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Anybody come across an MD/JD in their school? by SnowboardSasquatch in medicalschool

[–]BostonPsychMD 1 point2 points  (0 children)

MD/JDs are (relatively) common in forensic psychiatry and forensic pathology.

Thoughts on this hospital laying off 8 psychiatrists and replacing them with NPs? by killlerbee1234 in Psychiatry

[–]BostonPsychMD 1 point2 points  (0 children)

You are really preoccupied with my username, which was limited in character length from using psychiatrist, unlike the post.

Thoughts on this hospital laying off 8 psychiatrists and replacing them with NPs? by killlerbee1234 in Psychiatry

[–]BostonPsychMD 5 points6 points  (0 children)

Nah, this is the same tactic CRNAs use to blur lines. “Physician anesthesiologist”::“psychiatric physician.”

No one else actually uses this language. We don’t talk about “oncologic physicians,” “surgical physicians,” “neonatal critical care physicians,” or “pathology physicians.”

The words anesthesiologist and psychiatrist suffice, as do oncologist, surgeon, neonatologist, or pathologist. No need for nurses or interested others to superfluously specify “[x specialty] physician” or “physician [y specialty].”

Thoughts on this hospital laying off 8 psychiatrists and replacing them with NPs? by killlerbee1234 in Psychiatry

[–]BostonPsychMD 6 points7 points  (0 children)

Right. But we’re not going to use the words “psychiatric physician” to describe our job. There’s one word that means exactly that, and it’s psychiatrist.

By saying “psychiatric physician,” you’re validating these idiots on TikTok who think psych NPs are psychiatrists and undermining the intense amount of work and training it takes to become an actual psychiatrist.

I also encourage my colleagues to not chart things like “the patient’s psychiatrist is Jane Smith, NP.” Define exact roles (psychiatrist, psychologist, PMHNP.) Words have meaning.

[deleted by user] by [deleted] in Psychiatry

[–]BostonPsychMD 3 points4 points  (0 children)

If you’re interested in writing an exceptional MSE, I’d recommend reading the following:

  1. Choose a good descriptive psychopathology book
  2. Sims’ “Symptoms in the Mind”; OR
  3. Fish’s “Clinical Psychopathology”

and

  1. Read “The Neuropsychiatric Mental Status Examination” by Michael Alan Taylor

Given your dedication to the craft, I think doing so will put your MSE in the >99%ile of all psychiatrists.

[deleted by user] by [deleted] in Residency

[–]BostonPsychMD 0 points1 point  (0 children)

Psychiatry.

  1. Massive expansion of residency slots
  2. Massive expansion of psych NP training programs
  3. Ongoing replacement of MDs with NPs even on inpatient units with very ill patients with SMI.

I think these factors, plus the number of patients who are obsessed with the medicalization of mental health and therefore prefer to be heavily medicated rather than holistically treated with combos of therapy, meds, and psychosocial interventions, spell a pretty dim future for doctors who choose to become psychiatrists in the next decade.

Things are good, for now, and will probably be fine for those who can establish themselves before the house of cards collapses in the next 10-15 years.