scholarly journals Training in community psychiatry — a year's experience

1989 ◽  
Vol 13 (8) ◽  
pp. 445-447 ◽  
Author(s):  
Katy Malcolm
Keyword(s):  
Psychiatric Care ◽  
Community Psychiatry ◽  
Working Party ◽  
Training Programme ◽  
Psychiatry Training ◽  
Community Based ◽  
Definition Of ◽  
Training Programmes ◽  
Subjective View ◽  
Changing Role

As the move towards community based psychiatry gathers momentum, it becomes increasingly important that psychiatrists are adequately trained to take on their changing role in the new model of psychiatric care (Sturt & Waters, 1985;Lancet, 1985). Indeed, it has been recommended that “every psychiatrist should be familiar with the conduct of community psychiatry” (Freeman, 1985). Difficulties arise, however, due to the fact that there is no accepted definition of the practice of community psychiatry (Fink & Weinstein, 1979) let alone well established training programmes designed to equip future community psychiatrists to practise competently. Not surprisingly, few psychiatrists are satisfied with their community psychiatry training. Brook (1981) reported that only 38% considered their community psychiatry to be adequate in quantity and suitably supervised. Even then, their subjective view may not have reflected the actual adequacy of their training. Nevertheless, useful guidelines have been drawn up by the Collegiate Trainees Committee Working Party (Scott, 1988), outlining what would constitute a rounded training programme in community psychiatry. However, there is scant literature evaluating the usefulness of the few existing posts providing such experience

scholarly journals Recommendations on Training in Social and Community Psychiatry in SHO| Registrar training schemes

1987 ◽  
Vol 11 (6) ◽  
pp. 213-213 ◽  
Keyword(s):  
Community Psychiatry ◽  
Working Party ◽  
Companion Paper ◽  
Senior Registrar ◽  
General Psychiatry ◽  
Training Schemes ◽  
Set Up ◽  
Training Programmes ◽  
Registrar Training ◽  
Made In

1. These recommendations are derived from the report of a working party on education and training set up by the Section for Social and Community Psychiatry in 1984. A companion paper deals with recommendations for Senior Registrar posts in Rehabilitation and in General Psychiatry. The recommendations for the most part do not represent new departures, but are mainly explicit descriptions of what is currently included in good training programmes, developments which are already increasing or recommendations made in previous documents. With the forthcoming expansion of psychiatric care in the community, appropriate training is increasingly required.

Understanding the drivers of bottlenecks in RANZCP training: modelling and a calculator to determining sustainable trainee intake

2020 ◽  
pp. 103985622097528
Author(s):  
Korinne Northwood ◽  
Sidney Cabral ◽  
Jimsie Cutbush ◽  
Terry Stedman ◽  
Stephen Parker
Keyword(s):  
New Zealand ◽  
Postgraduate Training ◽  
Training Programme ◽  
Advanced Training ◽  
Psychiatry Training ◽  
Location Factors ◽  
Capacity Limits ◽  
Postgraduate Programme ◽  
Training Programmes ◽  
Future Management

Objectives: Demand for places in postgraduate psychiatry training programmes has increased over recent years. All systems have capacity limits, and concerns have been raised regarding the sustainability of the current intake. This paper presents a modelling exercise to exploring the presence and strategies to resolve bottleneck in the Queensland training programme. Methods: Mathematical modelling based on the RANZCP training regulations and the characteristics of the accredited training programme. Results: A training bottleneck was identified which has been impacted by increased training intake, demand for Advanced Training certificates, and location factors. Conclusions: This investigation raises important questions regarding the future management of postgraduate training in psychiatry in Queensland that may be applicable more widely across Australia and New Zealand. In particular, it highlights the large impact that can result from even small incremental increases in trainees across varying levels of the postgraduate programme and the importance of limiting trainee intake in a manner proportional to the availability of mandatory terms.

scholarly journals Bed Requirements for Acute Psychiatric Units—The Concept of a Norm

1983 ◽  
Vol 7 (7) ◽  
pp. 118-122 ◽  
Author(s):  
Steven Hirsch
Keyword(s):  
Mentally Ill ◽  
Community Psychiatry ◽  
Working Party ◽  
District General Hospital ◽  
The Elderly ◽  
White Paper ◽  
Community Based ◽  
Hospital Units ◽  
Psychiatric Units ◽  
One Year

