scholarly journals Psychotherapy training and the Calman reforms

2001 ◽  
Vol 25 (8) ◽  
pp. 321-322
Author(s):  
Katharine E. Logan ◽  
Nabila Muzaffar

Aims and MethodThere have been major changes in the duration and the requirements of higher specialist training in psychotherapy in the UK. A postal survey was sent to all higher specialist trainees in psychotherapy to study their attitudes to, and experience of, these changes.ResultsEighty-nine per cent of trainees responded. The majority of trainees expressed concern about the reduction in length of training. There were gaps in provision of some essential training modalities. A substantial group of trainees did not have protected research time.Clinical ImplicationsPsychotherapy trainees believe the changes in training sacrifice depth for breadth. This highlights the ongoing debate about the future of psychotherapy within the NHS.

1999 ◽  
Vol 23 (10) ◽  
pp. 607-609 ◽  
Author(s):  
Mark Davies ◽  
Tom Schlich

Aims and methodFollowing concerns over recruitment into general adult psychiatry, this study was undertaken to determine which factors influence senior trainees in psychiatry with regard to whether or not they choose a career in general adult psychiatry. The method used was by postal survey of all senior and specialist registrars in the UK.ResultsOf those responding, 32.6% had chosen a career in general adult psychiatry, while 38.9% had actively rejected such a career. Twenty-six per cent of respondents had chosen another speciality without actively rejecting general adult psychiatry. For those actively rejecting general adult psychiatry, the top three factors cited were poor resources (57.6%), high workload (43.2%) and poor working conditions (30.7%).Clinical implicationsThrough an awareness of why senior trainees reject general adult psychiatry as a possible career, resources can be targeted more specifically in the future at the factors responsible, and thereby improve recruitment into this speciality.


2004 ◽  
Vol 18 (4) ◽  
pp. 243-254 ◽  
Author(s):  
Tamsin Bowers-Brown ◽  
Lee Harvey

The recent White Paper, The Future of Higher Education, and the annual increase in the number of young people achieving passes at A-level (the final secondary-school examinations) have fuelled an ongoing debate on whether too many people are now entering higher education in the UK. At the centre of the ‘too many graduates’ argument is the issue of employability: is the nation producing enough graduates to meet the needs of the knowledge economy or is there an abundance of graduates in the workplace who do not need degrees to do their jobs? This article identifies key arguments in the increasing participation and employability debate.


2003 ◽  
Vol 27 (2) ◽  
pp. 61-67 ◽  
Author(s):  
S. Littlewood ◽  
P. Case ◽  
R. Gater ◽  
C. Lindsey

Aims and MethodA postal survey was sent to all consultant child and adolescent psychiatrists in the UK and Eire examining recruitment, retention, job satisfaction and job stress.ResultsA response was received from 333 (60%) child and adolescent psychiatrists. Sixty-one per cent indicated their service was inadequately resourced and 89% reported that their service failed to meet the College's minimum staffing requirements. Safe access to in-patient beds was not available to 71%. One hundred and thirty vacant posts were identified. Rates of psychological distress and burnout were high. Adequate services and the presence of a close, supportive colleague were associated with higher rates of satisfaction and lower rates of psychological distress and emotional exhaustion.Clinical ImplicationsA multi-faceted approach is suggested and recommendations are described under the headings of self-management, training, recruitment and commissioning.


2000 ◽  
Vol 24 (5) ◽  
pp. 169-171 ◽  
Author(s):  
Andrew J. Owen ◽  
S. P. Sashidharan ◽  
Lyse J. Edwards

Aims and MethodsTo ascertain current levels of access to home treatment for those with acute mental illness and future plans of trusts and purchasing authorities to provide such services. Also, to assess the attitudes of these organisations towards this form of treatment. A postal survey of all mental health trusts and purchasing authorities within the UK was carried out.ResultsOne hundred and seventy-two trusts and 82 health authorities returned questionnaires, representing a response rate of 75% and 67% respectively. Only 27 (16%) of trusts provided home treatment but 58 (40%) had plans to do so. All health authorities and 97% of trusts were in favour of the principle of providing home treatment.Clinical ImplicationsDespite the low levels of provision of home treatment trusts and health authorities were strongly in favourof it. There is likely to be a large increase in its availability over the next 12 months.


