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Wolstenholme N, McKinnon I, Lloyd AJ. Factors that influence psychiatric trainees' choice of higher training specialty: mixed-methods study. BJPsych Bull 2022; 47:171-177. [PMID: 35040424 DOI: 10.1192/bjb.2021.128] [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: 11/23/2022] Open
Abstract
AIMS AND METHOD Factors influencing trainees' decisions about choosing and remaining in higher training subspecialties have not been widely researched. We administered telephone questionnaires to higher specialist trainees in the north-east of England to ascertain what influences these decisions. Thematic analysis was employed to develop overall constructs. RESULTS Twenty-seven trainees were interviewed, resulting in six overall constructs. These were: supervisory experiences; perceived work-life balance; career prospects; training and working environments; interest in the chosen subspecialty; and previous experience within the chosen subspecialty. Most trainees interviewed felt they had made the right specialty choice. CLINICAL IMPLICATIONS This study demonstrates the particular importance of exposure to a specialty and perceptions of the supervisory experience in determining trainees' choices of, and decisions to remain in, a particular psychiatric specialty. Factors highlighted in this study must inform training, recruitment and workforce planning in order to bolster the recruitment and retention of trainees into higher specialty training.
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Affiliation(s)
| | - Iain McKinnon
- Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust, Morpeth, UK.,Newcastle University, Newcastle upon Tyne, UK
| | - Adrian J Lloyd
- Newcastle University, Newcastle upon Tyne, UK.,Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust, Newcastle upon Tyne, UK.,Health Education England, Newcastle upon Tyne, UK
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Alexopoulos P, Novotni A, Novotni G, Vorvolakos T, Vratsista A, Konsta A, Kaprinis S, Konstantinou A, Bonotis K, Katirtzoglou E, Siarkos K, Bekri ES, Kokkoris I, Como A, Gournellis R, Stoyanov DS, Politis A. Old age mental health services in Southern Balkans: Features, geospatial distribution, current needs, and future perspectives. Eur Psychiatry 2020; 63:e88. [PMID: 32921324 PMCID: PMC7576530 DOI: 10.1192/j.eurpsy.2020.85] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/17/2020] [Revised: 09/06/2020] [Accepted: 09/07/2020] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Healthcare services are increasingly confronted with challenges related to old age mental disorders. The survey aimed to provide an overview of existing psychogeriatric services in Albania, Bulgaria, Greece, and North Macedonia. METHODS After identification of psychogeriatric units across the four countries, their head physicians were asked to provide data on their clinical, teaching, and research activity, as well as staff composition. Moreover, the attitudes of head physicians to current needs and future service development were explored. RESULTS A total of 15 psychogeriatric units were identified (3 in Bulgaria, 8 in Greece, and 4 in North Macedonia). Results show wide variation regarding the location, team size and composition, service availability, numbers of patients attending, and inpatient treatment length. Most head physicians underscored the urgent need for breakthroughs in the graduate and postgraduate education in psychogeriatrics of medical and nonmedical professionals, as well as in the interconnection of their units with community primary healthcare services and long-term care facilities for seniors via telemedicine. They would welcome the development of national standards for psychogeriatric units, potentially embodying clear pointers for action. A number of head physicians advocated the development of nationwide old age mental health registries. CONCLUSIONS Regional disparities in resources and services for seniors' mental health services were unveiled. These data may enrich the dialogue on optimizing psychogeriatric services through planning future cross-border collaborations mainly based on telemedicine services, especially in the era of the novel coronavirus pandemic, and training/education in psychogeriatrics of mental health professionals.
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Affiliation(s)
- P. Alexopoulos
- Department of Psychiatry, Patras University General Hospital, Faculty of Medicine, School of Health Sciences, University of Patras, Patras, Greece
- Department of Psychiatry and Psychotherapy, Klinikum rechts der Isar, Faculty of Medicine, Technische. Technische Universität München, Munich, Germany
| | - A. Novotni
- University Clinic of Psychiatry, Medical Faculty, University “Ss Cyril and Methodius”, Skopje, North Macedonia
| | - G. Novotni
- University Clinic of Neurology, Medical Faculty, University “Ss Cyril and Methodius”, Skopje, North Macedonia
| | - T. Vorvolakos
- Department of Psychiatry, Alexandroupolis University General Hospital, Faculty of Medicine, School of Health Sciences, Democritus University of Thrace, Alexandroupolis, Greece
| | - A. Vratsista
- Department of Psychiatry, Arta General Hospital, Arta, Greece
| | - A. Konsta
- 1 Department of Psychiatry, “Papageorgiou” General Hospital, Faculty of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - S. Kaprinis
- 3 Department of Psychiatry. Psychiatric Hospital of Thessaloniki, Faculty of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - A. Konstantinou
- Department of Psychiatry, Larissa University General Hospital, Faculty of Medicine, University of Thessaly, Larisa, Greece
| | - K. Bonotis
- Department of Psychiatry, Larissa University General Hospital, Faculty of Medicine, University of Thessaly, Larisa, Greece
| | - E. Katirtzoglou
- 1st Department of Psychiatry, “Eginition” University Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
| | - K. Siarkos
- 1st Department of Psychiatry, “Eginition” University Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
| | - E. S. Bekri
- Environmental Engineering Laboratory, Department of Civil Engineering, School of Engineering, University of Patras, Patras, Greece
| | - I. Kokkoris
- Division of Plant Biology, Department of Biology, School of Basic Sciences, University of Patras, Patras, Greece
| | - A. Como
- Psychiatry Division, Department of Neuroscience, Tirana University Hospital Center “Mother Teresa”, Tirana Medical University, Tirana, Albania
| | - R. Gournellis
- 2nd Department of Psychiatry, “Attikon” University General Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
| | - D. S. Stoyanov
- Department of Psychiatry and Medical Psychology, Faculty of Medicine, Medical University of Plovdiv, Plovdiv, Bulgaria
| | - A. Politis
- 1st Department of Psychiatry, “Eginition” University Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
- Department of Psychiatry, Division of Geriatric Psychiatry and Neuropsychiatry, Johns Hopkins Medical School, Baltimore, USA
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