Zebras in the Forest: the experiences of Dual-Trained Child Psychiatrists and Paediatricians in Australia and New Zealand

2016 ◽  
Vol 24 (6) ◽  
pp. 578-582
Author(s):  
Hiran Thabrew

Objectives: The objectives of this study were to examine the experiences of dual-trained child psychiatrists and paediatricians in Australia and New Zealand and inform the review of the Dual Fellowship Training Programme by the Royal Australian and New Zealand College of Psychiatrists and Royal Australasian College of Physicians. Methods: All dual-trained child psychiatrists and paediatricians and current trainees were electronically surveyed in 2015. Results: Seven out of eight specialists (88%) and four out of six trainees (67%) responded. Six (55%) completed or were undertaking training as part of the Dual Fellowship Training Programme. Most respondents entered dual training without difficulty, found the transition from paediatrics to adult psychiatry challenging, and were reassured by their decision to undertake dual training on reaching advanced training in child psychiatry. Benefits and downsides of dual training were noted during and following training. A significant proportion of specialists (55%) were working in hospital-based environments, especially consult liaison services, suggesting that they added long-term value to both the fields of child psychiatry and paediatrics. Conclusions: The Dual Fellowship Training Programme remains a valuable vehicle for gaining skills in paediatrics and child psychiatry. There is support for its continuation by previous and current participants.

2021 ◽  
Vol 4 (2) ◽  
pp. 247-252
Author(s):  
Myron L. Belfer ◽  
Gordon Harper ◽  
Jianping Lu

Chinese child psychiatrists have recognised a need to secure training that represents the most advanced ideas in their field. Turning to senior child psychiatrists in the United States, Dr Jianping Lu worked with them to design a training programme for child psychiatrists in Shenzhen, which then expanded to become a national model. This article details the reasons for the programme, its origins and history, and the outline of the current programme that now reaches child psychiatrists throughout China.


2001 ◽  
Vol 35 (2) ◽  
pp. 190-195 ◽  
Author(s):  
John Dawson ◽  
Sarah Romans

Objective: To assess the uses of Community Treatment Orders (CommTOs) in New Zealand. Method: A retrospective study of patients' records held by the regional administrator of mental health legislation and a survey of psychiatrists attending a conference in Dunedin. Results: Males under Community Treatment Orders (CommTOs) outnumbered females 6:4; a high proportion were considered to have a major psychotic disorder; and one fifth remained under a CommTO for more than a year without inpatient care. Among the psychiatrists, there was a high level of agreement that, when used appropriately, the benefits of CommTOs outweigh their coercive impact on the patients; the most strongly supported indicator for use was the promotion of compliance with medication. The rate of use of CommTOs in Otago is remarkably similar to the rate in Victoria, Australia. Conclusions: Records suggest that a significant proportion of patients under CommTOs are not soon readmitted; and many clinicians in New Zealand consider CommTOs to be a useful strategy for managing the community care of long-term patients with schizophrenia and major affective disorders.


1993 ◽  
Vol 21 (6) ◽  
pp. 848-853 ◽  
Author(s):  
G. M. Clarke ◽  
G. A. Harrison

Unlike training for programmes in other countries which have published details of training programmes for Intensive Care Medicine, the training programme of the Australian and New Zealand College of Anaesthetists does not require certification in a primary specialty, although it is possible to combine training in Intensive Care and Anaesthetics. The lynchpin of the programme is the requirement that training can be undertaken in recognised posts in intensive care units which are approved by the College. Approval of the Unit requires evidence of appropriate supervision and teaching of trainees, sufficient number of admissions with a casemix suitable for the trainees’ learning needs and an adequate level of staff and equipment. The Units are assessed by physical inspection by assessors appointed by the College. The programme includes a Final Examination in Intensive Care.


2021 ◽  
pp. 103985622110373
Author(s):  
Michael Weightman ◽  
Tuan Anh Bui ◽  
Oliver D’Arcy Robertson

Objective: To identify all past publications from Australasian Psychiatry with subject matter particularly relevant for trainees. The results of such a search could then be collated into an easily accessible resource available to trainees and their supervisors. Method: An electronic search of the journal’s back catalogue was conducted. Results: Eighty-seven articles published on subjects particularly relevant for trainees were discovered from within Australasian Psychiatry. In particular, multiple useful resources were identified on the topics of the scholarly project and formulation skills. Conclusions: Australasian Psychiatry has published a wealth of literature that is likely to be of significant benefit for trainees as they work their way through the Royal Australian and New Zealand College of Psychiatrists training programme.


1980 ◽  
Vol 4 (2) ◽  
pp. 26-27
Author(s):  
M. E. Garralda

Interest in the training of psychiatrists is not a new development in Great Britain (Lewis, 1964). Child psychiatry training has a more recent history (Warren, 1974). The RMPA in 1967 approved documents outlining principles and requirements for the training of child psychiatrists. The most recent guidelines were issued by the Joint Committee for Higher Psychiatric Training (JCHPT) in 1975. They advanced the principle that a variety of experience was a requirement of any training programme, and they detailed the types of clinical experience, supervision facilities and formal teaching occasions that should be available.


1992 ◽  
Vol 20 (4) ◽  
pp. 501-503 ◽  
Author(s):  
M. E. Lum ◽  
W. D. Ngan Kee ◽  
B. J. Robinson

The Selectatec Vaporising System is a quick change system consisting of anaesthetic vaporisers of the Tec 3 and Tec 4 models and the compatibility manifold block on which these are seated on the anaesthetic machine backbar. There have been reports of difficulties with the seating and locking of the vaporisers which can cause a leak and failure of vapour delivery. The Faculty of Anaesthetists, Royal Australasian College of Surgeons (now Australian and New Zealand College of Anaesthetists) issued a hazard alert in March 1991 drawing attention to this potential fault.1 We present two cases of awareness associated with failure of internal seals within a Selectatec compatibility manifold block which did not have a detectable leak.


2018 ◽  
Vol 46 (1_suppl) ◽  
pp. 35-51
Author(s):  
A. B. Baker

In 2009 the College of Intensive Care Medicine (CICM) of Australia and New Zealand was inaugurated in Melbourne, Australia. This College now regulates the education, training and accreditation for specialist intensivists for Australia and New Zealand. CICM origins started in 1975 with the formation of the Section of Intensive Care of the Faculty of Anaesthetists, Royal Australasian College of Surgeons (RACS), which moved through intermediary stages as the Faculty of Intensive Care, Australian and New Zealand College of Anaesthetists (ANZCA) when that College was formed from the former Faculty of Anaesthetists RACS, and then the Joint Faculty of Intensive Care Medicine (ANZCA and the Royal Australasian College of Physicians [RACP]), until becoming completely independent as CICM in 2010. There was a period of about 40–50 years evolution from the first formations of intensive care units in Australia and New Zealand, and discussions by the personnel staffing those units amongst themselves and with Members of the Board of the Faculty of Anaesthetists RACS, to the formation of the Section of Intensive Care, then through two intermediary Faculties of Intensive Care Medicine, to the final independent formation of the College of Intensive Care Medicine of Australia and New Zealand in 2010.


2013 ◽  
Vol 9 (4) ◽  
Author(s):  
Nicholas Mays ◽  
John Marney ◽  
Erin King

New Zealand’s health and long-term care system plays an important role in society by improving the length and quality of people’s lives and providing dignity for the sick and infirm. It also accounts for a significant proportion of government spending and a rising share of national income. This article discusses some of the challenges that New Zealand faces in managing expenditure growth and repositioning its health and long-term care system to deal more effectively with changing patterns of disease. 


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