WELCOME TO THE WEST OF SCOTLAND POSTGRADUATE DAY RELEASE COURSE IN PSYCHIATRY The West of Scotland Postgraduate Day Release Course in Psychiatry is an educational programme directed towards the needs of Core/Specialty Trainees in Psychiatry in that it aims to provide postgraduate education in Psychiatry as well as helping trainees to prepare for examinations set by the Royal College of Psychiatrists. The course utilises various teaching/learning methods including taught seminars, self directed learning, tutorial style seminars and clinical skills practice. The strong emphasis on clinical skills practice throughout the course is particularly important. Trainees who attend regularly have the opportunity to develop clinical skills of increasing complexity over time. The Course Organisers Committee actively seeks and welcomes feedback about all aspects of the course. This may be given informally or formally, through trainee representation on the course organisers committee, through the evaluation forms distributed at each session and via the end of session feedback meetings. There are two semesters each year; Semester One runs from September – December and Semester Two from late February – June. Teaching takes place on Thursdays, consisting of both morning and afternoon programmes. Further details of the course can be found under the heading ‘Course Structure’ below. The first semester begins on the 2nd September 2010 and ends on the 16th December 2010. You should discuss your attendance at this course with your local College Tutor. See list of tutors below. GP trainees are invited to attend relevant parts of the course, see below, after discussion with their College Tutor. REGISTRATION 1. Core/Specialty Trainees in Psychiatry Core/Specialty Trainees in Psychiatry must attend the course in order to be eligible to sit the College Membership exams. Trainees in their FIRST YEAR of Psychiatry should attend BOTH MORNING AND AFTERNOON sessions. Trainees in their SECOND and THIRD years should attend the AFTERNOON sessions. CT/STs wishing to attend must individually complete a Study Leave Form (available from the college tutor or from Tracy Aitken, Operational Manager, Postgraduate Psychiatric Trainees (West of Scotland). Fees (see below) for the course are automatically taken from your annual Study Leave Budget held by the Postgraduate Dean. 2. GP Specialty Trainees GP Trainees attend MORNING sessions only. For trainees commencing in August these are the morning sessions held at Reid Macewan Training and Conference Centre Erskine Hospital. Trainees commencing placements in December, February or April attend morning sessions at Gartnavel Royal Hospital. See timetable. GP Trainees wishing to attend must individually complete a study leave form (available from the college tutor or from Tracy Aitken) 3. Staff Grade Doctors Staff Grade Doctors working in psychiatry are eligible to enrol if their Clinical Director supports their application. Staff Grade Doctors usually attend the afternoon programme only. Staff Grades wishing to attend must individually complete a Study Leave Form. Fees for the course are charged directly to you. You should claim expenses back from your employer in the usual way. It is not possible for us to invoice your employer directly. STUDY LEAVE Study leave is allocated according to the following formula for each half year period: Morning sessions only - 4 days leave Afternoon lectures only - 8 days leave per semester i.e. 16 days per year Full course - 12 days leave per semester i.e. 24 days per year Currently the fees are: Morning course £175 Afternoon course- £375 per annum Full course- £550 per annum Fee for GP Trainees on 4 month placement attending Morning sessions: £70 (Study Leave forms are available from the postgraduate administrator at Reid Macewen) COURSE LOCATION The course is held at Reid Macewen Training and Conference Centre, Erskine Hospital (see map). COURSE STRUCTURE The course programme involves morning and afternoon sessions; trainees in their fist year of psychiatry should attend both whereas trainees in their second and third years should attend the afternoon sessions only. Alternate Thursday Mornings –Teaching Programme for CT1s Morning sessions take place on alternate Thursdays (coinciding with the ‘external’ training days) and cover ‘Fundamentals of General Adult Psychiatry’. There are eight sessions per semester. The session usually comprises a clinical case presentation followed by a lecture on the topic, presented by a Consultant and