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

INTRODUCTION: UK Psychiatric training is popular worldwide and IMG from throughout the world come to UK. Psychiatric training has undergone significant changes but this has not reflected in the outcomes. There is a need to refocus on trainee centred teaching principles. CURRENT PSYCHIATRIC TRAINING: Current training scheme started in 2007 as run-through programme spanning six years. Till 2005, examinations decided the progression of trainees through the training scheme with development of Work Place Based Assessments. Following Tooke's report, training was uncoupled and examinations regained importance in deciding the progress of trainees to higher training. FACTORS AFFECTING PSYCHIATRIC TRAINING: EWTD, budget cuts, service priorities lead to a sense of lack of importance among trainees. Surveys focussing on clinical supervision pointed to the inadequacy and poor quality of supervision. Training has lost trainee centeredness. It is important to make the training maximally effective to deliver safer services. Trainees are major work forces and the future consultants who lead and manage services. CONCLUSION: Student centred teaching is a highly skilled educational process. Adapting these principles into psychiatric training could help trainees learn successfully.

Successful clozapine rechallenge in a patient with suspected drug induced lupus.

Clozapine is the most effective treatment for patients with refractory schizophrenia. Clozapine is also associated with serious and potentially lethal side effects including drug induced lupus (DIL). There have been four previous published case reports describing clozapine inducing a lupus-like syndrome including one previous case where a clozapine rechallenge was attempted without success. This case report describes a successful clozapine rechallenge in a patient with suspected DIL.