CPD Online eNnewsletter April 2014

Welcome to the April 2014 CPD Online eNewsletter




Twitter birdTwitter Dr Suhaib Bin Bilal Hafi asks for comments regarding the news story on the Mental Welfare Commission for Scotland which found that a woman took her own life after her benefits were docked by 30%.


For his 9th and current topic, Dr Suhaib Bin Bilal Hafi asks whether it is justified that an NHS Trust is planning to lock up mental health patients at night to save money.


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Educational feature:

A cheese sandwich is better than nothing, and nothing is better than complete happiness, therefore..?

By Dr Stuart Leask, CPD Online Editor


Cheese sandwich

One of the great advantages of being a psychiatric professional is having the value of understanding why we believe what we believe, and do what we do. This objectivity about ourselves gives us freedom, in what can seem an otherwise very restricted and regulated world, to reflect upon the challenges, conundrums and contradictions that face us from that important perspective that many of these difficulties are not new, and that easy solutions to them simply do not exist. For example, the ‘evidence base’ often reassures us that partial solutions are often the best that can be hoped for, and the history of our speciality reassures us that, despite how things might feel day to day, things are for the most part much better understood and dealt with today than they were in the past.


The CPD Online module Gender, madness and society in 20th century Britain usefully reminds us of how and why things have changed in the UK, largely for the better. The module Organisation theory: conceptual frameworks in a changing context gives food for thought about where we are, as clinicians, in a healthcare system dominated by managers. The greater understanding that modules like these give us should allow us to think and function more effectively in our increasingly complex and conflicted roles as senior clinicians. And, of course, we can enjoy the new module Going into private or medico-legal practiceif not simply to remind us that there are always new challenges we can add to the clinical ones we face every day.


New modules:

CAMs for ASD and ADHD   Complementary medicines for ASD and ADHD
Many parents and carers use complementary alternative medicines (CAMs) to help children with autism spectrum disorders and attention deficit hyperactivity disorder. Popular CPD Online author Ursula Werneke gives you the clinical skills you need to manage CAM requests successfully.

Problem psychiatrists

  Problem psychiatrists: Part 1 - introduction to dealing with poor performance
Understanding and dealing with poor performance in doctors is an essential skill but one that, hopefully, you may not get the opportunity to practise very often. Follow the case study in this module and develop some of the skills and habits of mind that are useful and effective for when you need to deal with performance concerns. 
Going into private or medico-legal   Going into private or medico-legal practice
Dr Danny Allen provides a comprehensive guide to ensure you can start your practice on a sound basis and make your work pleasurable and profitable. Learn how to avoid pitfalls when starting up, meet legal requirements and employ other people, and how to start a practice when you are working in the NHS.


New podcast:

Dr Fiona Gaughran, the lead consultant in the UK’s National Psychosis Service, discusses refractory psychosis with Dr Ali Ajaz. Understand what it is and the challenges related to research in this field.


Forthcoming modules:

Complementary alternative medicines for ADHD and ASD

Transferring care between age-specific services

Managing the adverse effects of clozapine

Social media and mental health

Basics of geriatric medicine

  Basics of geriatric medicine [Revised & updated by the authors October 2013]
The interface between psychogeriatrics and geriatric medicine is complex, particularly with overlapping presentations between physical and mental illness. Several factors impact on social welfare, causing greater morbidity and mortality. This module offers fundamental strategies for better understanding symptoms, performing structured examinations, diagnosing and interpreting investigations.

View the most popular modules and podcasts over the past month

New directions

  Antisocial personality disorder: new directions
This is a complex condition carrying high rates of comorbidity and mortality for individuals as well as harmful consequences for their families and society. The evidence base and provision of effective treatments remain inadequate, and the belief that the condition is untreatable remains widespread. The authors comprehensively cover the current diagnostic controversies and the evidence for conceptualising antisocial personality disorder as a disorder of attachment, and provide a framework for management and treatment.
Communicating in ID   Communicating with people with intellectual disabilities: a guide for general psychiatrists
It has long been recognised that the pathology of schizophrenia may involve the immune system, yet this has been a relatively neglected area of research. Advances in our understanding of the complexities and functioning of the immune system have allowed new investigation into this area from many angles. The article gives an overview of our understanding of the immune system and highlights recent advances pertaining to schizophrenia.



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With best wishes,

The CPD Online Team





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