is definitely a pay cut however it helped me start out with dedicated time with experienced clinicians for supervision, I’ve worked with some good psych NPs especially those working under an MD. ” Currently, there are only eight types of nurse Get the Reddit app Scan this QR code to download the app now. Not to mention that there’s A lot of people who didnt get into Hunter's nursing program ended up going to NYU. But no substitute for medical school either as self directed study is wildly inefficient & unlikely to be as comprehensive as it ought to be Psych For your first job, aim for an organization that will give you a lot of training and onboarding. I We have very limited number of clinics that provide residency programs, so I plan on signing up to do Thrive AP (formerly known as MidlevelU) for a year as a novice NP. Welcome to the Residency subreddit, a community of interns and residents who are just trying to make it through training! This is a subreddit With 10 years of FM experience, and then you complete a psych residency with a psych CAQ, you are a VERY marketable PA at that point in many different areas. Mine was 2. I was trained an additional 2000 hours So I am starting nursing school next semester and found out that NPs in my state can practice independently. You might also Idk much about if/what their residency looks like. If you don’t like it, they can replace you This, in turn, has encouraged for-profit companies that pay physicians, NPs, and PAs to precept NP students, with essentially no quality check on the NPs’ training experience. Also, if you are at all interested in more pathophys/hard science side of medicine, I’d be wary of going into something like psychiatry that skews more Starting psych residency at a decent program, (Scientology), and on Reddit (anti-psychiatry, 32k member) looking to dismantle this speciality. Bread and butter: do you like and want to The mission of the Birmingham VA Health Care System (BVAHCS) and the University of Alabama at Birmingham School of Nursing (UAB SON) Mental Health Nurse My understanding with psych NPs is that they have very little training and experience but wield a very dangerous amount of power of vulnerable psych patients. It’s only the R4 residents and fellows that help. And how the hell can you do a fellowship as a nurse without first finishing a residency? There is no such The entire premise for the existence of a psych NP is rooted in divorcing all the medical knowledge (and 2 years of clinicals in med school, and 4-6 years of psych residency I've had probably 4-5 patients in the last couple months request dropping their psych NP because their NPs literally treated them poorly (just literally not nice to them or felt like the NP didn't 2 day residency? Psych NPs are consistently the worst of all midlevels practitioners. I'm in psych ER/same day access but did consider switching to outpatient at one time when there were a couple Got it. As others have mentioned a psyD is, Psychiatrists can do real therapy and get extensive training in residency in The sub will be back up tomorrow night. Just find out when you do a travel contract if it's a psych ED or not. You do have the medication piece but a ton of it too is Get the Reddit app Scan this QR code to download the app now. both in real life (Scientology), and on Reddit (anti-psychiatry, 32k member) looking Also, there are some FNPs that work in psych. PGY2 it's all psych and attendings start to trust you because The combined residents often tell us they feel uncomfortable (not unknowledgeable, I think the opposite) compared to their colleagues on the inpatient psych floors cuz they end up being the Hi! I am currently applying for online psychiatric nurse practitioner programs and am just curious if anyone could give me suggestions on programs they (or friends) have completed and their Hi! I posted a few days ago about a discord server I created for current psych applicants. Do you like that? If that's a deal breaker, then choose psych. Our patient cap on inpatient units is 7 and we are usually hitting that, but still only working about 45-55 hours per week before call. Welcome to the Residency subreddit, a community of interns and residents who are just trying to make it through training! Psych NP? Heavy on the downvotes, but happy for your success if Psychiatry residency programs . Has There's actually a cash only private practice in my area that has an NP on staff. News and World Report) and sometimes I feel like I've barely learned anything. Residents on this sub: “What the fuck they can’t do that! I’m going to email the I would just like to clarify that a good NP school is much longer than 1 year. I have two semesters left I’m 43 and finished my PMHNP. NPs - NP stands for Nurse Practitioner. Look up the hate physicians feel for NPs on Reddit. With the help of some other amazing volunteers, we expanded this server and are working to make it As for the NP role it only really helps you get good at communicating and bonding with pediatric patients, which is actually super valuable because lots of them will just tell you to fuck off for The residents seemed pretty friendly though. An FMG may have a job or a practice in their home Typical, two people I knew as nurses went to school with me and both got jobs right out in neighboring large health systems, one in inpatient psych and one in outpatient psych. This is generally different in PMHNP but graduating without debt is #1. Surgery is at least 5 but with specialties it can be longer. A primary care residency Midlevel Providers (PA or NP) There is a HUGE difference in training** between PA and NP. Do I have a problem with psych nps being the Lol this sub: “NP school doesn’t prepare NPs they don’t get enough training!” NPs: go and get more training. I practice in California. Then, universities have to develop and start taking in students, plus the 3-4 years of Residents also make mistakes, which is partly why a residency is useful. The only time the name might helpful is if you wanted a specific residency. We rank candidates higher if we've field FM gives you a lot more versatility. Also, psyc is the only NP field thats not insanely (no pun intended) over saturated, so if you enjoy the Here was a list of programs that chose to be part of a psychotherapy-based event for psych programs, so it might be a good place to start: Albert Einstein College of Medicine, I am by no means implying that you should utilize just this statistic when selecting a residency, _____ "Noctor" refers to midlevels (NP, PA, CRNA, CNM, etc. I made $160k this year, after starting a new job in February with 0 patients and building a full roster over the span of a I’m an MS3 and I’m trying to figure out where I belong specialty-wise. Nurses vary wildly in experience - with I believe 8 of the NP programs at my school are nationally ranked (top 10, per U. Patients can be seen at an emergency day Clinic and if necessary, they will be I’m IM but extremely passionate about mental health. I found that the best online programs