scholarly journals Trainee views on active problems and issues in UK psychiatry

2000 ◽  
Vol 24 (9) ◽  
pp. 336-338 ◽  
Author(s):  
Rowan Wilson ◽  
Catherine L. Corby ◽  
Maria Atkins ◽  
Geoff Marston
Keyword(s):  
Royal College ◽  
National Level ◽  
Clinical Implications ◽  
Recruitment And Retention ◽  
Public Expectations ◽  
The Uk

Aims and MethodA questionnaire sent to trainees in three regions of the UK asked them which current issues they felt were most important in psychiatry. Comments were invited of ways to improve the UK practice of psychiatry.ResultsTrainees from each of the regions were concerned about inadequate resourcing, public expectations, manpower and quality of training. Solutions to these problems were collated.Clinical ImplicationsThe opinion of trainees reflects the recent initiatives undertaken by the Royal College of Psychiatrists to improve recruitment and retention. Consultants and trainees have similar concerns, which need to be addressed and monitored at a local and national level.

scholarly journals Neuropsychiatry in the UK: national survey of existing service provision

2008 ◽  
Vol 32 (8) ◽  
pp. 288-291 ◽  
Author(s):  
Niruj Agrawal ◽  
Simon Fleminger ◽  
Howard Ring ◽  
Shoumitro Deb
Keyword(s):  
National Survey ◽  
Royal College ◽  
Service Provision ◽  
Descriptive Statistics ◽  
Clinical Implications ◽  
The Uk

Aims and MethodTo elucidate and describe current neuropsychiatry service provision in the UK. A questionnaire was developed and posted to members of the Royal College of Psychiatrists who had expressed an interest in neuropsychiatry. the responses were tabulated and analysed using descriptive statistics and SPSS version 11.0 for Windows. the neuropsychiatry services provided, sources of referrals, setting of the services and funding streams are described.ResultsOut of 251 respondents, 70 reported providing a neuropsychiatry service, 21 having been principally appointed as neuropsychiatrists.Clinical ImplicationsNeuropsychiatry services in the UK are currently based in a few regional centres, representing a patchy and inadequate service provision.

Do patients who receive electroconvulsive therapy in Scotland get better?

2003 ◽  
Vol 27 (4) ◽  
pp. 137-140 ◽  
Author(s):  
Grace Fergusson ◽  
James Hendry ◽  
Chris Freeman
Keyword(s):  
Electroconvulsive Therapy ◽  
Clinical Setting ◽  
Rating Scale ◽  
National Level ◽  
Depressive Illness ◽  
Electronic Data Collection ◽  
Process And Outcome ◽  
Routine Clinical Setting ◽  
The Uk

Aims and MethodWe aimed to compare the practice of electroconvulsive therapy (ECT) in Scotland with the recommendations of the Royal College of Psychiatrists, to determine the characteristics of patients who receive ECT, to assess the outcome of ECT given in a routine clinical setting and to develop a system of quality assurance for ECT. Between February 1997 and March 2000, an audit of ECT measured the quality of treatment given at all clinics in Scotland. Audit tools were designed and standards set for the process, and outcome of treatment and interventions were identified to address any variance prior to each audit cycle. An electronic data collection system was developed and a website produced for the purpose of continued audit and information sharing.ResultsThe annual rate of ECT in Scotland was 142 individual treatments per 100 000 of the total population. Electroconvulsive therapy was given mainly to White adult patients with a depressive illness who had consented to treatment. Clinical improvement, as measured by at least a 50% reduction in the Montgomery–Åsberg Rating Scale for Depression (MADRS) score, was evident in 71.2% of patients with a depressive episode.Clinical ImplicationsThe audit of ECT is achievable at a national level, ECT is effective in a routine clinical setting and the standards at ECT in Scotland are higher than the UK average.

scholarly journals Ticking the boxes: a survey of workplace-based assessments

2016 ◽  
Vol 40 (2) ◽  
pp. 89-92 ◽  
Author(s):  
Thomas Gilberthorpe ◽  
Maame Duku Sarfo ◽  
Geoff Lawrence-Smith
Keyword(s):  
Formative Assessment ◽  
Retrospective Analysis ◽  
Royal College ◽  
Assessment Tool ◽  
Poor Correlation ◽  
Clinical Implications ◽  
Full Potential ◽  
Assessment Scores ◽  
National Issue

Aims and methodTo survey the quality of workplace-based assessments (WPBAs) through retrospective analysis of completed WPBA forms against training targets derived from the Royal College of Psychiatrists' Portfolio Online.ResultsAlmost a third of assessments analysed showed no divergence in assessment scores across the varied assessment domains and there was poor correlation between domain scores and the nature of comments provided by assessors. Of the assessments that suggested action points only half were considered to be sufficiently ‘specific’ and ‘achievable’ to be useful for trainees' learning.Clinical implicationsWPBA is not currently being utilised to its full potential as a formative assessment tool and more widespread audit is needed to establish whether this is a local or a national issue.

scholarly journals Do patients who receive electroconvulsive therapy in Scotland get better?

