Training requirements
Psychotherapy is integral to
the training of psychiatrists and is part of the
core curriculum for general psychiatry ST1-6. The
psychotherapy training requirements at ST1-3, pre
MRCPsych exam are outlined in the core curriculum, with
specific guidance on how to acquire psychotherapy experience.
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ST1-3 Core Training
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The PMETB curriculum ST1-6 core training and ST4-6 Higher
Specialist Training in Psychotherapy include methods of
assessment for psychotherapy competency. These are the
Structured Assessment of Psychotherapy Expertise (the SAPE) and
Case Based Discussion group (CBD) rating forms for junior doctors.
For higher specialist trainees it includes the Structured
Assessment of Psychotherapy Assessment (SAPA), SAPE and a modified
case based discussion form.
For ST1-3 it incorporates the requirement to undertake two cases
in different modalities over two durations for trainees. This means
that PMETB now formally require these assessments of competence
to be provided for ARCP accreditation
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Higher Specialist Training ST4-6 in Psychotherapy to
become a Consultant Psychiatrist in
Psychotherapy
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It is possible to obtain a CCT in Psychotherapy through
specialising in either CBT, psychodynamic, or systemic therapy.
This training comprises three years at ST 4-6 * level in
a PMETB accredited Psychotherapy scheme quality assured by local
deaneries through the schools of psychiatry.
Trainees acquire
an in depth knowledge of theory and practice of their major
approach, and also receive training in the other two
(psychodynamic, CBT or systemic) approaches. The specialist
curriculum is available here.
At the end of this
training they will gain a CCT as specialists in psychotherapy
and are able to apply to be on the Specialist Register of the
GMC.
As such they will be able
to train Specialty Registrars in psychotherapy and to take the role
of leading multi-modal psychological therapy teams. It is also
possible to spend a year in psychotherapy which will lead to an
endorsement in psychotherapy (see information pack, link
above).
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Psychotherapy training for ST4-6 in
specialties other than Psychotherapy
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The curriculum indicates that trainees continue to develop
their psychotherapeutic expertise as they become higher
trainees, according to their interest and specialty. For
example a rehabilitation or general adult trainee might seek
to gain experience of cognitive therapy of psychosis, a
trainee interested in eating disorders may gain further experience
of family therapy or psychodynamic psychotherapy, or
training on group therapy may interest a learning disability
trainee.
The combinations are many and tailored programmes of
experience can be devised
in conjunction with Psychotherapy tutors and Training
Programme Directors.
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CPD for SAS and Consultant
Psychiatrists
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SAS doctors and Consultant Psychiatrists can access
psychotherapy training by attachments to Departments of
Psychotherapy organised via the Psychotherapy Tutors of the
organisation they work in, achieving and advancing competencies in
the main psychotherapy modalities, working with individuals,
couples, families or groups.
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Psychotherapy Tutor Role
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Each core training programme should
have a Psychotherapy Tutor who is a Consultant Psychiatrist in
Psychotherapy.
The tutor works together with the
Training Programme Director ( TPD) of core training and the
Director of Medical Training of the Trust to ensure that
psychotherapy training requirements are met in the training scheme.
This includes ensuring case based discussion groups(CBDs) are
available in years 1and 2; CBT, psychodynamic, systemic or
integrative trainings and supervision are available for trainees;
liaising with and advising supervisors, who may be non- medical, of
the training requirements and advising trainees when and what kind
of psychotherapy cases are appropriate. The Tutor and other
Consultant Psychiatrists in Psychotherapy will also conduct
and advise on the workplace based assessments such as the ACE
on the psychotherapy long case. The Tutor will then contribute to
the review of the trainee's progress by advising the TPD whether
the psychotherapy requirements have been met.
The overall aim of the Psychotherapy Tutor is to help core
psychiatric trainees develop habits of self reflection and
emotional curiosity, to have an understanding of the therapeutic
relationship, unconscious modes of communication and learn
about different models of psychotherapy enough to be able to refer
or work alongside as the patient undergoes therapy.
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Training Programme Director
(Scheme Organiser)
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TPDs have responsibility
for managing specialty training programmes including Fixed Term
Specialty Training Appointments (FTSTAs). They work to ensure that
programmes deliver the specialty curriculum and enable trainees to
gain the relevant competences, knowledge, skills, attitudes and
experience. They take into account the collective needs of the
trainees in the programme when planning individual programmes. They
provide support for clinical and educational supervisors within the
programme and contribute to the annual assessment outcome
process in the specialty. They have a role in careers advice. They
help the Postgraduate Dean manage trainees who are running into
difficulties by supporting educational supervisors in their
assessments and in identifying remedial placements.
The work involves
working within the Trust with the Director of Medical education,
the Schools of Psychiatry within the Deanery, delegated
College/Faculty representatives (e.g. college tutors, regional
advisors) and national College/Faculty training or Specialty
Advisory Committees (SACs)
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Psychotherapy advisors at Schools of
Psychiatry
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Each school has access to a regional
representative in psychotherapy.
These person/persons
ensure that the deanery is aware of the requirements for
psychotherapy training for core and generic training ST1-6 and
higher specialist training, offering advice on how to ensure that
this is available to the trainee and that they attain appropriate
competencies in psychotherapy pre and post MRCPsych
Examinations.
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