scholarly journals Medical audit among Scottish child psychiatrists

1992 ◽  
Vol 16 (5) ◽  
pp. 273-274
Author(s):  
H. G. Morton ◽  
R. J. R. McCabe ◽  
W. Parry-Jones ◽  
J. Pickett
Keyword(s):  
Child Psychiatry ◽  
Royal College ◽  
Performance Indicators ◽  
Working Group ◽  
Preliminary Report ◽  
Clinical Audit ◽  
Child And Adolescent ◽  
Medical Audit ◽  
Considerable Variability ◽  
And Performance

Working for Patients (DOH, 1989) has provided considerable impetus to the development of medical audit. The Royal College of Psychiatrists (1989) Preliminary Report on Medical Audit defined and distinguished between clinical audit, peer review and performance indicators, and referred to some of the particular problems affecting the development of audit in psychiatric practice. There are special concerns for child and adolescent psychiatrists developing medical audit programmes because of the wide diversity of child and adolescent practice and the considerable variability of resources in the subspecialty. Nicol (1989) has described the initial concern of the National Child Psychiatry Section's Working Group on audit with the Korner Report (HMSO, 1982) and the proposals on performance indicators outlined by the DHSS in 1987.

scholarly journals Multidisciplinary audit in child and adolescent psychiatry

1992 ◽  
Vol 16 (4) ◽  
pp. 214-215 ◽  
Author(s):  
Andrew Leahy ◽  
M. S. Thambirajah ◽  
Linda M. Winkley
Keyword(s):  
Child Psychiatry ◽  
Royal College ◽  
Adolescent Psychiatry ◽  
Multidisciplinary Team ◽  
Clinical Audit ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
Team Work ◽  
Medical Audit

Recent guidelines recommend that where appropriate, procedures for the development of audit in medicine and professions allied to medicine can be replaced by comprehensive multidisciplinary audit of services. The Royal College of Psychiatrists (1990) suggests that clinical audit, involving the work of other staff in the multidisciplinary team, is preferable to purely medical audit. Given the importance of team work in child psychiatry, it seems appropriate to establish a system of audit which enables all disciplines to be involved.

scholarly journals Practical experience from a regional secure unit

1992 ◽  
Vol 16 (2) ◽  
pp. 84-85 ◽  
Author(s):  
Adrian James
Keyword(s):  
Royal College ◽  
Performance Indicators ◽  
Clinical Audit ◽  
Essential Element ◽  
Working Party ◽  
Practical Experience ◽  
Medical Audit ◽  
Psychiatric Setting ◽  
Secure Unit ◽  
Regular Review

The Royal College of Psychiatrists' Working Party on Medical Audit has emphasised the multidisciplinary nature of patient care in psychiatry (Royal College of Psychiatrists, 1989). Much has been published on individual audit topics and on definitions of the various aspects of audit such as peer review, performance indicators and quality assurance. The essential element of audit is its systematic nature and little has been written concerning an overall structure for clinical audit within an individual psychiatric setting. It is not sufficient to start with ‘a simple project with minimum of cost in terms of both time and money expended’, as recommended by the Royal College of Psychiatrists' Working Party. What is needed is an overall structure for regular review so that the systematic nature of the process is not lost and that recommendations from audit meetings are reviewed regularly for their usefulness and level of implementation.

scholarly journals Part-time higher training in child and adolescent psychiatry

1993 ◽  
Vol 17 (11) ◽  
pp. 665-666 ◽  
Author(s):  
Ruth Talbot
Keyword(s):  
Child Psychiatry ◽  
Royal College ◽  
Adolescent Psychiatry ◽  
Postgraduate Training ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
Full Time ◽  
Training Requirements ◽  
Medical Graduates ◽  
Part Time

