NHS Grampian Highland Tayside JOINT GRAMPIAN, HIGHLAND AND TAYSIDE POSTGRADUATE TEACHING PROGRAMME 2015 – 2016 FIRST SEMESTER CONTENTS 1. INTRODUCTION 2. POSTGRADUATE COURSE Special Study Days, Seminar Programme 3. MENTAL STATE MEETINGS 4. EVIDENCE-BASED CASE CONFERENCE AND JOURNAL PRESENTATION 5. MULTIDISCIPLINARY JOURNALS CLUB 6. PSYCHOTHERAPY SUPERVISION GROUPS 7. ATTENDANCE RECORD POSTGRADUATE TEACHING PROGRAMME FIRST SEMESTER 2015-2016 INTRODUCTION Welcome to the first semester of the 2015-2016 year of the Postgraduate Teaching programme in Psychiatry. This will run on Wednesdays and Thursdays between 16.09.2015 – 16.12.2015. The teaching programme has the following components: Postgraduate Lecture and Seminar Course Course Organisers: Dr Alison Haddow and Dr Allen Shand This course was developed jointly by Grampian, Tayside and Highland Mental Health Services. The course has two main elements, Special Study Days (SSDs) and Clinical Seminars. Special Study Days: These will be common to trainees in Grampian, Tayside and Highland. They will consist of lectures and seminars covering all the main clinical areas in psychiatry. We have attempted to draw on the best expertise in our own services and also to bring in outside speakers of national repute. We hope that speakers will present an overview of recent research and current developments in their subject. SSDs usually start at 10:00 or 10.30 am. The SSDs on Basic Principles are repeated annually to bring them into synchronisation with the College examination calendar. Although it may be of benefit to trainees to attend on consecutive years, this is not mandatory. Clinical Seminars: The format of these is flexible and we have encouraged tutors to take a creative approach to this teaching. The seminars might include case presentations. The major purpose of these sessions is to guide trainees in the task of identifying areas in which learning is required. Venues: Aberdeen Special Study Days will be held in Seminar Room A, Block A, Clerkseat Building, Royal Cornhill Hospital. Clinical Seminars will take place in Seminar Room B, with video link to Inverness. Dundee teaching will be held at the Carseview Centre, Medipark, Tom McDonald Avenue, Ninewells Hospital, Dundee. Feedback forms will be issued to you after each teaching session. Would you please complete these and give them to whoever has led the SSD or seminar. If you have any concerns about the course, please do not hesitate to contact Dr. Haddow (01224 557507) or Dr Shand (01224 557536). Mental State Meetings Co-ordinator: Dr Naglaa Massoud Venue: Seminar Room A, Royal Cornhill Hospital These are held on Wednesdays from 09:00 am to 10:20 am during term-time. The purposes of these meetings are to enhance interview skills and case presentation and, in particular, the development of an accurate and articulate report of mental state. All trainees are expected to attend. The meetings will be of particular value to trainees who are preparing to sit the clinical components of the MRCPsych examination. The ability to do a case presentation with confidence is an important professional skill and one that can be developed by attendance at the Mental State Meetings. We are exploring how to improve the exam-relevance of the Mental State Meetings and would welcome suggestions on this. The Mental State Meetings are also relevant to workplace based assessments. Evidence-based Case Conference and Journals Club Co-ordinator: Dr Elizabeth Willox Venue: Seminar Room A, Royal Cornhill Hospital This is held on Wednesdays from 11.30 until 1.00 pm. These sessions begin with presentation of a research paper of relevance to the patient to be discussed. This will be done by a trainee psychiatrist. There is then a full case presentation. This is done in turn by consultant teams who are expected to select a patient who is of particular interest or one who has presented unusual problems of diagnosis or management. Multidisciplinary Journals Club Co-ordinator: Dr Jenny Bryden and Dr Gemma Fleming Venue: Seminar Room A, Royal Cornhill Hospital This is held on Thursdays between 12:30 and 1:30 pm. The purpose of this part of the Teaching Programme is