Which palliative care programs have fellows from psychiatry or are receptive to non trad fields applying (i.e. not limited to IM and FM etc)?
Sorry if this is a little late... but try Mt SinaiI am reaching the final years of my training and still very interested in hospice and palliative medicine...Officially, the ABHPM website says that each fellowship program can determine which specialties it will consider candidates from. Most websites do list off that they consider candidates from all the sponsoring specialties (including the American Board of Psychiatry and Neurology) but I'm not sure if that means they'd really consider everyone equally.
Some program websites do seem to say they are geared toward internists and family practitioners, while still others say they might make exceptions on a "case-by-case" basis and require that some individuals rotate through more months of medicine before starting the fellowship. To complicate this more, there are some palliative fellowships (perhaps "unofficial") that are geared specifically for psychiatry graduates. There are some anecdotal stories out there from psychiatry residents that palliative medicine fellowships may not consider all candidates equally... I suppose I could definitely see some internists imagining that a psychiatry graduate has no clue how to manage "medical issues" (though we do manage our own medical issues all the time on inpatient psychiatry and rotate through medicine wards as interns). Personally, I had 7 months combined of medicine, emergency medicine, and neurology in my intern year.
The irony is that when I read through the curriculum of many palliative fellowships, they mention training fellows in much of what psychiatrists already become really good at as residents, the least of which is taking a palliative approach to geriatric psychiatry/dementia, capacity consults, proxy + ethics issues, family meetings, work-up and relief from delirium, anxiety, insomnia, depression, and so on. I know "hardcore" pain management would be a bit more challenging not coming from a "mediciney" residency perhaps (though even pain fellowships widely accept psychiatrists as we both often treat the "toughest" opiate dependent patients, beyond the reach of Neurontin + TCA's+Cymbalta). Some may argue that much of the chronicity and debilitation treated by psychiatry makes it a "palliative field" at its core.
All of that said, which accredited palliative fellowships are open to psychiatrists in NYC and is the job market for HPM just as saturated as it might be for general adult psychiatry on the isle of Manhattan?