The rise in the proportion of female medical graduates has led to an examination of the alternatives to full-time continuous postgraduate training. Part-time training has become more common, particularly in psychiatry and non-acute specialties. The means of establishing this type of training have been described in detail (Royal College of Psychiatrists, 1987) and the training requirements are discussed in the JCHPT Handbook. However, when part-time training is written about it is presented as a daunting process, fraught with concerns about a less than optimum training and practical difficulties. The survey by Ann Gath (1988) of supernumerary senior registrars in child and adolescent psychiatry detailed problems such as prejudice, a sense of exploitation, and lack of support and advice. These issues are clearly of great importance to those considering this option but there is also a more positive and optimistic view of part-time training which seems of particular relevance to child psychiatry. At the time of writing I am nearing the end of my higher training on the PM 79(3) scheme and am in a position to describe some of these more positive aspects.

scholarly journals Audit in two acute psychiatric units

1991 ◽  
Vol 15 (6) ◽  
pp. 351-352 ◽  
Author(s):  
A. Dutta ◽  
R. R. Parker ◽  
T. W. Fleet
Keyword(s):  
Quality Of Life ◽  
Medical Care ◽  
Royal College ◽  
Critical Analysis ◽  
Preliminary Report ◽  
Medical Audit ◽  
Use Of Resources ◽  
Psychiatric Units ◽  
Quality Of Medical Care

The Royal College of Psychiatrists (1989) has recently produced its own preliminary report on medical audit. It defines medical audit as: “The systematic, critical analysis of the quality of medical care, including the procedures used for diagnosis and treatment, the use of resources and the resulting outcome and quality of life for the patients.” This definition is in essence similar to that of the Royal College of Physicians.

Child Psychiatry: One Nation

1987 ◽  
Vol 32 (7) ◽  
pp. 508-512
Author(s):  
George Maclean
Keyword(s):  
American Academy ◽  
Child Psychiatry ◽  
Royal College ◽  
Adolescent Psychiatry ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
Paediatric Society ◽  
Working Relationship ◽  
Mutual Dependence ◽  
History Of

This essay discusses the position of child psychiatry as a subspecialty in Canada today. Proceeding from a review of a paper written by Dr. Quentin Rae-Grant in 1970 “Adult and Child Psychiatry — One or Two Nations?” the author, using the concept of a nation as a metaphor, explores the evolution of child psychiatry as a subspecialty in Canada. The history of child psychiatry in Canada is reviewed briefly; from its early beginnings to an increased understanding of its uniqueness as a subspecialty, finally through to the formation of the Canadian Academy of Child Psychiatry in 1980. The essay stresses the mutuality of our dependence on the Canadian Psychiatric Association. The author emphasizes our mutual dependence on the greater organizational body of psychiatrists, and encourages a greater participation of child psychiatrists within the Canadian Psychiatric Association. The author also emphasizes the need to have a closer relationship with the Canadian Paediatric Society. In addition, the author discusses in some detail the more complex and controversial relationship between child psychiatry and the Royal College of Physicians and Surgeons of Canada. Finally the author emphasizes the importance of a close working relationship with the American Academy of Child and Adolescent Psychiatry. All of these relationships are emphasized in terms of mutual dependence.

scholarly journals Providing a District Service for Child and Adolescent Psychiatry: Medical Manpower Priority: (Report of the Child and Adolescent Psychiatry Section)

1983 ◽  
Vol 7 (5) ◽  
pp. 94-97
Keyword(s):  
Child Psychiatry ◽  
Royal College ◽  
Adolescent Psychiatry ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
Adolescent Psychiatrist ◽  
Department Of Health ◽  
Medical Manpower ◽  
Role Responsibilities

This paper considers the possible long-term consultant manpower requirements in England and Wales for child and adolescent psychiatry and its specialties, including psychotherapy and community child and adolescent psychiatry. It is based on papers previously prepared by the College Executive in relation to manpower requirements for child psychiatry (Royal College of Psychiatrists, 1973) and adolescent psychiatry (Royal College of Psychiatrists, 1976), and to the role, responsibilities and work of the child and adolescent psychiatrist (Royal College of Psychiatrists, 1978) and on discussions with the Department of Health and Social Security.

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