scholarly journals How Many GP Referrals to Dermatology Outpatients are Really Necessary?

1989 ◽  
Vol 82 (6) ◽  
pp. 347-348 ◽  
Author(s):  
M J Sladden ◽  
R A C Graham-Brown

In a survey of patients referred to the dermatology outpatients department of a British teaching hospital, 26% of referrals were considered unnecessary by a senior house officer with three months practical dermatological experience. We conclude that better undergraduate and postgraduate education in dermatology is essential. A period spent in dermatology should be included in all vocational training schemes for general practice.

1999 ◽  
Vol 5 (3) ◽  
pp. 225-232 ◽  
Author(s):  
Susan Whyte

There have been many changes in postgraduate education in psychiatry over the past 15 years. The Royal College of Psychiatrists was ahead of most other Medical Royal Colleges in organising supervised training schemes which took into account the educational needs of the trainee as well as providing an appropriate service to patients. The approval exercise, with inspection of both basic specialist and higher specialist training schemes, was introduced more than 20 years ago. Prior to the introduction of ‘Achieving a Balance’ – Plan for Action (Department of Health, 1987), the senior house officer (SHO) and registrar grades in psychiatry were more or less interchangeable, although those in registrar posts tended to rotate outwith their base hospital and gain experience in the sub-specialities.


2002 ◽  
Vol 26 (1) ◽  
pp. 3-4 ◽  
Author(s):  
Stephen M. Colgan

When I was appointed to my consultant post nearly 10 years ago I was one of several able candidates. This was the culmination of many years' hard work and I was proud to be working at an inner-city teaching hospital, one where I had trained as a medical student. This was probably the last time that my department was fully staffed, with each year since bringing more challenges. In recent years only one of the specialist registrars I have trained has continued with general psychiatry, with the attractions of old age, liaison and forensic psychiatry seemingly unassailable. My confidence finally reached rock bottom when a senior house officer announced that she no longer wished to continue in psychiatry because the role models we (consultants) set were unattractive. Apparently the image we project is of long hours, unlimited demands, endless risks and little time to practise the art of psychiatry. With the anniversary of my appointment approaching now it seems appropriate to consider why my hard fought for job has all the attractions of the plague.


2001 ◽  
Vol 25 (5) ◽  
pp. 191-193 ◽  
Author(s):  
S. Surlinson ◽  
E. Guthrie

Aims and MethodsTo determine whether the College guidelines in liaison psychiatry are being implemented, a survey of training opportunities at senior house officer (SHO) level was undertaken. A detailed postal survey was conducted in January 2000. Information was collected about the number and nature of SHO liaison psychiatry posts from a wide range of sources.ResultsNationally, 45.5 SHO posts in liaison psychiatry were identified. These were unevenly distributed, with a high number in London. Only five posts were available to general practitioner trainees. Nine regions anticipated an increase in training opportunities. Regional liaison representatives had incomplete knowledge of the availability of liaison training opportunities in their region.Clinical ImplicationsThe College guidelines to incorporate liaison experience into all training schemes have not been implemented. In four regions no training opportunities were identified whatsoever. A national database is needed to monitor training opportunities and inform further development of training posts.


2001 ◽  
Vol 25 (11) ◽  
pp. 449-451 ◽  
Author(s):  
Andrew F. Tarbuck ◽  
Daphne Rumball ◽  
Stephen M. Jones

As part of training for general practice, approximately 40% of junior doctors will undertake a senior house officer (SHO) post in psychiatry (Ratcliffe et al, 1999). The majority of such posts will be within general adult psychiatry. As a result of this general practitioner (GP) trainees often receive little exposure to old age psychiatry or child and adolescent psychiatry. Similarly, although trainees will inevitably gain some experience of substance misuse associated with mental illness, there is little opportunity to develop skills in addressing primary substance misuse disorders and there is a clear need to develop better skills in the recognition and management of psychiatric comorbidity (Commander et al, 1999).


1981 ◽  
Vol 5 (4) ◽  
pp. 73-76

Council have given consideration to the organization of rotational training schemes in psychiatry at senior house officer and registrar level and the assessment of trainees. Council are conscious of the wide range of opinion held within the profession about the content of general professional (i.e. pre-MRCPsych) training and the need for any guidance offered to be sufficiently flexible to accommodate a variety of viewpoints. Nonetheless, it is felt that reasonably clear advice can be given about the main components of general professional training. It is hoped that this report will be helpful to psychiatric tutors and others responsible for organizing training schemes. The College has already issued guidance on some of the matters with which this report is concerned in its pamphlet Educational Programmes for Trainees in Psychiatry and in an article entitled ‘Approval Visits: Guidelines on Criteria and Facilities for Training’ (Bulletin, September 1978, pp 158–59).


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