From specialist registrar to consultant: permission to land?

Naeem, Asim; Rutherford, Joan; Kenn, Chris

doi:10.1192/pb.29.9.348

Cited by 7 publications

(3 citation statements)

References 17 publications

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“…Every job has its own individual challenges that lead to some natural uncertainties. 4–6 These are often management and financial issues which are the aspects of the consultant role that take the longest to adapt to. 7,8 This probably explains to some extent why the informal support mechanisms that develop over time are often with consultants from other specialties across their Trust.…”

Section: Discussionmentioning

confidence: 99%

The first five years: a mixed methods study investigating reflections on working as a hospital consultant

2013

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ObjectivesThis paper revisits the same cohort of hospital consultants approximately five years after they were first appointed to investigate their reflections on establishing themselves in their role.DesignMixed methods using a short survey and in-depth semistructured interviews.SettingThe study was conducted within one Deanery in the North of England.ParticipantsThe same 45 hospital consultants who were invited to participate in the study in 2007 were asked to take part in the second stage of the project in February 2011. These 45 consultants started their appointments no earlier than May 2006 within 12 National Health Service (NHS) Trusts in one Deanery. A total of 16 consultants participated. Six consultants who took part in semistructured interviews in 2007–2008 were invited to be interviewed again. Four consented and participated in a further interview in 2011.Main outcome measuresDo consultants feel they have completed their transition into their senior clinical posts? Yes, although the ever changing nature of the consultant role means new challenges are always having to be being addressed. What support mechanisms are valued by consultants? Informal support mechanisms are greatly valued by consultants and these are built up over time. Are consultants satisfied that they made the correct specialty choice? Yes, all respondents reported satisfaction in their specialty choice.ResultsAfter reflecting on five years in post, all agreed that Specialist training prepared them well for the clinical aspects of their role. Ten (62%) felt they were not prepared for dealing with Trust Management issues and 13 (81%) felt unprepared for financial management.Conclusionsconsultants learn on the job and eventually fulfil their potential in the role over time. However, the role is regularly changing so informal support mechanisms are valued to help deal with a highly complex role.

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Section: Discussionmentioning

confidence: 99%

The first five years: a mixed methods study investigating reflections on working as a hospital consultant

2013

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“…The RCPsych has long recognised the stress associated with the appointment to first consultant job for specialist registrars with issues around complexities of responsibilities, requests and demands of their leaderships and professional skills, the necessity of managing their working practice in relation to the needs of colleagues, managers and other professionals (Dean, 2002; Naeem et al , 2005) with the first year as a consultant being particularly difficult (Holloway et al , 2000). The RCPsych has also advised that a newly appointed consultant should have access to a senior colleague – a Mentor for advice, support or information during the most difficult, early years in post (Holloway et al , 2000; Roberts et al , 2002).…”

Section: Discussionmentioning

confidence: 99%

Evaluating the department of health recruitment strategy: an international perspective

Gupta¹,

Gupta

Singh

2008

Clinical Governance: An International Journal

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PurposeThe purpose of this paper is to assess the experiences of internationally recruited (IR) consultant psychiatrists focussing on the recruitment process and its adherence to the department of health (DH) guidance.Design/methodology/approachIR consultant psychiatrists (n=88) from different countries were mailed a 13‐item questionnaire assessing their experiences regarding various aspects of the recruitment process.FindingsIn total, 48 per cent IR psychiatrists responded; 97 per cent were from India. The recruitment process was generally satisfactory with perceived gaps in support from various stakeholders. Inconsistent experiences were reported regarding induction, mentorship, clinical responsibilities, and racial discrimination.Originality/valueThis is believed to be the first such questionnaire‐based study carried out on the IR consultant psychiatrists and discussing their experiences of the overall recruitment process.

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“…Consultant appointments anchored on the Advisory Appointments Committee, a legally constituted interview dating back to the National Health Service Act 1946, are still at the heart of the consultant appointment process in most areas. [6][7][8] The training of doctors from medical school to specialist level, including the training of psychiatrists, has, over recent years, increasingly focused on the demonstration of key competencies as a prelude to progression. [9][10] However, for most people this eventually leads to a traditional medical panel interview for a consultant post, which generally does not assess the essential competencies required for carrying out the job successfully.…”

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confidence: 99%

An assessment centre for psychiatrists

2010

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SummaryAn assessment centre is a widely accepted management technique for the effective and fair selection of candidates for employment and promotion. In an era of evidence-based medicine, their adoption for clinicians must surely be overdue. We report our positive experience of introducing assessment centres at St Andrew's Healthcare, a UK mental health charity. The involvement of service users and members of the multidisciplinary team proved invaluable to the success of this innovation.

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From specialist registrar to consultant: permission to land?

Cited by 7 publications

References 17 publications

The first five years: a mixed methods study investigating reflections on working as a hospital consultant

The first five years: a mixed methods study investigating reflections on working as a hospital consultant

Evaluating the department of health recruitment strategy: an international perspective

An assessment centre for psychiatrists

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