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About drraisirfan

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  1. Hi Guys I passed the exam however I strongly feel for the really brilliant collegues who are caught-up in this mess. It is extremely worrying that college is not taking into account the miseries of a large number of trainnes who are on the verge of losing all the toil and labour they have bben putting into the exams for last many years. I think it would be a gross injustice, if people are deprived of their hard-earned Part I and sent back to the 'zero'of their careers. This issue was raised by me in a differnent context during recent AGM in Liverpool. Dean, Prof Rob Howard said in unequivocal terms that such a pathetic pass rate is clearly a failure of training paradigm. I found his words very comforting that he was ready to take his share of blame. Please write to College Dean Prof Rob Howard and college President Dr Dinesh Bhugra about this disaster in waiting for many of the trainees and staff grades. Psychiatric Trainees Committes (PTC) should be helpful in this regard. If PTC is unable or unwilling to help, an alternate platform could be formed such as Psychiatric Trainees Council or something like that. Losing even part I should not be acceptable and Old part I should be continue to work as an alternate to Paper I and II indefinitely. it is a justified request and it need to be raised at highest level in most appropriate way. Please do not resort to hate mails or unfounded accusations. I know emotions are running high but people who are suffering will get nothing unless PTC helps them or they form an alternate platform to plead on their behalf in a realistic and hard headed manner. I shall support all appropriate actions in this regard. Who is going to take lead in contacting PTC, writing a letter to concerned quarters and setting a timescale for an acceptable outcome or otherwise seeking legal opinion?
  2. Dear Kamaran Agoraphobia is a very common condition with lifetime prevalence of 5-12%. Cognitive restructuring, exposure, systematic desensitization and relaxation techniques are most commonly employed psychological interventions. It is a common scenario and we could ask any psychologist, how do they deal with such situations. It reminds me a stoty narrated by Francis Bacon. He attended a scholarly debate on the topic of 'number of a horse's teeth'. Every wizard came with a donkey load of books. Young Francis became really fed up with their never-ending arguments and asked permission for a question. He said, why don't you open the mouth of a horse to count the teeth. Scholars ordered him to leave the meeting. They contended that the imprudent Francis was insulting their elders by challenging their wisdom on the grounds of petty observation. Getting down to the brass taks Bringing the patient on board by explaining the rationale of systemic desensitization Telling them that you are keen to help and they need to make some effort by engaging with the therapy Therapy is tailored according to individual needs within therapeutic limits If patient is reluctant to come on her own, she may come with someone to learn relaxation techniques and hierarchy can be built around getting home after therapy It is painstakingly slow process and takes months of perseverance by patient, her family and therapist to see any discernible benefit In exceptional circumstances, therapist do go to patient's home and gradually encourage them to come for therapy sessions, which becomes a therapeutic goal itself. There is no quick fix, no one has but giving patient some options and trying to establish a therapeutic alliance with empathy and interview management techniques is a key skill here.
  3. Munna Bhai I am serious in my suggestion that humour is a nice way of conveying our frustration/anger with this system instead of calling names and going OTT. Please refine it and send it for publication as psychopathology made easy or CASC candiates guide or something. I am sure it could be published by BMA news if not by RCPsych bulletin.
  4. :lol:well done mate. Refine it a little bit to make it suitable for publishing and send it to college bulletin. A nice way of conveying your/our frustration.
  5. I have some interesting findings/revelations in my feedback. I failed TLE history station, even the feedback says TLE history station but the areas of concern include not eliciting congnitive signs and not doing an appropritate examination. It beggers belief that we were expected to take TLE history and to do an examination including eliciting relevant cognitive signs in 7 minutes. I would like to know, how many people passed this station and what did they do to pass it?
  6. I am shocked to know that I have got D in Adolescent Overdose Assessment. I did not elicit any information regarding the abuse but explained that I was going to speak to the concerned quarters to request a thorogh assessment. Actually the girl appeared very reassured and partly relieved, she gave me all the relevant details as well. There was a similar station in Oxford Course and both Examiner and role player gave me A. I am not sure what was expected?
  7. CASC result have pushed many of us into an angry and snappy mode. Please be patient and kind to colleagues and do not make personal comments in a perfectly reasonable debate. Poor CASC pass rate is actually is an expression of insensitivity of RCPsych. I do not think that it is a race issue at all. Most important issue is how to make sure that college pays any heed to concerns of the trainees and do not pretend to take a quasi-moral position of ensuring highest standard of competence. We could initiate an online petition for an urgent and possibly independent review of standard setting to prevent such impetuous moves in the future. I hope we will be able to muster-up enough support from trainees, who are victim of this irrationality and from trainers who have recieved a vote of no confidence from exam committee by failing nearly 2/3 of thier trainees. How does it sound?
