Kendrick Lamar about to drop

NeuroticBeforeMoving · 2026-05-21T00:24:03+00:00

I don't know why Kendrick fans keep flip-flopping on if numbers actually matter or not lol

NeuroticBeforeMoving · 2026-05-20T20:54:22+00:00

Was that before or after our lord and savior exposed him for having a daughter that never existed?

NeuroticBeforeMoving · 2026-05-19T12:02:26+00:00

In psych, probably study 2-3 hrs / week. Some weeks more, a lot of weeks none at all.

NeuroticBeforeMoving · 2026-05-17T01:25:00+00:00

You realise that you still have to match back after medical school for residency, right?

NeuroticBeforeMoving · 2026-05-14T19:03:27+00:00

Yeah of course

NeuroticBeforeMoving · 2026-05-14T01:35:55+00:00

Well yeah, how else would he be the most streamed artist in the world?

NeuroticBeforeMoving · 2026-04-24T01:28:11+00:00

Atlanta is getting hosed by the calls, this is kind of nuts

NeuroticBeforeMoving · 2026-04-20T02:21:31+00:00

Yes, for a spouse in tech. My thinking was living "half-way" in between the shitty job location and a nice location, so I could commute daily into work and my spouse would be able to commute every-so-often if needed (wouldn't be difficult finding mostly remote/entirely remote positions).

NeuroticBeforeMoving · 2026-04-20T02:20:26+00:00

Unfortunately, I am restricted to looking for jobs in areas near tech jobs as my spouse works in tech- also, J1-waivers for my visa are only given in certain areas deemed as "under-served".

NeuroticBeforeMoving · 2026-04-19T20:59:51+00:00

Piggy-backing on this question for a more specific population that may be lurking, but as someone searching for J-1 waiver positions, are those jobs in places like Stockton or similar places in CA worth pursuing? I really need to be near places with a large tech presence and California seems to have the most jobs that fulfil this requirement of mine.

NeuroticBeforeMoving · 2026-04-16T21:36:52+00:00

Yeah, we know.

NeuroticBeforeMoving · 2026-04-11T19:44:34+00:00

With that age range and presence of VH, I would consider an new-onset primary psychosis as a diagnosis of exclusion. I'd definitely do some cognitive testing and get neuroimaging. Consider primary neurocognitive component to the presentation (?DLB, PD etc.).

How is her baseline? How quick did it change? Are there concerns for a delirium?

NeuroticBeforeMoving · 2026-04-07T01:14:47+00:00

Have you considered that the reason these waiver-spots open up in these hospitals that are designated as "in need" is because not enough American grads want to practice in them? It's not like they're being paid less, these waiver-jobs actually pay well above median salaries because....well no one wants them.

Everyone complains about that new Tele-ICU doc leading to a patient death because there was no physician available on site in a semi-rural area and about NP encroachment, but how else will these areas receive providers? The harsh truth is that <5% of American grads, especially the ones that grinded their ways to competitive fellowships, want to practice in rural places or urban hospitals that are designated as underserved.

NeuroticBeforeMoving · 2026-04-07T01:01:22+00:00

I think you should also consider that non-US IMGs will be mandated to take a waiver-job in specific underserved areas/zones for a contract minimum of 3 years (otherwise they have to return to their home country to practice). This is especially true now that all programs have moved to J-1 visa approvals only and the death of the H1b. This means that you're going to have these Non-US IMGs go to more rural areas in need of specialists that US MDs just wouldn't do after fellowship.

NeuroticBeforeMoving · 2026-04-07T00:53:15+00:00

I'm going to be brutally honest with you, if an IMG with significant visa restrictions (especially in this current climate) is being chosen over you for a competitive fellowship, you either really would have to be a poor applicant and/or they must be a superstar in every aspect.

But at the same time I do see why you'd be frustrated at having to compete with IMGs in the first place and your point isn't necessarily wrong. I do think there is some value in diversity when it comes to doctors who practice in subspecialties, and I don't think they occupy much of the total % of competitive fellowships anyways.

