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training in child and adolescent psychiatry

Training in child and adolescent psychiatry

Our child and adolescent psychiatry training scheme for SpRs and ST4-6 psychiatrists is one of the five London training schemes. It is one of the smaller schemes with only eight to 12 trainees at any one time.

This allows for a more personal and flexible approach to meeting each trainee's training needs.

The training scheme is also highly regarded for wide range of experience offered across the overlapping biological and psychosocial components of child and adolescent psychiatry.

Training posts

There are nine funded posts for London on the scheme. In addition, Health Education Kent Surrey and Sussex Deanery (HEKSS) funds two training posts in Surrey and Sussex, which are part of the overall scheme. Where feasible, it is possible to move between the two parts of the scheme.

Over the course of three years, trainees will spend two years in specialist community CAMHS (Tier 3) and one year in highly specialist (Tier 4) services, including inpatient settings.

Following the Trust’s CAMHS transformation, Tier 3 services include five borough-based community teams, a Wandsworth Children with Learning Disabilities team and two Trust-wide specialist teams for Neurodevelopmental Disorders (ADHD and Autistic Spectrum Disorders) and Eating Disorders.

Tier 4 services include the Adolescent Resource Centre (inpatient unit and assertive outreach team), inpatient Eating Disorders service and the national service for Deaf CAMHS.

London-based posts are located in the South West London & St George’s Mental Health NHS Trust, which operates over 150 services from locations in Kingston, Merton, Richmond, Sutton and Wandsworth. This spread allows a wide range of experience; the Trust serves a very diverse population of approximately 1 million people in South West London, with a mix of affluence and deprivation, although on average the population the Trust covers is more affluent than in other London regions. The sites include:

  • Springfield University Hospital, Tooting
  • Tolworth Hospital, Tolworth
  • Jubilee Health Centre, Wallington
  • Richmond Royal Hospital, Richmond
  • Birches House, Mitcham

Posts in HEKSS include:
  • Epsom
  • Frimley
  • Brighton
  • Lewes
  • Princess Royal Hospital, Haywards Heath (inpatient)

Academic Programme

There is a weekly academic programme, which is trainee-led and facilitated by a consultant psychiatrist. This is organized on a termly basis by Bea Vickers, Academic Programme Director, and the Academic Steering Committee. The academic programme covers the curriculum over a three-year cycle. Attendance is compulsory as per curriculum requirements.

The teaching takes place on Thursday afternoons, in the Post-graduate Medical Education Center at Springfield Hospital. Three times a month there is a facilitated “Reflective Practice”, or “Balint” Group which encourages the development of reflective, systemic thinking with an emphasis on individual roles within wider systems.

There is also regular on call discussion and monthly CBT teaching and supervision of cases by one of the consultant psychiatrists.

Psychotherapy experience

There are opportunities to gain experience in various modalities of psychotherapy including cognitive behavioural therapy (CBT), family therapy, mentalisation-based therapy (MBT) and exposure and response prevention.

Trainees are supervised throughout these experiences through regular meetings with a consultant psychiatrist or experienced clinical psychologist.

Research

Trainees are given one day per week (pro rata) for research.

As a curriculum requirement, trainees are expected to complete a literature review within 18 months of commencing training, which should be to a publishable standard.

The Trust is actively involved in research and there are opportunities for trainees to participate in this in order to obtain research experience and publications.

The scheme has a Research Coordinator (Dr Nicolette Gentili), who takes an overview of all trainees' research experience across their training. Trainees will also have a research supervisor for their individual projects. In conjunction with their clinical supervisor and training programme director trainees may choose, after completion of their literature review, to utilize allocated research time for other structured clinical experiences.

On call

London posts

The higher training on-call rota is consists of a 40% banded full shift rota. Trainees complete on-calls at either evenings (5-9pm), weekend days or nights. Out of hours cover is provided to the inpatient units at Springfield University Hospital and the Section 136 suite.

CAMHS Liaison Psychiatry cover is provided to St Helier Hospital, Kingston Hospital and St George’s Hospital.

The on call rota is joint with Adults with Learning Disabilities. Trainees are second on call. The on call Consultant psychiatrists in CAMHS and Adult LD are available for support and supervision.

HEKSS posts

Individual arrangements are in place to ensure that all trainees are able to meet the mandatory ILOs for managing emergencies.

In addition, could also the full word document of the prospectus be uploaded on the main page of the training, adding a line to say for further details, please have a look at the Scheme’s Prospectus?

 

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