I am sorry, I didn't want to imply that you are nuts.
I just want to make sure that you understand the gravity of your decision to take a J1 for your training. Similarly, if you told me that you wanted to donate 50% of your gross income for the first three year of practice to charity, I would ask you to make sure that you are of clear mind (and that is in effect what you are doing. By taking a J1, you resign yourself to helping to patch up the gaping holes in the US medical system for 3 years at a discounted salary).
I am actually not that frustrated about my J1. In the meantime I have found a waiver job that pays me almost market rate for my specialty and allows me quite some professional freedom.
If you are 'in status' on your F1, you can change to H1b or J1 while staying in the US. My brother in law just did that (and I told him to get his head examined. The alternative for him would have been a green-card.)
Some people do find good J1 waiver jobs, but most don't. I have been around here for a while and most of the people who had to make the deal with the devil (J1) went through hard times.
addendum:
Just for illustration purposes this very typical case posted today on immigrationportal:
http://www.immigrationportal.com/showthread.php?t=164728
P.S.
Most of the frontal lobe masses going through our hospital come indeed from psychiatry or ophthalmology. Not infrequently patients are picked up on their routine psych admission head CT. Or they are referred for optic nerve edema or abducens palsies.)