Psychiatric training and the Caiman reforms Survey of third year senior house officers

Aims and methodAll third year senior house officers (SHOs) training in psychiatry in Scotland were canvassed by a postal questionnaire. They were asked about their views on training and the impact of the Caiman reforms in psychiatry.ResultsResults showed that 33% of trainees were not receiving one hour of consultant supervision per week. The quality of teaching in day release programmes was rated as average or poor by 75%. Three-quarters had not seen a copy of A Guide to Specialist Registrar Training, but had a good knowledge of the changes it proposed. Most were satisfied with their clinical training but expressed concerns about the Caiman reforms.Clinical implicationsThe loss of the registrar grade has extended the time trainees spend as SHOs and there was concern that there would be a loss of breadth of training. We intend to repeat the survey in mid–1999, by which time the Caiman changes should be fully operational in psychiatry.

Download Full-text

General adult and old age psychiatry specialist registrar training – crisis looming?

Psychiatric Bulletin ◽

10.1192/s0955603600001872 ◽

2003 ◽

Vol 27 (04) ◽

pp. 152-154

Author(s):

Denise Cope

Keyword(s):

Old Age ◽

Training Programme ◽

Postal Questionnaire ◽

Psychiatric Training ◽

Specialist Registrar ◽

Training Scheme ◽

Adult Psychiatry ◽

Old Age Psychiatry ◽

National Training ◽

Registrar Training

Aims and Methods A postal questionnaire was sent to 31 Specialist Registrar Training Programme Directors in general adult and old age psychiatry in England, Scotland and Wales to ascertain the recruitment position on their training scheme and their views on recruitment. Results There was no recruitment to 24% of specialist registrar (SpR) posts. A 17% increase in national training numbers in general adult and old age psychiatry had occurred in the schemes surveyed during the past 2 years. An insufficient number of senior house officer (SHO) posts was identified by 42% of respondents and the unattractiveness of general adult psychiatry recorded by 58% of respondents as factors in under-recruitment. Implications Under-recruitment at consultant level in general adult and old age psychiatry is being replicated at specialist registrar level. Trainees are not being encouraged into higher psychiatric training by increasing specialist registrar national training numbers. Insufficient SHO posts and the perceived unattractiveness of general adult psychiatry appear as significant factors contributing to poor recruitment at SpR level.

Download Full-text

General adult and old age psychiatry specialist registrar training – crisis looming?

Psychiatric Bulletin ◽

10.1192/pb.27.4.152 ◽

2003 ◽

Vol 27 (4) ◽

pp. 152-154 ◽

Cited By ~ 1

Author(s):

Denise Cope

Keyword(s):

Old Age ◽

Training Programme ◽

Postal Questionnaire ◽

Psychiatric Training ◽

Specialist Registrar ◽

Training Scheme ◽

Adult Psychiatry ◽

Old Age Psychiatry ◽

National Training ◽

Registrar Training

Aims and MethodsA postal questionnaire was sent to 31 Specialist Registrar Training Programme Directors in general adult and old age psychiatry in England, Scotland and Wales to ascertain the recruitment position on their training scheme and their views on recruitment.ResultsThere was no recruitment to 24% of specialist registrar (SpR) posts. A 17% increase in national training numbers in general adult and old age psychiatry had occurred in the schemes surveyed during the past 2 years. An insufficient number of senior house officer (SHO) posts was identified by 42% of respondents and the unattractiveness of general adult psychiatry recorded by 58% of respondents as factors in under-recruitment.ImplicationsUnder-recruitment at consultant level in general adult and old age psychiatry is being replicated at specialist registrar level. Trainees are not being encouraged into higher psychiatric training by increasing specialist registrar national training numbers. Insufficient SHO posts and the perceived unattractiveness of general adult psychiatry appear as significant factors contributing to poor recruitment at SpR level.

Download Full-text

Droperidol dropped; consultants not consulted

Psychiatric Bulletin ◽

10.1017/s0955603600002786 ◽

2003 ◽

Vol 27 (08) ◽

pp. 301-304

Author(s):

Gavin Reid ◽

Mark Hughson

Keyword(s):

Questionnaire Survey ◽

Clinical Care ◽

Postal Questionnaire ◽

Clinical Implications ◽

The West ◽

Abrupt Withdrawal ◽

Before And After ◽

Adequate Evaluation ◽

Psychiatric Profession ◽

The Impact

Aims and Method We conducted a postal questionnaire survey of the practice of rapid tranquillisation among 215 consultant psychiatrists in the West of Scotland, before and after the withdrawal of droperidol by the manufacturer. Results One hundred and eighty questionnaires (84% of those sent) were returned. Droperidol had been used extensively, often combined with lorazepam, for rapid tranquillisation. The main replacement suggested for droperidol was haloperidol. About half of the respondents to our survey chose to comment on the withdrawal of droperidol. More than half of the comments were unfavourable, including lack of an adequate replacement and lack of consultation with the psychiatric profession. Clinical Implications The abrupt withdrawal of droperidol, partly for commercial reasons, was regrettable. There was no time for an adequate evaluation of possible replacement medications and a lack of consultation with the profession regarding the impact on clinical care.

