www.SchoolofPsychiatry.net NW School of Psychiatry HENW (North Western) MRCPsych Course “Theory to Practice” Dr Latha Hackett Course Director NW School of Psychiatry Email: [email protected]Sam Abbott Dr Raghu Paranthaman Medical Education Manager Trust MRCPSych Lead NW School of Psychiatry Greater Manchester West NHS FT Email: [email protected]: [email protected]
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HENW (North Western) MRCPsych Course · Psychiatry HENW (North Western) MRCPsych Course “Theory to Practice” ... distant learning, face to face and periods of private study
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• Historically delivered via Manchester University
• 30 day MRCPsych course
• Delivered over 2 year period
• Has been running for more than three decades
• In the last three years the course moved towards blended learning,
distant learning, face to face and periods of private study
• Summer 2013 - £3,500 per trainee per year, due to
increase for 2014...
• Termination of contract by the Deanery in 2013
Point of no return, hence opportunity for a new NHS
developed and locally delivered programme
www.SchoolofPsychiatry.net
NW School of
Psychiatry
From September 2014
• No University run course for CT1s
• CT2 trainees to continue on the University course. Last
cohort completed in the of summer 2015
• No extra money
• NHS had to provide the training
New NHS run course for CT1 had to start September 2014
www.SchoolofPsychiatry.net
NW School of
Psychiatry
Setting up the Course…
• Commenced in Post 1.4.14 - 1 day a week secondment
• Studied core curriculum, examination, Wessex NHS run
course, Mersey University course & Manchester
University course - April 2014
• Phase 1 completed by July 2014
• Phase 2 commenced September 2014
www.SchoolofPsychiatry.net
NW School of
Psychiatry
Consultation May – June 2014
• CT/STs currently on the course or who had recently
completed the University MRCPsych
• Site tutors as a group, some individually, School
Operational Board, DMEs – across the patch of 9
Trusts
• MHSC, GMW, Pennine Care, Lancashire Care,
Cumbria, CMFT, 5BP, Macclesfield and Calderstones
• One half day (tutors/CTPD) and 1 full day (included all
interested parties)
www.SchoolofPsychiatry.net
NW School of
Psychiatry
Consultation Findings
• Considerable variations in training provided by different
LEPs
• Some really excellent models of training e.g. 555
presentation
• In some LEPs – there was variation between own sites
• Psychotherapy training - Met the College requirement 30
sessions of Balint group, one long case and one short
case in two different modalities. Again delivery varied
across LEPs
• No consistency & parity in training
Though every body was keen & trying their best and
there was a lot of enthusiasm for training on all sites
www.SchoolofPsychiatry.net
NW School of
Psychiatry
Disconnection & Variation
Between:
• Learning in the Placement
• Educational Supervisor supervision
• LEP Programme
• University run course
• Psychotherapy
• MRCPsych examination
www.SchoolofPsychiatry.net
NW School of
Psychiatry
Outcome
Curriculum Development
• Subgroup established in June 2014 (recommendation, major
educational role)
• LEP Programme/Handbooks/Website operational by
August 2014
Delivery
• LEP programme to commence September 2014
• Academic course to commence September 2014 for CT1
• Evaluation
www.SchoolofPsychiatry.net
NW School of
Psychiatry
New Course Principles
• Psychiatrists are medically qualified doctors with a
specialism in Psychiatry
• Adult learning principles
• Achievement of core skills for core trainees:
– Training close to patients, learning from patients, learning from ES,
in MDT, in the LEP Programme
• What cannot be done locally in placements – done
centrally e.g. academic day, exam preparation
• Good practice on sites incorporated - 555, psychotherapy
