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The HEE (NW) MRCPsych Course
‘Theory to Practice’
February 2020
Dr Latha Hackett
Programme Director
Dr Dush Mahadevan
Deputy Programme Director
Contents of this presentation
• Welcome and introductions• Core training in the North West• Who you need to know (a skim through – slides will be available)
The MRCPsych course• Background and structure• Experience in placement • Local Academic Programme (LAP)• Regional Academic Programme (RAP)• Programme changes• Exams
Welcome
• Introduction to the course leads and admin team
Induction slide deck available online
Further support available from MRCPsych team through first
semester
Core training
• Exciting time to be joining Psychiatry
• Genetics, Metabolic, Immunology – “Brain on fire” (Susannah
Cahalan)
• 6 subspecialties to specialise, academic fellows, CAMHS run
through training, dual training etc
• Holistic medical practice
• Continue to keep up your skills in Medicine
• Demonstrate core competencies and pass exams as soon as is
possible…
Health Education England NW
• Brought together two former Deaneries: North
Western & Mersey in Autumn 2015
• Oversees postgraduate medical education & training
with responsibility for over 7,000 trainees
• PG Dean: Dr Jane Mamelok
• Associate Dean: Claire Inkster
• Head of School: Dr Margaret Campbell
• Natalie Dawson, Specialty School Manager
• One School of Psychiatry – 180-190 Core trainees
Who you need to know• Clinical Supervisor
• Educational Supervisor
• Training Programme Director
• Psychotherapy tutor for the Trust
• Director of Medical Education
• Medical Education Managers
• Employer
• School Specialty Manager and team
• Royal College of Psychiatry – website, portfolio etc
• MRCPsych website - www.schoolofpsychiatry.net
TPDs and regional roles• Core Training Programme Directors (CTPD)
• Dr Matt Appleyard (LSCFT), Dr Cherry Lewin (GMMH)
• Dr Roshelle Ramkisson (Pennine care, ACF & MFT), Dr Mark Theophanous
(Mersey, CWP), Dr Rachel Elvins (NWBP)
• Psychotherapy core training tutor - Dr Rachel Jukes
• Higher Specialty Training Programme directors (STPD)-
• General Adult – Dr Simon Sandhu (East) & Dr John Stevens (West)
• Old age – Dr Jay Palle (East) Dr Anna Richman (West)
• Psychotherapy –Dr Simon Graham
• Child and Adolescent Psychiatry – Dr Neelo Aslam
• Forensic: Dr Simon Plunkett
• Intellectual Disability – Dr Mischa Mockett
• Lead Employers for Psychiatry
• Pennine Acute & St Helens and Knowsley
Directors of Medical Education• Pennine Care – Dr Nihal Fernando
• Greater Manchester Mental Health Trust – Dr Taseer
Kazmi
• Lancashire Care – Dr Gareth Thomas
• Cumbria Partnership – Dr Sam Dearman
• NWB – Dr Ashley Baldwin
• Mersey Care – Dr Indira Vinjamuri
• Cheshire & Wirral Partnership – Dr Geraldine Swift
• CMFT & Alder Hey
Medical Education Managers• Cumbria Partnership – Susan Gill
• CWP – Jonathan Ruffler
• LSCFT - Jacqui Welding
• GMMH – Sam Abbott
• Mersey Care - Helen Bickerton
• NWBP - Carol Douglas/Ian Bithell
• Pennine Care – Kim McDowell/Sara Higgins
NW School of
Psychiatry
Psychotherapy Tutors
• Pennine care Dr Mustafa Alachkar,
• GMMH Dr Adam Dierckx &
Dr Rosie Clarke
• LSCFT Dr Swapna Kongara
• NWB Dr Helen Sowden
• Mersey Care Dr Simon Graham
• CWP Dr Alec Pembleton
& Dr Linda Banner
School Board
• Head of School,
• Specialty Manager,
• Associate Dean,
• Core and HTPD’s,
• Core and Higher specialty trainee reps, ACF trainee rep,
• DME’s,
• MRCPsych course director
• Lead employers,
• Lay Representative,
• Academic representative (Professor Nav Kapur)
• Meets twice a year
What are we supporting you with?
• Successful outcome at CT3 (Outcome 6 = completion of CT Training):
ARCP Outcome 6 + Pass the MRCPsych Examination
• Both required to move to Higher Specialist Training (ST)
• Common Fallacy – Pass the exam first at any cost! This is not correct…
How do you get there?• Where do you gain the required core skills (knowledge,
attitude, skills)?