to present research papers of clinical relevance and to foster critical discussion of research. Lunch is usually provided. A consultant will chair each meeting. Two trainees have been allocated to each slot. Papers have been allocated in advance for these sessions. We hope that this will allow presentation of high quality papers covering a range of areas of interest. The Chair and speakers should meet in advance to go over the papers and to discuss issues such as content and presentation style. Psychotherapy Supervision Co-ordinator: Dr Marina McLoughlin Each trainee is allocated to a supervision group according to his/her level of experience. See programme for times and venues. Aberdeen trainees are invited to the Psychotherapy department’s in house seminar programme. These are held on Monday mornings at 11am. Interested individuals who can commit to regular attendance should email Dr McLoughlin beforehand. (marina.mcloghlin@nhs.net) Psychotherapy training for CT1-CT3 (NHS Grampian) All Core Trainees in Psychiatry need to provide evidence of the competencies in psychological treatments in order to progress from CT3. The basic minimum is to undertake, under supervision, two psychological therapy cases in two modalities between years CT1 and CT3. One of these cases should be a brief treatment (12-20 sessions) and the other a longer term treatment (24 sessions or longer). It is the aim of the Psychotherapy Department to support our trainees in acquiring the necessary competencies and progressing in their training however it is the trainee’s responsibility to make sure they are getting the necessary experience. Balint Group (Department of Psychotherapy) The process of developing competencies in psychotherapeutic approaches starts with the Case-Based Discussion (Balint) group. This group is an ongoing opportunity for developing clinical practice by thinking psychologically about everyday work experiences. The College expects evidence of attending a minimum of 30 case-based discussion groups. The Balint group is mandatory to training, runs for 1 year (the duration of CT1) on once/week basis irrespective of term times and fulfils current College recommendations. Core trainees receive a completed CBD form after 6 months and after 12 months of attending the group. Trainees will need the evidence of attending the Case-Based Discussion group for their ARCP and to apply for the CASC. “The essence of the group’s work is a speculation and empathy exercise in what it may be like to be the doctor and what it may be like to be the patient in the relationship that has been presented for the group to consider. The result for the presenter (and only a little less directly for the group members) is a different perspective on this patient, on the sources of difficulty for the doctor, and finally on alternate (and hopefully more effective) ways for the doctor and patient to be in a healing relationship.” Balint 1957 Recommended reading: see Appendix 1 Personal psychotherapy is not obligatory but may be beneficial to enhance the tolerance of distress, anger and mixed emotions about professional situations and to develop insight. The decision to have personal therapy rests with the trainee and the Department of Psychotherapy does not participate in arranging such therapy. At the beginning of CT2 year trainees are allocated either to CBT or Psychodynamic Psychotherapy supervision groups. In Child and Adolescent or YPD posts there may also be an opportunity for conducting therapy but this experience and the necessary supervision with an accredited supervisor would need to be organised directly within that post. Once the first two cases have been completed, Core Trainees also have an opportunity to undertake a case of IPT. Psychodynamic Psychotherapy supervision (Department of Psychotherapy) The Department of Psychotherapy organises supervision for Psychodynamic Psychotherapy cases. Patients suitable for psychotherapy by a trainee would be assessed by one of the therapists within the Psychotherapy Department. Supervision is mandatory and is on once weekly group basis. Usually a trainee would attend supervision for a few weeks prior to taking on a