scholarly journals Service innovation in a heated environment: CATS on a hot tin roof

2004 ◽  
Vol 28 (11) ◽  
pp. 398-400 ◽  
Author(s):  
Graham Ingram ◽  
Mary Jane Tacchi
Keyword(s):  
Royal College ◽  
Consultant Psychiatrist ◽  
Delivery Of Care ◽  
Treatment Services ◽  
Department Of Health ◽  
American Model ◽  
Assessment And Treatment ◽  
Set Up ◽  
The Uk ◽  
Radical Approach

Over the past few years, numerous articles have highlighted the strain on (and drain of staff from) our specialty. Many general adult psychiatrists are developing bleak views of themselves, the world and the future. Encouragingly, consultants such as Hampson (2003) are structuring their roles with some success. However, we are going through a major overhaul of the model of delivery of care and need to adapt our roles accordingly. Although tuning a Triumph Spitfire might make it run more smoothly for a while, it is still an inferior beast compared with a modern car and might be better on the scrap heap. A more radical approach is needed, which we outline in this article. One of the authors (G.I.) has experience of working as a consultant psychiatrist in Australia, where the state of Victoria changed the model of delivery of general adult psychiatric services to adopt a superior American model, leading to improved patient and carer satisfaction (Joyet al, 2001). The same model has been adopted by the UK government (Department of Health, 2001) through the creation of crisis assessment and treatment services (CATS), assertive outreach teams, and specialist community and in-patient services. Consultant psychiatrists are challenged to adapt their practice accordingly. The Royal College of Psychiatrists has recently set up a Working Group to address this issue (Royal College of Psychiatrists, 2004).

The NACPDE: new opportunities for dentists trained overseas

2009 ◽  
Vol 91 (8) ◽  
pp. 283-283 ◽  
Author(s):  
Margaret Wilson
Keyword(s):  
Royal College ◽  
Clinical Training ◽  
Dental Education ◽  
Postgraduate Education ◽  
Dental Surgery ◽  
Department Of Health ◽  
The World ◽  
The Uk

The National Advice Centre for Postgraduate Dental Education (NACPDE) was founded in 1978 and is based in the Faculty of Dental Surgery of The Royal College of Surgeons of England and funded by the Department of Health. The UK has traditionally played an important part in providing clinical training and postgraduate education for dentists from all parts of the world. But it is equally important to recognise the contribution oversea-strained dentists have made to the NHS.

scholarly journals The International Fellowship Scheme for consultant psychiatrists: trainees' perspective

2006 ◽  
Vol 30 (6) ◽  
pp. 229-231 ◽  
Author(s):  
Sanju George ◽  
Bill Calthorpe ◽  
Sudhir Khandelwal
Keyword(s):  
Royal College ◽  
Home Country ◽  
Department Of Health ◽  
Job Opportunities ◽  
International Fellowship ◽  
The Uk

The NHS International Fellowship Scheme for consultants offers overseas consultants, in specialties including psychiatry, an opportunity to work in the UK (Goldberg, 2003). This was launched by the Department of Health in 2002 and so far over 100 consultant psychiatrists have been recruited. However, there are several aspects of the project that are unclear. How long will this recruitment continue? Are there any arrangements in place to encourage overseas consultants to return to their home country at the end of their fellowship? Are they eligible to train senior house officers (SHOs) and specialist registrars (SpRs)? Will the recruitment under the scheme have an impact on job opportunities for SpRs currently training in the UK? Why is membership of the Royal College of Psychiatrists being granted to the newly recruited consultants without an examination? These and many more concerns have arisen in the wake of this scheme. In this article, we evaluate the scheme, discuss its implications and suggest possible ways forward.

scholarly journals From specialist registrar to consultant: permission to land?

2005 ◽  
Vol 29 (9) ◽  
pp. 348-351 ◽  
Author(s):  
Asim Naeem ◽  
Joan Rutherford ◽  
Chris Kenn
Keyword(s):  
Royal College ◽  
Hard Work ◽  
Formal Training ◽  
Consultant Psychiatrist ◽  
Specialist Registrar ◽  
Vacancy Rates ◽  
The Uk ◽  
And Training

After many years of hard work and training, the transition from trainee to consultant is potentially challenging. Having successfully negotiated the hurdles of preregistration training, the MRCPsych examination and the specialist registrar (SpR) interview, trainees have to pass one final signpost to mark the end of their formal training – securing their first substantive consultant psychiatrist post. Despite overall vacancy rates of about 12% for consultant psychiatrists in the UK (Royal College of Psychiatrists, 2002), competition can be intense for some posts.

