Survey of psychotherapy training for psychiatric trainees in South-West England

Psychotherapy training provision within psychiatry training schemes differs across the UK. In the light of the current changes in training structures, adjustments may be required in the way that psychotherapy training is delivered and assessed. This paper reports on the development, delivery and evaluation of a cognitive–behavioural therapy (CBT) training programme for psychiatric trainees within a training scheme with limited psychotherapy resources.

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confidence: 99%

Setting up and evaluating a cognitive–behavioural therapy training programme for psychiatric trainees

Martinez¹,

Horne

2007

“…Although it is mandatory to fulfil these requirements in order to enter for the MRCPsych part II examination, there is evidence from existing literature that senior house officers (SHOs) have often been unable to meet them (McCrindle et al, 2001;Pretorius & Goldbeck, 2006). The aim of this study was to explore the extent to which SHOs were meeting the College psychotherapy requirements.…”

Section: Discussionmentioning

confidence: 99%

“…The Royal College of Psychiatrists produced guidelines in 1993 and again in 2001 outlining the training requirements for basic specialist trainees to have experience in several forms of psychotherapy (Royal College of Psychiatrists, 1993, 2001). There are five basic requirements:…”

Section: Discussionmentioning

confidence: 99%

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

Agarwal¹,

Singh

Palanisamy

et al. 2007

Aims and MethodWe questioned 141 senior house officers (SHOs) across three training schemes in order to ascertain the awareness and achievement of psychotherapy requirements as recommended by the College. A structured questionnaire was used and administered either in person or over the telephone to all SHOs. Of all the trainees surveyed, 32 were eligible for MRCPsych part II.ResultsOnly 9% of the SHOs eligible for MRCPsych part II were able to meet the requirements. Less than a third of all trainees were aware of the College guidelines.Clinical ImplicationsTrainees face a number of practical problems in meeting the College guidelines. Psychotherapy training for basic specialist trainees is in need of urgent review and steps need to be taken to ensure that SHOs are gaining basic psychotherapeutic skills.

“…The literature shows that psychiatric trainees generally did not meet the College requirements (Arnott et al, 1993;Hamilton & Tracy, 1996;Hwang & Drummond, 1996;Byrne & Meagher, 1997;Rooney & Kelly, 1999;McCrindle et al, 2001). Podlejska-Eyers & Stern (2003) showed that it was possible to fulfil some of the College requirements even with a relatively understaffed and underresourced service, but did not comment on the proportion of trainees fulfilling all requirements.…”

Section: Discussionmentioning

confidence: 99%

Survey of psychotherapy experience and interest among psychiatric specialist registrars

Pretorius¹

2006

Aims and MethodA postal survey was conducted to determine what proportion of psychiatric specialist registrars working in Scotland (n=119, excluding those specialising in psychotherapy) met the requirements for experience in psychotherapy. Since 2004, this has been a compulsory part of eligibility criteria for the MRCPsych part II examination.ResultsTwo-thirds of those surveyed responded. One-third of respondents met the Royal College of Psychiatrists' requirements for psychotherapy experience. Half the respondents reported competence in at least one modality of psychotherapy. Four-fifths of respondents were interested in gaining further experience and training, two-thirds in developing a special interest and one-quarter in dual training, in at least one modality of College psychotherapy. There was no significant association between adherence to the requirements and self-perceived competence, qualification or the wish to gain further training and experience in psychotherapy.Clinical ImplicationsThe majority of trainees, even those interested in psychotherapy, still fail to meet College requirements. Many trainees would appreciate an opportunity to gain greater depth of psychotherapy experience, in addition to gaining broad experience of various aspects of psychotherapy as required by the College.