Purpose Junior doctors rotating through psychiatry often practise in isolated environments with little prior experience in this field. This can cause anxiety amongst doctors, and may potentially lead to patient safety concerns. The paper aims to discuss these issues. Design/methodology/approach A novel peer-led simulation style teaching session was developed to improve junior doctor knowledge and confidence when working with psychiatry rotations out of hours. Findings Following successful completion of two iterations of the teaching, junior doctors reported increased confidence, reduced anxiety and a more positive attitude following the session. Facilitators were similarly positive in their feedback, being able to gain formal teaching experience and appraisal. Originality/value A novel, inexpensive and easily replicable teaching session is introduced, which can improve junior doctors’ practice and experience when working in psychiatry settings out of hours.
Career progression-use of the trainee logbook As senior house officer trainees approach the end of their training and prepare to apply for higher specialist training, they become more concerned with the 'publications' section on the job application forms for specialist registrars. By then they have either already published something in a journal or are desperately trying to do so. Recently, with the increased competition for higher specialist training posts, it has become an unwritten rule that one is unlikely to get short listed if the 'publications' section is left blank. The consensus is that trainees at senior house officer level are competing in terms of how many published letters or articles they have written/co-written. We do not question the value of published work in the selection process, nor do we doubt its relevance to career progression. However, we wonder if the field of vision has become unhelpfully narrow. We wonder whether, in parallel with the ongoing changes in the training of psychiatrists, the assessment of suitability for career progression should shift from cross-sectional to longitudinal assessments of trainees' performance. An excellent tool for assessment, which trainers and trainees have long used, is the College's trainee's logbook (http:// www. rcpsych.ac.uk/PDF/LogBook.pdf). It includes almost all that is essential for a comprehensive evaluation of a trainee. The two sections of training goals and supervisors' feedback are particularly useful for acquiring an overall view of career development. Psychiatric training in the UK is constantly evolving. In August 2007, the Postgraduate Medical Education and Training Board will supersede the Specialist Training Authority and the Joint Committee on Postgraduate Training for General Practice. It is hoped that the selection of trainees for higher specialist training will involve a more-balanced structured assessment rather than a tickbox format. However, the assimilation of the current trainees into the new system is yet to be clarified. Advertising for specialist registrar posts will cease after August 2007. Guidelines for their point of
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