scholarly journals Psychiatric training of pre-registration house officers

1999 ◽  
Vol 23 (5) ◽  
pp. 283-285 ◽  
Author(s):  
J. M. O'Dwyer
Keyword(s):  
Postal Questionnaire ◽  
House Officer ◽  
Psychiatric Training ◽  
Clinical Implications ◽  
Officer Training ◽  
Almost All

Aims and methodThe aim of the paper is to describe the pre-registration house officer training in psychiatry available in Sheffield. The report is the result of a postal questionnaire, involving all of those who undertook pre-registration house officer training in psychiatry, since the inception of this option.ResultsThe results suggest that the psychiatry option as part of pre-registration house officer training was regarded as useful by almost all undertaking this training. Some of the suggestions to improve the experience are already incorporated into the current posts.Clinical implicationsThe findings support the development of further posts of this type, and such developments may assist in overcoming some of the difficulties in recruitment into psychiatry as a career.

scholarly journals Emergency psychiatric assessments: implications for senior house officer training

2006 ◽  
Vol 30 (6) ◽  
pp. 220-222 ◽  
Author(s):  
Alan A. Woodall ◽  
Seren Roberts ◽  
Gary P. Slegg ◽  
David B. Menkes
Keyword(s):  
Retrospective Cohort ◽  
Waiting Times ◽  
District General Hospital ◽  
House Officer ◽  
Psychiatric Training ◽  
Clinical Implications ◽  
Suicidal Risk ◽  
Officer Training ◽  
Out Of Hours ◽  
Self Harm

Aims and MethodIn order to examine the opportunities for senior house officers (SHOs) to undertake emergency psychiatric assessments we conducted a retrospective cohort study of such assessments in a district general hospital.ResultsSenior house officers conducted few assessments for self-harm compared with psychiatric liaison nurses (P< 0.001), and were involved in only 40% of emergency referrals where psychiatric opinion was requested. Senior house officers continue to undertake more assessments out of hours than any other group (P< 0.01).Clinical ImplicationsAlthough the introduction of psychiatric liaison nurses has improved capacity and reduced waiting times for emergency assessment, the opportunity for SHOs to undertake emergency assessments has been reduced, particularly with regard to assessment of suicidal risk following self-harm. These results suggest the need for better monitoring of SHO experience, particularly in the light of service developments that have an impact on psychiatric training.

scholarly journals Psychiatrists' views of evidence-based psychiatric practice

1999 ◽  
Vol 23 (3) ◽  
pp. 159-161 ◽  
Author(s):  
Stephen Carey ◽  
David J. Hall
Keyword(s):  
Decision Making ◽  
Critical Analysis ◽  
Postal Questionnaire ◽  
Clinical Implications ◽  
Evidence Based ◽  
Further Training ◽  
The West ◽  
Effective Care ◽  
Almost All ◽  
Based Medicine

Aims and methodTo determine the attitudes of psychiatrists towards the practice of evidence-based medicine by use of a postal questionnaire. A survey was sent to Consultant Psychiatrists and to Higher Trainees in Psychiatry in the West of Scotland Region.ResultsWhile older influences on decision-making such as tradition and deference still play a part, almost all respondents consider the adoption of more effective care based on best available external evidence desirable; most think it attainable. The technology is generally available, but further training is desired to access the information and its critical analysis.Clinical implicationsEducational activities should increasingly focus on skills for data search and critical analysis.

scholarly journals Pre-registration house officer training in psychiatry: the London experience

2003 ◽  
Vol 27 (5) ◽  
pp. 192-194
Author(s):  
Joe Herzberg ◽  
Maryanne Aitken ◽  
Fiona Moss
Keyword(s):  
General Practice ◽  
General Medical Council ◽  
House Officer ◽  
Clinical Implications ◽  
Medical Council ◽  
Officer Training ◽  
Before And After ◽  
Target Skills ◽  
Structured Questionnaire

