Supported and valued? a trainee-led review into morale and
training within psychiatry
As the Junior Doctors' contract dispute in England waged on
during 2016/17, we looked for ways to help trainees across all four
nations be hear on big issues such as trainee morale and the
quality of training.
Psychiatric Trainees’ Committee organised and led a series of
regional focus groups across all eleven Division of the
College between June 2016 - January 2017. This was followed by a
Each focus group concentrated on three key lines of enquiry,
highlighting what trainees thought was currently working well and
what steps we could take to improve in the future.
In April 2017 we published our final review:
Outcomes from the review:
While more work needs to be done to ensure fairer training
opportunities throughout the UK, the quality of psychiatric
training and the opportunities we receive exceeds many other
We were touched by the expressions of gratitude from trainees
towards their seniors and their multidisciplinary colleagues
throughout this review.
We encourage all psychiatrists to be ambassadors for the
profession by encouraging others to #ChoosePsychiatry
and to support and value one another.
We are pleased to receive ongoing support from our College
Officers and welcome their commitments to learn from the evidence
gathered within this review and, in conjunction with the PTC, act
on the issues raised:
- Through regular communication with senior management, we
believe that, if implemented and engaged with effectively Enhanced
Junior Doctor Forums will lead to the resolution of many
concerns that were raised as part of this review. Check out our implementation guide to learn
- Working out of hours will always be
associated with risks to both staff and patients. Yet our current
practice, attitude and culture exacerbates these risks. Trainees
must be supported and valued, and they must be kept safe. Read
'Supported and Valued? Staying Safe' ,
our evidence based review on fatigue within psychiatry and learn
how you can make a difference
- In collaboration, the Education and Training Committee, Head of
Schools Committee and PTC, established a working party led by the
Dean to nationally standardise the ARCP process for core trainees.
Guidance is currently being finalised and will published soon.
- In conjunction with the Leadership and
Management Committee, the PTC are establishing an in-programme
RCPsych Leadership and Management Fellow Scheme that will be
available for participating Trusts and Health Boards across the UK
for higher trainees providing greater career autonomy.
We will continue to drive improvements in the quality of
training and in supporting and valuing each other.
However, the real power is with you. We all have autonomy over
our behaviour and, on the basis of our findings, we implore you to
make a difference.
Through the power of marginal gains, even the smallest of
changes can make a big difference.
Dr Alex Till
Supported and valued Lead