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Flying solo in Myanmar: case study on challenges and important lessons learned by an early career psychiatrist in a district setting

  • Su Myat Yadanar (a1), Nay Chi Htoo (a2), Thant Zaw (a3), Nicholas Tze Ping Pang (a4), Sze Hung Chua (a5) and Jiann Lin Loo (a4)...

Abstract

The transition from trainee early career psychiatrist (ECP) to independent practitioner can be challenging. Upon completion of training in well-equipped academic settings, an ECP from Myanmar is required to serve in a divisional hospital for at least 3 years. Significant challenges are faced by ECPs practising solo in divisional hospitals, including inexperience in administrative aspects, lack of future-proof training, scarcity of resources and facilities, struggles in the provision of holistic biopsychosocial treatment, work–life imbalance, and limited career advancement and access to continuous training. The solutions tried thus far include the incorporation of information and communication technology in training, gathering support and distant supervision from both local and international settings, and task shifting. Bigger challenges are often rewarded by faster growth, and difficult times stimulate creative solutions. The sacrifice of these solo ECPs has significantly improved the mental health service of Myanmar district regions.

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This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.

References

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1Fiorillo, A, Da Costa, MP, Nakamae, T, Puspanathan, P, Riese, F, Picon, F, et al. Associations of early career psychiatrists worldwide: history, role, and future perspectives. Middle East Curr Psychiatry 2016; 2: 39.
2World Psychiatric Association. Terms of Reference of the WPA Early Career Psychiatrists Section. WPA, 2015 (updated 2017) (https://www.wpanet.org/early-career-psychiatrists [cited Mar 7 2020]).
3Fiorillo, A, Malik, A, Luciano, M, Del Vecchio, V, Sampogna, G, Del Gaudio, L, et al. Challenges for trainees in psychiatry and early career psychiatrists. Int Rev Psychiatry 2013; 25(4): 431–7.
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Flying solo in Myanmar: case study on challenges and important lessons learned by an early career psychiatrist in a district setting

  • Su Myat Yadanar (a1), Nay Chi Htoo (a2), Thant Zaw (a3), Nicholas Tze Ping Pang (a4), Sze Hung Chua (a5) and Jiann Lin Loo (a4)...

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