scholarly journals Research in psychiatric higher specialist training: a survey of specialist registrars

2002 ◽  
Vol 26 (7) ◽  
pp. 272-274 ◽  
Author(s):  
L. Allsopp ◽  
R. Allen ◽  
L. Fowler ◽  
C. Hall ◽  
M. R. Woodbury-Smith
Keyword(s):  
Postal Survey ◽  
Clinical Implications ◽  
Specialist Training ◽  
Developmental Psychiatry

Aims and MethodSpecialist registrars (SpRs) in psychiatry spend only 3 years in this grade, with 1 day a week allocated to research. In view of this sizeable proportion of time designated for research, we undertook a postal survey of the experiences of and attitudes towards research of SpRs in developmental psychiatry.ResultsA high proportion of respondents were involved in research at the time of the study, although half described difficulty starting and a third described difficulty taking the day. The majority of respondents believed research to be important and about three-quarters found it enjoyable.Clinical ImplicationsWhile research remains a mandatory part of training it is important that trainers ensure that research time is protected.

scholarly journals Psychotherapy training and the Calman reforms

2001 ◽  
Vol 25 (8) ◽  
pp. 321-322
Author(s):  
Katharine E. Logan ◽  
Nabila Muzaffar
Keyword(s):  
Psychotherapy Training ◽  
Postal Survey ◽  
Clinical Implications ◽  
Specialist Training ◽  
Ongoing Debate ◽  
Psychotherapy Trainees ◽  
The Future ◽  
The Uk ◽  
Training Modalities

Aims and MethodThere have been major changes in the duration and the requirements of higher specialist training in psychotherapy in the UK. A postal survey was sent to all higher specialist trainees in psychotherapy to study their attitudes to, and experience of, these changes.ResultsEighty-nine per cent of trainees responded. The majority of trainees expressed concern about the reduction in length of training. There were gaps in provision of some essential training modalities. A substantial group of trainees did not have protected research time.Clinical ImplicationsPsychotherapy trainees believe the changes in training sacrifice depth for breadth. This highlights the ongoing debate about the future of psychotherapy within the NHS.

scholarly journals Facilities for carers of in-patients in forensic psychiatric services in England and Wales

2010 ◽  
Vol 34 (9) ◽  
pp. 381-384 ◽  
Author(s):  
Irene Cormac ◽  
Drew Lindon ◽  
Hannah Jones ◽  
Trevor Gedeon ◽  
Michael Ferriter
Keyword(s):  
Mental Health ◽  
Postal Survey ◽  
Psychiatric Services ◽  
Clinical Implications ◽  
England And Wales ◽  
Mental Health Settings ◽  
Forensic Psychiatric ◽  
Minority Ethnic ◽  
Psychiatric Facilities

Aims and methodA postal survey of forensic psychiatric facilities in England and Wales was undertaken to obtain information about the services provided for carers of in-patients within these services.ResultsForensic psychiatric services vary in the support and facilities provided for carers. Many do not comply with current legislation for carers. Most units informed carers of their rights to have an assessment, but only a minority provided facilities for carers from Black and minority ethnic backgrounds.Clinical implicationsForensic psychiatric services should meet standards for the involvement and support of carers in mental health settings, and comply with legislation for carers.

scholarly journals Use of cognitive–behavioural therapy skills among trained psychiatrists

2006 ◽  
Vol 30 (2) ◽  
pp. 58-60 ◽  
Author(s):  
Graeme Whitfield ◽  
Moira Connolly ◽  
Alan Davidson ◽  
Chris Williams
Keyword(s):  
Professional Development ◽  
Cognitive Behavioural Therapy ◽  
Behavioural Therapy ◽  
Postal Survey ◽  
Clinical Implications ◽  
Therapeutic Activity ◽  
Protected Time ◽  
Training And Supervision ◽  
Cognitive Behavioural ◽  
The Cost

Aims and MethodPrevious studies have suggested that despite the cost of attendance at postgraduate cognitive–behavioural therapy (CBT) courses, psychiatrists are unable to engage in CBT after qualification. A postal survey of psychiatrists with postgraduate CBT training currently practising in Scotland was performed to assess the levels of training and supervision that they provide, therapeutic CBT activity, and supervision and continued professional development that they receive.ResultsOf the 58 psychiatrists, 51 replied to the survey (88%). Less than half of the respondents supervised other staff. Although 43 (84%) engaged in some therapeutic CBT activity, only 25 (49%) received supervision for their own practice. The main reasons given for not engaging in CBT therapeutic activity were that there was inadequate ‘protected time’ and that CBT had not been included in ‘job plans'.Clinical ImplicationsPsychiatrists can help to disseminate CBT skills. To do this, they require personal supervision, and time for the development and maintenance of therapeutic skills as well as for the training and supervision of others. This survey builds on the results of others and indicates that these requirements are currently being inadequately met.

Recruitment, retention, satisfaction and stress in child and adolescent psychiatrists

2003 ◽  
Vol 27 (2) ◽  
pp. 61-67 ◽  
Author(s):  
S. Littlewood ◽  
P. Case ◽  
R. Gater ◽  
C. Lindsey
Keyword(s):  
Psychological Distress ◽  
Job Stress ◽  
Management Training ◽  
Child And Adolescent ◽  
Postal Survey ◽  
Self Management ◽  
Clinical Implications ◽  
The Uk ◽  
Staffing Requirements ◽  
Safe Access

Aims and MethodA postal survey was sent to all consultant child and adolescent psychiatrists in the UK and Eire examining recruitment, retention, job satisfaction and job stress.ResultsA response was received from 333 (60%) child and adolescent psychiatrists. Sixty-one per cent indicated their service was inadequately resourced and 89% reported that their service failed to meet the College's minimum staffing requirements. Safe access to in-patient beds was not available to 71%. One hundred and thirty vacant posts were identified. Rates of psychological distress and burnout were high. Adequate services and the presence of a close, supportive colleague were associated with higher rates of satisfaction and lower rates of psychological distress and emotional exhaustion.Clinical ImplicationsA multi-faceted approach is suggested and recommendations are described under the headings of self-management, training, recruitment and commissioning.

