scholarly journals A survey of amphetamine prescribing by drug services in the East and West Midlands

2002 ◽  
Vol 26 (2) ◽  
pp. 61-62 ◽  
Author(s):  
H. F. Moselhy ◽  
G. Georgiou ◽  
A. Kahn ◽  
E. Day
Keyword(s):  
Response Rate ◽  
Current Level ◽  
Clinical Implications ◽  
The West ◽  
Prescribing Habits ◽  
Senior Member ◽  
East Midlands ◽  
Comprehensive Service ◽  
West Midlands ◽  
Local Services

Aims and MethodThis study aimed to assess the current level of amphetamine prescribing for adults in drug services in the West and East Midlands. A questionnaire was developed to investigate prescribing habits and attitudes, and was addressed to the senior member of staff in each drug service within the West and East Midlands area.ResultsA total of 41 services were identified, and 29 questionnaires were returned (a 71% response rate). Of the services that replied, 20 (69%) prescribed amphetamines, with 132 (12%) patients identified as amphetamine misusers currently receiving a prescription. However, 26 (90%) services felt that substitute prescribing did have a role in a comprehensive service for this group.Clinical ImplicationsAlthough amphetamine prescribing has been shown to reduce both criminal and injecting behaviour, only two-thirds of the local services prescribe such drugs, with a small percentage of amphetamine users receiving a prescription. There is a need for a national consensus about substitute prescribing of amphetamines and increased flexibility within drug services when managing the problem.

scholarly journals Part-time training: will it lead to part-time consultant?

2000 ◽  
Vol 24 (2) ◽  
pp. 64-65 ◽  
Author(s):  
Lucy Caswell ◽  
Kate Lowe
Keyword(s):  
Exponential Growth ◽  
Questionnaire Survey ◽  
Overall Response Rate ◽  
Response Rate ◽  
Workforce Planning ◽  
Clinical Implications ◽  
The West ◽  
Flexible Working ◽  
West Midlands ◽  
Part Time

Aims and MethodTo determine the preference of flexible trainees in psychiatry for consultant posts. A questionnaire survey was conducted among all flexible trainees in psychiatry in the West Midlands Region.ResultsThe overall response rate was 19 out of 21 (90%). The majority 15 out of 19 (68%) hoped to gain such a post at the end of their training. Of those wanting a consultant post, 15 of the 19 (79%) would only consider working part-time. If such a parttime consultant post was not available, 12 of the15 (80%) said they would considera non-career grade post.Clinical ImplicationsIn the West Midlands Region there has been an exponential growth in the number of flexible trainees. Approximately a third are within psychiatry alone and most wish to continue flexible working patterns as consultants. This has major workforce planning implications for the future.

scholarly journals The role of the educational supervisor

2000 ◽  
Vol 24 (6) ◽  
pp. 216-218 ◽  
Author(s):  
Edward Day ◽  
Nick Brown
Keyword(s):  
Response Rate ◽  
Educational Development ◽  
Postal Questionnaire ◽  
Clinical Implications ◽  
The West ◽  
Educational Plan ◽  
West Midlands ◽  
Educational Supervision ◽  
Educational Supervisor

Aims and MethodsA postal questionnaire of all pre-membership psychiatric trainees in the West Midlands was used to investigate the role of the educational supervisor. The trainees were asked about their experience of educational supervision, and also asked to rank a number of possible roles for their supervisor in order of importance.ResultsA response rate of 70% was achieved. Trainees rated regular appraisal and assessment of skills and deficits as the most important role of the educational supervisor, but had only experienced this in 55% of their training posts thus far. Less than half of the respondents had developed a written educational plan with their educational supervisors, and trainees rated this the least important task of good educational supervision.Clinical ImplicationsThe results of this survey inform the training agenda for trainers, and emphasise the need to equip consultants with the skills to appraise their trainee's educational development.

scholarly journals Effectiveness of the research day in psychiatric training: survey of consultant psychiatrists

2006 ◽  
Vol 30 (7) ◽  
pp. 275-277 ◽  
Author(s):  
Dennis Okolo ◽  
Laofe O. Ogundipe
Keyword(s):  
Old Age ◽  
Response Rate ◽  
Psychiatric Training ◽  
Clinical Implications ◽  
The West ◽  
Positive View ◽  
West Midlands ◽  
Old Age Psychiatry

Aims and MethodWe explored the views of consultant psychiatrists (trainers and non-trainers) on the effectiveness of the research day. We sent out postal questionnaires to consultant psychiatrists in general adult and old age psychiatry in the West Midlands to evaluate their own experience of the research day and how useful they felt it was.ResultsThe survey had a response rate of 72% (88 out of 122) and the majority of respondents had a positive view of their experience (31 trainers, 60%; 25 non-trainers, 69%). However, more consultant trainers (37, 71%) compared with non-trainers (15, 42%) felt that the research day in its current format should be modified.Clinical ImplicationsThe research day is useful for the training of specialist registrars and our study confirms this view from the consultants surveyed. Some improvement is required in order for specialist registrars to obtain optimal benefit. We make some suggestions for improving the day's effectiveness.

