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Psychiatry Training in the UK: Regulations and Future Challenges

Learn about the structure and regulation of psychiatric training in the UK, including changes and challenges with the new Shape of Training. Explore core and higher training pathways, specialty options, and critical questions facing the field.

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Psychiatry Training in the UK: Regulations and Future Challenges

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  1. Psychiatry and the new Shape of Training Dr Wendy Burn Dean

  2. Structure of psychiatric training in the UK • Regulation of psychiatric training in the UK • Possible changes with Shape of Training

  3. Structure of Medical training in the UK • 5 years medical school leading to qualification. • 2 year Foundation Programme, rotate through 6 to 8 specialties. We are aiming to provide half with a psychiatry placement. • Enter Specialty Training in Psychiatry via competitive recruitment.

  4. Psychiatric Training • Core training for 3 years, 6 month posts. Psychotherapy training: Balint group, short case and a long case • MRCPsych examination • Higher training for 3 years (one specialty) or 4 years (2 specialties). 12 month posts. Entry by competitive recruitment.

  5. Higher Training -6 specialties • General Adult (subspecialties liaison, rehabilitation, substance misuse) • Forensic • Psychotherapy • Child and Adolescent • Learning Disability • Old Age • Leads to Certificate of Completion (CCT) of Training which allows practice as a consultant

  6. Regulation of Training-General Medical Council • Regulates all stages of doctors' training and professional development in the UK. • Training is standardised across the UK • College sets standards and GMC approves them

  7. Regulation of training-the curriculum • Curriculum-can be found on the College website • Written by the College • Approved by the GMC

  8. Regulation of training-assessments • Set by the College: Workplace Based Assessments and MRCPsych Examination • Approved by GMC

  9. Shape of Training • Both an opportunity and a threat

  10. Questions raised by Shape of Training • What types of doctors/specialists do we need to provide out of hours cover for emergency psychiatry? How do we ensure doctors are trained to do this? • How do we continue to service the training needs of psychiatrists to allow current and future need to specialise? • How do we change training in our specialties and others so that psychiatrists are more able to meet the physical health needs of our patients and doctors from other specialties have more understanding of mental health ?

  11. Threats • If training becomes broader but no longer then will lose depth. • May be asked to make unpalatable changes which we are not yet aware of.

  12. Opportunities • Chance to broaden knowledge and skills, particularly around the areaa of physical health. • Chance to improve the out of hours service that we give to patients. • Other specialties already wanting to learn about mental health. • Chance to allow psychiatrists to develop over the course of their careers with some central standard setting.

  13. There is already a move to broader training • Broad based training – 2 years after Foundation. 6 months of Paediatrics, Medicine, Psychiatry and General Practice. Then enter chosen specialty at CT2. • Dual training in higher training, 2 CCTS. • Both options very popular with trainees.

  14. Number of CSTs • Major question for Psychiatry is how many CSTs? • 6? • 2? • 1?

  15. Any questions or comments? • wburn@rcpsych.ac.uk • Follow me on Twitter @wendyburn

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