The work of the Faculty of Dental Surgery

2008 ◽  
Vol 90 (9) ◽  
pp. 303-303
Author(s):  
Derrick Willmot
Keyword(s):  
Royal College ◽  
Dental Surgery ◽  
Set Up ◽  
The Uk

The Faculty of Dental Surgery (FDS) of The Royal College of Surgeons of England was founded in 1947 but its historical roots are much earlier than that. The 1858 Medical Act, which regulated medicine in the UK, said: 'It shall […] be lawful for her Majesty, by charter, to grant to the Royal College of Surgeons of England, power to institute and hold Examinations for the purpose of testing the fitness of persons to practise as Dentists […] and to grant certificates of such fitness.' It was in 1860 that the Royal College of Surgeons set up the LDS RCS diploma and organised the first examinations.

Medical Training using Simulators

2011 ◽  
Author(s):  
Patrick Magee ◽  
Mark Tooley
Keyword(s):  
High Risk ◽  
Operating Room ◽  
Medical Training ◽  
Junior Doctors ◽  
Training Time ◽  
Clinical Placements ◽  
Department Of Health ◽  
Set Up ◽  
Airline Crews ◽  
The Uk

Training and education using simulation has been used extensively in many high risk industries including aviation, nuclear power, military and rail. Repeated exposure to simulated crises and events has meant that, for example, airline crews are well prepared to face a rare disaster when it happens in real life. The use of simulation and simulators in medicine, to train and educate healthcare professionals has gained increasing attention in recent years and many simulation centres have now been set up in the UK. The Bristol Medical Simulation Centre, which opened in 1997, was the first training centre of its kind in the UK. There are now over 70 similar centres in the UK and many more with manikins in simpler settings, and hundreds of centres throughout the world [Department of Health 2010]. These offer a similar concept to that which the high risk industries use, where training for medical emergencies using sophisticated manikins are used in realistic medical settings, and task trainers are used to teach, for example, practical surgical skills. Many potential accidents in medicine are due to human error and communication problems [(Kohn et al. 1999, Department of Health 2009)]. Simulators can help train teams to function optimally using human factors style teaching. Simulation could also be a practical solution to several current educational issues. These include the challenges faced by educational institutions in securing clinical placements, the decrease in social acceptance of trainees learning on patients, the drive to maximise patient safety, and the dramatic decrease in training time being available to junior doctors due to the reduction in hours through the European Working Time Directive. The simulations centres consist of a number of different designated rooms. Simulated operations and team training can be carried out in the operating room. This room is made as close as possible to the modern operating room. It contains real equipment such as ventilators, defibrillators, patient monitors, trolleys and drip stands. A control room is next to the operating room, with a one way viewing window. This is where the manikin is controlled and where the simulation training is viewed and video recorded.

scholarly journals Service innovations: an Australian approach to community care – the Northern Crisis Assessment and Treatment Team

2001 ◽  
Vol 25 (11) ◽  
pp. 439-441 ◽  
Author(s):  
Andrew Carroll ◽  
Jane Pickworth ◽  
David Protheroe
Keyword(s):  
Mental Health ◽  
Public Mental Health ◽  
White Paper ◽  
Treatment Team ◽  
The Public ◽  
Department Of Health ◽  
Assessment And Treatment ◽  
Recent Debate ◽  
The Subject ◽  
The Uk

The recent White paper, Modernising Mental Health Services, recommended the provision of home treatment teams for acute mental illness (Department of Health, 1998). Such services are not widespread in the UK and have been the subject of recent debate (Smyth et al, 2000). In Australia, multi-disciplinary teams providing 24–hour community assessment and treatment of psychiatric emergencies have been in place now for over a decade, and form the cornerstone of the public mental health service.

Best practice for chronic oedema in community settings: what can we learn?

2020 ◽  
Vol 25 (12) ◽  
pp. 610-614
Author(s):  
Garry Cooper-Stanton
Keyword(s):  
Service Provision ◽  
Best Practice ◽  
Evidence Base ◽  
Community Services ◽  
Guidance Document ◽  
Community Settings ◽  
Tissue Viability ◽  
Delivery Of Care ◽  
Specialist Nurses ◽  
The Uk

There are various opportunities and challenges in the delivery of care to those diagnosed with chronic oedema/lymphoedema. Service provision is not consistent within the UK, and non-specialist nurses and other health professionals may be called on to fill the gaps in this area. The latest best practice guidance on chronic oedema is directed at community services that care for people within their own homes in primary care. This guide was developed in order to increase awareness, knowledge and access to an evidence base. Those involved in its creation cross specialist fields (lymphoedema and tissue viability), resulting in the document covering a number of areas, including an explanation of chronic oedema, its assessment and management and the association between chronic oedema and wet legs. The document complements existing frameworks on the condition and its management and also increases the available tools within chronic oedema management in the community. The present article provides an overview of the guidance document and discusses its salient features.