suitable patient. The two completed SAPE forms and a Psychotherapy ACE form would provide the necessary evidence of completion of therapy. Recommended reading: P. Hughes, D. Riordan “Dynamic Psychotherapy Explained”, Radcliffe Publishing 2006, 2nd ed. P. Casement “On learning from the patient”, Routledge 1985 J. Wilson “Starting out in Psychodynamic Psychotherapy”, Psychiatric Bulletin (2001), 25, pp.72-74 Trainees who are interested and able to attend on a regular basis are also invited to come to Psychotherapy Department in-house educational seminars. These seminars are held once/month on Mondays 11.00 – 12.00 noon. Cognitive-Behavioural Therapy (CBT) supervision (EDS, Fulton Clinic) The Department of Psychotherapy organises supervision for CBT. Suitable cases can be taken from the caseload of the team where the trainee works. However, it is important that the trainee does not take on patients for therapy from their own caseload. All cases need to be discussed with Mrs Sally Hill, CBT supervisor, prior to the assessment being carried out. The trainee assesses the patient for CBT under Mrs Hill’s supervision. Supervision is mandatory and is on once weekly group basis. The two completed SAPE forms and a Psychotherapy ACE form would provide the necessary evidence of completion of therapy. Recommended reading: K. Hawton, P. M. Salkovskis, J. Kirk, D. M. Clark “Cognitive Behaviour Therapy for Psychiatric Problems: A Practical Guide” Oxford University Press 1996 “Overcoming” series of books for various psychiatric problems Websites – http://www.moodjuice.scot.nhs.uk/ https://www.moodgym.anu.edu.au/welcome http://llttf.com/ http://www.cci.health.wa.gov.au/ http://www.getselfhelp.co.uk/ Interpersonal Therapy (IPT) supervision (Eden Unit, RCH) Those Core trainees, who have completed their first two cases, may be interested to see a patient for IPT. The Department of Psychotherapy coordinates supervision for IPT. Suitable cases can be taken from the caseload of the team where the trainee works. However, it is important that the trainee does not take on patients for therapy from their own caseload. All cases need to be discussed with Dr Jane Morris, IPT supervisor, prior to the assessment being carried out. The trainee assesses the patient for IPT under Dr Morris’s supervision. Supervision is mandatory and is on once weekly group basis on Wednesdays at 16.00. The two completed SAPE forms and a Psychotherapy ACE form would provide the necessary evidence of completion of therapy. Psychotherapy assessments process: All trainees, irrespective of the modality of the therapy cases they do, need to complete assessment forms that would provide the evidence of the Psychotherapy competencies for ARCP. These forms are SAPE (Supervisor’s Assessment of Psychotherapy Expertise) and Psychotherapy ACE (Assessment of Clinical Expertise). SAPE forms are completed by trainee’s supervisor and Psychotherapy ACE forms are completed by Dr M. McLoughlin, Psychotherapy Tutor. For each psychotherapy case a trainee needs to write a short formulation (the current understanding of the patient’s difficulties) mid-way through therapy. This formulation is then discussed with the supervisor and the first SAPE is completed at this point. At the end of treatment the final formulation is written and another SAPE is completed. Thereafter a trainee would need to arrange an appointment with Dr Marina McLoughlin in order to complete a Psychotherapy ACE. The two SAPE forms are used to inform the completion of the Psychotherapy ACE and Psychotherapy ACE provides the Psychotherapy competencies evidence for the ARCP process. Appendix 1 Balint in a Nutshell An Introduction by Heather Suckling History of the Balint Group The name is that of Michael Balint a Hungarian psychoanalyst. His main work was as a psychoanalyst at the Tavistock Clinic, in London. He started groups for GPs in the 1950s to study the doctor-patient relationship; he described them as “Trainingcum-research” groups. He worked closely, and ran groups with his third wife, Enid – a Social Worker and Marriage Guidance Counsellor. Her influence on medical training is probably as great as his. What is a “traditional” Balint