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A Quality Improvement (Pilot) Project: Psychiatric Medical Education for Foundation Trainees

AIMS: Foundation Doctors are exposed to a range of specialties within the Foundation Programme, with 20.9% completing a psychiatry rotation. Those who do not have a psychiatry rotation may have little experience other than what was acquired in undergraduate training, despite being expected to care f...

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Autores principales: Nirodi, Pratibha, Uwaifo, Imagbe, Elisha-Aboh, Christiana, Onwuchekwa, Ogba, Watts, Rahul, Johnson, Richard, Brooks, Emma, Fitzmaurice, Lauren, Legg, Emily, Robinson, Maggie, Moncrieff, Jess
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9378242/
http://dx.doi.org/10.1192/bjo.2022.123
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author Nirodi, Pratibha
Uwaifo, Imagbe
Elisha-Aboh, Christiana
Onwuchekwa, Ogba
Watts, Rahul
Johnson, Richard
Brooks, Emma
Fitzmaurice, Lauren
Legg, Emily
Robinson, Maggie
Moncrieff, Jess
author_facet Nirodi, Pratibha
Uwaifo, Imagbe
Elisha-Aboh, Christiana
Onwuchekwa, Ogba
Watts, Rahul
Johnson, Richard
Brooks, Emma
Fitzmaurice, Lauren
Legg, Emily
Robinson, Maggie
Moncrieff, Jess
author_sort Nirodi, Pratibha
collection PubMed
description AIMS: Foundation Doctors are exposed to a range of specialties within the Foundation Programme, with 20.9% completing a psychiatry rotation. Those who do not have a psychiatry rotation may have little experience other than what was acquired in undergraduate training, despite being expected to care for patients with mental health problems. According to Mind (2017), one in four people will experience a mental health problem each year thus essential that our medical workforce know and understand the basic principles of psychiatry to aid their management of core psychiatric conditions. The aim of this project was to improve mental health literacy among Foundation Doctors by improving their communication, formulation and risk management skills. Another objective was to encourage uptake to Psychiatry and help plug the high number of unfilled Consultant posts. METHODS: The initial pilot was carried out between January and June 2021 over zoom and the sessions were optional. A survey was completed to find out which topics were most relevant and common themes included MCA/MHA interface, risk management and treatment of various conditions. These themes were incorporated into 90-minute sessions which included interactive case-based discussion in small breakout groups and some didactic teaching. The six session topics were EUPD, Dementia, Depression, Delirium, Substance Misuse and Alcohol Misuse. The sessions were facilitated by clinicians of mixed experience from Foundation Doctors to Consultants. Participant knowledge was tested using pre- and post-session quizzes and a working group reviewed feedback, making relevant changes subsequently. RESULTS: Feedback was majorly positive, and attendees valued the interactivity, breakout rooms, case studies and choice of topics. Suggested areas of improvement were having more time for discussion, technical difficulties, and less psychiatric ‘jargon’, but these tended to be isolated comments. Five out of six sessions showed an improvement in assessment scores afterwards, with an average improvement of 12.6% (average pre-session score of 70% and average post-session score of 82.6%). One session showed a decrease in the post-session quiz scores which on reflection showed that the questions in the assessment covered material not included in the session. CONCLUSION: The virtual programme was an effective way of improving knowledge and confidence in psychiatry. Whilst the sessions were positively received and showed improvements in post-session scores, there were some limitations which will be addressed and used to develop future training. There is now more mental health woven throughout the new Foundation curriculum and expected that much of this content will be covered during Foundation Training.
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spelling pubmed-93782422022-08-18 A Quality Improvement (Pilot) Project: Psychiatric Medical Education for Foundation Trainees Nirodi, Pratibha Uwaifo, Imagbe Elisha-Aboh, Christiana Onwuchekwa, Ogba Watts, Rahul Johnson, Richard Brooks, Emma Fitzmaurice, Lauren Legg, Emily Robinson, Maggie Moncrieff, Jess BJPsych Open Education and Training AIMS: Foundation Doctors are exposed to a range of specialties within the Foundation Programme, with 20.9% completing a psychiatry rotation. Those who do not have a psychiatry rotation may have little experience other than what was acquired in undergraduate training, despite being expected to care for patients with mental health problems. According to Mind (2017), one in four people will experience a mental health problem each year thus essential that our medical workforce know and understand the basic principles of psychiatry to aid their management of core psychiatric conditions. The aim of this project was to improve mental health literacy among Foundation Doctors by improving their communication, formulation and risk management skills. Another objective was to encourage uptake to Psychiatry and help plug the high number of unfilled Consultant posts. METHODS: The initial pilot was carried out between January and June 2021 over zoom and the sessions were optional. A survey was completed to find out which topics were most relevant and common themes included MCA/MHA interface, risk management and treatment of various conditions. These themes were incorporated into 90-minute sessions which included interactive case-based discussion in small breakout groups and some didactic teaching. The six session topics were EUPD, Dementia, Depression, Delirium, Substance Misuse and Alcohol Misuse. The sessions were facilitated by clinicians of mixed experience from Foundation Doctors to Consultants. Participant knowledge was tested using pre- and post-session quizzes and a working group reviewed feedback, making relevant changes subsequently. RESULTS: Feedback was majorly positive, and attendees valued the interactivity, breakout rooms, case studies and choice of topics. Suggested areas of improvement were having more time for discussion, technical difficulties, and less psychiatric ‘jargon’, but these tended to be isolated comments. Five out of six sessions showed an improvement in assessment scores afterwards, with an average improvement of 12.6% (average pre-session score of 70% and average post-session score of 82.6%). One session showed a decrease in the post-session quiz scores which on reflection showed that the questions in the assessment covered material not included in the session. CONCLUSION: The virtual programme was an effective way of improving knowledge and confidence in psychiatry. Whilst the sessions were positively received and showed improvements in post-session scores, there were some limitations which will be addressed and used to develop future training. There is now more mental health woven throughout the new Foundation curriculum and expected that much of this content will be covered during Foundation Training. Cambridge University Press 2022-06-20 /pmc/articles/PMC9378242/ http://dx.doi.org/10.1192/bjo.2022.123 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Education and Training
Nirodi, Pratibha
Uwaifo, Imagbe
Elisha-Aboh, Christiana
Onwuchekwa, Ogba
Watts, Rahul
Johnson, Richard
Brooks, Emma
Fitzmaurice, Lauren
Legg, Emily
Robinson, Maggie
Moncrieff, Jess
A Quality Improvement (Pilot) Project: Psychiatric Medical Education for Foundation Trainees
title A Quality Improvement (Pilot) Project: Psychiatric Medical Education for Foundation Trainees
title_full A Quality Improvement (Pilot) Project: Psychiatric Medical Education for Foundation Trainees
title_fullStr A Quality Improvement (Pilot) Project: Psychiatric Medical Education for Foundation Trainees
title_full_unstemmed A Quality Improvement (Pilot) Project: Psychiatric Medical Education for Foundation Trainees
title_short A Quality Improvement (Pilot) Project: Psychiatric Medical Education for Foundation Trainees
title_sort quality improvement (pilot) project: psychiatric medical education for foundation trainees
topic Education and Training
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9378242/
http://dx.doi.org/10.1192/bjo.2022.123
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