scholarly journals New Ways not working? Psychiatrists' attitudes

2009 ◽  
Vol 33 (6) ◽  
pp. 204-207 ◽  
Author(s):  
Jenny Dale ◽  
Gabrielle Milner
Keyword(s):  
Response Rate ◽  
Quality Of Work Life ◽  
Clinical Implications ◽  
Direct Experience ◽  
The West ◽  
Quality Of Work ◽  
New Ways Of Working ◽  
West Midlands

Aims and MethodA questionnaire survey of general adult psychiatric consultants and specialist registrars in the West Midlands was conducted to examine attitudes towards New Ways of Working (NWW) for psychiatrists; these were measured using a 5-point Likert scale. Participants were also asked about their own experiences of NWW. the data were analysed using Mann–Whitney U-test.ResultsThe response rate was 31.2%. Attitudes were generally negative, particularly regarding the effect on patient care, the erosion of the professional role of the consultant and effect on quality of work life. the attitudes of those who did not have any direct experience of working to the NWW models were more negative than those who had direct experience of NWW.Clinical ImplicationsThere are significant concerns about NWW among consultants and specialist registrars. There is a need for further debate and research with regard to the proposals.

scholarly journals Ambiguity in Section 136 of the Mental Health Act 1983

2001 ◽  
Vol 25 (10) ◽  
pp. 388-390 ◽  
Author(s):  
Laofe Ogundipe ◽  
Femi Oyebode ◽  
Amanda Knight
Keyword(s):  
Mental Health ◽  
Random Sample ◽  
Response Rate ◽  
Clinical Implications ◽  
Early Assessment ◽  
The West ◽  
Police Station ◽  
Mental Health Act ◽  
West Midlands

AIMS and MethodTo investigate the interpretation of Section 136 of the Mental Health Act 1983 by Section 12(2) approved doctors and to describe a pathway that facilitates early assessment of people detained under Section 136. We surveyed a random sample of Section 12(2) approved doctors in the West Midlands.ResultsA response rate of 70% was achieved. Approximately 65% believe that it would be illegal to transfer a person under Section 136 from the police station to a further place of safety, such as hospital. Thirty-five per cent believed that this could be done legally or were unsure.Clinical ImplicationsAmbiguity still remains about the legal interpretations of the provisions of Section 136 of the Mental Health Act 1983, which needs to be rectified.

scholarly journals A survey of ward round practice

2005 ◽  
Vol 29 (5) ◽  
pp. 171-173 ◽  
Author(s):  
Richard Hodgson ◽  
A. Jamal ◽  
B. Gayathri
Keyword(s):  
Response Rate ◽  
Postal Questionnaire ◽  
Ward Round ◽  
Clinical Implications ◽  
The West ◽  
Team Members ◽  
Professional Groups ◽  
West Midlands ◽  
Ward Rounds ◽  
Effective Use

Aims and MethodA postal questionnaire was sent to consultant psychiatrists in the West Midlands to establish their current ward round practice. This questionnaire addressed ward round etiquette, practical issues and educational function. Consultants received only one mailing.ResultsA total of 96 (out of 139) consultants replied (69% response rate). The majority of consultants saw patients on the ward round (97%) and all consultants introduced both themselves and team members to the patient; 72% explained the purpose of the ward round. A median of seven professionals attended the ward round with psychology (6.5%) and pharmacy services (0%) being underrepresented. When consultants added comments, the recurrent themes were that ward rounds were an effective use of professional time but were often daunting for patients.Clinical ImplicationsOur results indicate some uniformity in the conduct of ward rounds. The lack of representation at ward rounds for certain professional groups may adversely affect the range of opinions and therapies for patients. Changes could be made to incorporate the views of users, which would make ward rounds more productive for users and professionals.

scholarly journals Prescribing practices of community child and adolescent psychiatrists

2003 ◽  
Vol 27 (11) ◽  
pp. 407-410 ◽  
Author(s):  
Ursula Doerry ◽  
Lindsey Kent
Keyword(s):  
Response Rate ◽  
Child And Adolescent ◽  
Clinical Implications ◽  
Prescribing Practices ◽  
The West ◽  
Adult Services ◽  
West Midlands ◽  
Considerable Impact ◽  
Prescribing Medication ◽  
Child Psychiatrists

Aims and MethodA questionnaire was sent to all 55 community child and adolescent psychiatrists working in the West Midlands to examine the prescribing practices of community child psychiatrists, because most previous studies have included prescribing data from specialist (tier 4) services.ResultsThe survey had a good response rate (87%). The vast majority of child psychiatrists were prescribing stimulants and antidepressants, and over half were prescribing antipsychotics and melatonin. At least half of the consultants would consider prescribing an antipsychotic for the treatment of aggressive behaviour. One-third of consultants cited pressure on services as a reason for prescribing medication.Clinical ImplicationsCommunity child psychiatrists were prescribing more medication than expected, which may have a considerable impact on referral rates to adult services in the future. It is concerning that the increased use of medication may be a reflection of pressure on services.

