Becoming a child and adolescent psychiatrist in Spain: trainees’ perspectives

Training of adult psychiatrists and child and adolescent psychiatrists in europe: a systematic review of training characteristics and transition from child/adolescent to adult mental health services

“…All major therapies are represented.Van Effenterre et al, 2014 [32]To study the teachers’ point of view on psychiatric training in France (weaknesses and strengths of the training, recent improvements and problems) and to compare with residents’ opinionQuasi-experimental (quantitative) study: SurveyResponse rate = 79/125 (63%) teachers.29Emailed questionnaires sent in April 2012 to 125 academic professors and hospital practitioners (PU-PH)- A majority of PU-PH (78%) willing to maintain a single training pathway including AP and CAP within a single diploma.- Almost all suggested the implementation of an assessment of teaching and a formal mentorship program.- Length of the training is a more controversial aspect.- Suggested areas of improvement: training in psychotherapy and research, access to supervision. Crucial need to implement an efficient supervision during residency.Fàbrega Ribera & Ilzarbe, 2017 [33]To evaluate the current situation experience of trainees interested in CAP involved in general psychiatry training.Quasi-experimental (quantitative) study: Online surveyResponse rate: 55/94 (59%) trainees25- 4-month mandatory training in CAP included in the GAP programme94 trainees identified as interested in working in CAP- mandatory CAP placement- CAP can also be a clinical elective rotation- Time spent in CAP (mandatory placement + elective rotation): 3–20 months, median = 8 months- Wide variability, from trainees being in CAP placements for 3 months to others being there for almost 2 years( a ) See Table 2 for details Abbreviations : UEMS CAP Union Européenne des Médecins Spécialistes section of Child and Adolescents Psychiatry, EFPT European Federation of Psychiatry Trainees, WHO World Health Organization, WPA World Psychiatric Association, EBP European Board of Psychiatry, ECPC Early Career Psychiatrists Committee, CAP Child and Adolescent Psychiatry, AP Adult Psychiatry, ESCAP European Society of Child and Adolescents Psychiatry, GAP General and Adult Psychiatry…”

“…CAP and GAP training were delivered separately at the start of training in more than half of the European countries; yet for a further 21% of countries, this relationship could not be precisely determined due to contradictory data available (Czech Republic, Estonia, Latvia and UK) ( Additional file 4: Table S5) or because the term “separate” is not defined in the available literature. The case of Spain is particular: CAP and GAP are now separated according to the Law but this separation has not been implemented yet, leading to still one common training [33].…”

“…Trainees are provided with a generalist education and receive a general diploma of “psychiatrists”. This model was identified only in 5/33 countries (15%)3, among which Spain was included since the separation of GAP and CAP has not been implemented in the training programmes yet [33]. In the second model, psychiatry is divided into totally independent specialties (e.g.…”

Importancia de la formación en psiquiatría de la infancia y adolescencia

“…Una mayoría de residentes de psiquiatría desearían una mejor formación en esta área, pero actualmente suele ser escasa y muy variable. Se deja en gran parte a la libre elección del residente en función también de las posibilidades de su entorno (20). Es por tanto una necesidad que se apruebe oficialmente por las autoridades competentes la especialidad de psiquiatría de la infancia y adolescencia y que se regule y organice la formación de forma homogénea como sucede en los países del entorno.…”