Group? It consists of 6-12 doctors with 1-2 leaders and it meets regularly. Meetings usually last for 1-2 hours and the group continues for 1 or more years. The method is that of case presentation without notes. What happens in a Balint group? The leader asks “Who has a case?” The presenter who volunteers tells the story of a consultation; this is not a standard case presentation, but a description of what happened between the doctor and the patient. It need not be long, complicated or exciting but something that is continuing to occupy the presenter’s mind. It may be puzzling, or has left the presenter feeling angry, frustrated, irritated or sad. The group discusses the relationship between the doctor and patient and tries to understand what is happening that evokes these feelings. The feelings which the patient evokes are significant and may be reflected in the presenter or in the group. This facilitates the understanding of the patient. All discussions within the group are confidential. What can a Balint group do? It provides an opportunity for doctors to reflect on their work. It can provide an outlet for anxieties and frustrations generated by their work. It can arouse a doctors’ interest in patients whom they have previously found upsetting, annoying or “difficult”. It can open minds to other possibilities, both of diagnosis and day to day management. The group provides support and improves communication with patients and other professionals. It can improve job satisfaction, the patient’s perception of care and help to prevent burn-out. What does a Balint group not do? It does not tell the doctors “how to do” their work. It does not provide easy answers. It will not solve all doctors’ problems with patients. Who was Michael Balint? He was born in Budapest in 1896, the son of a GP. He became interested in psychoanalysis after first hearing Freud speak in 1918 and when he met his first wife, Alice, who was an analyst. He obtained his Doctorate in medicine in 1920 and initially worked as a biochemist. Later he undertook psychoanalytic training, his analyst was Sandor Ferenczi. Balint worked as a psychoanalyst in Budapest during the Fascist regime, but in 1939 came to Manchester (UK) as a refugee. In 1945 he was appointed as a Psychoanalyst at the Tavistock Clinic. In the early 1950s he began his work with GPs- the Balint Group was born. In 1957 “The Doctor, his Patient and the Illness”, his seminal work, was published. The founders of the Royal College of General Practitioners were profoundly influenced by Balint’s ideas; they formed the basis of modern postgraduate training for general practice. He used the term “patient-centred medicine” in his description of the group he ran at University College hospital for medical students in 1969 “Perhaps the essence of Balint Groups has always been to share experiences and enable people to observe and rethink aspects of their relationships with patients and their work as doctors.” Enid Balint (1992) ‘The Doctor, the Patient and the Group’ HCS Jan 2006 (amended Feb.2007) Attendance (applies to CT1-3 only) Attendance at some elements of the teaching has been disappointing in recent years. We have therefore decided to introduce individual attendance sheets. A copy of this is at the end of this programme. You should take this to teaching sessions and request that the chair or tutor signs this. If you are unable to attend you should write the reason for this in the space for this signature. This is an important document which you will be expected to produce when you meet the tutor for routine assessments and you should take great care of it. We would advise you to make a regular electronic copy to protect against the eventuality of it being mislaid. Grampian Philosophy, Psychiatry and Psychology Interest Group Co-ordinator: Dr. John Callender This is not part of the formal teaching programme but may be of interest to you. The group meets on Thursdays at 4.45 pm approximately once every three months. The meetings attract a mixed audience of clinicians, philosophers, neuroscientists and others. If you wish to be informed of meetings, you should ask Diane Sandison (57600 or