CPD Online eNewsletter December 2015

Welcome to the December 2015 CPD Online eNewsletter



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Educational feature:

Coping with pressures of our time

By Dr Shyamal Mashru, CPD Online Trainee Editor


Sand and sea

NHS staff morale is currently low, as evidenced by annual BMA and NHS staff surveys. There are ever increasing financial cuts to services. We are all being asked to maintain the quality of our work alongside reductions in staffing levels, falling bed numbers and cuts to community teams. Junior doctor contracts are also under threat and for the first time in history we have been very close to doctors going on strike. This all indicates the level of stress and pressure we are facing. Consultants are also being asked to take on greater caseloads than ever before and dropout rates from jobs are higher than ever.


How do we cope in this time of economic crisis and increasing workload?


CPD Online has useful educational features to help, and a two-part module on managing stress and avoiding burnout. The first part, Managing stress and avoiding burnout: Part 1 – understanding stress and burnout, highlights the current research into the harmful effects of stress and burnout among doctors in general, and particularly psychiatrists. This can be found in the free modules section of CPD Online, along with other free modules that give a taster into the world of CPD Online. A subscription will give you access to the second part, Managing stress and avoiding burnout: Part 2 – taking action, which provides a clear action plan for dealing with the pressures of modern work life in the NHS. Explore this and our other clinical, managerial and research modules, to do in your own time, without needing to leave home or the workplace.


New modules:


Abstract head with psychedelic swirls

Patient safety   Patient safety in mental health: CCQI Module 4
Children's mental health Scotland   Children's mental health within Scottish legislation

Adolescent forensic psychiatry


Adolescent forensic psychiatry [Fully updated and revised by the authors October 2015]

Adolescent forensic psychiatry is a developing subspecialty that sits between adult forensic psychiatry and child and adolescent psychiatry. These are exciting times – a network of five NHS adolescent forensic in-patient units has been successfully developed in England, and most Young Offenders Institutions/Young Persons' Prisons or local authority secure children's homes (LASCH) now receive specialist in-reach from CAMHS teams. This module details what adolescent forensic psychiatry is and provides useful information on the services available in the UK and Republic of Ireland.

Suicides in prison   Suicides in prison [Fully updated and revised by the authors September 2015]

This module presents and summarises evidence on the epidemiology, assessment and management of suicides in custody. It includes sections on the key elements of suicide prevention in prisons, and management of suicides and attempted suicides in prison.

Substance misuse in older people   Substance misuse in older people [Fully updated and revised by the authors September 2015]

Substance misuse in older people is a growing public health problem but is often overlooked. Alcohol consumption in particular is growing. These substances impact on mental health, and there are important differences in assessing older and younger people. All these points are covered in detail within this module.

Physical healthcare in severe mental illness   Physical healthcare in severe mental illness [Fully updated and revised by the author August 2015]

Psychiatric populations show high rates of significant medical disease (about 50% of in-patients in most studies). They also tend to receive poorer treatment for physical disease than the rest of the population. Gain the necessary competence in the recognition and management of physical diseases – especially those which are particularly common in the population you treat.

New podcast:

The role of therapist self-disclosure

Is it ever appropriate, and indeed beneficial, for therapists to talk about themselves with clients? Raj Persaud talks to clinical psychologist Anna Ruddle about the potential advantages of therapist self-disclosure.

Forthcoming modules:

Leadership and management series: Part 3 – pragmatic leadership in teams and groups

Seclusion reviews in secure settings 

Metabolic syndrome and schizophrenia  

Management of hyperprolactinemia in psychiatric practice



New from BJPsych Advances:




Autoimmune disorders   Autoimmune disorders in child psychiatry: keeping up with the field

Autoimmune disorders in children and adolescents can have significant neuropsychiatric complications. Psychiatric symptoms may be a result of neuroimmunological processes, medication side-effects or psychopathology due to factors that may be unrelated to the autoimmune diagnosis. Warrilow and Morton illustrate these complexities through discussion of specific autoimmune disorders and three case histories.



Don’t forget to tell your junior colleagues about CPD Online’s ‘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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