Academic journal article Indian Journal of Psychiatry

The Changing Face of Psychiatric Training in the UK

Academic journal article Indian Journal of Psychiatry

The Changing Face of Psychiatric Training in the UK

Article excerpt

Byline: M. Javed, M. Ramji, Robert. Jackson

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.

Introduction

The importance of postgraduate teaching and training in forming the knowledge base for future medical specialists is widely acknowledged. It is in this perspective that extensive changes are being proposed in the future higher medical teaching and training programs. The speciality of Psychiatry is also becoming more responsive to these changes, and keeping in view the significant development over recent years with expansion of knowledge in molecular biology, neurobiology, genetics, cognitive neurosciences, neuro-imaging, psychopharmacology and other related fields contributing to the growth of psychiatry, a number of new methods of teaching and training are being tried in many countries.[sup] [1] With an increase in the incidence and prevalence of mental disorders, it is likely that medical professionals will have to deal with an increased number of patients in their practices and this will therefore require more experienced and trained doctors at hospitals as well as at community levels.[sup] [2],[3] The needs for having more psychiatrists and trained professionals therefore becomes inevitable as these doctors will not only play a pivotal role in reducing the burden of mental disorders but also being imparters of knowledge and skills to trainees, students and other multi-disciplinary staff; they will increase the repertoire of knowledge amongst a rapidly evolving speciality. Similarly an increased interest among newly qualified medical graduates to choose psychiatry as their future career makes it even more important for comprehensive reviews in the current training programs[sup] [4] and certainly requires continuing updates in initial and continual training programs.

In the UK, the Royal College of Psychiatrists have traditionally managed the specialist training in psychiatry and has been supervising the postgraduate training programs along with organizing the speciality examinations for many years that lead to the award of College Membership (MRCPsych).[sup] [5] Previously, the membership examination was comprised of two parts consisting of written and clinical examinations in each part, and the College was responsible for setting the curriculum and standards for these examinations. The system has however been revised with the recent transformation of postgraduate medical education across all specialties in the UK, and is now mainly driven by recent legislation and the current trends in service and healthcare delivery.[sup] [6] The Postgraduate Medical Education and Training Board (PMETB), an independent body directly accountable to Parliament, has taken over the responsibilities of the Specialist Training Authority of the Medical Royal Colleges and is now responsible for all aspects of postgraduate medical education, training and assessment.[sup] [7],[8] Modernizing Medical Careers (MMC),[sup] [9] another initiative of the Department of Health, has also set out a career structure in which doctors are appointed to training programs with the original aim of streamlining the selection of trainees into training grades. …

Search by... Author
Show... All Results Primary Sources Peer-reviewed

Oops!

An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.