higher trainee. Weekly Thursday Afternoons – Teaching Programme for CT1s, CT2s, and ST/CT3s Afternoon sessions take place weekly in term time except when there is a UGASP presentation, see below. Two teaching programmes run simultaneously; PROGRAMME ONE is for trainees in their first year of psychiatry and for second years who have not yet passed papers 1 and 2 of the MRCPsych examination PROGRAMME TWO is for trainees in their second/third year of psychiatry. Each programme has two components: SEMINARS on topics in psychiatry, associated sciences and disciplines broadly directed towards the topics covered in the three written papers for the MRCPsych exam and CLINICAL SKILLS TRAINING led by higher trainees in psychiatry. These sessions are targeted at the development of clinical skills appropriate to stage of training. Trainees are helped to develop clinical skills of increasing complexity over time. PLEASE NOTE THAT ATTENDANCE AT CLINICAL SKILLS TRAINING IS MANDATORY FOR FIRST YEAR TRAINEES. This is particularly important in helping trainees to develop good clinical assessment and history taking skills which will underpin clinical practice in psychiatry and will also lay the foundations for the clinical skills to be assessed in due course at a higher level in the CASC exam. For CT/ST3s CASC training sessions are provided. PROGRAMME ONE FOR CT1s. ALSO FOR CT2S WHO HAVE NOT YET PASSED PAPERS 1 and 2 MRCPsych Time Programme 1.30 pm - 2.15 pm seminar 2.30 pm – 3.15 pm seminar 3.30 pm – 4.15 pm Skills based training PROGRAMME TWO FOR CT/ST3s ALSO FOR CT2s WHO HAVE PASSED PAPERS 1 AND 2 MRCPsych Time Programme 1.30 pm - 2.15 pm } 2.30 pm – 3.15 pm } Skills based training CASC preparation 3.30 pm – 4.15 pm Seminar on Advanced Clinical Topics Preparatory reading for the seminars will be posted on the MRCPsych course website; trainees are expected to make maximum use of the seminars by preparing for them in advance. Thursday Mornings – Teaching Programme for GP Trainees on 4 month placements in Psychiatry GP trainees are invited to attend a series of seminars on ‘Fundamentals of General Adult Psychiatry’. Trainees starting in August join the morning programme for CT1s in Psychiatry – the seminars take place in Reid Macewan Conference Centre Erskine Hospital. Trainees commencing their placements in December and April attend seminars in Gartnavel Royal Hospital, see timetable. JOINT UGASP/CPD MEETINGS These meetings are a formal part of the course and are free to trainees enrolled on the course. A buffet lunch is available (free of charge) commencing at 12.45 pm. The meetings commence at 1.30 pm, finish at 4.30 pm with a break halfway through. Meetings are in various venues in the Greater Glasgow area please check the UGASP timetable and appropriate venue maps on the webpage. The meetings involve collaboration between the University Department of Glasgow, the West of Scotland CPD Committee of the Royal College of Psychiatrists and the Course Organiser. The series of meetings represents a joining together of two previous initiatives – The University of Glasgow Academic Series in Psychiatry (UGASP) and the Joint CPD/MRCPsych Day Release Course meetings. Meetings are open to all psychiatrists in the West of Scotland, both training and non-training grades. The format is of afternoon meetings taking a didactic approach. Each session generally involves two speakers. Speakers include academic psychiatrists with national/international reputations, local experts, Higher Trainees involved in relevant research and presenters from out with the discipline of psychiatry who have interests and expertise in areas germane to mental health. There is both a clinical and research focus; the meetings are pertinent to trainees studying for the MRCPsych exam. A small fee is charged to psychiatrists who are not enrolled on the course. The series is intended to be relevant to psychiatrists in all psychiatric sub-specialties. COURSE CONTENT Trainees are advised to refer to the competency based curriculum on the college website, www.rcpsych.ac.uk especially Appendix 1 ‘Syllabic Curriculum Content’ which is an indicator of the content of the new MRCPsych examination. The course is designed in accordance with the curriculum of the Royal College of Psychiatrists, 17 Belgrave Square, London SW1X 8PG (Telephone 0171 235 2351). DIRECTION STATEMENTS 1. 2. 3. 4. 