The Lower and Middle Palaeolithic Industries of the English East Midlands

1963 ◽  
Vol 29 ◽  
pp. 357-394 ◽  
Author(s):  
Merrick Posnansky
Keyword(s):  
Middle Palaeolithic ◽  
Railway Ballast ◽  
The West ◽  
East Anglia ◽  
North West ◽  
East Midlands ◽  
Jack Smith ◽  
West Midlands ◽  
Imaginary Line ◽  
Line Passing

The first palaeoliths to be described from this country were found in the south of England, particularly from the Thames Valley and East Anglia. In 1880 Boyd Dawkins wrote that tools of Drift Man were ‘conspicuous by their absence from the gravels north-west of a line passing through the Midland counties from Bristol to the Wash’. In 1897 John Evans (Evans 1897, 580), in the light of the Saltley find from the Birmingham district, questioned the view then current that their absence was due to glacial conditions prevailing north of the Severn—Wash ‘imaginary’ line, and held out hope for future finds in that northern area.Though hand axes had earlier been described from Chester (Stone 1908, 25) and Bridlington (Evans 1897, 572) it was not until the 1920's that Sir John Evans's hopes began to be realized. Randall Davies brought attention to a hand axe found in railway ballast gravel from Skellingthorpe in Lincolnshire in 1920.In the West Midlands numerous isolated finds were described from 1920 onwards by Burkitt (1920), Jack, Smith, Shotton and Clifford, the last two authors having in recent years (Shotton 1934 and 1953, Clifford 1954) provided a fairly comprehensive account and bibliography of the Lower and Middle palaeolithic finds from the West Midlands. In the East Midlands the story of discovery has been slower and very little of the material found has been published. In 1922 R. A. Smith published two flake implements from Leicestershire, though these cannot now be accepted (Posnansky 1955, 31).

scholarly journals A survey of workplace bullying of psychiatric trainees in the West Midlands

2004 ◽  
Vol 28 (6) ◽  
pp. 225-227 ◽  
Author(s):  
Imthiaz A. Hoosen ◽  
Rhiannon Callaghan
Keyword(s):  
National Health Service ◽  
Workplace Bullying ◽  
Postal Survey ◽  
Clinical Implications ◽  
Junior Doctors ◽  
The West ◽  
West Midlands ◽  
The Individual ◽  
Problem Awareness ◽  
Foreign Doctors

Aims and MethodA postal survey was conducted to ascertain the prevalence of bullying behaviour experienced by psychiatric trainees in the West Midlands. Questionnaires were sent to 232 junior doctors, 76% of whom responded.ResultsIn the preceding year, 47% of trainees had experienced one or more bullying behaviours. Only 46% reported that they knew whom to contact if they were bullied. Foreign doctors were significantly less likely to take action when bullied than local doctors.Clinical ImplicationsWorkplace bullying is commonly experienced by psychiatric trainees and other junior doctors in the National Health Service. This behaviour could have adverse effects for both the individual and the employer. To tackle this problem, awareness needs to be raised, and action is required at a number of levels.

scholarly journals Logbook for specialist registrars in general adult psychiatry: development and peer evaluation

2005 ◽  
Vol 29 (9) ◽  
pp. 339-341
Author(s):  
Sanju George ◽  
Mike Jorsh ◽  
Joe Johnson
Keyword(s):  
Postal Survey ◽  
Learning Objectives ◽  
Clinical Implications ◽  
Peer Evaluation ◽  
Training Curriculum ◽  
The West ◽  
Training Assessment ◽  
West Midlands ◽  
Adult Psychiatry ◽  
Training Schemes

Aims and MethodDespite the Royal College of Psychiatrists' recommendation that higher specialist trainees in general adult psychiatry should use logbooks to record their training-related activities, none is currently available. We developed a logbook and conducted a postal survey of specialist registrars in general adult psychiatry in the West Midlands and Merseyside Training Schemes to elicit their perceptions of its usefulness and feasibility.ResultsAll of the 35 specialist registrars who completed the questionnaire felt that there was scope for a logbook and that this format was easy to use. Three-quarters of the respondents suggested that their training curriculum should be incorporated into the logbook and 71% felt that the use of logbooks ought to be mandatory. Despite all acknowledging the need for a logbook, only 14% were currently using one.Clinical ImplicationsLogbooks would greatly help higher specialist trainees to organise (identify, record and review learning objectives) the multifaceted aspects of their training. They would also help immensely in preparing for the Record of In-Training Assessment, appraisal and revalidation. There is clearly scope for a more ‘centrally’ produced (College) logbook for specialist registrars in general adult psychiatry, as indicated by the results of this survey. For logbooks to work in practice, they need to be simple and easy to use.

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