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Parker S, Nhieu K, Warren N, Dark F, Cutbush J, Suetani S. Formulation in psychiatry - a guide to developing competence. Australas Psychiatry 2023; 31:99-104. [PMID: 36341707 DOI: 10.1177/10398562221135996] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
OBJECTIVE This paper highlights the importance of psychiatric formulation and provides guidance to those learning the art of formulation. To achieve this, we explore the guidance on formulation that has been previously published in Australasian Psychiatry, identify the key components of psychiatric formulation, and outline an approach to comprehensive formulation in routine clinical practice. CONCLUSION Formulation is the foundation of good psychiatric practice but presents a considerable challenge to the novice practitioner. Understanding the ingredients of formulation and a method for meaningfully putting these together will guide deliberate practice to learn the art of psychiatric formulation.
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Affiliation(s)
- Stephen Parker
- The Prince Charles Hospital, Metro North Addiction and Mental Health Service, Chermside, QLD, Australia; School of Medicine and Dentistry, Griffith University, Nathan, QLD, Australia; and 420004The University of Queensland, Brisbane, QLD, Australia
| | - Kitty Nhieu
- Metro South Addiction and Mental Health, Brisbane, QLD, Australia
| | - Nicola Warren
- 420004The University of Queensland, Brisbane, QLD, Australia; and Metro South Addiction and Mental Health Services, Brisbane, QLD, Australia
| | - Frances Dark
- 420004The University of Queensland, Brisbane, QLD, Australia; and Metro South Addiction and Mental Health Services, Brisbane, QLD, Australia
| | - Jimsie Cutbush
- Metro South Addiction and Mental Health Services, Brisbane, QLD, Australia
| | - Shuichi Suetani
- School of Medicine and Dentistry, Griffith University, Nathan, QLD, Australia; 420004The University of Queensland, Brisbane, QLD, Australia; 90131Queensland Centre for Mental Health Research, Wacol, QLD, Australia; and Institute for Urban Indigenous Health, Windsor, QLD, Australia
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Hill H, Harvey C. Completing the RANZCP scholarly project in a rural/regional setting: a practical example. Australas Psychiatry 2021; 29:234-236. [PMID: 32924539 DOI: 10.1177/1039856220953697] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
OBJECTIVE The Royal Australian and New Zealand College of Psychiatrists (RANZCP) scholarly project (SP) is a major hurdle for trainees completing psychiatric training - intensified for those working in rural settings. Whilst strategies to overcome this challenge have been proposed, there are few examples of how these have been successfully implemented. This report will describe the completion of a RANZCP SP in a regional setting, with supervision and support provided by an academic psychiatrist working within a metropolitan research centre. CONCLUSION Trainees in remote geographical locations can utilise expert supervision from academic psychiatrists to successfully complete the SP. Key components are support from both the trainee and supervisor's employers, utilisation of a range of supervision modalities and a clear pragmatic memorandum of understanding between the supervisor and trainee. This initiative had widespread benefits beyond completion of the SP for all parties involved.
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Affiliation(s)
- Harry Hill
- Mental Health, Drug and Alcohol Service, Barwon Health South West Healthcare, Australia; and Deakin University, Australia
| | - Carol Harvey
- Department of Psychiatry, The University of Melbourne, Australia; and North West Area Mental Health Service, North Western Mental Health, Australia
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Ng F, Ayres A, Suetani S, Parker S. Stepping forward: challenges and pathways to building a vibrant research culture through the Scholarly Project. Australas Psychiatry 2019; 27:187-191. [PMID: 30488714 DOI: 10.1177/1039856218815745] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
OBJECTIVES The Scholarly Project is a relevant task to support building a culture of research in psychiatry across Australia and New Zealand. However, there are several impediments to trainees' confident completion of this project. The authors review recent literature on the challenges voiced by trainees, as well as solutions posed by clinician-researchers and medical educators. Relevant strategies are highlighted, and several practical solutions to support the completion of the Scholarly Project are proposed. CONCLUSIONS There are several pathways available to alleviate barriers to trainees' timely commencement and completion of the Scholarly Project, including enhancing research capacity within services, familiarity with the requirements, access to supervisors and additional support for trainees.
