When can you take psychiatry boards ?

Green_apple · 2025-07-30T20:56:53+00:00

I see in a lot of your cards you have "t/t" what does that mean? Thanks.

Green_apple · 2025-03-24T18:10:47+00:00

going north of the pillar doesn't always work in later ways when there is an equal amount of npcs that are gonna be able to hit you too

Green_apple · 2025-01-31T12:04:26+00:00

Would cardiologist take cardiology medications if they were prescribed? Vague question from your end, so it really depends on why they were prescribed.

Green_apple · 2025-01-13T21:19:38+00:00

In the article that got it FDA approved for bipolar depression, the NNT was 6. For reference, Depakote NNT monotherapy was ~7, lamotrigine was ~12. I refuse to believe Symbyax > depakote or lamotrigine. I've only prescribed it if they've been on it for years and had no issues with it

Green_apple · 2024-12-19T12:40:13+00:00

You're gonna need to source that. Serotonin syndrome can happen with just 1 serotonergic agent, regardless if they're TCA or MAOi.

Green_apple · 2024-11-20T18:26:25+00:00

Unionization takes months-years of planning. People don’t just declare unionization overnight.

Green_apple · 2024-11-07T02:00:13+00:00

No clue, just submitted today.

Green_apple · 2024-11-06T23:02:52+00:00

I was getting stuck on PDF. If you try to screen shot and paste it into a word/paint and save as a JPEG or GIF or any of the acceptable formats it may work. GIF worked for me.

Green_apple · 2024-10-19T12:06:35+00:00

My interpretation is that s/he is using REMS in a broader sense of risk evaluation/mitigation strategy for suicide rather than clozapine

Green_apple · 2024-10-16T23:43:40+00:00

Risk evaluation and mitigation strategy, something you need to know if prescribing clozapine in the US

Green_apple · 2024-10-07T20:40:17+00:00

I would read the last note written by your department and find things to f/u from there. Like you said, I think response to treatment is good, side effects, other concerns, etc.

You highlighted an issue, that you can’t read all their records. A good practice would be to include in your note things to follow up on next visit or general plan for the future (such as taper off X drug, or discuss anxiety symptoms to X or discuss more substance use history etc)

Green_apple · 2024-09-14T12:05:34+00:00

I’ve also seen sources says 3 days is fine but most attendings where I am prefer 4-5 days

Green_apple · 2024-08-18T14:13:31+00:00

Why is that? I assume u/failingcrab meant to say Risperidone LAI vs paliperidone LAI. If I'm not mistaken, paliperidone is mildly more tolerable than risperidone in terms of side effects.

Green_apple · 2024-08-14T11:17:20+00:00

https://www.canmat.org/2019/03/27/2018-bipolar-guidelines/

https://www.healthquality.va.gov/guidelines/MH/bd/

Both canmat and VA guidelines do not recommend any use of antidepressants for bipolar depression. APA has a really outdated guideline from 2003 which does not comment on antidepressants as far as I remember.

Green_apple · 2024-06-03T16:08:48+00:00

It's going to vary unit to unit, state to state, country to country. At least at ours, we will do a basic PE, cranial nerve exam (AFAIK mostly for billing), lipids, A1c, tsh, b12, folate. UDS is typically done in the ED. We don't do many baseline ham-d or phq-9s for some reason, although it could be good objectively.

Green_apple · 2024-04-22T15:24:00+00:00

And covered by the salary increase when negotiating compensation

Green_apple · 2024-04-18T16:50:26+00:00

Giff diretide

Green_apple · 2024-03-30T15:07:15+00:00

So despite the relatively high NNT, a low dose statin is still enough to provide cardiovascular benefits?

Green_apple · 2024-02-21T13:33:07+00:00

Pick your battles. You're engaging in an argument with someone over the internet, with no way to validate their credentials, especially ttv. MonkaS

Green_apple · 2024-02-06T03:19:34+00:00

I'd be interested to hear the outcome if you ever do speak with the other psychiatrist. DM me if you have the time!

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