LOL, that's what you think. I've seen some pretty bad regimens. And I've seen some pretty bad regimens because the patient actually has a severe personality disorder. A really good psychopharm might be only marginally better than a merely ok psychopharm, but he/she is vastly better than a substandard psychopharm, which is more frequent than you think.
I don't see how the efficacy question translates into not feeling doctorly. Neurology meds aren't that effective either. Nor are other outpt cognitive specialties like rheum or allergy. I would argue that an outpatient psychopharm practice is very similar in substance to a practice in those specialties. And i'm not sure who "a lot of people" are in not viewing most psychopharms as "real doctors". And in more specialized fields, like addiction, you do physical exams routinely (suboxone induction, HELLO?).
This, parenthetically, is the reason that brand name psychopharms make so much money. If you were that well off high functioning profession with mood d/o, It's your head, wouldn't you want the best of the best to at least be sure that they do an adequate job given that a lot of bad providers are out there? I would argue that a lot of outpatient psychopharm is more similar to a specialized cosmetic specialty, like derm or LASIK. Do you really think derm treatments are THAT effective in delaying aging? Are they not doctors? LOL I'm laughing my ass off.
Given that many of the meds are not panaceas, you would esp. need someone good to figure out exactly what is wrong and what is treatable and what isn't treatable with meds. There is a positive feedback loop between good psychopharm knowledge -> better doctor in general -> more time for the patient because of private setting -> more cases in specialized field -> more expert knowledge that makes you "doctorly", which is precisely issue ("i don't feel doctorly enough as a psychiatrist"), btw, your little rant never addressed.