How to Jumpstart Your Child Psychiatry Career

Over the past few years, child and adolescent psychiatrists have experienced a surge in demand due to the pandemic’s impact on children’s mental health. While many parts of the country have suffered from a shortage of child and adolescent providers for many years, the disruptions of COVID-19 have led to an unprecedented mental health crisis. Only last year, the surgeon general declared a national emergency for child and adolescent mental health.

Given this landscape, there are ample opportunities for child psychiatrists to provide help to patients across the U.S. With so many career and development opportunities, it’s critical for you to choose the position that is the best fit for you and your goals.

However, finding a fulfilling, flexible, and impactful job as a child psychiatrist can be difficult. That’s why, we’re here to help you get off to the right start and set yourself up for success (while preventing burnout). Read on to learn how you can find the best culture, setting, and organizational fit for you.

Finding the right care setting for you

There are some environments and work settings that will always have a high demand, like outpatient mental health centers, for example. Many providers go into outpatient care because of their interest in child development. With outpatient work, you can often see a child until they’re an adult and cultivate a long-term relationship with them.

Knowing what type of child and adolescent patient population you want to work with can help you narrow in on what care setting will work best for you.. However, this insight might develop over time. As you go through your career, clarity about whether you want to provide care for a specialty population, a specific age group, or specific diagnoses will become clearer. You might even have a good idea of your preference as early as your residency or medical school rotations. While you’re still early in your child psychiatry career, it’s okay to not have it all figured out yet.

Finding a good organizational fit

Securing a good organizational fit with a telepsychiatry vendor should be one of your biggest priorities as a child psychiatrist. By finding the right fit, you’ll be well positioned to deliver high-quality services to your patients while achieving long-term job satisfaction. However, finding the right position is more than just getting a spot on someone’s team.

When it comes to finding the right position for you at a healthcare organization or telepsychiatry company, asking detailed questions about the systems already in place for their clinicians is key to understanding the type of support and resources you’ll have available.

Here are four questions to ask your next employer to determine whether they’re a good fit for you:

  1. What support structures are available? Knowing what support structures are available to you is crucial to understanding how a given organization treats their providers. Support at a company or organization can look like having someone available to answer your questions, providing equipment for your practice, or even offering PTO and other benefits to their providers (we provide all of that and more for our Iris clinicians).
  2. What is the organization’s turnover rate? A high turnover rate can be a red flag indicating the organization is not meeting their providers’ needs – or, for a telepsychiatry company, making suitable matches for their providers. A low retention rate can raise questions about the workplace culture and values.
  3. Who is responsible for licensing, credentialing, and malpractice insurance? These administrative tasks can seem daunting to do alone. Working with an organization that handles or supports these tasks can make your work life a little easier, giving you time back to be the best child psychiatrist you can be. At Iris Telehealth, we tackle all the licensing, credentialing, and burdensome administrative work so our providers can focus on what they love most – providing exceptional care to their patients.
  4. How does placement work? Here at Iris, we provide matches based on experience, schedule preferences, prescribing philosophies, personality match, and much more.

How telepsychiatry can set you up for success

Telepsychiatry can help close the mental health care gap in rural areas for adults and children alike. For some youth experiencing mental health conditions or increased stress, it can be difficult to access appropriate, effective mental health care.

However, especially early in your career, it is important to learn how to use telepsychiatry effectively – whether or not you’re interested in a position as a full-time telepsychiatrist.

If you are using telepsychiatry with your patients, these tips can help you effectively provide care to your patients:

  1. Establish parameters with parents. When working with children and adolescents, it is vital for child psychiatrists to ask parents to agree to confidentiality rules before treating their young patients. Confidentiality is key to providing effective treatment as it can help build a relationship between you and the patient. The same expectation for confidentiality for in-person visits should be adhered to during virtual appointments.
  2. Check in with the child and parents. It is not safe to assume that adolescents are immediately comfortable with telepsychiatry, even if they are accustomed to technology through video games or social media usage. By checking in with them to see how they’re feeling about this modality, you can alter the method of care as needed and build a strong relationship with your patients.
  3. Adjust your camera setup. It can be helpful to zoom in and out with your equipment to observe kids play. By having the same vantage point as if you were in the office, you can provide better care.

Resources and training opportunities

Continuing medical education (CME) is important to facilitate life-long learning as a provider. By developing your skills and expanding your knowledge as a child psychiatrist, you can improve patient satisfaction and outcomes.

Here are some resources that can help you as you continue your journey as a child psychiatrist:

  1. American Academy of Child and Adolescent Psychiatry (AACAP) Telepsychiatry Toolkit: This toolkit covers a broad range of topics related to the implementation of mental health services for children and adolescents. Some areas include legal and safety issues, setting up your practice, telepsychiatry with children and adolescents, and working with special populations.
  2. AACAP’s Online CME Courses: The AACAP offers multiple self-study courses that can help your individual educational needs through videos and lectures. They also provide a test to gauge your learning.
  3. Medscape’s CME Learning Center: Medscape offers a comprehensive list of resources for child and adolescent psychiatrists. Various topics include telehealth, clinician burnout, management, and providing care to specific populations.

How Iris Telehealth can help

At Iris Telehealth, we take provider placement very seriously. Our matching process is set up to make sure you get placed at the best healthcare organization for your long-term goals, patient preference, and schedule. Your dream job could be here at Iris Telehealth.

We provide equipment, 24/7 tech support, CME credit, and malpractice insurance for our clinicians to support and help them thrive. In addition, we connect our clinicians with providers who can offer long-term career advice. Contact us today to see if our telepsychiatry services are right for you.