Assessment and Treatment of Tinnitus Patients Using a "Masking Approach"

2002 ◽  
Vol 13 (10) ◽  
pp. 545-558 ◽  
Author(s):  
Martin A. Schechter ◽  
James A. Henry
Keyword(s):  
Hearing Aids ◽  
Historical Review ◽  
Evaluation Process ◽  
Direct Patient Care ◽  
Tinnitus Questionnaire ◽  
Care Experience ◽  
Treatment Services ◽  
Assessment And Treatment ◽  
Retraining Therapy ◽  
Tinnitus Masking

Audiology clinics are increasingly being asked to provide tinnitus treatment services to patients who are severely distressed by tinnitus. It is unclear what levels of tinnitus care are available at different audiology clinics across the nation. Some clinics have staff who are experienced with the tinnitus masking technique or with tinnitus retraining therapy (TRT), whereas other clinics may limit their care to the provision of hearing aids. This article is an attempt to provide some basic information for those clinicians who would like to provide at least a minimum level of care for their tinnitus patients using the tinnitus masking approach. The most important requirement is a commitment by the clinician to assemble some basic resources and to structure the clinical schedule so that adequate time is available for historical review, evaluation, trial and selection of devices, and tinnitus counseling. A minimum set of measurements is recommended for inclusion in the tinnitus evaluation process. This informal review summarizes a variety of clinical observations culled from years of direct patient care experience. A tinnitus questionnaire is provided to help clinicians review potentially relevant issues.

scholarly journals Collateral impact of COVID-19: why should children continue to suffer?

2021 ◽  
Author(s):  
Prasad Nagakumar ◽  
Ceri-Louise Chadwick ◽  
Andrew Bush ◽  
Atul Gupta
Keyword(s):  
Young People ◽  
Large Scale ◽  
Hospital Admissions ◽  
Severe Disease ◽  
Children And Young People ◽  
Collateral Effects ◽  
Rsv Infection ◽  
Syncytial Virus ◽  
Set Up ◽  
The Uk

AbstractThe COVID-19 pandemic caused by SARS-COV-2 virus fortunately resulted in few children suffering from severe disease. However, the collateral effects on the COVID-19 pandemic appear to have had significant detrimental effects on children affected and young people. There are also some positive impacts in the form of reduced prevalence of viral bronchiolitis. The new strain of SARS-COV-2 identified recently in the UK appears to have increased transmissibility to children. However, there are no large vaccine trials set up in children to evaluate safety and efficacy. In this short communication, we review the collateral effects of COVID-19 pandemic in children and young people. We highlight the need for urgent strategies to mitigate the risks to children due to the COVID-19 pandemic. What is Known:• Children and young people account for <2% of all COVID-19 hospital admissions• The collateral impact of COVID-19 pandemic on children and young people is devastating• Significant reduction in influenza and respiratory syncytial virus (RSV) infection in the southern hemisphere What is New:• The public health measures to reduce COVID-19 infection may have also resulted in near elimination of influenza and RSV infections across the globe• A COVID-19 vaccine has been licensed for adults. However, large scale vaccine studies are yet to be initiated although there is emerging evidence of the new SARS-COV-2 strain spreading more rapidly though young people.• Children and young people continue to bear the collateral effects of COVID-19 pandemic

scholarly journals Thy 3F and 3a malignancy rate, a multisite regional retrospective case series

2018 ◽  
Vol 100 (7) ◽  
pp. 545-550 ◽  
Author(s):  
V Alexander ◽  
J Rudd ◽  
D Walker ◽  
G Wong ◽  
A Lunt ◽  
...  
Keyword(s):  
Thyroid Cancer ◽  
Royal College ◽  
Case Series ◽  
Thyroid Malignancy ◽  
Retrospective Case ◽  
Retrospective Case Series ◽  
Indeterminate Nodules ◽  
The Uk ◽  
Diagnosis Of Thyroid Cancer ◽  
Benign Thyroid

Introduction The aim of this study was to ascertain the incidence of thyroid cancer for patients categorised as Thy3, 3a or 3f across four tertiary thyroid multidisciplinary centres in the UK. Material and methods This is a retrospective case series examining patients who presented with a thyroid nodule and diagnosed as Thy3, 3a or 3f according to the Royal College of Pathologists modified British Thyroid Association and Royal College of Physicians Thy system. Results In total, 395 patients were included in this study. Of these, 136 turned out to have benign thyroid disease and 24 had micropapillary thyroid carcinomas. The overall rate of thyroid malignancy was 28.8%. For each subcategory, the rate of malignancy was Thy3 24.7.7%, Thy3a 30.4% and Thy3f 29.2. However, the incidence of thyroid malignancy varied considerably between the four centres (Thy 3f 18-54%). Discussion The diagnosis of thyroid cancer is evolving but detection for malignancy for indeterminate nodules remains below 50% for most centres around the world. In 2014, the British Thyroid Association subdivided the original Thy3 category into Thy3a and Thy3f and recommended a more conservative approach to management for Thy3a nodules. Despite this, only two centres yielded a higher conversion rate of malignancy in the new higher graded Thy3f group compared with Thy3a. Conclusion It is debateable whether the new ‘Thy3’ subcategories are more useful than the original. Local thyroid malignancy rates may also be more useful than national averages to inform treatment decisions.

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