NW School of Psychiatry HENW North Western MRCPsych

NW School of Psychiatry HENW (North Western) MRCPsych Course “Theory to Practice” Dr Latha Hackett Course Director NW School of Psychiatry Email: latha. hackett@cmft. nhs. uk Sam Abbott Medical Education Manager NW School of Psychiatry Email: sam. abbott@mhsc. nhs. uk: www. Schoolof. Psychiatry. net

NW School of Psychiatry Background • • • The process The course: Academic programme, LEPP *Training of Educational Supervisor Evaluation Challenges Future plans www. Schoolof. Psychiatry. net

NW School of Psychiatry Health Education North West • Brought together two former Deaneries, North Western & Mersey • Oversees postgraduate medical education & training with responsibility for over 7, 000 trainees • Process of aligning activity • Currently still two Schools of Psychiatry – Psychiatry trainees in the NW - 120 Core trainees, similar No of HST www. Schoolof. Psychiatry. net

NW School of Psychiatry The NW School of Psychiatry www. Schoolof. Psychiatry. net

NW School of Psychiatry Background to MRCPsych Course • 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. Schoolof. Psychiatry. net

NW School of Psychiatry From September 2014 • No University run course for CT 1 s • CT 2 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 CT 1 had to start September 2014 www. Schoolof. Psychiatry. 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. Schoolof. Psychiatry. 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, 5 BP, Macclesfield and Calderstones • One half day (tutors/CTPD) and 1 full day (included all interested parties) www. Schoolof. Psychiatry. 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. Schoolof. Psychiatry. net

NW School of Psychiatry Disconnection & Variation Between: • • • Learning in the Placement Educational Supervisor supervision LEP Programme University run course Psychotherapy MRCPsych examination www. Schoolof. Psychiatry. 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 CT 1 • Evaluation www. Schoolof. Psychiatry. 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 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. Schoolof. Psychiatry. 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. Schoolof. Psychiatry. 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… Discussion with Manchester Medical School lead for PBL re: how the University reviewed its PBL teaching www. Schoolof. Psychiatry. 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 N Fernando MHSC- Dr Adam Dierckx • Lancashire Care – Drs Brijesh Desai/Gareth Thomas • Cumbria - Dr Andrew Morgan, Tutor • 5 BP – Dr Joe Johnson, Tutor • Acute Trusts - trainees based in acute Trusts (CAMHS) tend to join local mental health trusts www. Schoolof. Psychiatry. net

NW School of Psychiatry Supported by: • School of Psychiatry Postgraduate Collaborative managed by Samantha Abbott – With the enormous help of administrators, Janene Chesters, Laura Griffiths and Angela Mc. Mahon • • Operational Group meets 2 -4 times a year 2014 - July 14, August 14, October 14 2015 – January 2015, July 2015, 2016 - January 2016 www. Schoolof. Psychiatry. net

NW School of Psychiatry NW Psychiatry School Board MRCPsych Course Oversight Committee Prof D Longson - Ho. S, 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 Mc. Mahon, Laura Griffiths & Janene Chesters – Med Ed Administrators Module Leads Trust 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 5 BP – D J Johnson 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 N Fernando www. Schoolof. Psychiatry. net

NW School of Psychiatry Theory to Practice Educational Supervisor/ Supervision weekly an hour Local Educational Provider (LEP) (44) 30 sessions a year Academic Programme – Ct 1 -12 days Ct 2 – 12 days Psychological modalities 30 Balint gps + Long case & Short case in 2 diff modalities Attain core competencies + MRCPsych Exam (Progress Test – Written & Clinical) www. Schoolof. Psychiatry. net

NW School of Psychiatry North Western Course “ES+LEP+Psychotherapy+Academic programme+ Exam Practice” • 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 recommended www. Schoolof. Psychiatry. net

