henw (north western) mrcpsych course · psychiatry henw (north western) mrcpsych course “theory...
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www.SchoolofPsychiatry.net
NW School of
Psychiatry
HENW (North Western) MRCPsych Course
“Theory to Practice”
Dr Latha Hackett
Course Director
NW School of Psychiatry
Email: [email protected]
Sam Abbott Dr Raghu Paranthaman
Medical Education Manager Trust MRCPSych Lead
NW School of Psychiatry Greater Manchester West NHS FT
Email: [email protected]: [email protected]
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NW School of
Psychiatry
Background
• The process
• The course: Academic programme, LEPP
• *Training of Educational Supervisor
• Evaluation
• Challenges
• Future plans
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NW School of
Psychiatry
Health Education North West
• Brought together two former
Deaneries, North Western
& Mersey
• Oversees postgraduate medical
education & training with
responsibility for over 7,000 trainees
• Process of aligning activity
• Currently still two Schools of
Psychiatry
– Psychiatry trainees in the NW - 120 Core
trainees, similar No of HST
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NW School of
Psychiatry
The NW School of Psychiatry
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NW School of
Psychiatry
Background to MRCPsych Course
• Historically delivered via Manchester University
• 30 day MRCPsych course
• Delivered over 2 year period
• Has been running for more than three decades
• In the last three years the course moved towards blended learning,
distant learning, face to face and periods of private study
• Summer 2013 - £3,500 per trainee per year, due to
increase for 2014...
• Termination of contract by the Deanery in 2013
Point of no return, hence opportunity for a new NHS
developed and locally delivered programme
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NW School of
Psychiatry
From September 2014
• No University run course for CT1s
• CT2 trainees to continue on the University course. Last
cohort completed in the of summer 2015
• No extra money
• NHS had to provide the training
New NHS run course for CT1 had to start September 2014
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NW School of
Psychiatry
Setting up the Course…
• Commenced in Post 1.4.14 - 1 day a week secondment
• Studied core curriculum, examination, Wessex NHS run
course, Mersey University course & Manchester
University course - April 2014
• Phase 1 completed by July 2014
• Phase 2 commenced September 2014
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NW School of
Psychiatry
Consultation May – June 2014
• CT/STs currently on the course or who had recently
completed the University MRCPsych
• Site tutors as a group, some individually, School
Operational Board, DMEs – across the patch of 9
Trusts
• MHSC, GMW, Pennine Care, Lancashire Care,
Cumbria, CMFT, 5BP, Macclesfield and Calderstones
• One half day (tutors/CTPD) and 1 full day (included all
interested parties)
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NW School of
Psychiatry
Consultation Findings
• Considerable variations in training provided by different
LEPs
• Some really excellent models of training e.g. 555
presentation
• In some LEPs – there was variation between own sites
• Psychotherapy training - Met the College requirement 30
sessions of Balint group, one long case and one short
case in two different modalities. Again delivery varied
across LEPs
• No consistency & parity in training
Though every body was keen & trying their best and
there was a lot of enthusiasm for training on all sites
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Psychiatry
Disconnection & Variation
Between:
• Learning in the Placement
• Educational Supervisor supervision
• LEP Programme
• University run course
• Psychotherapy
• MRCPsych examination
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NW School of
Psychiatry
Outcome
Curriculum Development
• Subgroup established in June 2014 (recommendation, major
