scholarly journals Recruitment into psychiatry: views of consultants in Scotland

2007 ◽  
Vol 31 (11) ◽  
pp. 411-413 ◽  
Author(s):  
Tom M. Brown ◽  
Karen Addie ◽  
John M. Eagles
Keyword(s):  
Psychiatric Disorders ◽  
Royal College ◽  
Response Rates ◽  
Postal Survey ◽  
Undergraduate Teaching ◽  
Clinical Implications ◽  
Attitudes And Beliefs

AIMS AND METHODBy use of a postal survey we sought to determine attitudes and beliefs about recruitment to psychiatry. Members of the Scottish Division of the Royal College of Psychiatrists were asked to complete a questionnaire asking their views on the importance of various factors in relation to recruitment (n=387).RESULTSResponse rates were low from non-consultants and we focused on the views of the 212 consultants (55%) who responded. The perceived low status of psychiatry among other doctors and the belief that individuals with psychiatric disorders are difficult to deal with emerged as the two most important factors seen to affect recruitment. Improving undergraduate teaching in psychiatry was deemed important in enhancing recruitment.CLINICAL IMPLICATIONSDealing with stigma, within and out with the profession, and improving undergraduate exposure to psychiatry may be important in recruiting doctors to psychiatry.

scholarly journals Survey of psychotherapy experience and interest among psychiatric specialist registrars

2006 ◽  
Vol 30 (6) ◽  
pp. 223-225 ◽  
Author(s):  
Werner Pretorius ◽  
Rainer Goldbeck
Keyword(s):  
Royal College ◽  
Special Interest ◽  
Perceived Competence ◽  
Postal Survey ◽  
Clinical Implications ◽  
Further Training ◽  
Eligibility Criteria ◽  
Psychiatric Specialist ◽  
And Training

Aims and MethodA postal survey was conducted to determine what proportion of psychiatric specialist registrars working in Scotland (n=119, excluding those specialising in psychotherapy) met the requirements for experience in psychotherapy. Since 2004, this has been a compulsory part of eligibility criteria for the MRCPsych part II examination.ResultsTwo-thirds of those surveyed responded. One-third of respondents met the Royal College of Psychiatrists' requirements for psychotherapy experience. Half the respondents reported competence in at least one modality of psychotherapy. Four-fifths of respondents were interested in gaining further experience and training, two-thirds in developing a special interest and one-quarter in dual training, in at least one modality of College psychotherapy. There was no significant association between adherence to the requirements and self-perceived competence, qualification or the wish to gain further training and experience in psychotherapy.Clinical ImplicationsThe majority of trainees, even those interested in psychotherapy, still fail to meet College requirements. Many trainees would appreciate an opportunity to gain greater depth of psychotherapy experience, in addition to gaining broad experience of various aspects of psychotherapy as required by the College.

scholarly journals What psychiatrists think about Part III of the Mental Health Act 1983

1999 ◽  
Vol 23 (12) ◽  
pp. 721-725 ◽  
Author(s):  
Alec Buchanan ◽  
John Gunn
Keyword(s):  
Mental Health ◽  
Response Rates ◽  
Postal Survey ◽  
Clinical Implications ◽  
England And Wales ◽  
Radical Reform ◽  
Mental Health Act ◽  
The Government ◽  
Psychopathic Disorder

Aims and methodThe government has proposed a ‘root and branch’ review of the Mental Health Act 1983 to be conducted by the end of 1999. The aim of the study was to establish the views of general and forensic psychiatrists as to the adequacy of present legislative provision for England and Wales. The study was carried out by postal survey.ResultsThe response rates were 82%, for forensic psychiatrists and 67%, for general psychiatrists. Most respondents considered most of present provision satisfactory. Areas considered in need of amendment were: the term ‘psychopathic disorder’; the requirement for an offence punishable by imprisonment before a hospital order can be made, provision for remands to hospital and the loss of clinical independence consequent upon the making of a restriction order.Clinical implicationsForensic psychiatrists seem more willing than general psychiatrists to see their clinical discretion limited by the courts. Most of the suggestions were for changes to individual aspects of the present legislation rather than radical reform.

scholarly journals Facilities for carers of in-patients in forensic psychiatric services in England and Wales