Aims and MethodTo evaluate whether new pre-registration house officer posts in psychiatry deliver training leading to increased confidence in target skills, based on General Medical Council requirements, and to evaluate trainees' satisfaction with these posts. A structured questionnaire was filled out by the first nine incumbents of the PRHO posts before and after the placements.ResultsTrainees' confidence improved in all the target skills and the posts were all rated as good or excellent. The posts attracted trainees who were potentially interested in a career in psychiatry or general practice.Clinical ImplicationsPRHO posts in psychiatry deliver training that meets General Medical Council objectives, and trainees' confidence with core psychiatric skills improves after undertaking the placements.

scholarly journals Pre-registration house officer training in psychiatry: the London experience

2003 ◽  
Vol 27 (05) ◽  
pp. 192-194 ◽  
Author(s):  
Joe Herzberg ◽  
Maryanne Aitken ◽  
Fiona Moss
Keyword(s):  
General Practice ◽  
General Medical Council ◽  
House Officer ◽  
Clinical Implications ◽  
Medical Council ◽  
Officer Training ◽  
Before And After ◽  
Target Skills ◽  
Structured Questionnaire

Aims and Method To evaluate whether new pre-registration house officer posts in psychiatry deliver training leading to increased confidence in target skills, based on General Medical Council requirements, and to evaluate trainees' satisfaction with these posts. A structured questionnaire was filled out by the first nine incumbents of the PRHO posts before and after the placements. Results Trainees' confidence improved in all the target skills and the posts were all rated as good or excellent. The posts attracted trainees who were potentially interested in a career in psychiatry or general practice. Clinical Implications PRHO posts in psychiatry deliver training that meets General Medical Council objectives, and trainees' confidence with core psychiatric skills improves after undertaking the placements.

scholarly journals Psychiatric training and the Caiman reforms Survey of third year senior house officers

1998 ◽  
Vol 22 (10) ◽  
pp. 635-638 ◽  
Author(s):  
Seonaid McCallum ◽  
Lisa McGilvray ◽  
Peter Bennie ◽  
Sue Whyte
Keyword(s):  
Clinical Training ◽  
Postal Questionnaire ◽  
Good Knowledge ◽  
Psychiatric Training ◽  
Clinical Implications ◽  
Specialist Registrar ◽  
Quality Of Teaching ◽  
The Impact ◽  
Registrar Training

Aims and methodAll third year senior house officers (SHOs) training in psychiatry in Scotland were canvassed by a postal questionnaire. They were asked about their views on training and the impact of the Caiman reforms in psychiatry.ResultsResults showed that 33% of trainees were not receiving one hour of consultant supervision per week. The quality of teaching in day release programmes was rated as average or poor by 75%. Three-quarters had not seen a copy of A Guide to Specialist Registrar Training, but had a good knowledge of the changes it proposed. Most were satisfied with their clinical training but expressed concerns about the Caiman reforms.Clinical implicationsThe loss of the registrar grade has extended the time trainees spend as SHOs and there was concern that there would be a loss of breadth of training. We intend to repeat the survey in mid–1999, by which time the Caiman changes should be fully operational in psychiatry.

scholarly journals Droperidol dropped; consultants not consulted

2003 ◽  
Vol 27 (08) ◽  
pp. 301-304
Author(s):  
Gavin Reid ◽  
Mark Hughson
Keyword(s):  
Questionnaire Survey ◽  
Clinical Care ◽  
Postal Questionnaire ◽  
Clinical Implications ◽  
The West ◽  
Abrupt Withdrawal ◽  
Before And After ◽  
Adequate Evaluation ◽  
Psychiatric Profession ◽  
The Impact

Aims and Method We conducted a postal questionnaire survey of the practice of rapid tranquillisation among 215 consultant psychiatrists in the West of Scotland, before and after the withdrawal of droperidol by the manufacturer. Results One hundred and eighty questionnaires (84% of those sent) were returned. Droperidol had been used extensively, often combined with lorazepam, for rapid tranquillisation. The main replacement suggested for droperidol was haloperidol. About half of the respondents to our survey chose to comment on the withdrawal of droperidol. More than half of the comments were unfavourable, including lack of an adequate replacement and lack of consultation with the psychiatric profession. Clinical Implications The abrupt withdrawal of droperidol, partly for commercial reasons, was regrettable. There was no time for an adequate evaluation of possible replacement medications and a lack of consultation with the profession regarding the impact on clinical care.