educational role)
• LEP Programme/Handbooks/Website operational by
August 2014
Delivery
• LEP programme to commence September 2014
• Academic course to commence September 2014 for CT1
• Evaluation
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NW School of
Psychiatry
New Course Principles
• Psychiatrists are medically qualified doctors with a
specialism in Psychiatry
• Adult learning principles
• Achievement of core skills for core trainees:
– Training close to patients, learning from patients, learning from ES,
in MDT, in the LEP Programme
• What cannot be done locally in placements – done
centrally e.g. academic day, exam preparation
• Good practice on sites incorporated - 555, psychotherapy
• Training offered on different sites are now comparable &
measurable
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NW School of
Psychiatry
New Course Aims To:
• Reconnect the four training strands:
– Educational Supervisor supervision
– LEP run weekly sessions
– Academic course at the Medical Education, School of Psychiatry
(replaced the “University run course)”
– Psychotherapy
• And link them to:
– MRCPsych examination
• Achieving:
– “Consistency/parity across sites and increase depth of knowledge”
to address differences in training provision across LEP’s
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NW School of
Psychiatry
Some Parallels To:
• PBL for Medical students in Manchester
• Run on different sites with the same PBL format with PBL trained
Doctors
• Have handbooks prepared by a committee that PBL tutors follow –
handbook for tutors and handbook for students
• Students do have some lectures centrally – e.g. statistics during
their Project Option etc etc…
Discussion with Manchester Medical School lead for PBL re:
how the University reviewed its PBL teaching
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NW School of
Psychiatry
Module Leads Site Leads • General Adult – Dr Brijesh Desai,
Lancs Care – recommended by TPD
• Old Age – Dr Gareth Thomas, Lancs
Care, MEF, recommended by TPD
• Child & Adolescent Psychiatry – Dr
Neelo Aslam, CMFT (TPD)
• Intellectual Disability – Dr Nasim
Chaudhry, GMW, Dr Sol Mustafa
Pennine – recommended by DMEs
• Forensic – Drs Vicky Sullivan &
Hany El-Metaal, GMW – by STP
• Substance Misuse – Dr Patrick
Horgan, GMW - by STP
Psychotherapy – Dr Adam Dierckx,
MMHSC, by STP
• GMW – Dr Raghu Paranthaman
• Pennine Care – Dr Ema Etuk
• MHSC- Dr Adam Dierckx
• Lancashire Care – Drs Brijesh
Desai/Gareth Thomas
• Cumbria - Dr Andrew Morgan,
Tutor
• 5BP – Dr Nithya Anand, Tutor
• Acute Trusts - trainees based
in acute Trusts (CAMHS) tend to
join local mental health trusts
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NW School of
Psychiatry
• School of Psychiatry Postgraduate Collaborative
managed by Samantha Abbott
– With the enormous help of administrators, Janene Chesters,
Laura Griffiths and Angela McMahon
• Operational Group meets 2-4 times a year
• 2014 - July 14, August 14, October 14
• 2015 – January 2015, July 2015,
• 2016 - January 2016
Supported by:
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NW School of
Psychiatry NW Psychiatry School Board
MRCPsych Course Oversight Committee Prof D Longson - HoS, Dr M Campbell – DME, Dr L Hackett – Course Director, Ms S Abbott – NW MEM, Trainee & User Reps
Course Director Dr Latha Hackett
NW PG Medical Education Dept Ms Samantha Abbott – NW Med Ed Manager
Angela McMahon, Laura Griffiths & Janene Chesters – Med
Ed Administrators
Trust Leads 5BP – Dr Nithya Anand
Cumbria – Dr A Morgan
GMW – Dr R Paranthaman
Lancashire Care – Dr G Thomas/Dr B Desai
Manchester Mental Health – Dr A Dierckx
Pennine Care – Dr Ema Etuk
Module Leads General Adult – Dr B Desai/Dr R Thomasson
Old Age – Dr G Thomas
Forensic – Dr H El-Metaal/Dr V Sullivan
CAMHS – Dr N Aslam
ID – Dr N Chaudhry/Dr S Mustafa
Substance Misuse – Dr P Horgan
Psychotherapy – Dr A Dierckx
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NW School of
Psychiatry
Theory to Practice
Educational
Supervisor/
Supervision -
