Certainly, feel free to correct me if necessary.
I didn't use the word “incompetent” in describing colleagues. What I said was colleagues “who lack skill”. A young psychiatrist would, as residents do, lack knowledge. I'm not an expert in anorexia. I'm an expert in schizophrenia and bipolar disorders. We all lack knowledge, to some degree, in some areas of the broad areas of medical psychiatric care.
I also said those who lack “perseverance”, and that, I think, is a key point to be made here. I am a subspecialist psychiatrist, and like a subspecialist in any area.... If I have a complicated cancer, I'm off to Princess Margaret hospital in Toronto. I'm not at my local hospital in Barrie. That's partly what I'm talking about.