scholarly journals Adverse medication events in a psychiatric practice: a naturalistic study

2013 ◽  
Vol 37 (12) ◽  
pp. 395-397
Author(s):  
Eugene G. Breen
Keyword(s):  
Adverse Event ◽  
Adverse Events ◽  
Adverse Drug Events ◽  
Psychiatric Training ◽  
Clinical Implications ◽  
Naturalistic Study ◽  
Near Misses ◽  
Significant Events ◽  
Core Module ◽  
Sector Service

Aims and methodTo document the number and type of adverse medication events in a psychiatric sector service. Significant new adverse events were collated by the author and team over 30 months. Intervention to prevent any adverse event was enacted as soon as any were noticed or anticipated.ResultsThirty-six significant events occurred including three deaths and nine near misses. Corrective action was taken immediately any adverse event occurred. Inadequate communication between various hospital clinics, general practitioner practices, psychiatric clinics and pharmacies was the biggest avoidable cause of adverse events.Clinical implicationsAwareness of adverse drug events is essential in psychiatry. Clear, transparent pathways of prescribing are a key requirement to reduce avoidable adverse medication events. Psychopharmacology is a core module for psychiatric training.

scholarly journals Cognitive therapy training for psychiatrists: impact on individual clinical practice

2004 ◽  
Vol 28 (4) ◽  
pp. 117-119 ◽  
Author(s):  
G. Swift ◽  
I. Durkin ◽  
C. Beuster
Keyword(s):  
Clinical Practice ◽  
Cognitive Therapy ◽  
Response Rate ◽  
Postal Questionnaire ◽  
Clinical Implications ◽  
Previous Survey ◽  
Therapy Training ◽  
Training And Supervision ◽  
Improved Outcomes ◽  
Therapy Sessions

Aims and MethodWe aimed to survey how psychiatrists with in-depth training in cognitive therapy use these skills. A postal questionnaire based on a previous survey was sent to all psychiatrists who are accredited members of the British Association for Behavioural and Cognitive Psychotherapies.ResultsThere was a 94% response rate. Psychiatrists in non-psychotherapy posts used formal cognitive therapy, with an average of 20% of new patients compared with 65% for those in psychotherapy posts, and were less satisfied with the extent to which they were able to use their skills (20%v. 80%). A total of 85% of respondents described themselves as being involved in teaching, training and supervision of cognitive therapy.Clinical ImplicationsUnless psychiatrists are planning on working in specialised psychotherapy posts, they are unlikely to use cognitive therapy training in formal therapy sessions. Further research is needed to determine whether cognitive therapy training for psychiatrists translates into improved outcomes for patients.

It's Getting Better: Progress in Medical Senior House Officer Training in Scotland

2007 ◽  
Vol 52 (1) ◽  
pp. 32-35
Author(s):  
M Roberts ◽  
K McHardy ◽  
J Wakeling ◽  
E Dalgetty ◽  
A Cadzow ◽  
...  
Keyword(s):  
House Officer ◽  
Senior House Officer ◽  
Officer Training

The Know-how of Infant Care, by Sylvia Close, S.A.N.C. Bristol, England: John Wright and Sons, Ltd., 1967, 49 pp., $3.50. (The Williams and Wilkins Co., Baltimore, exclusive U.S. agents)

PEDIATRICS ◽  
1969 ◽  
Vol 43 (1) ◽  
pp. 154-154
Author(s):  
Abraham B. Bergman
Keyword(s):  
Child Care ◽  
Child Health ◽  
Health Services ◽  
House Officer ◽  
Child Health Services ◽  
Officer Training ◽  
Know How ◽  
Well Child Care ◽  
Bath Water ◽  
Physician Time

The less physician time spent on routine well child care, the better. The growing demand for child health services without concomitant addition of manpower is forcing pediatricians to focus on tasks which require their unique talents and delegate those which do not to others. Surely medical school and house officer training do not (and should not) prepare one to serve as arbiter of what brand of shoes to purchase, the technique of rinsing diapers, or the correct temperature of bath water.

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