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Administration of ECT by trainee psychiatrists: An audit of supervision, adequacy of tuition and attitudes

  • Jonathan Hillam (a1), Amanda Thompsell (a2) and Robert Tobiansky (a3)
Abstract

There has been increasing concern in recent years that trainee psychiatrists are not receiving adequate training and are not fully competent in the administration of electroconvulsive therapy (ECT). This has led to the publication of guidelines by the Royal College of Psychiatrists recommending measures to improve supervision and tuition. This study compares the results of two surveys, five years apart, exploring levels of supervision, satisfaction with training and confidence in the procedure among trainee psychiatrists on the Royal Free Hospital scheme. The findings are discussed in the light of Improvements to teaching of ECT in the interim. Continuing problems with supervision are highlighted, and the need for organised training is emphasised.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
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References
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American Psychiatric Association (1990) The Practice of Electroconvulsive Therapy. Recommendations for Treatment Training and Privileging. Washington, DC: APA.
Henderson, T., Anderson, M. J. & Stark, C. R. (1993) Administration of electro-convulsive therapy: training, practice and attitudes. Psychiatric Bulletin, 17, 154155.
Hill-Smith, A. J. & Lee, M. S. (1992) ECT – current practical administration. Psychiatric Bulletin, 16, 269271.
Pippard, J. (1992) Audit of electro-convulsive therapy in two national health service regions, British Journal of Psychiatry, 160, 621637.
Ramsay, N. & McPhillips, M. A. (1993) Training and supervision of electro-convulsive therapy in a psychiatric training rotation. Psychiatric Bulletin, 17, 716718.
Royal College of Psychiatrists (1989) The Practical Administration of Electroconvulsive Therapy. London: Gaskell.
Royal College of Psychiatrists (1995) The ECT Handbook. The Second Report of the Royal College of Psychiatrists' Special Committee on ECT. London: RCPsych.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Administration of ECT by trainee psychiatrists: An audit of supervision, adequacy of tuition and attitudes

  • Jonathan Hillam (a1), Amanda Thompsell (a2) and Robert Tobiansky (a3)
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