2003 ◽  
Vol 27 (5) ◽  
pp. 179-182
Author(s):  
Maria Podlejska-Eyres ◽  
Julian Stern

Aims and MethodA postal questionnaire was circulated to all psychiatrists who had completed their basic specialist training on the Royal London Hospital training scheme within the last 7.5 years. The aim of the questionnaire was to explore their psychotherapy experience while on the rotation.ResultsThe response rate was 95%. The respondents had a broad experience of both didactic and case work that they valued highly. Over half of them wished for an even greater exposure to psychotherapy during their basic training.Clinical ImplicationsThe results of our survey suggest that with the dedication of both the trainees and trainers, it is possible to have a comprehensive psychotherapy experience while working on a busy inner-city rotation.


2000 ◽  
Vol 24 (8) ◽  
pp. 302-304 ◽  
Author(s):  
Siobhan Smart ◽  
David Cottrell

Aims and MethodChanges in higher specialist training in the UK have led to a revision of training guidelines in child and adolescent psychiatry. This survey studies trainees' experiences and attitudes in the light of these changes. A questionnaire covering training attitudes and experiences was distributed to all higher specialist trainees in child and adolescent psychiatry via their programme directors.ResultsEighty-eight per cent of trainees responded. Although most training experiences are well provided, there are gaps in provision in specific areas, including research and teaching. Dissemination of information about aspects of training requires improvement and clearer feedback on training could be given.Clinical ImplicationsThe implications for training in child and adolescent psychiatry and higher specialist training in general are discussed.


2003 ◽  
Vol 27 (02) ◽  
pp. 61-67 ◽  
Author(s):  
S. Littlewood ◽  
P. Case ◽  
R. Gater ◽  
C. Lindsey

Aims and Method A postal survey was sent to all consultant child and adolescent psychiatrists in the UK and Eire examining recruitment, retention, job satisfaction and job stress. Results A response was received from 333 (60%) child and adolescent psychiatrists. Sixty-one per cent indicated their service was inadequately resourced and 89% reported that their service failed to meet the College's minimum staffing requirements. Safe access to in-patient beds was not available to 71%. One hundred and thirty vacant posts were identified. Rates of psychological distress and burnout were high. Adequate services and the presence of a close, supportive colleague were associated with higher rates of satisfaction and lower rates of psychological distress and emotional exhaustion. Clinical Implications A multi-faceted approach is suggested and recommendations are described under the headings of self-management, training, recruitment and commissioning.


2002 ◽  
Vol 26 (7) ◽  
pp. 272-274 ◽  
Author(s):  
L. Allsopp ◽  
R. Allen ◽  
L. Fowler ◽  
C. Hall ◽  
M. R. Woodbury-Smith

Aims and MethodSpecialist registrars (SpRs) in psychiatry spend only 3 years in this grade, with 1 day a week allocated to research. In view of this sizeable proportion of time designated for research, we undertook a postal survey of the experiences of and attitudes towards research of SpRs in developmental psychiatry.ResultsA high proportion of respondents were involved in research at the time of the study, although half described difficulty starting and a third described difficulty taking the day. The majority of respondents believed research to be important and about three-quarters found it enjoyable.Clinical ImplicationsWhile research remains a mandatory part of training it is important that trainers ensure that research time is protected.


2003 ◽  
Vol 27 (05) ◽  
pp. 179-182 ◽  
Author(s):  
Maria Podlejska-Eyres ◽  
Julian Stern

Aims and Method A postal questionnaire was circulated to all psychiatrists who had completed their basic specialist training on the Royal London Hospital training scheme within the last 7.5 years. The aim of the questionnaire was to explore their psychotherapy experience while on the rotation. Results The response rate was 95%. The respondents had a broad experience of both didactic and case work that they valued highly. Over half of them wished for an even greater exposure to psychotherapy during their basic training. Clinical Implications The results of our survey suggest that with the dedication of both the trainees and trainers, it is possible to have a comprehensive psychotherapy experience while working on a busy inner-city rotation.


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