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Sameer Jauhar, ST5 General Adult Psychiatry Hairmyres Hospital, Lanarkshire, Scotland
Send letter to journal:
sameerjauhar{at}gmail.com Sameer Jauhar
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Following the maelstrom of Modernising Medical Careers and
changes to postgraduate training in the United Kingdom, trainees’ exposure
to research has changed significantly. At an early stage those interested
in a research career apply for a limited number of Academic Clinical
Fellow and Clinical Lecturer posts, through Academic Programmes. The
latest version of the Royal College of Psychiatrists’ OP 65, “Specialist
Training in Psychiatry” (3) advocates two sessions of “protected time” for
Higher Trainees for both Research and Special Interest Sessions (unlike
the four sessions advocated in the past(2)).
Anecdotal feedback from trainees across the United Kingdom suggests that
significant numbers of Higher trainees are therefore not conducting
research (favouring audit), and though provision is made in the curriculum
for research, deaneries are not compelled to enforce this.
Australian colleagues have pointed to this problem in the past (4), and used the analogy of knowledge of research methods and statistics without conducting actual research being akin to that of practising medicine based solely on theoretical knowledge, without patient contact. Furthermore, at a time when recruitment into psychiatry is in the spotlight, one of the accepted reasons for students neglecting psychiatry as a career choice (perceived lack of a scientific basis (5)) may be accentuated. The ramifications of this shift could be that an entire generation of psychiatrists stop asking (and testing) the clinically relevant questions and that aspiring students do not enjoy the enriching experience of research. References 1. Fogel J. Research as part of the career of a psychiatrist entering clinical practice. Psychiatr Bull. 2009 Jul 1;33(7):269-272. 2. Tyrer P. Is research just an optional extra in clinical psychiatry? Invited commentary on... Research as part of the career of a psychiatrist entering clinical practice. Psychiatr Bull. 2009 Jul 1;33(7):273-274. 3.Royal College of Psychiatrists. OP 65; Specialist Training in Psychiatry: A Comprehensive guide to training and assessment in the UK for trainees and local educational providers. (http://www.rcpsych.ac.uk/PDF/StRGuiderrevised%2015%20September%202009AB%20CD.pdf) 4.Hay P., Mulder R., Boyce P. The scientific practitioner in psychiatry for the 21st century. Australasian Psychiatry. 2003 Dec;11:442- 445. 5. Malhi GS, Parker GB, Parker K, Carr VJ, Kirkby KC, Yellowlees P, et al. Attitudes toward psychiatry among students entering medical school. Acta Psychiatrica Scandinavica. 2003;107(6):424-429. |
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