shabaz

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About shabaz

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  1. Here is a good start http://www.dh.gov.uk...t/dh_095948.pdf well you can also focus on patient safety eg falls, and use a visual display board or safety checklist to make sure all the assessments for patients are carried out
  2. There are alot of people exiting Core Psychiatric Training, without the CASC and taking up specialty doctor posts. There posts which are on the rota, need to be filled. This may account for some of this
  3. Probably too late but my 5 pence worth Cleo, I hope things improve, you will need to get satisfactory WBPA, perhaps you can collect some in your special interest placements, and ask to sit and clerk a few patients in CAMHS outpatients. You will need to iron things out with your consultant, educational supervisor, and say that you recognise she wants you to improve and mention that at first you were defensive but recognise that to meet ST5 competencies at ST4, needs you to step it up a notch. Because you will need a satisfactory educational supervisors report. The key is to remain engaged, once you disengage due feelings of helplessness,or feeling isolated Im sure you will prevail, you have to learn about when to be assertive and when to be passive, when to demonstrate knowledge, skills, and when to be more accommodative in your leadership style. The key to overcoming this and any difficulty in training is remaining engaged. There is a big debate about how educational supervisors TPD's manage performance without being accused of bullying, and trust me they are all versed in how to defend themselves on this. Going off sick postpones the inevitable and isn't a solution. Showing them you recognise there role and input and engaging them is the way forward. Remember an outcome 2 isn't a bad outcome, and you will get the needed support, if you are defensive then and don't take the opportunity to improve and look at it as a victimisation exercise that things become more difficult
  4. If you start with the end in mind, a good template would be the ARCP guidance document, which is put as a suffix at the end of the curriculum. It is specific to the level of training. If you could read bmj articles on portfolio, maintenance ect.. you would get a birds eye view of how to demonstrate you are learning. Gone are the days when you simply pass exams. Things will get more complicated with revalidation, so if you can get a grip on your portfolio earlier in your training this would put you in good stead
  5. Hugo De vaal really looked good on paper
  6. What is truly beautiful about psychiatry as a specialty is the "ability to make sense out of what may appear to be nonsense" We spend time trying to understand a person, and "suss" out why have they presented in this way at this particular time. Granted we need the best minds involved in more research,and newer novel treatments, and as our understanding of neuroscience improves, so will our diagnosis and treatment of mental disorders. However we dont make best use of the evidence which is already out there. For example as effective as DBT and partial hospitalisation programmes are for patients with emotional unstable personalities are, why are they not used as much country wide. There have been gr8 improvements over the past 20-30yrs yrs the reemergence of clozapine for treatment resistant schizophrenia, and, the use of cholinesterase inhibitors in dementia, and the development of modified ECT. Some of the posts above tell me what is inherently wrong in our specialty. We are in the midst of a recruitment and retention crisis, and it is really difficult to inspire and motivate other colleagues to join when deep down you remain uninspired yourself. I am passionate about improving mental health outcomes for my patients, and society in general, and recognise that truly there is no health without mental health. In order to be a good psychiatrist you must be a good doctor, and i truly believe that there should be more integration between teaching neuroscience, neurology and psychiatry at medical school, so that we recruit people who are fascinated about the brain, the mind, and human behaviour. However i am not naive to say that psychiatry is not a career prone to burnout, because it places its particular cumulative demands on people. We should take the lead in advising ourselves and colleagues about burn out and strategies to prevent it. Another tragedy i have noticed collectively with our specialty due to the fact that they are less of us is that we tend to delegate more and more of what we did previously to our colleagues, including assessments at A+E, liason work, and even prescribing. This leaves us even more vulnerable as professionals because guess what if we fail to recruit and keep on with this kind of thing, .... there can only be one outcome. I couldnt possibly dream of doing anything else.
  7. You are asked to see a 75 year old female with Alzheimer’s Disease with an associated psychosis who lives with her husband. He tells you he has no problems coping with his wife and denies feeling stressed. A couple of days later, their daughter rings you and tells you her father as a carer is under severe strain. He talks about how he and his wife would be better off dead, loses his temper with his wife, and talks about overdosing her with medication and running away.