weekly an hour
Psychological
modalities
30 Balint gps +
Long case &
Short case in 2
diff modalities
Academic
Programme –
Ct1-12 days
Ct2 – 12 days
Local
Educational
Provider (LEP)
(44) 30
sessions a year
Attain core competencies +
MRCPsych Exam (Progress Test – Written & Clinical)
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NW School of
Psychiatry
• Local Education Provider Programme – LEPP
• Every LEP was providing weekly Journal club and case
presentations (44 sessions annually)
• Many were already providing, weekly, half day sessions
for the whole year
• The main difference from the old course was to
strengthen this bit of the training
• We recommended that all LEPs provide mandatory 15,
half day sessions every six months with the content
recommended
North Western Course
“ES+LEP+Psychotherapy+Academic programme+ Exam Practice”
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NW School of
Psychiatry
• LEP programme
• Modular, two year rolling - 4 x 6 months
• Each 6 month block has 15 half day sessions
• Each block has General Adult, Old Age, Specialties – CAP, ID,
Substance Misuse, Forensic, one across ages
• LEPs had to meet, FY,GP, CT training needs
• Psychological modalities – 30 (25) sessions of Balint group, one
long case and one short case in two different modalities +
preparation of trainees for providing therapy
• Academic Programme (2 years) – 12 days a year for CT1 and 12
days a year for CT2 and no programme for CT3
North Western MRCPsych Course
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Psychiatry
• Supported centrally from the School of Psychiatry,
Module Leads and Course Director, producing:
• Handbooks for GA for 6 months, OA, CAP, ID, Forensic,
Substance Misuse completed – August 2014
• Trainee and ES handbook
• Dedicated password protected on-line materials
• Journal papers sent out 2-4 weeks in advance
• Expert Led Sessions – Prepared lectures were available
• Feedback & Reflective notes
North Western Course
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Psychiatry
• Induction
• Communication skills training – verbal, non verbal and
written skills
• Once the Academic programme and LEP programme is
established we will jointly look at Communication skills
training to share good practice & achieve best practice
August & February annually
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NW School of
Psychiatry
63 CT1/2 on the course to date
Trust Attending LEP Sessions at:
5BP Leigh
Calderstones Preston
Central Manchester University Hospital Trainees join GMW & MMH&SCT
sessions
Cumbria Carlisle
Greater Manchester West Prestwich (GMW)
Lancashire Care Blackburn
Blackpool
Preston
Manchester Mental Health & Social Care
Trust
NMGH (MMH&SCT)
Pennine Care Bury
Rochdale
Oldham
Tameside
Stockport
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NW School of
Psychiatry
• Local Education Provider Programme commenced with
the same modules across all areas
• Mandatory 15 half days (4 hours)
• Clear guidance on what must be covered during the 6 months
• Modules could be delivered in any order as long as all were covered
during that 6 month period
• LEP still has 7 sessions available to cover topics of their
choice e.g. audit/communication skills etc etc
• Open to all trainees in psychiatry – FY, GP, CT1-3
• FY’s/GPs can do joint presentations with CTs
September/March- Programme starts
LEP + academic programme
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NW School of
Psychiatry
LEP Component • General Adult – 6 (7) sessions
• Old Age - 2 sessions
• Child and Adolescent – 2 sessions
• Intellectual Disability – 1 session
• Forensic – 1 session
• Substance Misuse 1 session
• Every 6 months – a theme across
ages e.g. Psychosis across the
ages
• 2 hours on MCQ’s, exam practice etc
during the whole 6 months
• Total 15 sessions of 4 hours each
every 6 months
• Total LEP (2 years) - 60 sessions
in 24 months – 25-GA, 8 –OA, 8
CAP, 4 – ID, 4-Foren, 4 Substance
misuse, 3 to Psychotherapy. 4
sessions themed across ages e.g..
