Hostname: page-component-7bb8b95d7b-dtkg6 Total loading time: 0 Render date: 2024-10-06T01:47:41.219Z Has data issue: false hasContentIssue false
  • English
  • Français

The teaching of clinical skills at a postgraduate hospital

Published online by Cambridge University Press:  09 July 2009

Francis Creed  and
Robin M. Murray
Francis Creed*
Affiliation:
Maudsley Hospital, London
Robin M. Murray
Affiliation:
Maudsley Hospital, London
*
1Address for correspondence: Dr Francis Creed, Department of Psychiatry, University Hospital of South Manchester, West Didsbury, Manchester M20 8LR.
Get access Rights & Permissions [Opens in a new window]

Synopsis

The teaching of ‘clinical skills’ is generally held to be central to postgraduate training in psychiatry, but the term itself has so far escaped exact definition. In an effort to study some of the component clinical abilities, their inter-relationships, and the factors promoting their transmission, all junior psychiatrists at the Maudsley Hospital were surveyed for their views on the clinical training they had received. Three hundred and seventy three assessments on 43 units were made. Trainees perceived the academic instruction and advice on formulating cases which they had received as being quite unrelated to the quality of help with interview skills and instruction in practical management, but feedback from the consultant to the trainee on the latter's performance was necessary for a high standard of both academic and practical instruction. Encouragement to do research was transmitted independently of other clinical teaching. Over a 3-year period the standard of multidisciplinary teamwork appeared to improve, but there was a decline in the standard of academic instruction and in encouragement to do research. These overall differences were due to changes in the teaching staff, rather than alterations in teaching methods. Surveys such as this may help to define the goals of postgraduate clinical training, and also monitor the extent to which an institution is achieving these goals.

Type
Research Article
Information
Psychological Medicine , Volume 11 , Issue 2 , May 1981 , pp. 391 - 399
Copyright
Copyright © Cambridge University Press 1981

