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Welcome to the December 2015 CPD
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Coping with pressures of our
By Dr Shyamal Mashru,
CPD Online Trainee Editor
NHS staff morale is currently low, as
evidenced by annual BMA and NHS staff surveys. There are ever
increasing financial cuts to services. We are all being asked to
maintain the quality of our work alongside reductions in staffing
levels, falling bed numbers and cuts to community teams. Junior
doctor contracts are also under threat and for the first time in
history we have been very close to doctors going on strike. This
all indicates the level of stress and pressure we are facing.
Consultants are also being asked to take on greater caseloads than
ever before and dropout rates from jobs are higher than ever.
How do we cope in this time of economic crisis
and increasing workload?
CPD Online has useful educational features to
help, and a two-part module on managing stress and avoiding
burnout. The first part,
Managing stress and avoiding burnout: Part 1 – understanding stress
and burnout, highlights the current research into the
harmful effects of stress and burnout among doctors in general, and
particularly psychiatrists. This can be found in the free modules
section of CPD Online, along with other free modules that give a
taster into the world of CPD Online. A subscription will give you
access to the second part,
Managing stress and avoiding burnout: Part 2 – taking
action, which provides a clear action plan for dealing
with the pressures of modern work life in the NHS. Explore this and
our other clinical, managerial and research modules, to do in your
own time, without needing to leave home or the workplace.
Psychedelic drug therapy in psychiatry
What are psychedelic drugs? Are they simply
dangerous drugs of abuse? Or sacramental tools used by non-Western
cultures for spiritual value? Can they assist us in our study of
human consciousness and the physiology of the brain? Or treat
patients with unremitting mental health problems? Psychedelics have
a controversial history and the subject has always been divisive.
This module will look objectively and scientifically at the
relative risks and benefits of psychedelic drugs, and follow the
development of these drugs within the profession of psychiatry.
Patient safety should be at the forefront
of everything we do when we deliver any care or treatment. Since
the 1990s the patient-safety movement has grown and gained momentum
and there has been a move away from a culture of blame towards an
approach that promotes openness and learning from errors. A key
theme is the value of reporting, investigating and learning from
incidents. This module looks at guidelines, initiatives and tools
for ensuring this happens both locally and nationally to prevent
Scotland has its own legal system and a
parliament with responsibility over devolved matters including
health, education, justice and social work. Several areas of
Scottish legislation directly concern children with mental
disorders. This module summarises key Scottish legislation and its
relevance for assessment and management of children and young
psychiatry [Fully updated and
revised by the authors October 2015]
Adolescent forensic psychiatry is a developing subspecialty that
sits between adult forensic psychiatry and child and adolescent
psychiatry. These are exciting times – a network of five
NHS adolescent forensic in-patient units has been successfully
developed in England, and most Young Offenders
Institutions/Young Persons' Prisons or local authority secure
children's homes (LASCH) now receive specialist in-reach from CAMHS
teams. This module details what adolescent forensic psychiatry is
and provides useful information on the services available in the UK
and Republic of Ireland.
This module presents and summarises evidence on the
epidemiology, assessment and management of suicides in custody. It
includes sections on the key elements of suicide prevention in
prisons, and management of suicides and attempted suicides in
Substance misuse in older people is a growing public health
problem but is often overlooked. Alcohol consumption in
particular is growing. These substances impact on mental health,
and there are important differences in assessing older and younger
people. All these points are covered in detail within this
Psychiatric populations show high rates of significant medical
disease (about 50% of in-patients in most studies). They also
tend to receive poorer treatment for physical disease than the rest
of the population. Gain the necessary competence in the recognition
and management of physical diseases – especially those which
are particularly common in the population you treat.
The role of therapist
Is it ever appropriate, and indeed beneficial,
for therapists to talk about themselves with clients? Raj Persaud
talks to clinical psychologist Anna Ruddle about the potential
advantages of therapist self-disclosure.
Leadership and management series: Part 3 –
pragmatic leadership in teams and groups
Seclusion reviews in secure settings
Metabolic syndrome and
Management of hyperprolactinemia in
View our most popular modules and
Highlights of the November
medication may be a sin: dietary requirements and food laws in
Religious laws do not usually forbid the use of psychotropic
medication, but many forbid the consumption of animal-based
derivatives such as gelatin and stearic acid, which are found in
many medications. Khokhar et al outline dietary requirements of key
religions and belief systems, identify common psychotropics that
contain animal-based derivatives, and suggest treatment
alternatives and approaches to sensitive ethical issues.
Autoimmune disorders in children and
adolescents can have significant neuropsychiatric complications.
Psychiatric symptoms may be a result of neuroimmunological
processes, medication side-effects or psychopathology due to
factors that may be unrelated to the autoimmune diagnosis. Warrilow
and Morton illustrate these complexities through discussion of
specific autoimmune disorders and three case histories.
Don’t forget to tell your junior colleagues
about CPD Online’s ‘sister site’ Trainees Online (TrOn) – currently
free to access for trainees and other College Members.
Subscribe to or
renew with CPD Online – subscriptions can start from
any point during the year.
With best wishes,
The CPD Online Team
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