Other Medical Trainee's publicationshttps://oxfordhealth-nhs.archive.knowledgearc.net/handle/123456789/7552023-07-27T23:25:19Z2023-07-27T23:25:19ZBreaking barriers into the future of (publishing in) psychiatry: The new truly Open Access journal empowering traineesRyland, Howardhttps://oxfordhealth-nhs.archive.knowledgearc.net/handle/123456789/12372023-07-26T17:00:58Z2023-05-01T00:00:00ZBreaking barriers into the future of (publishing in) psychiatry: The new truly Open Access journal empowering trainees
Ryland, Howard
The European Journal of Psychiatric Trainee is the official journal of the European
Federation of Psychiatric Trainees. It is a fully open-access peer-reviewed scientific
journal which will prioritize work by psychiatric trainees while also publishing a wide
range of papers on mental health by other authors from diverse professional
backgrounds.
This editorial marks the first issue of the European Journal of Psychiatric Trainees and
outlines its vision, mission and the articles this issue includes.
It is the hope of the editorial board that this issue and the future ones reach a wide
network of readers with original, informative and engaging papers.
This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License
(CCBY-4.0). View this license’s legal deed at http://creativecommons.org/licenses/by/4.0 and legal code at http://creativecom mons.org/licenses/by/4.0/legalcode for more information.
2023-05-01T00:00:00ZIncidence of Epilepsy and Seizures Over the First 6 Months After a COVID-19 DiagnosisTaquet, MaximeHarrison, Paul Jhttps://oxfordhealth-nhs.archive.knowledgearc.net/handle/123456789/11992023-06-21T16:34:31Z2022-11-01T00:00:00ZIncidence of Epilepsy and Seizures Over the First 6 Months After a COVID-19 Diagnosis
Taquet, Maxime; Harrison, Paul J
Background and Objectives The relationship between COVID-19 and epilepsy is uncertain. We studied the potential association between COVID-19 and seizures or epilepsy in the 6 months after infection.
Methods We applied validated methods to an electronic health records network (TriNetX Analytics) of 81 million people. We closely matched people with COVID-19 infections to those with influenza. In each cohort, we measured the incidence and hazard ratios (HRs) of seizures and epilepsy. We stratified data by age and by whether the person was hospitalized during the acute infection. We then explored time-varying HRs to assess temporal patterns of seizure or epilepsy diagnoses.
Results We analyzed 860,934 electronic health records. After matching, this yielded 2 cohorts each of 152,754 patients. COVID-19 was associated with an increased risk of seizures and epilepsy compared with influenza. The incidence of seizures within 6 months of COVID-19 was 0.81% (95% CI 0.75–0.88; HR compared with influenza 1.55 [1.39–1.74]). The incidence of epilepsy was 0.30% (0.26–0.34; HR compared with influenza 1.87 [1.54–2.28]). The HR of epilepsy after COVID-19 compared with influenza was greater in people who had not been hospitalized and in individuals younger than 16 years. The time of peak HR after infection differed by age and hospitalization status.
Discussion The incidence of new seizures or epilepsy diagnoses in the 6 months after COVID-19 was low overall, but higher than in matched patients with influenza. This difference was more marked in people who were not hospitalized, highlighting the risk of epilepsy and seizures even in those with less severe infection. Children appear at particular risk of seizures and epilepsy after COVID-19 providing another motivation to prevent COVID-19 infection in pediatric populations. That the varying time of peak risk related to hospitalization and age may provide clues as to the underlying mechanisms of COVID-associated seizures and epilepsy.
Open access
2022-11-01T00:00:00ZSimulated virtual on-call training programme for improving non-specialised junior doctors’ confidence in out-of-hours psychiatry: quantitative assessmentMalhotra, TinaSaunders, Kate E.A.https://oxfordhealth-nhs.archive.knowledgearc.net/handle/123456789/11862023-02-15T19:28:03Z2022-09-01T00:00:00ZSimulated virtual on-call training programme for improving non-specialised junior doctors’ confidence in out-of-hours psychiatry: quantitative assessment
Malhotra, Tina; Saunders, Kate E.A.
Aims and method
To investigate whether a psychiatry-specific virtual on-call training programme improved confidence of junior trainees in key areas of psychiatry practice. The programme comprised one 90 min lecture and a 2 h simulated on-call shift where participants were bleeped to complete a series of common on-call tasks, delivered via Microsoft Teams.
Results
Thirty-eight trainees attended the lecture, with a significant improvement in confidence in performing seclusion reviews (P = 0.001), prescribing psychiatric medications for acute presentations (P < 0.001), working in section 136 suites (places of safety) (P = 0.001) and feeling prepared for psychiatric on-call shifts (P = 0.002). Respondents reported that a virtual on-call practical session would be useful for their training (median score of 7, interquartile range 5–7.75). Eighteen participants completed the virtual on-call session, with significant improvement in 9 out of the 10 tested domains (P < 0.001).
Clinical implications
The programme can be conducted virtually, with low resource requirements. We believe it can improve trainee well-being, patient safety, the delivery of training and induction of rotating junior doctors during the COVID-19 pandemic and it supports the development and delivery of practical training in psychiatry.
Open Access CC
2022-09-01T00:00:00ZExploring the Barriers to Discussing Unconscious Racial Bias in Psychiatry TraineesBorges, DanielaParis, Timothyhttps://oxfordhealth-nhs.archive.knowledgearc.net/handle/123456789/11792023-02-02T19:52:30Z2022-09-01T00:00:00ZExploring the Barriers to Discussing Unconscious Racial Bias in Psychiatry Trainees
Borges, Daniela; Paris, Timothy
Racism is present in most aspects of our society, including healthcare. Differences in health outcomes, and in the quality of mental health treatment for people coming from ethnic minority groups have been demonstrated in the literature. Psychiatry trainees are required to understand the impact of structural inequalities and power differences within mental health services, and to be able to deliver clinical care that is equitable for all.
Objectives
To provide psychiatry trainees with a space to reflect on unconscious racial bias in clinical work and to explore potential barriers when talking about such topics.
Methods
A Race and Equality Reflective Group for psychiatry trainees was organised as an opportunity to discuss unconscious racial bias. Due to an insufficient number of registrations, the session was cancelled. An anonymous feedback questionnaire was sent to all trainees to understand reasons behind this, and to explore potential barriers to participation. The results were analysed and were brought back to a regular Balint group for further exploration.
Results
Twelve trainees filled in the questionnaire. The main themes identified included this topic being a sensitive issue (5; 41.7%), discomfort in trainees (5; 41.7%), insufficient time to participate (4; 33%) and timetable clash (3; 25.9%). Barriers to discussing unconscious racial bias and inequality were identified in further exploration with trainees. The tendency for groups to adopt a split position that was observed, mirrors the dynamics seen in institutional racism.
Conclusions
This work has highlighted the need for ongoing focused, facilitated educational spaces where these issues can be openly discussed and reflected upon.
2022-09-01T00:00:00Z