Postgraduate Training

 

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NCHD BST Training Schemes in Psychiatry - Intake July 2010

Dates of Interest:

04/02/10: Advertise

19/02/10: Closing date for receipt of applications

 

 

PLEASE NOTE:

2 OTHER SCHEMES (DUBLIN UNIVERSITY PSYCHIATRIC ROTATIONAL TRAINING PROGRAMME & ST JOHN OF GOD) HAVE ADVERTISED SEPARATELY

 

    

Handbooks / Useful Documents/ Forms

Basic Specialist Training(BST)

 

Higher Specialist Training(HST)

 

Annual Training Plans

 

 

Postgraduate Training Information

1. Introduction 

2. Basic Specialist Training (BST)

3. Basic Specialist Training Schemes

4. Registration

5. Postgraduate Qualifications in Psychiatry

6. Higher Specialist Training (HST)

 

     

1.    INTRODUCTION

The College of Psychiatry of Ireland (CPsychI) is responsible for all aspects of postgraduate training in psychiatry in Ireland.  It aims to provide the best possible training at both Basic and Higher Specialist levels in psychiatry.  Satisfactory completion of Specialist Training confers eligibility for inclusion on the Specialist Division of the Medical Register maintained by the Medical Council.

 

To achieve its aims the CPsychI has developed and organised training in a two stage format of Basic Specialist Training (BST) followed by Higher Specialist Training (HST).

 

Basic Specialist Training

BST takes approximately 3 years at the end of which time the trainee will take an examination.  Currently, Basic Specialist Training is said to be completed when the trainee has passed the membership examination of the Royal College of Psychiatrists(MRCPsych).  New methods of assessment of clinical competencies will be introduced from 1 July 2010 which will also have to be passed before a Certificate of Completion of BST will be achieved.

 

Higher Specialist Training in Psychiatry takes a minimum of 3 years. 

 

Following the successful completion of Higher Specialist Training the doctor should have achieved the skills to be awarded a Certificate of Satisfactory Completion of Specialist Training (CSCST) in one of the specialties of psychiatry recognized by the Irish Medical Council viz Psychiatry, Psychiatry of Old Age, Child & Adolescent Psychiatry, Psychiatry of Learning Disability.

 

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2.    BASIC SPECIALIST TRAINING

 

Basic Training is delivered through recognised training schemes (see paragraph 3 below) generally involving rotation between a number of hospitals and the associated community services.  Each hospital has a Psychiatric Tutor who organises training locally which includes:

  • Weekly journal club and case conference.
  • Individual and group teaching of trainees to prepare them for the Membership of the Royal College of Psychiatrists(MRCPsych).
  • Advice to trainees on the clinical experience required in general adult psychiatry and the various specialities.
  • Encouragement of trainees to attend at the weekly half-day academic course.
  • Career guidance. 

 

 

At the commencement of Basic Training, Co-ordinating Tutors of rotational training schemes are required to ensure that a comprehensive induction, together with an accompanying handbook is provided for all trainees.  This induction includes details of the variety of teaching methods they are likely to experience, together with information on assessment methods.  

 

Educational methods employed in Basic Training include:-

 

(i) supervised clinical training and skills acquisition in approved posts;

 

(ii) attendance at an academic course suitable for preparing trainees to take the MRCPsych Examination, and

 

(iii) a weekly one hour face-to-face supervision session with the trainee's consultant (Supervising Consultant).  [This is a mandatory requirement. Such sessions are for the sole benefit of the trainee and cover such topics as research, careers advice, interviewing techniques and talking with patients. Eelementary skills in counselling and psychotherapy, practical principles of drug prescription, some instruction in presentation techniques, use of the Mental Health Acts, and multi-disciplinary working also form part of this supervision].

 

During initial training in General Adult Psychiatry, the CPsychI requires that trainees are exposed, with active Consultant participation and supervision, to the following:-

(a) an Acute Admissions ward in a General Hospital;

(b) a Psychiatric Day Hospital;

(c) a Community Mental Health Centre;

(d) a long-stay ward, preferably attached to a rehabilitation team and

(e) a unit for the psychiatric care of the elderly. 

 

Other educational activities include attendance at ward rounds, multidisciplinary case conferences, journal clubs, clinical audit and instruction in management techniques.

 

Experience in Community Psychiatry including domiciliary visits, home assessments with Community Nurses or other team members is essential.  All trainees should also have experience of:-

(a) working with Community Psychiatric Nurses(CPNs), Social Workers and Clinical Psychologists;

(b) giving a course of electroconvulsive treatment (ECT) in conditions meeting the College's standards, i.e. under the supervision of a Consultant in a designated ECT suite and

(c) managing patient care under the Mental Treatment Acts.

