Objective: To look at the perceptions of New South Wales (NSW) psychiatric trainees in relation to their training experiences and the role and quality of the consultant registrar relationship.
Methods: A self-report questionnaire was developed to probe trainee perceptions of the consultant–trainee relationship in all those who had completed at least 1 year of training in psychiatry (n = 138) in NSW, as well as all consultants who had completed their training in the last 5 years (n = 95). Test-retest reliability was assessed at 3 months for each of the subscales (r = 0.70–0.89) and found to be acceptable. Validity issues are discussed.
Results: The results are discussed with special reference to the perceived competence, availability, breadth of knowledge and willingness to accept responsibilities of the supervising consultant. Consultant competence as a clinician was consistently rated as more important than being emotionally supportive.
Conclusion: In addressing these issues, we aim to increase the degree of self-consciousness and reflectiveness of the profession of psychiatry within the Australian context. If there is to be a substantial shift for the better in trainees' perceptions of consultants, it is likely that the general consultant experience will have to be improved rather than providing small amounts of exposure to high quality consultants.
MowbrayRMDaviesBMBiddleN.Psychiatry as a career choice. Australian and New Zealand Journal of Psychiatry1990; 24:57–64.
2.
ZorbasALuttonS.Questionnaire to trainees. Perth: Royal Australian and New Zealand College of Psychiatrists Working Party, 1993.
3.
CastleDOrrK.Trainee attitudes to psychiatric training in Australia: a national survey. Australasian Psychiatry1995; 3:90–92.
4.
HallidayGGordonJ.A survey of attitudes and experiences. Training to administer electroconvulsive therapy. Australian and New Zealand Journal of Psychiatry1995; 29:133–138.
5.
AachRCooneyTGGirardDEStress and impairment during residency training: strategies for reduction, identification and management. Annals of Internal Medicine1988; 109:154–161.
6.
BrentDAThe residency as a developmental process. Journal of Medical Education1981; 56:417–422.
7.
FordESCBeing and becoming a psychotherapist: the search for identity. American Journal of Psychotherapy1963; 17:472–482.
8.
KubieLSThe retreat from patients. Archives of General Psychiatry1971; 24:98–106.
9.
ZabarenkoRNZabarenkoLMThe doctor tree. Pittsburgh, CA: University of Pittsburgh Press, 1978.
10.
RoeskeN.Stress and the physician. Psychiatric Annals1981; 11:245–258.
11.
HalleckSWoodsS.Emotional problems of psychiatric residents. Psychiatry1962; 25:339–346.
12.
GarfinkelPESteinerBWHunterRCAThe process of psychiatric residency training. Part II. Trainees who drop out. Canadian Psychiatric Association Journal1974; 19:201–206.
13.
UnderliederJ.That most difficult year. American Journal of Psychiatry1965; 122:542–545.
14.
McCueJDThe effects of stress on physicians and their medical practice. New England Journal of Medicine1982; 25:458–463.
15.
EndeJ.Feedback in clinical medical education. Journal of the American Medical Association1983; 250:777–781.
16.
VincentMODoctor and Mrs—their mental health. Canadian Psychiatric Association Journal1969; 14:509–515.
17.
ClarkDCSalazar-GruesoEGrablerPFawcettJ.Predictors of depression during the first 6 months of internship. American Journal of Psychiatry1984; 141:1095–1099.
18.
HurwitzTABeiserMNicholHPatrickLKozakJ.Impaired interns and residents. Canadian Journal of Psychiatry1987; 32:165–169.
19.
HsuKMarshallV.Prevalence of depression and distress in a large sample of Canadian residents, interns and fellows. American Journal of Psychiatry1987; 144:1561–1566.
20.
SamuelSELawrenceJSSchwartzHJWeissJCSeltzerJLInvestigating stress levels of residents: a pilot study. Medical Teacher1991; 13:89–92.
21.
MerklinLLittleRBBeginning psychiatry training syndrome. American Journal of Psychiatry1967; 124:193–197.
22.
FloydGaretz KRathsONMorseRHThe disturbed and the disturbing psychiatric resident. Archives of General Psychiatry1976; 33:446–450.
23.
