Child and adolescent psychiatry training in Nepal: early career psychiatrists’ perspective
Abstract Background Nepal is a developing low-income country in Southeast Asia. There is a huge burden of child and adolescent mental health (CAMH) in Nepal which has a population of around 29 million and 40–50% of the population comprises of children and adolescents. Child and Adolescent Psychiatry...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2020-04-01
|
| Series: | Child and Adolescent Psychiatry and Mental Health |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13034-020-00319-5 |
| _version_ | 1818923715095691264 |
|---|---|
| author | Utkarsh Karki Yugesh Rai Gunjan Dhonju Eesha Sharma Preeti Jacob John Vijay Sagar Kommu Shekhar P. Seshadri |
| author_facet | Utkarsh Karki Yugesh Rai Gunjan Dhonju Eesha Sharma Preeti Jacob John Vijay Sagar Kommu Shekhar P. Seshadri |
| author_sort | Utkarsh Karki |
| collection | DOAJ |
| description | Abstract Background Nepal is a developing low-income country in Southeast Asia. There is a huge burden of child and adolescent mental health (CAMH) in Nepal which has a population of around 29 million and 40–50% of the population comprises of children and adolescents. Child and Adolescent Psychiatry (CAP) has not been formally recognized as a subspecialty in Nepal and there is no standardized curriculum for CAP training. The objectives of the survey were to identify the current status of training, shortfalls and to explore the training experiences of early career psychiatrists (ECPs) in Nepal. Methods The participants were ECPs in Nepal. An online questionnaire was created consisting of 20 questions including 3 questions requiring an answer indicating a level of agreement scored on a ten-point scale. Questionnaire using google form was e-mailed with the uniform resource locator (URL). Respondents anonymously answered the questions. The survey was open from 01/01/2019 to 01/04/2019. Results Response rate was 83.69%. Around 42% (n = 32) were trainees in Doctor of Medicine (MD) Psychiatry and 58% (n = 45) of respondents had completed their MD Psychiatry. More than half of the ECPs had not received formal training specific to CAP. Seventy percent (n = 54) ECPs reported that their current workplace did not have a specific unit to address psychological problems in children and adolescents. However, 62% (n = 48) of ECPs came across 10 CAP cases per week. On a ten-point scale, mean score of ECPs confidence in diagnosing, management and overall confidence in CAP cases were 5.18 ± 1.56, 4.58 ± 1.59 and 4.67 ± 1.62 respectively. Fifty-four percent (n = 42) of respondents rated their training as limited and 74% (n = 57) of them wanted additional training in CAP. Psychological intervention, psychotherapy and a fellowship course were the additional training most of the ECPs wanted to receive. Conclusion Despite significant exposure to CAP patients in daily practice, ECPs self-evaluated their training as inadequate and there is no standardized CAP training program in Nepal for ECPs. The desire of ECPs to receive additional training in CAP is highly encouraging and positive. We advocate for the development and incorporation of CAP training in current psychiatry training to fulfill these unmet training needs in Nepal. |
| first_indexed | 2024-12-20T02:13:50Z |
| format | Article |
| id | doaj.art-4df1ec67ab1e4aeebd5b0117573de218 |
| institution | Directory Open Access Journal |
| issn | 1753-2000 |
| language | English |
| last_indexed | 2024-12-20T02:13:50Z |
| publishDate | 2020-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Child and Adolescent Psychiatry and Mental Health |
| spelling | doaj.art-4df1ec67ab1e4aeebd5b0117573de2182022-12-21T19:56:59ZengBMCChild and Adolescent Psychiatry and Mental Health1753-20002020-04-011411610.1186/s13034-020-00319-5Child and adolescent psychiatry training in Nepal: early career psychiatrists’ perspectiveUtkarsh Karki0Yugesh Rai1Gunjan Dhonju2Eesha Sharma3Preeti Jacob4John Vijay Sagar Kommu5Shekhar P. Seshadri6Department of Child and Adolescent Psychiatry, National Institute of Mental Health and Neuro SciencesEssex Partnership University NHS TrustChild and Adolescent Psychiatry Unit, Kanti Children’s HospitalDepartment of Child and Adolescent Psychiatry, National Institute of Mental Health and Neuro SciencesDepartment of Child and Adolescent Psychiatry, National Institute of Mental Health and Neuro SciencesDepartment of Child and Adolescent Psychiatry, National Institute