3 results
Is Simulation a Practical and Effective Training Modality in Psychiatry? an Evaluation of What Works and Doesn't From Our Experience in North East
- Prathibha Rao, Bruce Owen, Val Tippins, Claire Mcloughlin, Richard Lamph
-
- Journal:
- BJPsych Open / Volume 9 / Issue S1 / July 2023
- Published online by Cambridge University Press:
- 07 July 2023, pp. S33-S34
-
- Article
-
- You have access Access
- Open access
- Export citation
-
Aims
Several studies on simulation as a method of teaching have identified advantages- on attitudes, skills, knowledge and behaviours, and non-technical skills such as situational awareness, team working, interpersonal interactions with improved confidence. Use of simulation in Psychiatry is growing, but studies are limited. We decided to evaluate our own delivery of simulation in trust and align this to the national strategy to identify gaps and further work
MethodsWhat are we offering now?
• Core trainees- Emergencies in Psychiatry- seclusion, suicide risk assessment and fracture neck of femur. Communication skills course, mock CASC, ILS.
• Higher trainees- Tribunal preparation and providing evidence, Induction- Out of hours supervising 1st on call, Managing serious incident
• In development-Immersive technology- Higher trainee supervising a junior doctor OOH
ResultsChallenges and solutions
• Participant anxiety-Performing in front of peers can be demanding and reduces take up. ‘What to expect’ pre-session workbook, small group numbers (3), reiterating the focus of session on learning and confidentiality has improved participation.
• Resource (scenario development) - Takes time and effort to achieve high quality, piloting and continual adjustments to tailor to the learners' needs. We appointed 3 SIM leads and hold regular meetings.
• Resource (trainers)- Hard to resource trained trainers. Developed an in-house training programmes for trainers, but persistent difficulties in maintaining consistency and time commitments with same group of ‘trained trainers’. Included brief training pre-session in morning for facilitators.
• Resources (finance)-Expensive to support Simulated patients. We used COVID-19 recovery funds and constructed purpose-built SIM rooms in education centre, which adds to fidelity
ConclusionFeedback: Excellent feedback received with positive comments about supportive learning, SIM facilities and debriefing.
Despite being highly resource intensive, simulation is a powerful, unique, and valuable method of training in Psychiatry. Availability of resource will continue to pose challenges, but use of digital Immersive technology and focussing on relevant areas in line with National vision strategy and with identified groups- Induction, SuppoRTT, new to NHS, Remediation, CASC preparation and enhancing capacity of learning environment where there are gaps may be a good starting point. Use of MDT integrated scenarios can offer more fidelity.
Future identified areas will be
• CT1s-Physical health skills (refresher), history taking, MSE, handover. Emergency scenarios- NMS, lithium toxicity, cardiac complications due to clozapine
• Higher trainees- Mental health act assessments, supervising doctors in training/members of MDT. Chairing team meeting, handover, breaking bad news, presenting in a coroner's court
Online news media reporting of ketamine as a treatment for depression from 2000 to 2017
- Bronagh Gallagher, Aaron Neiman, Marie-Claire Slattery, Declan M. McLoughlin
-
- Journal:
- Irish Journal of Psychological Medicine / Volume 40 / Issue 4 / December 2023
- Published online by Cambridge University Press:
- 01 July 2021, pp. 607-615
- Print publication:
- December 2023
-
- Article
-
- You have access Access
- Open access
- HTML
- Export citation
-
Objectives:
Since the first reporting of ketamine’s antidepressant effects in 2000, there has been growing public interest in this novel rapid-acting treatment for depression despite its abuse potential. Online media is an increasingly popular way for the general public to source information. Our objective was to examine how online news outlets have portrayed ketamine as an antidepressant by ascertaining the volume and content of relevant articles and trends over time.
Methods:In this semi-quantitative study, we identified articles regarding ketamine’s use in depression from the 30 most popular English-language online news-generating sources over 18 years (2000–2017). Articles were then blindly assessed by 2 independent raters, who analysed the texts by quantifying the presence/absence of 12 content items.
Results:We identified 97 articles, the number of which has increased since the first online news report in 2006. Most (69%) came from the USA and nearly all correctly stated the indications for ketamine. About half of the most recent articles mentioned abuse potential and 27% of articles referred to risks of unregulated use of ketamine. Just under 20% of articles referred to the lack of evidence regarding direct comparisons between ketamine and other currently available antidepressants. There was no difference in the overall level of detail within the articles during the study time period.
Conclusions:Online news media articles have been generally positive about ketamine for treating depression but need to be interpreted with caution as many of them did not discuss negative aspects of ketamine and made unsubstantiated claims about ketamine.
4 - An Evaluation of Scottish Trade with Iberia during the Anglo-Spanish War, 1585-1604
- Edited by James Davey, Richard Blakemore
-
- Book:
- Maritime World of Early Modern Britain
- Published by:
- Amsterdam University Press
- Published online:
- 21 November 2020
- Print publication:
- 01 October 2020, pp 105-124
-
- Chapter
- Export citation
-
Summary
Scotland's trade with Iberia in the later sixteenth century has been, until recently, a little researched subject. Previous scholarship on the relationship between this newly Calvinist Scottish kingdom and Spain as the centre of Counter Reformation intrigue usually focuses on conflict rather than commerce. Scotland, a country with a still volatile Catholic nobility, often in rebellion, was seen as a place which could provide a second front against England in the Anglo-Spanish war. Indeed the most detailed scholarly research, by David Worthington and Concepción Saenz-Cambra, has concentrated on the intentions and policies of the Spanish Habsburgs towards Scotland during this period. As Saenz-Cambra has pointed out, Scotland's political and religious instability at the beginning of James's adult reign, coupled with the rising influence of his Catholic cousin, Esme Stewart, the Earl of Lennox, made the kingdom increasingly attractive to Philip II. The Government of England, meanwhile, kept a wary eye on its northern neighbour, with the common perception that Scotland was politically insecure and in need of money enforcing the impression that the kingdom could be susceptible to Spanish influence. This view of Scotland as a geopolitical opportunity for Spain, however, is only one facet of Scotland's position in the Anglo-Spanish war, with Scotland's neutral status in the conflict affording opportunities for both Scottish and English commercial classes
This chapter investigates Scottish trade with Iberia during the conflict by bringing together numerous fleeting references in various secondary works and adding a significant amount of original research. Initially, this involves a brief discussion of examples of Scottish trade with Iberia, showing that this trade was more common than previously thought. A survey of the delicate political situation in which Scotland found herself during the Anglo-Spanish war follows, including the influence this had on trade, and the challenges that Scottish merchants faced due to the conflict. The last section will focus more particularly on the Scots who took advantage of the war by acting as intermediaries for their English counterparts, and the dangers that this could present to the merchants involved. As alluded to in the introduction, trade relations between Scotland and Iberia have, until recently, been a neglected area of early modern history, with references to Scots trading in Iberia appearing in secondary literature only as part of a wider study on a different topic, rather than as a standalone subject.