The Foundation Programme in psychiatry: a qualitative study into the effects of a foundation placement

Boyle, Ann; Davies, S.; Dogra, Nisha; Perry, Jennifer; Fosker, Hannah

doi:10.1192/pb.bp.115.051243

Cited by 3 publications

(4 citation statements)

References 5 publications

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“…This may be especially important in offering a remedy for negative views or career deterrents established earlier in training. This supports the ongoing efforts targeting exposure and opportunities in psychiatry for foundation year doctors, and further highlights the importance of targeting psychiatry bashing by other specialties ( Kelley, Brown and Carney, 2013 ; Mukherjee, Maier and Wessely, 2013 ; Ajaz et al , 2016 ; Boyle et al , 2016 ; The Royal College of Psychiatrists, 2017c ).…”

Section: Discussionsupporting

confidence: 63%

“…This is something that has been reported as having been particularly identified in the postgraduate years and is identified as one of the top shared factors for core trainees and consultants choosing psychiatry ( Dein, Livingston and Bench, 2007 ; Denman, Oyebode and Greening, 2016 ). This holistic approach has also been identified as beneficial for doctors regardless of career choice, with doctors appreciating that mental illness is encountered in all specialties and that psychiatric clinical experience offers the opportunity to gain transferable skills to enable management of the ‘whole’ patient ( Boyle et al , 2016 ). This supports the premise that more doctors should have exposure to psychiatric placements regardless of an aim for recruitment, albeit that this may also favourably influence the number of trainees opting to choose psychiatry.…”

Section: Discussionmentioning

confidence: 99%

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#ChoosePsychiatry #the60secondchallenge – a thematic analysis of videos published on Twitter about reasons for choosing psychiatry

Cunliffe¹,

Hargreaves²,

Melton³

et al. 2018

MedEdPublish

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Aims and Method #ChoosePsychiatry is the Royal College of Psychiatrist's social media campaign aimed at medical students and foundation doctors to encourage recruitment into psychiatry. This study explored the reasons given for choosing psychiatry in videos uploaded by psychiatrists to Twitter alongside the campaign, through the use of thematic analysis. Results Each psychiatrist gave different reasons for choosing psychiatry but four main themes were identified: prior experience of psychiatry, career factors, patient factors and knowledge factors. Both undergraduate and postgraduate experiences were influential in choosing psychiatry. In particular, perceived job satisfaction, an opportunity to deliver holistic care and a sense of making a difference were also influential in choosing psychiatry. Clinical Implications Findings here support efforts to improve the undergraduate experience and to increase foundation posts, as well as maintaining some of the current key messages of the campaign. However, whilst engagement with the videos on Twitter was observed, further consideration of the most appropriate social media platform to ensure engagement with the target audience is needed.

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Section: Discussionsupporting

confidence: 63%

Section: Discussionmentioning

confidence: 99%

#ChoosePsychiatry #the60secondchallenge – a thematic analysis of videos published on Twitter about reasons for choosing psychiatry

Cunliffe¹,

Hargreaves²,

Melton³

et al. 2018

MedEdPublish

View full text Add to dashboard Cite

show abstract

“…This survey adds to previous findings 5 – 7 that exposure to psychiatry in foundation training is a powerful tool in recruiting doctors to work in the field. Remarkably, of doctors working in psychiatry in Northern Ireland, 45% had not considered a career in psychiatry before their foundation placement, and 92.31% went on to agree with the statement ‘After the completion of a psychiatry post within foundation training I was influenced to pursue a career in psychiatry’.…”

Section: Discussionmentioning

confidence: 61%

Who wants to be a psychiatrist? Northern Ireland foundation doctors (2006–2018) are positive toward psychiatry as career choice

Doris¹,

Grimason

Hughes

et al. 2020

BJPsych Bull

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Aims and method Northern Ireland presents itself as an anomaly – a region in which only 31.8% of doctors enter into any training programme after completion of the Foundation Programme, but where Core Psychiatry has been consistently oversubscribed. Here, we aim to find what other regions can learn from this success. All doctors of any grade, working in psychiatry, who had been though the Foundation Programme were questioned on their motivations for becoming a psychiatry trainee. Results Sixty-two doctors currently working in psychiatry responded, including over 60% of current trainees, and 45% stated they had not considered a career in psychiatry before their foundation attachment. Over 80% preferred foundation placements in FY2 only, rather than in either foundation year 1 or FY2. Clinical implications This survey identifies that for the majority of people who ultimately chose to train in psychiatry, in a region that has consistently attracted candidates to core and higher level training, completion of a foundation psychiatry post was an influencing factor in this decision. A strong majority of doctors prefer the foundation psychiatry placement to be offered in FY2.

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“…Moreover, psychiatry as a discipline was often seen to be stigmatised and as such this may have an impact on those who are to overcome such barriers within Medicine. 20 …”

Section: Discussionmentioning

confidence: 99%

Junior doctor psychiatry placements in hospital and community settings: a phenomenological study

et al. 2017

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ObjectivesThe proportion of junior doctors required to complete psychiatry placements in the UK has increased, due in part to vacant training posts and psychiatry career workforce shortages, as can be seen across the world. The aim of this study was to understand the lived experience of a Foundation Year 1 junior doctor psychiatry placement and to understand how job components influence attitudes.DesignThe study was conducted using a cross-sectional qualitative phenomenological approach.SettingHospital and community psychiatry department settings in the North East of England, UK.ParticipantsIn total, 14 Foundation Year 1 junior doctors were interviewed including seven men and seven women aged between 23 and 34 years. The majority had completed their medical degree in the UK and were White British.ResultsThe lived experience of a junior doctor psychiatry placement was understood by three core themes: exposure to patient recovery, connectedness with others in the healthcare team and subjective interpretations of psychiatry. The experiences were moderated by instances of role definition, reaction to the specialty and the organisational fit of the junior doctor capacity in the specialty.ConclusionsThe study reinforces and adds to the literature by identifying connectedness as being important for both job satisfaction and morale, which is currently damaged within the junior doctor population. The study provides in-depth insights into the lived experience of psychiatry placements and can be taken forward by educationalists to ensure the placements are meaningful experiences for junior doctors by developing role definition, belonging, structure and psychiatric care responsibility.

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The Foundation Programme in psychiatry: a qualitative study into the effects of a foundation placement

Cited by 3 publications

References 5 publications

#ChoosePsychiatry #the60secondchallenge – a thematic analysis of videos published on Twitter about reasons for choosing psychiatry

#ChoosePsychiatry #the60secondchallenge – a thematic analysis of videos published on Twitter about reasons for choosing psychiatry

Who wants to be a psychiatrist? Northern Ireland foundation doctors (2006–2018) are positive toward psychiatry as career choice

Junior doctor psychiatry placements in hospital and community settings: a phenomenological study

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