Psychosis, Depression, eating
disorder, Mental Illness in the family
Centrally developed handbook for LEP advice on Journal club papers, Clear learning
outcomes, Link with Competencies (ILO), Cases for case presentation and ES handbook
Centrally developed handbook for LEP advice on Journal club papers, Clear learning
outcomes, Link with Competencies (ILO), Cases for case presentation and ES handbook
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NW School of
Psychiatry
Topics for LEP Programme • General adult topics - Topics for LEP – GA (25 sessions): Psychosis (4
sessions), Depression (4 sessions), Bipolar 4, Personality disorder 3,
Anxiety disorders/GAD/Phobic/Panic -2,
• Suicide and self harm – 2, MHA/MCA, PTSD
• Organic, General Hospital, OCD – 1 each
• Papers, RCT, Meta-analysis/Systematic review, Economic study,
Genetics
• Old age (8) – Assessment, Alzheimer’s dis, Other Neurodegenerative
disor, Delirium, Mood disorders, Psychosis, anxiety disorders, Medico-
legal aspects
• CAP (8) – Assessment, ADHD, ASD, Anxiety/Depression, Attachment
disorder, eating disorders, ID in CAP, Legal aspects
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NW School of
Psychiatry
Topics for LEP Programme - 2
• Psychotherapy – 3 – Psychotherapy services etc, Emotionally
unstable personality disorder, 1 more
• ID (4)– Assessment, Mental disorders, Behavioural issues,
Offenders
• Forensic (4) – Psychiatry and CJS, Link bet Crime and mental
disorder 1 & 2, Psychiatry in court
• Substance Misuse (4) – Diag and treat of Alcohol problems, D &
T problems with substance misuse other than alcohol, D & T of
dual diagnosis, Recovery concepts, psychosocial treatments and
service developments
• Across the ages – 4 sessions. Psychosis across the ages,
Depression, eating disorders, mental illness and Family/Carers
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NW School of
Psychiatry
MRCPsych – Academic Modules
• Covers aspects that cannot be covered in the
LEP course or in Placement
• 12 days a year X 2 year course
• 6 September-January 2015 – 6 days
• 6 Feb- July 2015 – 6 days
• September – December 2015 – 6 days
• March-June 2016 – 6 days
• Run at the School of Psychiatry on Thursdays
• Exam syllabus to follow
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NW School of
Psychiatry
Academic course 2014-2016
• First 6 months:
• 2 days in September, October & November ( 6 days)
• Topics covered: Introduction to the MRCPsych
including the new exams, Classification, Critical
appraisal, Philosophy of psychiatry – 1 day
• Basic Psychology, Neurosciences – 1 day each
• Human development – 1 day
• Psychopharmacology – 2 days
• Every session they had MCQ’s
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Psychiatry
Academic course cont…
• II six months
• Feb-July 2015 – 4 days for Psychotherapy, 1 day each for GA and
OA
• III six months
• September 2015-Jan 2016 – 2 GA , 2 OA (Physical health), 1
stats & research methodology, 1 each for Neuropsych
• IV six months
• March –July 2016 –, 1 GA, CAP, ID, Foren, Sub misuse & 1 for
exam
• Total for 24 months – 24 days
• Run as seminars/Workshop, a few lectures
• *Consultant CPD – Consultants welcome to attend
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Psychiatry
Typical Academic Day Programme
9:30 Expert session - Anorexia Nervosa
11:00 Coffee
11:15 Expert session - Bulimia Nervosa & other eating
disorders
12:15 Lunch
13:00 Group work through 3 x 30 minute case vignettes
Each case 15 minute group work then 15 minute
discussion. Examples include assessment and
treatment of complications, medicolegal frameworks
for urgent treatment, strategies for relapse prevention)
15:00 Coffee
15.15 MCQ workshop
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Psychiatry
• Every LEP session trainees have MCQ/EMI practice
• Every academic programme MCQs
• 3 hours exam Written practice every year (July 2015)
• Yearly Progress Test – 11/12/15/16 June 2015
– Sat by ALL CT Trainees
Exam Preparation
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Psychiatry
Exam Feedback to Trainees
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NW School of
Psychiatry
• Pivotal in training of trainees, hence have to be well supported
• Know the curriculum and know what the exam is about
• Clear about competencies and training requirements of core
trainees in their placement
• Educational supervision – to achieve consistency across the
region - clinical and educational supervisor
• ES being able to link the trainees learning – LEP, MRCPsych,
Psychotherapy etc in educational supervision
Points for us to consider –how we do this – in LEPs, across
LEPs by pooling of resources across LEPs, this will start
this Summer
Educational Supervisors
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NW School of
Psychiatry
• Weekly feedback from LEP programme
• Feedback from the Academic Teaching Programme after each
session
• Generally extremely positive
• Few recommendations
• Some cancellations: • 3 slots cancelled – 1 JC on one site, 2 – 555 (all 3 different sites) (Sites are
5+1+1+3 = 11 sites (2))
Feedback
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Psychiatry
Academic Day Feedback How would you Rate these Sessions? Did they meet your expectations?
