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Mihai A, Trandafir SM, Duica L, Mihai A, Lungu C, Pirlog MC. Romanian psychiatric residents' opinions on factors that influence their decision to emigrate: A 5-year follow-up study. Asia Pac Psychiatry 2021; 13:e12507. [PMID: 34967116 DOI: 10.1111/appy.12507] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/11/2021] [Accepted: 12/11/2021] [Indexed: 11/30/2022]
Abstract
INTRODUCTION To evaluate the situation of migration of psychiatrists from Romania and a prioritization exercise of main factors related with psychiatric residents' decision to emigrate could be a starting point of elaboration of a strategy of reforms. Important changes have been done in economic status of residents in 2018. The impact of these measures in changing opinions was checked. METHODS This is a cross sectional evaluation study on a randomized selected sample of Romanian psychiatric residents' opinions on factors that influence decision of migration in EU countries in two time points, 2015 and 2020. RESULTS Thirty-eight percent of residents intend to work abroad comparing with 78% before the economic changes (25.8% vs. 71.7% for a limited period of time and 15.7% vs. 28.3% intend to emigrate) and 2% vs. 5% intend to leave the specialty. The important factors for decision to emigrate changed from "Better working conditions" (15.7% vs. 37.3% residents) to "Better training"; the factor "respect and appreciation by colleagues" remained important for 19.1% versus 17.9%. "Lack of working place for partner" was considered by 26.7% of responders as an important disadvantage of working abroad. "Being far from family members", which was considered 5 years ago by 64.2% of responders as an important disadvantage of working abroad, nowadays concerns only 6.7%, probably because it seems easier to go abroad together with the family members. CONCLUSIONS The factors (better training in psychiatry and psychotherapy, better supervision, more involvement in research) that influence the residents' decision to emigrate represent the starting points for future reforms in educational and medical system in psychiatry.
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Affiliation(s)
- Adriana Mihai
- George Emil Palade University of Medicine, Pharmacy, Science and Technology, Targu Mures, Romania
| | | | - Lavinia Duica
- Faculty of Medicine, University Lucian Blaga of Sibiu, Sibiu, Romania
| | - Alex Mihai
- County Clinical Emergency Hospital Cluj Napoca, Cluj Napoca, Romania
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Sampogna G, Fiorillo A, Wasserman D. How to improve the quality of World Psychiatric Association educational activities? Results from an online survey with World Psychiatric Association zonal representatives. Asia Pac Psychiatry 2021; 13:e12497. [PMID: 34873846 DOI: 10.1111/appy.12497] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/29/2021] [Accepted: 09/29/2021] [Indexed: 12/26/2022]
Abstract
INTRODUCTION The World Psychiatric Association (WPA), a global association representing 145 psychiatric societies in 121 countries, has a specific focus on education and learning, promoting educational programs on a regular basis. Education in mental health is a continuously evolving phenomenon, although it happens quite often that it is still based on a knowledge formed in the last century and with the latest scientific updates mainly available in English. The WPA is constantly committed in improving and updating the type of educational materials available and ready to be disseminated worldwide. METHODS An online survey has been developed and sent to the 18 WPA zonal representatives in order: to evaluate the educational needs for mental health, to translate materials into native languages or inclusivity, and to prioritize educational activities to be developed by the WPA in the next years. RESULTS Fifteen out of the 18 zonal representatives participated in the study. According to the public mental health perspective, collaboration with general practitioners (GPs) (80%), communities/stakeholders (66.7%) and programs for promoting mental health in schools (53.3%) are the most prioritized activities carried out. Programs for suicide prevention (86.7%) and promotion of mental health and well-being in the general population (66.7%) are considered as the most relevant to be implemented. From the healthcare perspective, new knowledge on pharmacological and non-pharmacological interventions (73%) was requested. The educational packages are mostly available in the English language, although respondents prioritize the translation of WPA educational material into, at least, Spanish and French. The most preferred formats for educational activities are webinar live (80%) and key opinion lectures (66.7%). CONCLUSIONS These findings represent the first step in the continuing promotion of education carried out by the WPA. We aim to run these kinds of initiatives from time to time in order to adapt themes and topics of these materials to the real educational needs of all mental healthcare professionals worldwide.