NW School of Psychiatry North Western MRCPsych Course • LEP programme • Modular, two year rolling - 4 x 6 months • Each 6 month block has 15 half day sessions • Each block has General Adult, Old Age, Specialties – CAP, ID, Substance Misuse, Forensic, one across ages • LEPs had to meet, FY, GP, CT training needs • Psychological modalities – 30 (25) sessions of Balint group, one long case and one short case in two different modalities + preparation of trainees for providing therapy • Academic Programme (2 years) – 12 days a year for CT 1 and 12 days a year for CT 2 and no programme for CT 3 www. Schoolof. Psychiatry. net

NW School of Psychiatry North Western Course • Supported centrally from the School of Psychiatry, Module Leads and Course Director, producing: • Handbooks for GA for 6 months, OA, CAP, ID, Forensic, Substance Misuse completed – August 2014 • Trainee and ES handbook • Dedicated password protected on-line materials • Journal papers sent out 2 -4 weeks in advance • Expert Led Sessions – Prepared lectures were available • Feedback & Reflective notes www. Schoolof. Psychiatry. net

NW School of Psychiatry Schoolof. Psychiatry. net www. Schoolof. Psychiatry. net

NW School of Psychiatry August & February annually • Induction • Communication skills training – verbal, non verbal and written skills • Once the Academic programme and LEP programme is established we will jointly look at Communication skills training to share good practice & achieve best practice www. Schoolof. Psychiatry. net

NW School of Psychiatry 63 CT 1/2 on the course to date Trust Attending LEP Sessions at: 5 BP Leigh Calderstones Preston Central Manchester University Hospital Trainees join GMW & MMH&SCT sessions Cumbria Carlisle Greater Manchester West Prestwich (GMW) Lancashire Care Blackburn Blackpool Preston Manchester Mental Health & Social Care Trust NMGH (MMH&SCT) Pennine Care Bury Rochdale Oldham Tameside Stockport www. Schoolof. Psychiatry. net

NW School of Psychiatry September/March- Programme starts LEP + academic programme • Local Education Provider Programme commenced with the same modules across all areas • Mandatory 15 half days (4 hours) • Clear guidance on what must be covered during the 6 months • Modules could be delivered in any order as long as all were covered during that 6 month period • LEP still has 7 sessions available to cover topics of their choice e. g. audit/communication skills etc • Open to all trainees in psychiatry – FY, GP, CT 1 -3 • FY’s/GPs can do joint presentations with CTs www. Schoolof. Psychiatry. net

NW School of Psychiatry LEP Component • • General Adult – 6 (7) sessions Old Age - 2 sessions Child and Adolescent – 2 sessions Intellectual Disability – 1 session Forensic – 1 session Substance Misuse 1 session Every 6 months – a theme across ages e. g. Psychosis across the ages • • • 2 hours on MCQ’s, exam practice etc during the whole 6 months Total 15 sessions of 4 hours each every 6 months Total LEP (2 years) - 60 sessions in 24 months – 25 -GA, 8 –OA, 8 CAP, 4 – ID, 4 -Foren, 4 Substance misuse, 3 to Psychotherapy. 4 sessions themed across ages e. g. . Psychosis, Depression, eating disorder, Mental Illness in the family Centrally developed handbook for LEP advice on Journal club papers, Clearning outcomes, Link with Competencies (ILO), Cases for case presentation and ES handbook www. Schoolof. Psychiatry. net

NW School of Psychiatry Topics for LEP Programme • • • General adult topics - Topics for LEP – GA (25 sessions): Psychosis (4 sessions), Depression (4 sessions), Bipolar 4, Personality disorder 3, Anxiety disorders/GAD/Phobic/Panic -2, Suicide and self harm – 2, MHA/MCA, PTSD Organic, General Hospital, OCD – 1 each Papers, RCT, Meta-analysis/Systematic review, Economic study, Genetics Old age (8) – Assessment, Alzheimer’s dis, Other Neurodegenerative disor, Delirium, Mood disorders, Psychosis, anxiety disorders, Medicolegal aspects CAP (8) – Assessment, ADHD, ASD, Anxiety/Depression, Attachment disorder, eating disorders, ID in CAP, Legal aspects www. Schoolof. Psychiatry. net

