Very hard to hear her

It was heard to hear the student, Jenn was great

Thank you for clarifying!!! 🙂

AND PSILOCYBIN!!

if you have not listened to the cribsiders podcast with Dr. Vinson you should--it's great!

Thanks, Jennifer- can you post link? :0)

https://thecurbsiders.com/cribsiders/13

My favorite cribsiders episode!!!

Hello Good People! I’m precasting a resident clinic so may be in and out at times. Any students please feel free to reach out at DrVinson@LorioPcyhGroup.com if I can be helpful.

Nice to meet such impressive alumni!!!

I am so very sorry. My apologies.

This question is for Dr. Vinson or Dr. Michelle, can you please speak more on forensic psychiatry

I am going into child psychiatry and would also like to know if any of you have had any specific experiences in forensic child psychiatry, thank you!

I read a statistic that at least 70% of youth in juvenile detention facilities have a psychiatric illness

And providing care to incarcerated kids does not require a forensic fellowship. Most who provide that care are not forensic trained. The forensic training is more helpful if you’re interested in doing expert work. And if anything that stat is an under-estimate. It’s the de facto public mental health system for youth in marginalized populations

Hi friends- where you ask a question, introduce yourself (name and med school year) so our physicians can get to know you better! ;)

Great point, Dr. Vinson- wellness starts NOW 🙂

Just got out of another required lecture so I’m not sure if it’s already been asked—How demanding is/was residency? How did it compare to your former classmates’ from your perspective?

What is your work life balance like now?

Same as Rene, was just released from another zoom, but if possible, could someone speak towards emergency psychiatry and what opportunities might be available

@Rene residency hours will vary by program. FREIDA and the residents are going to be your best sources of info. Re: that variation. Our work is demanding in a different kind of way though lol. In some ways it’s less o about hours.

Thanks!

its very emotionally demanding but there is high variability in programs--for instance call burden, back up, etc

Psych EDs aren’t nearly as common as Med EDs. The few you find often have some academic tie. The work is fun, shift work, but you’ll probably be limited in where you could live

NY state has CPEP which are psych emergency room; great place to train

In my private practice 50%. In the public sector settings where I work, they restrict us to ppharm/med. mgt

Grady in Atlanta has a Psych ED, too. Residents at Morehouse and Emory train there

Do you need additional training beyond residency to be able to offer psychotherapy or is this part of the training in residency?

@Peace, it’s part of your training. That’s something that also varies program to program.

Hi wonderful psychiatrists! Thank you so much for speaking on this panel today. 🙂 Given the shortage of psychiatrists (and especially child psychiatrists), how do you balance spending more time with your patients vs being able to see more patients? I know that this is probably a very personal question and varies with each person, but it is something that I can foresee myself struggling with in the future.

That was one of the draws of Cambridge for me

I'd also add the reading about "countertransference" is very different from experiencing it... for example,as a resident feeling like we need to a lot more for a particular patient or taking extra time for one patient and not the other, is often related to psychodynamic countertransference and can take some emotional energy to process! That will be the case no matter where one does residency

one of the nice things about residency is you have lots of time to spend with patients (like 2 hours per intake, 30-45 min for follow-up)

Great, thank you!

What do you think will change most in psychiatry in the future? Asking because I feel like mental health has become such a hot topic in the last few years, however there is a huge deficit in mental health providers when compared to the need.

Hello! I have heard about combined Psychiatry/Family med or Psychiatry/internal medicine residency programs. Could you speak on the advantages or disadvantages of pursuing a residency in a combined program like those compared to a traditional psychiatry residency?

Grant, I had considered a combined psych/neuro residency, and decided against it because someone told me you would probably be doing more of one or the other

Thank you!

Do psychiatrists who work in-patient or on faculty need to be heavily involved in research? and is it possible to still be involved in research as an outpatient psychiatrist? Thank you for being here to answer our questions

@Peacd, no not at all. The vast majority of psychiatrists are not

Peace, Not necessarily. I know several academic psychiatrists who are not heavily involved in research

Thank you so much!

Uf does expect scholarly work for promotion, for example.

Yes, you absolutely can do research as outpatient. And there are some folks who are only loosely affiliated with academics who run drug trials in conjunction with Pharma companies

Our division currently has a research project on pharmacogenomics which outpatient psychiatrists are involved with

Scholarship can be broadly defined on the multi mission track.

Hello All. Thank you for sharing your experiences! When did you know that psychiatry was the right specialty for you?

Thank you all so much

I think the biggest change coming is the workforce shift and emergence of NPs and PAs. Supervision and navigating our team roles with them will be huge. Especially in public sector psych.

"Keep chugging"

There are several organizations that will ask for your help. One is NAMI (national alliance for mental illness) that has chapters all over the US. I've often been contacted by student groups, local churches, non-profits etc. to give talks

Post your favorite twitter psychiatry accounts

If you’re in APA, also the caucuses can be great

AACAP (American academy of child and adol psychiatry) also had an advocacy & legislative committee

Not sure how active the district branch is in FL but in some cases it can be very helpful. That’s the case in GA

I love @howardliu and @jessigold im at @jenniferleahmd

Also the American Assn. of Community Psychiatrists if you’re interested in public sector work and systems

Yes, the FL branch of APA is very active here

I wish I had asked this sooner but I had a question about looking after your own mental health as a psychiatrist

I understand there may not be time now

#whereintheworldiskylerarey?

GET A THERAPIST EVERYONE SHOULD HAVE ONE!

That’s affirming thank you so much!

👏

he's here!

I was going to say the same thing!

@Stella, the big thing is making sure that you prioritize the things you know work for you. Exercise, family time, 7hrs/night of sleep, quarterly VaKs and a great administrator for me

jennifer.leah.goetz@gmail.com if anyone wants to contact!

Tyvm!

Thank you so much for your time

This was so wonderful - thank you all so much for your time!

thank you all so much!

Thank you!

Michelle Scargle M.D. email is mscargle@yahoo.com

my heart is so full <3

Thank you all so much! It's been very insightful

Thank you so much alums!! This has been awesome!

Thank you everyone

thank you!

Y’all be in touch if I can be helpful.

Thank you!

Thank you so much! I really appreciate this talk!

Thank you so much!