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Affiliation(s)
- Gaia Sampogna
- Department of Psychiatry, University of Campania "L. Vanvitelli", Naples, Italy
| | - Andrea Fiorillo
- Department of Psychiatry, University of Campania "L. Vanvitelli", Naples, Italy.,Chair WPA Section on Education in Psychiatry, World Psychiatric Association, Geneva, Switzerland
| | - Danuta Wasserman
- National Centre for Suicide Research and Prevention of Mental Ill-Health, Karolinska Institutet, Stockholm, Sweden.,WPA President Elect, World Psychiatric Association, Geneva, Switzerland
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El Halabi S, Abbas Z, Adesokun F, Adiukwu F, Ashrafi A, de Filippis R, Handuleh J, Jaguga F, Karaliuniene R, Kilic O, Nagendrappa S, Ojeahere M, Ogunnubi OP, Őri D, Orsolini L, Pereira-Sanchez V, Pinto da Costa M, Ransing R, Shoib S, Ullah I, Vadivel R, Vahdani B, Ramalho R. How to overcome barriers to publication in low- and middle-income countries: Recommendations from early career psychiatrists and researchers from around the world. Asia Pac Psychiatry 2021; 13:e12495. [PMID: 34873850 DOI: 10.1111/appy.12495] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/29/2021] [Accepted: 09/29/2021] [Indexed: 12/01/2022]
Abstract
There is an increasing movement toward international collaboration and global discussion in mental health. If provided with the right opportunities, early career psychiatrists (ECPs) and researchers in mental health can contribute meaningfully to this discussion. However, they often experience multiple barriers when attempting to add their voices via academic publications. We represent a diverse group of ECPs and researchers from all six World Health Organization regions. In this piece, we discuss these barriers, grounded in our first-hand experiences, and put forth a series of recommendations. The most potentially beneficial and immediate way forward is ensuring a much-needed mentorship and support, particularly for low- and middle-income countries. In this regard, international organizations, especially those with a particular focus on education, such as the Section on Education in Psychiatry of the World Psychiatric Association, can play a pivotal role.
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Affiliation(s)
- Sarah El Halabi
- Department of Psychiatry, Westchester Medical Center, Valhalla, New York, USA
| | - Zargham Abbas
- Department of Psychiatry, University of Missouri-Kansas City, Kansas City, Missouri, USA
| | - Fisayo Adesokun
- Department of NeuroPsychiatry, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria
| | - Frances Adiukwu
- Department of Mental Health, University of Port Harcourt, Port Harcourt, Rivers State, Nigeria.,Child and Adolescent Unit, Department of Neuropsychiatry, University of Port Harcourt Teaching Hospital, Rivers State, Nigeria
| | - Agaah Ashrafi
- Department of Psychiatry, Tehran, University of Medical Sciences, Tehran, Iran
| | - Renato de Filippis
- Psychiatry Unit, Department of Health Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy
| | - Jibril Handuleh
- Department of Psychiatry, Amoud University, Borama, Somaliland
| | - Florence Jaguga
- Department of Mental Health, Moi Teaching & Referral Hospital, Eldoret, Kenya
| | - Ruta Karaliuniene
- Elblandklinikum Radebeul, Academic Hospital Technical University Dresden, Dresden, Germany
| | - Ozge Kilic
- Department of Psychiatry, Bezmialem Vakif University Faculty of Medicine, Istanbul, Turkey
| | - Sachin Nagendrappa
- Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bengaluru, India
| | - Margaret Ojeahere
- Department of Psychiatry, Jos University Teaching Hospital, Jos, Plateau State, Nigeria
| | | | - Dorottya Őri
- Department of Mental Health, Heim Pal National Pediatric Institute, Budapest, Hungary
| | - Laura Orsolini
- Unit of Clinical Psychiatry, School of Medicine and Surgery, Department of Neurosciences/DIMSC, Polytechnic University of Marche, Ancona, Italy
| | - Victor Pereira-Sanchez
- Department of Child and Adolescent Psychiatry, NYU Grossman School of Medicine, New York, New York, USA.,Department of Psychiatry, NYSPI-Columbia University, New York, New York, USA.,Department of Psychiatry, School of Medicine and Surgery and School of Postgraduate Studies and Research, Amoud University, Borama, Somaliland
| | - Mariana Pinto da Costa
- Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.,Institute of Biomedical Sciences Abel Salazar, University of Porto, Porto, Portugal