Clinician Corner: Meet Dr. Jessica Jeffrey, DO

Iris clinicians are at the heart of what makes our organization such a special place to work. That’s why we’re turning the spotlight on the amazing work they’re doing every day. This month, we’re sitting down to talk with Dr. Jessica Jeffrey.

Q: How did you find Iris and decide you wanted to be an Iris provider?

A: I was working for a community mental health clinic, and when the pandemic hit, we quickly moved to telehealth. It was the first time using telehealth for just about all of us, but I found there was a lot I liked about it. Personally, the schedule worked well for my family. It also worked well for many of my patients, whether they were in rural or urban communities.

For patients in urban areas, telehealth made getting care easier because of the challenges brought on by the COVID-19 pandemic. Telehealth also worked well for patients with conditions that make it difficult to leave their homes and for moms with young children. It was much easier for these patients to see me from their kitchen table and not have to pack up maybe two or three children and bring them to the visit.

So, when I had the opportunity to look for a different type of clinic, I looked for telehealth. I applied to Iris because I happen to know Dr. Milam from my training days. I figured if Dr. Milam was associated with the enterprise, I should probably apply, and I did.

Q: What does a typical day as an Iris Telehealth provider look like for you?

A: I am part of a new initiative with a large enterprise partner in Pennsylvania who serves a wide range of patients in rural communities and some urban areas. They wanted Iris’s help managing the large influx of referrals coming into their clinic. Currently, I’m doing telehealth from home, and I’m working with adults. In the future, I’m probably going to start doing some on-call pediatric work on the weekends.

Before starting the clinic, we spent a lot of time coordinating with the partner and discussing potential issues – whether those issues were related to IT or crisis support. We also spent time working on the scheduling and getting to know the support staff. We talked with the LCSWs from Iris about how we would work as a team and how to triage and manage workflow.

Now that it has started, I mostly spend my time seeing new patients, and we have weekly meetings with the care team to assess what’s working, what’s not working, and how we can make this better.

Q: What do you love about being a telepsychiatry provider?

A: Well, number one, I love being a psychiatrist. I think it’s the most interesting medical specialty there is. There is a fair amount of medicine even within a psychiatry practice, which surprises some people. However, a lot of patients have multiple medical problems and because of the nature of their psychiatric illness, sometimes their physical health is neglected. So, our patients are often fairly sick and there is a lot of coordination with the other specialties, which I enjoy.

Being a psychiatrist is so interesting because you get to know the people and follow them. And outpatient care is like a new chapter in the book in learning about them. I’m very fortunate to be in this specialty.

I like the flexibility of being in telepsychiatry. It’s a little easier for me with my schedule. It’s also easier for the patients, especially for those who are going to have more trouble with transportation, whether it’s the expense of the ride, or not having a car. It’s not for everybody, but we’re doing a good job of making sure that people who are eligible for this kind of service can utilize it.

Q: How do you foster connection with patients virtually?

A: When I first have a visit with a patient, the first few things I tell them are, “Here’s what we’re going to do. If you have any problems with the connection, I’m going to call you right away. Don’t despair if there are problems with the communication or telehealth equipment.” Then, we launch into it. If you’re looking at the camera and talking to someone like they’re a human being, pretty soon it feels like a normal conversation.

I do have the advantage of practicing telehealth in what’s already a FaceTime, Zoom sort of environment. Many of my patients are already pretty familiar with having video chats with their friends and families. So, it’s not much of a leap to talk to the doctor.

Q: As a healthcare professional, how do you manage work-life balance?

A: At the end of the day, I try very hard to stop being Dr. Jeffrey and start being Jessica. I try very hard to keep those boundaries between work. We all have those moments where we’re thinking about a particular patient who was having a hard time when we’re brushing our teeth. But, when I’m off, I’m with my family and doing things I enjoy doing – and when I’m back at work, I’m in that mode, and that’s what I do. In psychiatry it’s important to have those distinct boundaries because there is so much of a human element to what we do. So, you have to be able to leave it in the office.

Q: What are your biggest learnings from your time at Iris?

A: Iris has been a lot of fun so far. The people I’m working with have a good sense of humor. They’ve been refreshingly vocal about maintaining boundaries and work-life balance right out of the gate. When you hear that coming from the administrative side, it’s very appealing for physicians because they don’t feel they’re the only ones advocating for work-life balance. So, I felt really good about that.

Iris has really impressed me in how they think about helping any particular partner. There’s an enormous amount of work that goes into the logistics of putting a new physician in a clinic, and supporting that clinic once it’s up and running. I came to understand that it’s more than just putting someone in the seat and filling a position, it’s the ongoing support with that clinic.

Working for Iris and with this partner is exciting because they’re working with you all along the way, to serve the clinic. This approach is probably quite unique amongst telehealth companies.

Q: Why do you think telepsychiatry is important to the future of mental healthcare?

A: It’s access. Many of the patients we serve, particularly in community mental health and larger university settings, are communities with the most access issues. Telepsychiatry is one of the ways we can bring access to these people — whether it’s meeting people where they are or increasing provider availability. By increasing provider availability, organizations can bring in physicians who may not necessarily be in that area. The expense and time commitment to recruit and bring a physician to a new location is enormous – so if organizations can recruit someone who may not be in that area but is willing to sit down and learn the locality remotely, then you’re improving access to patients.

At Iris, we believe our providers should be respected, valued, and applauded for the work they do, and we couldn’t be more proud to say, “thank you” to our very own Dr. Jeffrey. If you’d like to learn more about working for Iris Telehealth, contact us today.