Abstract

A recent report by the Royal College of Psychiatrists (1993) on community supervision orders refers to the use of extended leave in Scotland. The legal basis for this practice is uncertain, and some explanation is required.

Highlights

  • When the idea was first proposed to our practice that we should have a doctor from the York Psychiatry Rotation attached to our practice as a trainee we were all enthusiastic

  • I feel the placement was success ful and I hope that Simon came away learning a lot about general practice and a significant amount of psychiatry in a different setting

  • I was quite offended to hear that the Royal College of Psychiatrists doubted he would be exposed to enough psychiatric morbidity in general practice as I consider it is a major part of our work-load

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Summary

Experience of a psychiatric trainee by a general practitioner

CHRISTOPHEORATESG, eneral Practitioner, Mayford House Surgery, East Road, NorthallertonDLolNP. I was quite offended to hear that the Royal College of Psychiatrists doubted he would be exposed to enough psychiatric morbidity in general practice as I consider it is a major part of our work-load He had the usual difficulties similar to those experienced by a GP vocational trainee when first starting in a new practice: the strange computer system, all new staff, a way of working quite different to the hospital system, but, because of his experience in psychiatry he was very skilled in verbal communication and in the consultation. I feel the short attachment has taught him in several areas that will be of benefit in his future psy chiatric practice Most importantly he has been exposed to the full range of psychiatric problems as they present in general practice and their manage ment, including normal responses such as bereave ment. I hope he has gained an insight into the working of a modern, and forever trying to keep up with the changes, general medical NHS practice which may help him when he returns to the ever changing NHS hospital service

The times
Compulsory treatment in the community in Scotland
Full Text
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