NW School of Psychiatry Topics for LEP Programme - 2 • • • Psychotherapy – 3 – Psychotherapy services etc, Emotionally unstable personality disorder, 1 more ID (4)– Assessment, Mental disorders, Behavioural issues, Offenders Forensic (4) – Psychiatry and CJS, Link bet Crime and mental disorder 1 & 2, Psychiatry in court Substance Misuse (4) – Diag and treat of Alcohol problems, D & T problems with substance misuse other than alcohol, D & T of dual diagnosis, Recovery concepts, psychosocial treatments and service developments Across the ages – 4 sessions. Psychosis across the ages, Depression, eating disorders, mental illness and Family/Carers www. Schoolof. Psychiatry. net

NW School of Psychiatry MRCPsych – Academic Modules • Covers aspects that cannot be covered in the LEP course or in Placement • 12 days a year X 2 year course • 6 September-January 2015 – 6 days • 6 Feb- July 2015 – 6 days • September – December 2015 – 6 days • March-June 2016 – 6 days • Run at the School of Psychiatry on Thursdays • Exam syllabus to follow www. Schoolof. Psychiatry. net

NW School of Psychiatry Academic course 2014 -2016 • First 6 months: • 2 days in September, October & November ( 6 days) • Topics covered: Introduction to the MRCPsych including the new exams, Classification, Critical appraisal, Philosophy of psychiatry – 1 day • Basic Psychology, Neurosciences – 1 day each • Human development – 1 day • Psychopharmacology – 2 days • Every session they had MCQ’s www. Schoolof. Psychiatry. net

NW School of Psychiatry Academic course cont… • • • II six months Feb-July 2015 – 4 days for Psychotherapy, 1 day each for GA and OA III six months September 2015 -Jan 2016 – 2 GA , 2 OA (Physical health), 1 stats & research methodology, 1 each for Neuropsych IV six months March –July 2016 –, 1 GA, CAP, ID, Foren, Sub misuse & 1 for exam Total for 24 months – 24 days Run as seminars/Workshop, a few lectures *Consultant CPD – Consultants welcome to attend www. Schoolof. Psychiatry. net

NW School of Psychiatry Typical Academic Day Programme 9: 30 Expert session - Anorexia Nervosa 11: 00 Coffee 11: 15 Expert session - Bulimia Nervosa & other eating disorders 12: 15 Lunch 13: 00 Group work through 3 x 30 minute case vignettes Each case 15 minute group work then 15 minute discussion. Examples include assessment and treatment of complications, medicolegal frameworks for urgent treatment, strategies for relapse prevention) 15: 00 Coffee 15. 15 MCQ workshop www. Schoolof. Psychiatry. net

NW School of Psychiatry Exam Preparation • Every LEP session trainees have MCQ/EMI practice • Every academic programme MCQs • 3 hours exam Written practice every year (July 2015) • Yearly Progress Test – 11/12/15/16 June 2015 – Sat by ALL CT Trainees www. Schoolof. Psychiatry. net

NW School of Psychiatry Exam Feedback to Trainees www. Schoolof. Psychiatry. net

NW School of Psychiatry Educational Supervisors • Pivotal in training of trainees, hence have to be well supported • Know the curriculum and know what the exam is about • Clear about competencies and training requirements of core trainees in their placement • Educational supervision – to achieve consistency across the region - clinical and educational supervisor • ES being able to link the trainees learning – LEP, MRCPsych, Psychotherapy etc in educational supervision Points for us to consider –how we do this – in LEPs, across LEPs by pooling of resources across LEPs, this will start this Summer www. Schoolof. Psychiatry. net

NW School of Psychiatry Feedback • Weekly feedback from LEP programme • Feedback from the Academic Teaching Programme after each session • Generally extremely positive • Few recommendations • Some cancellations: • 3 slots cancelled – 1 JC on one site, 2 – 555 (all 3 different sites) (Sites are 5+1+1+3 = 11 sites (2)) www. Schoolof. Psychiatry. net

