Psychiatrist – DO/MD

Working conditions

The average psychiatrist spends more than 48 hours each week at work. Professional activities include administration, teaching, consultation and research. Most psychiatrists spend over 60% of their time with patients. Two-thirds of these patients are seen as outpatients, with the rest being seen in a hospital setting or, increasingly, in partial hospital or day programs and community residential programs. Psychiatric hospitalization is now more intense, more focused, and much shorter in duration than in previous years.

Psychiatrists work in group or private practices much the way other physicians do. They also practice in the public sector in Veterans Administration and state hospitals and community mental health centers that are unique to psychiatry. Other settings for psychiatric practice include medical schools, HMOs and general hospitals, as well as specialized psychiatric hospitals.

Salary Range and Outlook

The prospects for finding a good job in this field are excellent for the foreseeable future. There is still a great need for psychiatrists in the public and private care sectors. The Council on Graduate Medical Education designated psychiatry as a shortage specialty and a priority specialty in a recent report. Subspecialists such as child psychiatrists and geriatric psychiatrists are in even greater demand.

Academic requirements

To become a psychiatrist, you first must earn medical degree, after which you can enter a residency program in psychiatry.

Post-graduate education in psychiatry consists of four years of residency training, of which at least three are in psychiatry. During the first year, the resident spends at least four months in general medical care, including internal medicine, family medicine or pediatrics, and at least two months in neurology.

General psychiatry residents spend the next three years rotating through in-patient services, ER or crisis clinic coverage and outpatient services. These experiences are complemented by lectures, seminars and supervision sessions with faculty.

Introductory experiences in public health/community psychiatry, child psychiatry, geriatric psychiatry, substance abuse, forensic psychiatry and consultation/liaison programs are included throughout residency.

Following residency, psychiatrists may select a sub-specialty. Most sub-specialties require a one-year fellowship, although some (such as child/adolescent psychiatry) require two years. Those who complete the fellowships earn certificates of added qualification in one of the following fields:

• Child and adolescent psychiatry
• Geriatric psychiatry
• Addiction psychiatry
• Forensic psychiatry
• Psychosomatic medicine

Advanced training is also available for a number of informal subspecialties, including, among others:

• Community psychiatry
• Emergency psychiatry
• Research psychiatry

Physicians who have completed the residency training requirements are eligible to take the American Board of Psychiatry and Neurology (ABPN) certification examination. The ABPN also issues certificates on psychiatry subspecialties in addition to the general certification.

Psychiatry has developed a number of combined programs with other medical specialties, including internal medicine, neurology and pediatrics. These programs allow for complete training in two specialties in a shorter time period than would be the case otherwise.

Resources

• Watch a video profile about psychiatrists (in the Health Science category).
• American Psychiatric Association
• National Institute of Mental Health