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The professional status of psychiatrists: good but not great

Published online by Cambridge University Press:  02 January 2018

Jason Luty
Affiliation:
Consultant in Addictions Psychiatry, South Essex Partnership NHS Trust, The Taylor Centre, Queensway House, Essex Street, Southend on Sea, Essex SS4 1RB, e-mail: sl006h3607@blueyonder.co.uk
Daniel Fekadu
Affiliation:
Clinical Lecturer, King's College London, Institute of Psychiatry, London SE5 8AF
John Gallagher
Affiliation:
Centre for Health and Social Care Research, Anglia Polytechnic University, Chelmsford
Okon Umoh
Affiliation:
Specialist Registrar in Psychiatry, The Taylor Centre, Southend on Sea
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Abstract

Type
Columns
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © 2006. The Royal College of Psychiatrists

There are concerns in Britain about the recruitment and retention of medical doctors, especially psychiatrists (Commission for Health Improvement, 2003). One potential explanation is that the profession of psychiatry is stigmatised (Reference Mears, Pajak and KendallMears et al, 2004) and neglected - mental health is still the ‘ poor relation’ (Reference Hoadley, Philip and DillonHoadley et al, 2005).

We recently conducted a postal survey of a representative panel of 412 adults who had been involved in a previous study (mean age 47.5 years (s.d.=17.3), 55% female, 42% in paid employment; Reference Luty, Fekadu and UmohLuty et al, 2006). Participants were asked, ‘We want to find out if you admire and respect the people who do these jobs. Give each profession a mark out of 10 from those you most admire (10) to those you least admire (0).’ This was followed by a list of 26 professions. The results indicate that psychiatry is one of the least stigmatised professions, ranking 8th from top of the group of 26 professions. However, psychiatry was ranked lower than other medical professions such as general practitioner (GP), pathologist and nurse.

We feel that recruitment to psychiatry is likely to remain difficult compared with recruitment to other medical specialties. However, we were pleased that psychiatrists still enjoy a rather privileged position in the eyes of the general public. The ranking order of the 26 professions was: fireman, nurse, GP, schoolteacher, soldier, policeman, pathologist, psychiatrist, social worker, farmer, judge, postman, solicitor, computer programmer, dustbin man, bus driver, car mechanic, accountant, secretary, bank manager, butcher, shop member, member of parliament, estate agent, traffic warden and car salesman.

References

Commission for Health Improvement (2003) What CHI has Found in Mental Health Trusts. London: Commission for Health Improvement.Google Scholar
Hoadley, A., Philip, M. & Dillon, K. (2005) Scoping the Current Problems and Solutions Relating to Consultant Psychiatrist Vacancies, Consultant Recruitment and the Use of Locums in England. London: Sainsbury Centre for Mental Health.Google Scholar
Luty, J. Fekadu, D., Umoh, O., et al (2006) Validation of a short instrument to measure stigmatised attitudes towards mental illness. Psychiatric Bulletin, 30, 257260.CrossRefGoogle Scholar
Mears, A., Pajak, S., Kendall, T., et al (2004) Consultant psychiatrists' working patterns: is a progressive approach the key to staff retention? Psychiatric Bulletin, 28, 251253.CrossRefGoogle Scholar
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