scholarly journals Liaison psychiatry continues to expand: developing services in the British Isles

2003 ◽  
Vol 27 (9) ◽  
pp. 339-341 ◽  
Author(s):  
Geraldine Swift ◽  
Else Guthrie
Keyword(s):  
Local Development ◽  
Postal Survey ◽  
Full Time ◽  
Liaison Psychiatry ◽  
Specialist Registrar ◽  
Current State ◽  
Time Period ◽  
Wide Range ◽  
The Republic ◽  
The Uk

Aims and MethodA postal survey of consultants in liaison psychiatry was carried out in the spring of 2002 to document the current state of liaison psychiatry in the UK and the Republic of Ireland. Information was collected on post specifications, clinical organisation and plans for further local development.ResultsNinety-three liaison consultants were identified. Seventy-seven posts were full-time or half-time, compared with 43 such posts in 1996. During the same time period, specialist registrar training posts have doubled from 30 to 61. A third of respondents anticipated further consultant posts in their region.Clinical ImplicationsDespite the increase in the number of liaison consultants since 1996, the numbers still fall below that recommended by the Royal College of Psychiatrists. Liaison consultants need to improve links with primary care and continue to develop specialised services to demonstrate the qualitative and financial benefits that liaison psychiatry has to offer to a wide range of patients.

scholarly journals Liaison psychiatry continues to expand: developing services in the British Isles

2003 ◽  
Vol 27 (09) ◽  
pp. 339-341 ◽  
Author(s):  
Geraldine Swift ◽  
Else Guthrie
Keyword(s):  
Local Development ◽  
Postal Survey ◽  
Full Time ◽  
Liaison Psychiatry ◽  
Specialist Registrar ◽  
Current State ◽  
Time Period ◽  
Wide Range ◽  
The Republic ◽  
The Uk

Aims and Method A postal survey of consultants in liaison psychiatry was carried out in the spring of 2002 to document the current state of liaison psychiatry in the UK and the Republic of Ireland. Information was collected on post specifications, clinical organisation and plans for further local development. Results Ninety-three liaison consultants were identified. Seventy-seven posts were full-time or half-time, compared with 43 such posts in 1996. During the same time period, specialist registrar training posts have doubled from 30 to 61. A third of respondents anticipated further consultant posts in their region. Clinical Implications Despite the increase in the number of liaison consultants since 1996, the numbers still fall below that recommended by the Royal College of Psychiatrists. Liaison consultants need to improve links with primary care and continue to develop specialised services to demonstrate the qualitative and financial benefits that liaison psychiatry has to offer to a wide range of patients.

scholarly journals Development of liaison psychiatry

1998 ◽  
Vol 22 (5) ◽  
pp. 291-293 ◽  
Author(s):  
E. Guthrie
Keyword(s):  
National Database ◽  
Specific Work ◽  
Full Time ◽  
Half Time ◽  
Liaison Psychiatry ◽  
Full Time Equivalent ◽  
Specialist Registrar ◽  
General Psychiatry ◽  
Current State ◽  
And Training

A survey was undertaken to establish the current state of liaison psychiatry in England, Scotland and Wales. Eighty-six consultants were identified who carry out specific work in liaison psychiatry, 43 of these consultants hold either full-time or half-time posts in liaison. Sixteen new posts in liaison (full-time equivalent (FTE) or half-time equivalent (HTE)) have been created in the past two years. Half of these were entirely new posts and half have been created by consultants already in a general psychiatry post renegotiating their contracts. Some specialist registrar schemes have no training slots in liaison psychiatry and others have training slots in liaison psychiatry which are supervised by a trainer who is not in a FTE/HTE liaison post. A national database is required to track expansion in liaison psychiatry and training at specialist registrar level needs to be developed.

scholarly journals Liaison psychiatry services in south England

2010 ◽  
Vol 34 (7) ◽  
pp. 270-273 ◽  
Author(s):  
Jackie Gordon ◽  
Sonia Wolf
Keyword(s):  
Royal College ◽  
Full Time ◽  
The South ◽  
Liaison Psychiatry ◽  
Hospital Size ◽  
Staffing Levels ◽  
The Past ◽  
Patient Groups ◽  
The Uk ◽  
And Function

