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Physician, Psychiatrist


Summary
ActivitiesDiagnose, treat, and help prevent disorders of the mind. Duties include diagnosing the nature and extent of mental disorders, prescribing medication, and conducting tests or examinations to evaluate patients' general physical condition.

OutlookAverage job growth

Median Income$154,200 in 2008

Work Context & ConditionsMany physicians—primarily general and family practitioners, general internists, pediatricians, ob/gyns, and psychiatrists—work in small private offices or clinics, often assisted by a small staff of nurses and other administrative personnel.

Minimum Education RequirementsM.D.
D.O.

SkillsPersuasion, Social Perceptiveness, Learning Strategies, Monitoring, Critical Thinking, Instructing, Active Listening, Writing, Service Orientation, Negotiation, Time Management, Active Learning, Complex Problem Solving, Judgment and Decision Making, Coordination, Reading Comprehension, Speaking, Science

AbilitiesOral Expression, Speech Recognition, Deductive Reasoning, Problem Sensitivity, Written Comprehension, Speech Clarity, Inductive Reasoning, Oral Comprehension

InterviewsDavid T. George



Job Description
Job CategoryHealthcare Practitioners & Technical

Job DescriptionPsychiatrists are the primary caregivers in the area of mental health. They assess and treat mental illnesses through a combination of psychotherapy, psychoanalysis, hospitalization, and medication. Psychotherapy involves regular discussions with patients about their problems; the psychiatrist helps them find solutions through changes in their behavioral patterns, the exploration of their past experiences, and group and family therapy sessions. Psychoanalysis involves long-term psychotherapy and counseling for patients. In many cases, medications are administered to correct chemical imbalances that may be causing emotional problems. Psychiatrists may also administer electroconvulsive therapy to those of their patients who do not respond to, or who cannot take, medications. They prescribe, direct, and administer psychotherapeutic treatments or medications to treat mental, emotional, or behavioral disorders. They examine or conduct laboratory or diagnostic tests on patients to provide information on their general physical condition and mental disorder; and gather and maintain patient information and records, including social and medical history obtained from patients, relatives, and other professionals.

Psychiatrists review and evaluate treatment procedures and outcomes of other psychiatrists and medical professionals and advise and inform guardians, relatives, and significant others of patients' condition and treatment. They prepare case reports and summaries for government agencies.

Some psychiatrists teach, conduct research, and publish findings to increase understanding of mental, emotional, and behavioral states and disorders.

Working ConditionsMany physicians—primarily general and family practitioners, general internists, pediatricians, ob/gyns, and psychiatrists—work in small private offices or clinics, often assisted by a small staff of nurses and other administrative personnel. Increasingly, physicians are practicing in groups or health care organizations that provide backup coverage and allow for more time off. These physicians often work as part of a team coordinating care for a population of patients; they are less independent than solo practitioners of the past.

Surgeons and anesthesiologists typically work in well-lighted, sterile environments while performing surgery and often stand for long periods. Most work in hospitals or in surgical outpatient centers. Many physicians and surgeons work long, irregular hours. Over one-third of full-time physicians and surgeons worked 50 hours or more a week in 2008. Only 9 percent of all physicians and surgeons worked part-time, compared with 16 percent for all occupations. Physicians and surgeons must travel frequently between office and hospital to care for their patients. Those who are on call deal with many patients’ concerns over the phone and may make emergency visits to hospitals or nursing homes.

Salary RangeMedian annual earnings of psychiatrists were $154,200 in 2008. The middle 50 percent earned between $105,400 and $166,400+. The lowest 10 percent earned less than $60,100 and the highest 10 percent earned more than $166,400+.



Education
Education RequiredIt takes many years of education and training to become a physician -- 4 years of undergraduate school, 4 years of medical school, and 3 to 8 years of internship and residency, depending on the specialty selected.A few medical schools offer a combined undergraduate and medical school program that lasts 6 years instead of the customary 8 years.

Premedical students must complete undergraduate work in physics, biology, mathematics, English, and inorganic and organic chemistry. Students also take courses in the humanities and the social sciences. Some students also volunteer at local hospitals or clinics to gain practical experience in the health professions.

The minimum educational requirement for entry to a medical or osteopathic school is 3 years of college; most applicants, however, have at least a bachelor's degree, and many have advanced degrees. There are 129 medical schools in the United States—104 teach allopathic medicine and award a Doctor of Medicine (M.D.) degree; Acceptance to medical school is very competitive. Applicants must submit transcripts, scores from the Medical College Admission Test, and letters of recommendation. Schools also consider character, personality, leadership qualities, and participation in extracurricular activities. Most schools require an interview with members of the admissions committee.

Students spend most of the first 2 years of medical school in laboratories and classrooms taking courses such as anatomy, biochemistry, physiology, pharmacology, psychology, microbiology, pathology, medical ethics, and laws governing medicine. They also learn to take medical histories, examine patients, and diagnose illness. During the last 2 years, students work with patients under the supervision of experienced physicians in hospitals and clinics to learn acute, chronic, preventive, and rehabilitative care. Through rotations in internal medicine, family practice, obstetrics and gynecology, pediatrics, psychiatry, and surgery, they gain experience in the diagnosis and treatment of illness.