dianesandison@nhs.net) to put your name on our mailing list. SPECIAL STUDY DAYS/CLINICAL SEMINARS - SEMESTER I - FOR GRAMPIAN SHO’s WK 1 DATE 16.09.15 TIME 10.00am 4.00pm VENUE DUNDEE SSD/SEMINAR CHAIR TITLE LECTURER Theories of Adult Learning Dr Daniel Bennett Dr Daniel Bennett Dr Daniel Bennett/ Dr Isobel Cameron Prof Jen Clelland TBC – from University student support team) Dr Isobel Cameron Dr Rainer Goldbeck Dr Laura McKee Dr Steve Hay Special Study Day TBC 2 23.09.15 9.30am – 4.00pm ABERDEEN Special Study Day Dr Daniel Bennett Teaching, Learning and the Role of the Trainee Small Group Teaching Methods Small Group Teaching Exercises Feedback, What is it, How to get it, What to do with it. Student Support and the Role of the Trainee Principles of Assessment and how to write a question 3 30.09.15 2-4pm ABERDEEN Brain Pathology and Psychiatric Syndromes Clinical Seminar 4 07.10.15 2-4pm ABERDEEN Clinical Seminar Schizophrenia 5 14.10.15 2-4pm ABERDEEN Clinical Seminar Management of Treatment-Resistant Depression Dr Thomas McPhee 21.10.15 10.30am 4.00pm ABERDEEN Special Study Day Neuroanatomy of Depression Antidepressants: Current Status and Future Developments Classification of Depression: Continuum versus typology Dr James Currie 6 Affective Disorders I Dr Isobel Cameron Dr Isobel Cameron ECT Dr Gordon Fernie Psychological Theories of Depression 7 28.10.15 2-4 pm ABERDEEN Clinical Seminar 8 04.11.15 2-3 pm ABERDEEN Clinical Seminar 9 11.11.15 2-4 pm ABERDEEN Clinical Seminar 10 18.11.15 10.30am – 3.30 pm DUNDEE Special Study Day Affective Disorders II Management of Depression Cognitive Behavioural Therapy Management of Bipolar Disorder Dr David Christmas (TBC) Management of Depression Psychodynamic Therapy Aetiology, Clinical Features and Course of Bipolar Affective Disorder Assessment and Acute Management of Bipolar Affective Disorder Suicide and Deliberate self-harm 11 12 25.11.15 02.12.15 2-4pm 2-4pm ABERDEEN ABERDEEN Clinical Seminar Clinical Seminar Genetic Counselling-Huntingdon's Disease Assessment and Management of the Suicidal Patient 13 09.12.15 2-4pm ABERDEEN Clinical Seminar Mental Health Legislation ABERDEEN Special Study Day Basic Principles II Philosophy of Science 14 16.12.15 11.00am – 3.30pm PLEASE NOTE LATER START TIME Dr John Callender Ethical Issues in Psychiatry Epidemiology and Psychiatry Classification in Psychiatry Dr Angela Bowie Dr Martin Scholtz Dr Alasdair Forrest Dr David Christmas Dr David Christmas Dr Stephen Curran (TBC) Dr Daniela Rae Dr Rainer Goldbeck Dr Alistair Palin Ms Anneliese Stellmach Dr John Callender Prof Eric Matthews Dr Cameron Stark Dr Olga Runcie Special Study Day – 16th September 2015 Carseview Centre, Medipark, Tom McDonald Avenue, Ninewells Hospital, Dundee. T.B.C. Chairperson: 10:00 – 11:00 11:00 – 12:00 12:00 – 13:00 13:00 – 14:00 14:00 – 15.00 LUNCH Special Study Day – 23rd September 2015 Seminar Room A, Block A, Royal Cornhill Hospital, Aberdeen Teaching, Learning and the Role of the Trainee Chairperson: Dr Daniel Bennett Honorary Senior Lecturer University of Aberdeen 10:00 -10.30 Theories of Adult Learning Dr Daniel Bennett Honorary Senior Lecturer University of Aberdeen 10:30 – 11:15 Small Group Teaching Methods Dr Daniel Bennett University of Aberdeen 11.15 - 11.30 BREAK 11:30 – 12:30 Small Group Teaching Exercises Dr Isobel Cameron & Dr Daniel Bennett University of Aberdeen 12:30 – 13:30 LUNCH 13:30 – 14:15 Feedback, What is it, How to get it, What to do with it and What to do if it is negative! Professor Jen Clelland University of Aberdeen 14:15 – 14.45 Student Support and the Role of the Trainee TBC – from University student support team 14.45 - 15.00 BREAK 15.00 – 16.00 Principles of Assessment and how to write a question Dr Isobel Cameron University of Aberdeen 16.00 – 16.05 Completion of Feedback Forms Special Study Day – 21st October 2015 Seminar Room A, Block A, Royal Cornhill Hospital, Aberdeen Affective Disorders I Chairperson: Dr Isobel Cameron Lecturer in Mood Disorders University of Aberdeen 10:00 – 11.00am Neuroanatomy of Depression Dr James Currie University of Aberdeen 11:00 – 12.00 Antidepressants: Current Status and Future Developments TBC 12.00 – 13.00 Classification of Depression: Continuum versus typology Dr Isobel Cameron University of Aberdeen 13:00 – 14.00 LUNCH 14:00 – 15.00 ECT Dr Gordon Fernie University of Aberdeen 15:00 – 16.00 Psychological Theories of Depression TBC Special Study Day – 18th November 2015 Carseview Centre, Medipark, Tom McDonald Avenue, Ninewells Hospital, Dundee. Affective Disorders II Chairperson: Dr David Christmas Dr David Christmas Consultant Psychiatrist Advanced Intervention Service 10:30-11.30 Aetiology, Clinical Features and Course of Bipolar Affective Disorder Dr David Christmas (TBC) Consultant Psychiatrist Advanced Intervention Service 11:30-12.30 Assessment and Acute Management of Bipolar Affective Disorder Dr David Christmas (TBC) Consultant Psychiatrist 12:30-13.30 LUNCH 13.30-14.30 Suicide and Deliberate self-harm Dr Stephen Curran (TBC) Consultant Psychiatrist Special Study Day – 16th December 2015 Seminar Room A, Block A, Royal Cornhill Hospital, Aberdeen Basic Principles II Chairperson: Dr John Callender Consultant Psychiatrist NHS Grampian 11:00 – 12:00 Philosophy of Science Dr John Callender Consultant Psychiatrist NHS Grampian 12.00-13.00 Ethical Issues in Psychiatry Professor Eric Matthews Emeritus Professor University of Aberdeen 13.00 – 13.30 LUNCH 13.30-14.30 Epidemiology and Psychiatry Dr Cameron Stark Epidemiologist NHS Grampian 14.30-15.30 Classification in Psychiatry Dr Olga Runcie Consultant Psychiatrist NHS Grampian MENTAL STATE MEETINGS DATE FORMAT CANDIDATES PATIENT ARRANGED BY EXAMINERS 30.09.2015 CASC 7.10.2015 ACE Dr Meera Patel Dr L Fubister Dr E Mallum Dr Daniel Chew Dr Judith Young 14.10.2015 ACE Dr Caitling Napier Dr A Gyanthika Dr N Massoud 28.10.2015 ACE Dr Daniel Chew Dr Caitling Napier Dr A Onder 4.11.2015 CASC 11.11.2015 CASC 25.11.2015 CASC 2.12.2015 CASC 9.12.2015 ACE Dr C MacKenzie Dr Kirsten Wilson Dr Rian O’Regan Dr M Turner Dr A Forest CT3 Dr K Kuba CT2 Dr L Johnstone Dr M Smith Dr A Gyanthika Dr J Bryden Dr N Massoud Dr S Dhadwar Dr J Adam Dr J Bryden Dr E Mallum Dr S Dhadwar Start 9am prompt. Finish 10.20am Candidate and examiner should make sure to swap if they cannot attend CT1 Dr Daniel Chew Dr Caitling Napier Dr E Mallum Dr I Bukhovets CT1LAS Dr S Ghafoor 0.5 CT1 Dr A Gayanthika Dr O Enachwo CT2 Dr Louise Foubister Dr Lisa Johnstone Dr Catherine MacKenzie Dr Rian O’Regan Dr Michael Turner Dr Kirsten Wilson Dr Meera Patel Dr K Kuba CT3 Dr Elena McCandie (Mat leave) Dr Murray Smith ACE Case If the candidate chooses, this is an opportunity to do one of their required ACE, Work Place Based Assessments. The candidate will examine the patient from 9 am to 9.45 am with CCTV link. They will then have 5 minutes to organise their findings before presenting the history, mental state and differential diagnosis to the examiners (approx. 10 minutes). The remaining 20 minutes will be used to discuss candidates’ examination technique and/or any interesting aspects of the patient’s presentation. CASC Practice Examiners are to provide scenarios with one examiner acting as the patient. Each scenario will be 7 minutes long with 1 minute for preparation. Time should allow for two stations per candidate-each lasting 7minutes. In the CASC examination, candidates will be given scenarios lasting 10 minutes each with two minutes’ preparation time in addition to the 7 minute scenarios. Please refer to the ‘examination’ section of the RCPsych website for further details. Case Conference & Evidence Based Journal Club Autumn Semester 16/09/15 to 16/12/15 11.30-1.00pm Wednesday Venue: Seminar Room A, Royal Cornhill Hospital, unless otherwise indicated Date 16/09/15 23/09/15 30/09/15 07/10/15 14/10/15 21/10/15 28/10/15 04/11/15 11.11.15 18/11/15 25/11/15 02/12/15 09/12/15 16/12/15 Presenter Special Study Day, Dundee Special Study Day, Aberdeen Dr Pauline Larmour Dr Justin Williams Dr Julie Platt Special Study Day, Aberdeen Dr Nicoletta Clementi Dr Alastair Palin – ‘Learning from Adverse Events’ Dr Oghenevwoke Akpubi Special Study Day, Dundee Dr Elizabeth Willox Dr Rachelle Arnold/Dr Jill Warrington Dr Raj Badial Special Study, Aberdeen Chair Dr Gemma Fleming Dr Dee Rasalam Dr John Callender Dr Allen Shand n/a