5. The course aims to provide postgraduate education in psychiatry and related topics. The course aims to help prepare trainees for sitting the MRCPsych examinations. The course aims to develop the clinical skills, knowledge and attitudes of trainees. The course aims to help trainees integrate knowledge. The course aims to involve trainees in their learning – a) By participation in sessions in the course b) By helping trainees understand areas of and resources for further study c) By undertaking preparatory study in advance of the seminars d) By practising and developing skills e.g. through role play 6. The course does not aim to cover everything which is relevant for the development of a trainee psychiatrist. Other aspects of learning for trainees include – Educational supervision Clinical supervision Psychotherapy supervision Case work Personal study including reading, study groups and online learning Other courses (e.g. neuropsychiatry at Maudsley) Internal case conferences, journal clubs and other teaching meetings Scheme based training including audit training, doctor-patient relationship groups and interview skills training FEEDBACK If the Course is to improve it is essential to have constructive feedback from trainees. Please complete and return Evaluation Forms. You can also make your views known to your Course Organising Committee representatives (see below). COURSE ORGANISING COMMITTEE This committee which meets three times per year is chaired by the Course Organiser and has representatives from trainees (both core and higher specialty trainees), College Tutors, and the University Department. It is a sub-committee of the Basic Specialist Training Committee. ROYAL COLLEGE OF PSYCHIATRISTS All Core/Specialty Trainees in Psychiatry are required to be registered with the Royal College of Psychiatrists, 17 Belgrave Square London SW1X 8PG (tel 0207 235 2351) so that progress in training can be kept under review and supported when required. Benefits of registration include electronic access to the British Journal of Psychiatry and the Psychiatric Bulletin and participation in the activities of the Collegiate Trainees Committee. The College Web Site – www.rcpsych.ac.uk has a large amount of helpful material relating to all aspects of training and the MRCPsych exams. WEST OF SCOTLAND BASIC SPECIALIST TRAINING COMMITTEE The West of Scotland Basic Specialist Trainees’ Committee is made up of representatives of all training schemes affiliated with the West of Scotland teaching. It is run by trainees to collate all information, issues and concerns of training from all schemes as well as providing an opportunity to provide feedback to the Committee in Psychiatry. The Committee also provides representation to the Postgraduate Teaching and Psychotherapy Committees. DR ANNE M NIGHTINGALE Course Organiser West of Scotland MRCPsych Day Release Course EVALUATION FORM Date: Title: Presenter: Rate 1 – 5 (disagree - agree) or N/A 1. The session was useful clinically 2. The session was useful for the exam 3. The presenter was a good teacher 4. I felt involved in the way the subject was taught 5. There were helpful handouts 6. There were helpful pointers for further study 7. The session was over my head 8. The session was too basic COMMENTS (If you rate at 1 please comment) (If you rate at 5 please comment) Please detail any suggestions for changes to this lecture/module: PSYCHOTHERAPY TRAINING Throughout the first year trainees should attend and participate in the local case-based discussion group. During core training they should treat a number of patients psychotherapeutically, using at least two modalities and at least two durations of treatment (that is both longer and shorter durations). Trainees should be pro-active in accessing experience in psychological treatments in their placements as well as through formal psychotherapy experience. The local clinical tutor will advise on availability of psychotherapeutic supervision and experience. Trainees are advised to take on patients for psychotherapy from the start of CT2. THE ARTHUR SHENKIN PSYCHOTHERAPY PRIZE This is an annual prize (currently £100) awarded to the best submitted case report. Entry to the prize is open to any Core/Specialty Trainee in Psychiatry. The psychotherapy report should be an account of the treatment of a patient seen weekly in individual therapy for 12 to 18 months. The format of the case report is left to the trainee, but should include an account of the process of therapy as well as its contents. The report is primarily a clinical account, although the final formulation could include a brief theoretical discussion. The total length should not exceed 