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Association of Psychiatrists in Training (1979). Survey of Training. Newsletter, November, p. 3.Google Scholar
Aspy, D. N. (1978). Teaching skills. Journal of Medical Education 53, 871.Google ScholarPubMed
Bazuin, C. H. & Yonke, A. M. (1978). Improvement of teaching skills in a clinical setting. Journal of Medical Education 53, 377–382.Google ScholarPubMed
Brook, P. (1973). Psychiatrists in Training. British Journal of Psychiatry, Special Publication No. 7. Royal College of Psychiatrists: London.Google Scholar
Brook, P. (1974). The post-graduate education and training of consultant psychiatrists. British Journal of Psychiatry 124, 109–124.CrossRefGoogle ScholarPubMed
Brook, P. (1975). Training opportunities for overseas psychiatrists. British Journal of Psychiatry 127, 179–184.CrossRefGoogle ScholarPubMed
Brook, P. (1977). Psychiatric training: the consultant's view. British Medical Journal i, 622–623.CrossRefGoogle Scholar
Brook, P. (1980). Is psychiatric training improving? British Medical Journal 281, 787–788.CrossRefGoogle Scholar
Byrne, N. & Cohen, R. (1973). Observational study of clinical clerkship activities. Journal of Medical Education 48 919–927.Google ScholarPubMed
Clare, A. W. (1972). Training of psychiatrists. Lancet ii, 753–756.CrossRefGoogle Scholar
Cotsonas, N. J. & Kaiser, H. F. (1963). Student evaluation of clinical teaching. Journal of Medical Education 38, 742–745.Google ScholarPubMed
Cox, R. & Kontainen, S. (1974). Comparison of attitudes of trained trainers, untrained trainers and trainees to teaching in general practice. British Journal of Medical Education 8 103–110.CrossRefGoogle ScholarPubMed
Crammer, J. L. (1979). Research in decline. The Bulletin, Royal College of Psychiatrists 11, 174–175.Google Scholar
Creed, F. H. (1980). Raising standards in psychiatry The Bulletin, Royal College of Psychiatrists 03, 38–41.CrossRefGoogle Scholar
Davies, D. L. & Stein, L. (1963). What becomes of Maudsley registrars? Proceedings of the Royal Society of Medicine 56, 115–119.CrossRefGoogle ScholarPubMed
Hyde, C. E. (1979). The use of television in the assessment of home and foreign postgraduate groups during an introductory course in psychiatry. British Journal of Medical Education 13, 209–216.CrossRefGoogle ScholarPubMed
Jefferys, P. M. & Murray, R. M. (1976). Trainees' assessment of vocational training in psychiatry: a pilot study at the Maudsley Hospital. British Journal of Medical Education 10, 52–55.CrossRefGoogle ScholarPubMed
Kardener, S. H., Fuller, M., Mensh, I. N. & Forgy, E. W. (1970). The trainees' viewpoint of psychiatry residency. American Journal of Psychiatry 126, 1132–1138.CrossRefGoogle Scholar
Kendell, R. E. (1973). Psychiatric diagnoses: a study of how they are made. British Journal of Psychiatry 122, 437–445.CrossRefGoogle Scholar
Kiernan, W. E. S., McCreadie, R. G. & Flanagan, W. L. (1976). Trainees' competence in psychiatric case writing. British Journal of Psychiatry 129, 167–172.CrossRefGoogle ScholarPubMed
Kreitman, N. (1962). Psychiatric orientation: a study of attitudes among psychiatrists. Journal of Mental Science 108, 317–328.CrossRefGoogle ScholarPubMed
Lancet (1971). Editorial: college capers, ii, 587–588.Google Scholar
Lancet (1976). Editorial: a Wellcome boost, ii, 29–30.Google Scholar
Maguire, G. P. & Rutter, D. R. (1976). History-taking for medical students. Lancet ii, 556–557.CrossRefGoogle Scholar
Mayou, R. (1977). Psychiatric decision making. British Journal of Psychiatry 130, 374–376.CrossRefGoogle ScholarPubMed
Miller, G. E. (1969). The study of medical education. British Journal of Medical Education 3, 5–10.CrossRefGoogle Scholar
Newble, D. I. (1973). Teaching basic clinical skills and problem solving to fifth year medical students. Medical Journal of Australia ii, 1094.CrossRefGoogle Scholar
North, A. F. (1965). Evaluation of a paediatric house officer programme by alumni. Journal of Medical Education 40, 1145–1153.Google Scholar
O'Farrell, P. (1973). New fences over old courses. British Journal of Medical Education 7, 266–270.CrossRefGoogle ScholarPubMed
Peart, W. S. (1979). Research in psychiatry. Psychological Medicine 9, 205–206.CrossRefGoogle ScholarPubMed
Royal College of Psychiatrists (1978). Approval visits: guidelines in criteria and facilities for training. The Bulletin 09, 158–159.Google Scholar
Royal College of Psychiatrists (1980). Symposium on research. Quarterly Meeting,20 November,Institute of Psychiatry,London.Google Scholar
Russell, G. F. M. (1967). The dissertation of the Academic Diploma in Psychological Medicine (University of London). A training in research. British Journal of Medical Education 1, 363.CrossRefGoogle Scholar
Russell, G. F. M. (1972). Postgraduate education in psychiatry and its administrations: the example of the Maudsley Hospital. British Journal of Medical Education 6, 13.CrossRefGoogle ScholarPubMed
Russell, G. F. M. & Walton, H. (1970). The Training of Psychiatrists. British Journal of Psychiatry, Special Publication No. 5. Royal College of Psychiatrists: London.Google Scholar
Shepherd, M. (1971). Clinical outcome and the teaching of psychiatry. In Clinical Tutors In Psychiatry (ed. Watt, D. and Barraclough, B.), pp. 56–60. RMPA: Oxford.Google Scholar
Stritter, F. T., Hain, J. D. & Grimes, D. A. (1975). Clinical teaching re-examined. Journal of Medical Education 50, 876–882.Google Scholar
Sturgeon, D. A. (1979). Videotapes in psychiatry: their use in teaching observation techniques. British Journal of Medical Education 13, 204–208.CrossRefGoogle ScholarPubMed
Toone, B. K., Murray, R. M., Clare, A., Creed, F. H. & Smith, A. (1979). Psychiatrists' models of mental illness and their personal backgrounds. Psychological Medicine 9, 165–178.CrossRefGoogle ScholarPubMed
Weiner, S. L. (1974). Ward rounds revisited: the validity of the data base. Journal of Medical Education 49, 351–356.Google Scholar
Yonke, A. M. (1979). The art and science of clinical teaching. British Journal of Medical Education 13, 86–90.CrossRefGoogle ScholarPubMed