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Affiliation(s)
- Faith Ng
- Psychiatry Registrar, Child Health Queensland, Lady Cilento Children's Hospital, Brisbane, QLD, and; School of Clinical Medicine, Children's Health Queensland Clinical Unit, Brisbane, QLD, Australia
| | - Alice Ayres
- Psychiatry Registrar, Child Health Queensland, Lady Cilento Children's Hospital, Brisbane, QLD, and; School of Public Health, The University of Queensland, Brisbane, QLD, Australia
| | - Shuichi Suetani
- Staff Specialist - Psychiatry, Metro South Addiction and Mental Health Service, Woolloongabba, QLD; Queensland Centre for Mental Health Research, Wacol, QLD, Queensland Brain Institute, The University of Queensland, Brisbane, QLD, Australia
| | - Stephen Parker
- Staff Specialist - Psychiatry, Metro South Addiction and Mental Health Service, Woolloongabba, QLD, and; Queensland Centre for Mental Health Research, Wacol, QLD, and; Queensland Brain Institute, The University of Queensland, Brisbane, QLD, Australia
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Cheung G, Gale C, Menkes DB. What affects completion of the scholarly project? A survey of RANZCP trainees. Australas Psychiatry 2018; 26:545-550. [PMID: 29737192 DOI: 10.1177/1039856218772250] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
OBJECTIVE To explore trainee perception of what facilitates or delays completion of the RANZCP Scholarly Project (SP). METHOD Of 182 currently registered New Zealand trainees, 33 (18%) completed an online questionnaire and three open-ended questions. RESULTS Most trainees agreed or strongly agreed that having protected time for research (87.5%) and access to an appropriate supervisor (87.9%) would facilitate the completion of their SP. Other college requirements were identified by most trainees (87.9%) as a factor delaying completion. CONCLUSIONS Identifying and protecting research time and ensuring adequate supervision appear essential to improve the uptake and completion of this training requirement.
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Affiliation(s)
- Gary Cheung
- Department of Psychological Medicine, University of Auckland, Auckland, New Zealand
| | - Chris Gale
- Department of Psychological Medicine, University of Otago, Dunedin, New Zealand
| | - David B Menkes
- Department of Psychological Medicine, University of Auckland, Auckland, New Zealand
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Cheung G, Friedman SH, Ng L, Cullum S. Supervising trainees in research: what does it take to be a scholarly project supervisor? Australas Psychiatry 2018; 26:214-219. [PMID: 28879779 DOI: 10.1177/1039856217726696] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
OBJECTIVES Scholarly projects (SPs) are a compulsory component of psychiatry training in Australasia. This article outlines the role of a research supervisor in supporting a trainee to complete an SP. METHODS A total of 10 old age and forensic psychiatry SPs were reviewed with regard to aims, methodology, supervisor input, trainee tasks and additional resources. RESULTS The main supervisor tasks are described and discussed. They include practical advice on study design, ethics applications, critical appraisal, data analysis, academic writing and publication. CONCLUSIONS Supervising SPs can bring significant rewards in awakening a trainee's interest in research. Key competencies for research supervision are discussed and further recommendations for supervisor support and training are provided.
