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- Posted-Date: Sat, 26 Dec 92 13:57:04 EST
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- Message-ID: <9212261857.AA04149@cattell.psych.upenn.edu>
- Newsgroups: bit.listserv.mdphd-l
- Date: Sat, 26 Dec 1992 13:57:04 EST
- Sender: Dual Degree Programs Discussion List <MDPHD-L@UBVM.BITNET>
- From: Ron Wright <wright@CATTELL.PSYCH.UPENN.EDU>
- Subject: Psychology and Medicine
- Lines: 90
-
- In response to Mark Snyder, let me say that I am one of those
- MD/PhD's in psychology and it is sometimes subversive and sometimes
- just tiring. My PhD is in social/clinical psych and I study social
- cognition, especially in the context of relationships (eg marriage
- or ward mileu). In some ways counselling psych is even more subversive
- because it's less understood by many people (especially psychiatrists) and
- is less traditional than clinical psychology.
-
- I would think that there are many aspects of medicine that would lend
- themselves to combination with counselling psych. Certainly all primary
- care specialties (peds, fam pract, im). Psychiatry is a funny choice. It
- is, of course the one most people will assume you will make. And it is the
- choice I have made. And in some ways I think it would be the most
- subversive -- partly the reason I chose it. But there is also considerable
- duplication of learning experiences, and because of the turf battles, I
- have found the psychiatry people rabid about not cross counting anything
- that could be counted for the psychology degree. I thought for a long time
- about family practice. In my experience they are, as a whole, more
- accepting of psychology in general, and more knowledgeable about
- counselling psychology in particular. They also seem to be, on average,
- the nicest and in many ways the wisest group of practitioners, even tho
- they clearly have less depth in some areas. In terms of a functional
- career where you would be appreciated and able to do your work, family
- practice (or peds or primary care im) might be the most satisfying.
-
- If you like making waves, I would certainly welcome you as a fellow
- traveller in psychiatry/med ed. I have worked out a deal where I am a
- half-time resident (at IU in Indianapolis) and a half-time postdoc (in the
- sociology department at IU in Bloomington). I am just finishing up the 6
- months of "medicine medicine" for the psychiatry internship. I start a
- year of research in January (with Part III of boards in March), then go
- back to do the 6-month psychiatry leg of internship 1/94. I'm not exactly
- sure how things will go after that. I may start splitting up my weeks at
- some point, but for now this "serial monogamy" seems the best route.
-
- I have found the Indianapolis residency quite flexible with me. They have
- agreed to give me redicency credit for some of my research. Just how much
- is still to be worked out. I graduated from the Univ. of Penn. and the
- psychiatry department there also offered me a position, but wanted me to do
- the whole internship without any research, tho they also agreed to both let
- me interspurse (sp?) research and clinical work after the first year and to
- count some of the research toward the residency. I leaned toward Indiana
- for several reasons. Their flexibility seemed greater for one thing and
- the internship (they have several options; I choose a family practice
- service at Methodist Hospital) seemed more humane and hence more of a
- chance for me to learn the medicine I want to learn without being
- chronically abused (and this has been true). But mostly I choose the
- program because the postdoc in Bloomington (unfortunately > 1 hour away)
- was such a great opportunity to get feedback about my work and position me
- to do the research that will eventually get me the job I want (probably a
- combined appointment in PSYCHOLOGY and in medical education), given that I
- did not get you last year when I tried the market.
-
- (As a note, I choose not to go thru the match. Ostensibly, I'm not
- supposed to be negotiating with programs if I'm in the match and I didn't
- want to go somewhere I didn't have a contract with. ALL of the programs I
- was interested in didn't fill thru the match. This may not be true for all
- years, but it's something to think about. I had leaned on the postdoc
- people to give me an answer by match day, so I knew I had that as an option
- if I got no residency, which obviously strengthened my hand and my verv.
- Come match day I got the list of unmatched programs the instant it was
- avaliable (7am) and started faxing letters to people. They all had my CV
- long beforehand and had interviewed me in most cases. (a $100 fax board
- for my computer was a VERY worthwhile investment.) I did all the
- negotiating myself, rather than getting my Dean's office involved, altho
- they offered to help as needed. I think this all worked out pretty well
- for me. One warning: If you don't match, the tradition-bound NBME won't
- send you a Boards III application, so you have to write them yourself.
- Plus there is a 7-year limit between Part I and Part III which I only found
- out after the fact (My program took 10+ years!). (Did any of you read this
- somewhere?) They do make special arrangements for MD-PhDs, but you have to
- get a letter from your program director and by the time I got all of this
- done, I had to pay a late fee and Fed Ex it in and still almost didn't make
- the March deadline.)
-
- Ron
-
- --
- Ron Wright Department of Sociology
- Internet: rowright@ucs.indiana.edu 744 Ballantine Hall
- Bitnet: ROWRIGHT@IUBACS Indiana University
- Phone: 812/333-5679 Bloomington, IN 47405
-
-
-
- --
- Ron Wright Department of Sociology
- Internet: rowright@ucs.indiana.edu 744 Ballantine Hall
- Bitnet: ROWRIGHT@IUBACS Indiana University
- Phone: 812/333-5679 Bloomington, IN 47405
-