Download Full-text

Web-based Medical Education During COVID-19 Lockdown: A Step Back or a Leap to the Future?

The International Journal of Lower Extremity Wounds ◽

10.1177/15347346211011848 ◽

2021 ◽

pp. 153473462110118

Author(s):

Anna Eleftheriou ◽

Aikaterini Rokou ◽

Christos Argyriou ◽

Nikolaos Papanas ◽

George S. Georgiadis

Keyword(s):

Medical Education ◽

Clinical Training ◽

Medical Training ◽

Medical Schools ◽

Web Based ◽

Clinical Exposure ◽

Virtual Teaching ◽

Based Medicine ◽

The Impact

The impact of coronavirus infectious disease (COVID-19) on medical education has been substantial. Medical students require considerable clinical exposure. However, due to the risk of COVID-19, the majority of medical schools globally have discontinued their normal activities. The strengths of virtual teaching now include a variety of web-based resources. New interactive forms of virtual teaching are being developed to enable students to interact with patients from their homes. Conversely, students have received decreased clinical training in certain medical and surgical specialities, which may, in turn, reduce their performance, confidence, and abilities as future physicians. We sought to analyze the effect of telemedicine on the quality of medical education in this new emerging era and highlight the benefits and drawbacks of web-based medical training in building up future physicians. The COVID-19 pandemic has posed an unparalleled challenge to medical schools, which are aiming to deliver quality education to students virtually, balancing between evidence-based and experience-based medicine.

Download Full-text

Health student regard for substance-using patients as measured by the Medical Condition Regard Scale: a systematic review

Irish Journal of Psychological Medicine ◽

10.1017/ipm.2017.8 ◽

2017 ◽

Vol 34 (3) ◽

pp. 183-196 ◽

Cited By ~ 1

Author(s):

K. Ducray ◽

M. Pilch

Keyword(s):

Clinical Training ◽

Medical Condition ◽

Personal Exposure ◽

Ethical Practice ◽

Clinical Placements ◽

Health Practitioners ◽

Mental Health Difficulties ◽

Drug Problems ◽

The Impact

ObjectivesAs clinical impartiality is an accepted basic principle of ethical practice, any proactive exercises that may inform selection, training, clinical placements, and other interventions, which promote future positive and equitable professional conduct, thus guarding against future discriminatory attitudes are germane. Within this context, the purpose of this review was to identify trends and patterns in health student, namely future practitioners’, regard for substance-using patients using the Medical Condition Regard Scale.MethodsSix electronic databases were systematically searched for studies that used the Medical Condition Regard Scale as an outcome measure in assessing health student regard for drug-using patients. Academics who had published in this area were also consulted to recommend texts that would complement the above citation sourcing process. Following an elimination of duplicates, the application of inclusion and exclusion criteria, as well as conducting citation searches, 16 studies were incorporated in the final review. Although the quality of all included studies was satisfactory, no study was free from a potential source of bias.ResultsThis review found that patients with drug-use problems were consistently held in the lowest echelons of regard by trainee health practitioners. The impact of sex, age, year of course, and personal exposure to mental health difficulties in predicting negative regard was unclear.ConclusionsUnless addressed, patients with drug problems may have a high potential for future treatment marginalisation by tomorrow’s health professionals. This scenario needs to be proactively managed by all stakeholders through a greater investment in educational and clinical training placement opportunities.

Download Full-text

The Impact of Class Size on the Quality of Teaching and Learning — A Review

Australian Journal of Education ◽

10.1177/000494417301700302 ◽

1973 ◽

Vol 17 (3) ◽

pp. 239-250 ◽

Cited By ~ 2

Author(s):

Leslie R. Eastcott

Keyword(s):

Class Size ◽

Teaching And Learning ◽

Teaching Profession ◽

Complex Issue ◽

General Attitude ◽

The Real ◽

Quality Of Teaching ◽

The Impact

This paper reviews some of the salient research into the complex issue of the impact of class size on the quality of teaching and learning. It describes the general attitude of the teaching profession towards class size and discusses some of the claims made regarding the influence of the variable on teaching and learning. Some evidence is presented to illustrate the nature of the profession's stand on the issue. It is acknowledged that the real impact of class size is much less clear than is implied by the normal assertions regarding its importance, and some of the important literature is examined to illustrate this point. From the discussion several suggestions emerge for desirable procedures in the further investigation of this area.

