Computer generated transcript

Warning!
The following transcript was generated automatically from the content and has not been checked or corrected manually.

Yes. Can you see my screen now? Yeah. Yes, we can. All right. Brilliant, then. So, uh, thanks, everybody today, um, for joining us. And I'm very, very honored to present. Uh, I saw the biggest life as a psychiatrist, um, to all of you. So, um, I'll just move on to I have nothing to disclose it. Just a standard thing. How will we just moved in terms of, um, slight presentation. I wondered this more about having a more in interactive session and talk a little bit about how I ended up in psychiatry and what I'm currently doing and my journey. So those are the contents that we'll just go just to structure the presentation? Um uh, just we'll do introduction, then a little bit about my journey. Why? I chose psychiatry as a specialty. Why I enjoy about what I enjoy about my work. Um, what are the good side and challenges? And in general, what is life as a psychiatrist? Um, different parts to become, um, consultant in the UK and then we'll have a little bit question and answer, uh, time two with the end. So in terms of introduction, So I was just hoping that we could have a more interactive, but we'll I think we'll leave it till and in terms of question and answer where we will introduce each other. But about myself. I'm, um So my name is Vishal to, um, um currently working as a consultant. Psychiatrist, Um, in a community in sitting in Hackney, east London. Uh, NHS foundation Trust. I also, um um um um So my previous job is still continued, Um, on special deputation leave. And then I do another role as assistant director for the university, which is located in India, Um, called the Omega Institute of Higher Education and Research, which is a neck a plus rated university. Um, um, provide leadership over there in the board as well as, um, uh, still academically active along with the university, Um, in terms of moving on to, uh, my journey. So I started, um, my medical training in 2007 and completed in 2013 after, uh, roller coaster of medical training. And then I joined as an S h O after, uh, So it's very interesting when I when I completed my training in 2000 medical training in 2013, which included my, uh, foundation year equivalent internship in India. After that, I basically was a little bit confused. And I did a little bit short research and took a two month's gap in between and then immediately started working in, um, psychiatrist as such a wide list. I was preparing for, uh, national recruitment exams, which which recently started in India At that time Before that, it was more about India is a very big country. So there was a different state, had different exams and different universities had different exams. Um, for post graduation and higher training. Um, So during that time, when, um, when I was about to reach my application for high training um uh, these need national exams, uh, one single exam started Khalid and preparing for that exam during this period of time and simultaneously started working as a statue. Oh, in the similar university where I completed my education, which is okay in the same university that time against the golf medical sciences. It was known as this, um, as a dedicated medical university back then. Now it has evolved and have more, a lot of more, uh, fraternities. So I completed um, the job in 2014 and successfully enrolled in, uh, in the psychiatry, which was a residency for three years. Um uh, equivalent to core training in the UK and completed that in 2017. During my, uh, this residency, I had a fantastic opportunity to come to U K as and complete one international training fellowship. Um, in early intervention psychosis, Um, uh, the University of Chester and, uh, Treasure Real Partnership NHS Foundation Trust in the UK in Chester, which was a short done fellowship and which was obviously, um, uh, tied up with our university. So, uh, that was the first time I came to U K and experienced NHS. After finishing that fellowship, I went back to India, completed my training in psychiatry and was awarded with them the psychiatry in 2017, following which I, um, joined as a senior registrar in the similar department. Um, in, uh, Holland, ahead of Medical college in 2017. Worked there for a year as a senior, distraught, and then I was promoted to assistant professor and consultant and which is, uh, which was very active role till 2020. 20 after which I, uh, in a very limited role and on a deputation, the UK So, in terms of the journey continued basically. So I moved to U. K in 2020 um, as a psychiatry fellowship doctor. And, uh, so initially, I joined, um uh, Cumbria, Northumberland in time. And we're NHS foundation Trust, um, as a psychiatry fellow, which was a more middle created specialty doctor job. And I started with Universal Crisis Team, Um, and for Northumberland North Time site, which, which was a very, very big geographical pantries to cover the crisis team. Uh, I worked there for a year. That I moved on to. The program was designed in a certain way to for international psychiatrists to have that experience in the UK. Add, um, developed a role of a consultant, um, and give us a similar opportunity to understand the system. Uh, specifically the, uh there is a very massive difference in systems in both countries. Then I moved