of Mental Health and Neuro SciencesDepartment of Child and Adolescent Psychiatry, National Institute of Mental Health and Neuro SciencesAbstract Background Nepal is a developing low-income country in Southeast Asia. There is a huge burden of child and adolescent mental health (CAMH) in Nepal which has a population of around 29 million and 40–50% of the population comprises of children and adolescents. Child and Adolescent Psychiatry (CAP) has not been formally recognized as a subspecialty in Nepal and there is no standardized curriculum for CAP training. The objectives of the survey were to identify the current status of training, shortfalls and to explore the training experiences of early career psychiatrists (ECPs) in Nepal. Methods The participants were ECPs in Nepal. An online questionnaire was created consisting of 20 questions including 3 questions requiring an answer indicating a level of agreement scored on a ten-point scale. Questionnaire using google form was e-mailed with the uniform resource locator (URL). Respondents anonymously answered the questions. The survey was open from 01/01/2019 to 01/04/2019. Results Response rate was 83.69%. Around 42% (n = 32) were trainees in Doctor of Medicine (MD) Psychiatry and 58% (n = 45) of respondents had completed their MD Psychiatry. More than half of the ECPs had not received formal training specific to CAP. Seventy percent (n = 54) ECPs reported that their current workplace did not have a specific unit to address psychological problems in children and adolescents. However, 62% (n = 48) of ECPs came across 10 CAP cases per week. On a ten-point scale, mean score of ECPs confidence in diagnosing, management and overall confidence in CAP cases were 5.18 ± 1.56, 4.58 ± 1.59 and 4.67 ± 1.62 respectively. Fifty-four percent (n = 42) of respondents rated their training as limited and 74% (n = 57) of them wanted additional training in CAP. Psychological intervention, psychotherapy and a fellowship course were the additional training most of the ECPs wanted to receive. Conclusion Despite significant exposure to CAP patients in daily practice, ECPs self-evaluated their training as inadequate and there is no standardized CAP training program in Nepal for ECPs. The desire of ECPs to receive additional training in CAP is highly encouraging and positive. We advocate for the development and incorporation of CAP training in current psychiatry training to fulfill these unmet training needs in Nepal.http://link.springer.com/article/10.1186/s13034-020-00319-5Child and adolescent psychiatryTrainingEarly career psychiatristsNepalLow income country |
| spellingShingle | Utkarsh Karki Yugesh Rai Gunjan Dhonju Eesha Sharma Preeti Jacob John Vijay Sagar Kommu Shekhar P. Seshadri Child and adolescent psychiatry training in Nepal: early career psychiatrists’ perspective Child and Adolescent Psychiatry and Mental Health Child and adolescent psychiatry Training Early career psychiatrists Nepal Low income country |
| title | Child and adolescent psychiatry training in Nepal: early career psychiatrists’ perspective |
| title_full | Child and adolescent psychiatry training in Nepal: early career psychiatrists’ perspective |
| title_fullStr | Child and adolescent psychiatry training in Nepal: early career psychiatrists’ perspective |
| title_full_unstemmed | Child and adolescent psychiatry training in Nepal: early career psychiatrists’ perspective |
| title_short | Child and adolescent psychiatry training in Nepal: early career psychiatrists’ perspective |
| title_sort | child and adolescent psychiatry training in nepal early career psychiatrists perspective |
| topic | Child and adolescent psychiatry Training Early career psychiatrists Nepal Low income country |
| url | http://link.springer.com/article/10.1186/s13034-020-00319-5 |
| work_keys_str_mv | AT utkarshkarki childandadolescentpsychiatrytraininginnepalearlycareerpsychiatristsperspective AT yugeshrai childandadolescentpsychiatrytraininginnepalearlycareerpsychiatristsperspective AT gunjandhonju childandadolescentpsychiatrytraininginnepalearlycareerpsychiatristsperspective AT eeshasharma childandadolescentpsychiatrytraininginnepalearlycareerpsychiatristsperspective AT preetijacob childandadolescentpsychiatrytraininginnepalearlycareerpsychiatristsperspective AT johnvijaysagarkommu childandadolescentpsychiatrytraininginnepalearlycareerpsychiatristsperspective AT shekharpseshadri childandadolescentpsychiatrytraininginnepalearlycareerpsychiatristsperspective |