NW School of Psychiatry Academic Day Feedback How would you Rate these Sessions? Did they meet your expectations? www. Schoolof. Psychiatry. net

NW School of Psychiatry Encouraged Trainees to Prepare www. Schoolof. Psychiatry. net

NW School of Psychiatry Sessions were Lively & Stimulating www. Schoolof. Psychiatry. net

NW School of Psychiatry Trainee Feedback “Exam focussed – this is how these sessions SHOULD be!!!” “has encouraged me to read more” “Activities related to exams and ARCP “ Fascinating! “has sparked an interest!” “The entire session was made simple and kept me interested” “MCQ – enough time was given for us to discuss in groups” “there was a lot relevant to exams “Very stimulating discussions by speakers interested in the topic themselves” www. Schoolof. Psychiatry. net

NW School of Psychiatry LEP Programme Greater Manchester West LEP Experience Raghu Paranthaman MRCPsych Tutor GMW NHS Trust www. Schoolof. Psychiatry. net

NW School of Psychiatry Overview • Background • Setting up of course • Practical aspects of running the course • Feedback for the first year www. Schoolof. Psychiatry. net

NW School of Psychiatry MRCPsych - Theory to Practice Educational Supervisor/ Supervised training weekly an hour Local Educational Provider (LEP) 30 sessions a year – 4 hours each Academic Programme – Ct 1 -12 days Ct 2 – 12 days Psychological modalities 30 Balint gps + Long case & Short case in 2 diff modalities MRCPsych Exam(MCQ practice, Progress test) Slide coutresy of Dr. Latha Hackett www. Schoolof. Psychiatry. net

NW School of Psychiatry Local Educational Programme(Trust ) • Two year rolling modular programme - 4 x 6 months block • Same modules across all trusts in the region • Minimum of 15 half days every 6 months • Each block will have General Adult, Old age, Specialties – CAMHS, LD, Substance misuse, Forensic www. Schoolof. Psychiatry. net

NW School of Psychiatry GMW NHS Trust • Provides mental health services to Bolton, Salford and Trafford residents in Greater Manchester • Provides a number of specialist (substance misuse, adolescent inpatient, forensic) services for a wider geographical area • Trainees are mainly based in 4 sites www. Schoolof. Psychiatry. net

NW School of Psychiatry Trainees in GMW CT GPST ST FY Salford 9 2 8 6 Bolton 6 2 3 6 Trafford 7 1 2 4 Prestwich 10 0 7 0 Total 32 5 20 14 www. Schoolof. Psychiatry. net

NW School of Psychiatry Setting up of Course • Lead appointed - June’ 14 • Support from Lynda Hurst, Medical Education Manager • Meeting with tutors-variability in teaching across sites, feasibility of delivering 4 hour programme in each site • Attendance in directorate consultant meetings • Centralised Programme set up (start from Sep’ 14)race against time! • Support from a higher and a core trainee from second semester www. Schoolof. Psychiatry. net

NW School of Psychiatry GMW MRCPsych Programme • Started Sep’ 14 • Two semesters have been completed • Initially only for trainees in the 3 districts(Bolton, Salford & Trafford) • Trainees in specialist placements joined in Feb’ 15 • One centralised teaching for all junior doctors in our trust www. Schoolof. Psychiatry. net

NW School of Psychiatry MRCPsych Teaching • Wednesday afternoons (1 PM till 4. 30 PM) –Trust HQ, Prestwich site • Protected teaching time for all trainees • Light sandwich lunch provided Course has evolved: • Expanded from 15 sessions to 20 sessions per semester • CASC training and audit presentations- successful with excellent feedback • Sessions have been made shorter with more breaks www. Schoolof. Psychiatry. net