to the community bit, and then I started working in a community mental health team. When north Northumberland I was located Primary base was in Anick. Um it's a very beautiful place. I was very lucky to be there for a year. I worked there from November 2021 to December 2022 which was very, very controlled. And I think that changed a lot of, um, uh, career aspect of my life. Um, in terms of other roles. I also was appointed as assistant director for international relations and affairs in, uh, the University of a Global, uh, division, which we started in the university, uh, in India. And since May 2020 22. I am in that role, and we're developing, uh, strong global division in relation to, um uh, and since last December, I joined East London, Uh, foundation Trust, um, in, uh, city and Hackney, where I'm working as a consult done psychiatrist, um, in Hackney marshes in both neighborhood mental health teams and neighborhood recovery services. Along with a bit of clinical leadership, in fact, which is the step of kind of a team. So these, um, these, uh, for some of you, if you guys are working in the UK already, uh, these, uh, services might sound a little bit new because it's part of a new community transformation programs, Um, uh, in in accordance with an NHS long term plan. So these are these transformation programs were led by elves, which is a very dean owned energy s foundation trust. And, um, uh, leading this program, uh, for basically once. If the, um uh, once we have completed the transformation, it's gonna, uh, all the other trust, um, nationally. Uh, we'll look after this. So I'm sorry. I can't see any chat or anything. So if you guys have any questions or anything, you guys good job. Otherwise, we would obviously have some time, um, towards the end, to have a discussion. Uh, so, first thing, um, wanted to talk about is why I chose psychiatry. Um, So initially, after I completed my training, um, medical training in 2013? Uh, yes. I was confused as all the junior doctors are. It's a quite stressful time. Once you complete your medical training, we were while we are in medical school, we always have that. Okay, this first year is over. Then you move to the second year, and then there's always a goal. But after the comfort of, um complete completed completing the medical training and that space, then you're out in the world And now you have to decide what specialty that you want to choose for yourself because it's a lifelong commitment. The, um And it's about because internship doesn't to be very honest, um, orient you to the specific field because of the limited time. Um, that you got to, um, um, experience in this particular specialty. So I was confused. Um, I wanted to become a thermal ologist, and you might, uh, kind of think that Why, then I changed the complete, um, different specialties. So it one was surgical, and one is completely different. Specialty. Um, So there was those fight between these three specialties in my mind, which was of terminology, psychiatry and their mythology. There was there were reasons why these three specialties were They're kind of they're in the first place, apart from all other. Very so all specialties are unique in their own way. And it's it's how how to choose it and how to shortlist it according to your lifestyle according to your personality, according to your different personality traits, that that is more important, isn't it in your vision? So I wanted to be of terminology because I had what I've discovered during my training. Um, internship. I had a very good, fine suturing scales, like scarlet soldiers and things. So I thought that I would do really good enough term ologist. One of my very best friend was, um his father was of technologist and a couple of my, um during my term ology posting. There were very good influence and very, um, practical experience that I get gained, which influenced me at that point. However, um, somehow I didn't end up in, I didn't get it. And I was a little bit setback when I didn't get into it. I was on a wait list, and, um, and then I had two branches, psychiatry and dermatology, and I always had this. Um, um, I was always intrigued about psychiatry because of different reasons, which we'll talk about it in the next slide. Um, and finally, in 2014, Then when I give my exams, and, uh, I chose, uh, psychiatry, uh, with the reasons that which will discuss now, so national behind choosing psychiatry was, um, at that time, I was really intrigued from China, and I'm still intrigued about psychiatry as a field and brain health. Basically. So what I was, um, intrigued from childhood was basically I've seen these many so back home in India when when I was a little kid. I've seen there's a lot of cultural, trans and positions syndrome Patient's, uh, and is culturally accepted. Uh, um, things. And then it's very, very, um, kind of dissolved in that society. So I was always intrigued and all it basically gave me that, um, it lighted that fire at that point that there is something that I wanna like go to the bottom of this. So while training and then when I was doing the A such a job after finishing my, um, internship, it basically kind of reinforced all those, uh, beliefs and challenging those beliefs. Uh, one of the other reasons was, It's ever evolving specialty. So it's, um, it's It has evolved significantly in the past couple of