Aims and methodTo investigate liaison psychiatry services across 38 acute trusts in the south of England. We used a telephone survey and compared the results to service structure and function as recommended by the Royal College of Physicians and the Royal College of Psychiatrists.ResultsApproximately two-thirds of trusts surveyed had a dedicated liaison service and this was not significantly related to hospital size. Most liaison teams were understaffed in all disciplines and only a third had a full-time consultant. Services for specialist patient groups were generally well provided for; 37% of teams had been created in the past 5 years and 33% were planning to increase their staffing levels in future.Clinical implicationsLiaison services in the south of England are similar to those in other parts of the UK that have been surveyed. Although the services did not meet the Colleges' recommendations, our study shows some recent growth and development in this specialty.

scholarly journals A Multidiagnostic Intercomparison of Tropical-Width Time Series Using Reanalyses and Satellite Observations

2012 ◽  
Vol 25 (4) ◽  
pp. 1061-1078 ◽  
Author(s):  
Sean M. Davis ◽  
Karen H. Rosenlof
Keyword(s):  
Longwave Radiation ◽  
Hadley Cell ◽  
Radiosonde Data ◽  
Full Time ◽  
Robust Detection ◽  
Time Period ◽  
Wide Range ◽  
The Mean ◽  
Yield Trends ◽  
The Tropics

Abstract Poleward migration of the latitudinal edge of the tropics of 0.25°–3.0° decade−1 has been reported in several recent studies based on satellite and radiosonde data and reanalysis output covering the past ~30 yr. The goal of this paper is to identify the extent to which this large range of trends can be explained by the use of different data sources, time periods, and edge definitions, as well as how the widening varies as a function of hemisphere and season. Toward this end, a suite of tropical edge latitude diagnostics based on tropopause height, winds, precipitation–evaporation, and outgoing longwave radiation (OLR) are analyzed using several reanalyses and satellite datasets. These diagnostics include both previously used definitions and new definitions designed for more robust detection. The wide range of widening trends is shown to be primarily due to the use of different datasets and edge definitions and only secondarily due to varying start–end dates. This study also shows that the large trends (>~1° decade−1) previously reported in tropopause and OLR diagnostics are due to the use of subjective definitions based on absolute thresholds. Statistically significant Hadley cell expansion based on the mean meridional streamfunction of 1.0°–1.5° decade−1 is found in three of four reanalyses that cover the full time period (1979–2009), whereas other diagnostics yield trends of −0.5°–0.8° decade−1 that are mostly insignificant. There are indications of hemispheric and seasonal differences in the trends, but the differences are not statistically significant.

Architecture in the UK: a study in professional entry-routes and entry-gates

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Stan Lester
Keyword(s):  
Professional Education ◽  
Full Time ◽  
Content Type ◽  
Current State ◽  
Regulatory Frameworks ◽  
Part Time ◽  
Evolving Context ◽  
The 1960S ◽  
The Uk

PurposeThis paper examines architecture as an example of the evolving context of qualifying routes in UK professions.Design/methodology/approachThe background and current state of architectural education, qualifying routes and regulatory frameworks in the UK is presented as a case-study, and compared with practices in professional education and qualifying more generally including the use of Degree Apprenticeships.FindingsArchitecture has since the 1960s maintained an entry-route that is premised on periods of full-time academic study plus full-time practice. While a minority part-time version of this route has always existed (and is now being expanded through Degree Apprenticeships), variations seen in other professions such as experienced practitioner entry and accelerated routes from cognate fields have so far been lacking. Pressures for reform are emerging both from external changes affecting the profession and from the high cost of qualifying in relation to median incomes in the sector.Practical implicationsThere is a need for more flexible and less expensive routes to qualifying as an architect, with substantial scope to use practices from other professions and areas of higher education to recognise existing levels of competence and improve crossover with other design and construction fields.Originality/valueThis is the first review of architectural qualifying requirements that has been made in the context of professional entry more generally.