 

All trainees should experience supervised research, and have a nominated Consultant/Tutor to advise them on the suitability of projects for their level of expertise.  The early phase of research training could be limited to a case report or small literature review, whilst more advanced trainees might concentrate on the design and implementation of research protocols.

 

Comprehensive information on Basic Training is given in the Basic Specialist Training Handbook (which can be found on the top right hand side of this page).  Information on where training places are advertised publicly is given in paragraph 3 below.

 

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3.    BASIC SPECIALIST TRAINING SCHEMES

 

There are currently 13 Basic Specialist Training Schemes in Ireland - see list below:-

 

1.                 Cavan/Monaghan Postgraduate Training Scheme

2.                 Donegal Mental Health Services Training Scheme

3.                 Dublin University Psychiatric Rotational Training Scheme

4.                 Mater/University College Dublin Psychiatric Training Scheme

5.                 Mid-Western Psychiatric Training Scheme

6.                 Royal College of Surgeons of Ireland/ HSE Dublin Area Psychiatric Training Scheme

7.                 Sligo Mental Health Service Training Scheme in Psychiatry

8.                 South Eastern Regional Rotational Training Scheme in Psychiatry

9.                 Southern Region Psychiatric Training Programme

10.             St. Fintan’s Hospital, Portlaoise Training Scheme

11.             St. John of God/ St. Vincent’s University Hospital Postgraduate Training Scheme in Psychiatry

12.             St. Loman’s Hospital, Mullingar Training Scheme

13.             Western Postgraduate Training Scheme in Psychiatry

 

Posts on the Training Schemes are advertised in February and early Autumn each year.  The advertisements appear in the Irish medical press - Irish Medical News ( www.irishmedicalnews.ie ), Irish Medical Times ( www.imt.ie ) and for most of the Schemes on the website http://www.careersinhealthcare.ie/ [this is a website operated on behalf of the Health Service Executive (HSE)].

 

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4.    REGISTRATION

 

To work as a doctor in training it is necessary to be registered in the Trainee Specialist Division of the Register established by the Medical Council.  Enquiries about eligibility for registration should be addressed to the Registrar, Medical Council, Kingram House, Kingram Place, Dublin 2. 

Tel: +353 1 498 3100

Web: www.medicalcouncil.ie

 

 

 

5.    POSTGRADUATE QUALIFICATIONS IN PSYCHIATRY

 

The Royal College of Physicians of Ireland awards a Diploma in Clinical Psychiatry; further details of the examination can be obtained from the Registrar, Royal College of Physicians of Ireland, 6 Kildare Street, Dublin 2.

Tel: +353 1 669 8801 

Web: www.rcpi.ie 

 

The main qualification in Psychiatry is the Membership of the Royal College of Psychiatrists(RCPsych), which can be taken during the course of training.  Further details of this examination are available from the Royal College of Psychiatrists, 17 Belgrave Square, London SWIX 8PG.

Tel: + 44 207 235 2351

Web: www.rcpsych.ac.uk

 

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6.     HIGHER SPECIALIST TRAINING

 

Higher Training is undertaken in a national scheme in a series of Senior Registrar posts approved for that purpose by the College of Psychiatry of Ireland and takes a minimum of three years.  As a general principle, skills acquired in Higher Training will be at a higher standard than those required at Basic Specialist level and, as well as improving core psychiatric knowledge and skills, the following aspects of training are also addressed: trainee's professional attributes; experience of research and audit; teaching and supervisory skills, and management ability.  In devising an individual’s training programme account is taken of the trainee's preferences, past experience and special interests; a portion of Higher Training may be spent in research or abroad.  Comprehensive information on Higher Training may be viewed in the National Higher Training Scheme Handbook on this website.

 

Each January the College of Psychiatry of Ireland advertises in the Irish Medical News (http://www.irishmedicalnews.ie/), the Irish Medical Times (http://www.imt.ie/) and on this website inviting applications for appointment to Senior Registrar posts.  Competition is very keen, with an annual average of about 10 appointments being made to the higher training scheme in Child and Adolescent Psychiatry and about 20 to the higher training scheme in General Psychiatry (and the related psychiatric disciplines of academia, forensic, learning disabilities, old age, rehabilitation and substance misuse).

 

On completion of Higher Specialist Training doctors should be capable of functioning as autonomous medical specialists with an ability to provide high quality clinical care in a multidisciplinary setting and to fulfil all the responsibilities and functions of a Consultant Psychiatrist.

 

 

 

 

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March, 2009

 

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