years, and it's still evolving. A lot of mechanisms, a lot of theories, a lot of treatment options, because it's more about function of the brain rather than the organic component of the brain. So it's ever evolving specialty. We are still learning a lot, and there's a lot to achieve, um, challenges in in terms of my personality, and then I like a little bit challenges, including diagnosis, management and holistic approach. How, when you are seeing any patient and, um, who has mental health difficulty, there is a lot that you don't know to dig up. Those things to ask is to be empathetic and, um, overall holistic approach of management. Just not prescribing some medications might not be the right answer for the patient. So, uh, these things actually were there when I was deciding, uh, to choose the specialty. One of the other things was, which is which was very, very important to me at that diamond are still is important work, life balance because of the surgical feelings. Usually, if you guys, um, or currently working or have work, it's it can be very busy. Even acute medicine can be really busy, and sometimes it can affect massively on your work life balance and said that I didn't want it. And I knew it. Um, that that, uh, point after working into different department flexibility, which was about working in different um, countries working in, um, different fields of psychiatry, including working in different age groups, having specific so that kind of flexibility which, um, which was there and then never ending opportunities worldwide, which I just mentioned about internationally. It is There are very limited pool of psychiatrist. So in in the long term, when you see it as a demand for, uh, psychiatry sort of stability point of you if you see that, will my be still in my specialty will be still in demand. Or will I be fulfilling my role if I get into that career fatigue period where I want some X different challenges somewhere else, and and learn more about cultures, learn and apply those things. Um, Then there is never ending opportunity. There is a very acceptable, um, recognition of, uh, training throughout the world, usually apart from us as that different thing, but mostly worldwide. If you are trained specifically in the UK, you're more than welcome, uh, to join the team and continue developing psychiatry practice in any country in the world wide. So these were the reasons where I thought that I want to do psychiatry, and the next thing is opportunity psychiatry. There was a lot of up sounds and obviously the training and then the there was a massive journey, Uh, from 2013 till now. So what I enjoy about my work and the good side. So, uh, first and most important thing is that you get time to listen to patients'. I'm sure you want to, like many of you are already working in acute teams and things. And then you guys must be, um must have faced many, um, encounters where you want to give some time to your patient. But you can't because of the amount of overwhelming work that you have to, um, complete in a limited amount of time. Otherwise, it's, um and even though you want to give it, you can't give it. Um So in the in the peel of psychiatry, you have time to listen to patients' because that is your, um that is your test that is your basically the if you that is your tool to diagnose people, to form management plan and involve clients and then, uh, and work collaboratively with patient's to formulate appropriate plans. So the first and most important thing you get time. Usually the new assessment. You get around one hour time in our patient's in patient's, you have a little bit more time because patient's are already there in patient's. But in general, it's 1 to 45 minutes to one hour new assessment, and the reviews are from 30 minutes to 60 minutes, depending on the difficulties of the clients. So you get time to talk to your patient's and complete the history. Um, the another thing that I really enjoy about my work is it's not just independent, like a one person ordering something, and everybody is following this. It's more about the teamwork. Everyone has their role. So as a medic, I'm doing a medic medical role providing that clinical leadership providing that, um, medical input along with a different responsibility. But every team member has different roles, and, um, jointly, when we were together, uh, CPS community psychiatrist analysis, uh, support workers, peer worker, peer support workers, um, senior practitioners, social workers. So different sectors all come together and work for one patient center oriented care, which is very unique. And that is one of the very good things that I enjoy about my work. It's obviously rewarding to see patient's get better. Uh, it's life changing people. Um, so I've in my, uh, career I've seen Patient's, uh, very complex patient's. And once they have gotten the right help to get better And, uh, for any doctor, that's the, uh, that's what we desire most, apart from anything else in terms of, um, the other things, it's to prevent, uh, uh that I enjoy his privilege to share ideas in M. D. P s because it's more of teamwork. Where we get, um, it's flat hierarchy, you can say things you share idea and pro together. People challenge you so there. It's a very, very, very good environment to work. Um, what I'm currently doing in terms of colleagues, fantastic colleagues