psychiatrynorthwest - specialist registrar training in general adult psychiatry in the north west of england
   
 
Dr Priyadarshan Joshi, Consultant Psychiatrist - click on photograph to enlarge

Dr Priyadarshan Joshi

Stepping Hill Hospital
Poplar Grove
Stockport
SK2 7JE

map: click here

FOR MAIN MENU CLICK HERE

StR/ SPR POST DEATIALS 2009/2010

DESCRIPTION OF PLACEMENT:

Stepping Hill Hospital is a large DGH serving a population of 300,000 and covering Stockport and High Peak. The Stockport area is divided into three sectors with seven Consultant patches. There is a variety of deprivation and affluence and a range of urban to rural settings. There are two adult general in-patient wards with 46 beds, a 10 bedded PICU, an 15 bedded step-down older peoples rehabilitation unit on site. There is also a 19 bedded step-down intensive rehabilitation unit at Heathfield House. This is a general adult placement involving multi-disciplinary working with the various Community Teams and the Crisis Team.

ROLE OF TRAINEE:

• Three out-patient clinics each week consisting of new and follow-up and emergency appointments
• Monitoring of in-patients and attending weekly ward rounds
• Weekly CPA review meetings
• Management meetings with the Community Teams/Consultant meeting
• Supervision and training of core trainees
• Teaching of core trainees and medical students
• Chairing journal club and case conferences

CORE CLINICAL WORK:

• Out-patient assessments
• Drawing up management plans for both out-patients and in-patients
• Supervision of CT1-CT3 trainees
• CPA reviews
• Mental Health Act Assessments, reports and giving evidence at Tribunals
• Chairing/attending MDT ward rounds

TRAINEE'S TIMETABLE:

 
Example of Specialist Registrar's Timetable
AM
PM
MON

 

Admin

12.30 – 2.30 p.m.
Journal Club/Case Conference


Out-patient Clinic (SHH)
3 follow-up
1 new patient

 

TUE
CMHT Team Meeting and
CPA review meetings at Torkington Lodge

1.00-2.00 p.m. Consultants Meeting

New patient clinic
2 patients (SHH)
WED
MDT Ward Round
(SHH)

Admin

3.00 - 4.00 p.m. Educational Supervision

THU
Special Interest Session
Research session
FRI
Out-patient clinic
6 follow-up
2 urgent reviews (SHH)

Ward work
Supervision of core trainee

 

ON CALL:

1 in 8 : 24 hour on call covering the hospital catchment areas, on call supervision of CT1-CT3 trainee with Consultant cover.

ST4-ST6 are 2nd tier on call.

FACILITIES:

A large office shared by two ST4-ST6 trainees.
Computer access.
Library.

SUPERVISION ARRANGEMENTS:

Weekly programmed educational supervision.
Ample clinical supervision/support, both formal and informal.

TEACHING/ACADEMIC EXPERIENCE:

Weekly journal club and case conference.
Attendance at SpR training days.

Opportunities to train both CT trainees and medical students.
Supervision of CT trainees (first year) whilst on call.


AUDIT/RESEARCH OPPORTUNITIES:

Opportunity to participate in department audits.
One session dedicated to research.

MANAGEMENT TRAINING:

Attending weekly Consultant meetings.
Chairing CPAs/Community Team meetings/ward rounds.
Opportunity to shadow the Lead Consultant.

DESCRIPTION OF ANY SPECIAL INTEREST SESSIONS OFFERED:

• Adult ADHD Clinic
• PICU
• Access to CBT/Psychodynamic therapy supervision
• One session per week is set aside for developing special interest
• Rehabilitation Units – for older people and adults