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 Survey of psychotherapy experience and interest among psychiatric specialist registrars

2006 ◽  
Vol 30 (6) ◽  
pp. 223-225 ◽  
Author(s):  
Werner Pretorius ◽  
Rainer Goldbeck
Keyword(s):  
Royal College ◽  
Special Interest ◽  
Perceived Competence ◽  
Postal Survey ◽  
Clinical Implications ◽  
Further Training ◽  
Eligibility Criteria ◽  
Psychiatric Specialist ◽  
And Training

Aims and MethodA postal survey was conducted to determine what proportion of psychiatric specialist registrars working in Scotland (n=119, excluding those specialising in psychotherapy) met the requirements for experience in psychotherapy. Since 2004, this has been a compulsory part of eligibility criteria for the MRCPsych part II examination.ResultsTwo-thirds of those surveyed responded. One-third of respondents met the Royal College of Psychiatrists' requirements for psychotherapy experience. Half the respondents reported competence in at least one modality of psychotherapy. Four-fifths of respondents were interested in gaining further experience and training, two-thirds in developing a special interest and one-quarter in dual training, in at least one modality of College psychotherapy. There was no significant association between adherence to the requirements and self-perceived competence, qualification or the wish to gain further training and experience in psychotherapy.Clinical ImplicationsThe majority of trainees, even those interested in psychotherapy, still fail to meet College requirements. Many trainees would appreciate an opportunity to gain greater depth of psychotherapy experience, in addition to gaining broad experience of various aspects of psychotherapy as required by the College.

scholarly journals Service user involvement in training: the trainees' view

2006 ◽  
Vol 30 (8) ◽  
pp. 303-305 ◽  
Author(s):  
Ajay Vijayakrishnan ◽  
Joan Rutherford ◽  
Steve Miller ◽  
Lynne M. Drummond
Keyword(s):  
Questionnaire Survey ◽  
Service User ◽  
User Involvement ◽  
Clinical Implications ◽  
Service Users ◽  
Service User Involvement ◽  
Specialist Training ◽  
Training Scheme ◽  
South West ◽  
Actual Participation

Aims and MethodA questionnaire survey was conducted of trainees across the South-West London and St George's Basic Specialist Training Scheme in Psychiatry to explore their attitudes towards service user involvement in training.ResultsFifty-two completed questionnaires were received; 20 trainees (38%) had not attended teaching sessions where a user was present; 35 trainees (67%) were agreeable to service user involvement in examinations. Reservations concerned the objectivity of service users in examination rating and their role as an expert on assessing the trainee's skill. Awareness of user involvement strategies and policies in their trusts were not matched with actual participation.Clinical ImplicationsService users should be involved in teaching in an expert capacity and also in examinations, with safeguards regarding transparency and objectivity of the marking schemes in place.

scholarly journals Availability and acceptability of home treatment for acute psychiatric disorders

2000 ◽  
Vol 24 (5) ◽  
pp. 169-171 ◽  
Author(s):  
Andrew J. Owen ◽  
S. P. Sashidharan ◽  
Lyse J. Edwards
Keyword(s):  
Mental Health ◽  
Response Rate ◽  
Postal Survey ◽  
Home Treatment ◽  
Clinical Implications ◽  
Health Authorities ◽  
Low Levels ◽  
The Uk ◽  
Do So ◽  
Future Plans

Aims and MethodsTo ascertain current levels of access to home treatment for those with acute mental illness and future plans of trusts and purchasing authorities to provide such services. Also, to assess the attitudes of these organisations towards this form of treatment. A postal survey of all mental health trusts and purchasing authorities within the UK was carried out.ResultsOne hundred and seventy-two trusts and 82 health authorities returned questionnaires, representing a response rate of 75% and 67% respectively. Only 27 (16%) of trusts provided home treatment but 58 (40%) had plans to do so. All health authorities and 97% of trusts were in favour of the principle of providing home treatment.Clinical ImplicationsDespite the low levels of provision of home treatment trusts and health authorities were strongly in favourof it. There is likely to be a large increase in its availability over the next 12 months.

scholarly journals Psychotherapy training experience in an inner-city psychiatry rotation

2003 ◽  
Vol 27 (5) ◽  
pp. 179-182
Author(s):  
Maria Podlejska-Eyres ◽  
Julian Stern
Keyword(s):  
Inner City ◽  
Response Rate ◽  
Psychotherapy Training ◽  
Postal Questionnaire ◽  
Clinical Implications ◽  
Basic Training ◽  
Specialist Training ◽  
Training Experience ◽  
Training Scheme ◽  
Royal London Hospital

Aims and MethodA postal questionnaire was circulated to all psychiatrists who had completed their basic specialist training on the Royal London Hospital training scheme within the last 7.5 years. The aim of the questionnaire was to explore their psychotherapy experience while on the rotation.ResultsThe response rate was 95%. The respondents had a broad experience of both didactic and case work that they valued highly. Over half of them wished for an even greater exposure to psychotherapy during their basic training.Clinical ImplicationsThe results of our survey suggest that with the dedication of both the trainees and trainers, it is possible to have a comprehensive psychotherapy experience while working on a busy inner-city rotation.

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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