scholarly journals Paediatrics in child and adolescent psychiatric training

1997 ◽  
Vol 21 (5) ◽  
pp. 294-296
Author(s):  
Oonagh Bradley

The experience of a paediatric placement is described. Difficulties encountered mirror those experienced in liasion child psychiatry and the basis for this is dicussed. Early collaboration during specialist training of paediatricians and child psychiatrists can enhance the working relationships between the disciplines and the clinical skills of both.

BMJ Open ◽  
2020 ◽  
Vol 10 (1) ◽  
pp. e030354 ◽  
Author(s):  
Fiona McNicholas ◽  
Sonita Sharma ◽  
Cliodhna Oconnor ◽  
Elizabeth Barrett

Physician burnout has reached epidemic levels in many countries, contributing to adverse personal, patient and service outcomes. Adverse socioeconomic conditions, such as the economic downturn in the Ireland post 2008, contribute to a situation of increased demand but inadequate resources. Given a recent unprecedented increase in referrals to Irish child and adolescent mental health services (CAMHS), coupled with a fragmented and poorly resourced service, it is important to reflect on consultant child psychiatrists’ well-being.ObjectivesTo report on the level of burnout among consultants working in CAMHS in Ireland using a cross-sectional design.SettingCommunity CAMHS in Ireland.ParticipantsAn online questionnaire was sent to all consultant child psychiatrists registered with the Irish Medical Council (n=112). Fifty-two consultants replied (46% response rate).Primary outcome measuresQuestions assessed demographic and occupational details, career satisfaction and perceived management, government and public support. The Copenhagen Burnout Inventory measured personal, work and patient-related burnout.ResultsThe prevalence of moderate or higher levels of work-related and personal burnout was 75% and 72.3%, respectively. Fewer (n=14, 26.9%) experienced patient-related burnout. There was a strong correlation between work burnout and personal (r=0.851, n=52, p<0.001) and patient-related burnout (r=0.476, n=52, p<0.001). Lack of confidence in government commitment to investment in CAMHS (p<0.001) and perceived ineffective management by health authorities (p=0.002) were associated with higher burnout scores. Few consultants (n=11, 21%) felt valued in their job. The majority (n=36, 69%) had seriously considered changing jobs, and this was positively associated with higher burnout (p<0.001). Higher burnout scores were present in those (n=15, 28.8%) who would not retrain in child psychiatry (p=0.002).ConclusionThe high level of burnout reported by respondents in this study, and ambivalence about child psychiatry as a career choice has huge professional and service implications. Urgent organisational intervention to support consultant psychiatrists’ well-being is required.


1981 ◽  
Vol 5 (7) ◽  
pp. 124-125
Author(s):  
Michael H. Best

The practice of child psychiatry depends upon clinical skills; the first requirement, then, of a training programme is that at the end of a given period the trainee should be really expert and rightly confident in his practical skills as a diagnostician and therapist. A total of four years, combining registrar and senior registrar experience, might be an appropriate period and would allow a full training, whereas at present some new consultants have spent only two and a half years in the specialty as senior registrars.


1992 ◽  
Vol 16 (6) ◽  
pp. 355-356 ◽  
Author(s):  
Peter Hill ◽  
Judith Dawkins ◽  
Mary Anne Griffiths ◽  
Ruth Talbot

Careers in psychiatry which commence straight after house jobs are now commonplace and an informal tradition by which future child psychiatrists worked in paediatrics before training in psychiatry is nowadays less rehearsed. Recently, one of the St George's psychiatric registrar rotations arranged a six month post as a community child health doctor (community clinical medical officer) for a psychiatric registrar (JD) who had expressed an interest in child psychiatry as a career but lacked experience in paediatrics.


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.


1995 ◽  
Vol 19 (9) ◽  
pp. 559-561
Author(s):  
A. J. Wood

The benefits of experience in paediatric genetics to child psychiatrists are discussed. Pursuing a special interest within a child psychiatry rotational training scheme is an important way of widening experience in light of the proposed reforms to training for hospital doctors.


2006 ◽  
Vol 30 (2) ◽  
pp. 61-64 ◽  
Author(s):  
Graeme Lamb ◽  
Navina Evans ◽  
David Baillie

Aims and MethodThe aim of the study was to elicit the views of senior house officers in psychiatry across London regarding the factors that influence their decision whether to pursue a career in child and adolescent psychiatry. Postal questionnaires were sent to a random sample of all senior house officers on London psychiatry training schemes.ResultsOf the respondents who recalled being taught child psychiatry at medical school, 91% found it interesting and 73% found it useful. Of those who recalled having such teaching during psychiatric training, 90% found it interesting and 85% found it useful. However, this had no significant impact upon subsequent career choice. Experience of working as a senior house officer in child psychiatry did influence future career intentions. Trainees who identified such placements as providing good clinical experience or job satisfaction were significantly more likely to consider the specialty for a future career.Clinical ImplicationsConsultants and managers should create and maintain senior house officer posts that will encourage trainees to perceive the specialty as a future career.


1996 ◽  
Vol 41 (6) ◽  
pp. 400-405 ◽  
Author(s):  
John Leverette ◽  
Arthur Froese ◽  
Vincenzo DiNicola

Objective: To present a practical approach to curriculum design for community-based care in child psychiatry. Method: A design template is presented, steps for a curriculum review are derived from it, and as an example, a small academic division's program is reviewed. Results: The division's curriculum was developed according to the template, resulting in an enhanced focus and improved coverage of topics through a combination of experiential and didactic teaching. Conclusion: The suggested format is considered applicable to child psychiatric training programs of all sizes and offers an opportunity to review or initiate the teaching of community child psychiatry.


1975 ◽  
Vol 20 (2) ◽  
pp. 151-155
Author(s):  
Martin L. Solomon

Family therapists, seen as emphasizing interventions leading to change in family structure and in sequences of behaviour, have been searching for an integrated concept which transactional systems theory seems to offer. It takes into account small group theory, social role theory, communications theory, and general system theory, which are linked to psychic, somatic, socio-cultural, politico-economic, and ecological factors. This idea of interlinked, open systems which influence each other is used as a viewpoint for examining the frontiers of child psychiatry. Adult patients often have children who are affected by their parents’ treatment, and child psychiatrists often intervene with adults. Similarly, the boundaries between psychiatry and the paramedical professions have grown less distinct as we have become aware of more elements to assess in each case, and as the number of therapeutic techniques and possible interventions increase. The problem of defining child psychiatry is discussed, as is psychiatric training, in terms of the difficulty in integrating the many theoretical and practical levels.


2021 ◽  
pp. 135910452110481
Author(s):  
Simon R. Wilkinson

The scientific basis for practice in child psychiatry has developed apace. And has thrown up several quandries for an accepted paradigm for good practice anchored to the diagnostic schema developed in adult psychiatry. This paper hopes to stimulate discussion about where alternative paradigms might lead us on a path to precision medicine as applied to child psychiatry.


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