NW School of Psychiatry MRCPsych Teaching • 20 weeks from March to July and September to January • Each week will have a theme , eg: Depression • First 15 weeks : – Part of school of Psychiatry MRCPsych course – 70% attendance mandatory for Psychiatry CT 1’s and CT 2’s • Last 5 weeks – “Extra” Forensic & CAMHS sessions, CASC training & Audit presentations www. Schoolof. Psychiatry. net

NW School of Psychiatry Example Programme : Depression 13: 00 – 13: 45 Depression 14: 00 – 14: 45 Case presentation 15: 00 – 15: 15 555 presentation (on a depression topic eg: psychological therapies) 15: 15 – 16: 15 Expert led session(on a depression topic eg: Treatment of depression) 16: 15 – 16: 30 MCQ www. Schoolof. Psychiatry. net

NW School of Psychiatry Slot Allocations • All CT’s do at least 1 presentation • Extra slots allocated to CT 1’s/CT 2’s and then CT 3’s • No trainee does more than 2 presentations • Trainees do case conference in the speciality they are working in. Same for journal clubs as far as possible. • Other trainees(FY doctors, GP trainees and BBT) are not allocated slots • All ST’s chair a session www. Schoolof. Psychiatry. net

NW School of Psychiatry MRCPsych teaching • College(Site) tutors act as “co-ordinating tutors” for 5 sessions each every 6 months (4 tutors x 5 sessions = 20) • Agreement reached with the Consultant body that each consultant would aim to attend a minimum of 4 MRCPsych teaching sessions every year • Consultants deliver all the Expert led sessions www. Schoolof. Psychiatry. net

NW School of Psychiatry Teaching • There are guidelines for case conferences, journal clubs and chairing sessions • All the information is embedded in a word document- journal papers , 555 topics, guidelines www. Schoolof. Psychiatry. net

NW School of Psychiatry Attendance- Second Semester • Average- 32 per session • Range - 22 to 43 • Consultants- 8 per session www. Schoolof. Psychiatry. net

NW School of Psychiatry Feedback- First Semester Were the overall aims and objectives for the day met? N=172 21% 1% Yes No No Comment 78% www. Schoolof. Psychiatry. net

NW School of Psychiatry Feedback- Second Semester How would you rate this training session overall? www. Schoolof. Psychiatry. net

NW School of Psychiatry Feedback: Free text comments • “Well organised and I have really learned a lot” • “Really useful and thought provoking” • “Interesting, Interactive, Concise, Crisp” • “Excellent session” • “Range of topics covered” www. Schoolof. Psychiatry. net

NW School of Psychiatry Challenges • Venue • Cancellations- affects training of all trainees • IT issues • Lunch/range of refreshments provided • Local teaching(in each district) missed by some www. Schoolof. Psychiatry. net

NW School of Psychiatry Formal Evaluation • Focus groups of trainees (GT & DM) • Feed back from Tutors, ES, Consultants of the day – Spring/Summer • Advice obtained from Education Psychologist and Senior Lecturer in EP at Manchester University www. Schoolof. Psychiatry. net

NW School of Psychiatry The Challenges - 2014 There were a few sleepless nights…. • Main challenge was “fear of change and uncertainty”, “we get good feedback from trainees, what we do is very good, why should we change? ” • For me - having a Belief, to Listen, Develop, Change & Support & convince people it will work • Some rather difficult views, thankfully in the minority • The very tight timescale – April to July 2014 to organise, convince providers and deliver www. Schoolof. Psychiatry. net

NW School of Psychiatry Positives • All trainees access same teaching regardless of Trust. • Expert resources pooled across the NW • Holding one event rather than 3+ in some trusts saves time and money… • Consultants across the NW contributed to the development/delivery not just a few academics at the University • closer links to the exam • ES’s feel more connected to the MRCPsych training • Presentations are much closer linked to the curriculum/exams/syllabus than the University course which often felt detached – as commented by a university course trainee www. Schoolof. Psychiatry. net

