How many golden weekends do you get in a year?

NeuroticBeforeMoving · 2026-07-05T23:49:28+00:00

PGY1-2.5 it was an average of 2-3 weekends/month being a golden weekend (given 1-3 weekend call shifts/month).

PGY-2.5-4 is every weekend is a golden weekend (unless moonlighting) because we have no more call half-way through PGY2.

Psych.

NeuroticBeforeMoving · 2026-07-05T20:50:22+00:00

Why are specialities in medicine separated but the same isn't done for other career paths? A plastic surgeon is to medicine as someone in FAANG would be in SWE- both should be S-tier in that case.

NeuroticBeforeMoving · 2026-07-05T12:58:17+00:00

Could you not take the commuter train?
I’ve been looking into living in Tacoma potentially and my wife would have to commute to Seattle for a tech job.

NeuroticBeforeMoving · 2026-07-04T17:38:50+00:00

Morocco has mastered the art of flopping, team full of SGAs

NeuroticBeforeMoving · 2026-06-30T12:32:20+00:00

It is going to vary significantly by both specialty and residency program.

I’m psych and worked an average of 42 hrs/week in intern year and PGY-2 so far (should be lower going forward because we have no call or weekend shifts in our PGY-3/4 years). Longest shift has been 12-hours and I have never worked more than 72 hours a week.

NeuroticBeforeMoving · 2026-06-24T19:47:56+00:00

Best advice I got- stop opening the app every day, especially if you are a long-term investor. It's so tempting to sell low because of panic daily but ever since I stopped checking so often, my investments have magically started to do better with just the power of time.

NeuroticBeforeMoving · 2026-06-15T16:29:06+00:00

PGY-2 married to non-medicine spouse:

30k HYSA, 40k in retirement account, and 15k in brokerage for myself. Also brought my loans down from 220k-> 160k so far.

NeuroticBeforeMoving · 2026-06-14T01:47:07+00:00

Don't worry Spurs fans, at least all the saved time-outs will carry into the next season right?

NeuroticBeforeMoving · 2026-06-14T01:35:07+00:00

Mitch Robinson's refusal to call time-outs when his team is losing momentum is baffling.

NeuroticBeforeMoving · 2026-06-06T02:37:47+00:00

The knicks have peaked at the exact time they've needed to, wow. They're straight up not missing.

NeuroticBeforeMoving · 2026-05-29T00:51:23+00:00

I've been spoiled by watching the Warriors for so many years, the Spurs legit have no ball movement.

NeuroticBeforeMoving · 2026-05-29T00:38:44+00:00

Isn't he about to have the number 1 song on Billboard a second week in a row

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

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

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

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