Psychosomatic Medicine: Past and Present Part II. Current State

1986 ◽  
Vol 31 (1) ◽  
pp. 8-13 ◽  
Author(s):  
Z.J. Lipowski
Keyword(s):  
Psychosomatic Medicine ◽  
Current Phase ◽  
Clinical Aspects ◽  
Liaison Psychiatry ◽  
Psychological States ◽  
Psychophysiological Response ◽  
Current State ◽  
Wide Range ◽  
Health And Disease ◽  
Theory Research

The first historical phase of psychosomatic medicine was largely dominated by the psychoanalytic approach to research and theory. The current phase has shown a radical shift away from that approach. It has focused on the study of the physiological mechanisms mediating between psychological states and body functions in health and disease, and on the role of personally meaningful life events and psychophysiological responses to them in the etiology, course, and outcome of a wide range of physical illnesses. The concepts of psychosocial stress, psychophysiological response specificity, coping, adaptation, and social supports predominate in psychosomatic theory. Research has grown in scope, diversity, and methodological sophistication. Concurrently, clinical application and the psychosomatic approach to patient care has expanded in the form of consultation-liaison psychiatry and behavioural medicine. The author reviews the current state of the field in its scientific and clinical aspects, and offers definitions delineating its scope.

scholarly journals Teaching Staff Advanced Training in Russia, the Republic of Kazakhstan, the USA and Canada

2015 ◽  
Vol 5 (4) ◽  
pp. 16-21
Author(s):  
Vasyl Kovalchuk
Keyword(s):  
Professional Development ◽  
Self Control ◽  
Teaching Staff ◽  
Advanced Training ◽  
Full Time ◽  
Face To Face ◽  
Professional Activities ◽  
Wide Range ◽  
The Usa ◽  
The Republic

Abstract In the article the peculiarities in organization of postgraduate teacher training in foreign countries have been highlighted; the basic problems and prospects for advanced training which stipulate for reforming the relevant national systems have been revealed; common and distinctive trends in their development have been justified. In Russia there is a cascade (cyclic) system of teaching staff advanced training, based on the principles of andragogy, namely, continuity, self-control and self-analysis of professional activities by teachers and the use of their own experience during the advanced training. The abovementioned system consists of three phases such as pre-course, course and implementing. Each element of this model is a constituent part of the other, providing cycling and growth. Tasks for teachers are grounded on all the phases of the described system and influence their professional development. In the Republic of Kazakhstan there are three basic systems for teaching staff advanced training, namely, centers of educational excellence at the “Nazarbayev Intellectual Schools”, JSC “National Centre of Teaching Staff Advanced Training” (based on RIPKSO and 16 regional teaching staff advanced training institutes), teaching staff advanced training centres at universities and experimental sections. According to the defined module in the terms of the complex 3-month courses combining face-to-face and online training are provided. In the USA advanced training is provided by multilevel higher educational institutions which offer a wide range of different full-time and distance training programs and some programs are taught directly in educational establishments. The content of advanced training is determined by standards of professional pedagogical education according to the educational program and provides for fundamental, psychological, pedagogical, methodical, IT, practical, social and humanitarian training. Teaching staff advanced training in Canada is provided by various educational establishments, departments of education, school boards, regional centers of education, teachers unions and private providers of professional development services.

scholarly journals Senior house officer training in liaison psychiatry – are College guidelines being implemented?

