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from Asia
Published online by Cambridge University Press: 02 January 2018
Lebanon is a western Asian country with an area of 10 452 km2 and a population of around 4 million (excluding the 10 million Lebanese immigrants worldwide). It has approximately 60 psychiatrists, mostly concentrated in the capital, Beirut, although a trend for decentralisation is currently observed. The number of psychiatrists is steadily increasing as postgraduate training centres have been established during the past decade. There are, however, few sub-specialists, owing to a lack of adequate training programmes.
Training
Undergraduate training
Six schools of medicine offer medical undergraduate education. The 7-year curriculum includes courses on psychology, psychopathology, psychotherapies and general psychiatry. A typical example would be the undergraduate training programme at the American University of Beirut Medical School, where the Department of Psychiatry offers an undergraduate course to ‘Med II’ students and a clinical clerkship to ‘Med III’ students, as well as clinical electives to interns and residents. It also provides training and supervision for psychologists. The course covers:
• Psychopathology. A DSM–IV-based course introduces Med II students to normal and abnormal psychological mechanisms as well as the classification and pathophysiology of psychiatric illnesses.
• Clinical clerkship in psychiatry. Third-year medical students spend 1 month working on psychiatric cases and attending morning rounds on a psychiatric service. They are supervised by an attending psychiatrist. Students also attend the psychiatry clinic in the out-patient department, where they see new cases and prepare seminars.
The rotation also includes seminars on psychopathology, case presentation and discussions, interview techniques and basic psychotherapy, as well as psychopharmacology. Seminars are held daily and are supervised by the faculty members.
Postgraduate training
Psychiatrists go through a 4-year postgraduate training programme provided by two universities. This includes a 1-year rotation on medical wards (with a specific focus on neurology) as well as exposure to child, adult and geriatric psychiatry through in-patient psychiatric wards and out-patient facilities. One of these universities (Saint Joseph University, which, since the 1980s, has been affiliated to the Saint Anne Psychiatric University Centre in Paris, France) requires six research subjects, a university diploma in cognitive– behavioural therapy (CBT) and passing a neuropsychiatry examination in order to grant the specialty certificate; the other requires passing the Arab Board of Psychiatry examination (in its three parts).
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