that you get your psychiatry, psychiatry, colleagues, very supportive colleagues, your peers, your, uh, junior's your seniors. So it's a brilliant, brilliant team that I'm currently working with, and I have work in the past also, um, so that's one of the very, very good thing in, uh, my work opportunities to learn every day. There is something always something new that you encounter in psychiatry, because it's not just S O. P. This. Do this do this. It can be very challenging. At times, something new comes up new challenges, which you haven't heard something new. And there is always room to learn something every day. Um, one of the very good thing is, after pandemic, the remote work and also about the flexibility of about the job. Um, apart from clinics that you have a very flexible, um, job. And then obviously, when you're working in the UK, there are a lot of, um, you can plan your job and you can work full time. You can work part time. Uh, that is one of the very good thing that I enjoy about my work. So I do a couple of remote clinics as well as I do, uh, face to face clinics, um, again, hidden curiosity of brain. So it's always, um, something, uh, new and always something interesting. So that is one of the things that I enjoy. And most importantly, I finished much of at five o'clock officially, and that is finishing on time. That is very important. That was very important to me. And that is still very important to me. And that is why one of the reasons that I chose this So these are all the good signs of, um, the work that I do I might have missed a lot because I'm sorry I didn't get a lot of time to make this presentation, but these were on top of my mind coming to the challenges. Um, personally, I think that one of the biggest challenge that I face or any psychiatrist, um, in general, I would agree with this is, um the the stigma stigma on mental health throughout the world. Even though, um, in the UK there is a lot of, um, there is a lot of awareness. There is a lot of, um, programs. There's a lot. There are, um, numerous things that people are trying to reduce. Stigma. But there are still stigma. They're still cultural barriers, which can be quite challenging when you're practicing. And that can be, um, that can prevent certain management and then that that's not very nice at times. Um, so that is one of the challenge in terms of, um, other challenges is taking risk basically and in impact on your own mental health. So, in terms of taking risk, it's not about taking a risk, like, um, so it's very unpredictable, isn't it? You can't predict people anyone's behavior that what will this person do if somebody goes home after the clinic and you can't just basically, um, and with everyone or just if somebody so how to balance it, how to make sure that this person is safe. How to make sure there is a safety plan is in place because the more the only morbidity in psychiatry is mortality in psychiatry is suicide. So many who struggles with mental health issues have the this This is one of the common symptom and, um, having suicidal thoughts and how how to basically prevent that. That is one of the most important things. And, uh, this taking risk and how to be comfortable on how to know that this because you never know you can't completely predicted. But how to prevent certain things is very important that can become sometimes challenging, um, as a consultant. So particularly in consult when you work as a consultant role, you can, uh, there's a lot of anxiety in stuff with the similar issue sometimes and challenges with different chronic, uh, complex issues which clients face and that triggers anxiety and stuff and how to reduce that that can become sometimes challenging for psychiatrist. Um, you work in a very large team. So basically, as I said, there is a very good thing about working in a team. But sometimes when you work in a very large team, lot of pursed, there are different personalities, lots of, um, individual needs and working together. And, um, it's a blessing in one hand. But sometimes with different personalities can be different, challenging as well. And there's a lot of legality in relation to work. So, uh, mental health act meant, uh, work. Um, there are a lot of RCA CRC work where the people are on community treatment order. Some people are on different sections. Some people are from out from prison. Forensic patient's. Some people are from, um, uh, different, like capacity related issues. So there's a lot of legality of work, and that can become a little bit challenging at times because, um, um, some some it gives it gives you that responsibility. And, um, it can be overwhelming at times, in the in terms of resources, there's a national shortage of beds for mental health services, and that can become a little bit frustrating for anyone who's working in psychiatry that this, um then you know that this person needs to be inhospitable. There is no bad. Then have to manage and take that again. Taking the risk and waiting for beds can be a little bit, um, challenging. And in general, it's it can become overwhelming, uh, in relation to demands. Um, and basic clinics. There is a lot. First of all, there are very less number of psychiatrists throughout the world in the UK also, um, in the very less psychiatrists in general, there is very huge spike in mental health. And with the increasing of m