scholarly journals Additional clinical experience (ACE) modules in psychiatric specialities for general practice registrars

2001 ◽  
Vol 25 (11) ◽  
pp. 449-451 ◽  
Author(s):  
Andrew F. Tarbuck ◽  
Daphne Rumball ◽  
Stephen M. Jones
Keyword(s):  
General Practice ◽  
Psychiatric Comorbidity ◽  
Substance Misuse ◽  
Child And Adolescent Psychiatry ◽  
House Officer ◽  
Junior Doctors ◽  
Senior House Officer ◽  
Adult Psychiatry ◽  
Old Age Psychiatry ◽  
Primary Substance

As part of training for general practice, approximately 40% of junior doctors will undertake a senior house officer (SHO) post in psychiatry (Ratcliffe et al, 1999). The majority of such posts will be within general adult psychiatry. As a result of this general practitioner (GP) trainees often receive little exposure to old age psychiatry or child and adolescent psychiatry. Similarly, although trainees will inevitably gain some experience of substance misuse associated with mental illness, there is little opportunity to develop skills in addressing primary substance misuse disorders and there is a clear need to develop better skills in the recognition and management of psychiatric comorbidity (Commander et al, 1999).

scholarly journals A new opportunity: three tales of training in liaison psychiatry of old age

2002 ◽  
Vol 26 (11) ◽  
pp. 433-435 ◽  
Author(s):  
John Holmes ◽  
Jon Millard ◽  
Susie Waddingham
Keyword(s):  
General Hospital ◽  
Old Age ◽  
Psychiatric Comorbidity ◽  
Psychiatric Symptoms ◽  
Specialist Training ◽  
Liaison Psychiatry ◽  
Adult Psychiatry ◽  
Old Age Psychiatry ◽  
Hospital Wards ◽  
And Training

Liaison psychiatry has emerged as a sub-speciality within general adult psychiatry, with specific experience and training being required to develop the skills and knowledge to address comorbid physical and psychiatric symptoms and illness (House & Creed, 1993; Lloyd, 2001). Older people often present with significant physical and psychiatric comorbidity (Ames et al, 1994; Holmes & House, 2000) and most old age psychiatry services receive one-quarter to one-third of referrals from general hospital wards (Anderson & Philpott, 1991). Despite this, there are no specific requirements for training in liaison psychiatry for old age psychiatrists at any level. The experience gained in assessing and treating general hospital referrals during basic and higher specialist training is felt to be adequate (Royal College of Psychiatrists, 1998).

The changing role of the otolaryngology Senior House Officer

2006 ◽  
Vol 88 (2) ◽  
pp. 66-68 ◽  
Author(s):  
AK Arya ◽  
KP Gibbin
Keyword(s):  
Patient Safety ◽  
Junior Doctor ◽  
House Officer ◽  
European Working Time Directive ◽  
Junior Doctors ◽  
Senior House Officer ◽  
European Working ◽  
Working Time Directive ◽  
Changing Role

The European Working Time Directive (EWTD) has led to a reduction in the number of hours that a junior doctor is allowed to work. The Hospital at Night project aims to reduce juniors' presence at night through more efficient working. Otolaryngology has been considered to be one of the surgical specialties in which generic junior doctors covering more than one specialty could effectively function. The hope is to reduce junior doctors' hours sufficiently without compromising their training or patient safety.

scholarly journals How Many GP Referrals to Dermatology Outpatients are Really Necessary?

1989 ◽  
Vol 82 (6) ◽  
pp. 347-348 ◽  
Author(s):  
M J Sladden ◽  
R A C Graham-Brown
Keyword(s):  
General Practice ◽  
Teaching Hospital ◽  
Vocational Training ◽  
Postgraduate Education ◽  
House Officer ◽  
Senior House Officer ◽  
Training Schemes

In a survey of patients referred to the dermatology outpatients department of a British teaching hospital, 26% of referrals were considered unnecessary by a senior house officer with three months practical dermatological experience. We conclude that better undergraduate and postgraduate education in dermatology is essential. A period spent in dermatology should be included in all vocational training schemes for general practice.

Are Foundation Year Assessors Adequately Trained?

2010 ◽  
Vol 92 (10) ◽  
pp. 1-4
Author(s):  
JML Williamson ◽  
AG Martin
Keyword(s):  
Medical Education ◽  
Postgraduate Medical Education ◽  
Variable Number ◽  
House Officer ◽  
Junior Doctors ◽  
Specialty Training ◽  
Senior House Officer ◽  
Medical Education And Training ◽  
Competency Based ◽  
And Training

In 2005 the career path, training and assessment of UK junior doctors was fundamentally altered. The traditional progression from a pre-registered house officer year (immediately after graduation) to a senior house officer (SHO) grade (for a variable number of years) has been streamlined into two foundation years (FYs) and then entry into either a core training (CT) or specialty training (ST) programme. The foundation assessment programme (FAP) has developed a competency-based curriculum for training FYs 1–2 based on the Postgraduate Medical Education and Training Board's (PMETB's) standards.

scholarly journals Family therapy experience in the training of general psychiatrists

1992 ◽  
Vol 16 (12) ◽  
pp. 780-781
Author(s):  
Philip Wilkinson ◽  
Pieter van Boxel
Keyword(s):  
Family Therapy ◽  
House Officer ◽  
Senior House Officer ◽  
Adult Psychiatry ◽  
Therapy Team

This paper describes the work of a family therapy team which includes a senior house officer, or registrar, and discusses how such experience is of value to the trainee in general adult psychiatry.

scholarly journals The use of ‘drug dogs' in psychiatry

2004 ◽  
Vol 28 (6) ◽  
pp. 196-198 ◽  
Author(s):  
Harvey Gordon ◽  
Daniel Haider
Keyword(s):  
Substance Misuse ◽  
Psychiatric Treatment ◽  
Treatment Resistance ◽  
Antisocial Behaviour ◽  
Child And Adolescent Psychiatry ◽  
Mental Illnesses ◽  
Financial Cost ◽  
General Psychiatry ◽  
Old Age Psychiatry ◽  
Effective Use

Comorbidity of severe mental illness and substance misuse is now common in general psychiatry (Regier et al, 1990), and perhaps almost standard in forensic psychiatry (Snowden, 2001). It is also reflected in child and adolescent psychiatry (Boys et al, 2003) and even in old age psychiatry (Jolley et al, 2004). The range of hazards associated with substance misuse in people with mental illnesses includes elevated risk of relapse of psychosis (Cantwell & Harrison, 1996), increased frequency of hospitalisation (Bartels et al, 1993), poorer compliance with treatment (Jablensky et al, 1992), higher levels of treatment-resistance (Bowers et al, 1990), impairment of the integrity of therapeutic regimes in hospital settings and in hostels in the community (Sandford, 1995), stress in the community (Drake & Wallach, 1989), higher rates of homelessness (Scheller-Gilkey et al, 1999), increased suicidality (Drake & Wallach, 1989), and increased potential for antisocial behaviour and crime of both an acquisitive and a violent nature (Stewart et al, 2000; Sinha & Easton, 1999). The misuse of substances is therefore a significant obstruction to the effective use of psychiatric treatment, and the financial cost associated with such clinical adversity must run into millions of pounds.

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