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

2003 ◽  
Vol 27 (4) ◽  
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 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.

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

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.

scholarly journals Senior Registrar Training in Old Age Psychiatry in the United Kingdom

1988 ◽  
Vol 12 (6) ◽  
pp. 233-234
Author(s):  
J. P. Wattis
Keyword(s):  
Old Age ◽  
The Elderly ◽  
Psychiatric Training ◽  
Senior Registrar ◽  
The United Kingdom ◽  
Old Age Psychiatry ◽  
One Year ◽  
The Uk ◽  
Special Responsibility ◽  
Registrar Training

The Joint Committee on Higher Psychiatric Training (JCHPT) requires senior registrars (SRs) training for special responsibility posts in old age psychiatry to spend between one year and 18 months in higher training posts in which psychiatry of old age forms the major part of the work. Although only about a third of consultants in a recent survey had such training, there was strong evidence that more recently appointed consultants were likely to have recommended training. The availability of suitable training ‘slots’ seems likely to play a major role in how quickly specialised psychiatric services for old people can develop in response to the rising challenge posed by demographic changes. Jolley has already demonstrated how developments have been delayed by a shortage of properly trained candidates. Despite this the situation has now been reached where over two-thirds of the elderly population of the UK are served by specialised consultants albeit sometimes at inadequate manpower levels.

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

1998 ◽  
Vol 22 (10) ◽  
pp. 635-638 ◽  
Author(s):  
Seonaid McCallum ◽  
Lisa McGilvray ◽  
Peter Bennie ◽  
Sue Whyte
Keyword(s):  
Clinical Training ◽  
Postal Questionnaire ◽  
Good Knowledge ◽  
Psychiatric Training ◽  
Clinical Implications ◽  
Specialist Registrar ◽  
Quality Of Teaching ◽  
The Impact ◽  
Registrar Training

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.

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).

scholarly journals An audit: fitness to drive assessment in inpatients of general adult and old age psychiatry

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S200-S201
Author(s):  
Ismail Khan ◽  
Nneamaka Asiodu ◽  
Dr Divyanish ◽  
Anum Yaqoob ◽  
Hasanain Qureshi
Keyword(s):  
Old Age ◽  
Social Withdrawal ◽  
Data Collection Tool ◽  
Fitness To Drive ◽  
Good Medical Practice ◽  
Adult Psychiatry ◽  
Old Age Psychiatry ◽  
Duty To Inform ◽  
The Impact ◽  
Physical Health Screening

AimsTo determine if fitness to drive is assessed on admission and discharge, if applicable, and for this to be documented during clerking and on discharge notifications.To determine if patients are being educated about the impact of their condition on the ability to safely drive.To ascertain if patients are aware of the duty to inform the DVLA if they for any reason are not fit to drive.BackgroundRisk factors include social, behavior and iatrogenic factors such as social withdrawal, increased likelihood of substance abuse and side effects of anti-psychotic medication.MethodThis trust wide audit involved the random sampling of a total of 71 case notes, 4 case notes per Consultant team in general adult psychiatry and old age psychiatry across Dudley and Walsall sites (total of 3 sites). A data collection tool was developed and included relevant questions regarding fitness to drive. Data were collected between October and December 2019.Result18/49 patients had physical health screening prior to medication initiation.ConclusionAn important aspect of good medical practice is to educate patients about their condition, this includes their fitness to drive as this can be affected both by their diagnosis and medication. It is clear that clinicians also need to be educated about this responsibility to ensure assessment is performed especially on inpatient discharge.

scholarly journals Physical illness associated with depression in the elderly in community based and hospital patients

1992 ◽  
Vol 16 (10) ◽  
pp. 612-613
Author(s):  
Stephen Dover ◽  
Christopher McWilliam
Keyword(s):  
Old Age ◽  
Psychiatric Illness ◽  
Geriatric Medicine ◽  
The Elderly ◽  
Physical Illness ◽  
Community Based ◽  
Senior Registrar ◽  
Hospital Patients ◽  
Old Age Psychiatry ◽  
Registrar Training

The co-existence of physical and psychiatric illness in so much of the elderly population poses diagnostic and therapeutic problems for psychiatrists, geriatricians and general practitioners alike, with the presence of physical illness strongly influencing and sometimes limiting the options for treatment of the psychiatric illness. Recognition of this has resulted in the Section of Old Age Psychiatry of the Royal College of Psychiatrists recommending that senior registrar training in old age psychiatry should include a one month attachment to an approved geriatric medicine unit.

scholarly journals SWOPT – the South-West Organisation for Psychiatric Training

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.

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