2010 ◽  
Vol 34 (9) ◽  
pp. 381-384 ◽  
Author(s):  
Irene Cormac ◽  
Drew Lindon ◽  
Hannah Jones ◽  
Trevor Gedeon ◽  
Michael Ferriter
Keyword(s):  
Mental Health ◽  
Postal Survey ◽  
Psychiatric Services ◽  
Clinical Implications ◽  
England And Wales ◽  
Mental Health Settings ◽  
Forensic Psychiatric ◽  
Minority Ethnic ◽  
Psychiatric Facilities

Aims and methodA postal survey of forensic psychiatric facilities in England and Wales was undertaken to obtain information about the services provided for carers of in-patients within these services.ResultsForensic psychiatric services vary in the support and facilities provided for carers. Many do not comply with current legislation for carers. Most units informed carers of their rights to have an assessment, but only a minority provided facilities for carers from Black and minority ethnic backgrounds.Clinical implicationsForensic psychiatric services should meet standards for the involvement and support of carers in mental health settings, and comply with legislation for carers.

scholarly journals Attitudes of the general population to psychiatric and physical illness

1999 ◽  
Vol 23 (11) ◽  
pp. 671-674 ◽  
Author(s):  
Stephen M. Lawrie
Keyword(s):  
General Population ◽  
Psychiatric Disorder ◽  
Psychiatric Disorders ◽  
Random Sample ◽  
Response Bias ◽  
Close Relationships ◽  
Clinical Vignette ◽  
Clinical Implications ◽  
General Tendency ◽  
Negative Attitudes

Aims and methodThe attitudes of members of the general population to people with psychiatric and physical illnesses were examined. We took a random sample of 280 members of the general population listed in the phone directory and sent them a brief clinical vignette about a neighbour with either schizophrenia, depression, diabetes or no illness.ResultsOnly 103 (41%) of the surveyed general population responded. Some unsolicited comments revealed negative attitudes from a small number of subjects. There were, however, no statistically significant differences in general attitudes to sufferers of psychiatric and physical illnesses suggestive of discrimination against the former. Indeed, respondents showed a general tendency to be more supportive of a neighbour with any illness than to those without. In a sub-analysis, however, those who knew someone with schizophrenia were significantly less likely to be sympathetic towards them.Clinical implicationsWe have not detected any general stigmatisation of those with psychiatric disorders, but our results may be attributable to response bias. Discrimination against those with psychiatric disorder may be limited to a relatively small sector of society or may only be manifest in relatively close relationships.

scholarly journals What impact do undergraduate experiences have upon recruitment into psychiatry?

2007 ◽  
Vol 31 (2) ◽  
pp. 70-72 ◽  
Author(s):  
John M. Eagles ◽  
Sam Wilson ◽  
Jane M. Murdoch ◽  
Tom Brown
Keyword(s):  
Royal College ◽  
Undergraduate Teaching ◽  
Recruitment And Retention ◽  
Retirement Intentions

The Scottish Division of the Royal College of Psychiatrists conducted a survey of members and fellows in 2003 on recruitment and retention within psychiatry. Responses relating to retirement intentions of consultants have been published previously (Eagleset al, 2005). Respondents were asked to give views about improving recruitment, and by far the most common suggestion was that this could be achieved by enhancing undergraduate teaching in psychiatry. This paper will discuss the ways in which undergraduate experiences may have an impact upon recruitment.

scholarly journals Use of cognitive–behavioural therapy skills among trained psychiatrists

2006 ◽  
Vol 30 (2) ◽  
pp. 58-60 ◽  
Author(s):  
Graeme Whitfield ◽  
Moira Connolly ◽  
Alan Davidson ◽  
Chris Williams
Keyword(s):  
Professional Development ◽  
Cognitive Behavioural Therapy ◽  
Behavioural Therapy ◽  
Postal Survey ◽  
Clinical Implications ◽  
Therapeutic Activity ◽  
Protected Time ◽  
Training And Supervision ◽  
Cognitive Behavioural ◽  
The Cost

