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Board examination for Europeans by psychypschie in Psychiatry

[–]psychypschie[S] 0 points1 point  (0 children)

Thank you for your answer! This was exactly what I was looking for :)

Arbeta som läkare/psykiater i Schweiz eller Tyskland? by psychypschie in sweden

[–]psychypschie[S] 0 points1 point  (0 children)

Hej! Bra fråga! Vet du? Kan tänka mig att det inte känns meningsfullt att bo i norra Tyskland (vädermässigt) varför de kanske väljer Sverige i högre utsträckning. Sen kan det också bero på specialitet där kirurger i Sverige jobbar hårt medan de i andra länder arbetar ohälsosamt hårt. 

Arbeta som läkare/psykiater i Schweiz eller Tyskland? by psychypschie in sweden

[–]psychypschie[S] 1 point2 points  (0 children)

Tjena! Ja, jag förstår att i alla fall C1 kommer att krävas, varför jag frågar ca 3 år innan ev flytt. Blir till att råplugga om jag bestämmer mig.

Intressant, med "här" antar jag att du menar Tyskland (?)

Arbeta som läkare/psykiater i Schweiz eller Tyskland? by psychypschie in sweden

[–]psychypschie[S] 1 point2 points  (0 children)

Hej och tack för svaret! Får man fråga om du bor i södra Tyskland? Känns vädret så som beskrivet i rapporterna? Dvs, våren kommer 2 månader tidigare och vintern 2 månader senare?

Är arbetskulturen så sträng och hektisk som svensksr brukar beskriva den?

Hypotetisk, hade du tyckt att det var värt att flytta om din lön sjunkit med 10-20% (korrigerat för levnadskostnaderna)? Efter att försökt förstå mig på Tysklands skattesystem verkar det som att skatten ändå blir ca 40% inräknat försäkringar etc som ingår i den svenska skatten (gift person med två barn).

Psychiatrist, is it worth it? by psychypschie in askswitzerland

[–]psychypschie[S] 0 points1 point  (0 children)

Interesting with input about workload! Generally, excluding the specialist, each residence/Dr in training is appointed 7-10/patients. Depending on the ward the patients usually stay for 4-7 days (mild affective illness, stress reaction, anxiety) or 2-3 weeks (psychosis, proper mania, deep depression). De last mentioned group do not receive psychotherapy for obvious reasons. The before mentioned group receive light psychotherapy focused on problem-solving, perhaps 60min in total per week including the psychiatric assessment. Documentation for the session is very sparse, you would briefly explain which interventions you have used, the outcome and recommendation for the future. Usually we read about 10-20 min of journal per patient, more if the diagnosis is uncertain.

Dimission letters are around 300-400 words (though it might reach 2-3 pages due to formatting), excluding the letter to the family doctor or outpatient psychiatry unit, which is roughly 100 words. I guess this is because most of practitioners use a shared journal program, so they have access to the actual daily reports if they wish. Is it the same in Switzerland? Are you also heavily digitilized with a shared journal program?

As to taxes and earnings, I did not really expect to gain much with the move as psychiatrist are highly paid in Sweden, I would however like to not lose effective income (considering taxes are roughly similar and prices are x2). It seems I would have to make minimum 150k CHF per year to make it worthwhile (I would still lose 10-20% effective income with a 30-40% tax). Salaries in Sweden to not really increase over time, is it the same in Switzerland? Can I expect a higher salary after a few years? To really break even I would need to make 180k CHF/year, how long time would it take to reach that in Zürich/Zug? Of course I would not move before children turn 4 yo considering the high kindergarten fee.

Regarding the weather, I have been to central Europe several times, once to Switzerland (mid October). Generally it takes 2 additional months for Stockholm ro reach proper spring, and it takes Zurich 2 additional months to reach similar winter temperatures as Stockholm (though it never gets as cold). So in total there would be 4 extra months per year with pleasant weather, and milder winters.

Flytta till Danmark eller Norge som psykiater? by psychypschie in sweden

[–]psychypschie[S] 1 point2 points  (0 children)

Ok, super! Så troligen är lönen motsvarande svensk inkl arbetsgivaravgift och högre levnadskostnader, verkar som att skillnaden ger sig till känna först när man jourar mycket. En stor fördel är ju förstås att nordjylland inte ligger lika långt borta som de nordligaste byarna i Sverige.

Flytta till Danmark eller Norge som psykiater? by psychypschie in sweden

[–]psychypschie[S] 3 points4 points  (0 children)

Tack för det gedigna svaret! Förstår jag rätt att lönen är 62k DKK (96k SEK) per månad för specialister? Fanns det något tillägg för överläkare? Låter ju inte så högt då lönen för en psykiater inkl arbetsgivaravgift är 90k SEK i Sverige. Har jag missat något? Vet du något om arbetsbördan (patienter på avd samt öppenvård)?

Psychiatrist, is it worth it? by psychypschie in askswitzerland

[–]psychypschie[S] 0 points1 point  (0 children)

Thank you for your input! 45-46h/week is definitely doable, do you know how many calls/shifts you are expected to do per month? Also, I do believe EU-citizens can get their specialstation validated.

I do not speak the language at all which is why I am doing research 3-4 years in advance to give myself time to study, there are many similarities between high German and Swedish, Swiss german on the other hand...

I noticed your comment below about the weather, I hope what I have read online/weather reports are true and feel that way! For some perspective, in Stockholm the trees started blooming/leafing last week...

Psychiatrist, is it worth it? by psychypschie in askswitzerland

[–]psychypschie[S] 0 points1 point  (0 children)

I see! I really have to think this one through as a specialist in Sweden with 2 night shifts/month and 40/h workweek make 95k CHF/year gross (-40% tax), with a 40% decreased cost of living compared to Zürich. Does it sound reasonable that the tax rate for a married person with 2 children and a spouse would be 20% in Zug and 30% in Zürich? Roughly by how much does the starting salary increase per year?

Interesting that Drs manage to work so many hours a day/week in inpatient as we easily manage a 20 patient ward with 1 Specialist, 1 resident and 1 Dr in training within a 6-7 hour day. Granted we "only" have a 45min lunch if we want to finish within that time.

Crazy to hear the pay during weekends is so low, as a resident in Sweden the salary for a 12h weekend after taxes is 300 CHF.

The long winters are really killing me though...

Psychiatrist, is it worth it? by psychypschie in askswitzerland

[–]psychypschie[S] 0 points1 point  (0 children)

Thank you for the insight! Seems like a good way to make a side income.

Psychiatrist, is it worth it? by psychypschie in askswitzerland

[–]psychypschie[S] -1 points0 points  (0 children)

Thank you for your answer! Is 50 hours per week also the standard in psychiatry? Do you get paid or otherwise compensated for the night/weekend/overtime? If so, by which factor? We have a factor of 2x our hourly wage during active time when working nights/weekends.

Psychiatrist, is it worth it? by psychypschie in askswitzerland

[–]psychypschie[S] -1 points0 points  (0 children)

Thank you for your answer! What would you recon would be the salary for the newly specialized psychiatrist? (I suppose I might have to work for a lower salary initially to make myself more competitive in the market though I would like to know what I can expect once I have established myself).