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Psychiatry
Encouraged Trainees to Prepare
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NW School of
Psychiatry
Sessions were Lively & Stimulating
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NW School of
Psychiatry
Trainee Feedback
“The entire
session was
made simple and
kept me
interested”
“Activities
related to
exams and
ARCP “
“Exam focussed
– this is how
these sessions
SHOULD be!!!”
“MCQ – enough
time was given
for us to
discuss in
groups”
“there was a
lot relevant
to exams
“Very stimulating
discussions by
speakers
interested in the
topic
themselves”
“has
encouraged
me to read
more”
“has sparked
an interest!”
Fascinating!
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NW School of
Psychiatry
LEP Programme
Greater Manchester West LEP Experience
Raghu Paranthaman
MRCPsych Tutor
GMW NHS Trust
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NW School of
Psychiatry
Overview • Background
• Setting up of course
• Practical aspects of running the course
• Feedback for the first year
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NW School of
Psychiatry
Educational
Supervisor/
Supervised
training weekly
an hour
Psychological
modalities
30 Balint gps +
Long case &
Short case in 2
diff modalities
Academic
Programme –
Ct1-12 days
Ct2 – 12 days
Local Educational
Provider (LEP) 30
sessions a year – 4
hours each
MRCPsych Exam(MCQ practice, Progress test)
Slide coutresy of Dr. Latha Hackett
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NW School of
Psychiatry
Local Educational Programme(Trust )
• Two year rolling modular programme - 4 x6 months
block
• Same modules across all trusts in the region
• Minimum of 15 half days every 6 months
• Each block will have General Adult, Old age,
Specialties – CAMHS, LD, Substance misuse,
Forensic
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NW School of
Psychiatry
GMW NHS Trust
• Provides mental health services to Bolton,
Salford and Trafford residents in Greater
Manchester
• Provides a number of specialist (substance
misuse, adolescent inpatient, forensic) services
for a wider geographical area
• Trainees are mainly based in 4 sites
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NW School of
Psychiatry
Trainees in GMW CT GPST ST FY
Salford 9 2 8 6
Bolton 6 2 3 6
Trafford 7 1 2 4
Prestwich 10 0 7 0
Total 32 5 20 14
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Psychiatry
Setting up of Course
• Lead appointed - June’14
• Support from Lynda Hurst, Medical Education
Manager
• Meeting with tutors-variability in teaching across
sites, feasibility of delivering 4 hour programme in
each site
• Attendance in directorate consultant meetings
• Centralised Programme set up (start from Sep’14)-
race against time!
