Dr. Partha Pratim Kalita
M.D, Ph.D, D.Sc
In the ever-evolving landscape of medicine, not all doctors confine their practice to hospitals. Many neurologists and psychiatrists are expanding their expertise beyond traditional clinical settings, exploring research, innovation, and interdisciplinary fields.
In this discussion, we bring insights from:
Dr. Adrian Wells, M.D, Ph.D
- A renowned neurologist from Boston, Massachusetts, USA, known for his groundbreaking work in neurodegenerative disorders.
Dr. Rachel Thornton, M.D, Ph.D
- A leading psychiatrist from San Francisco, California, USA, specializing in neuropsychiatric research and mental health policy.
They engage in an insightful conversation with:
Dr. Partha Kalita, M.D, Ph.D, D.Sc
- A distinguished neurologist and neurospace scientist from Assam, India, recognized for his pioneering contributions to neuroscience and space medicine.
Through their discussion, they explore why many specialists choose outside hospital settings—diving into cutting-edge research, working in private institutions, or even contributing to fields like aerospace medicine and neurotechnology. Their perspectives shed light on how neurology and psychiatry are evolving beyond conventional hospital-based practice, shaping the future of human health in unexpected ways.
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Why Not All Doctors Work in Hospitals: A Look at Psychiatry & Neurology
Introduction
When we think of doctors, we often picture them working in hospitals, treating emergencies, and performing life-saving procedures. However, not all medical professionals operate within hospital settings—especially specialists in fields like psychiatry and neurology. But why?
To understand this, let’s explore the employment distribution of doctors, the nature of psychiatric and neurological care, and why many professionals choose research centers, private clinics, and specialized neurorehabilitation facilities over hospitals.
How Many Doctors Actually Work in Hospitals?
Not all doctors work in hospitals. Many practice in private clinics, research institutions, government agencies, academia, and corporate settings. Here’s a statistical breakdown of doctor employment:
Global Overview
- Hospitals: About 40-50% of doctors work in hospitals, including public and private hospitals.
- Private Practices & Clinics: Around 30-40% of doctors run or work in private clinics.
- Research & Academia: Approximately 5-10% work in medical research, universities, or teaching hospitals.
- Government & Public Health: Around 5% work in government health departments, policymaking, or military services.
- Corporate & Non-Clinical Roles: A small percentage (~3-5%) work in pharmaceutical companies, insurance, telemedicine, or medical consulting.
Country-Specific Data
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USA (2022, AMA Report)
- Hospitals – 38%
- Private Practices – 45%
- Academic/Research/Public Health – 10%
- Other (corporate, government, etc.) – 7%
-
India (2021, IMA Report)
- Government & Private Hospitals – 35-40%
- Private Clinics – 50%
- Other (Research, NGOs, etc.) – 10%
-
UK (NHS, GMC Data)
- Hospitals (NHS & Private) – 52%
- General Practice (GPs) – 42%
- Other (Research, Policy, etc.) – 6%
These numbers show that a significant portion of doctors work outside hospital settings, particularly in private practice and research institutions. This is even more true for psychiatrists and neurologists.
1. Hospitals Prioritize Acute & Emergency Cases
Hospitals are designed to handle critical, time-sensitive medical conditions such as trauma, heart attacks, strokes, and major surgeries. However, most neurological and psychiatric disorders are chronic and require long-term management rather than emergency intervention.
Psychiatry in Hospitals: Only for Severe Cases
Psychiatric hospitalization is typically reserved for:
- Suicidal or violent patients needing immediate supervision.
- Psychotic breaks requiring intensive inpatient care.
- Severe bipolar or depressive episodes where self-harm is a risk.
However, conditions like anxiety, depression, and personality disorders do not usually require hospitalization. These cases are better managed in community mental health centers, private clinics, and research-based treatment programs.
Neurology in Hospitals: Focus on Critical Cases
Hospitals mainly handle neurological emergencies such as:
- Strokes requiring immediate clot removal or surgery.