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Affiliation(s)
- Gary Cheung
- Department of Psychological Medicine, The University of Auckland, Auckland, New Zealand
| | | | - Lillian Ng
- Department of Psychological Medicine, The University of Auckland, Auckland, New Zealand
| | - Sarah Cullum
- Department of Psychological Medicine, The University of Auckland, Auckland, New Zealand
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Abstract
OBJECTIVES This article describes components of a workshop designed to orientate psychiatric trainees to the task of conducting a scholarly project. The aims are: to promote an approach that incorporates principles of adult learning to guide trainees who are undertaking research; to allow trainees to transform their ideas into more tangible research questions; and to enable supervisors to reflect on delivering similar content in scholarly project workshops. METHODS The workshop comprised: creating a safe space to explore ideas; discussing the process of posing a question or hypothesis; using group interactions to generate concepts; and considering personal values that influence the choice of research methodology to answer a question. RESULTS Examples are provided from the workshop. The process enabled trainees to generate and distil ideas into more concrete questions and methods in three phases: introductory, exploratory and tangible. CONCLUSIONS Adult learning principles may assist trainees to develop their ideas for a scholarly project into research questions that are relevant to clinical practice. Harnessing the creative potential of a peer collective may encourage deeper inquiry, shifts to a tangible output and a sustained interest in research.
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Affiliation(s)
- Lillian Ng
- Senior Lecturer and Forensic Psychiatrist, Department of Psychological Medicine, The University of Auckland, Auckland, New Zealand; Counties Manukau District Health Board, Auckland, New Zealand
| | - Sarah Cullum
- Senior Lecturer and Old Age Psychiatrist, Department of Psychological Medicine, The University of Auckland, Auckland, New Zealand; Counties Manukau District Health Board, Auckland, New Zealand
| | - Gary Cheung
- Senior Lecturer and Old Age Psychiatrist, Department of Psychological Medicine, The University of Auckland, Auckland, New Zealand; Auckland District Health Board, Auckland, New Zealand
| | - Susan Hatters Friedman
- Associate Professor and Forensic Psychiatrist, Department of Psychological Medicine, The University of Auckland, Auckland, New Zealand; Mason Clinic, Regional Forensic Psychiatry Services, Auckland, Auckland, New Zealand
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Evans L, Suetani S. Navigating through the Competency Based Fellowship Program: two trainees' experience of the 2012 program. Australas Psychiatry 2017; 25:310-312. [PMID: 28135834 DOI: 10.1177/1039856217689916] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
OBJECTIVES This article discusses the real-life experience of two senior registrars who are approaching the end of their training under the 2012 Competency Based Fellowship Program. We have shared some practical tips to assist trainees in completing the Program, with particular emphasis on examination preparation. CONCLUSION Whilst stressful at times, we believe that going through the Competency Based Fellowship Program has helped us build our knowledge, skills base, and expertise for practising psychiatry as consultants.
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Affiliation(s)
- Lois Evans
- Psychiatry Registrar, Tauranga Hospital, Tauranga, New Zealand
| | - Shuichi Suetani
- Psychiatry Registrar, The Park - Centre for Mental Health, Wacol, QLD, and; Queensland Brain Institute, University of Queensland, St Lucia, QLD, Australia
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You D, Glozier N, Kealy-Bateman W. The Scholarly Project in the Royal Australian and New Zealand College of Psychiatrists training program: getting up and running in Stage 1. Australas Psychiatry 2017; 25:185-186. [PMID: 28375057 DOI: 10.1177/1039856216679544] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Daniel You
- Registrar, Department of Psychiatry, Professor Marie Bashir Centre, Royal Prince Alfred Hospital, Camperdown, NSW, Australia
| | - Nick Glozier
- Professor of Psychological Medicine, Brain Mind Research Institute, University of Sydney and Department of Psychiatry, Professor Marie Bashir Centre, Royal Prince Alfred Hospital, Camperdown, NSW, Australia
| | - Warren Kealy-Bateman
- Clinical Senior Lecturer, Graduate School of Medicine, University of Wollongong and Department of Psychiatry, Professor Marie Bashir Centre, Royal Prince Alfred Hospital, Camperdown, NSW, Australia
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Ryan CJ. "Equivalent other" scholarly projects. Australas Psychiatry 2015; 23:309-10. [PMID: 26014628 DOI: 10.1177/1039856215579544] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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