CPD Online eNewsletter August 2015

Welcome to the August 2015 CPD Online eNewsletter




Access your certificates whenever you want – Don’t forget that you can view all your CPD Online certificates in your My CPD Online area, as well as seeing which modules you have completed or started. Just click on ‘Check my progress’.


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Educational feature:

Plus ça change……

By Dr Shyamal Mashru, CPD Online Trainee Editor


Leadership and management

The future of the NHS seems to be dependent on ‘strong leadership and management’, and as clinicians we often hear slogans such as ‘front line management’ or ‘bottom up management’. But what do these terms really mean? Were they made up by some clever PR folk in a back room of an important government building, or is there a strong evidence base for such ideas? If so, where can you find it?


The answer: CPD Online, of course.


Whether we love it or hate it, management has become an increasingly significant part of consultant practice and we have catered for this on CPD Online by producing a series about it. The first two modules are now live. The initial one is a general introduction and the second gives detailed instructions on time management.


CPD Online modules are all written by experts in their field who have been working to inform you about the best care, founded in evidence-based medicine. For this reason we hope their content will seem relevant and applicable to your clinical setting, and not require huge upheaval for patients to benefit.



New modules:




Effective assessment and treatment of people with intellectual disabilities (PWID) requires a knowledge of their accompanying physical and mental health needs, as well an awareness of the communication impairments most will demonstrate. In the criminal justice setting psychiatrists also need to have knowledge of problematic issues related to the Criminal Justice System. This module provides expertise on all these issues. It is aimed at psychiatrists with limited experience of working with PWID. 


Minimising inpatient suicide      Minimising in-patient suicides

In-patient suicide accounts for around 10% of all suicides among individuals who are in contact with mental health services over the course of a year, emphasising the importance of effective preventative measures on wards. This module gives detailed advice, with an emphasis on prevention, and provides an overview of the various clinical measures that can minimise in-patient suicide.

Safe lithium prescribing


Safe lithium prescribing: initiation and monitoring [Fully updated by the authors June 2015]

Lithium is one of the oldest mood stabilisers prescribed in psychiatry and among the most efficacious treatments for bipolar affective disorder and treatment-resistant depression, but it is often associated with adverse effects. Many are preventable by improving clinical practice, but a significant number of patients aren’t monitored in accordance with NICE guidance. Learn more about lithium and achieve a better understanding of the need to keep patients informed, and to regularly monitor side-effects and manage them in a timely fashion.


A major challenge regarding delusions is understanding them in terms of changes in brain function. Dr Corlett is investigating the neural basis of human associative learning and belief formation and relating these processes to the formation of delusional beliefs. His findings have shaped the development of a novel mechanistic model of delusion formation, which he discusses with Raj Persaud.


Transcranial magnetic stimulation (TMS) has been shown to be a well-tolerated, minimally invasive procedure for treatment-resistant depression. Raj Persaud talks to Dr Lena Palaniyappan at the RCPsych International Congress 2015 about the practicalities and efficacy of TMS.

Forthcoming modules:

Psychiatric aspects of dizziness: a question of balance

Children’s mental health within Scottish legislation



New from BJPsych Advances:


Public care or adoption

Automatism   The common law defence of automatism: a quagmire for the psychiatrist

Keith Rix sets out the complicated law on automatism and gives detailed accounts of court cases in which the defence of automatism has been based on psychiatric disorder or the effects of psychotropic drugs. He also suggests approaches to assessment and medicolegal reporting.


Don’t forget to tell your junior colleagues about CPD Online’s new ‘sister site’ Trainees Online (TrOn) – currently free to access for trainees and other College Members.


Subscribe to or renew with CPD Online – subscriptions can start from any point during the year.


With best wishes,

The CPD Online Team





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