WaringEMEmotional illness in psychiatric trainees. British Journal of Psychiatry1974; 125:10–11.
24.
BlacklyPHSuicide by physicians. Bulletin of Suicidology1968; 12:1–18.
25.
CraigAGPittsFNSuicide by physicians. Diseases of the Nervous System1968; 29:763–772.
26.
RussellATPasnauROTaintorZCEmotional problems of residents in psychiatry. American Journal of Psychiatry1975; 132:263–267.
27.
FlecklesCSThe making of a psychiatrist: the resident's view of the process of his professional development. American Journal of Psychiatry1972; 128:1112–1115.
28.
ClarkeDMSupervision in the training of a psychiatrist. Australian and New Zealand Journal of Psychiatry1993; 27:306–310.
29.
KleinRHBabineauR.Evaluating the competence of trainees. It's nothing personal. American Journal of Psychiatry1974; 131:788–791.
30.
SharafMRLevinsonDJThe quest for omnipotence in professional training. Psychiatry1964; 27:135–149.
31.
TarachowS.An introduction to psychotherapy. New York: International University Press, 1963.
32.
ShapiroETPinskerHBuenoJASupervision: the challenge of the new student. Comprehensive Psychiatry1973; 14:17–24.
33.
LumJ.Reference groups and professional socialization. In: HardyMEConwayME, eds. Role theory. Perspectives for health professionals. 2nd ed.Norwalk, CT: Appleton and Lange, 1988:257–272.
34.
RocheGREveryone who makes it has a mentor. Harvard Business Review1979; 57:17–28.
35.
GranetRCooperA.Career choices in psychiatry: the evolution from resident to practitioner. Comprehensive Psychiatry1990; 31:540–548.
36.
American Psychiatric Association.Sexual involvement between psychiatrists and their students, supervisees, colleagues, co-workers and employees. American Psychiatric Association Ethics Committee Newsletter1986; II.
37.
LevinsonDJDarrowCMKleinEBLevinsonMHMcKeeB.The psychosocial development of men in early adulthood and the mid-life transition. In: RicksDFThomasARoffM, eds. Life history research in psychopathology. Minneapolis: University of Minnesota Press, 1974:243–258.
38.
SheehyG.Passages: predictable crises of adult life. New York: Dutton, 1976.
39.
SteinerBWGarfinkelPEHunterRCAThe processes of psychiatric residency training. Canadian Psychiatric Association Journal1974; 19:193–200.
40.
BowlbyJ.Attachment and loss. Volume II. Separation, anxiety and anger. London: Hogarth Press and the Institute of Psycho-analysis, 1973.
41.
WeissRSAttachment in adult life. In: ParkesCMStevenson-HindeJ, eds. The place of attachment in human behaviour. New York: Basic Books, 1982:171–184.
42.
American Psychiatric Association.Diagnostic and statistical manual of mental disorders. 4th ed.Washington DC: American Psychiatric Association, 1994:32.
43.
EpsteinS.The stability of behaviour. I. On predicting most of the people much of the time. Personality and Social Psychology1979; 37:1097–1126.
44.
EpsteinS.The stability of behaviour. II. Implications for psychiatric research. American Psychologist1980; 35:790–806.
45.
HapchynCAGoldIMTraining issues for a female psychiatric residency cohort. Journal of the American Medical Association1990; 45:43–46.
46.
SymondsA.The wife as the professional. American Journal of Psychoanalysis1979; 39:55–63.
47.
TurnerJTippettVRaphaelB.Women in medicine—socialization, stereotypes and self perceptions. Australian and New Zealand Journal of Psychiatry1994; 28:129–135.
48.
SpiegelDASmolenRCHopfenspergerKAInterpersonal stress in medical education: correlates for men and women students. Journal of the American Medical Association1987; 42:19–21.
49.
WinnicottDWEgo distortion in terms of true and false self. In: The maturational processes and the facilitating environment. Studies and theory of emotional development. London: Hogarth Press, 1965:140–152.
50.
SchilppPA, ed. Jaspers Karl. Philosophical autobiography. In: SchilppPALefebreLB, trans. The philosophy of Karl Jaspers. 2nd ed.La Salle, IL: Open Court, 1981.