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A meeting point for neurology and psychiatry?

Published online by Cambridge University Press:  02 January 2018

Rory Conn
Affiliation:
Camden and Islington NHS Foundation Trust, London, UK, email: rconn@doctors.org.uk
Andrea E. Cavanna
Affiliation:
Birmingham and Solihull Mental Health NHS Foundation Trust, UK, Honorary Reader in Neuropsychiatry, University of Birmingham, UK, and Visiting Professor in Neuropsychiatry, University of Pavia, Italy
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Abstract

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Creative Commons
Creative Common License - CCCreative Common License - BY
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.
Copyright
Copyright © Royal College of Psychiatrists, 2013

We are encouraged that our paper has sparked some debate of these important issues. We agree with Conn & Husain Reference Oakley, Jenkinson and Oyebode1 that conducting emergency assessments out of hours is a crucial component of training in psychiatry. We also support the Section of Neuropsychiatry’s view that evaluation of the practical aspects of implementing a more integrated curriculum would be beneficial.

We understand the arguments put forward by Burza & Hilton about the value of old age psychiatry and their assertion that it has non-parity with other specialties in our proposed scheme for postgraduate training in psychiatry. It was not our active intention to reduce trainees’ exposure to old age psychiatry but this was a product of the challenge of trying to accommodate neurology, psychopharmacology and psychotherapy which currently are not routine placements. However, we intend our paper to stimulate discussion and would hope that this, and other perspectives, could lead to further shaping of a proposal for psychiatric training for the next generation.

References

1 Oakley, C, Jenkinson, J, Oyebode, F. Psychiatric training for the next generation. Psychiatrist 2013; 37: 25–9.Google Scholar
2 Silver, JM. Behavioral neurology and neuropsychiatry is a subspecialty. J Neuropsychiatry Clin Neurosci 2006; 18: 146–8.CrossRefGoogle ScholarPubMed
3 Agrawal, N, Fleminger, S, Ring, H, Deb, S. Neuropsychiatry in the UK: planning the service provision for the 21st century. Psychiatr Bull 2008; 32: 303–6.Google Scholar
4 Arambepola, NMA, Rickards, H, Cavanna, AE. The evolving discipline and services of neuropsychiatry in the United Kingdom. Acta Neuropsychiatr 2012; 24: 191–8.CrossRefGoogle ScholarPubMed
5 Earl, J, Pop, O, Jefferies, K, Agrawal, N. Impact of neuropsychiatry screening in neurological in-patients: comparison with routine clinical practice. Acta Neuropsychiatr 2011; 23: 297301.CrossRefGoogle ScholarPubMed
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