Download Full-text

SWOPT – the South-West Organisation for Psychiatric Training

Psychiatric Bulletin ◽

10.1192/pb.28.4.147 ◽

2004 ◽

Vol 28 (4) ◽

pp. 147-148

Author(s):

R. Macpherson ◽

G. Harrison ◽

A. James ◽

M. Curtice ◽

P. McPhee

Keyword(s):

Personal Development ◽

Continuing Professional Development ◽

House Officer ◽

Psychiatric Training ◽

Generic Skills ◽

Specialist Registrar ◽

Core Skills ◽

South West ◽

Educational Supervision ◽

Registrar Training

There are major challenges in providing training for psychiatrists in the modern National Health Service (NHS). Senior house officer and specialist registrar training has been reorganised to focus on core skills and competencies, and is monitored through educational supervision and the Record of In-Training Assessment (RITA) process. For consultants, the development of appraisal and revalidation are linked to formalised approaches to continuing professional development and personal development (Royal College of Psychiatrists, 2001). Increasingly, training is self-directed and psychiatrists have to effectively evaluate and plan for their individual educational needs. They must be able to access good quality, structured training, to develop and maintain a range of specific and generic skills.

Download Full-text

Problems and Challenges for the First Generation Learners

International Journal of Applied Linguistics & English Literature ◽

10.7575/aiac.ijalel.v.6n.7p.317 ◽

2017 ◽

Vol 6 (7) ◽

pp. 318 ◽

Cited By ~ 1

Author(s):

Shakibur Rahman Khan

Keyword(s):

Saudi Arabia ◽

English Learners ◽

First Generation ◽

Teaching Materials ◽

Learning And Teaching ◽

Quality Of Teaching ◽

Context Of Learning ◽

The Impact

The article Problems and challenges for the First Generation Learners seeks to explore the important issues and problems encountered by first generation English learners and teachers in the context of learning and teaching in Saudi Arabia. It is assumed that the quality of teaching, teachers, and teaching materials provided to the first generation learners as in the context of my experience of teaching, Wadi Ad-Dawasir, Sattam Bin Abdul-Aziz University, has to have certain standards and measuring rods to assess the impact of teaching.

Download Full-text

Flexible higher training in psychiatry

Psychiatric Bulletin ◽

10.1192/pb.23.10.613 ◽

1999 ◽

Vol 23 (10) ◽

pp. 613-615 ◽

Cited By ~ 3

Author(s):

Anne Dean ◽

Samaa El Abd ◽

Ann York

Keyword(s):

Response Rate ◽

Postal Questionnaire ◽

Psychiatric Training ◽

Department Of Health ◽

Part Time ◽

Training Opportunities

Aims and methodThis survey was commissioned and funded by the Department of Health to examine perceptions of training by flexible trainees in higher psychiatric training. A total of 214 trainees were surveyed using a postal questionnaire.ResultsOne hundred and thirty-five questionnaires were returned (response rate 63%). In general, flexible trainees valued the opportunity to train part-time and perceived the quality of their training to be high. However, there were drawbacks such as: perceived lack of status, restricted training opportunities and a lack of part-time consultant posts at the end of training.ImplicationsFlexible training plays a major role in maintaining doctors in the workforce. However, there is a need for part-time opportunities to extend beyond the training grades and into consultant posts.

Download Full-text

The Impact of Class Size on Teaching and Learning English as a Foreign Language: The Case of the Department of English at Abdelhamid Ibn Badis University

10.31235/osf.io/zcn3m ◽

2017 ◽

Author(s):

Arab World English Journal ◽

Hayat Aoumeur

Keyword(s):

Foreign Language ◽

Class Size ◽

Teaching And Learning ◽

Huge Number ◽

Large Classes ◽

The Past ◽

Quality Of Teaching ◽

The Impact ◽

Learning English

This paper is devoted to the study of the impact of class size on teaching and learning English as a foreign language. The investigation was conducted at the department of English at Abdelhamid Ibn Badis University. The department has witnessed a huge increase in the enrolment figure in the past decade which resulted into an increase in class sizes. This has created problems for staff and students alike. Despite the steps taken by the administrators to reduce the number of students, the problem of class crowding still persists. The department of English, alone, has an enrolment of almost 3000 students, it is a huge number indeed if we take into consideration the availability of facilities and resources. The aim of this study is to explore the organizational and pedagogical difficulties that are frequently encountered by the teachers dealing with large classes and the effects on student learning. Additionally, this paper proposes some suggestions on how to deal with class overcrowding. As part of our research, we have given questionnaires to 200 students and 40 teachers. The findings of the survey clearly demonstrate that large class sizes have an adverse impact on the quality of teaching and learning.

Download Full-text