According to a 2021 study, 1 out of every 5 physicians—including psychiatrists—plan to leave their current job within the next 2 years. Additionally, about 1 out of every 3 physicians plan to reduce their working hours.

The reasons are varied: Along with the fear of infection and stress of caring for the public through the Covid-19 pandemic, providers cite burnout, mental health issues like anxiety and depression, and unmanageable workload as reasons for leaving the profession.

Sinsky CA, Brown RL, Stillman MJ, et al. COVID-related stress and work intentions in a sample of US health care workers. Mayo Clin Proc. 2021;5(6):1165–1173.

 

 

Psychiatrists are in a unique position to branch out from typical practice areas if they are dissatisfied with current job requirements. Learning more about alternative career options can help pinpoint potential interests and start the process of change.

 

Administrative psychiatry

 

Physicians interested in a more administrative role within their healthcare network may find a good fit with administrative psychiatry. This subspecialty helps develop and enrich therapeutic environments where providers treat mental illness, developmental disorders, or substance use issues.

 American Association for Psychiatric Administration and Leadership. 2020.

 

 

 

 

Forensic psychiatry

 

The role of the forensic psychiatrist is important to helping mentally ill individuals navigate the country’s legal system.

Arboleda-Flórez J.  Forensic psychiatry: contemporary scope, challenges and controversies. World Psychiatry. 2006;5(2):87–91.

 

Forensic psychiatrists provide expert knowledge covering a variety of legal matters involving offenders, such as fitness to stand trial, readiness for parole, and the impact of injuries or other damages on third parties.

 

Additionally, forensic psychiatrists may be called upon to perform psychological autopsies in cases of suicide or sudden death, or to evaluate a person’s ability to write a will or enter into a contract. 

 

Locum tenens psychiatry

 

Some physicians crave schedule flexibility and the opportunity to try out new positions before committing to permanent placement. A locum tenens job could be perfect for psychiatrists who do not want to settle down into a single practice. Instead, doctors working locum tenens fill in for other psychiatrists based out of hospitals, clinics, and other practice areas.

 

 

 

Organizational psychiatry

 

Work is an essential component of most people’s lives, and organizational psychiatrists help people and organizations both function better in their day-to-day roles. Organizational psychiatrists act as consultants for businesses and their employees. Some of their  functions include the following:

Schouten R. What is organizational and occupational psychiatry? Psychiatric Times. 2004;21(7).

 

 

• Acting as a member of a threat assessment or crisis management team

• Assessing disruptive or impaired employees

• Evaluating employees for fitness for duty

• Helping to develop policies and procedures for the workplace

• Performing disability insurance evaluations

• Reviewing Social Security disability or workers’ compensation records

 

Pain psychiatry

 

Many Americans struggle with chronic pain issues, impacting not only the patient but their families, employers, and society at large. Pain psychiatrists make important contributions to patient care by working to address the psychological consequences—and contributors—to pain, especially pain that does not respond well to traditional treatment.

This model may help chronic pain patients address the full spectrum of their medical issues, calming their emotional state and making further treatment progress possible.