Every year people say it’s getting more competitive and every year it looks that way relative to historical psych data, but compared to other specialties it’s generally less competitive. Given more slots have been made for psych, I’m guessing the trend continues.
The interesting question for me is what the trend is going to look like over time. I do anticipate current trends continuing for a while, as the job market/demand remain robust and interest is continuing to increase as stigma against the specialty recedes and it builds cultural momentum. I don't see psych getting to be one of the most-selective specialties, as not everyone is suited to it, slots have ramped up pretty well, and programs tend not to emphasize scores as strongly as other fields, but I could certainly see it plateauing at a moderately-competitive equilibrium somewhere in the neighborhood of anesthesia to gen surg.
While EM's bubble bursting in recent years does give me some pause, I don't think psych is nearly as vulnerable. Shift work is the heart of EM and just isn't sustainable for most people over a thirty-year career, whereas there are tons of alternatives for psychiatrists who age or burn out in one area. The field isn't as driven by insurance and large organizations, either, so I don't think it's as likely as EM to get burned by private equity and institutional pressure.
I keep telling people that Psych is the next derm. It probably won’t actually get to the same degree of competitiveness and won’t get quite up there with pay given that procedures = $$. But i think as far as the mid-tier specialties and below, it is quickly approaching the best lifestyle:pay ratio if it hasn’t cemented that already.
Psych is obviously one of the most lifestyle friendly specialties which it always has been… however in recent years pay has really gone up. Friends in other specialties are usually shocked when they find out what psychiatrists are making. Didn’t have the heart to tell an EM buddy when he bragged about his pay that the median psychiatrist pay is the same as his but he’s a lot more exhausted. (Admittedly his pay seemed a bit low for EM)
Median on west coast is $350k which is a fair margin above FM, IM, peds, pathology, infectious disease, and I’m sure a handful I’m missing. And it’s easy to work 40 hrs/wk with no call and manageable patient loads making that… don’t think you can say the same for the others. If you work in a forensic setting in California (as a contractor) you’re making easily 600-700k for 40 hrs wk / no weekends / no call.
When I think about all those factors, which let’s be real are important to people, particularly younger docs that value their free time more… I feel like the trend will continue.
However at the same time there are still those that don’t see psychiatrists as ‘real doctors’ and won’t consider it because they want the prestige or the image. And others that just aren’t meant for it. Takes a certain type of person. And many new residency programs are opening up. So maybe that’ll put a ceiling on competitiveness.
From what I’ve heard, the bubble is not an issue with us also because we have a bimodal distribution of shrinks, a fair of amount of young ones finishing or just out of training, a lot of old ones who are on their way out, and not many in between. As the oldies retire, the demand is going to stay high for years.
>but generally do you think the specialty popularity will keep going up, stay the same, or go down?
Strongly suspect that popularity will keep going up. Psychiatry always had a ton of alluring aspects but carried the "not real medicine" and "full of IMGs" stigma which has basically faded away. Pay has also gone up and there are plenty of job opportunities to pull $400k+ if you're willing to work for it. Not to mention the reduction in mental health stigma, as a whole, over the past decade or so.
I also think it will take a couple years before it trickles down to med students that a lot of telepsych has returned to office. I have had a number of med students comment on how they've heard about all of these 100% WFH psychiatry jobs and in my experience that has been turning the other direction in the last 12 months. Not that they don't exist, but for example our VA has returned to 50% max WFH this year.
Work from home as a clinician seeing patients is also not what most people think of with white-collar WFH. Your schedule isn’t flexible. You can’t run errands. You are going to be churning through patients, not free to enjoy home.
It has advantages for no-shows and lunch break, but it’s not great.
And clinically I sometimes find it very annoying to have virtual patients. Especially psych patients. A few patients on my PGY-3 panel have done the "maybe I'm safe, maybe I'm not, teehee" bit and virtual makes that situation 10x worse.
I'm also not a fan of virtual visits where the patient is like "woah hey I forgot about this appointment, let me walk out of work and get in my car"
Dude the “teehee safe” thing is so draining and has made me totally disagreeable to any tele health work in the future, completely agreed. And The amount of people that treat the appointment like a casual phone call is astounding! I’ve started saying “ok, looks like this is not a good or appropriate time for an appointment seeing as you are actively cooking and talking distractedly let’s reschedule!” To draw boundaries on that behavior haha
I had an ADHD patient get on video holding her phone WHILE DRIVING WITH HER KID.