– In placement
– Local Academic Programme (LAP)
– Regional Academic Programme (RAP)
– Psychotherapy training – Balint groups, individual psychotherapy training in two modalities
– Personal study (lots required, mainstay of your training)
– Examination preparation
“The MRCPsych Course” in HEE
(NW)
What is an MRCPsych course? • RCPsych has mandated HEE that “every Psychiatry Core
Training Programme in the UK provides a mandatory course”
• Every trainee has to attend this course to develop their
competency in Psychiatry
• The MRCPsych course is not only about passing exams
• MRCPsych course is providing evidence that you have gained a
certain amount of academic knowledge to support your practice
• An MRCPsych course is a part of your training to become a
Member of the Royal College of Psychiatrists
The Principles of this MRCPsych Course
• Psychiatrists are medically qualified doctors with a specialism in Psychiatry
• Adult learning principles with a number of teaching methods
• Achievement of core skills for trainees in the LAP:– Training close to patients, learning from patients, learning from ES, in MDT, in the LAP
Programme
• What cannot be delivered locally in placements is in the RAP
• Training offered on different sites are now comparable & measurable so wherever you train, the standards are the same
• We aim to support trainees in passing their exams
MRCPsych Course Aims • Support trainees in connecting the four training strands:
– Supervision (formal and informal) in the clinical placement
– LEP run weekly sessions (half day sessions in the workplace)
– Regional Academic Programme at Medical Education Centre, NMGH
– Psychotherapy training
• And link them to:
– MRCPsych examinations and the exam syllabus
• Achieving:
– Consistency/parity of training across a large geographical area
– A greater proportion of training delivered in the NHS workplace
– Better prepared trainees for clinical practice and the MRCPsych
examinations
MRCPsych Course – “Theory to Practice”
Trainees attaining Core Competencies +MRCPsych Examinations
Placement/Educational
Supervisor /
Supervision - weekly an
hour
Local Academic Programme (LAP) - 30 ½
day sessions a year
Regional Academic
Programme:
CT1 = 12 days
CT2 = 12 days
Psychological modalities
25 Balint Groups +
Long case (>20) & Short
case (12-20) in 2
different modalities
NW School of
Psychiatry
NW Psychiatry School Board
MRCPsych Course Oversight Committee
Dr Margaret Campbell, HoS, Dr G Thomas DME rep, Dr L Hackett – Course Director, Drs Mahadevan & Mir, dpty, Ct,1,2,3, reps,
administrators
Course Director: Dr Latha Hackett
Deputy Directors: Dr Mahadevan, Dr Mir
Helen McEnerney – Medical Education
Claire McNally, Education Programme manager
Trust LeadsNWB – Dr Yogesh Sharma
Cumbria – Dr Zaidy
GMMH(p) – Drs Asif Mir, Catrin Evans, Emily Mountain
Lancashire Care – Dr. Yousaf Iqbal
Manchester Mental Health – Dr A Dierckx
Pennine Care – Dr Ema Etuk
CWP – Dr Matthew Cahill
Mersey Care – Trust tutor
Module LeadsGeneral Adult – Dr S Wheeler
Old Age – Dr A Peter
Forensic –Dr V Sullivan
CAMHS – Dr N Aslam
ID – Dr S Mustafa
Substance Misuse – Dr P Horgan
Psychotherapy – Dr A Dierckx
Module Leads Trust Leads• General Adult – Dr Sally Wheeler (Dr
Patwardhan covering) GMMH
• Old Age – Dr Anthony Peter LSCFT
• Child & Adolescent Psychiatry – Dr NeeloAslam, CMFT
• Intellectual Disability –Dr Sol Mustafa, Pennine Care
• Forensic – Dr Vicky Sullivan GMMH, Dr Sharda LSCFT
• Substance Misuse – Dr Patrick Horgan GMMH
• Psychotherapy – Dr Adam Dierckx, GMMH
• Neuroscience – Dr. Matthew Dewsbery LSCFT
• Across the ages: Dr Matthew Cahill, CWP
• Psychopharmacology: Dr Cathy Symonds, GMMH
• Liaison Psychiatry: Dr Ankush Singhal
• Cumbria - Dr Zainy• NWB – Dr. Yogesh Sharma• GMMH (GMW)– Drs Catrin
Evans/Asif Mir/Emily Mountain• GMMH (Man)- Dr Adam Dierckx• Lancashire Care – Dr. Yousuf Iqbal• Pennine Care - Dr Ema Etuk• Mersey Care – Trust tutor• CWP - Dr Matthew Cahill
• Acute Trusts - Trainees based in acute Trusts (CAMHS) tend to join local mental health trusts
Funding
• 2 PA for CD
• 1 PA for Deputy CD (job share 2019)
• 2 Sessions of Band 7
• 1 WTE of Band 4
• Consumables - £3000
