Career transitions in psychiatry have rarely been discussed openly. Yet, in the light of health care reform and other forces affecting clinical practice, it is more important than ever that psychiatrists have information about the career options within their specialty. Career Pathways in Psychiatry: Transition in Changing Times serves that purpose. It explores the professional development and career choices of prominent American psychiatrists, each of whom is identified with a particular career track and many of whom have themselves experienced one or more career transitions.
The autobiographical accounts of the contributors survey a wide range of career pathways in psychiatry, including clinical practice, HMO practice, research, administration, entrepreneurism, psychoanalysis, organized medicine, the pharmaceutical industry, public psychiatry, occupational psychiatry, forensic psychiatry, and military psychiatry. These accounts are as engaging as they are informative; their anecdotal nature and conversational tone make for pleasurable reading. References at the end of each chapter serve as recommended reading for those who wish to learn more about specific career options.
Intended for psychiatric residents and psychiatrists early in their careers, Career Pathways in Psychiatry will also appeal to their more experienced colleagues, including seasoned clinicians who have contemplated career changes. With a preface summarizing research on career transitions in medicine and numerous chapters shedding light on factors contributing to resistance to change, this book will also be of interest to social scientists, mental health administrators, and professional recruiters.
Table of Contents
1. From Public Health Physician to Private Practitioner (Private Practice) - Naomi Bluestone
2. Psychoanalysis: A Personal Odyssey (Private Practice) - Arnold Richards
3. Getting Rid of Rats (Public Psychiatry) - Carl C. Bell
4. HMO Psychiatry: Not All the Same (HMO Practice) - Richard J. Moldawsky
5. Managing Care (Managed Care) - Michael J. Bennett
6. Why Choose an Academic Career? (Academia) - Michelle Riba
7. The Inveterate NIMH Career Researcher: The Opportunities and Perils of Clinical Research in an Intramural Program (Research) - Robert M. Post
8. Academic-Turned-Administrator: The Psychiatrist-Executive (Administration and Management) - Arthur Lazarus
9. The Other Half of the Equation: A Psychiatrist in the Workplace (Occupational Psychiatry) - Len Sperry
10. Defensive Medicine: A Career in the Air Force (Military Psychiatry) - Richard Fragala
11. Legal Regulation of Practice (Forensic Psychiatry) - Robert L. Sadoff
12. Transition to a New Kind of Academia: Pharmaceutical Medicine, Pharmaceutical R&D (The Pharmaceutical Industry) - Gary D. Tollefson
13. Power, Politics and the Psychiatrist (Organized Medicine and Psychiatry) - Paul Jay Fink
14. The Chinese Menu Track: One from Column A . . . (Health Services and Policy) - Bernard S. Arons
15. Writing and Editing My Way Through Community Psychiatry, the Chronically Mentally Ill, Academic, and Managed Care (Editing and Writing) - John A. Talbott
16. On Being an Entrepreneur (Entrepreneurism) - Kenneth A. Kessler
Arthur Lazarus, M.D., is Medical Director of Northwestern Institute, Fort Washington, PA and Clinical Associate Professor of Psychiatry at Temple University School of Medicine, Phildelphia.
"At a time of major upheaval in psychiatry, Career Pathways offers a practical map for career choice, career change, and professional survival itself. In highly revealing personal stories, the 16 contributors speak to us with the kind of candor and practicality we expect from mentors and personal advisors."
- James E. Sabin, M.D., Harvard Medical School
"Psychiatry is changing rapidly, and the careers of psychiatrists are changing with it. Arthur Lazarus has stimulated 16 leading psychiatrists to tell their stories, and they are fascinating. Psychiatrists involved in private practice, academic leadership, managed care, research, forensics, and the military tell us what their positions feel like from the inside and describe how they attained them. This book will capture the interest of anyone who is, will be, or knows a psychiatrist."
- Robert Michels, M.D., Cornell University Medical College