Though I do agree with you about the minimal amount education, experience also plays a huge role. You can have your medical degree but until you have a sufficient amount of experience you’re just not going to be as good as somebody who has been in the field a while. . And those who do have experience tend to move away from state run facilities and go more in the direction of private practice because you earn more money this way. My experience with psychiatry, is via one facility. They just don’t hire experienced people and the people don’t seem to care.