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Who’s happy with supervision?

South East Scotland Basic Specialist Training Scheme in Psychiatry. Royal Edinburgh Hospital, Morningside Terrace, Edinburgh EH10 5HF

Pauline McConville, Consultant in General Adult Psychiatry and Educational Supervisor

Royal Edinburgh Hospital

Declaration of interest

None.

AIMS AND METHOD

All psychiatry trainees and supervisors on the Southeast Scotland scheme were invited to complete a questionnaire about the regularity, responsibility, structure, content and value of supervision.

RESULTS

Significantly more supervisors (87%) than trainees (69%) reported regular supervision. Some trainees still find it difficult to obtain regular supervision. Although it is seen as a joint responsibility, there is uncertainty about the role and responsibility of each trainee and supervisor. Most trainees and supervisors feel that supervision is useful, but supervisors are likely to rate their quality of supervision better than their trainees. Guidelines for the structure, content and boundaries of supervision might be useful. Supervision is viewed as useful for discussing clinical management, including the trainee’s own case-load.

CLINICAL IMPLICATIONS

Training in the use of supervision should be available to all trainees and supervisors. Regular supervision should be a priority, and it is a joint responsibility to ensure that it happens. There should be greater accountability to the College and Trusts. Discussion of the trainee’s clinical case-load during supervision is a necessary part of training and the supervision process.