The Department of Health's 1971 Circular (HM (71) 97) and the White Paper, Better Services for the Mentally Ill (1975), had recommended the guideline of 0.5 acute beds per 1,000 population as an average for District General Hospital units. Patients with stays of more than one year, the elderly severely mentally infirm (ESMI), children, adolescents, and certain specialized units were not included. Unfortunately, planners have tended to stick to this figure, despite the fact that the recommendation was only meant as a general guideline based on known bed usage up to 1974, and some more recent downward trends in newer smaller community-based units. The suggestion that bed requirements should be modified according to local circumstances had largely been ignored, and this is not surprising as there is little information which can help planners determine the factors or their weighting which any local authority should take into account to adapt the norm for ‘local circumstances'. This led to the setting up of a working party of the College's Social and Community Psychiatry Section to make recommendations on bed norms for acute psychiatric units.

Addiction psychiatry training in rural Australia: a Victorian initiative

2020 ◽  
pp. 103985622094659
Author(s):  
Harry Hill ◽  
Catherine Hearn ◽  
Sharada Devarakonda ◽  
Jacques Claassen
Keyword(s):  
Training Programme ◽  
Educational Opportunities ◽  
Psychiatry Training ◽  
Specialist Care ◽  
Addiction Psychiatry ◽  
Poor Access ◽  
Rural Settings ◽  
Training Programmes ◽  
Rural Australia ◽  
Selection Of

Objective: The shortage of addiction psychiatrists in Australia results in poor access to specialist care. This is most evident in rural Australia, a population experiencing significant issues related to drugs, alcohol and mental illness. This problem is exacerbated by the lack of addiction psychiatry training in rural Australia. Purposeful and well-coordinated educational opportunities for health professionals in rural settings can assist in recruitment and retention. This report will describe the establishment of an addiction psychiatry training programme in regional Victoria. Conclusion: Rural addiction psychiatry training programmes that ensure trainees meet the competencies required of an addiction psychiatrist can be established. Key components in establishing programmes are: collaboration between a breadth of local services; provision of quality supervision; support of the Royal Australian and New Zealand College of Psychiatrists (RANZCP), senior psychiatrists and managers; provision of assistance to trainees and their families; and appropriate selection of trainees.

Suggestions for Implementing Community Psychiatry Training in Existing Residency Programs

1995 ◽  
Vol 40 (10) ◽  
pp. 623-626 ◽  
Author(s):  
Mary Johnston ◽  
Tammy Binder ◽  
Alison Freeland ◽  
Katherine Gillis
Keyword(s):  
Current Literature ◽  
Psychiatric Care ◽  
Community Psychiatry ◽  
Hospital Setting ◽  
Community Setting ◽  
Clinical Work ◽  
Shared Responsibility ◽  
Psychiatry Residents ◽  
Psychiatry Training ◽  
Residency Programs

Objective To demonstrate how an experience of partnership evolved when a group of psychiatry residents moved beyond the traditional hospital setting and began to question their current training. Method We describe our experience in the context of the current literature and suggest ways of implementing community psychiatry training in existing residency programs. Results Principles of community psychiatry — partnership, respect and shared responsibility — are good standards in psychiatric care. Conclusions Community psychiatry training may be possible in existing resident rotations, although teaching in the community setting may also be of value. Research and clinical work in “community psychiatry” need to be valued. Problems may be enriching if they are resolved collaboratively.

Effects of a resistance training community programme in older adults

2021 ◽  
pp. 1-16
Author(s):  
Majid Mufaqam Syed-Abdul ◽  
Chrissa L. McClellan ◽  
Elizabeth J. Parks ◽  
Stephen D. Ball
Keyword(s):  
Older Adults ◽  
Body Mass Index ◽  
Resistance Training ◽  
Muscle Mass ◽  
Body Mass ◽  
Fat Mass ◽  
Training Programme ◽  
Haemoglobin A1c ◽  
Community Based ◽  
Resistance Training Programme