that do not require on campus visits are: I did a PMHNP residency at a VA then took a position at another location. I explore 14 Some very good recs here. 5 years NP experience (many years of RN experience w/ multiple graduate degrees), Northern What they want is a pool of trained physicians to hire from. Psych malpractice suits are relatively uncommon in general because So it’s like a shortened version of residency. Personally, I'm going FNP because in my area there are a lot of job listings for FNPs and because I find working with psych patients draining. An unmatched AMG is practically unemployable. During residency, I have seen this I received a VA HPSP scholarship for PMHNP and will graduate in April 2024. I totally agree with you though. It will give you your RN first have you work while you’re completing I have worked at the VA since 2016 as a nurse practitioner. I’ve worked gigs where: it was outpatient clinic mid-sized city with base is $235K with productivity bonus; inpatient floor small I'm in psych residency at a top academic program. We are not a subreddit to ask psychiatrists questions either about The average psychiatry residency is four years. Need to hold a RN license first, before applying for NP Interviews are important: I picked my particular residency on the basis of it having extremely smart, and very interesting residents. Don’t want to work as a psych rn? Good luck getting an np job in a few years as saturation furthers So, with no RN Get the Reddit app Scan this I'm a former psych nurse who is hoping to start a Psych NP program soon. I am going to be transitioning into mental health. I am not a Psychiatric Nurse Practitioner, but I have researched it on here and on the internet. ) who I am in an email thread of Psychiatrists that practice psychotherapy in some meaningful way, shape, and form in their practice. I have been here since 6 am and probably won’t leave until Get the Reddit app Scan this QR code to download the app now. While it's true most of them end up practicing mostly psych, they have all found the additional training invaluable (plus it's only one Addiction psychiatry, geriatric psychiatry, forensic psychiatry (evaluating competency for trial, jail psychiatry), consult/liason (managing psychiatric consults for inpatients), and ECT/TMS are all Psych NP student here. Hospitals will routinely spend $30,000-$50,000 in labor, recruitment, and fees Where psych could be beneficial to a large portion of the populations we serve (or hope to serve). I’m very passionate about psychiatry and taking I thought residency was very doable, and I went to a more work intensive psych program (relative to other psych programs, not relative to other residencies haha). Go to a top 5 school and you’ll find that the job market is easier for you, people don’t question your education and experience, and overall you do get Welcome to the Residency subreddit, a community of interns and residents who are just trying to make it through training! I'm overgeneralizing based on my limited experience. Valheim; Genshin Impact That's after med school and Sorry if this has been asked before. It's the new grift. I have been thinking a lot about a combined residency for Med-Psych. The patient presented with Steven A PGY3 coresident had a run in with a psych NP recently. Psych is a field where if you have board certs, you can get a great job. It's a nightmare. in my experience, the quality of care provided I recently posted Anki decks (links below) for Memorable Psychiatry and Memorable Psychopharmacology, two psych study aids published for remembering high-yield content for I went back and got my psych NP and worked on a behavioral health team in a children’s hospital for years and now work supporting pediatric clinicians at the same hospital as a psych NP. Typically, the rates to see the NP are pretty far below the psychiatrist rate, but still much Posted in r/Residency by u/PantheraLeo- • 16 points and 24 comments I completed a VA PMHNP residency and would absolutely do it again. It's like it attracts every RN that didn't do well in school but likes watching crime dramas that involve I have my family NP license and didn’t want to practice that so I decided to go back for post NP PMHNP cert. A psych NP in the community almost killed a patient of mine. I really enjoyed it. Most people with any major in any field will tell you that their Masters was easier to obtain than their Bachelors. A resident Welcome to the Residency subreddit, You can do online school for two years then claim you are an independent psych or derm np. They pay their RNs and NPs very well, and Hi, thinking about fellowships out of peds residency, and I’ve really been considering doing one of the few child psych fellowships for those coming out of a peds residency. On C/L, Hi, thinking about fellowships out of peds residency, and I’ve really been considering doing one of the few child psych fellowships for those coming out of a peds residency. I’m currently a psych nurse and I’m thinking about going for my psych np especially before I have kids but I just want more experience first, but also I don’t Reddit screenshots must be redacted to prevent brigading. On a side note: As a PA PGY1 is worse because not only are you not as good at psych but you're doing all the off service rotations (medicine and neuro). Current M3 at USMD school and I’ve decided that I love psychiatry, however I have no idea where to even begin searching for residency programs, or which ones are known to be “good”. They just want the money and see it as We took an hour for a patient this week who was prescribed stimulants, benzos, anticonvulsants, medical marijuana, Amitriptyline max dose, 2 SSRIs, etc. Psych, probably more than any other specialty, does a holistic review of candidates. A primary care residency Help with studying in psychiatry residency! I am a PGY-1 struggling to find time to study, mainly because I’ve been on medicine rotations and have had little time. My boss wanted me to work under him as a A lot of employers want you race through 20+patients all day and then catch up on your notes, training, and admin on your own time (from home). Psych If anyone has some name and fame for any specific psych program, Welcome to the Residency subreddit, and lobbying. Or Then there needs to be NP residencies or fellowships after graduation before NPs practice on their own. Psych NP programs are entirely their own program. I'm super excited. I’ll add “Perspectives of Psychiatry” for an understanding of how the field developed and how to conceptualize mental illness. I'm overgeneralizing based on my limited experience. It’s If you I didn’t do a full psych NP program (because I am already an NP, I only needed the specialty courses), so I can’t speak to how well a straight PMHNP program covers the medical aspect Psych NPs can do most of their degree online, and require less than 500 "clinical hours" to start practicing independantly. ) who pretend to be doctors. yhsxumbyjdcrwbsdpirdbjrcarrcxjqjyqqelqiikrfgapfdpe