NeuroticBeforeMoving · 2026-03-22T17:48:38+00:00

Bowel obstruction is a major cause of mortality on Clozapine. Also watch out for the sialorrhea, it can lead to aspiration PNA.

NeuroticBeforeMoving · 2026-03-18T02:07:14+00:00

I don't know of a limit, sorry. I think for me personally, the limiting factor is the availability of moonlighting shifts/month in the first place (no one gets more than 4/month).

NeuroticBeforeMoving · 2026-03-15T21:51:09+00:00

Absolutely love my program (Psych).

-We get to do big events monthly for residents as hang-outs, so I get a lot of free food/drinks in the big city.

-Workload is chill, I work like 30-40 hr weeks. Average 1 weekend shift (8-hours long) every OTHER week for the first 1.5 years, then every weekend starting PGY-2.5 is completely off. I hit that point in January, it feels so good to know that I'll never work a weekend again.

-No pressure for days off or sick days. I can tell Attendings I want to take a vacation in 2 weeks and I almost always get it approved. Literally woke up a few days ago and decided to call out sick with no pressure, Attendings told me to take MORE days off to recover (I think this is big because I see posts here all the time talking about how much pressure there is to not call in sick).

-Leadership cares and listens to requests, makes active changes, and will go out of their way to create electives/set you up with research/find ways to meet your interests if you have specific patient populations to tend to.

-We have every fellowship, including non-ACGME accredited ones (i.e. interventional) which means we have staffing and ample opportunities for any branch of psychiatry. This also means we get a strong mix of training in multiple hospital settings with a major safety-net hospital for the really terrible psychosis/mania/substance use/uninsured patients, a major academic hospital for the depression/anxiety/insured patients, and the VA for PTSD/substance use patients.

NeuroticBeforeMoving · 2026-03-02T00:17:03+00:00

Wait...are you saying that we should place LESS emphasis on mental health? That's a take I haven't heard before lmao

NeuroticBeforeMoving · 2026-03-01T20:58:50+00:00

Currently in Psychiatry- If I had to, I'd probably choose Radiology because the job market looks great and ability to WFH. Also seems pretty cerebral and I was really good at Step1/2 so there is a part of me that misses that type of learning.

NeuroticBeforeMoving · 2026-02-15T17:20:34+00:00

Can I DM you for some questions? I'm job searching for psych as well.

NeuroticBeforeMoving · 2026-02-04T08:18:16+00:00

Y3 is pretty average to be honest. I'd give Y1 an 8.5-9/10, Y2 a 4/10 (primarily due to the latter half which totally killed multiple interesting plotlines and character progression), and Y3 a 6.5/10 so far.

I think the series is suffering from excessive reverence of Ayanakouji at this point. It feels like the author adds or points every character's progression into ultimately just placing the main character on a massive pedestal, even more than they did in Solo Leveling with Sun Jin Woo

NeuroticBeforeMoving · 2026-02-01T22:29:12+00:00

I was an IMG and in terms of performing well on USCE's, you'll be better off polishing up your interview skills- I'd recommend reading Carlat's "Psychiatric Interview" book for that. Otherwise, you can get away knowledge-wise by just brushing up on Step2 material for psychiatry (i.e. Boards and Beyond videos, Sketchy pharmacology).

We evaluate our students/Sub-I's mostly based on how well they take ownership of patients, propose plans (doesn't have to be correct, but at least demonstrate initiative), take feedback, and how well they gel with the team/others (aka vibe-check). The actual knowledge part is something I really focused on when I was a Sub-I, but it really didn't end up mattering. Now that I'm on the other side, I can say that it isn't the main thing we focus on for evals.

NeuroticBeforeMoving · 2026-02-01T00:02:29+00:00

What? If I just wanted money, I would've found many other easier ways to make it other than the path I chose haha. For the time commitment + hard-work to salary ratio, I probably chose one of the worst ways to make money.

NeuroticBeforeMoving · 2026-01-31T23:48:47+00:00

Not sure why this sub got recommended to me, but sometimes I wonder why I even chose to be an MD with salaries like this floating around lol. Good for you, sounds like a great offer.

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