HEE YH Core Training Programme
There are three core training programmes in the Yorkshire and the Humber School of Psychiatry:
- North East Yorkshire
- West Yorkshire
- South Yorkshire
Core Psychiatry training lasts for 36 months as a full time trainee. During this time trainees rotate through six month placements in a variety of specialties and are expected to pass the Membership Examination for the Royal College of Psychiatrists.
The core training programmes are well established and supported by trainers committed to the educational development of their trainees. Protected time enables trainees to attend teaching courses that prepares them for developing core skills and for taking exams for Membership of the Royal College of Psychiatrists.
Establishment of basic psychotherapy competencies is supported through a clear framework of training and supervision. Trainees are encouraged to participate themselves in the development and delivery of teaching and training and many continue into higher training within the Yorkshire area.
For some of the regions within Yorkshire and the Humber, the larger areas are split into training schemes, for example in West Yorkshire, you will find a number of training schemes (Calderdale and Kirklees, Bradford and Airedale etc.).
The East Riding psychiatry rotation is largely based in the historic city of Kingston Upon Hull but also offers the opportunity to gain psychiatry experience in rural areas as well as the more usual urban and suburban environment. There are also two CT1 posts based in Grimsby.
There are currently 22 approved training posts. There are 17 psychiatric trainees, 3 general practice VTS trainees and two foundation 2 posts. As is necessary for CT 1 – 3 training, there is a preponderance of general adult posts but there will also be the opportunity for experience in older adult psychiatry, liaison psychiatry, addictions, forensic psychiatry and rehabilitation psychiatry on the Professorial unit. Posts in both Intellectual disability and child and adolescent mental health are available to fulfil the necessary criteria of obtaining MRCPsych.
There is an active teaching programme each Wednesday morning at Castle Hill Hospital which includes case conferences, critical reviews of academic papers and expert presentations from invited speakers. Protected time is given to the junior doctor to allow attendance.
The Training Committee meets four times a year (March, June, September and December) on the second Wednesday of the month. The purpose of the Training Committee is to ensure that we provide College approved training to a high standard. The committee is chaired by the TPD.
Membership of the Training Committee:
- Consultants (up to four, to include the TPD, and Psychotherapy lead)
- Junior doctors representing CT1, CT2 and CT3
- Medical Staffing representatives
- Human Resources representatives
- The local Tutor and junior doctor representing the Grimsby rotation
- One member of the Committee is responsible for maintaining links with the library
The rotational CPT scheme in North Yorkshire and York is well regarded by the Royal College of Psychiatrists, enjoyed by trainees and has an excellent track record of success in the MRCPsych exam. The historic building of Bootham Park Hospital in York is home to the administrative centre of this training scheme.
Training posts in the Victorian spa town of Harrogate, the ancient market town of Northallerton, the seaside resort of Scarborough and the historic city of York give trainees the opportunity to experience all the advantages of living and working in the largest county in England. The scheme consists of 6 placements in Harrogate, 7 in Northallerton, 7 in Scarborough and 14 in York. There are four tutors, one for each locality.
The scheme has a large number of working age adult and elderly posts allowing trainees to gain sufficient experience to sit the Papers I and II of the MRCPsych exam. More experienced trainees have the opportunity of working in a wide variety of sub specialties including child and adolescent, learning disabilities, forensic, substance misuse, assertive outreach, crisis resolution and intensive home treatment. We have an established programme for psychotherapy experience allowing trainees to meet the College requirements for psychotherapy training.
All trainees are expected to attend the weekly academic training programme in York. This includes case presentations and critical appraisal led by trainees, guest lectures from national and international speakers and sessions specifically geared to passing the MRCPsych exam. Trainees enrol on the mandatory University of Leeds MSc course and are released from their clinical duties for one day each week to attend this.