2003 ◽  
Vol 27 (04) ◽  
pp. 137-140
Author(s):  
Grace Fergusson ◽  
James Hendry ◽  
Chris Freeman
Keyword(s):  
Electroconvulsive Therapy ◽  
Clinical Setting ◽  
Rating Scale ◽  
National Level ◽  
Depressive Illness ◽  
Electronic Data Collection ◽  
Process And Outcome ◽  
Routine Clinical Setting ◽  
The Uk

Aims and Method We aimed to compare the practice of electroconvulsive therapy (ECT) in Scotland with the recommendations of the Royal College of Psychiatrists, to determine the characteristics of patients who receive ECT, to assess the outcome of ECT given in a routine clinical setting and to develop a system of quality assurance for ECT. Between February 1997 and March 2000, an audit of ECT measured the quality of treatment given at all clinics in Scotland. Audit tools were designed and standards set for the process, and outcome of treatment and interventions were identified to address any variance prior to each audit cycle. An electronic data collection system was developed and a website produced for the purpose of continued audit and information sharing. Results The annual rate of ECT in Scotland was 142 individual treatments per 100 000 of the total population. Electroconvulsive therapy was given mainly to White adult patients with a depressive illness who had consented to treatment. Clinical improvement, as measured by at least a 50% reduction in the Montgomery–Åsberg Rating Scale for Depression (MADRS) score, was evident in 71.2% of patients with a depressive episode. Clinical Implications The audit of ECT is achievable at a national level, ECT is effective in a routine clinical setting and the standards at ECT in Scotland are higher than the UK average.

scholarly journals Impact of homicide by a psychiatric patient on forensic psychiatrists: national survey

2020 ◽  
pp. 1-7
Author(s):  
Gillian Mezey ◽  
Renarta Rowe ◽  
Gwen Adshead
Keyword(s):  
Physical Health ◽  
Royal College ◽  
Telephone Interview ◽  
Professional Life ◽  
Personal Life ◽  
Clinical Implications ◽  
Support Needs ◽  
The Uk ◽  
The Impact

Aims and method To explore the experiences and support needs of consultant forensic psychiatrists, whose patients had committed homicide while under their care. We circulated a survey to all forensic psychiatrists in the UK, through the Royal College of Psychiatrists, asking about their experiences of a homicide by a patient under their care. Respondents were invited to discuss their experiences further in a structured telephone interview and themes were identified from these discussions. Data were analysed quantitatively and qualitatively. Results One-third of the 86 respondents had had at least one patient who had committed a homicide while under their care. Of these, over three-quarters (78%) reported that the homicide had a significant impact on their personal life, professional life and/or mental/physical health. For some respondents, the impact was severe and long term. Respondents generally felt that they would have been helped by receiving more support in the aftermath of the homicide. Clinical implications Greater recognition is needed of the impact on treating psychiatrists of homicide by a patient and more support is needed for affected clinicians. Further research is necessary, including the effects of such events on colleagues in other specialties and examination of the costs versus the benefits of mandatory inquiries after homicides.

scholarly journals Psych Socs: student-led psychiatry societies, an untapped resource for recruitment and reducing stigma

2020 ◽  
Vol 44 (3) ◽  
pp. 91-95 ◽  
Author(s):  
Haridha Pandian ◽  
Zahra Mohamedali ◽  
George E. Chapman ◽  
Patricia Vinchenzo ◽  
Suhana Ahmed ◽  
...  
Keyword(s):  
Medical Students ◽  
Royal College ◽  
Healthcare Professionals ◽  
Recruitment And Retention ◽  
The Public ◽  
The Uk ◽  
Untapped Resource

Medical recruitment and retention are national problems. Psychiatry has been more affected than many specialties, as a result of stigma from the public and other healthcare professionals. The Royal College of Psychiatrists has undertaken several initiatives to redress this, notably the ‘Choose Psychiatry’ campaign. In this editorial we argue that student-led university psychiatry societies are a wonderful but frequently untapped resource to help attract the brightest and best medical students to our profession. We describe the activities of three ‘Psych Socs’ across the UK and propose next steps to continue this work.

scholarly journals What attitudes do psychiatrists hold towards people with mental illness?

