Psychiatric Bulletin (2002) 26: 197. doi: 10.1192/pb.26.5.197-b
© 2002 The Royal College of Psychiatrists
Psychiatric Bulletin (2002) 26: 197
© 2002 The Royal College of Psychiatrists
Overseas psychiatrists
Hari D. Maharajh, Senior Lecturer
Department of Psychiatry, The University of the West Indies, Mount Hope,
Trinidad, West Indies
Sir: Among the many achievements cited in the President's Report
(Psychiatric Bulletin, December 2001, 25, 487-490), the
initiatives of Professor Cox, President of the College, to engage with
colleagues working in developing countries must be lauded as the dawn of a new
era. Many overseas members perceive themselves as the proverbial lost sheep
eating the crumbs that fall from the College's table. Yet, far removed by
distance from Belgrave Square, many members working overseas in an environment
of non-British trained psychiatrists paradoxically hold total allegiance to
the College and closely follow the proceedings.
It is hoped that this wind of change will result in more collaboration with
overseas members. For example, there is a perception that the adjustment of
membership fees linked to the gross domestic product of member countries is
discriminatory in itself, enabling those from developed countries more
buying power into the College. The reasoning for a sliding scale
is faulty since the sustainable income of psychiatrists in the poorest
developing country is astronomical when compared to the per capita income of
the general population. Arguably, a common membership rate may have been more
equitable.
Nevertheless, the two working parties, one headed by Dr Kendell on
international responsibilities of the College and the other chaired by the
President himself on training and service delivery issues for Black and ethnic
minorities are long overdue and must be welcomed. The chairperson of the new
Ethnic Issues Committee, Dr Parimala Moodley, must be less Eurocentric and
ought to devise a mechanism of incorporating overseas members from the
developing countries into her committee.