Abstract

A Reply to the President's Letter

Highlights

  • I would like to address two of the five points made by the President in his discussion note on 'The Future of the Consultant in Psychiatry'-these are 'Consultants without trainees' and 'Continuing education'

  • They apply most obviously and urgently to psychiatric services outwith the major teaching centres, and the way in which the profession reacts to these issues will surely affect the standards of psychiatric care likely to be offered to patients throughout the United Kingdom

  • The President sees a 'gradual elevation of standards of training leading to a condensation of training centres.' I believe this to be misguided and to constitute a threat to standards of psychiatric practice throughout this country. Epicentric trainees This is a topic which has to be faced squarely by everyone working in the specialty, whether or not a lead is provided by the Royal College of Psychiatrists

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Summary

Introduction

The trainee himself would be exposed to much that is relatively inaccessible in the overpopulated teaching centres: opportunities to treat mental illness in a rural setting, to be involved in the development of a community-based psychiatric service, to have perhaps more personal contact with consultants in an apprenticeship relationship by virtue of the smaller size of the group, and perhaps to be directly involved in some service-related research project.

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