Self-Perceived Incompetence in Psychiatric Practice of Practitioners from Southern Thailand: One Year Following Graduation
Keywords:Competency, Psychiatry, General practitioner, Medical education
General psychiatric training is one of the essential requirements for all Thai medical doctors, as declared by the Medical Council of Thailand in 2012. Hence, psychiatric training for medical students must be fulfilled to achieve these requirements. This study was designed to examine the change of subjects and the self-perceived incompetence in psychiatric practice of a cohort of medical doctors who graduated in the academic year of 2017, in concerns to their practices one year after graduation. Most participants were female doctors, with an average age of 25.7 years, and were working in Southern Thailand. Compared with 1 year prior, they showed a statistically significant frequency of physical disorders and increasing stress from their work. The largest topic of psychiatric practice, for which they were statistically more concerned with, concerned child and adolescent psychiatry. Self-perceived incompetence in both diagnosis and treatment significantly increased from graduation, with the exceptions of diagnoses of mental retardation, attention deficit hyperactivity, and tics/Tourette’s disorder. Substance-related disorders in adults, along with basic psychological support, were found to be general practice self-perceived incompetence, at both outpatient clinics and inpatient units. However, practice in adult outpatients at psychiatric clinics mostly demonstrated significantly more self-perceived competence. Moreover, emergency care, especially concerning patient suicide and multi-disciplinary practice, was shown to have increasing self-perceived competence among general practitioners having worked for a year following graduation. This information should be used as feedback for stakeholders in both medical education and mental health care.
- Medical doctors who graduated in southern Thailand the previous year mostly worked in the same part of Thailand and significantly increased stress and physical illness
- Basic psychological support in both outpatient and inpatient unit’s practices, were statistically significantly increased, compared with when the doctors graduated one year earlier
- The general practitioners stated that they had been most concerned with children and adolescent psychiatric practice since they graduated
- Emergency care and multi-disciplinary practice in psychiatric practice were shown to have increasing self-perceived competence among those who graduated M.D. a year before
World Health Organization (WHO), Available at: http://www.who.int/mediacentre/factsheets/ fs396/en, accessed March 2018.
World Health Organization (WHO), Available at: http://www.who.int/mental_health/mhgap/en, accessed March 2018.
S Knaak, E Mantler and A Szeto. Mental illness-related stigma in healthcare: Barriers to access and care and evidence-based solutions. Healthc. Manage. Forum. 2017; 30, 111-6.
M Fleury, L Farand, D Aube and A Imboua. Management of mental health problems by general practitioners in Quebec. Can. Fam. Physician. 2012; 58, 732-8.
G Leavey, M Rosato, K Galway, L Hughes, S Mallon and J Rondon. Patterns and predictors of help-seeking contacts with health services and general practitioner detection of suicidality prior to suicide: a cohort analysis of suicides occurring over a two-year period. BMC Psychiatry 2016; 16, 120.
A Pearson, P Saini, DD Cruz, C Miles, D While, N Swinson, A Williams, J Shaw, L Appleby and N Kapur. Primary care contact prior to suicide in individuals with mental illness. Br. J. Gen. Pract. 2009; 59, 825-32
RK Chaudhary and BP Mishra. Knowledge and practices of general practitioners regarding psychiatric problems. Ind. Psychiat. J. 2009; 18, 22-6.
M Fleury, A Imboua, D Aube, L Farand and Y Lambert. General practitioners’ management of mental disorders: a rewarding practice with considerable obstacles. BMC Fam. Pract. 2012; 13, 19.
The Medical Council of Thailand, Available at: http://www.tmc.or.th/tmc_training.php, accessed March 2018.
C Jatchavala and J Sangkool. A survey concerning the psychiatric practices of medical doctors, who graduated from Prince of Songkla University in 2017. J. Ment. Health. Thai. 2019; 27, 52-64.
C Bergmann, T Muth and A Loerbroks. Medical students’ perceptions of stress due to academic studies and its interrelationships with other domains of life: A qualitative study. Med. Educ. Online 2019; 24, 1603526.
C Jatchavala and J Pitanupong. Resilience in Medical Doctors within the Areas of the Southern Thailand Insurgency. Siriraj Med J. 2019; 71, 228-33.
SM Manohari, PR Johnson and RB Galgali. How to teach psychiatry to medical undergraduates in India? A model. Indian. J. Psychol. Med. 2013; 35, 23-8.
R Frank and F Frank. Teaching child and adolescent psychiatry to undergraduate medical students - a survey in German-speaking countries. Child. Adolesc. Psychiat. Ment. Health 2010; 4, 21.
M Sawyer and F Giesen. Undergraduate teaching of child and adolescent psychiatry in Australia: survey of current practice. Aust. NZ. J. Psychiat. 2007; 41, 675-81.
M Sen and SG Honavar. It’s a doc’s life: Workplace violence against doctors. Indian. J. Ophthalmol. 2019; 67, 981-4.
S Gupta and J Shaw. Development of medication-related counselling skills in senior medical students: a checklist-based approach. BMC Med. Educ. 2019; 19, 335.
How to Cite
Copyright (c) 2021 Walailak University
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.