What Does it take to Become a Psychiatrist? Results from a Survey on Quality of Training

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1 ◽  
Author(s):  
V. Barbanti Silva ◽  
M. Forghieri ◽  
S. Ferrari ◽  
U. Volpe ◽  
A. Fiorillo
Keyword(s):  
Forensic Psychiatry ◽  
Rating Scales ◽  
Ad Hoc ◽  
Child And Adolescent Psychiatry ◽  
Early Career ◽  
International Standards ◽  
Therapeutic Interventions ◽  
Emergency Psychiatry ◽  
Work Related ◽  
Self Confidence

As models of mental health care and the professional identity of psychiatry are dramatically changing throughout Europe, a constant redefinition of aims, procedures and standards of training in psychiatry is widely perceived as necessary. The aim of the present study was to assess, in a group of trainees in psychiatry and early career psychiatrists, facts and opinions about their own training.A 30-item ad hoc structured questionnaire, with both yes/no questions and rating scales, was administered to 92 Italian trainees in psychiatry and young psychiatrists, during a training event. The questionnaire focused on general work-related aspects (job satisfaction, self-confidence in different skills and therapeutic interventions) but also on more specific training-related aspects (supervision, training in psychotherapy, methods of evaluations, training in research).Mean (SD) age of respondents was 30 (3.51) years, with a M/F ratio of 0.31. Sixty-nine percent of respondents deemed themselves generally “satisfied” with their training, but when considering some specific areas of training, such as psychotherapy and forensic psychiatry, the satisfaction rates were sensibly lower (33 and 19% respectively). Lower levels of professional self-confidence were associated to forensic psychiatry, child and adolescent psychiatry, and emergency psychiatry. Respondents also reported problems in the definition and application of training instruments such as supervision and a training log-book.The definition and implementation of minimum educational international standards for training in psychiatry is still necessary. Thus, continuous research on definition of educational standards in psychiatry has to be promoted throughout Europe.

ECP09-05 - Psychiatric training in europe: the opinions of early career psychiatrists

2011 ◽  
Vol 26 (S2) ◽  
pp. 1809-1809 ◽  
Author(s):  
D. Giacco
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Adolescent Psychiatry ◽  
Forensic Psychiatry ◽  
Child And Adolescent ◽  
Child And Adolescent Psychiatry ◽  
Early Career ◽  
Psychiatric Training ◽  
Exchange Programs ◽  
Self Confidence

IntroductionThe recent reforms of mental health legislation occurred in most European countries, together with the continuous advances of technologies and the development of research in all the domains of psychiatry have deeply modified the role of mental health professionals with consequent changes in training needs for early career psychiatrists. The competencies required to psychiatrists today include not only the knowledge of the advances in neuroscience, psychopharmacology, psychotherapy and social psychiatry, but also the ability to understand the different clinical and social needs of the patients. Young psychiatrists report a gap between their knowledge and the skills required during the first years of their job.AimsThe European Psychiatric Association-Early Career Psychiatrists Committee, in cooperation with the European Federation of Psychiatric Trainees, conducted a survey among European young psychiatrists and psychiatric trainees, aimed at evaluating difficulties and perspectives related to psychiatric training residency.Methods86 respondents completed the Psychiatric Training Questionnaire, a multiple-choice and self-reported questionnaire, which evaluates: 1) satisfaction with training received; 2) self-confidence in theoretical and practical skills included in psychiatric training curriculum; 3) educational opportunities received during training.ResultsRespondents were almost equally split between trainees (54%) and young psychiatrists (46%). Seventy per cent of them were completely or partially satisfied with training received. Early Career Psychiatrists reported higher levels of self-confidence in clinical psychiatry (98%), psychopharmacology (69%) and emergency psychiatry (61%), whereas the most problematic areas were forensic psychiatry (64%) psychotherapy (61%) and child and adolescent psychiatry (57%). 41% of respondents was not assigned a tutor for clinical activities, 73% of them could not rely on a dedicated supervisor for training in psychotherapy and 58% had not the possibility to use a log-book to record the competencies acquired during training. Only 37% participated in exchange programs; all early career psychiatrists who had this opportunity found this experience very useful for their professional growth.ConclusionsStandards of training in psychiatry in Europe are generally satisfactory. However, our results highlight the need to:1)upgrade training in some areas, such as psychotherapy, forensic psychiatry and child and adolescent psychiatry;2)guarantee an adequate clinical supervision;3)spread the use of log-book;4)improve the opportunities for exchange programs.

scholarly journals Immersive virtual reality health games: a narrative review of game design