2001 ◽  
Vol 25 (5) ◽  
pp. 191-193 ◽  
Author(s):  
S. Surlinson ◽  
E. Guthrie
Keyword(s):  
Postal Survey ◽  
House Officer ◽  
National Database ◽  
Senior House Officer ◽  
Officer Training ◽  
Liaison Psychiatry ◽  
Wide Range ◽  
Training Schemes ◽  
Further Development ◽  
Training Opportunities

Aims and MethodsTo determine whether the College guidelines in liaison psychiatry are being implemented, a survey of training opportunities at senior house officer (SHO) level was undertaken. A detailed postal survey was conducted in January 2000. Information was collected about the number and nature of SHO liaison psychiatry posts from a wide range of sources.ResultsNationally, 45.5 SHO posts in liaison psychiatry were identified. These were unevenly distributed, with a high number in London. Only five posts were available to general practitioner trainees. Nine regions anticipated an increase in training opportunities. Regional liaison representatives had incomplete knowledge of the availability of liaison training opportunities in their region.Clinical ImplicationsThe College guidelines to incorporate liaison experience into all training schemes have not been implemented. In four regions no training opportunities were identified whatsoever. A national database is needed to monitor training opportunities and inform further development of training posts.

scholarly journals The changing UK paediatric consultant workforce: report from the Royal College of Paediatrics and Child Health

2016 ◽  
Vol 102 (2) ◽  
pp. 170-173 ◽  
Author(s):  
Martin McColgan ◽  
Rachel Winch ◽  
Simon J Clark ◽  
Carol Ewing ◽  
Neena Modi ◽  
...  
Keyword(s):  
Child Health ◽  
Outcome Measures ◽  
Royal College ◽  
Median Number ◽  
Full Time ◽  
Professional Activities ◽  
Time Period ◽  
The Uk ◽  
And Child Health

ObjectivesTo determine if there had been changes in the size of the UK paediatric workforce and working patterns between 1999 and 2013.DesignAnalysis of prospectively collected datasets.SettingUK consultant paediatricians.InterventionsData from the Royal College of Paediatrics and Child Health's workforce census from 1999 to 2013 and the annual surveys of new paediatric Certificate of Completion of Training (CCT) and Certificate of Equivalence of Specialist Registration (CESR) holders between 2010 and 2013.Main outcome measuresPaediatric consultant numbers, programmed activities (PAs) and resident shift working.ResultsThe UK paediatric consultant workforce grew from 1933 in 1999 to 3718 in 2013. Over the same time period, there was a decline in the number of consultants with a primary academic contract from 210 to 143. There was an increase in the proportion of consultants who were female (40% in 1999 to 50% in 2013, p<0.01). The median number of PAs declined from 11 in 2009 to 10 in 2013 (p<0.001) as did the median number of PAs for supporting professional activities (2.5–2.3, p<0.001). In 2013, 38% of new consultants in general paediatrics or neonatology were working resident shifts. Between 2009 and 2013, the proportion of less than full-time working consultants rose from 18% to 22%, which was more common among female consultants (35% vs 9%).ConclusionThe paediatric consultant workforce has doubled since 1999, but more are working less than full time. The decline in those with a primary academic contract is of concern.

MT30: The Heart of Future Integrated Power and Propulsion Systems

2014 ◽  
Author(s):  
Oliver Rath
Keyword(s):  
Gas Turbines ◽  
Electric Propulsion ◽  
Propulsion System ◽  
Propulsion Systems ◽  
Marine Propulsion ◽  
Wide Range ◽  
Prime Movers ◽  
The Republic ◽  
The Uk ◽  
System Configurations

The MT30 has been developed specifically for 21st century marine propulsion and has now been applied in a wide range of different propulsion system configurations in the US Navy, the UK Royal Navy and the Republic of Korea Navy. Both naval and commercial marine propulsion systems are increasingly seeking more power from fewer prime movers to facilitate lower cost of ownership. In naval systems, the move to partial or full-electric propulsion for larger escorts and the introduction of single boost gas turbines for smaller escorts has allowed a reduction in the number of installed prime movers, while retaining and often enhancing survivability and redundancy. The Rolls-Royce MT30 marine gas turbine can be regarded as an enabling technology in this area to allow a wide variety of propulsion system options to be realised. This paper describes the current trends in Naval propulsion systems with particular focus on the platform design, operational and through-life benefits of the MT30 in the context of different system arrangements. A variety of different systems are covered with a particular focus on hybrid electromechanical and all-electric systems.

Sign in / Sign up

Export Citation Format

Share Document