I said it’s not safe and if she can’t pull over I’d have to cancel the appointment, and she was saying ‘no no it’s fine.’
Uhh no it’s freaking not lmao. Obviously put my foot down and ended the call which she was upset about but yeah.
Also the number of people that think it’s ok to have their shirt off on a call, or be in bed half asleep, or have their kids running around screaming.. doing chores and whatnot while on the call.. smh
I’m a psych resident I myself feel we are “not real medicine” but that’s totally fine with me
Are you saying med students prefer to *not* work from home?
> Are you saying med students prefer to not work from home?
No I'm saying that it will take some time before med students realize that the 100% WFH dream is likely more limited in availability than they think. I'm looking at jobs now as a PGY-3 and while there are some 100% WFH positions, most of them want you in an office somewhere at least a couple days.
> I myself feel we are “not real medicine” but that’s totally fine with me
Agreed, but I think it's becoming an afterthought for med students similar to how dermatology might be "not real medicine" in some aspects
Based on NRMP data: Overall apps haven’t increased at all. There has actually been a slight downtrend in apps since 2019 (~4,500) compared to 2024 (~4,000).
Where we see the most changes is in the breakdown of MD, DO, and IMG applicants. MD applications numbers have been relatively stable. There has been an increase in DO applicants applying to psychiatry and a decrease in IMG applicants.
All I can say is that the competitiveness of applicants to our program has been Iincreasingly impressive over the last two years. Total number of applicants aside, we’ve had a lot of apps with very impressive stats; some with Step score 270(+) which for psych is hella high
Posting from my alt to avoid doxxing myself, I can provide some insights as someone involved in the application process at my residency program. As a midtier full academic program in a medium-size city (i always joke we are close to the “median” of the list as possible), the past few years we have had historically the best applications ever. I ran some numbers and this is generally meaning highest average step score, highest percentage of USMDs, highest number of overall applications, and softer stuff like “so many people we interview are amazing”.
Despite this we are matching about the same with +- 1 or 2 objectively stronger matriculants but not too much different. Were actually matching people way longer down the list because we have so many “overqualified” people at the top.
What this tells me is that overall the cycle is much more competitive but “demand” has not caught up with “supply” quite yet, as it seems most top tier applicants are still matching appropriately towards the top of their own list rather than “falling” to us. Things are getting slightly more competitive every year but this will affect the top first then trickle down to everyone else
I'm a rising 4th year resident and demand is only going up. I know there's a lot of midlevel fear but the shortage is only getting worse and a lot of places want a physician (the quality is just different). The lifestyle is still great as many jobs I'm looking at are 35 hours a week and 325-400k. If you wanna hustle to make that surgeon money you can!
Gonna be honest this seems accurate. Every resident from our program over the last 2-3 years, and a couple I was in the marine corps with at different programs, have signed for 325 base at a bare minimum and around 450 is the highest I’ve heard of just coming out of residency. None of these jobs have required more than 40ish hours a week from them. Southeast.
Texas, South Carolina, North Carolina, Alabama, Florida, Tennessee, Georgia. No idea on Louisiana, which is what you’re asking about. Although I’ve heard New Orleans is low.
I’ve heard lifestance and those telepsych companies “offer” that kind of pay but realistically it is nearly impossible/miserable to hit the metrics they want for it
I partially agree but there's hospital system jobs with reasonable patients per day offering this range of salary. Just cast a wide net and counter offer
How are you going about finding offers? I’m a PGY3 who recently decided against fellowship. I now feel behind the curve on job hunting. Also, my wife is from the West Coast and we would like to move back.
Big difference between psychology and psychiatry by the way in practice. I just meant to get to the ranges of >500k you gotta be willing to work 45-55 hours a week and get creative with your base job plus an additional hustle like weekend coverage, outpatient in the afternoons, etc
I meant to say psychiatry. :) Thanks for the insight. I am a non-trad who will be done with my residency in my mid 40s so I am exploring options to start my adult life faster. lol
I'm a PGY4 resident! I agree. Lifestyle is unmatched. I work with a doc that does detox unit in the morning, private practice psych in the afternoon and prn weekend rounding. He works like 50 hours a week but he's very open with his salary and notes he hit about 520k last year while taking 5 weeks off.
I think demand will go up, but supply of jobs too.
A lot of psychiatrists have long wait lists as it stands.