• Training offered on different sites are now comparable &
measurable
www.SchoolofPsychiatry.net
NW School of
Psychiatry
New Course Aims To:
• Reconnect the four training strands:
– Educational Supervisor supervision
– LEP run weekly sessions
– Academic course at the Medical Education, School of Psychiatry
(replaced the “University run course)”
– Psychotherapy
• And link them to:
– MRCPsych examination
• Achieving:
– “Consistency/parity across sites and increase depth of knowledge”
to address differences in training provision across LEP’s
www.SchoolofPsychiatry.net
NW School of
Psychiatry
Some Parallels To:
• PBL for Medical students in Manchester
• Run on different sites with the same PBL format with PBL trained
Doctors
• Have handbooks prepared by a committee that PBL tutors follow –
handbook for tutors and handbook for students
• Students do have some lectures centrally – e.g. statistics during
their Project Option etc etc…
Discussion with Manchester Medical School lead for PBL re:
how the University reviewed its PBL teaching
www.SchoolofPsychiatry.net
NW School of
Psychiatry
Module Leads Site Leads • General Adult – Dr Brijesh Desai,
Lancs Care – recommended by TPD
• Old Age – Dr Gareth Thomas, Lancs
Care, MEF, recommended by TPD
• Child & Adolescent Psychiatry – Dr
Neelo Aslam, CMFT (TPD)
• Intellectual Disability – Dr Nasim
Chaudhry, GMW, Dr Sol Mustafa
Pennine – recommended by DMEs
• Forensic – Drs Vicky Sullivan &
Hany El-Metaal, GMW – by STP
• Substance Misuse – Dr Patrick
Horgan, GMW - by STP
Psychotherapy – Dr Adam Dierckx,
MMHSC, by STP
• GMW – Dr Raghu Paranthaman
• Pennine Care – Dr Ema Etuk
• MHSC- Dr Adam Dierckx
• Lancashire Care – Drs Brijesh
Desai/Gareth Thomas
• Cumbria - Dr Andrew Morgan,
Tutor
• 5BP – Dr Nithya Anand, Tutor
• Acute Trusts - trainees based
in acute Trusts (CAMHS) tend to
join local mental health trusts
www.SchoolofPsychiatry.net
NW School of
Psychiatry
• School of Psychiatry Postgraduate Collaborative
managed by Samantha Abbott
– With the enormous help of administrators, Janene Chesters,
Laura Griffiths and Angela McMahon
• Operational Group meets 2-4 times a year
• 2014 - July 14, August 14, October 14
• 2015 – January 2015, July 2015,
• 2016 - January 2016
Supported by:
www.SchoolofPsychiatry.net
NW School of
Psychiatry NW Psychiatry School Board
MRCPsych Course Oversight Committee Prof D Longson - HoS, Dr M Campbell – DME, Dr L Hackett – Course Director, Ms S Abbott – NW MEM, Trainee & User Reps
Course Director Dr Latha Hackett
NW PG Medical Education Dept Ms Samantha Abbott – NW Med Ed Manager
Angela McMahon, Laura Griffiths & Janene Chesters – Med
Ed Administrators
Trust Leads 5BP – Dr Nithya Anand
Cumbria – Dr A Morgan
GMW – Dr R Paranthaman
Lancashire Care – Dr G Thomas/Dr B Desai
Manchester Mental Health – Dr A Dierckx
Pennine Care – Dr Ema Etuk
Module Leads General Adult – Dr B Desai/Dr R Thomasson
Old Age – Dr G Thomas
Forensic – Dr H El-Metaal/Dr V Sullivan
CAMHS – Dr N Aslam
ID – Dr N Chaudhry/Dr S Mustafa
Substance Misuse – Dr P Horgan
Psychotherapy – Dr A Dierckx
www.SchoolofPsychiatry.net
NW School of
Psychiatry
Theory to Practice
Educational
Supervisor/
Supervision -
weekly an hour
Psychological
modalities
30 Balint gps +
Long case &
Short case in 2
diff modalities
Academic
Programme –
Ct1-12 days
Ct2 – 12 days
Local
Educational
Provider (LEP)
(44) 30
sessions a year
Attain core competencies +
MRCPsych Exam (Progress Test – Written & Clinical)
www.SchoolofPsychiatry.net
NW School of
Psychiatry
• Local Education Provider Programme – LEPP
• Every LEP was providing weekly Journal club and case
presentations (44 sessions annually)
• Many were already providing, weekly, half day sessions
for the whole year
• The main difference from the old course was to
strengthen this bit of the training
• We recommended that all LEPs provide mandatory 15,
half day sessions every six months with the content