Psychiatric Training in the United Kingdom--论文代写范文精选

有各种各样的专业精神病学，训练是一个独特的机会。从事精神病学是具有挑战性，精神病学历来被视为一个专业,缺乏激情和其他专业的魅力。医生们通常认为精神病学是一个容易的选择的。当然不是这样。研究表明,每四个人中就有一人受到某种程度的心理健康问题。

Abstract
A career in psychiatry is challenging and rewarding. Psychiatric training in the United Kingdom is well structured and run by twenty-one deaneries across England and Wales. The Royal College of Psychiatrists who also conduct the MRCPsych examination, sets standards for training and approves the hospitals for training purposes. Training includes basic specialist training at the grade of a senior house officer for a period of at least three years and helps obtain the MRCPsych examination. Higher specialist training is at the grade of a specialist registrar and is also for at least three years. The emphasis is on competence based learning which helps realize a trainees potential to the hilt. At the end of training, a trainee would be awarded a Certificate of Completion of Training (CCT) and enables one to work independently as a consultant. There are various specialties of psychiatry one can train in which is a unique opportunity. 
Key Words: Psychiatry, United Kingdom

Introduction 
A career in psychiatry is as challenging and rewarding if not more than other specialties. Psychiatry has traditionally been regarded as a specialty, which lacked the excitement and glamour of other specialties. Doctors usually perceive psychiatry as an easy option for those who fail to progress in other acute specialties. This is certainly not the case. Research suggests that one in four people experience some kind of mental health problems in the course of a year in the United Kingdom.(1) With the emergence of newer treatments, different specialties and sub specialties, a career in psychiatry has a great deal to offer in its own right with its holistic approach. Training in psychiatry in the United Kingdom starts from the under graduate level. Specialist training in psychiatry is divided into Basic Specialist Training and Higher Specialist Training. 

Completion of training would lead to award of the CCT (Certificate of Completion of Training) and allows working independently as a consultant. Currently there are about 3000 consultant psychiatrists from all specialities in the United Kingdom. The total requirement of consultants per year, to replace and to fill new posts, is approximately 250 to 300.(2) Psychiatry will be fascinating if you are a 'people' person, with a genuine interest in how other people think and feel. Other qualities that help are good communication skills, the personal strength to face the difficult problems patients tell about and an ability to like people. A psychiatrist must be a good detective; while they cannot actually read minds, they know the correct questions to ask to pick up the clues. Psychiatry can be challenging when treating patients against their and/or their families wishes and who are non-compliant. Some of the illnesses run a chronic course with remissions and relapses. Treatment resistance is not unusual. Violence and unpredictable behavior of the patients is seen at times especially with co-morbid alcohol and illicit drug use.

Training in the chosen specialty lasts for at least twenty-four months. In the remaining twelve months, trainees can opt to work in a different specialty, for example a trainee in general adult psychiatry can opt to do a year in Forensic Psychiatry or Old Age Psychiatry. A common distribution of work (10 sessions in a week) is six sessions in the chosen specialty including academic time, two sessions of special clinical interests and two sessions for research. 

Special interest sessions can include experience in Liaison Psychiatry, Perinatal Psychiatry, Cognitive Behaviour Therapy or Forensic Consultation to name a few. The trainee will be encouraged to change his/her special interests sessions regularly to give exposure to a wide range of facilities. Special interest sessions will not figure in higher programmes in child and adolescent psychiatry. It should be understood that specialist registrar training is not an extension of SHO work and the specialist registrar will work more independently and has a more supervisory and managerial role. The trainee will be provided with access and tools required to pursue Research. 

They will be involved in Audit, teaching and management experience. All specialist registrars will be required to participate in out of hours on call rota with consultant cover. Psychotherapy specialist registrars are not required to participate in the on call rota. A training consultant will be available with timetabled supervision, regularly. Towards the end of the placement both the trainer and the trainee write a report. An annual assessment of specialist registrars is central to the award of CCT. The main aims of these assessments are to monitor the progress of clinical, administrative and academic training including research. 

At the end of training in psychiatry for at least six years as outlined above, the trainee will be awarded the CCT and will be able to work independently as a consultant psychiatrist. Psychiatric training in the United Kingdom is a rewarding experience. The training is structured to gain knowledge and competence in core skills for the effective practice of psychiatry at all levels. There is immense interest and help to pursue audits and research and a growing emphasis on keeping upto date with the new advances in psychiatry. We have endeavored to provide a factual and concise account of the current training for psychiatry in the United Kingdom. An effort has been made to help give a clear introduction to doctors who aspire to train in psychiatry in the United Kingdom. However we must emphasize that this account is only an overview and doctors interested should be able to gain further details from the Royal College of Psychiatrists.

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