• Clinical Skills Test
Experience in placement – your role
• You are a professional• You are in charge of your learning• You need to know what you need to learn
• Use every opportunity you get to learn to gain core competencies (for portfolio & exams)
• Read about what you see – depth of knowledge• ES, Tutor, LEP lead, TPD, Course Director, head of school,
Med Ed admin, mentors – all here to guide you
• “Medicine is learned by the bedside and not in the classroom. Let not
your conception of disease come from the words heard in the lecture
room or read from the books. See, and then reason and compare. But
see first”
• William Osler (1849-1919, Physician
• Be very curious and ask questions, look for answers all the time as
we are still exploring the cause of disease in Psychiatry
Educational supervision
• Set your agenda to guide your supervisor
• Explain to them where you are in your training
• What competencies do you need to gain in these 6 months
• Organise supervisors to give you CASC practice
• Every WPBA – use opportunities to practice for exams
• Discuss the MRCPsych course and psychotherapy training in supervision
• Discuss your examination preparation
The MRCPsych course (LAP & RAP)commences September & February/March
• Local Academic Programme (LAP) commences with the same modules across all areas
• Mandatory 15 half days (4 hours)
• Clear guidance on what must be covered during the 6 months
• Modules could be delivered in any order as long as all were covered during that 6 month period
• LEP still has 7 sessions available to cover topics of their choice e.g. audit/communication skills etc. etc.
• Open to all trainees in psychiatry – FY, GP, CT1-3• FYs/GPs can do joint presentations with CTs
The MRCPsych Course
The Local Academic Programme (LAP): Typical session
• Learning objectives outlined
• Case Presentation (linked to the theme of the day)
• Journal Club (linked to the theme with choices given)
• 555 Presentation (5 slides, 5 bullet points, 5 minutes
presentation)
• Linking ‘Theory to Practice’ Expert Led Session (ELS)
• Multiple Choice Questions (MCQs)
• Feedback form completed by everyone
The MRCPsych Course
The Local Academic Programme (LAP): In each semester
• The 15 sessions in each semester has a typical breakdown of:
– General Adult: 6 sessions
– Old Age: 2 sessions
– Child and Adolescent: 2 sessions
– Psychotherapy: 1 session
– Intellectual Disability: 1 session
– Forensic: 1 session
– Substance Misuse: 1 session
– ‘Across The Ages’ (Psychosis, Depression / Liaison / Mental illness
in the family): 1 session
The MRCPsych Course
The Local Academic Programme (LAP)
• All of the information for the LAP programmes are contained in centrally
developed handbooks
• The handbooks contain:
– Clear learning outcomes for each LAP
– Advice / suggestions for the Case Presentation
– Peer reviewed journals to choose from
– Titles for the 555 Presentations
– Multiple Choice Questions
– Additional reading resources for the trainees
• All these handbooks are available online (www.schoolofpsychiatry.net)
Local Educator ProvidersTrust or LEP LAP Sessions at:
NWBP Hollins Park
Central Manchester University Hospital Trainees join GMMH site 1/2
Cumbria Carlisle
LSCFT BlackburnBlackpool (The Harbour)Preston
GMMH site (1) Prestwich
GMMH site (2) NMGH
Pennine Care 1 site in Oldham
Mersey Care Ashworth/Alder Hey
CWP Countess of Chester
Your responsibilities in the LAP• In the first supervision give your LAP programme and the academic
day programme to your ES• Make sure you are not on the day time rota for any of these days• Discuss with your ES about the case presentation, journal club, 555
you are going to do, get comments on your presentation
• 70% attendance is required for both LAP & RAP – Evidence this on your portfolio with reflective summary of your learning
• Plan your Psychotherapy training• Get into a learning set for exam preparation• Organise CASC practice in your placement to support learning
The MRCPsych Course
The Regional Academic Programme (RAP)
• These are 24 centrally delivered workshop days (2 years) which
cover topics in the syllabus more specific for the psychiatry trainees i.e.