s, the referrals and in general, um, it has increased over the period of time and the meeting that demand it can be sometimes overwhelming. Along with your busy clinics, you have other, different responsibilities. So these are the challenges that were on my top of my head. But I'm sure there might be more that, um, that might be, uh, for for getting at this stage. So in general, if I have to say, uh, life as a psychiatrist is, I would say absolutely brilliant. Obviously, that has its own challenges. It has its own, um, perks being psychiatry. But if I balance it, um, I would say, It's brilliant. Um, it's not always the smooth road, but where I am at the, uh, the stage of my career, I think it is brilliant to be a psychiatrist. Um, do you get time for your family? You get time for hobbies? Um, there are many psych. I I have many friends. I'm including myself. I get, um, even though there are busy clinics, even though there is, um, uh, there can be overwhelming responsibilities. You still get time? Um, you get your week hands, you get your time after five. And a lot of activities you can do in general, in my experience as a psychiatrist is that it has evolved me into a better, uh, better kind of a human being. In general, it has impacted on my, um, mental health in a good way, significant growth in all aspects of my life. You start seeing things differently. Um, your perception changes over the period of time, and you start it really is something which, uh, I'm really, um, proud of. I think, um, and there are other bits that always teamwork, leadership opportunities. You get time for, um, there's a lot of room for research. There's a lot of room for teaching, and there's a lot of other things that you have a very open kind of service where you can apply these skills of your clinical governance and apply all of those things. And you can develop something. What is working for the your, um, community. And you can develop certain things and there is a room and and that that is one of the things that I I think, um, enjoy the most, um, coming to the pathways how to become a consultant psychiatrist in the UK specifically, um so for UK graduates who are registered with GM see, after completing their found, like, basically up once they complete their medical school and then finish their foundation training, um, you must be aware that they you have to write an exam after the compatibility getting their fight to compatibility writing your exams. Mssrs. So it's, um um, uh, once you have these, the MSR exams, Um uh, you this multi special recruitment assessment you apply for the national recruitment. Basically, uh, so the the recruitment for your training, it's, um, nationally, Uh, I Auriol and then you, um so there are two The good thing about psychiatry application is it is There are two index along with G P applications. And so there is 1 February intake and 1 August intake. So there are double the index. So you can imagine how much deficiency in, uh, in general, that requirement is, um uh, once you successfully apply and then you get into the pros, you'll get into the training. So the, uh so you get if you do the run through, um, program, Uh, for just core training is three years, So ct one c t. Two c t. Three different years have different things. You get the rotation in different services and, uh, you, uh, do basically your exams while doing completing your cold training. Um, it can be flexible. Some people, so usually people do full time. But some people prefer part time as well, so you can you can do part time training as well, but obviously it's going to increase your number of years. Um, in terms of exams, you do membership exams, which are usually three p. So two papers and one practical exams. So paper a paper be so paper he has more, uh, different. Um uh, subject in it. And paper be is more about clinical and more about, um, um it's more about, um, clinic and situational base. And then the third one is once you complete these, then you can give your cast, which is a practical exams. Um, So once you finish your exams, um, you get a you get to put the title MRC psych. Um um, And after completing a Marcy side, So basically, you some people prefer some people work in non training grades for a couple of time and because they want to again, uh, I understand. So you are a psychiatrist now after the membership, and then some people want to work, um, and find you on their clinical skills. And they want to work and not want to get into the high training because the they're not sure about some specialty or they want to take some break before they go into another high training. After that, they apply again for higher training. So the usually ways And then when you apply for higher training, um, you can apply in subspecialties, so there are usually six subspecialties. Um, uh, one is general adult, and second is child and adolescent and is learning disability and forensic. Um, there is medical psychotherapy. Um, so these are the special and old old age psychiatry, So these are the specialty that you get to choose from. And I'm sorry. I forgot about the forensic psychiatry. Um, so these are the specialty that you get to choose from. And, uh, specialty duration. Uh, in general, if the single specialty, if you choose it's around three years. But duels programs can be for for, um, four years. So you can do dual training like