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but do rememember you do not need to be much good at medicine to specialise in psychiatry
because it is all so approximate and vague. It does in fact tend to
attract all the incompetents during medical training because nothing can really be proved right or wrong.
If you are making a lot of errors in surgery as a surgeon or general nursing as a nurse
for instance you tend to change down a few gears to psychiatric services.
Big pharma does tend to just happily pick up most of the checks available as well being a totally non hippocratic oath industry,
and Michael Greger MD does say in his book How Not to Die that
the medical industry is the 3rd leading cause of death in the United States.

Substance-Induced Disorders Decision Tree