genetics and neuroscience
• There is a physical healthcare training day
• Format – workshops, lectures linking theory to clinical practice, exam
preparation is a theme throughout
• Core Trainee year 1
– There are 12 days (6 per semester)
• Core Trainee year 2
– There are 12 days (6 per semester)
• Run on Thursdays at NMGH
MRCPsych RAP site
NMGH is the current site not by choice
We have tried various sites (for the past 4 years) to
make it midway between East and West of HEE NW
footprint, not yet succeeded
The MRCPsych Course
The Regional Academic Programme
(programme available on website)
1. Behavioural science and socio-cultural Psychiatry
2. Human development
3. Basic Neurosciences
4. Clinical Psychopharmacology
5. Classification and assessment in Psychiatry
6. Organisation and delivery of Psychiatric services
7. General adult Psychiatry
8. Old age
9. Psychotherapy
10. Child and Adolescent Psychiatry
11 Substance misuse
12. Forensic
13. Learning disability
14 Research Methods, statistics, critical review and evidence-based practice
The MRCPsych CourseThe Regional Academic Programme
• Second six months
– February to June 2020: 4 days for Psychotherapy,
– 1 day each for GA and OA
• Third six months
– September to December 2020: 2 days GA, 2 days OA (inc Physical health), 1 day for stats & research methodology, 1 day for Neuropsychiatry
• Fourth six months
– Feb to May 2021: 1 day each GA, CAP, ID, Forensic, Substance Misuse & 1 for review – we will use this differently depending on need (St & Exam practice)
• Total for 24 months = 24 days
The MRCPsych Course
The Regional Academic Programme – example sessions
• Human Development in CT1
– 10-11.15 Brain Development (Dr Coldman)
– 11.30-12.45 Motor Development (Dr Neelo Aslam)
– 12.45 - 1.30 Lunch
– 1.30-2.45 – Human Development - psychological theories (Dr Katharina Junejo)
– 3.00-4.15 Family Development and Parenting (Dr Alison Dunkerley)
– 4.15-4.30 MCQ’s, Reflective Practice and feedback
(Note in Semester 1 – RAP sessions have included Child Development,
Neurosciences, Psychopharmacology – detail on website)
Attendance – 24 months overview
• At ARCP you have to have evidence of achieving 70%
attendance at both local and regional training sessions
• An email is sent to you at the end of every 6 months with
attendance from the RAP teaching
• If a trainee is not able to gain 70% in the 12 months at ARCP/6
months review – they can make it the following year by attending
more sessions
The reasons given for lack of 70%
attendance
• Usually more of an issue in the first 6 months so first 12 months
• On call + annual leave + sick leave
• We had about 4 trainees in Ct1/2 – they all have a plan to attend
extra sessions the following year, the sessions they had missed
to make up for 70% attendance
• If there are concerns – I try and meet with the trainees face to
face, via phone, emails etc
NW School of
Psychiatry Feedback
• Weekly feedback from LAP programme
• Feedback from the Regional Academic Teaching Programme after each
session
• CT representation at MRCPsych Oversight Committee
• Feedback gathered twice in six months centrally all aspects of training
• Generally extremely positive
• A need for critical and constructive comments on teaching sessions
Programme review and update on
content
• Module leads meeting - we review all feedback we receive
• We make changes to the course – 2 days of Critical appraisal/statistics
session, Genetics session moved to CT1
• Updates to website planned
• Additional support for trainees
• Can support SAS doctors who want to do exams
• Course material is available to FY doctors who want to do Psychiatry
• Major reviews take place every 2 years (currently taking place)
Neurosciences
• New syllabus was introduced in July 2018
• Development of online resources (Tron)
• We have a subgroup reviewing in the implementation of
additional neuroscience teaching
• Opportunities (CT1 rep, RCPsych Neuroscience champions)
• We have delivered new content on the CT1 regional academic
programme
• Trainee-led pilot session in local education programme planned
• Links with Royal College and local Universities developing
Examination dates for 2020
• Paper A (June & December)
• 16th June 2020 1st December 2020
• Paper B (March/April & October)
• 31st March 2020 6th of October 2020
• CASC (January & September)
• 21-24 January 2020 8-11th of September 2020
MRCPsych Course
Exam Preparation
• Every LAP session has MCQs
• Regional academic session linked to MCQs
• Materials available on VLE
• Annual Clinical Skills Test
• There is a collective need to support trainees who may have difficulties
with exams
Supporting trainees pass exams
• Early orientation
• Planning and identifying resources
• Asking for help
• Peer support – creating a learning set
• Practice and preparation
• Feedback
North of England Psychiatry Congress
November (NOEC)
• Feedback really good
• Poster presentation prize -1 for Medical student/Foundation
year and 1 for CT/ST
• Planned for autumn 2020
• Please apply and attend & present a poster
• Next NOEC – November, date to be finalized soon
Challenges & Contacts
• New job, finding your feet, reluctant to ask…
• We are here to support
• Emails to keep in hand: Helen McEnerney, Dush and
mine
• School website – www.schoolofpsychiatry.net
In summary for trainees
• There are many opportunities - make use of them proactively!
• Develop competencies
• Complete WPBAs needed for ARCP
• Psychotherapy experience
• Develop knowledge with Papers A and B in mind
• Develop clinical skills with CASC in mind
The MRCPsych Course
Any questions?