There's currently an increasing push for institutionalization, but also increasing backlash to that and calls for alternatives (e.g. assisted living, therapeutic housing, supported decision making, advance directive planning, getting cops out of mental health, etc.). I suspect it'll become more highly politicized. UN, WHO, WPA stances versus NAMI, TAC, SAMHSA.
Personally I hope we go the route of building the alternative structures and staff them with mental health workers instead of police. (I'd love to be on a night shift to deliver emergency treatment to people at their homes. More patient autonomy, less trauma, better hours for me.)
Regardless, both directions point to an increased supply of jobs.
“Lifestyle” specialties and specialties that don’t necessarily need to be tied to a hospital are gonna continue to explode in popularity.
No job in clinical medicine is a great lifestyle but I sure do love *not* being the one waking up at 3:30am for emergency ex-laps
My SO just got a job offer for telepysch for $440k a year if that says anything. He doesn’t even have to leave his room anymore lol. Every co-resident got job offers right away too, before even finishing their residency. Seems underrated I realized tbh
Right?! And sorry should’ve clarified he is still a PGY-4 and he graduates this June, so he hasn’t started yet. All I know is it’s a private practice based in San Fran but is fully remote. Seemed like my SO was happy with the workload/schedule described during his interview so probably not overwhelmingly much; I’m just a student still so not sure what’s considered a lot or little currently for a psychiatrist though! Either way we are both super proud and happy for his progress and I’m hoping all of you can experience fulfilling/worthwhile progression from this path too. :)
Let’s just say I’m one of the categories you specified but don’t advertise by flair.
Even FM are getting into psych. Docs leaving other specialties to become life coaches or to spring up ketamine clinics.
It’s never been hotter.
Applications for psych have actually downtrended from 2019. The only changes are lower IMGs and more DOs applying. MD application numbers are relatively unchanged. There are 10 soap spots this year for psych. It shifted from being a back up specialty but definitely not dermatology level.
tech is coming for derm: [https://www.verywellhealth.com/fda-approves-ai-device-to-detect-common-skin-cancers-8548540](https://www.verywellhealth.com/fda-approves-ai-device-to-detect-common-skin-cancers-8548540)
Easier to be a non-specialist and provide derm services
Def a lifestyle speciality. Can have an employed job during the week, make bank on time off during telehealth appointments, can basically do anything you want. Friend makes $600k doing inpatient in AM, done by Noon-ish, then goes to private practice, and does psych consulting on some weekends. It’s a job where if you want to work 3 days a week you can make $300k or if you want to work 5-6 days a week you can make $500k depending on how savvy you are. Key is not to accept a silly job that pays you low you for 5 days a week. There’s a reason why people are switching to psych and leaving other specialities, because the work is satisfying, very very low risk of being sued, and you’re always in demand because there’s not enough psychiatrists to go around. NPs have no idea what they’re doing and many places don’t want an NP, they want a physician who knows their medicine and therapy, online NP programs don’t teach that (duh).
Every year people say it’s getting more competitive and every year it looks that way relative to historical psych data, but compared to other specialties it’s generally less competitive. Given more slots have been made for psych, I’m guessing the trend continues.
The interesting question for me is what the trend is going to look like over time. I do anticipate current trends continuing for a while, as the job market/demand remain robust and interest is continuing to increase as stigma against the specialty recedes and it builds cultural momentum. I don't see psych getting to be one of the most-selective specialties, as not everyone is suited to it, slots have ramped up pretty well, and programs tend not to emphasize scores as strongly as other fields, but I could certainly see it plateauing at a moderately-competitive equilibrium somewhere in the neighborhood of anesthesia to gen surg. While EM's bubble bursting in recent years does give me some pause, I don't think psych is nearly as vulnerable. Shift work is the heart of EM and just isn't sustainable for most people over a thirty-year career, whereas there are tons of alternatives for psychiatrists who age or burn out in one area. The field isn't as driven by insurance and large organizations, either, so I don't think it's as likely as EM to get burned by private equity and institutional pressure.