general lateral than old days together. And some people do child and all those and and old age. I'm sorry, general. Together, some people do psychotherapy, and there are very limited places where they offer it. So different sceneries offer different, Um uh, dual programs. So most year, uh, taking single specialty is a psycho psycho therapy. So that is one of the longest training program, uh, in high training. So, once again, there are two intakes. One is in February 1 is in August, uh, similarly, and you get to apply for through your portfolio, experienced an interview and just standardize interview, and then you get into the higher training. So high training you are doing is depressed. If I ST six usually single training and at the end of your training, your awarded CCT. So your regular a RCPs. So after completing your g m c usually that's when gm see requirement. You you have to complete appraisal every year. But unless you're in training, then your a r c e p then your reviews can be used and you're exempted from there. And then, uh so after completing all those requirements, completing those competencies and successfully satisfying ERCPs you get, uh, you are awarded by as a, uh, C C T. And then you're eligible. Go and learn to specialist suggestions to That's how you become specialist register on the specialist register to be employed as a consultant psychiatrist on a substantive post in any NHS Um, in the UK you are you have to be on a specialist register, and that is the requirement by most trust. But there are different. Um uh, these as well, um, but this is This is the most standard way of doing things for international psychiatrists who have already completed red training. Um, like I did my training in India. Um, with the years of experience, Um, and there are different schemes which can allow certain number of psychiatrists from around the globe, uh, to have, uh, to come and work in the UK, uh, through different sponsorships schemes, One of which is medical training initiative scheme, which is for two years. And that allows the same, Uh um, So it grass General Medical Council registration. And then if you start working usual in a middle grade and then the progress that careers some again after doing that, they some prefer to to membership routes, the complete membership exams and then apply for high training and then again, do the higher training. Um, some very experienced people and some depending on how people choose that pathway to, um, become a consultant is, um uh, 11 of the things you can do with Cesar, which is a certificate equivalent of specialist Mr with this equivalent kind of to C C. T. Basically, if you have completed training somewhere else and um, you can come, basically, you have to satisfy the G, M. C and Royal College that you have the you have the equal skills and competencies as, um CCT. So you follow the similar curriculum and pick box all the things requirements is more primary evidence. Um, to show your competence is like, it's a very through process is a very it can be very challenging, but it's doable, and a lot of people have done it. It can be done by both. You kick it at yours. And I mgs uh, usually, um, uh a lot of international medical graduates to do that. But some of the people I know that they have done from those who are graduated as the UK graduate and have not completed all the training. So you don't need to have necessary membership exams to get a seizure. And so that's, uh that is one of the ways that people can become canceled and psychiatrists in the UK So these are the pathways that we you can become consultant, uh, in the UK. So last one of the last things that before we go into question and answer is to psychiatry juice too. So we're Royal College of Psychiatry. Actively. Um, educating about two psychiatry. Um uh um and there is, um, once you choose, psychiatry obviously choose to makes a difference. Um, a psychiatrist. You will always draw on your medical, scientific and interpersonal skills to work with people of all ages and support you provide with change will change in people's lives. So that's the end of the presentation. Thank you. I'll now stop shedding. Okay, We're back now. I hope I'm using the leg. Yes, I'm back. Thank you very much. Um, thank you very much, Michel. So I've sent a certificate. I mean, sent a feedback form. Please give us feedback about how you found the event, and we'll give you a certificate of attendance as well as also give me access to a recording of the event. So we're now open up for questions, please. Um, if you have any questions, just type in the chat or through free to mute yourself. Talk to anything. Mhm. All right, You. I think there is. No question is good night, then. No, there's no questions. Yeah, I hope this was helpful. Um, and I'm sure if you need any further kind of advice, you you have my contact. Just, um please guide. If anybody needs to get in touch with me, I'm more than happy to. Yes, Uh huh. Yeah. Shall we call it a night then? Yeah, yeah, yeah. We can plant then everybody. You're working in the UK, right? You're in London as well? Yes. Uh, no, I'm Sheffield. Uh, yeah, that's fine. We'll call it a night. So if you have any questions, just can't just email, Bischel. And thank you so much for attending everyone. Thank you. Thank you so much for shower for teaching today. Thank you. Cheers. Bye Bye bye.