G163 Investigation of the process and experience of gaining mental health training as a community paediatric trainee

Abstract

IntroductionThe RCPCH General and Community Child Health (CCH) curricula list nearly 50 competencies related to child mental health. It has long been recognised that these competencies are difficult to achieve without dedicated CAMHS training. As CAMHS is not an Allied Specialty according to the RCPCH, an Out of Programme Experience or Training (OOPE/T) must be undertaken.AimsTo explore the process and benefits of a CAMHS training post for CCH trainees.MethodsA focus-group discussion at a regional training meeting, followed by collaboration with a colleague undertaking a survey of CCH trainees nationally, explored the attainment of mental health competencies. The steps followed to undertake formal CAMHS training were: identification of a suitable OOPT post, approval from the local department, the NHS trust, the Deanery, the RCPCH and the GMC.ResultsLocal and national surveys highlighted the difficulties in achieving mental health competencies within standard CCH training as well as lack of provision of CAMHS training. The process of applying for an OOPT took 12 months and was fundamentally facilitated by supportive, professional links between the local CCH and CAMHS Consultants. The CCH CSAC was supportive, and recognised the opportunity for competencies to be met.ConclusionsBenefits for the trainee, the CAMHS team, the CCH team and patient care were identified. Weekly consultant supervision and regular joint assessments provided ample opportunity to complete workplace-based assessments. There were opportunities to work within all CAMHS subspecialties. Attendance at CAMHS regional weekly registrar training meetings provided further learning and networking opportunities.A formal training post in CAMHS led to valuable clinical experience for a future consultant career in CCH, but would also be valuable for trainees in General Paediatrics or other sub-specialties. The post in itself naturally led to a liaison role, facilitating communication between CCH and CAMHS teams and benefiting patient care.Future work to streamline the process of accessing this type of post by the RCPCH and RCPsych will be of great benefit for the specialities as a whole, to the local departments and ultimately for the patients being treated in those settings.