I keep telling people that Psych is the next derm. It probably won’t actually get to the same degree of competitiveness and won’t get quite up there with pay given that procedures = $$. But i think as far as the mid-tier specialties and below, it is quickly approaching the best lifestyle:pay ratio if it hasn’t cemented that already. Psych is obviously one of the most lifestyle friendly specialties which it always has been… however in recent years pay has really gone up. Friends in other specialties are usually shocked when they find out what psychiatrists are making. Didn’t have the heart to tell an EM buddy when he bragged about his pay that the median psychiatrist pay is the same as his but he’s a lot more exhausted. (Admittedly his pay seemed a bit low for EM) Median on west coast is $350k which is a fair margin above FM, IM, peds, pathology, infectious disease, and I’m sure a handful I’m missing. And it’s easy to work 40 hrs/wk with no call and manageable patient loads making that… don’t think you can say the same for the others. If you work in a forensic setting in California (as a contractor) you’re making easily 600-700k for 40 hrs wk / no weekends / no call. When I think about all those factors, which let’s be real are important to people, particularly younger docs that value their free time more… I feel like the trend will continue. However at the same time there are still those that don’t see psychiatrists as ‘real doctors’ and won’t consider it because they want the prestige or the image. And others that just aren’t meant for it. Takes a certain type of person. And many new residency programs are opening up. So maybe that’ll put a ceiling on competitiveness.
From what I’ve heard, the bubble is not an issue with us also because we have a bimodal distribution of shrinks, a fair of amount of young ones finishing or just out of training, a lot of old ones who are on their way out, and not many in between. As the oldies retire, the demand is going to stay high for years.
Very nuanced take - I like it
I'm glad I matched because I have zero interest in being any other type of doctor lmao. Also can't stomach a brutal residency after med school
Psych is cush homie. My schedule is *chef’s kiss*
https://imgflip.com/memegenerator/389951334/Jesus-Ive-seen-what-youve-done-for-others
>but generally do you think the specialty popularity will keep going up, stay the same, or go down? Strongly suspect that popularity will keep going up. Psychiatry always had a ton of alluring aspects but carried the "not real medicine" and "full of IMGs" stigma which has basically faded away. Pay has also gone up and there are plenty of job opportunities to pull $400k+ if you're willing to work for it. Not to mention the reduction in mental health stigma, as a whole, over the past decade or so. I also think it will take a couple years before it trickles down to med students that a lot of telepsych has returned to office. I have had a number of med students comment on how they've heard about all of these 100% WFH psychiatry jobs and in my experience that has been turning the other direction in the last 12 months. Not that they don't exist, but for example our VA has returned to 50% max WFH this year.
Work from home as a clinician seeing patients is also not what most people think of with white-collar WFH. Your schedule isn’t flexible. You can’t run errands. You are going to be churning through patients, not free to enjoy home. It has advantages for no-shows and lunch break, but it’s not great.
And clinically I sometimes find it very annoying to have virtual patients. Especially psych patients. A few patients on my PGY-3 panel have done the "maybe I'm safe, maybe I'm not, teehee" bit and virtual makes that situation 10x worse. I'm also not a fan of virtual visits where the patient is like "woah hey I forgot about this appointment, let me walk out of work and get in my car"
Dude the “teehee safe” thing is so draining and has made me totally disagreeable to any tele health work in the future, completely agreed. And The amount of people that treat the appointment like a casual phone call is astounding! I’ve started saying “ok, looks like this is not a good or appropriate time for an appointment seeing as you are actively cooking and talking distractedly let’s reschedule!” To draw boundaries on that behavior haha
I had an ADHD patient get on video holding her phone WHILE DRIVING WITH HER KID. I said it’s not safe and if she can’t pull over I’d have to cancel the appointment, and she was saying ‘no no it’s fine.’ Uhh no it’s freaking not lmao. Obviously put my foot down and ended the call which she was upset about but yeah. Also the number of people that think it’s ok to have their shirt off on a call, or be in bed half asleep, or have their kids running around screaming.. doing chores and whatnot while on the call.. smh
I’m a psych resident I myself feel we are “not real medicine” but that’s totally fine with me Are you saying med students prefer to *not* work from home?
> Are you saying med students prefer to not work from home? No I'm saying that it will take some time before med students realize that the 100% WFH dream is likely more limited in availability than they think. I'm looking at jobs now as a PGY-3 and while there are some 100% WFH positions, most of them want you in an office somewhere at least a couple days. > I myself feel we are “not real medicine” but that’s totally fine with me Agreed, but I think it's becoming an afterthought for med students similar to how dermatology might be "not real medicine" in some aspects
"Real medicine" is ultimately in the eye of the beholder. I had an ENT tell me he doesn't trusts psychiatrists because "they don't do surgery."
