Abstract
Some of the proposals in Achieving a Balance (DHSS, 1987) seem to have developed with little regard for postgraduate training in psychiatry. In psychiatry it has become common practice for SHO posts to be incorporated in training schemes with registrar posts, allowing several years of overall basic specialist training in preparation for obtaining the MRCPsych. This is in accord with the GMC Education Committee's position (GMC, 1987a) that specialist training can, on the ‘fast track’, follow on immediately from satisfactory completion of pre-registration posts (general clinical training) and full registration. Achieving a Balance states clearly that specialist training begins at registrar level and that any doctors in SHO posts should be receiving further general training. There are few guidelines concerning the necessary nature of such general training.
Highlights
The Education Committee of the GMC has, attempted to address this matter of post registration House Officer further general clinical training (GMC, 1987b) on the basis that SHO posts exist and that with the new manpower constraints at the registrar level are likely to continue to exist and perhaps even multiply for a while
Senior House Officer training is formally regarded as general clinical/professional training. (Specialist training starts in the registrar grade.) Such general training is not the exclusive domain of any one specialist College though, hopefully, it and the posts offering it can come to be recognised as providing suitable training for specialty purposes, especially, presumably the specialty in which the posts are located
The Recommendations on General Clinical Training produced by the Education Committee of the General Medical Council (1987b) cover this area of training
Summary
Some of the proposals in Achieving a Balance (DHSS, 1987) seem to have developed with little regard for postgraduate training in psychiatry In psychiatry it has become common practice for SHO posts to be incorporated in training schemes with registrar posts, allowing several years of overall basic specialist training in preparation for obtaining the MRCPsych. What follows is one endeavour to identify some educational goals and their consequences for training in SHO posts in the Region in which I am involved. These recommen~ dations stem from my own familiarity with the GMC Education Committee's thinking on this matter and may need considerable revision once the Royal College of Psychiatrists comes to consider this in respect of approval of such posts as suitable for training in psychiatry. The trainee should grasp the essentials of these processes and will be part of them
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