Aims and MethodPrevious studies have suggested that despite the cost of attendance at postgraduate cognitive–behavioural therapy (CBT) courses, psychiatrists are unable to engage in CBT after qualification. A postal survey of psychiatrists with postgraduate CBT training currently practising in Scotland was performed to assess the levels of training and supervision that they provide, therapeutic CBT activity, and supervision and continued professional development that they receive.ResultsOf the 58 psychiatrists, 51 replied to the survey (88%). Less than half of the respondents supervised other staff. Although 43 (84%) engaged in some therapeutic CBT activity, only 25 (49%) received supervision for their own practice. The main reasons given for not engaging in CBT therapeutic activity were that there was inadequate ‘protected time’ and that CBT had not been included in ‘job plans'.Clinical ImplicationsPsychiatrists can help to disseminate CBT skills. To do this, they require personal supervision, and time for the development and maintenance of therapeutic skills as well as for the training and supervision of others. This survey builds on the results of others and indicates that these requirements are currently being inadequately met.

Recruitment, retention, satisfaction and stress in child and adolescent psychiatrists

2003 ◽  
Vol 27 (2) ◽  
pp. 61-67 ◽  
Author(s):  
S. Littlewood ◽  
P. Case ◽  
R. Gater ◽  
C. Lindsey
Keyword(s):  
Psychological Distress ◽  
Job Stress ◽  
Management Training ◽  
Child And Adolescent ◽  
Postal Survey ◽  
Self Management ◽  
Clinical Implications ◽  
The Uk ◽  
Staffing Requirements ◽  
Safe Access

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.

MTAS fiasco: lessons for psychiatry

2007 ◽  
Vol 31 (11) ◽  
pp. 425-427 ◽  
Author(s):  
Paul Whelan ◽  
Peter Jarrett ◽  
Maja Meerten ◽  
Kate Forster ◽  
Dinesh Bhugra
Keyword(s):  
Royal College ◽  
Medical Training ◽  
Clinical Implications ◽  
European Economic Area ◽  
Application System ◽  
European Economic ◽  
Economic Area ◽  
Training Post ◽  
Training Schemes

AIMS AND METHODSThe recent Medical Training Application System (MTAS) has been fraught with problems. A survey of MTAS applicants from two London training schemes and a request for emails from trainees and trainers documenting problems with the system were undertaken with the aim of canvassing the views of candidates and shortlisters/interviewers about MTAS, and providing evidence of the system's failings.RESULTSA total of 101 candidates responded to the survey, and the first 92 emails sent to the Royal College of Psychiatrists were analysed. The majority of respondents (73%) were dissatisfied with MTAS and 63% thought the system unfair. UK and European Economic Area (EEA) applicants (71%) were more successful in being shortlisted than non-EEA candidates (48%). The majority of applicants (70%) planned to reapply in subsequent rounds if they failed to secure a training post.CLINICAL IMPLICATIONSBoth surveys showed clearly that the system was not working well. The trainees and trainers both felt that the system was flawed and that the reasons for the failure included a centralised system without any piloting, and the question design. In addition a lack of resources added to the stress and burden on both trainees and trainers.

scholarly journals A survey of workplace bullying of psychiatric trainees in the West Midlands

2004 ◽  
Vol 28 (6) ◽  
pp. 225-227 ◽  
Author(s):  
Imthiaz A. Hoosen ◽  
Rhiannon Callaghan
Keyword(s):  
National Health Service ◽  
Workplace Bullying ◽  
Postal Survey ◽  
Clinical Implications ◽  
Junior Doctors ◽  
The West ◽  
West Midlands ◽  
The Individual ◽  
Problem Awareness ◽  
Foreign Doctors

Aims and MethodA postal survey was conducted to ascertain the prevalence of bullying behaviour experienced by psychiatric trainees in the West Midlands. Questionnaires were sent to 232 junior doctors, 76% of whom responded.ResultsIn the preceding year, 47% of trainees had experienced one or more bullying behaviours. Only 46% reported that they knew whom to contact if they were bullied. Foreign doctors were significantly less likely to take action when bullied than local doctors.Clinical ImplicationsWorkplace bullying is commonly experienced by psychiatric trainees and other junior doctors in the National Health Service. This behaviour could have adverse effects for both the individual and the employer. To tackle this problem, awareness needs to be raised, and action is required at a number of levels.

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