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Gordon Tao ◽  
Bernie Garrett ◽  
Tarnia Taverner ◽  
Elliott Cordingley ◽  
Crystal Sun
Keyword(s):  
Virtual Reality ◽  
Physical Exercise ◽  
Game Design ◽  
Ad Hoc ◽  
Narrative Review ◽  
Therapeutic Interventions ◽  
User Engagement ◽  
Exercise Interventions ◽  
Head Mounted Display ◽  
Sufficient Detail

Abstract Background High quality head-mounted display based virtual reality (HMD-VR) has become widely available, spurring greater development of HMD-VR health games. As a behavior change approach, these applications use HMD-VR and game-based formats to support long-term engagement with therapeutic interventions. While the bulk of research to date has primarily focused on the therapeutic efficacy of particular HMD-VR health games, how developers and researchers incorporate best-practices in game design to achieve engaging experiences remains underexplored. This paper presents the findings of a narrative review exploring the trends and future directions of game design for HMD-VR health games. Methods We searched the literature on the intersection between HMD-VR, games, and health in databases including MEDLINE, Embase, CINAHL, PsycINFO, and Compendex. We identified articles describing HMD-VR games designed specifically as health applications from 2015 onwards in English. HMD-VR health games were charted and tabulated according to technology, health context, outcomes, and user engagement in game design. Findings We identified 29 HMD-VR health games from 2015 to 2020, with the majority addressing health contexts related to physical exercise, motor rehabilitation, and pain. These games typically involved obstacle-based challenges and extrinsic reward systems to engage clients in interventions related to physical functioning and pain. Less common were games emphasizing narrative experiences and non-physical exercise interventions. However, discourse regarding game design was diverse and often lacked sufficient detail. Game experience was evaluated using primarily ad-hoc questionnaires. User engagement in the development of HMD-VR health games primarily manifested as user studies. Conclusion HMD-VR health games are promising tools for engaging clients in highly immersive experiences designed to address diverse health contexts. However, more in-depth and structured attention to how HMD-VR health games are designed as game experiences is needed. Future development of HMD-VR health games may also benefit from greater involvement of end-users in participatory approaches.

scholarly journals Personal & Professional Efficiency of University Teachers in Relation to their Professional Burnout

2020 ◽  
Vol 5 (9) ◽  
pp. 378-388
Author(s):  
Vijaya Anuradha, R ◽  
Shailaja, M ◽  
Lokanadha Reddy, G ◽  
Vijaya Vardhini, S
Keyword(s):  
Occupational Stress ◽  
Tamil Nadu ◽  
Rating Scales ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Work Place ◽  
Professional Burnout ◽  
University Teachers ◽  
Self Confidence ◽  
Stress At Work

Stress at work place is a barometer of the health of an organization. Prolonged stress in any employee leads to professional burnout. This study examined the relationship between professional burnout and occupational stress due to personal & professional efficiency of teachers working at university level. Rating Scales were administered on a sample of 955 university teachers from 9 universities of Andhra Pradesh and Tamil Nadu who were chosen by using Simple Random Sampling Technique. The statistical techniques employed were percentage, mean, SD, mean ± 1SD, and also correlations computed to analyze the obtained data. Results of the study revealed that around 86% of university teachers are experiencing moderate and high levels of professional burnout and around 60% of them are showing moderate level of occupational stress due to personal & professional efficiency. Further, correlation studies revealed that there is a significant positive relationship between professional burnout and occupational stress due to personal & professional efficiency. The results reinforce the need for interventions in strengthening and reinforcing teacher’s self-confidence and positive attitude, and weakening the stress and burnout causing factors. Much of the stress and burnout can be minimized through support, persistence, problem solving, active decision making and planning, organizational adaptability and developing good human relations.

scholarly journals Work-Related Tuberculosis among Health Workers Employed in a Tertiary Hospital in Northeastern Thailand: A Report of Nine Cases

2020 ◽  
Vol 17 (14) ◽  
pp. 5156
Author(s):  
Thanthun Sangphoo ◽  
Naesinee Chaiear ◽  
Patimaporn Chanpho
Keyword(s):  
Prolonged Exposure ◽  
Health Workers ◽  
Tertiary Hospital ◽  
International Standards ◽  
Respiratory Protection ◽  
Effective Work ◽  
Work Related ◽  
Investigation Methods ◽  
Epidemiological Information ◽  
Northeastern Thailand

