Pre-Congress Workshops

RANZCP 2011 EXAMINATION INFORMATION SESSION

APPROACHING THE RANZCP WRITTEN ASSESSMENT (CRITICAL ANALYSIS PROBLEMS)

William Kingswell

Chair, Committee for Examinations, Member, Written Sub-committee

This workshop is designed to assist candidates to understand the nature of the Critical Analysis Problem component of the written examination. The workshop will include a presentation of the common challenges faced by candidates and promote the development of strategies for successfully passing this component of the written examination.

This workshop is also considered beneficial for supervisors/directors of training to develop a familiarity with the format and process of a journal club and develop their understanding of the Committee for Examinations’ expectations of trainees.

Please note that this information session is free of charge to all Congress attendees.

CLINICAL WORKSHOP IN CHILD AND ADOLESCENT MENTAL HEALTH

PRE-CONFERENCE WORKSHOP RANZCP CONGRESS 2011

Virginia Mcandrew ^1,2, Jon Jureidini^3,4

¹ CAMHS ACT

² ANU Medical School, Canberra, Australia

³ Department of Psychological Medicine, Women's and Children's Hospital, Adelaide

⁴ University of Adelaide, Australia

A full day workshop for GPs, allied health professionals and others who would like an update in assessment and formulation and management of mental health problems in children and adolescents, provided by child psychiatrists from the Faculty of Child and Adolescent Psychiatry.

There will be an introductory overview of the importance of developmental and family contexts.

There will be a focus on an approach to the assessment and formulation of common presentations of emotional and behavioral disturbance in children and adolescents. Current management of common disorders such as anxiety and mood disorders, including depression and psychosis, will be presented.

TOWARDS ENSURING THERAPEUTIC EFFECTIVENESS OF THE ‘BRICKS AND MORTAR’ OF MENTAL HEALTH UNITS

Penelope Coombes, Warwick Coombes, Tony O'Brien

The People for Places and Spaces (PPS), Sydney, Australia

Background: We now have information that was not previously available to guide the design and construction of mental health units; studies that examine the impact of the ‘bricks and mortar’ on mental health outcomes and quality of life of patients, careers, staff and visitors.

During the last eight years PPS has reviewed extensive evidence-based design (EBD) literature (n-234) for NSW Health, Queensland Health and ACT Health for inpatient mental health units serving the needs of acute care, medium-secure care, children and youths, older persons and community care. The requirements of child and youth day programs were also reviewed.

A substantial funding increase for Queensland Health will provide opportunities for 35 new, redeveloped or refurbished mental health facilities; this new approach to design and construction will ensure the best outcomes for these projects.

Methods: The PPS User-Designer Evidence-Based Collaborative Design process has created particular design considerations that will inform the planning and development of new and refurbished units now under construction in Queensland.

Findings: This process has enabled consumers, clinicians and architects:

• to develop expertise in mental health design

• to support collaboration and peer review

• to interpret service models in unit design

• to discover EBD which can inform design

• to work within the jurisdictional review of Australasian Health Facility Guidelines (AHFG)

Conclusions: The resulting design considerations are extremely robust as they contain the latest literature-based evidence and strong anecdotal evidence from the experiences of expert clinicians and facility-users in Queensland.

INITIATING AND SUSTAINING MULTICULTURAL TRAINING

Mr SiewHo Yeak ¹, Prof Alexander John², Dr Navneet Johri¹, Prof Mohan Isaac², Dr Elizabeth Moore¹

¹ South Metropolitan Area Health Service, Mental Health, Perth, Australia

² University of Western Australia, Perth, Australia

Background: South Metropolitan Area Health Service (SMAHS), Mental Health is a publicly funded mental health service in Western Australia providing comprehensive care to a culturally diverse population in metropolitan and outer metropolitan Perth. SMAHS, Mental Health was the first mental health service in Australia to mandate cultural competency training for all employees (+1200 FTE). Managing Cultural Diversity, Aboriginal Mental Health and advanced and specialised workshops have been evaluated positively by staff and external participants.

Objectives: Delegates will leave with a plan for implementing a sustainable multicultural training program in their service.

Method: We suggest a pre-conference half-day workshop would be the most appropriate delivery format. The presenters will detail the evolution of the process into an organisation-wide service (including Aboriginal cultural-awareness training), which has been embraced by staff and associated services, and continues to evolve to meet the changing needs of the population. Planning of course content, policy and cost recovery models will be considered. Enablers and obstacles will be explored and plans will be formulated by the participants in a group setting.

Conclusions: It is possible to implement a sustainable multicultural training program within a limited budget. Multicultural training enables staff to effectively manage people from diverse cultures with mental health issues, improves staff confidence and allows better patient outcomes.

