StR/ SpR POST DETAILS 2009-2010

DESCRIPTION OF PLACEMENT:

This ST post provides broad experience in general adult psychiatry at ST4-6 competency level. The post is essentially community based with CMHTs in the Carlisle and Eden area. Working with two CMHTs allows experience to be gained in working in both and urban and rural environments, and with different teams.

CORE PLACEMENT: Yes

ROLE OF TRAINEE:

The ST4 will work primarily in community settings working closely with the CMHT and consultant and will undertake assessment and treatment of patients with a wide range of psychiatric disorders. They will manage their own case load with the CMHT participating in CPA, multiagency risk meetings and liaising with other services, seeking consultant advice as appropriate. They will liaise closely with more specialist teams such as AOT, CRHT, inpatient and EIP as the need arises and there will be opportunities to do special interest sessions with these teams and others if requested. They will be involved in MHA work with the CMHTs that they work with.

Consultants will be operating in a “Chambers model” with New Ways of Working in service delivery, and the trainee will have the opportunity to get more experience with these innovative models.
There are 5 sessions with Carlisle CMHT and 1 session with Eden CMHT, including CPA clinics, assessments MDT meetings, risk management meetings ( child protection, MAPPA, vulnerable adult).
As members of the multi disciplinary teams the trainees will be expected to take advantage of the opportunity to learn how other disciplines, including Nursing, Psychologists, Occupational Therapists and Social Workers operate.

ON CALL COMMITMENT:

The on call commitment will be second on call as 1 in 10, for north Cumbria, with responsibilities for General and Old Age Psychiatry and support from the on call consultant if required.

TEACHING/ACADEMIC EXPERIENCE:

The ST will be expected to take part in teaching and appraising Newcastle medical students placed with the CMHTs. They are expected to be involved in teaching CT, GP VTS and foundation doctors both through the academic programme, and with the acute trust and as specifically arranged events for instance teaching interview skills with the psychotherapy department. There will be opportunities for multi-professional teaching and learning through the CMHTs.

AUDIT/REASEARCH OPPORTUNITIES:

Trainees would have the opportunity to do research with one of the Cumbria consultants if they are interested. The Trust is currently working with Lancaster University in research in adult psychiatry (psychoeducation in Bipolar disorder). The educational supervisor has published research in areas including suicide and staff stress.

MANAGEMENT TRAINING:

Management opportunities are both through shadowing senior managers and getting involved in a management project ( with appropriate supervision) and through representing junior doctors (e.g. on medical education committee) and doctors ( audit and governance meetings). The trainee should discuss with their supervisor appropriate management opportunities to meet their learning needs.

ADDITIONAL EXPERIENCE AVAILABLE:

This post offers a rare opportunity to practice psychiatry in rural setting and contrast it with urban psychiatry.

PROBABLE TRAINEE TIMETABLE:

IMPORTANT ADDITIONAL DETAILS:

Post is CMHT.

However it can become a core post if some of the sessions include inpatient work.
For instance a special interest session could be in PICU or Rehabilitation and one of the other community sessions could be converted to the same inpatient work.

There is an ST1-3 in the team.