scholarly journals Commentary: audit of case-load and case mix of higher specialist trainees in child and adolescent psychiatry

2002 ◽  
Vol 26 (6) ◽  
pp. 208-209
Author(s):  
David Cottrell
Keyword(s):  
Royal College ◽  
Adolescent Psychiatry ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
Case Mix ◽  
Annual Cycles ◽  
Case Load ◽  
The Past ◽  
Recent National Survey ◽  
Made In

The Child and Adolescent Psychiatry Specialist Advisory Sub-Committee (CAPSAC) of the Royal College of Psychiatrists has produced a detailed set of advisory papers covering all aspects of training in child and adolescent psychiatry, the existence of which makes the audit of training a more straightforward task than in the past (Royal College of Psychiatrists Higher Specialist Training Committee, 1999). The paper by Sharp and Morris (see pp. 212–215, this issue) is part of a continuing tradition of audit and evaluation of higher training in child and adolescent psychiatry (Garralda et al, 1983; Bools & Cottrell, 1990; Smart & Cottrell, 2000). In the past, supervision (or lack of it) has been a preoccupation (see Kingsbury & Allsopp, 1994). However, the most recent national survey of higher trainees in child and adolescent psychiatry suggests that the number of trainees receiving inadequate supervision is continuing to fall (Smart & Cottrell, 2000). Sharp and Morris focus instead on case-load and case mix and are to be commended for persevering over three annual cycles with an audit that clearly demonstrates changes being made in the light of data collected, followed by re-audit and re-evaluation – audit projects rarely ‘close the loop’ so clearly.

scholarly journals Audit of case-load and case mix of higher specialist trainees in child and adolescent psychiatry

2002 ◽  
Vol 26 (6) ◽  
pp. 212-215 ◽  
Author(s):  
Nicola Sharp ◽  
Tim Morris
Keyword(s):  
Adolescent Psychiatry ◽  
Clinical Work ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
Case Mix ◽  
Service Needs ◽  
Audit Process ◽  
Case Load ◽  
Self Harm ◽  
Audit Cycle

AIMS AND METHODThe aim of the audit was to ensure that the case-load and case mix for trainees in child and adolescent psychiatry met Child and Adolescent Psychiatry Specialist Advisory Committee guidelines and that trainees were seeing cases with an appropriate mix of age, gender and diagnoses. Data on case-load and case mix were analysed annually and problem areas were identified and reviewed when the audit cycle was repeated. The audit cycle has been repeated three times.RESULTSSpecific findings from the audit included: female trainees were seeing a high percentage of girls; male trainees were seeing a high percentage of boys; some trainees were seeing a high proportion of cases of deliberate self-harm; and there was a recent increase in the number of cases of attention-deficit hyperactivity disorder. The first two issues were rectified as a result of the audit process; the last is being monitored.CLINICAL IMPLICATIONSTraining needs should come before service needs. Auditing trainees' case-loads and case mixes helped best to utilise the time available for clinical work during training.

scholarly journals Using the scarce resource of child and adolescent psychiatrists equitably

2006 ◽  
Vol 30 (1) ◽  
pp. 28-30 ◽  
Author(s):  
Hilary Lloyd ◽  
Margaret Bamforth ◽  
Mary Eminson
Keyword(s):  
Adolescent Psychiatry ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
Scarce Resource ◽  
Recruitment And Retention ◽  
North West ◽  
The Past ◽  
The North ◽  
Current Thinking

The authors, all consultant child and adolescent psychiatrists working in the north-west of England (an area that has experienced recruitment difficulties throughout the past decade), seek to stimulate discussion about the serious issues of recruitment and retention faced by child and adolescent psychiatry. Current thinking about staffing and models of provision is challenged.

scholarly journals The use of log-books during senior registrar training in child and adolescent psychiatry

1992 ◽  
Vol 16 (3) ◽  
pp. 153-154
Author(s):  
Diana Cassell ◽  
Elizabeth Fellow-Smith
Keyword(s):  
Annual Meeting ◽  
Royal College ◽  
Adolescent Psychiatry ◽  
Professional Training ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
Senior Registrar ◽  
Registrar Training

The aim of this paper is to continue a dialogue regarding the possible future use of log-books during training. The Royal College of Psychiatrists has been considering their use at various stages of training in psychiatry. Cole & Scott (1991) rejected log-books as a tool for self-audit during registrar training because they were often not kept up to date. The situation in higher professional training is more complex; there is not the clear focus of studying for the Membership examination and there are many more training components to cover during a four year period. Thus, we feel that a system for self-audit and monitoring could well prove valuable at the senior registrar level. There is a tension for senior registrars with whom we discussed this issue at the last Annual Meeting of the Section and among colleagues on our rotation.

Specialist child and adolescent psychiatry curriculum: The Royal College of Psychiatrists (UK) model

2012 ◽  
Vol 60 (5) ◽  
pp. S307
Author(s):  
M.D.G. Dominguez Barrera ◽  
A. Mayordomo Aranda ◽  
A. Forti Buratti ◽  
S. Taylor ◽  
E. Garralda ◽  
...  
Keyword(s):  
Royal College ◽  
Adolescent Psychiatry ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry
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