PSYCHOTHERAPY SUPERVISION WORKSHOP

Jeffrey Streimer

Amaranth Centre and Royal North Shore Hospital, Sydney, Australia

Background: The Section of Psychotherapy will present a full-day Psychotherapy Supervision workshop. Attendance is strongly recommended for all supervisors of the RANZCP Psychological Methods (Psychotherapy) case and Advanced Training in Psychotherapies. Attendance will satisfy college requirements for supervisors.

Objectives: The workshop will be mainly aimed at current and prospective college psychotherapy supervisors at both the basic and advanced training levels and will also be of use for all trainees including those in Advanced Training in Psychotherapies.

Methods: Senior members of the Section will provide an update on requirements and current practices of the College for the Psychological Methods case and to changing training requirements. These will include skills useful to both to supervisors and supervisees such as an update on evolving clinical competencies and developmental milestones for monitoring progress, accountability/record keeping issues and supervisor peer group networks.

Presenters will give insights into examiners’ criteria and how to helpfully guide case write-up from the beginning of the assessment period through to completion.

Group case-based discussion and small group work will be led, focusing on common supervision difficulties.

Approaches to guiding formulation and re-formulation of a psychological therapy case will be demonstrated including an introduction to new resource materials.

Findings and Conclusions: We will be offering opportunities to network and address/remediate common problems in psychotherapies supervision and hope to improve the experience for supervisors and trainees.

RANZCP 2011 EXAMINATION INFORMATION SESSION

APPROACHING THE RANZCP OCI ASSESSMENT (CLINICAL EXAMINATION)

John Callary ¹, Jeff Kirwan²

¹ Chair, OI Sub-committee, Member, Committee for Examinations

² Chair, OSCE Sub-committee, Member, Committee for Examinations

This workshop is designed to assist candidates to understand the nature and standard of the OCI/M-OCI examination. The workshop will include presentations by the Committee for Examination members about the common challenges faced by candidates and will promote the development of strategies for successfully passing this assessment.

This workshop is also considered beneficial for supervisors to develop familiarity with the format and process of the OCI/M-OCI assessments and develop their understanding of the Committee for Examinations’ expectations of trainee and SIMG candidates.

It is suitable for trainees, SIMGs, supervisors and directors of training (DOTs).

This workshop will also introduce candidates, supervisors and DOTs to:

• The format of the OCI/M-OCI examination

• The assessment/marking of the OCI/M-OCI and

• Tips for passing the OCI/M-OCI examination

• Please note that this information session is free of charge to all Congress attendees.

EMPATHY – A CORNERSTONE IN PRACTISING PSYCHIATRY

AN INTERACTIVE WORKSHOP ON ENHANCING EMPATHIC COMMUNICATION IN THE CLINICAL INTERVIEW

Dhushan Illesinghe ^1,2, Olga Maxwell², Belinda Bull¹

¹ NorthWestern Mental Health

² University of Melbourne, Melbourne, Australia

Background: Empathy plays a vital role in a successful clinical interview. It is expressed differently across cultures and linguistic backgrounds and therefore presents a great challenge for IMGs in Australia. Expressed through verbal and non-verbal components, empathy has a cumulative effect on the flow of the interview. It is a complex, subtle and often contexualised concept that is more difficult to teach than, for example, structuring an interview or questioning technique. Moreover, little formal research has been done in this area and clinicians often have no systematic knowledge to turn to for guidance. Lack of empathy is often recognised as a deficit in Trainees in their clinical practice as well as in OCI and MOCI examinations.

Workshop Objectives: Workshop objectives are to build awareness of empathy specific to the Australian context (i.e. body language, facial expression, use of voice and intonation, range of verbal expressions) and to develop a number of strategies for clinical practice.

It will open a forum for discussion and present an opportunity to a) better understand the concept of empathy; b) identify, enhance and share participants’ individual strategies; c) gain a better understanding of IMG experiences; and d) facilitate methods of incorporating empathy training in the workplace.

Potential Target Group: This workshop will present an opportunity for all practising clinicians, particularly overseas-trained doctors, to enhance their ability to establish and maintain empathic communication in their clinical practice in Australia.

Workshop Outline:

• Conducted by a senior psychiatrist, a clinical educator and a linguist

• 4 hours with a 30-minute break

• Introduction to empathy and identifying empathic opportunities

• Psychiatrists' and linguists' perspectives on empathy

• Targeted practice in small groups (video recordings, role play scenarios and language practice)

GOOD CLINICAL PRACTICE TO MINIMISE COLLATERAL DAMAGE

Prof Gregory Whelan ¹, Dr Mahendra Perera²

¹ Avant Mutual Group Limited ABN 58 123 154 898, Melbourne, Australia ² Albert Road Clinic and the Department of Psychiatry, University of Melbourne, Melbourne, Australia

The practice of psychiatry is not only governed by clinical needs but it is also influenced by medico-legal imperatives. Psychiatrists are increasingly exposed to patients who are unhappy with their medical care. Complaints arising from dissatisfaction with a clinical encounter may come directly to the psychiatrist or via a third party (lawyer, Health Services Commissioner or Medical Board). The common theme in such complaints is inadequate communication with patients or carers. This may involve communicating about suicide risk, prescribing medications or writing reports that involve a breach of confidentiality.

