Abstract
Aims and methodThe audit aimed to assess current senior registrar posts in child and adolescent psychiatry in Ireland in terms of working environment, conditions and training issues. The posts were compared with standards set down by the Child and Adolescent Psychiatry Specialist Advisory Committee of the Royal College of Psychiatrists and the National Higher Training Subcommittee of the Irish Psychiatric Training Committee.ResultsThe audit cycle was completed twice and a 100% response rate was achieved on both occasions.Clinical implicationsHigher training posts in child and adolescent psychiatry in Ireland compare favourably to standards for training and education, but poorly for working environment, case-load and educational supervision.
Highlights
Previous studies have examined the supervision process,[3,4] access to information technology[5] (IT) and case-load[6] on several training schemes in psychiatry in the UK. This was the first audit completed that provides a comprehensive review of various aspects of senior registrar posts on the national higher training scheme in child and adolescent psychiatry in Ireland
All senior registrars in full-time posts at the time of the audit were approached (n = 25 in 2007 and n = 27 in 2008) and a 100% response rate was achieved in both cycles. (In 2007, one senior registrar was split between two clinical settings and reported on working environment for both, n = 26 in 2007 for working environment.)
Of concern was the increase in caseloads reported by some senior registrars, along with less supervision and fewer annual training plans completed
Summary
All senior registrars in full-time posts at the time of the audit were approached (n = 25 in 2007 and n = 27 in 2008) and a 100% response rate was achieved in both cycles. (In 2007, one senior registrar was split between two clinical settings and reported on working environment for both, hence n = 26 in 2007 for working environment.)
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