19th EPA Congress in Vienna: EFPT has its own Symposium
Tuesday 15.03.2011 16:15-17:45 ECP Lounge
Symposium 3 - Training in psychiatry around Europe: hot issues and possible solutions (ECPC - EFPT)
Alexander Nawka, Brussels, Belgium
Amit Malik, London, UK
European Federation of Psychiatric Trainees: visions for the future
A. Nawka1,2, M. Rojnic Kuzman1, D. Giacco1, P. Wuyts1, M. Simmons1, G. Favre1, N. Bausch Becker1
1European Federation of Psychiatric Trainees, Brussels, Belgium, 2Department of Psychiatry, First Faculty of Medicine, Charles University in Prague, Prague, Czech Republic
There are significant differences in psychiatric training across Europe. In the light of the current direction of Europe (without borders with free movement of workforce) it is inevitable to harmonize at least basic standards of psychiatric education across Europe. Ideally by working in partnership with relevant national and international bodies (European Union of Medical Specialists, Board of Psychiatry - UEMS, European Psychiatric Association - EPA and European Federation of Psychiatric Trainees - EFPT). A qualitative data analysis on the most important challenges of psychiatric trainees across Europe, carried out by the EFPT in 2009, revealed several interesting findings which might be of interest not only for trainees, but for all involved in the process of psychiatric education. As the most important issue trainees reported the imperfect structure of the training programs and problems with implementation of new ones. That is why new training programs based on a competency based framework are being developed lately in number of countries (e.g. United Kingdom, Ireland, Netherlands). However, not only the structure of the training and its implementation remains an issue, trainees are concerned also with topics related to working conditions, insufficient training opportunities, lack of supervision, funding and availability of psychotherapy courses, etc. Based on these findings EFPT will undertake specific actions which in cooperation with other organizations shall lead in the future to better postgraduate training opportunities in Europe.
Psychiatry training in Europe: implementation and evaluation of training programs
M. Rojnic Kuzman1,2, D. Giacco1, P. Wuyts1, M. Simmons1, G. Favre1, N. Bausch Becker1, A. Malik3, E. Barrett4, A. Nawka1
1European Federation of Psychiatric Trainees, Ixelles, Belgium, 2Psychiatry, Zagreb University Hospital Center, Zagreb, Croatia, 3Hampshire Partnership NHS Foundation Trust, Southampton, UK, 4Dept of Liaison Child and Adolescent Psychiatry, National Children's Hospital, Tallaght, Dublin, Ireland
Training schemes in psychiatry are developed and evaluated by national education policy makers in the majority of European countries. However, the requirements that a training program in psychiatry should meet are also defined on the European level in a form of recommendations by the Board of Psychiatry - European Union of Medical Specialists (UEMS).
Recently, the European Federation of Psychiatric Trainees (EFPT) which represent trainees from more then 30 European countries, reported data pertaining to the structure of training programs and to the evaluation of training programs in 30 European countries. Whereas in the majority of European countries the structure of training programs and methods of assessment of trainees' competencies are partially compatible with one another and with the existing recommendations at the European level, the quality assurance of training programs varies significantly among countries. Regular evaluations of training programs and mentors, however, contribute to the proper implementation of training programs and help that the theoretical training principles are followed through in practice. As quality assurance of training schemes is an important mechanism how to improve the delivery of training programs, it should gain more focus by responsible authorities who structure the psychiatric training on the national and international European level.
Information technologies in psychiatry
G. Favre1,2, N. Bausch Becker2, D. Giacco2, A. Nawka2, M. Rojnic Kuzman2, M. Simmons2, P. Wuyts2
1Suicidal Adolescent Crisis Unit, University Hospitals of Geneva, Geneva, Switzerland, 2European Federation of Psychiatric Trainees, Brussel, Belgium
Even if technology and information are omnipresent, they rarely meet harmoniously. Either the lack of sufficient means prevents good information to reach its target or the technology is too complex to integrate flawlessly in the daily workflow.