Dr Alec Oswald Dr Kandarp Joshi Dr Jane Murdoch Dr Alison Haddow Please arrange any necessary swaps and refer to recent PMAC deliberations on cancellations. Please also inform Dr Willox’s secretary, June Younes (Ext. 57142), of any changes made. June will promote each presentation by email on Mondays. Journal Club 01/10/2015 to 17/12/2015 Date 01/10/15 08/10/15 15/10/15 22/10/15 29/10/15 06/11/15 12/11/15 19/11/15 26/11/15 03/12/15 10/12/15 17/12/15 CT1-3 Dr Rian O’Regan CT4-6 Dr Judith Young Chairpersons Dr Rainer Goldbeck No Journal Club due to October Break and College Exams Dr Meera Patel Dr Daniel Chew Dr Mike Turner Dr Leah Drever Dr Adele Onder Dr Naglaa Massoud Dr Sana Ghafoor Dr Murray Smith Dr Louise Foubister Dr Lisa Johnstone Dr Kirstin Wilson Dr Caitlin Napier Dr Stephanie Dhadwar Dr Jenny Bryden Dr Jen Adams Dr Catherine MacKenzie Dr John Callender Dr Phil Crocket Dr Alistair Palin Dr Jame Morris Dr Tom MacEwan Dr Seonaid Anderson Dr Raj Badial Prof David Sinclare This is held on Thursdays between 12:30 and 1:30 pm. Lunch is usually provided. The purpose of this part of the Teaching Programme is to present research papers of clinical relevance and to foster critical discussion of research. A Consultant will chair each meeting. Two trainees have been allocated to each slot. Trainees are encouraged to contact their chairpersons in advance to discuss their paper and presentation. The list of papers allotted to each slot is attached below for your information. Date 17/9/15 chairperson Presenters Discussion Introduction to Chance and Stats Paper What is Journal Club for and What should it do? 24/9/15 Revision tutorial: Jenny Bryden presenting. How do you criticise a systematic review? 1/10/15 Liaison Psychiatry Dr Rainer Goldbeck Judith Young 29/10/15 Effects of Medication Dr John Callender Meera Patel Hatcher S et al; The ACCESS study: zena randomised controlled trial of a package of care for people presenting to hospital after an episode of self-harm; ; BJPsych (2015); 206; 229-236 Rian O’Regan LaFrance C et al; Multicentre Pilot Treatment Trial for Psychogenic nonepileptic seizures; JAMA Psychiatry; 2014 (Sept); 71(9); 997-1005 No Journal Club 8/10/15 – 28/10/15 Due to holidays. Louise Foubister 5/11/15 Relationships and Mental Health Dr Phil Crockett Daniel Chew Lisa Johnstone 12/11/15 Psychiatric Services Dr Alistair Palin Mike Turner Furukawa T et al; Initial Severity of Schizophrenia and Efficacy of Antipsychotics: Participant Level metaanalysis of 6 placebo-controlled Studies; JAMA Psychiatry; 2015 (Jan); 72 (1); 1421 Markowitz J et al; Treatment of Maternal Depression in a Medication Clinical Trial and Its Effect on Children; Am J Psychiatry; 2015 (May); 172 (5); 450-459 Markowitz J et al; Is Exposure necessary? A randomised clinical trial of interpersonal psychotherapy for PTSD; Am J Psychiatry; 201; 172(5); 430-440 Upthegrove R et al; Adverse childhood events and psychosis in bipolar affective disorder; BJPsych (2015); 206; 191-197 Bruffaerts R et al; Proportion of patients without mental health disorders being treated in mental health systems worldwide; BJPsych; 2015; 206 (2); 101- Kirstin Wilson 19/11/15 Mindfulness Dr Jane Morris Caitlin Napier Leah Drever 26/11/15 Dementia with MCI Dr Tom MacEwan Adele Onder Stephanie Dhadwar 3/12/15 Spirituality and Mental Health Dr Seonaid Anderson Jenny Bryden Naglaa 10/12/15 Dr Raj Badial Elana McAndie 109 Nelson N et al; Factors associated with inconsistency in self-reported mild traumatic brain injury over time among military personnel in Iraq; BJPsych (2015); 206; 237-244 Masuda A and Hill M; Mindfulness as therapy for disordered eating: systematic review; Neuropsychiatry; 2013; 3(4); 443-447 Chiesa A and Semetti A; Mindfulness based cognitive therapy for psychiatric disorders: a systematic review and meta-analysis; Psychiatry Research; 187; (3); 2011; 441-453 Walker Z et al; Clinical usefulness of dopamine transporter SPECT imaging with 123I-FP-CIT in patients with possible dementia with Lewy Bodies: randomised study; BJPsych; 2015; 206 (2); 145-152 Orgeta V, Qazi A, Spector AE, Orrell M. Psychological treatments for depression and anxiety in dementia and