In Australia, we do a common intern year, then most people do a residency year and normally you slot into a training program after that as a registrar. Some people take more time than that to get into the program that they want to get into, as some of them are highly competitive.
Some people change programs after a couple of years of training in one, and start again in another.
I had planned on trying to get into psychiatry ASAP, but part of me really wonders at the wisdom of this.
I am still not 100% sure that this is the direction that I want to go in. I enjoy clinical medicine, too, so I don't know that I want to leave it as much as I would be if I went into psych.
I'm starting to think that it might be a better idea to just see what happens as I go and take my time making my decision. I have gone slowly in every other decision in life, so why should this be any different?