How can we make the current UK psychiatric training scheme truly trainee centred?

Area of Science:

• Medical Education
• Psychiatric Training
• Healthcare Workforce Development

Background:

• UK psychiatric training attracts international medical graduates (IMGs) globally.
• Despite significant changes, training outcomes have not improved, necessitating a shift in focus.
• Current training structures have evolved, with shifts in assessment importance post-Tooke's report.

Purpose of the Study:

• To highlight the need for trainee-centered teaching principles in UK psychiatric training.
• To address factors negatively impacting training quality and trainee engagement.
• To advocate for educational strategies that enhance learning and service delivery.

Main Methods:

• Review of current UK psychiatric training structures and historical changes.
• Analysis of factors affecting trainee experience, including supervision quality.
• Exploration of the impact of external pressures like EWTD and budget cuts.

Main Results:

• Training has become less trainee-centered due to external pressures and inadequate supervision.
• Surveys indicate poor quality of clinical supervision, impacting trainee development.
• A disconnect exists between training modifications and desired educational outcomes.

Conclusions:

• Student-centered teaching is a skilled educational process with potential benefits.
• Implementing trainee-centered principles in psychiatric training can improve learning success.
• Refocusing on trainees is crucial for developing effective future consultants and safer services.