Academic Psychiatry

, Volume 42, Issue 1, pp 173–175 | Cite as

Learning About the Management of Physical Illness During the Postgraduate Training to Become a Good Psychiatrist

  • Toru HorinouchiEmail author
  • Keiichiro Nishida
  • Yukako Nakagami
  • Itta Nakamura
  • Nobuatsu Aoki
  • Masuo Tanaka
  • Muneyuki Suzuki
  • Hironori Kuga
  • Masatoshi Takeda
  • Dinesh Bhugra
  • Norman Sartorius
Feature: Letter to the Editor

To the Editor:

Physical and mental illnesses often go hand-in-hand [1]. Psychiatrists, however, are often not very good at identifying physical illnesses, while physicians and other doctors, on the other hand, are often not very good at identifying mental illness. Still, we are required to meet physical health needs of individuals with mental illness [2].

The increasing prevalence of comorbidity of mental and physical illness and the alarmingly high premature mortality of people with mental illness [3, 4] draw attention to the fact that future psychiatrists must be made competent in dealing with physical illness. By drawing attention to the importance of dealing with physical illness [5], premature mortality can be reduced. However, it is unclear what kind of skills future psychiatrists will need to acquire and how they will be able obtain them.

An opportunity to explore this question presented itself during the 14th Course for Academic Development of Psychiatrists (CADP) held by the...



The authors would like to thank the Japan Young Psychiatrists Organization and the Asian Federation of Psychiatry Association for affording us the opportunity to discuss this issue. Finally, we are grateful to the referees for useful comments.

Compliance with Ethical Standards

Ethical Considerations (E.G., IRB Information, Consent Process, if Applicable)

This study was approved by the IRB of Hokkaido P.W.F.A.C. Kutchan-Kosei General Hospital, which the first author belonged to in March 2015. All participants were informed that we would discard all the private information except for that which pertains to this research and the data would be collectively bound to an anonymous number in advance. Eventually all of them agreed with this research.


All the authors state that there is no direct conflict of interest, although there are some grants, honoraria and positions outside the submitted work as detailed below:

Dr. Horinouchi reports grants from The Naito Foundation, lecture fees from Otsuka, and travel fees from Japan Society of Psychiatry and Neurology. Dr. Nishida has received grant/research support from Mitsubishi Tanabe pharma and has been on the speakers of Sumitomo-Dainippon Pharma, Otsuka, Eisai and Meiji Seika Pharma. Dr. Aoki has received speaker’s honoraria from Daiichi-Sankyo Company, Eli Lilly, Meiji Seika Pharma, and Otsuka. Dr. Nakamura reports grants from Kakenhi Wakate B: grant no. 16 K19772. Dr. Tanaka reports grants from Suntory Global Innovation Co. Dr. Takeda has the current position of director of World Psychiatry Association (WPA). Dr. Bhugra has the current position of president of WPA. Dr. Sartorius has the previous position of president of WPA. Dr. Nakagami, Dr. Suzuki, and Dr. Kuga have nothing to disclose, including indirect conflict of interest.

Funding Sources



  1. 1.
    Mendenhall E, Kohrt BA, Norris SA, et al. Non-communicable disease syndemics: poverty, depression, and diabetes among low-income populations. Lancet. 2017;389(10072):951–63.CrossRefPubMedPubMedCentralGoogle Scholar
  2. 2.
    Bhugra D, Ventriglio A. Mind and body: physical health needs of individuals with mental illness in the 21st century. World Psychiatry. 2017;16(1):47–8.CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    Chesney E, Goodwin GM, Fazel S. Risks of all-cause and suicide mortality in mental disorders: a meta-review. World Psychiatry. 2014;13(2):153–60.CrossRefPubMedPubMedCentralGoogle Scholar
  4. 4.
    Ventriglio A, Gentile A, Stella E, Bellomo A. Metabolic issues in patients affected by schizophrenia: clinical characteristics and medical management. Front Neurosci. 2015;9:297.CrossRefPubMedPubMedCentralGoogle Scholar
  5. 5.
    Union Européenne des médecins specialists: European board of psychiatry. In: European framework for competencies in psychiatry. 2013. Accessed 4 June 2017.

Copyright information

© Academic Psychiatry 2017

Authors and Affiliations

  • Toru Horinouchi
    • 1
    Email author
  • Keiichiro Nishida
    • 2
  • Yukako Nakagami
    • 3
  • Itta Nakamura
    • 4
  • Nobuatsu Aoki
    • 5
  • Masuo Tanaka
    • 6
  • Muneyuki Suzuki
    • 7
  • Hironori Kuga
    • 8
  • Masatoshi Takeda
    • 9
  • Dinesh Bhugra
    • 10
  • Norman Sartorius
    • 11
  1. 1.Hokkaido University Graduate School of MedicineSapporoJapan
  2. 2.Kansai Medical UniversityHirakataJapan
  3. 3.Kyoto University HospitalKyotoJapan
  4. 4.Graduate School of Medical Sciences Kyushu UniversityFukuokaJapan
  5. 5.ShigaHachiman HospitalOmihachimanJapan
  6. 6.Koryo HospitalUbeJapan
  7. 7.Fukuma HospitalFukutsuJapan
  8. 8.Johns Hopkins University School of MedicineBaltimoreUSA
  9. 9.Aino UniversityOsakaJapan
  10. 10.Institute of Psychiatry, Psychology & Neuroscience King’s College LondonLondonUK
  11. 11.The Association for the Improvement of Mental Health ProgrammesGenevaSwitzerland

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