The Training Committee consists of the four tutors, the postgraduate administrator and trainee representatives. The Committee works with the Trusts to which trainees rotate whilst on the Scheme (North Yorkshire and York PCT and Tees, Esk and Wear Valleys NHS Trust). All trainees are members of the North Yorkshire Psychiatric Trainees Association, which arranges an active social calendar and meets monthly to discuss local and general training issues. The new Hull York Medical School brings opportunities for trainees to be involved in undergraduate teaching.
The commitee meets four times per year. Members of the committee are:
- College tutors from Northallerton, York, Scarborough and Harrogate
- Postgraduate administrator
- Two trainee representatives
The scheme offers comprehensive training experience in the multicultural city of Bradford and in the more rural setting of Airedale. The posts are based at two main sites: Airedale General Hospital near Keighley and Lynfield Mount Hospital in Bradford. All sites are within easy travelling distance of Bradford and Leeds but also provide access to the Yorkshire Dales and the Lake District. Each hospital also provides posts for vocational trainees in general practice.
In the first year trainees will undertake Adult and Psychiatry of Older People. In year 2 and 3 all trainees will do a post in Child & Adolescent Psychiatry and Community Drug and Alcohol and two posts from Crisis Resolution, Rehabilitation, Assertive Outreach and Forensic.
There is in-house teaching programme, which includes weekly Case Conference, alternating Journal Club and General Teaching and Audit. There is weekly Psychotherapy Supervision both dynamic and cognitive. Whilst in Child & Adolescent there are opportunities to experience family therapy.
Both informal and formal clinical examination practice is available.
Medical Students are attached on a regular basis to both teams; trainees are encouraged to participate in the teaching. There are Foundation Trainees and opportunities again for participating in teaching.
There are library facilities on both sites.
A Medical Education Committee meeting is held every three months at Bradford District Care Trust. The Membership consists of
- Assistant Medical Director
- College Tutors both from Airedale General Hospital and Lynfield Mount Hospital
- Medical Staff Administrator
- Library representative
- Trainee Representative
- SPR Representative
- Psychotherapy Representative
- Speciality Doctor Representative
- Senior Manager
Please note that the Bradford and Airedale Training Scheme also feeds into the West Yorkshire Core Training Committee (WYCTC), which is detailed below.
The Calderdale & Kirklees Core Training Scheme in Psychiatry comprises of 10 core Trainees, 5 GP Trainees and 6 Foundation Doctors.The area covered by this scheme is based around three localities which form a triangular part of West Yorkshire. The apex of the triangle is Huddersfield to the South and the other two corners are Halifax to the West and Dewsbury to the East. This area comprises of approximately 600,000 in population, spread mainly between the three towns. There are District General Hospitals in each of the three towns and all of the Psychiatric Services are provided by the South West Yorkshire Partnership NHS Foundation Trust, which also supplies Psychiatric Services to neighbouring Wakefield and Barnsley, which are not included in this Rotational Training Scheme.
The scheme offers placements in General Adult Psychiatry, Old Age Psychiatry, Intellectual Disability Psychiatry, Assertive Outreach, Low Secure Forensic Psychiatry and Child Psychiatry. There is also an opportunity to gain experience in Liaison Psychiatry and perinatal psychiatry. Trainees are able to request specific placements and it is usually possible to arrange training in whatever area is requested. An active programme of Psychotherapy training includes Balint groups and supervision. Trainees have access and funding to the Leeds University MRCPsych training course.
This scheme offers excellent training and individual attention. The area is one of good housing, good schools and nowhere is more than 10 minutes from the beautiful and scenic Yorkshire countryside.
The Trainees have their own trainee committee that meets once a month to discuss issues related to training and issues related to all trainees, including GP Trainees and Foundation Doctors. This committee reports to the ME TAG at the Trust level and the West Yorkshire Core Training Committee.