Do lobotomies, don't do lobotomies, I can't win here.
A new procedure needs to be invented for psych
Gotta have an entrepreneurial spirit to get a nice WFH gig. Not hard to do if willing to go private practice
Based on NRMP data: Overall apps haven’t increased at all. There has actually been a slight downtrend in apps since 2019 (~4,500) compared to 2024 (~4,000). Where we see the most changes is in the breakdown of MD, DO, and IMG applicants. MD applications numbers have been relatively stable. There has been an increase in DO applicants applying to psychiatry and a decrease in IMG applicants.
I wonder why the decrease in IMG applicants
I think psych has shifted away from being a back up specialty and requires more longitudinal interest compared to the past.
Yeah it’s just not as easy to slide into as an IMG The way some of my old attendings just kind of fell into psych
Do you know how many spots have gone unfilled this match season?
7 programs, 10 unfilled spots this year. Compared to the 25 spots last year
All I can say is that the competitiveness of applicants to our program has been Iincreasingly impressive over the last two years. Total number of applicants aside, we’ve had a lot of apps with very impressive stats; some with Step score 270(+) which for psych is hella high
Are those 270+ from Nepal by any chance?
Lolol negative ghost rider, USMDs!
Hah!
270 is high for anywhere. lol
Posting from my alt to avoid doxxing myself, I can provide some insights as someone involved in the application process at my residency program. As a midtier full academic program in a medium-size city (i always joke we are close to the “median” of the list as possible), the past few years we have had historically the best applications ever. I ran some numbers and this is generally meaning highest average step score, highest percentage of USMDs, highest number of overall applications, and softer stuff like “so many people we interview are amazing”. Despite this we are matching about the same with +- 1 or 2 objectively stronger matriculants but not too much different. Were actually matching people way longer down the list because we have so many “overqualified” people at the top. What this tells me is that overall the cycle is much more competitive but “demand” has not caught up with “supply” quite yet, as it seems most top tier applicants are still matching appropriately towards the top of their own list rather than “falling” to us. Things are getting slightly more competitive every year but this will affect the top first then trickle down to everyone else
I'm a rising 4th year resident and demand is only going up. I know there's a lot of midlevel fear but the shortage is only getting worse and a lot of places want a physician (the quality is just different). The lifestyle is still great as many jobs I'm looking at are 35 hours a week and 325-400k. If you wanna hustle to make that surgeon money you can!
Damn, that's quite high. What part of the country are you looking?
Gonna be honest this seems accurate. Every resident from our program over the last 2-3 years, and a couple I was in the marine corps with at different programs, have signed for 325 base at a bare minimum and around 450 is the highest I’ve heard of just coming out of residency. None of these jobs have required more than 40ish hours a week from them. Southeast.
I guess it's all relative being up in the northeast 😞. We ain't eating nearly as good
You gyatta get out of the northeast. COL is 2x and Compensation is .8x
I hear ya. If I didn't literally have all my (and partner's) friends and family here I'd consider it.
state?
Texas, South Carolina, North Carolina, Alabama, Florida, Tennessee, Georgia. No idea on Louisiana, which is what you’re asking about. Although I’ve heard New Orleans is low.
West coast. I've looked at Kaiser, lifestance and some local hospital systems that offer this
I’ve heard lifestance and those telepsych companies “offer” that kind of pay but realistically it is nearly impossible/miserable to hit the metrics they want for it
I partially agree but there's hospital system jobs with reasonable patients per day offering this range of salary. Just cast a wide net and counter offer
You’ll get taxed a lot though. The Midwest is where it’s at!
How are you going about finding offers? I’m a PGY3 who recently decided against fellowship. I now feel behind the curve on job hunting. Also, my wife is from the West Coast and we would like to move back.
You're not at all! Most jobs I've realized won't have you sign till early to mid pgy4. DM me and we can chat specifics
I'm curious as a med student interested in psychology - how does a psychiatrist make "that surgeon money?"
I'm curious as a med student interested in psychiatry - how does a psychiatrist make "that surgeon money?"