Abstract Ageing is associated with reduced muscle mass, strength, flexibility and balance, resulting in a poor quality of life (QOL). Past studies have occurred in highly controlled laboratory settings which provide strong support to determine whether similar gains can be made in community programmes. Twenty participants were enrolled in an eight-week community-based resistance training programme (mean age = 61.3 (standard error (SE) = 0.9) years); Body Mass Index = 32.0 (SE = 1.3) kg/m2). All participants completed surveys to assess outcomes associated with QOL. Given the relationship between muscle function and nerve health, nerve conduction studies (NCS) were also conducted in a separate group of participants (mean age = 64.9 (SE = 2.0) years; Body Mass Index = 32.6 (SE = 1.9) kg/m2). This community-based training programme significantly improved QOL measures in older adults (p < 0.001). Although weight loss was not the primary outcome of the study, participants reduced their body weights (p < 0.001), by primarily reducing fat mass (p = 0.007) while maintaining muscle mass. Significant improvements were observed in muscle strength (2.2%), flexibility and balance (3.2–464.2%, p ⩽ 0.05 for all). Improvements were also observed in plasma glucose (p = 0.05), haemoglobin A1C (p = 0.06) and aldolase enzyme levels (p < 0.001). Scores for surveys on memory and sleep improved (p < 0.05). Improved QOL was associated with increased lean mass (r = −0.714, p = 0.002), decreased fat mass (r = −0.702, p = 0.003) and improved flexibility and balance (r = −0.627, p = 0.008). An eight-week, community-based resistance training programme significantly improved QOL in older adults. Influence on the lipid profile and NCS still needs further investigation.

An international inventory of antimicrobial stewardship (AMS) training programmes for AMS teams

2021 ◽  
Author(s):  
Naomi Weier ◽  
Dilip Nathwani ◽  
Karin Thursky ◽  
Thomas Tängdén ◽  
Vera Vlahović-Palčevski ◽  
...  
Keyword(s):  
Antimicrobial Stewardship ◽  
Online Survey ◽  
Training Programme ◽  
Medical Doctors ◽  
Online Search ◽  
Barriers To Participation ◽  
Potential Barriers ◽  
Training Costs ◽  
Training Programmes ◽  
Individual Training

Abstract Background Healthcare professionals are increasingly expected to lead antimicrobial stewardship (AMS) initiatives. This role in complex healthcare environments requires specialized training. Objectives Little is known about the types of AMS training programmes available to clinicians seeking to play a lead role in AMS. We aimed to identify clinicians’ awareness of AMS training programmes, characteristics of AMS training programmes available and potential barriers to participation. Methods AMS training programmes available were identified by members of the ESCMID Study Group for Antimicrobial Stewardship (ESGAP) via an online survey and through an online search in 2018. Individual training programme course coordinators were then contacted (September–October 2018) for data on the target audience(s), methods of delivery, intended outcomes and potential barriers to accessing the training programme. Results A total of 166/250 ESGAP members (66%) responded to the survey, nominating 48 unique AMS training programmes. An additional 32 training programmes were identified through an online search. AMS training programmes were from around the world. Less than half (44.4%) of respondents were aware of one or more AMS training programmes available, with pharmacists more aware compared with medical doctors and other professionals (73% versus 46% and 25%, respectively). AMS training programmes were most commonly delivered online (59%) and aimed at medical doctors (46%). Training costs and a lack of recognition by health professional societies were the most frequently cited barriers to participation in AMS training programmes. Conclusions The development of a systematic inventory of AMS training programmes around the globe identifies opportunities and limitations to current training available. Improving access and increasing awareness amongst target participants will support improved education in AMS.

The role of paediatricians in specialist nurse training: a community child health example

2021 ◽  
pp. edpract-2020-320797
Author(s):  
Cliona Ni Bhrolchain
Keyword(s):  
Child Health ◽  
Training Programme ◽  
Formal Training ◽  
Nurse Training ◽  
Training Curriculum ◽  
Clinical Specialty ◽  
Specialist Nurse ◽  
Training Programmes ◽  
Nursing Roles

Specialist and advanced nursing roles have started to emerge in paediatrics and paediatricians may be asked to support nurses through their training. While there are specific training programmes for some areas of practice eg, neonatology, there are currently no programmes for others. Paediatricians may therefore find themselves being asked to train nurse specialists outside a formal training programme, or to provide the clinical specialty component linked to a generic MSc course, where the paediatrician may be required to devise a training curriculum specific to their area of practice. Using, neonatology, there are currently no programmes for others. Paediatricians may therefore find themselves being asked to train nurse specialists outside a formal training programme, or to provide the clinical specialty component linked to a generic MSc course, where the paediatrician may be required to devise a training curriculum specific to their area of practice. Using community child health as an example, this paper outlines how paediatricians might approach this, based on the experience of the author. However, the principles outlined can apply to any area of paediatrics.

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