The Medical Education Trust Action Group (ME TAG) meets four times a year. The TAG considers not only the business relating to the C&K Core Training Scheme but also that related to the Wakefield part of the Leeds Scheme, the Barnsley part of the Sheffield Scheme and other educational activities within the Trust, including the Joint Academic Psychiatry Seminars. Included also are the higher trainees and SAS doctors. The Chairman of the ME TAG is Prof Stephen Curran. Membership includes:
- Chair of the Committee (AMD for Postgraduate Medical Education)
- Medical Director
- College Tutors (Barnsley, C & K and Wakefield)
- Junior Doctor Representatives
- Higher Trainee representative
- SAS Tutor
- Psychotherapy Tutor
- Health & Safety
- Postgraduate administrators
Please note that the Calderdale and Kirklees Core Traing Scheme currently feeds into the West Yorkshire Core Training Committee (WYCTC), more details can be found below.
The rotation provides a comprehensive training programme in psychiatry, offering wide experience of general psychiatry and sub-specialties. Training takes place in a broad range of settings including psychiatry hospitals, district general hospitals, community and academic units. The hospitals are all within reasonable travelling distance of each other. The scheme has an excellent academic record.
The Scheme consists of posts based in Leeds, Wakefield and Pontefract. Six months is spent in each post. The first two placements will normally consist of a general psychiatry post and an old age post. These are followed by more specialist posts, such as child psychiatry, Intellectual disability, psychotherapy, substance misuse, intensive home treatment, crisis intervention, intensive care, liaison, assertive outreach, eating disorders, continuing treatment and recovery or forensic psychiatry. The trainees are able to request specific placements to meet the needs of the curriculum and it is usually possible to arrange training in whatever area is requested.
The scheme has an excellent and varied programme of postgraduate training and research, which is provided throughout the participating hospitals. This involves regular weekly journal clubs, case conferences, psychotherapy training and participation in medical audit.
Trainees are encouraged to carry out research during their placement. There are opportunities to discuss research proposals with senior members of staff and to present ideas at departmental and research meetings. Trainees may join existing programmes as well as be involved with research already ongoing in various departments, and undertake projects of their own with access to regular supervision.
The West Yorkshire Core Training Committee consists of Leeds & Wakefield, Bradford & Airedale and Calderdale and Kirklees. The Committee meets quarterly throughout the year and the composition of the group is:
- TPD CTS (chair)
- DPD CTS
- College Tutors
- CAMHS representative Leeds & Wakefield (currently seconded to a different Trust)
- Tutors from Bradford & Airedale and Calderdale & Kirklees
- Psychotherapy representative from each scheme
- MRCPsych course organiser
- Higher Trainee Representative
- Core Trainee Representatives from L & W CTS, Bradford & Airedale, Desbury & Halifax - with one Core Trainee nominated to attend
- Co-opted members
- Head of School
- Medical Directors
- Medical Education Manager
- AMD for DiT (service and employer issues)
Currently the Leeds and Wakefield Core Training Scheme feeds into the West Yorkshire Core Training Committee (WYCTC) and further details can be found below.
The South Yorkshire rotation has six local education providers (LEPs) serving a diverse population of around 1.5 million. Sheffield Health and Social Care NHS Foundation Trust (SHSC) is the lead employer for core trainees on the rotation and the local provider of the Core Psychiatry Training course (CPTC).
The trust provides fourteen placements across the city of Sheffield in general adult, old age, liaison, forensic low secure, substance misuse and rehabilitation psychiatry. It is also
the main centre for psychotherapy training and research activity.
Rotherham, Doncaster and South Humber NHS Foundation Trust (RDASH) is a large trust in the heart of South Yorkshire that provides twelve placements in general adult, old
age, CAMHS and intellectual disability psychiatry. The placements are distributed across the main population centres of Rotherham, Doncaster and Scunthorpe.
Derbyshire Healthcare NHS Foundation Trust provides eight placements in general adult and old age psychiatry across Chesterfield and much of the Peak District.
Nottinghamshire Healthcare NHS Trust provides two general adult placements in Bassetlaw (North Notts) and four forensic medium secure placements at Wathwood Hospital
South West Yorkshire Partnership NHS Foundation Trust (SWYFT) provides four placements in general adult, old age, and liaison psychiatry in and around Barnsley.
Sheffield Childrens NHS Foundation Trust (SCH) provides four posts in community and inpatient CAMHS