Dr Nicholas Taylor Consultant Forensic Psychiatrist UK Mary OBrien Consultant Plastic Surgeon UK Outline Ill be talking about psychiatry and forensic psychiatry Introduction The problem ID: 539857
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Does psychiatry need a facelift? Lessons from the world of plastic surgery
Dr Nicholas Taylor
Consultant Forensic Psychiatrist, UK
Mary O’Brien
Consultant Plastic Surgeon, UKSlide2
Outline
I’ll be talking about psychiatry and forensic psychiatry
Introduction
The problem
Contrasting worlds
Examples
Suggestions for the future
www.forensicpsychiatrytraining.co.uk/resourcesSlide3
1 Introduction
Forensic psychiatrist
Interest in training and recruitment
Married to a plastic surgeon
www.forensicpsychiatrytraining.co.uk/resourcesSlide4
2 The problem
Poor recruitment into psychiatry:
Competition ratio 1.3:1
Medical student perception:
Low status of psychiatrists
Psychiatry is unscientific
Interventions don’t work
Lay perception:Are you a doctor?
Recruitment into plastic surgery
Competition ratio: 17:1
Medical student perception:
High status
Highly scientific
Interventions work well
Lay perception:
Wealthy, skilled expertsSlide5
2 The problem
Low status of psychiatrists
Only if we allow it! ?Partly because we are largely outpatient based
Psychiatry is unscientific
No – but ours is not a technological specialty
Interventions don’t work
Rubbish
Our effect sizes are comparable with those of general medicine
Our NNTs are often much betterSlide6
Why does this matter?
We believe strongly in what we do
We are committed to better lives for our patients
Improved patient care
Minimising the effects of stigma
We will not recruit the best medical students/junior doctors to psychiatry if we just accept this misrepresentation
What can we do about it? I will suggest a way ahead.
Before coming on to that, I want to point out one more problemSlide7
Another problem
We don’t understand how medical students form their views and how they seek information
How did you organise your medical elective? (If you had one)
How do medical students do it today?Slide8Slide9
The internet is the future
We use the internet quite a lot
We (almost) all have smartphones and a connection
Medical students and junior doctors use the internet A LOT MORE
We don’t understand this
So we should ask them to show usSlide10
Back to the comparison
Plastic surgery
Driving through Cape Town on Sunday morning
Dirk Lazarus – Plastic SurgeonSlide11Slide12Slide13Slide14
Contrasts
Plastic surgery – commercial imperative to provide information
(Forensic) psychiatrists – moral imperative?Slide15
A suggested way ahead
We need to help medical students and junior doctors choose to have more contact with psychiatrists they will perceive as
High status
Effective
Inspirational practitioners
Royal College of Psychiatrists – Tasters in PsychiatrySlide16
Our experience in Leicester
Medical students arrange electives online
Electives.net
Google
We set out to target medical students arranging electives
How? By asking them!Slide17
Our experience in Leicester
Sat with a medical student – what did you want to know? (2013)
We set up a website www.forensicpsychiatrytraining.co.uk
Put that information into the website
Easy
Quick
So cheap it’s almost free
The results?Slide18Slide19
The results
A flood of medical students emailed
UK, Australia, New Zealand, Ghana, Egypt, Brazil, South Korea, Poland, Spain, Japan, Hungary, Nigeria, etc. etc. etc.
Dozens have come to our hospital on electives
We show them what we do THEN ASK THEM TO WRITE ABOUT ITSlide20
The beauty of medical students
They have time
They know how they work
They are (usually) easily directed
They are keen to take part in small, achievable projects and to receive feedback and certificatesSlide21
Isn’t this difficult, expensive and complicated?
No – it’s easy and cheap
143 Rand, $10 USDSlide22
What do you need?
An internet connection
A browser – tablet or computer are ideal – you can do it on your phone
Some free software –
Wordpress
Some time and/or a willing medical student
You can do this in any country in the world – it truly is globalSlide23
Next steps
Find the right name (type “buy a domain name”)
Buy some hosting (the price of a coffee)
Make the site – I suggest
Wordpress
– which is freeSlide24
Add whatever information is relevant
To your specialty (psychiatry, forensic psychiatry, etc.)
To your interests (teaching, service development)
To your desired audience (patient education, medical students, junior doctors, funding bodies, academics, etc.)
Start small – crowdsource further information
Reviews, essays and book reviews by students who visit
Information from colleagues about their professional interests
Whatever else seems useful to you and your audienceSit back and wait for it to happenSlide25
Some unexpected results
(Lots of medical students have come)
Several senior doctors have been to visit
Many others have been in touch about joint projects
Publishers have sent free books as review copies (build library stock)
Senior colleagues have been in contact and have asked to provide information online
Organisations share in our success and want to promote it
Much higher profile – nationally and internationally – global reachSlide26
You have little to lose
200 rand/£10/$15 USD
A small amount of time
www.forensicpsychiatrytraining.co.uk
nicholas.taylor@nottshc.nhs.uk