Psychiatry and the new Shape of Training Dr Wendy Burn Dean October 2014

Structure of psychiatric training in the UK Regulation of psychiatric training in the UK Possible changes with Shape of Training October 2014

Structure of Medical training in the UK 5 years medical school leading to qualification. 2 year Foundation Programme, rotate through 6 to 8 specialties. We are aiming to provide half with a psychiatry placement. Enter Specialty Training in Psychiatry via competitive recruitment. October 2014

Psychiatric Training Core training for 3 years, 6 month posts. Psychotherapy training: Balint group, short case and a long case MRCPsych examination Higher training for 3 years (one specialty) or 4 years (2 specialties). 12 month posts. Entry by competitive recruitment. October 2014

Higher Training -6 specialties General Adult (subspecialties liaison, rehabilitation, substance misuse) Forensic Psychotherapy Child and Adolescent Learning Disability Old Age Leads to Certificate of Completion (CCT) of Training which allows practice as a consultant October 2014

Regulation of Training-General Medical Council Regulates all stages of doctors' training and professional development in the UK. Training is standardised across the UK College sets standards and GMC approves them October 2014

Regulation of training-the curriculum Curriculum-can be found on the College website Written by the College Approved by the GMC October 2014

Regulation of training-assessments Set by the College: Workplace Based Assessments and MRCPsych Examination Approved by GMC October 2014

Shape of Training Both an opportunity and a threat October 2014

Questions raised by Shape of Training What types of doctors/specialists do we need to provide out of hours cover for emergency psychiatry? How do we ensure doctors are trained to do this? How do we continue to service the training needs of psychiatrists to allow current and future need to specialise? How do we change training in our specialties and others so that psychiatrists are more able to meet the physical health needs of our patients and doctors from other specialties have more understanding of mental health ? October 2014

Threats If training becomes broader but no longer then will lose depth. May be asked to make unpalatable changes which we are not yet aware of. October 2014

Opportunities Chance to broaden knowledge and skills, particularly around the areaa of physical health. Chance to improve the out of hours service that we give to patients. Other specialties already wanting to learn about mental health. Chance to allow psychiatrists to develop over the course of their careers with some central standard setting. October 2014

There is already a move to broader training Broad based training – 2 years after Foundation. 6 months of Paediatrics, Medicine, Psychiatry and General Practice. Then enter chosen specialty at CT2. Dual training in higher training, 2 CCTS. Both options very popular with trainees. October 2014

Number of CSTs Major question for Psychiatry is how many CSTs? 6? 2? 1? October 2014

Any questions or comments? wburn@rcpsych.ac.uk Follow me on Twitter @wendyburn October 2014