  8. if anyone has been shortlisted ect.. could we get updates.............
  9. It would be nice to know if i have been shortlisted or not Was expecting to know this friday
  10. Oh, how could i forget, the royal college patient information leaflets which give explanations in plain English, please read these, as they will be invaluable with explanation stations.
  11. 1) It is an OSCE, if you are new to this format of exams you need to familiarise yourself to it , this can be done by several ways including a) attending one of the courses forming a group including someone who has done it b4 c) Getting all the notes, the oxford course has the best material for role play, but the Bristol course equally is very thorough. d) for those starting out the Cornish DVDs and www.psychinterview.com (Dr. Regge australian RANZP/CASC online course) will point you in the right direction e) In terms of books, you really shouldnt be reading much if you were to ask me to choose one i would say Pass the Casc by Andrew Illes 2) Group practice - this is crucial a) Practice the scenarios, and get feedback from mainly SPR’s ,people who have passed ,consultants, and particularly CASC examiners. Don’t be afraid to change groups if you feel that your group is not meeting your expectations. c) I found skype practice very useful and was practicing with other trainees in different deaneries all across the UK when my study partners were on call, or cancelled. d) Towards the end practice more than one scenario at a time and do circuits or mocks with each other to practice set shifting. e) try and record yourself doing scenarios and take notice of your posture and body language f) be aware towards the end when practicing that tempers in groups may flair, always be sure that the criticism and feedback you give colleagues is fair. 3) It is a good idea to attend a mock examination, I particularly found that the SPMM mock mirrored the exam, and the feedback forms they gave were very useful At the end of the day remember to enjoy life while you are preparing and to timetable other activities such as sports, family, and friends. With Gods grace i have passed all my exams on the first attempt and i have found all the advice in superego useful,
  12. well done sounds like it was a really good enriching experience
  13. Feedback from Day 2, Wednesday the 23/09/10 CASC Don Valley Stadium- posted due to the constant rumination i have had about this exam. Linked Stations Erotomania Man comes looking for CPN Fiona Jones, has been asked by receptionist , what the nature of involvement was. Assess psychopathology. Link Speak to Fiona Jones, Man was waving knife in reception, police called, accidentally released. Speak to her and address her fears. Delirium and Dementia New station about a 70 yr old lady admitted to a medical ward, with a fever has been sent for chest xray. Speak to her daughter and take a corroborative history. Link- Speak to the student nurse about management of this lady Frontal lobe- Speak to the mother of a 23 yr old man had a head injury 2 years ago who’s personality has changed - take a history Link Do an appropriate Cognitive examination Single stations Social phobia a 27 yr old lab technician fears her upcoming wedding, take a history plus focus on aetiological factors. Body Dysmorphic disorder- A young man in his 20’s says his eyes are wide apart take a history Autism- a 3 ½ month old child take a history from her mother with a view of getting a diagnosis Mania- GP referred a young man referred to A+E, man comes to A+E 5 hrs later demanding to get his medical notes take a history with a view of obtaining a diagnosis Overdose- Risk Assessment- Management- a 20 something year old female took an overdose after having a fight with her boyfriend, Poly-substance Misuse- Mental state examination, young man concerned that his friends and the police are after him. Capacity Assessment- a young man with schizophrenia has refused an OGD and investigations assess his capacity to refuse treatment Lithium augmentation in partially treated depression. Discuss lithium and address patients questions.
  14. A young man is referred by his GP with a working diagnosis of early onset psychosis, he is hearing voices and has a scar on his face. Task assess his symptoms to reach a diagnosis. Hint pt denies hearing voices and has no psychotic symptoms, He had a scar caused by a fall and is avoiding going out. Can someone who has done this station, comment on the best approach. Turns out this chap might have either Body dysmorphic disorder or social phobia, as he avoids going out.