• Support from a higher and a core trainee from
second semester
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Psychiatry
GMW MRCPsych Programme
• Started Sep’14
• Two semesters have been completed
• Initially only for trainees in the 3
districts(Bolton, Salford & Trafford)
• Trainees in specialist placements joined
in Feb’15
• One centralised teaching for all junior
doctors in our trust
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Psychiatry
MRCPsych Teaching
• Wednesday afternoons (1PM till 4.30 PM) –Trust HQ,
Prestwich site
• Protected teaching time for all trainees
• Light sandwich lunch provided
Course has evolved:
• Expanded from 15 sessions to 20 sessions per semester
• CASC training and audit presentations- successful with
excellent feedback
• Sessions have been made shorter with more breaks
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Psychiatry
MRCPsych Teaching
• 20 weeks from March to July and September to January
• Each week will have a theme , eg: Depression
• First 15 weeks :
– Part of school of Psychiatry MRCPsych course
– 70% attendance mandatory for Psychiatry CT1’s and
CT2’s
• Last 5 weeks
– “Extra” Forensic & CAMHS sessions, CASC training
& Audit presentations
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NW School of
Psychiatry
Example Programme : Depression
13:00 – 13:45 Depression
14:00 – 14:45 Case presentation
15:00 – 15:15 555 presentation (on a depression topic eg:
psychological therapies)
15:15 – 16:15 Expert led session(on a depression topic eg:
Treatment of depression)
16:15 – 16:30 MCQ
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Psychiatry
Slot Allocations
• All CT’s do at least 1 presentation
• Extra slots allocated to CT1’s/CT2’s and then
CT3’s
• No trainee does more than 2 presentations
• Trainees do case conference in the speciality
they are working in. Same for journal clubs as far
as possible.
• Other trainees(FY doctors, GP trainees and
BBT) are not allocated slots
• All ST’s chair a session
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MRCPsych teaching
• College(Site) tutors act as “co-ordinating tutors” for 5
sessions each every 6 months (4 tutors x 5 sessions =
20)
• Agreement reached with the Consultant body that
each consultant would aim to attend a minimum of 4
MRCPsych teaching sessions every year
• Consultants deliver all the Expert led sessions
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Psychiatry
Teaching
• There are guidelines for case conferences,
journal clubs and chairing sessions
• All the information is embedded in a word
document- journal papers , 555 topics,
guidelines
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NW School of
Psychiatry
Attendance- Second Semester
• Average- 32 per session
• Range - 22 to 43
• Consultants- 8 per session
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NW School of
Psychiatry
Feedback- First Semester
Were the overall aims and objectives for the day met?
N=172
78%
1%
21%
Yes
No
No Comment
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NW School of
Psychiatry
Feedback- Second Semester How would you rate this training session overall?
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NW School of
Psychiatry
Feedback: Free text comments
• “Well organised and I have really learned a lot”
• “Really useful and thought provoking”
• “Interesting, Interactive, Concise, Crisp”
• “Excellent Excellent session”
• “Range of topics covered”
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Psychiatry
Challenges
• Venue
• Cancellations- affects training of all
trainees
• IT issues
• Lunch/range of refreshments provided
• Local teaching(in each district) missed by
some
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Psychiatry
• Focus groups of trainees (GT & DM)
• Feed back from Tutors, ES, Consultants
of the day – Spring/Summer
• Advice obtained from Education
Psychologist and Senior Lecturer in EP
at Manchester University
Formal Evaluation
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Psychiatry
There were a few sleepless nights….
• Main challenge was “fear of change and uncertainty”, “we
get good feedback from trainees, what we do is very
good, why should we change?”
• For me - having a Belief, to Listen, Develop, Change &
Support & convince people it will work
• Some rather difficult views, thankfully in the minority
• The very tight timescale – April to July 2014 to
organise, convince providers and deliver
The Challenges - 2014
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Psychiatry
Positives • All trainees access same teaching regardless of Trust.