- Severe seizures needing emergency intervention.
- Acute brain or spinal cord injuries from trauma.
But chronic conditions like migraines, epilepsy, Parkinson’s, and multiple sclerosis require ongoing, outpatient treatment rather than hospital stays. These conditions benefit more from specialized neurology centers, rehabilitation programs, and continuous care settings.
2. Chronic & Long-Term Conditions Need Continuous Management
Most psychiatric and neurological disorders require lifetime care, ongoing medication adjustments, lifestyle therapy, and rehabilitation. Hospitals are designed for short-term stays, making them less suitable for conditions requiring long-term intervention.
Where Are These Conditions Treated Instead?
- Private Clinics & Specialty Centers – Offer regular consultations and personalized treatment plans.
- Research Institutes – Advance understanding of psychiatric and neurological diseases.
- Telemedicine & Online Consultations – Provide ongoing support remotely, especially for mental health care.
By working outside hospital settings, psychiatrists and neurologists can focus on innovation, deeper healing approaches, and individualized patient care.
3. Not All Hospitals Have Dedicated Psychiatry & Neurology Departments
While large multispecialty hospitals have neurology and psychiatry units, many general hospitals do not. Setting up these departments requires:
- Expensive infrastructure (MRI, EEG, neurorehabilitation equipment).
- Trained specialists (neurologists, psychiatrists, neuropsychologists, and therapists).
- Integrated care teams (speech therapists, occupational therapists, physiotherapists).
Many hospitals prefer to refer psychiatric and neurological patients to specialized centers, where they can receive more comprehensive and long-term treatment.
4. Work-Life Balance & Professional Independence
Unlike hospital-based doctors, psychiatrists and neurologists in private or research settings have:
- More control over their schedules and patient treatment approaches.
- Less emergency work, leading to improved work-life balance.
- Greater ability to focus on research and innovation in treatment methods.
This shift allows for a deeper, more transformative approach to healing, rather than the fast-paced, emergency-driven hospital environment.
Expert Perspective: Why Dr. Parth is Not Working in Any Hospital
To understand this shift further, we spoke with Dr. Parth, founder of AMRQH® Research Centre and AMRQH® Neuro Centre, who specializes in psychiatry and neurology research.
Q: Dr. Parth, why did you choose not to work in a hospital setting?
"Hospital work is focused on acute care—treating emergencies and discharging patients quickly. But in psychiatry and neurology, healing is a long-term process. My focus at AMRQH® is on deep research, advanced treatments, and holistic healing approaches. We aim to address root causes rather than just managing symptoms. This level of care isn’t always possible in a hospital setting."
How AMRQH® is Revolutionizing Psychiatry & Neurology
At AMRQH® Neuro Centre, the approach goes beyond conventional medicine by integrating:
- Ether Technology – Advancing modern medicine with quantum-based healing.
- Cosmic Geometry Healing (Gatih Project) – Creating spaces that enhance neurological and psychological well-being.
- Soil & Life Revitalization (Zerogan® Project) – Recognizing the connection between soil health, human consciousness, and brain function.
- Policy & Preventive Health Strategies – Working with ministries to reduce hospital dependence and enhance holistic well-being.
This pioneering model is reshaping how psychiatry and neurology are approached, moving towards sustainable, consciousness-driven healthcare.
Editor’s Note:
The medical field is evolving, and so are the ways doctors practice. While hospitals remain essential for critical care, specialized fields like psychiatry and neurology thrive in research centers, private clinics, and holistic healing environments. This shift allows professionals to offer long-term, in-depth care that hospitals are not structured to provide.
Explore Amrqh®: Advancing Human Sciences for Conscious Well-being
At Amrqh® (ARKAD MEDICAL RESEARCH QUANTUM HOSPITAL), we are pioneering a shift from conventional medical treatment to a holistic approach centered on human sciences and consciousness. Our initiatives are designed to enhance well-being, integrating ancient wisdom with modern advancements.
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