NW School of Psychiatry Positives cont… • ES’s feel more connected to the MRCPsych training • Presentations are much closer linked to the curriculum/exams/syllabus - University course often felt detached – as commented by a university course trainee • School much more involved with trainee development/progress - therefore rapid access to TPD/Ho. S or Trusts when required to resolve issues - health issues, excessive on call etc, patterns emerge… www. Schoolof. Psychiatry. net

NW School of Psychiatry Challenges • Trainees feedback - Being on call and missing some of these sessions – want these sessions to be protected as this is their study leave • MCQs not being done in LEPP routinely • General adult – LEP 24 sessions over two years. To do the expert led sessions on time, though we have got better at this. Agreeing to do it and not arriving on time • Academic programme – Psychosexual and eating disorders • Some speakers wanting to be paid • Across the ages topics – need re-thinking • More admin time was funded in year two, still not enough • Up keep of the website • Feedback forms had to be re-designed • Small number of trainees in some sites • Not all expertise available in some sites e. g. forensic • New challenges that need to be looked at e. g. Communication workshops etc • Working together will really help these challenges www. Schoolof. Psychiatry. net

NW School of Psychiatry Comments from a DME… • Trainees say meets educational needs better • Trainees spend more time in the clinical placement – learning on the job! • Teaching more organised and planned • Excellent resources available on the school website • We learn from each other… www. Schoolof. Psychiatry. net

NW School of Psychiatry Comment from a Consultant “Good CPD, I’d Forgotten most of what I thought I should have known, good to go back, read up and update” www. Schoolof. Psychiatry. net

NW School of Psychiatry The next 12 months. . . • Re-Visit med ed committees, Meet ES’s, observe LEPP • Progress test both Written and Clinical exam annually before RCPsyc exam • Review Communication skills/Simulation training in placements – Started August 2015 • Training the ES in curriculum and examination (on line module under preparation) and CASC level training • CT 1 and CT 2 course is running from September 2015 • Review the whole course again in Spring 2016 – Consultation with all Trainees, Educational supervisors, Tutors, TPDs, DME • Format will remain same but up to date journal clubs etc www. Schoolof. Psychiatry. net

NW School of Psychiatry The next 12 months. . . • • Quality Assure To link with the Tr. On –trainee online (RCPsych) -Trainees can evidence for Portfolio & Triangulation, FY do it Communication/Simulation training – look at the practice across the patch and provide guidance on good practice MRCPsych website On line lectures, links to guidelines, news letters Regional training day for all, every two years. Updates on every branch of Psychiatry – Local/National/International speakers, hosted by the NW School of Psychiatry . . . “American Congress”- North of England Psychiatry Congress NW School of Psychiatry Debates Maudsley style debates – two or three times a year In conjunction with the Medical School, Royal College of Psychiatrists, School of Psychiatry etc www. Schoolof. Psychiatry. net

NW School of Psychiatry Quote “Change is hard at first, Messy in the middle And Gorgeous in the end” Robin Sharma www. Schoolof. Psychiatry. net

NW School of Psychiatry My experience Human beings, generally are not made for change But…. Most of us can be Persuaded Some of us are Malleable A few of us, have to be worked around www. Schoolof. Psychiatry. net

NW School of Psychiatry Acknowledgements • • • Wessex School of Psychiatry Professor Damien Longson Samantha Abbott and Team NW School of Psychiatry Subgroup leads, Trust leads, Tutors NW Directors of Medical Education New Consultants, especially: Dr Gareth Thomas & Dr Neelo Aslam & Dr Brijesh Desai • Trainees, especially: Drs Alex Petcu, Rachel Thomasson, Ngozi Atulomah, Sally Makin, STs in CAP • Steve Glover, CMFT Librarian www. Schoolof. Psychiatry. net

NW School of Psychiatry Webshots www. Schoolof. Psychiatry. net

NW School of Psychiatry Tutor Resouces www. Schoolof. Psychiatry. net

NW School of Psychiatry Thank you for your time… Any Questions? www. Schoolof. Psychiatry. net