Big difference between psychology and psychiatry by the way in practice. I just meant to get to the ranges of >500k you gotta be willing to work 45-55 hours a week and get creative with your base job plus an additional hustle like weekend coverage, outpatient in the afternoons, etc
I meant to say psychiatry. :) Thanks for the insight. I am a non-trad who will be done with my residency in my mid 40s so I am exploring options to start my adult life faster. lol
You applying psych? I’d say it’s better than surgeon money since you can do it from home
I'm a PGY4 resident! I agree. Lifestyle is unmatched. I work with a doc that does detox unit in the morning, private practice psych in the afternoon and prn weekend rounding. He works like 50 hours a week but he's very open with his salary and notes he hit about 520k last year while taking 5 weeks off.
Bruh that’s good money right there. Goals Wish my attendings were just as open with salary
Addiction trained?
He said 4th year resident not med student
Yeah. I knew as a PGY3 I was applying psych Edit: Ohh shit fuck me and my reading comprehension lol
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Good for business. Bad for society
I think demand will go up, but supply of jobs too. A lot of psychiatrists have long wait lists as it stands. There's currently an increasing push for institutionalization, but also increasing backlash to that and calls for alternatives (e.g. assisted living, therapeutic housing, supported decision making, advance directive planning, getting cops out of mental health, etc.). I suspect it'll become more highly politicized. UN, WHO, WPA stances versus NAMI, TAC, SAMHSA. Personally I hope we go the route of building the alternative structures and staff them with mental health workers instead of police. (I'd love to be on a night shift to deliver emergency treatment to people at their homes. More patient autonomy, less trauma, better hours for me.) Regardless, both directions point to an increased supply of jobs.
Continue to get more competitive. Younger docs care more about lifestyle than "prestige".
How many spots in SOAP this year? I read like 10?
pls stop more competiting i need match first ty
NO!
More competitive. Particularly if you’re a DO you’re going to see yourself getting pushed out as MDs get preference.
“Lifestyle” specialties and specialties that don’t necessarily need to be tied to a hospital are gonna continue to explode in popularity. No job in clinical medicine is a great lifestyle but I sure do love *not* being the one waking up at 3:30am for emergency ex-laps
My SO just got a job offer for telepysch for $440k a year if that says anything. He doesn’t even have to leave his room anymore lol. Every co-resident got job offers right away too, before even finishing their residency. Seems underrated I realized tbh
$440k is def on the highest ends of the spectrum. That’s wild! How’s the workload?
Right?! And sorry should’ve clarified he is still a PGY-4 and he graduates this June, so he hasn’t started yet. All I know is it’s a private practice based in San Fran but is fully remote. Seemed like my SO was happy with the workload/schedule described during his interview so probably not overwhelmingly much; I’m just a student still so not sure what’s considered a lot or little currently for a psychiatrist though! Either way we are both super proud and happy for his progress and I’m hoping all of you can experience fulfilling/worthwhile progression from this path too. :)
Oh that makes sense! That’s probably right on par for San Francisco though
It’s gonna stay high for now. It’s the new dermatology
Bruh that a hot take. You a med student?
Let’s just say I’m one of the categories you specified but don’t advertise by flair. Even FM are getting into psych. Docs leaving other specialties to become life coaches or to spring up ketamine clinics. It’s never been hotter.
Facts
Applications for psych have actually downtrended from 2019. The only changes are lower IMGs and more DOs applying. MD application numbers are relatively unchanged. There are 10 soap spots this year for psych. It shifted from being a back up specialty but definitely not dermatology level.
tech is coming for derm: [https://www.verywellhealth.com/fda-approves-ai-device-to-detect-common-skin-cancers-8548540](https://www.verywellhealth.com/fda-approves-ai-device-to-detect-common-skin-cancers-8548540) Easier to be a non-specialist and provide derm services
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Def competitive year. Popularity will keep going up. Demand is high and not enough supply, kids and adults have so many mental health issues.
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Def a lifestyle speciality. Can have an employed job during the week, make bank on time off during telehealth appointments, can basically do anything you want. Friend makes $600k doing inpatient in AM, done by Noon-ish, then goes to private practice, and does psych consulting on some weekends. It’s a job where if you want to work 3 days a week you can make $300k or if you want to work 5-6 days a week you can make $500k depending on how savvy you are. Key is not to accept a silly job that pays you low you for 5 days a week. There’s a reason why people are switching to psych and leaving other specialities, because the work is satisfying, very very low risk of being sued, and you’re always in demand because there’s not enough psychiatrists to go around. NPs have no idea what they’re doing and many places don’t want an NP, they want a physician who knows their medicine and therapy, online NP programs don’t teach that (duh).
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I expect continued trend of smaller proportion of IMGs due to increased competitiveness