| | - Ramdas Ransing
- Department of Psychiatry, BKL Walawalkar Rural Medical College, Ratnagiri, Maharashtra, India
| | - Sheikh Shoib
- Department of Psychiatry, Jawahar Lal Nehru Memorial Hospital, Srinagar, Kashmir, India
| | - Irfan Ullah
- Kabir Medical College, Gandhara University, Peshawar, Pakistan
| | - Ramya Vadivel
- Waikato Hospital, Waikato District Health Board, Hamilton, New Zealand
| | - Bita Vahdani
- Department of Psychiatry, University of Tehran, Tehran, Iran
| | - Rodrigo Ramalho
- Department of Social and Community Health, School of Population Health, The University of Auckland, Auckland, New Zealand
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Baessler F, Sartorius N, Javed A, Tasman A, Coskun B, Frydecka D, Kazakova O, Sampogna G, Zhabenko O, Koelkebeck K, Hepdurgun C, Zafar A, Fiorillo A. Training the trainers: Finding new educational opportunities in the virtual world. Asia Pac Psychiatry 2021; 13:e12499. [PMID: 34873842 DOI: 10.1111/appy.12499] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/05/2021] [Accepted: 10/05/2021] [Indexed: 01/11/2023]
Abstract
The COVID-19 pandemic has disrupted scientific gatherings and conferences, opening up opportunities for virtual learning platforms. Realizing the potential of online academic exchanges, the World Psychiatric Association (WPA) also developed virtual avenues and information systems for capacity building of mental health professionals across the world. Among its first such initiatives, the WPA organized a virtual Train the Trainers workshop, where 123 psychiatrists, psychiatric trainees, and educators from 45 countries participated. The innovative and interactive workshop allowed participants to get to know each other, exchange educational and professional experiences, and ask questions or receive advice from experts. Keynote speakers, including WPA President Prof. Afzal Javed and Prof. Norman Sartorius, stressed upon the importance of finding innovative solutions in psychiatry training and the need to improve teaching and training in the field of psychiatry, especially in the provision of leadership and communication skills. Online training methods can provide easy access to academics and students while reducing the organizational and logistical costs. They have the potential to improve educational equality and allow the voice of the underprivileged scientists to be heard across the globe. The devastating impact on access to mental health services during COVID-19 underscores the urgent need for online training, particularly in countries where the ratio of psychiatrists to patients is inadequate and doctors concentrate more on treatment than on research and education. Virtual educational interventions could prove incredibly useful in the future just as they are being successfully utilized in local and regional contexts during the pandemic.
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Affiliation(s)
- Franziska Baessler
- Center for Psychosocial Medicine, Department of General, Internal and Psychosomatic Medicine, Heidelberg University Hospital, Heidelberg, Germany.,Heidelberg Academy of Sciences and Humanities, Heidelberg, Germany
| | - Norman Sartorius
- Association for the Improvement of Mental Health Programmes (AMH), Geneva, Switzerland
| | - Afzal Javed
- Pakistan Psychiatric Research Centre, Fountain House, Lahore, Pakistan
| | - Allan Tasman
- Department of Psychiatry and Behavioural Sciences, University of Louisville, Louisville, Kentucky, USA
| | - Bulent Coskun
- Association for Community Mental Health Promotion, Kocaeli, Turkey
| | - Dorota Frydecka
- Department of Psychiatry, Wroclaw Medical University, Wroclaw, Poland
| | - Olga Kazakova
- Master's Programme in Public Health, Faculty of Medicine, Lund University, Lund, Sweden
| | - Gaia Sampogna
- Department of Psychiatry, University of Campania L. Vanvitelli, Naples, Italy
| | | | - Katja Koelkebeck
- LVR-Hospital Essen, Department of Psychiatry and Psychotherapy, Medical Faculty, University of Duisburg-Essen, Essen, Germany
| | - Cenan Hepdurgun
- Department of Psychiatry, School of Medicine, Ege University, Izmir, Turkey
| | - Ali Zafar
- Center for Psychosocial Medicine, Department of General, Internal and Psychosomatic Medicine, Heidelberg University Hospital, Heidelberg, Germany.,Heidelberg Academy of Sciences and Humanities, Heidelberg, Germany
| | - Andrea Fiorillo
- Department of Psychiatry, University of Campania L. Vanvitelli, Naples, Italy
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