Between October 2016 and September 2018, fifteen health workers were diagnosed with tuberculosis (TB) at a tertiary hospital in northeastern Thailand. However, the cases could not be diagnosed as occupational TB according to international standards because of hospital limitations. The use of occupational epidemiological information provides a more effective work-related TB diagnosis. This study aims to provide a report of work-related TB using individual case investigation methods. We collected secondary data from the Occupational Health and Safety Office of the hospital in question, including baseline characteristics for the health workers, occupational history, source of TB infection and occupational exposure, and working environmental measurements. We found that nine of the fifteen cases were diagnosable as work-related TB due to two important factors: daily prolonged exposure time to an infected TB patient, and aerosol-generating procedures without adequate respiratory protection. The other six cases were not diagnosable as work-related TB because of inadequate evidence of activities related to the TB infection. The diagnosis of work-related TB thus requires occupational epidemiological information in order to complete the differentiation process.

scholarly journals Manpower 1982–1983

1981 ◽  
Vol 5 (6) ◽  
pp. 113-113
Author(s):  
Ashley Robin ◽  
Fiona Caldicott
Keyword(s):  
Mental Illness ◽  
General Surgery ◽  
Adolescent Psychiatry ◽  
Forensic Psychiatry ◽  
General Medicine ◽  
Child And Adolescent Psychiatry ◽  
Metropolitan Regions ◽  
Mental Handicap ◽  
Obstetrics And Gynaecology ◽  
Regional Authorities

Bids for new posts for 1982–83 will be decided by Regional Authorities on the advice of Regional Manpower Committees within the next few months on the basis of guidelines formulated and issued by the DHSS. There seems little likelihood that cash limits will be significantly eased by 1982–83, and the case for psychiatry will have to be argued in face of a greater degree of consultant expansion to be allowed in the support specialties—e.g., anaesthetics, radiology, and unlimited expansion, as far as central approval is concerned, in general medicine, general surgery, and obstetrics and gynaecology. It may be expected that the non-metropolitan Regions will be better placed financially to meet consultant expansion, so that while on average two to three adult mental illness consultant posts will be permitted in each Region, Regions with resources may be encouraged to bid above this average, as preference will normally be given to Regions with the lowest ratio of establishment to population. The same principle would apply in child and adolescent psychiatry where on average one post per Region may be allowed. Only two new consultant posts in mental handicap will be created in the year in England and Wales. Applications for forensic psychiatry posts for regional secure units will be treated sympathetically, and, while there is no limit proposed for psychotherapy posts, the small number of senior registrars who will have completed training suggests that few bids are anticipated for this specialty.

scholarly journals The Sensor-Based Biomechanical Risk Assessment at the Base of the Need for Revising of Standards for Human Ergonomics

Sensors ◽  
2020 ◽  
Vol 20 (20) ◽  
pp. 5750
Author(s):  
Alberto Ranavolo ◽  
Arash Ajoudani ◽  
Andrea Cherubini ◽  
Matteo Bianchi ◽  
Lars Fritzsche ◽  
...  
Keyword(s):  
Risk Assessment ◽  
International Standards ◽  
Motor Tasks ◽  
Traditional Methods ◽  
Work Related ◽  
Work Related Musculoskeletal Disorders ◽  
Manual Handling ◽  
Heavy Loads ◽  
Human Augmentation ◽  
Human Robot Collaboration

Due to the epochal changes introduced by “Industry 4.0”, it is getting harder to apply the varying approaches for biomechanical risk assessment of manual handling tasks used to prevent work-related musculoskeletal disorders (WMDs) considered within the International Standards for ergonomics. In fact, the innovative human–robot collaboration (HRC) systems are widening the number of work motor tasks that cannot be assessed. On the other hand, new sensor-based tools for biomechanical risk assessment could be used for both quantitative “direct instrumental evaluations” and “rating of standard methods”, allowing certain improvements over traditional methods. In this light, this Letter aims at detecting the need for revising the standards for human ergonomics and biomechanical risk assessment by analyzing the WMDs prevalence and incidence; additionally, the strengths and weaknesses of traditional methods listed within the International Standards for manual handling activities and the next challenges needed for their revision are considered. As a representative example, the discussion is referred to the lifting of heavy loads where the revision should include the use of sensor-based tools for biomechanical risk assessment during lifting performed with the use of exoskeletons, by more than one person (team lifting) and when the traditional methods cannot be applied. The wearability of sensing and feedback sensors in addition to human augmentation technologies allows for increasing workers’ awareness about possible risks and enhance the effectiveness and safety during the execution of in many manual handling activities.

scholarly journals Reputation Management in the AEC-industry after Work-related Crime

2018 ◽  
Vol 49 (2) ◽  
pp. 176-184 ◽  
Author(s):  
Atle Engebø ◽  
Marie Hammer Iversen ◽  
Leif Daniel Houck ◽  
Ola Lædre ◽  
Jardar Lohne
Keyword(s):  
Ad Hoc ◽  
Project Managers ◽  
Reputation Management ◽  
Public Image ◽  
Construction Companies ◽  
Work Related ◽  
Net Profit ◽  
Scheduled Time ◽  
Creative Construction