• Expert resources pooled across the NW
• Holding one event rather than 3+ in some trusts saves time
and money…
• Consultants across the NW contributed to the
development/delivery not just a few academics at the
University
• closer links to the exam
• ES’s feel more connected to the MRCPsych training
• Presentations are much closer linked to the
curriculum/exams/syllabus than the University course
which often felt detached – as commented by a university
course trainee
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Psychiatry
Positives cont…
• ES’s feel more connected to the MRCPsych
training
• Presentations are much closer linked to the
curriculum/exams/syllabus - University course
often felt detached – as commented by a
university course trainee
• School much more involved with trainee
development/progress - therefore rapid access
to TPD/HoS or Trusts when required to resolve
issues - health issues, excessive on call etc,
patterns emerge…
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NW School of
Psychiatry
Challenges • Trainees feedback - Being on call and missing some of these sessions – want these
sessions to be protected as this is their study leave
• MCQs not being done in LEPP routinely
• General adult – LEP 24 sessions over two years. To do the expert led sessions on
time, though we have got better at this. Agreeing to do it and not arriving on time
• Academic programme – Psychosexual and eating disorders
• Some speakers wanting to be paid
• Across the ages topics – need re-thinking
• More admin time was funded in year two, still not enough
• Up keep of the website
• Feedback forms had to be re-designed
• Small number of trainees in some sites
• Not all expertise available in some sites e.g. forensic
• New challenges that need to be looked at e.g. Communication workshops etc
• Working together will really help these challenges
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Psychiatry
Comments from a DME…
• Trainees say meets educational needs better
• Trainees spend more time in the clinical
placement – learning on the job!
• Teaching more organised and planned
• Excellent resources available on the school
website
• We learn from each other…
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Psychiatry
Comment from a Consultant
“Good CPD, I’d Forgotten
most of what I thought I
should have known, good to
go back, read up and
update”
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NW School of
Psychiatry
• Re-Visit med ed committees, Meet ES’s, observe LEPP
• Progress test both Written and Clinical exam annually
before RCPsyc exam
• Review Communication skills/Simulation training in
placements – Started August 2015
• Training the ES in curriculum and examination (on line
module under preparation) and CASC level training
• CT1and CT2 course is running from September 2015
• Review the whole course again in Spring 2016 –
Consultation with all Trainees, Educational supervisors,
Tutors, TPDs, DME
• Format will remain same but up to date journal clubs etc
The next 12 months...
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NW School of
Psychiatry
• Quality Assure
• To link with the TrOn –trainee online (RCPsych) -Trainees can evidence for
Portfolio & Triangulation, FY do it
• Communication/Simulation training – look at the practice across the patch and
provide guidance on good practice
• MRCPsych website
• On line lectures, links to guidelines, news letters
• Regional training day for all, every two years. Updates on every branch of
Psychiatry – Local/National/International speakers, hosted by the NW School of
Psychiatry
...“American Congress”- North of England Psychiatry Congress
• NW School of Psychiatry Debates
Maudsley style debates – two or three times a year
• In conjunction with the Medical School, Royal College of Psychiatrists, School of
Psychiatry etc
The next 12 months...
www.SchoolofPsychiatry.net
NW School of
Psychiatry
Quote
“Change is hard at first,
Messy in the middle
And
Gorgeous in the end” Robin Sharma
www.SchoolofPsychiatry.net
NW School of
Psychiatry
My experience
Human beings, generally are not made for change
But….
Most of us can be Persuaded
Some of us are Malleable
A few of us, have to be worked around
www.SchoolofPsychiatry.net
NW School of
Psychiatry
• Wessex School of Psychiatry
• Professor Damien Longson
• Samantha Abbott and Team NW School of Psychiatry
• Subgroup leads, Trust leads, Tutors, CTPD’s & HTPD’s
• NW Directors of Medical Education
• New Consultants, especially: Dr Gareth Thomas & Dr
Neelo Aslam & Dr Brijesh Desai
• Trainees – a number of Core and higher specialty
trainees
• Steve Glover, CMFT Librarian
Acknowledgements
www.SchoolofPsychiatry.net
NW School of
Psychiatry
Webshots
www.SchoolofPsychiatry.net
NW School of
Psychiatry
Tutor Resouces
www.SchoolofPsychiatry.net
NW School of
Psychiatry
Thank you for your time…
Any Questions?