Advances in Psychiatric Treatment for trainees?

Rebecca Slinn is Specialist Registrar in Old Age and General Adult Psychiatry in the Department of Psychiatry at Southmead Hospital, Bristol and Vice Chair of the Royal College of Psychiatrists' Collegiate Trainees' Committee.

The journal Advances in Psychiatric Treatment (APT) was first published in 1994 as a major tool in the College's programme of Continuing Professional Development (CPD). It aims specifically to act as a user-friendly journal to aid the CPD of consultant psychiatrists in the UK and Ireland. The emphasis has been on a clear, informative style that is easy to read, with plenty of headings, summary boxes and tables.

It was anticipated that APT might appeal to a wider audience and that has proven to be true, with subscriptions from abroad and a readership among trainees. Indeed, it would be odd for the journal suddenly to become relevant to psychiatrists at the moment of appointment to a consultant job. While the process of career development has a very clear cut-off between a training grade and a consultant appointment, the process of learning does not. Thus, although the journal would not be the first thing to recommend to a brand-new trainee, as it assumes quite a level of psychiatric knowledge in its readers, it could soon start to play a useful role. An informal survey among trainee colleagues suggested that many start to use it prior to the Membership examination, frequently at the suggestion of their consultants. They then continue to read it during their post-Membership training.

A preoccupation of life as a basic specialist trainee is the MRCPsych Examination and much reading therefore is aimed at preparation for this. APT may fit into this framework of reading as a useful adjunct to the basic textbooks, less daunting than a pile of original papers and just as well referenced. The articles written on the physical and psychological aspects of treatment, as well as the sub-specialities, are probably most useful at this stage for their summary of knowledge in a particular area and the self-assessing multiple choice questions at the end. Updated collections of these articles are published in the series Recent Topics from Advances in Psychiatric Treatment (Lee, 1998, 1999). Some articles have been written in tandem with a commentary article with the purpose of highlighting areas of controversy. These give ideas for "Discuss..."-type essay questions. For examination candidates, an additional bonus is that they may be fairly confident that their examiners are reading the same articles.

Post-Membership trainees have different requirements and responsibilities. The emphasis of professional reading changes from being predominantly examination-oriented to furthering specialist knowledge and attaining the ‘exit’ skills of training while retaining a good general knowledge. Once again, APT can be a part of this reading framework, not only with regard to developing good habits in updating general knowledge, but also in developing non-clinical skills. In becoming a specialist registrar or lecturer, it is necessary to become more active in teaching both basic specialist trainees and undergraduates. Articles on medical education and supervision such as those in APT's ‘teaching and learning series' therefore become more valuable. The reality of becoming a consultant is looming and articles on service development, management and leadership have more immediate meaning, both outlining the skills to be attained and providing subjects for discussion at consultant interview panels.

In highlighting the strengths of APT for trainees, there has been a danger of sounding like an advertisement – uncritical and with evangelistic zeal. There is no claim that APT is the last word in reading for trainees at any stage, or that it is not in fact perfectly possible to pass the examination and attain a consultant job without having turned the cover. The important point is that it is well worth trainees considering it as an additional weapon in their armoury for their ongoing learning and career development.

References

1. Lee, A. (ed) (1998) Acute Psychosis, Schizophrenia and Comorbid Disorders. Recent Topics from Advances in Psychiatric Treatment, Vol. 1. London: Gaskell.
2. Lee, A. (ed) (1999) Affective and Non-Psychotic Disorders. Recent Topics from Advances in Psychiatric Treatment, Vol. 2. London: Gaskell.

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