The use and misuse of information technologies (internet, email, e-learning, social networks) has recently significantly increased among psychiatrists and patients and the changes in behavior of communication and seeking informations are real challenges.
Using the European Federation of Psychiatric Trainees network, the self-questionnaires concerning the usage of information technologies and the local patients-therapists communication were distributed among psychiatric trainees of 31 European countries.
A review of the results of this study, as well as recommendations about netiquette and useful websites for psychiatrists and scientists will be presented in detail.
The European Federation of Psychiatric Trainees' Psychiatric Resident - Industry Relationship Survey (EFPT-PRIRS)
S. Jauhar, European Federation of Psychiatric Trainees Research Group
Sackler Institute of Psychobiological Research, Institute of Neurological Sciences, NHS Greater Glasgow and Clyde, Glasgow, UK
There is no doubt that, in the modern era, psychiatry and the pharmaceutical industry have a relationship, though the nature of this is not universally well defined. Given that psychotropic medication is widely prescribed (ranking 3rd and 4th in US sales in 2007), and the role of the pharmaceutical industry in medical education has come under scrutiny, it is worth noting that the relationship between the industry and psychiatry trainees has not been studied in great depth.
Our Pan-European research group, composed exclusively of psychiatry trainees from at least 18 different countries, as part of the European Federation of Psychiatric Trainees (EFPT) has sought to study this in a systematic fashion. I will present preliminary findings of our survey, PRIRS (Psychiatric Residents-Industry Relationship Survey) which is currently taking place.
It is also hoped that this will facilitate a discussion amongst those attending the session, on the role of the pharmaceutical industry in psychiatric training, education and in general.
PSYCHIATRIC TRAINING IN EUROPE: THE OPINIONS OF EARLY CAREER PSYCHIATRISTS
Department of Psychiatry, University of Naples SUN, Naples, Italy
Introduction: The recent reforms of mental health legislation occurred in most European countries, together with the continuous advances of technologies and the development of research in all the domains of psychiatry have deeply modified the role of mental health professionals with consequent changes in training needs for early career psychiatrists. The competencies required to psychiatrists today include not only the knowledge of the advances in neuroscience, psychopharmacology, psychotherapy and social psychiatry, but also the ability to understand the different clinical and social needs of the patients. Young psychiatrists report a gap between their knowledge and the skills required during the first years of their job.
Aims: The European Psychiatric Association-Early Career Psychiatrists Committee, in cooperation with the European Federation of Psychiatric Trainees, conducted a survey among European young psychiatrists and psychiatric trainees, aimed at evaluating difficulties and perspectives related to psychiatric training residency.
Methods: 86 respondents completed the Psychiatric Training Questionnaire, a multiple-choice and self-reported questionnaire, which evaluates: 1) satisfaction with training received; 2) self-confidence in theoretical and practical skills included in psychiatric training curriculum; 3) educational opportunities received during training.
Results: Respondents were almost equally split between trainees (54%) and young psychiatrists (46%). Seventy per cent of them were completely or partially satisfied with training received. Early Career Psychiatrists reported higher levels of self-confidence in clinical psychiatry (98%), psychopharmacology (69%) and emergency psychiatry (61%), whereas the most problematic areas were forensic psychiatry (64%) psychotherapy (61%) and child and adolescent psychiatry (57%). 41% of respondents was not assigned a tutor for clinical activities, 73% of them could not rely on a dedicated supervisor for training in psychotherapy and 58% had not the possibility to use a log-book to record the competencies acquired during training. Only 37% participated in exchange programs; all early career psychiatrists who had this opportunity found this experience very useful for their professional growth.
Conclusions: Standards of training in psychiatry in Europe are generally satisfactory. However, our results highlight the need to:
1) upgrade training in some areas, such as psychotherapy, forensic psychiatry and child and adolescent psychiatry;
2) guarantee an adequate clinical supervision;
3) spread the use of log-book;
4) improve the opportunities for exchange programs.