The changing face of psychiatric training in the UK

Abstract

With the introduction of many reforms and changes in medical training in the UK, postgraduate training has undergone significant transformation. The establishment of Postgraduate Medical Education and Training Board (PMETB), Modernizing Medical Careers (MMC), new recruitment processes and changes in the curriculum and examination structure are all having a major impact on the future training and teaching programs in psychiatry in the UK. Entry into psychiatry is becoming increasingly competitive and progression in career is now competency based in addition to the examination requirements subject to an annual review and regular appraisal. A structured portfolio is also vital in order to present evidence of competencies and ensure smooth progression through the training grades. This paper gives a general outline of these changes and describes the new training and examination requirements of the new system in place in the Psychiatric training in United Kingdom.

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

“…The organization is very complex, with the implications of many official organisms with various objectives. The lack of funding resources, with the possible intervention of pharmaceutical industries is also a problem.NAJaved et al, 2010 [39]To describe the training and examination requirements of the new system in place in 2007 in the Psychiatric training in UKExpert opinion- The establishment of Postgraduate Medical Education and Training Board, Modernizing Medical Careers, new recruitment processes and changes in the curriculum and examination structure are all having a major impact on the future training and teaching programs in psychiatry in the UK.- Entry into psychiatry is becoming increasingly competitive and progression in career is now competency based in addition to the examination requirements subject to an annual review and regular appraisal.- A structured portfolio is also vital in order to present evidence of competencies and ensure smooth progression through the training grades.NABobes et al, 2012 [40]To describe the current state of the Mental HealthCare Services in SpainNarrative reviewA literature search performed using MEDLINE, Spanish journals, reference lists, national databases, and European and Spanish official documentsSpecialist training programme in psychiatry was updated in 2008.NAThe new programme in psychiatry lasts four years.Child and adolescent psychiatry is not recognized as a speciality.Heterogeneous training of the specialists in charge of child and adolescent units is emphasized.Palha & Marques-Teixeira, 2012 [41]To describe the panorama of psychiatry in Portugal, including training of professionalsExpert opinionThe rationale of the training is focused on the specificity of psychiatry on mental pathology, in the consequences of medical and chirurgical pathologies on the psychic system and in the always-considerable importance of the psychic system on the processes of human illness.NACAP is organized as an autonomous speciality (since 1959) with its specific training programme, rules and guidelines, as well as practice domain.Van Schijndel et al, 2012 [42]To describe the state of psychiatry in the NetherlandsExpert opinionCurrent programme developed and disseminated as from 1 January 2011.NA- Backbone of the system: only one specialty with in-practice emphasis in three domains: CAP, AP or old age psychiatry, after a common trunk of general psychiatry.- All the knowledge and the skills that should be achieved are described as competencies that are comprehensively assessed.- Trainees have an increased liberty to fill in their own preferences and tailor a training scheme based on their personal interests.Crommen, 2013 [43]To present CAP in Belgium and the Flemish association for CAPExpert opinionThe CAP training program consists of integrated theoretical, clinical and research components.NA…”