Psychiatry and the new Shape of Training Dr Wendy Burn Dean October 2014.

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


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.


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.


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


Regulation of Training-Regulation of Training-General Medical CouncilGeneral Medical Council


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


Regulation of training-Regulation of training-assessmentsassessments

Set by the College: Workplace Based Assessments and MRCPsych Examination

Approved by GMC


Shape of TrainingShape of Training

Both an opportunity and a threat


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 ?


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.


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.


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.


Number of CSTsNumber of CSTs

Major question for Psychiatry is how many CSTs?

6? 2? 1?


Any questions or comments?

[email protected]

Follow me on Twitter @wendyburn


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Psychiatry and the new Shape of Training Dr Wendy Burn Dean October 2014.

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Transcript of Psychiatry and the new Shape of Training Dr Wendy Burn Dean October 2014.