mild cognitive impairment. Cochrane Database of Systematic Reviews 2014, Issue 1. Art. No.: CD009125. DOI: 10.1002/14651858.CD009125.pub2. Original Research: Effects of Existential belief on quality of life methods involving time or risk of death. Farooq S et al; Effect of fasting during Ramadan on serum lithium level and mental state in bipolar affective disorder; International Clinical Pharmacology; 2010; Vol 25 (6); 323-327 Hutton P et al; Quetiapine immediate release v placebo for schizophrenia: systematic review, meta-analysis and reappraisal; BJPsych; (2015); 206; 360370; Jen Adams 17/12/15 Prof Sinclaire Murray Smith Catherine MacKenzie Declercq T, Petrovic M, Azermai M, Vander Stichele R, De Sutter AIM, van Driel ML, Christiaens T. Withdrawal versus continuation of chronic antipsychotic drugs for behavioural and psychological symptoms in older people with dementia. Cochrane Database of Systematic Reviews 2013, Issue 3. Art. No.: CD007726. DOI: 10.1002/14651858.CD007726.pub2. Editiorial. NICE CG 158: Psychosis and Schizophrenia in Adults: treatment and management- an evidence based Guideline? BJPsych; 2015; 206(5):357359 Klingberg S et al; Adverse effects of cognitive behavioural therapy and cognitive remediation in Schizophrenia: Results of the Treatment of Negative Symptoms Study; Nerv Ment Dis 2012;200: 569Y576 Post-graduate programme (Psychotherapy Supervision) All trainees are expected to attend weekly psychotherapy supervision as an essential component of their psychiatric training. Supervision is provided by Dr Marina McLoughlin, Mrs Stephanie Kubrycht and Dr Jane Morris. Psychodynamic cases are allocated from Psychotherapy Department list of patients. The choice of IPT patients needs to be discussed with Dr Jane Morris. Balint-style group: all trainees are encouraged to participate in a Balint style group initially, which provides an opportunity to think about and discuss their interactions with patients in any settings. The aim is to help the trainees understand the complexity and importance of the therapeutic relationship and the impact it can have on patient and clinician. This is held in the Psychotherapy Department, Group Room 1 on Wednesdays between 10.30 am and 11.30 am. Psychodynamic supervision group is held between 10.30 am and 11.30 am on Wednesdays in the Psychotherapy Department, Ground Floor Group Room. IPT supervision group is held between 16.00 and 17.00 on Wednesdays. Balint Group – Mrs Stephanie Kubrycht C Napier D Chew L Drever OEnachwo E Mallum A Gayanthinka As well as all GPSTs and FY2s Psychodynamic supervision group – Dr Marina McLoughlin Lisa Johnstone (CT2) Catherine MacKenzie (CT2) Kirstin Wilson (CT2) IPT supervision group – Dr Jane Morris Louise Foubister (CT2) Rian O’Regan (CT2) Michael Turner (CT2) Meera Patel (CT2) Anybody not on the list, please contact Dr Marina McLoughlin, Department of Psychotherapy, ext 57398. Postgraduate Teaching Programme 2015-16, Semester I Attendance Sheet Name of Trainee: …………………………………………………………. Date 16.09.15 23.09.15 30.10.15 01.10.15 07.10.15 08.10.15 14.10.15 15.10.15 21.10.15 22.10.15 28.10.15 29.10.15 04.11.15 06.11.15 11.11.15 12.11.15 18.11.15 Seminar SSD SSD Clinical Seminar Mental State Psychotherapy Case Conference Journals Club Clinical Seminar Mental State Psychotherapy Case Conference Journal Club Clinical Seminar Mental State Psychotherapy Case Conference Journals Club SSD Journals Club Clinical Seminar Mental State Psychotherapy Case Conference Journal Club Clinical Seminar Mental State Psychotherapy Case Conference Journal Club Clinical Seminar Mental State Psychotherapy Case Conference Journal Club SSD Signature/Reason for non-attendance /Cont ….. /PG Attendance Sheet (Cont) Name of Trainee: …………………………………………………………. Date 19.11.15 25.11.15 26.11.15 02.12.15 19.11.15 25.11.15 03.12.15 09.12.15 10.12.15 16.12.15 17.12.15 Seminar Journal Club Clinical Seminar Mental Health Psychotherapy Case Conference Journal Club Clinical Seminar Mental State Psychotherapy Case Conference Journal Club Clinical Seminar Journal Club Clinical Seminar Mental State Psychotherapy Case Conference Journal Club SSD Journal Club Signature/Reason for non-attendance