Construction companies can be difficult to manage because of complex supply chains, autonomous project managers aiming to maximize net profit, heavy emphasis on price, etc. Another particularity, namely the construction companies' vulnerability for work-related crime, does not receive sufficient attention in the project management literature. In order to study how two major Norwegian contractors managed to safeguard their reputation in the aftermath of the discovery of tax crime and money laundering within their projects, this paper investigates the following research questions: 1) What are the main challenges regarding work-related crime? and 2) How do contractors manage their professional reputation and public image in the aftermath of exposed work-related crime?This is an exploratory study starting with a literature review, followed by a case study consisting of a document study and 12 semi-structured in-depth interviews with representatives on the strategic level. Work-related crime could have a devastating effect on a contractor's reputation. Reputation is perceived to be a vital catalyst for contractors that want to continue in business and conduct projects for reputable clients. Therefore, the most important measure will be to deliver projects according to the agreed price and quality, within the scheduled time, while not compromising either the contract, all the legal jurisdictions aspects or ethical standards. In these particular cases, the contractors perceived their reputation as remaining untarnished due to their successful ad-hoc reputation management. However, the contractors have to do more than just distancing themselves. They must actively prevent criminal actors from entering their projects. This paper is a revised version of the paper (study) published earlier in the proceedings of the Creative Construction Conference 2018 (Engebø et al., 2018).

scholarly journals Building national associations for psychiatry trainees: The MENTA recipe for success

2017 ◽  
Vol 41 (S1) ◽  
pp. 912-912
Author(s):  
T.M. Gondek
Keyword(s):  
Working Group ◽  
Task Force ◽  
Child And Adolescent Psychiatry ◽  
Early Career ◽  
Psychiatric Training ◽  
European Federation ◽  
Adult Psychiatry ◽  
Umbrella Organization ◽  
Competing Interest ◽  
Work Done

European Federation of Psychiatric Trainees (EFPT) is an umbrella organization for national psychiatric trainee associations in Europe, aiming to develop collaboration between psychiatric trainees. EFPT states that organised trainee interest is crucial in promoting high quality psychiatric training, therefore it promotes that both general adult psychiatry and child and adolescent psychiatry trainees are represented by national trainee association in each European country. The Maintaining and Establishing a National Trainee Association Working Group (MENTA WG), a permanent EFPT working group, has been created to assist trainees in building a local trainee organization. MENTA WG supports organising meetings, helps manage the problems of functioning of an association, sends letters of support to national decision makers, helps prepare the organization's bylaws and facilitates the process of application for full EFPT membership. The group also helps reactivate the inactive associations and assists them in expansion and developing new initiatives. MENTA WG maintains close collaboration with the European Psychiatric Association Early Career Psychiatrists Committee (EPA ECPC) Task Force on Meetings and Associations and other organizations dedicated to early career psychiatrists, such as the Young Psychiatrists’ Network. In the last few years, due to the work done within MENTA WG, the EFPT family has grown and welcomed new official members, such as: Poland, Spain and Slovakia. Currently, we are planning on supporting trainees in Moldova, Bulgaria and Kosovo to establish new official organizations in these countries. We also expand our activities beyond Europe and offer counselling for psychiatric trainees from such countries as Australia or South Africa.Disclosure of interestThe author has not supplied his declaration of competing interest.

Twentieth-Century Influences on the Development in Britain of Services for Child and Adolescent Psychiatry

1991 ◽  
Vol 159 (1) ◽  
pp. 53-68 ◽  
Author(s):  
Christopher J. Wardle
Keyword(s):  
Rapid Development ◽  
Child And Adolescent Psychiatry ◽  
Therapeutic Interventions ◽  
Teaching Hospitals ◽  
The Past ◽  
Child Guidance ◽  
Wide Range ◽  
The Media ◽  
Post War ◽  
And Control

Modern comprehensive multidisciplinary mental-health services for children and adolescents have four origins: psychology from 1890, psychoanalysis from 1906, the child-guidance movement from 1920, and the children's departments of psychiatric teaching hospitals from 1930. Post-war changes in society and reform, especially the NHS Act 1946, contributed to rapid development of services and an increasingly wide range of sophisticated therapeutic interventions; professional and interdisciplinary associations and trans-Atlantic exchange were also influential. In the last three decades a succession of official inquiries, reports, legislation and reorganisations have had a damaging effect. Children and their services have been prey tocauses célèbres,fashion and the exaggerated fads and foibles of the media and politicians; they have thrived best when society and their carers were tolerant, and loving, sought good qualities to augment, not evil to exorcise, and succeeded in balancing structure and control with flexibility and freedom to grow. Planners should review the past before acting.

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