2004 ◽  
Vol 28 (11) ◽  
pp. 401-406 ◽  
Author(s):  
David Kingdon ◽  
Tonmoy Sharma ◽  
Deborah Hart ◽  
Keyword(s):  
Mental Illness ◽  
General Population ◽  
Social Workers ◽  
Antipsychotic Medication ◽  
Royal College ◽  
Black People ◽  
Clinical Implications ◽  
National Formulary ◽  
People With Mental Illness ◽  
The Uk

Aims and MethodTo investigate the attitudes that psychiatrists hold towards people with mental illness. Each member of the Royal College of Psychiatrists in the UK was sent a questionnaire based on previous research in this area, supplemented with relevant questions on management.Results2813 of 6524 questionnaires were returned (43%). Psychiatrists' attitudes compared favourably with those of the general population. Among other findings, they believed that the risk of dangerousness was overemphasised, that misdiagnosis of schizophrenia in Black people is common, and that polypharmacy and the use of antipsychotic medication above British National Formulary levels occurs too often.Clinical ImplicationsPsychiatrists' attitudes are substantially more favourable towards people with mental illness than those of the general population with individual, but important, exceptions. Some aspects of psychiatric management, especially of antipsychotic medication, may undermine this, however. Comparison with other groups, e.g. general practitioners, nurses and social workers, would be useful in planning how to reduce the stigmatisation of people with mental illness.

scholarly journals Piloting Psychology Annual Reviews as a Method of Measuring Psychological Distress and Quality of Life in Paediatric Renal Transplant Patients

2016 ◽  
Vol 2016 ◽  
pp. 1-9 ◽  
Author(s):  
Jade Bamford ◽  
Lucy Wirz
Keyword(s):  
Quality Of Life ◽  
Psychological Distress ◽  
Renal Transplantation ◽  
Renal Transplant ◽  
Psychological Intervention ◽  
National Level ◽  
Annual Review ◽  
Paediatric Renal Transplantation ◽  
The Uk

Psychosocial distress and poorer quality of life after renal transplantation are common in children and young people. This has implications for medication adherence and survival. Posttransplant psychology annual reviews were introduced in one Paediatric Renal Service in the UK as a means of measuring psychological distress and quality of life, as well as facilitating identification of patients and parents/carers who would benefit from psychological intervention. The process of completing posttransplant psychology annual reviews is discussed within this paper. The posttransplant psychology annual review appointments identified patients experiencing depression and/or anxiety and problems in quality of life. These assessments have led to appropriate referrals to, and engagement with, the renal psychology service as well as with community tier 3 child and adolescent mental health services. The posttransplant psychology annual review will continue to be completed at this UK site and discussions will be undertaken with other paediatric renal transplant services to consider whether these could be introduced at a national level to facilitate collection of longitudinal data regarding long-term psychosocial impact of paediatric renal transplantation and its effect on quality of life.

Feasibility and Clinical Implications of Remotely Guided Ultrasound Examinations

2020 ◽  
Vol 91 (7) ◽  
pp. 592-596
Author(s):  
Quinn Dufurrena ◽  
Kazi Imran Ullah ◽  
Erin Taub ◽  
Connor Leszczuk ◽  
Sahar Ahmad
Keyword(s):  
Clinical Utility ◽  
Regional Wall Motion ◽  
Subjective Assessment ◽  
Clinical Implications ◽  
Pilot Studies ◽  
Objective Quality ◽  
The Us ◽  
Regional Wall Motion Abnormalities ◽  
Wall Motion Abnormalities

BACKGROUND: Remotely guided ultrasound (US) examinations carried out by nonmedical personnel (novices) have been shown to produce clinically useful examinations, at least in small pilot studies. Comparison of the quality of such exams to those carried out by trained medical professionals is lacking in the literature. This study compared the objective quality and clinical utility of cardiac and pulmonary US examinations carried out by novices and trained physicians.METHODS: Cardiac and pulmonary US examinations were carried out by novices under remote guidance by an US expert and independently by US trained physicians. Exams were blindly evaluated by US experts for both a task-based objective score as well as a subjective assessment of clinical utility.RESULTS: Participating in the study were 16 novices and 9 physicians. Novices took longer to complete the US exams (median 641.5 s vs. 256 s). For the objective component, novices scored higher in exams evaluating for pneumothorax (100% vs. 87.5%). For the subjective component, novices more often obtained clinically useful exams in the assessment of cardiac regional wall motion abnormalities (56.3% vs. 11.1%). No other comparisons yielded statistically significant differences between the two groups. Both groups had generally higher scores for pulmonary examinations compared to cardiac. There was variability in the quality of exams carried out by novices depending on their expert guide.CONCLUSION: Remotely guided novices are able to carry out cardiac and pulmonary US examinations with similar, if not better, technical proficiency and clinical utility as US trained physicians, though they take longer to do so.Dufurrena Q, Ullah KI, Taub E, Leszczuk C, Ahmad S. Feasibility and clinical implications of remotely guided ultrasound examinations. Aerosp Med Hum Perform. 2020; 91(7):592–596.

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