Post on 02-Jan-2016
Psychiatry and the new Shape of Psychiatry and the new Shape of Training Training
Dr Wendy Burn Dean
October 2014October 2014
Structure of psychiatric training in the UK
Regulation of psychiatric training in the UK
Possible changes with Shape of Training
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Structure of Medical Structure of Medical training in the UKtraining in the UK
5 years medical school leading to qualification.
2 year Foundation Programme, rotate through 6 to 8 specialties. We are aiming to provide half with a psychiatry placement.
Enter Specialty Training in Psychiatry via competitive recruitment.
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Psychiatric TrainingPsychiatric Training
Core training for 3 years, 6 month posts. Psychotherapy training: Balint group, short case and a long case
MRCPsych examination Higher training for 3 years (one
specialty) or 4 years (2 specialties). 12 month posts. Entry by competitive recruitment.
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Higher Training -6 Higher Training -6 specialtiesspecialties
General Adult (subspecialties liaison, rehabilitation, substance misuse)
Forensic Psychotherapy Child and Adolescent Learning Disability Old Age Leads to Certificate of Completion (CCT)
of Training which allows practice as a consultant
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Regulation of Training-Regulation of Training-General Medical CouncilGeneral Medical Council
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Regulates all stages of doctors' training and professional development in the UK.
Training is standardised across the UK College sets standards and GMC
approves them
Regulation of training-Regulation of training-the curriculumthe curriculum
Curriculum-can be found on the College website
Written by the College Approved by the GMC
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Regulation of training-Regulation of training-assessmentsassessments
Set by the College: Workplace Based Assessments and MRCPsych Examination
Approved by GMC
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Shape of TrainingShape of Training
Both an opportunity and a threat
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Questions raised by Questions raised by Shape of Training Shape of Training
What types of doctors/specialists do we need to provide out of hours cover for emergency psychiatry? How do we ensure doctors are trained to do this?
How do we continue to service the training needs of psychiatrists to allow current and future need to specialise?
How do we change training in our specialties and others so that psychiatrists are more able to meet the physical health needs of our patients and doctors from other specialties have more understanding of mental health ?
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ThreatsThreats
If training becomes broader but no longer then will lose depth.
May be asked to make unpalatable changes which we are not yet aware of.
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OpportunitiesOpportunities
Chance to broaden knowledge and skills, particularly around the areaa of physical health.
Chance to improve the out of hours service that we give to patients.
Other specialties already wanting to learn about mental health.
Chance to allow psychiatrists to develop over the course of their careers with some central standard setting.
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There is already a move There is already a move to broader trainingto broader training
Broad based training – 2 years after Foundation. 6 months of Paediatrics, Medicine, Psychiatry and General Practice. Then enter chosen specialty at CT2.
Dual training in higher training, 2 CCTS.
Both options very popular with trainees.
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Number of CSTsNumber of CSTs
Major question for Psychiatry is how many CSTs?
6? 2? 1?
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Any questions or comments?
wburn@rcpsych.ac.uk
Follow me on Twitter @wendyburn
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