Psychotherapy requirements as recommended by the College: awareness and achievement by senior house officers

Agarwal, Shruti; Singh, Yadvir; Palanisamy, Vikram; Basker, Rajasekar; Speck, Rohan Van der

doi:10.1192/pb.bp.106.013227

Cited by 9 publications

(7 citation statements)

References 14 publications

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“…4 Some psychiatrists believe that personal psychotherapy has an important role in training, 5,6 but there is much debate over the issue. According to one perspective, personal psychotherapy may provide the trainee with useful insights, experiential learning and support; other perspectives suggest it is lacking in evidence, costly and irrelevant.…”

Section: Discussionmentioning

confidence: 99%

Personal psychotherapy in psychiatric training: study of four London training schemes

et al. 2009

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Aims and MethodWe carried out a web-based survey to establish the proportion of London psychiatry senior house officers who undertake personal psychotherapy. Demographics, training characteristics and psychotherapy experience were examined using descriptive statistics. Predictors of personal psychotherapy status were examined using logistic regression.ResultsThe majority of trainees who undertook personal psychotherapy included training as a reason for doing so. of the participants, 16% had undergone personal psychotherapy and of the remainder, 73% reported that they would consider it in the future. Ethnicity was the only predictor of psychotherapy status, with White British trainees nearly four times more likely to pursue it.Clinical ImplicationsPersonal psychotherapy appeared to have relevance to training from both a pastoral and a learning perspective. If training schemes wish to support this practice they will need to address difficulties trainees may face in accessing therapy. Trainees might also be encouraged to think about the effect of cultural factors on their attitudes towards psychological therapies.

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Section: Discussionmentioning

confidence: 99%

Personal psychotherapy in psychiatric training: study of four London training schemes

et al. 2009

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“…In 1993 the Royal College of Psychiatrists made psychotherapy a mandatory rather than recommended work experience and there is now a competency portfolio outlining requirements for trainees. However, startling data have been revealed recently, showing that 91% of senior house officers did not meet the requirements of the Member of the Royal College of Psychiatrists (MRCPsych) exam regarding psychotherapy training and 23% were not even aware of them (Agarwal et al, 2007). The quality and variability of psychotherapy experience in training have been surveyed in several papers (Podlesjka & Stern 2003;Carley & Mitchison 2006;Pretorius & Goldbeck 2006), and some solutions to practical problems with its provision have been proposed, for example, consultation from a consultant psychotherapist, utilising feedback from trainees, and focusing on practicalities and logistics at a local level (Wildgoose et al, 2002;Mitchison 2007).…”

Section: S a R A H E D R Ac A S S Ta R Y N T R Ac E Y A N D K A Mmentioning

confidence: 99%

What is it about dynamic psychotherapy?

Dracass

Tracey²,

Bhui

2008

Psychiatr. bull.

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Foundation Year 1 and 2 trainees are assessed with direct observation of procedural skills, clinical evaluation exercise (mini-CEX), case-based discussion and multisource feedback (mini-PAT). I had no problems completing mini-CEX and case-based discussion because of the weekly educational supervision sessions. I was encouraged to experience other services within a multidisciplinary team, hence the multisource feedback was truly multidisciplinary. I was able to appreciate what each discipline brings to care and when, why and how they are accessed. Regarding direct observation of procedural skills, only simple procedures could be undertaken, although the same standards were achieved in general regardless of complexity.Achieving the overall 'generic' competency standards did not pose any problems, although 'acute care' competencies were challenging. For mental health problems, the senior house officer would take responsibility. For physical problems, I found there was the limitation in treating physical problems in the psychiatric setting. I felt that not having on-call commitments and the Trust guidelines not allowing independent prescribing was restricting; however, subsequent feedback from senior colleagues has shown that overall development has not suffered.

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“…3 We entirely support the argument made in that paper for greater prominence of psychopharmacology in psychiatric training and do not repeat it here, 3 other than to emphasise that these skills are absolutely core to the psychiatrist's role as a medical doctor. There has been considerable focus in recent years on the lack of availability of psychotherapy experience for all trainees [14][15][16] and although we whole-heartedly support the need for all psychiatrists to learn essential psychotherapeutic skills, it is time the same attention is given to providing structured training in the breadth of psychopharmacology rather than learning prescribing by the apprenticeship model. We propose that all training schemes have at least one joint psychiatry and clinical pharmacology placement, which trainees can rotate into during core training.…”

Section: Suggested Changes To Psychiatric Trainingmentioning

confidence: 99%

Psychiatric training for the next generation

2013

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The assertion that British psychiatry faces an identity crisis and a devaluation of medical expertise 1 has prompted wide discussion about the future of the profession.2-4 However, a solution capable of addressing the complex and wideranging issues involved seems elusive. What is clear is that the next generation of psychiatrists need to be strong medical leaders and pioneers for change that results in better patient care. In order to achieve this, it is necessary to consider whether postgraduate training in psychiatry is capable of shaping the psychiatrists of the future and what changes need to be put in place to achieve this. Changes to postgraduate medical educationCurrent attention on the future of postgraduate medical education make it timely to consider what reforms could be beneficial to psychiatry specifically. Postgraduate medical training has undergone a significant period of change over the past 5 years under the Modernising Medical Careers (MMC) programme (www.mmc.nhs.uk) and is likely to undergo further change under the Shape of Training review. 5 The current structure and delivery of postgraduate training in psychiatry is summarised in Fig. 1.Government proposals for changes in postgraduate medical training have recently been outlined in an initial White Paper and subsequent policy accompanying the health bill. 6,7 Under new arrangements, postgraduate training of doctors, as well as all other health professionals, will be administered by Local Education and Training Boards (LETBs), with national oversight being provided by the newly formed Health Education England (HEE). Health Education England will replace Medical Education England (MEE), which is the independent advisory nondepartmental body set up following Sir John Tooke's inquiry into MMC.8 Health Education England will provide national leadership and oversight as well as being responsible for the allocation of education and training resources. 7,9 It should be noted that the HEE arrangements will apply only in England and not in the devolved administrations of the UK, although HEE state that because education and training issues operate within a UK-wide context they will build strong relationships with partners in Scotland, Wales and Northern Ireland to ensure consistency and coherence. 9The future picture is likely to be one of greater involvement of provider organisations (namely National Health Service (NHS) trusts and other organisations delivering healthcare) in the commissioning and provision of postgraduate training under the new LETB/HEE arrangements; with postgraduate medical education and training becoming more closely aligned with the training of other healthcare professionals. The risks are plain. Trusts and healthcare providers may have little incentive to commission the appropriate number of psychiatrists and may opt for the training of other cadres of staff instead. Indeed, it is probable that trusts may wish to influence the content and structure of training without reference to the long-term needs of patients with mental i...

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Psychotherapy requirements as recommended by the College: awareness and achievement by senior house officers

Cited by 9 publications

References 14 publications

Personal psychotherapy in psychiatric training: study of four London training schemes

Personal psychotherapy in psychiatric training: study of four London training schemes

What is it about dynamic psychotherapy?

Psychiatric training for the next generation

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