  8. Best thing we could do is to start an online petition requesting an immediate review of standard setting and how to prevent wild fluctuation of pass rate in consecutive CASC Diets. Please do not mar the genuineness of our concerns with emotional and impractical suggestion such as making it a race issue or reporting it to SFO.Please have a look on SFO case acceptance citerion, it has nothing to do with our grievances. The key criterion we use when deciding whether to accept a case is that the suspected fraud appears to be so serious or complex that its investigation should be carried out by those responsible for its prosecution. The SFO could not - and does not - take on every referred case of suspected fraud. SFO resources must be focussed on major and complicated fraud. Factors considered: •does the value of the alleged fraud exceed £1 million? •is there a significant international dimension? •is the case likely to be of widespread public concern? •does the case require highly specialised knowledge, e.g. of financial markets? •is there a need to use the SFO's special powers, such as Section 2 of the Criminal Justice Act?
  9. Should we start an online Petition to RCPsych requesting an urgent review of wild fluctuation in the CASC pass rate and its impact on candidates and College's reputation? We can request all the trainees and possibly trainers to sign it.
  10. I agree that PMETB and AoRMC should be informed as well.
  11. I strongly feel that 36.22% pass rate is unfair and is a result of some arbitrary standard setting without any consideration for the pain and anguish inflicted on the candidates. Some trainees are suggesting lodging a legal challenge but it requires organisation, planning and funding; which we do not have at the moment. However, we could definitely do something and I must say that it is worth acting now to redress this grief and to avoid such ruthless treatment in future. As a first step, we should attempt to engage the potentially sympathetic quarters. Some suggestions 1: Seeking explanation from RCPsych about (a): Why is there such a wild fluctuation of pass rate in CASC? It plummeted from 59.16% in Diet I to 36.22 % in Diet II? (: Is it not a direct result of raising the pass mark from 8/12 (66%) in Diet I to 12/16 (75%) in Diet II? ©: Why did Exam Committee choose to put such a high pass threshold leading to the lowest pass percentage in MRCPsych Clinicals/CASC? 2: We should convey our concerns to and seek support from (a): BMA (: Remedy ©: BAPIO (d): RCPsych Trainee Committee 3: To raise awareness about plight of MRCPsych candidates, letters should be sent to the Editors of (a): Medical Press i.e. BMA News, BMJ, Psych Bulletin etc (: National Newspapers i.e. The Times, Daily Mail, Guardian etc ©: Blogs/Web resources
  12. I did come across a similiar situation. A woman who was depressed, took a massive OD and was admitted for IV treatment in a medical ward. She was not allowing treatment and was trying to leave the ward to jump in front of the cars. She was deemed lacking capacity and was detained under section 2 to keep her at a place of safety to do further assessment. However she was not allowing any treatment and there was an agreement that it was practically impossible and ethically questionable to pin her down forcibly to treat her. There was a tacit consensus that treatment would be administered if she passess out or does not actively resist it. In a scenario like given above, we as a psychotrist should attempt to recognize the boundaries of our professio al role. We can give an expert opinion that a person lacks capacity to refuse treatment at the time of aseasment, hence surgical team could make decision in the best interest of the patient. How those decisions will be implemented and what exactly would be logistics of implementing those decisions is beyond the scope of a psychaiatric assessment. It is very likely that such a tricky decision will be multidisciplinary and possibly multiagency based. We will certainly not be asked to take the onus of making such a decision single handedly. In the unlikely event of such an inappropriate demand we shlould candidly decline to do so.
  13. There is some ambiguity about duration of CASC. CASC guide says 'For the first diet of this examination only (i.e. June 2008) as part of a phased introduction of the new examination candidates will be required to complete only one circuit which will consist of six linked pairs (duration ten plus two minutes)'. What does it actually mean CASC will comprise 12 station of 12 minutes each= 144 minutes or 6 pairs of 12 minutes each=72 minutes? Any ideas?
  14. As far as I know, there is no standard appeal form. You need to write an application to chief examiner explaining the grounds of your appeal. I do not think we would be naive enought to pin our hopes on this appeal at the expense of preparation for paper 3.