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Improving psychiatry training in the Foundation Programme

  • Jan Welch (a1), Christine Bridge (a1), David Firth (a2) and Alastair Forrest (a3)
Abstract
Aims and method

We explored the views of foundation doctors on psychiatry placements to inform further post development. Following criticism of some South Thames Foundation School (STFS) psychiatry placements, STFS staff reviewed existing information on post quality and 21 foundation doctors in psychiatry posts took part in three focus groups.

Results

Trainees are concerned about the general quality of posts (including supervision and induction); isolation of mental health trusts from ‘acute’ trusts; the professional position of junior psychiatrists; and responsibilities related to the Mental Health Act and risk assessment. Requirements for posts to address these issues have been developed and are now being implemented locally.

Clinical implications

The conclusions are relevant to the quality management of foundation posts in mental health trusts, responses to the Collins Report (2010) and future recruitment into psychiatry.

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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.
Corresponding author
Jan Welch (jan.welch@kcl.ac.uk)
Footnotes
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Declarations of interest None.

Footnotes
References
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1 Herzberg, J, Forrest, A and Heard, S. Modernising medical careers: an opportunity for psychiatry? Psychiatr Bull 2004; 28: 233–4.
2 Brockington, IF, Mumford, DB. Recruitment into psychiatry. Br J Psychiatry 2002; 180: 307–12.
3 Goldacre, MJ, Laxton, L, Lambert, TW. Medical graduates early career choices of specialty and their eventual specialty destinations: UK prospective cohort studies. BMJ 2010; 340: 6 July (Epub ahead of print).
4 Brown, N, Bhugra, D. Modernising medical careers, the Foundation Programme and psychiatry. Psychiatr Bull 2005; 29: 204–6.
5 Boyle, AM, Chaloner, DA, Millward, T, Rao, V, Messer, C. Recruitment from foundation year 2 posts into specialty training: a potential success story? Psychiatr Bull 2009; 33: 306–8.
6 Brown, N, Vassilas, CA, Oakley, C. Recruiting psychiatrists – a Sisyphean task? Psychiatr Bull 2009; 33: 390–2.
7 Howard, R, Oakley, C, Harrison, J. Tackling psychiatry's recruitment crisis head on. Royal College of Psychiatrists. RCPsych News 2008; November (http://www.rcpsych.ac.uk/member/rcpsychnews/november2008.aspx).
8 Collins, J. Foundation for Excellence. An Evaluation of the Foundation Programme. Medical Education England, 2010.
9 Kitzinger, J. Qualitative research: introducing focus groups. BMJ 1995; 311: 299.
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BJPsych Bulletin
  • ISSN: 1758-3209
  • EISSN: 1758-3217
  • URL: /core/journals/bjpsych-bulletin
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Improving psychiatry training in the Foundation Programme

  • Jan Welch (a1), Christine Bridge (a1), David Firth (a2) and Alastair Forrest (a3)
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