With the assistance of your medical defence organisation (MDO) and the relevant regulatory bodies, written adequate explanations could result in early resolution of the complaint. However, when an adverse event occurs, a claim for compensation because of negligent care is likely to arise. The process for contacting your MDO will be outlined. The implications of legislation related to release of information will also be discussed.

The session will use illustrative cases and claims analyses to present the common clinical basis of claims. Participants will be invited to discuss how this knowledge will enable them to practise in a relatively safe and effective manner.

Sound clinical practice that incorporates practical risk management strategies such as good record keeping and appropriate communication will assist practitioners to identify and minimise risk and continue to enjoy their work in psychiatry.

SUBMISSION FOR HALF-DAY WORKSHOP: “MEDICO-LEGAL REPORT WRITING”

John Chalk ¹, Ness Mcvie²

¹ Chair and Treasurer

² RANZCP Forensic Section

This workshop will address the basics of medico-legal report writing in both civil and criminal jurisdictions by presenters with extensive experience advising courts and assisting tribunals in assessing clinical reports to inform legal decision-making. The workshop will focus on report-writing, not on giving evidence in court.

Examples will be given highlighting the importance of understanding the purpose of a report prior to writing it which enables the author to provide meaningful information to the decision-makers.

Content, limits of collateral gathering, report format, critical analysis, decision-making, opinion formulation and bias will be covered as well as ethical considerations.

TRAINING WORKSHOP FOR POTENTIAL SUPERVISORS AND ASSESSORS FOR THE SUBSTANTIALLY COMPARABLE PATHWAY TO FELLOWSHIP FOR SIMGS

A/Prof John Allan ¹, Dr Vikas Garg², Ms Lois Lowe³, Dr Diane Neill¹, Mr Damien Reddrop³, Dr Digant Roy², Dr Marina Vamos¹

¹ New South Wales Health RANZCP Committee for Specialist International Medical Graduates Education

² RANZCP Overseas Trained Psychiatrists Committee

³ RANZCP Secretariat

Background: The RANZCP is implementing a new Comparability Pathway (Substantial Comparability) for Specialist International Medical Graduates (SIMGs) beginning in the second half of 2011(details at http://www.ranzcp.org/prefellowship/overseas-specialists-changes-and-news.html). Assessment involves at least twelve months of supervised and peer-reviewed practice with a significant workplace-based assessment and employer support. Supervisors will have very specific responsibilities and some assessments may be done in the workplace with external assessors. This is one of a series of training workshops for supervisors and potential external assessors of candidates who are seeking substantial comparability by this process. The responsibilities of supervisors are enhanced in this process and therefore completion of this training is compulsory for participation. Participants should have already completed the RANZCP supervisor training workshop and be associated with a service which is likely to sponsor candidate/s. Due to time and space considerations this is not suitable for potential candidates, who are encouraged to attend other sessions provided by the Committee for Specialist International Medical Graduate Education (CSIMGE) members.

Objective: To achieve competency as a supervisor in the substantially comparable pathway.

Methods: The workshop will cover:

• Explanation of the substantially comparable process and requirements

• Additional information for support and supervision relevant to SIMGEs

• Training in the responsibilities of supervisors and assessors and use of new supervision assessment forms

• Training in the use of workplace-based assessment tools including Case-based Discussion and 360° feedback.

RANZCP 2011 EXAMINATION INFORMATION SESSION

APPROACHING THE RANZCP OSCE/M-OSCE ASSESSMENT (CLINICAL EXAMINATION)

John Callary ¹, Jeff Kirwan²

¹ Chair, OI Sub-committee, Member, Committee for Examinations

² Chair, OSCE Sub-committee, Member, Committee for Examinations

This workshop is designed to assist candidates to understand the nature and standard of the OSCE/M-OSCE examination. The workshop will include presentations by the Committee for Examination members about the common challenges faced by candidates and promote the development of strategies for successfully passing this assessment.

This workshop is also considered beneficial for supervisors to develop familiarity with the format and process of the OSCE/ M-OSCE assessments and to develop their understanding of the Committee for Examinations’ expectations of trainee and SIMG candidates.

It is suitable for trainees, SIMGs, supervisors and directors of training (DOTs).

This workshop will also introduce candidates, supervisors and DOTs to:

• The process for developing an OSCE/M-OSCE examination

• The format of the OSCE/M-OSCE examination

• Approaching the Medicine as related to Psychiatry OSCE Station

• The assessment/marking of the OSCE/M-OSCE and

• Tips for passing the OSCE/M-OSCE examination

Please note that this information session is free of charge to all Congress attendees.