3,000 words and the names of the patients and others should be altered to preserve confidentiality. The local Psychotherapy Tutor (who may or may not have supervised the therapy) will meet with the trainee to provide educational feedback on the report and also to discuss whether the report should be put forward for the Arthur Shenkin psychotherapy prize. The prize is not open to higher trainees (that is ST 4-6s) specialising in psychotherapy (either full-time or on a sessional basis) or higher trainees who have undertaken a specialist training in Cognitive Behavioural Therapy. Two copies of the report should be lodged with the Chairman of the Psychotherapy Sub-Committee of the Committee in Psychiatry by 31st March annually. Each report will be marked by two independent members of the list of supervisors, and graded “Distinction”, “Merit”, “Satisfactory” or “Unsatisfactory”. The case supervisor and the trainee’s psychiatric tutor will be informed of the grading and the prize will be awarded to the best report of “Satisfactory” standard or above. POSTGRADUATE ADVISERS Chairman, Committee in Psychiatry (Gartnavel Royal Hospital) Dr Susan M Miller 0141 211 0235 MRCPsych Course Organiser (Gartnavel Royal Hospital - Lansdowne Clinic) Dr Anne Nightingale 0141 232 9213 CPD Regional Co-ordinator (State Hospital, Carstairs) Dr Douglas A Gray 01555 840293 Flexible Training Adviser (Kirklands Hospital, Bothwell) Dr Andrea Caldwell 01698 855 578 SPECIALTY TUTORS/ PROGRAMME DIRECTORS for SPECIALIST REGISTRAR TRAINING General Adult Psychiatry (Gartnavel Royal Hospital) (RSNH Larbert) Dr David Brown 0141-211 0235 Dr Keith Brown(Deputy) 01324 574320 Old Age Psychiatry Day Hospital. Ayrshire Central) Dr Seamus McNulty 01563 578646 (Garnock Child & Adolescent Psychiatry (Child and Family Clinic, Larkfield) Dr Kathy Leighton 01475 504447 Psychotherapy (Carswell House) Dr Cathy Cahill 0141-232 9208 Forensic Psychiatry (Douglas Inch Clinic) Dr Mark Davidson 0141-211 8000 Learning Disability (Berryknowes Resource Centre) Dr Robin McGilp 0141 276 2337 Core South (Ravenscraig Hospital, Greenock) Dr Alistair Deering 01475 502375 Core North (Kirklands Hospital, Bothwell) Dr Andrea Caldwell 01698 855578 Drug & Alcohol Abuse to be appointed COLLEGE TUTORS AYRSHIRE & ARRAN Dr Seamus McNulty North West Kilmarnock 01563 578646 RENFREWSHIRE & INVERCLYDE Dr Susie Brown Dr James Loudon Dykebar, Paisley - 0141-884 5122 Ravenscraig, Greenock 01475 502377 ARGYLL & BUTE Dr Paul Thompson Argyll & Bute Hosp. - 01546 602323 LOMOND & ARGYLL Dr Hashim Sajjad Victoria Infirmary, Helensburgh 01436 672159 FORTH VALLEY Dr Nabila Muzaffar Dunrowan Day Centre, Falkirk – 01324 639009 LANARKSHIRE Dr Andrea Caldwell Lead Tutor Kirklands Hospital 01698 855578 Dr Maarten Van Rhijn Monklands Hospital – 01236 712 695/388 DUMFRIES & GALLOWAY Dr Jennifer Halliday Crichton Royal Hospital - 01387 244000 GLASGOW NORTH Dr Debbie Brown Mackinnon House - 0141 531 9305 GLASGOW WEST Dr Cathy Cahill Lansdowne Psychotherapy Service - 0141 232 9208 GLASGOW SOUTH Dr Wai Lan Imrie Dr Sarah Holmes Southern General Hospital - 0141 201 1948 Eastwood resource Centre - 0141 304 7500 GLASGOW EAST Dr Debbie Mason Parkhead Hospital – 0141 211 8425 CHILD & ADOLESCENT PSYCHIATRY Dr Anne Greer North CAMHS, Possilpark HC, 85 Denmark St G22 5EG– 0141 531 6107 FORENSIC PSYCHIATRY Dr Brian Gillatt Leverndale Hospital – 0141 211 1375 FORENSIC PSYCHIATRY Dr Ian Dewar The State Hospital - 01555 840 293 LEARNING DISABILITY Dr Linda Findlay Learning Disabilities Psychiatry, Kirklands Hospital Bothwell – 01698 855578 CO-ORDINATORS FOR PSYCHOTHERAPY TRAINING Lanarkshire Dr G Wilkie Torrance House, 504 Windmillhill Street Motherwell ML1 2AF Argyll and Clyde Dr J Gallagher Dykebar Hospital Grahamston Road Paisley PA2 7DE Dr F Corrigan Argyll and Bute Hospital Lochgilphead PA31 8LD North Dr R Ward Springpark Resource Centre 101 Denmark Street Glasgow G22 5EU South Dr J Naismith Department of Psychotherapy Southern General Hospital 1345 Govan Road Glasgow G51 4TF Dr A Burnel (CBT) Liaison Psychiatry Southern General Hospital 1345 Govan Road Glasgow G51 4TF West Dr C Cahill Lansdowne Psychotherapy Service Centre for Health and Care 547 Dumbarton Road Partick Glasgow G11 6HU Dr A Wilson (CBT) IPCU Gartnavel Royal Hospital Great Western Road Glasgow G12 0XH East Dr M Cohen Carswell House 5 Oakley Terrace Glasgow G31 2HX Forth Valley Dr M Morton 3 The Bungalows Stirling Road Larbert KY5 4JD Ayrshire Dr J Halford Ailsa Hospital Dalmellington Road Ayr KA6 6AB Ayr KA6 6AB