Exploring the Need for Psychiatry Sub-Specialization in Nepal: A Cross-sectional Survey Among Psychiatrists

Introduction: The complexities in the identification and management of mental disorders have demanded sub-specialization. In Nepal, the number of psychiatrists still does not meet the minimum requirement of the psychiatrist- population ratio. There is a dilemma regarding the need for further sub- specialization in psychiatry. This study aimed to assess the perceived need for psychiatry sub-specialization courses among Nepalese psychiatrists. Methods: This cross-sectional descriptive study was conducted via an online survey (using Google Forms) among Nepalese psychiatrists and psychiatry residents. Via the convenience and snowball sampling methods, n=165 completed the semi-structured pro forma. Data was analysed using Statistical Package for Social Sciences (SPSS), presented in frequency and percentage. Results: Among 165 respondents, 99 (60%) were male, 105 (63.60%) were between 30–40 years of age, 125 (75.80%) were psychiatrists, and 138 (83.60%) expressed a need for further sub-specialization, although only 102 (60%) were interested. The primary reason for not pursuing sub-specialization was the need for general psychiatrists. Fellowship in addiction psychiatry was the most frequentlyselected sub-specialty. Conclusions: Most of the participants stated that there is a need for pyschiatry sub-specialization in Nepal.