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Audit of case-load and case mix of higher specialist trainees in child and adolescent psychiatry

  • Nicola Sharp (a1) and Tim Morris (a2)
Abstract
AIMS AND METHOD

The aim of the audit was to ensure that the case-load and case mix for trainees in child and adolescent psychiatry met Child and Adolescent Psychiatry Specialist Advisory Committee guidelines and that trainees were seeing cases with an appropriate mix of age, gender and diagnoses. Data on case-load and case mix were analysed annually and problem areas were identified and reviewed when the audit cycle was repeated. The audit cycle has been repeated three times.

RESULTS

Specific findings from the audit included: female trainees were seeing a high percentage of girls; male trainees were seeing a high percentage of boys; some trainees were seeing a high proportion of cases of deliberate self-harm; and there was a recent increase in the number of cases of attention-deficit hyperactivity disorder. The first two issues were rectified as a result of the audit process; the last is being monitored.

CLINICAL IMPLICATIONS

Training needs should come before service needs. Auditing trainees' case-loads and case mixes helped best to utilise the time available for clinical work during training.

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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.
References
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Department of Health (1993) Hospital Doctors: Training for the future. The Report of the Working Group on Specialist Medical Training (Calman Report) . London: HMSO.
Royal College of Psychiatrists Higher Specialist Training Committee (1999) Child and Adolescent Psychiatry Specialist Advisory Committee Advisory Papers. London: Royal College of Psychiatrists.
Smart, S. & Cottrell, D. (2000) A survey of training experiences and attitudes of higher specialist trainees in child and adolescent psychiatry. Psychiatric Bulletin, 24, 302304.
World Health Organization (1992) Tenth Revision of the International Classification of Diseases and Related Health Problems (ICD–10). Geneva: WHO.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Audit of case-load and case mix of higher specialist trainees in child and adolescent psychiatry

  • Nicola Sharp (a1) and Tim Morris (a2)
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