chrispell

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About chrispell

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  • Gender
    Male
  • Location
    Tayside
  • Occupation
    Consultant Psychiatrist
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    MRCPsych
  1. Psych09 why do you make that distinction? The standard set is to pass the exam. I'm not sure what the exact number of stations has to do with anything. Could you elaborate on what you mean?
  2. Is modulating your style of communication to fit with the college and patients' expectations not a type of communication skill? If you happen to drive in a particular way (e.g. driving on the left, at different speed limits, undertaking, going around roundabouts anti-clockwise) then you have to alter this practice if you expect to be permitted to retain your license in a different country where these ways are not the normal. Altering your approach to patients is to my mind analogous. Hence the CASC measures performance against an expected standard. This necessity does not say anything about your level of knowledge about psychiatry, nor your abilities as a doctor, but is required to demonstrate your ability to function at the expected level of communication that our patients demand. The original post is about resitting the exams, and the data shows that your chances of success diminish for each subsequent sitting. Upon reaching a point where success in the exams just is not happening, it would seem reasonable for your supervisor to discuss this with you and suggest other ways forward in your career.
  3. Erm? Why not then discharge them from the clinic? You seem to have reached a point where treatment has been ineffective, is exhausted or is not indicated. Have a conversation with them, and stop offering them another appointment in 3-4 months time!
  4. GMC debates use of social media and professionalism, along with other aspects of public life. What do you think? gmc-uk.org/guidance/10416…
  5. Not sure what you are struggling with. Is it the definitions of these terms? Or adult learning in general? Learning objectives - what you will get from a learning episode in terms of skills, knowledge or attitudes. Intended learning outcomes - a plan of what you intend to learn about and how you will know that you have achieved it Competencies - an outcome measure by which you demonstrate a particular skill to a specified level Curriculum linked - the learning is linked to a particular component of the curriculum. It isn't difficult once you get the hang of the terms.
  6. WBAs are formative and not summative. It does not matter whether you "pass" or "fail." In fact you should be achieving lower marks for most of your training as you are being measured against your standard at the end of that year (CT1) or end of CT3. They are reflective tools to enable you to improve your performance.
  7. Hugely flawed as a study though, from the point of view of biases. The fact that Zimbardo himself participated in the study makes it difficult to know whether his influence led to the outcomes he expected or wanted to see. See the excellent Skeptoid article and podcast on the experiment. http://skeptoid.com/episodes/4102
  8. Do you not save lives in psychiatry too?
  9. I'm not sure why you have asked for my view on this, but well here is what I think. There have always been people who pass the exam and people who for whatever reason don't. In the old system they would be taken aside by the college tutor or their consultant and told to stop taking it as they were just throwing money away. Your greatest likelihood of passing is always the first time, and you get diminishing returns from there on in. If you cannot pass the exam, then give it up as a bad cause and concentrate on being a psychiatrist. The exam says nothing about your skills in your day to day job, hence the reason why you will generally do OK in the WBAs and training posts. However it is a necessary part of getting a higher training post. At the end of the day there are other career options, and better ways to spend your time. If you are set on being a consultant then you should concentrate on developing your career in a non-training post and proceed through the CESR route. Otherwise, just do what is important - continue to work in a job that suits you and that you find interesting, to the benefit of your patients.
  10. Dream... you sound very racist buy you try to say it in a subtle way... Also you seem to advertise your "INTEResting COURSE" by downgrading others... If you have balls prove your self by rising higher and not trying to pull others down... I dont now if I should be feeling sorry for you be angry with you.. you decide what you are worth of.. I am of the opinion of boycotting you from the forum.. its called nipping the bud by the way.. And try to read in between the lines and not use the spell checker to review my post.. and pick spelling misstaakes This would appear an attempt by Auro at the logical fallacy of an ad hominem attack. You do not address the points raised by jumpingdemon at all, but choose to try to discredit his position by calling him a racist. Whether or not he is racist (and I am in no way suggesting that he is, I have no idea) and his use or not of a spellchecker is not relevant to the points being made about the poor standards they have observed in other at the same course. Do you have anything to say which answers the questions and opinions raised?
  11. It's the perpetual problem of workforces planning in the NHS. It's not about how things are right at this moment, but looking ahead to the next 5-10 years that will be difficult. Currently the competition rate is due mainly to the glut of people coming through from the initial year of the MTAS debacle. There were not enough jobs created, and then partly due to outcry additional jobs were added to accommodate people who would be displaced. The old system would have allowed for people to gauge themselves how much training to do and how long to spend in training jobs, but the new system forces everyone through at the same time, creating a massive group of trainees all now finishing in August each year. Consultants don't all turn 65 and retire on the first Wednesday in August, so there will be seasonal peaks and troughs of supply and demand for posts. Once this bulge of trainees has come through, then we will hit the problem of poor recruitment over the last few years as vacant posts lead to a lack of applicants for consultant posts in 5 or 6 years time. Unfortunately recruiting more folk now will do little to address this and will lead to over supply again. If you look at the history of the NHS over the years from its inception there have been similar cycles all of the way through the last 60 years.
  12. As far as I am aware, the Superego Cafe is an open forum for anyone to join and contribute to. It just so happens that it is primarily used by psychiatrists, as this is who it is aimed at. Why would you not want locum agencies to have access?
  13. You really will need to emphasis this to them. If you are not certain what it is that they are assessing, then they must tell you. Otherwise you would likely be in with a good chance of appealing any decision made. You may wish to consider writing to your TPD or at least emailing, so that you can demonstrate that you have sought to clarify these points in advance of the next ARCP date.
  14. The way in which the ARCP is conducted is set out in the Gold Guide. You should be able to speak to the deanery or to your TPD to determine what additional information needs to be submitted. Did you submit your portfolio of evidence, including sufficient WBAs? If so I would be asking the people organising the ARCP what it is that they expect of you, and whether they can give you clear indications of what they feel is lacking so far. Speak to your educational supervisor too as they may be able to find out more about it.
  15. Have you spoken to the TPD in Tayside about where you might be placed? Obviously I don't know where you will be travelling from, but many areas of Tayside are reachable from the SE area. Let me know if you want any advice about the area.