After completing medical school, almost all M.D.s enter a residency -- graduate medical education in a specialty that takes the form of paid on-the-job training, usually in a hospital. Most D.O.s serve a 12-month rotating internship after graduation before entering a residency that may last 2 to 6 years.

A physician's training is costly, and although education costs have increased, student financial assistance has not. Over 80 percent of medical students borrow money to cover their expenses.

Recommended High School CoursesMathematics, English

Postsecondary Instructional ProgramsEducation and Training, English Language, Psychology, Sociology and Anthropology, Therapy and Counseling, Chemistry, Philosophy and Theology, Biology, Customer and Personal Service, Medicine and Dentistry

Certification and LicensingM.D.s and D.O.s seeking board certification in a specialty may spend up to 7 years in residency training, depending on the specialty. A final examination immediately after residency or after 1 or 2 years of practice also is necessary for certification by a member board of the American Board of Medical Specialists (ABMS) or the American Osteopathic Association (AOA). The ABMS represents 24 specialty boards, ranging from allergy and immunology to urology. The AOA has approved 24 specialty boards, ranging from anesthesiology to surgery. For certification in a subspecialty, physicians usually need another 1 to 2 years of residency.



Skills, Abilities, & Interests
Interest Area
InvestigativeInvolves working with ideas and requires an extensive amount of thinking.

Work Values
Social StatusLooked up to by others in their company and their community.
AchievementGet a feeling of accomplishment.
VarietyDo something different every day.
Social ServiceDo things for other people.
CreativityTry out your own ideas.
SecurityHave steady employment.
Ability UtilizationMake use of individual abilities.
ActivityBusy all the time.
AutonomyPlan work with little supervision.
RecognitionReceive recognition for the work you do.
CompensationGet paid well in comparison with other workers.
ResponsibilityMake decisions on your own.

Skills
PersuasionPersuade others to approach things differently.
Social PerceptivenessBe aware of others' reactions and understand why they react the way they do.
Learning StrategiesUse multiple approaches when learning or teaching new things.
MonitoringAssess how well someone is doing when learning or doing something.
Critical ThinkingUse logic and analysis to identify the strengths and weaknesses of different approaches.
InstructingTeach others how to do something.
Active ListeningListen to what other people are saying and ask questions as appropriate.
WritingCommunicate effectively with others in writing as indicated by the needs of the audience.
Service OrientationActively look for ways to help people.
NegotiationBring others together and trying to reconcile differences.
Time ManagementManage one's own time and the time of others.
Active LearningWork with new material or information to grasp its implications.
Complex Problem SolvingSolving novel, ill-defined problems in complex, real-world settings.
Judgment and Decision MakingBe able to weigh the relative costs and benefits of a potential action.
CoordinationAdjust actions in relation to others' actions.
Reading ComprehensionUnderstand written sentences and paragraphs in work-related documents.
SpeakingTalk to others to effectively convey information.
ScienceUse scientific methods to solve problems.

Abilities
Oral ExpressionAble to convey information and ideas through speech in ways that others will understand.
Speech RecognitionIdentify and understand the speech of another person
Deductive ReasoningAble to apply general rules to specific problems to come up with logical answers, including deciding whether an answer makes sense.
Problem SensitivityAble to tell when something is wrong or likely to go wrong. This doesn't involve solving the problem, just recognizing that there is a problem.
Written ComprehensionAble to read and understand information and ideas presented in writing.
Speech ClarityAble to speak clearly so listeners understand.
Inductive ReasoningAble to combine separate pieces of information, or specific answers to problems, to form general rules or conclusions. This includes coming up with a logical explanation for why seemingly unrelated events occur together.
Oral ComprehensionAble to listen to and understand information and ideas presented through spoken words and sentences.



More Information
Related JobsNurse, Registered, Teacher, Postsecondary Nursing, and Instructors, Therapist, Recreational, Therapist, Physical, Aide, Psychiatric, Therapist, Occupational, Technician, Psychiatric, Physician Assistant

Job OutlookIn 2008, psychiatrists held about 661,400 jobs. Opportunities for individuals interested in becoming physicians and surgeons are expected to be very good. Reports of shortages in some specialties or geographic areas should attract new entrants, encouraging schools to expand programs and hospitals to expand available residency slots. However, because physician training is so lengthy, employment change happens gradually. In the short term, to meet increased demand, experienced physicians may work longer hours, delay retirement, or take measures to increase productivity, such as using more support staff to provide services. Opportunities should be particularly good in rural and low-income areas, because some physicians find these areas unattractive due to less control over work hours, isolation from medical colleagues, or other reasons.

Unlike their predecessors, newly trained physicians face radically different choices of where and how to practice. New physicians are much less likely to enter solo practice and more likely to take salaried jobs in group medical practices, clinics, and health networks.

More InformationAssociation of American Medical Colleges, Section for Student Services, American Psychiatric Association , American Board of Psychiatry and Neurology, Inc.

ReferencesBureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, 2010-11 Edition, Physicians and Surgeons, on the Internet at http://www.bls.gov/oco/ocos074.htm

O*NET OnLine, on the Internet at
http://online.onetcenter.org/link/summary/29-1066.00