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Table 5 Characteristics of selected abstracts

From: Training of adult psychiatrists and child and adolescent psychiatrists in europe: a systematic review of training characteristics and transition from child/adolescent to adult mental health services

Study Aim Methods Results (aggregated data) and authors’ conclusion Quality Score (/36)
Buftea et al., 2010 [51] To analyze the availability of types of psychotherapy and the commitment of psychiatry resident to psychotherapy training. Comparison with data from 1988 Quasi-experimental (quantitative) study: Survey Response rate: unknown respondents / 728 (81.8% psychiatry residents).
- Only 30.13% are involved in specific psychotherapy training, comparing with 48.5% in 1998.
NA
- Available types of psychotherapy: CBT, positive psychotherapy, transactional analysis, psychoanalysis, psychodrama, hypnosis, existential psychotherapy.
- Even though training in psychotherapy has been a compulsory topic in curricula since 2007, its availability is still restricted, due to high costs, the need to self-finance the training, organizational difficulties and low number of training centers and trainers.
Barrett et al., 2011 [52] To gain insights regarding current CAP training within the member countries of the EFPT Quasi-experimental (quantitative) study: Survey
10-item questionnaire to trainee representatives from 32 countries.
Response rate: 27 /32 (84.4%) respondent countries. NA
- In many countries, CAP and GAP training were not separate.
- In 35% of countries, CAP training was entirely separate from start of training.
- In 40%, entry to CAP training occurred after training in GAP.
- Variable availability of training posts.
- Varying duration of training: 3 years (19.2%), 4 years (23.1%), 5 years (26.9%).
Significant differences in CAP training experiences across 27 respondent countries.
Giacco et al., 2011 [53] To assess Early Career Psychiatrists’ (ECPs) satisfaction with training and self-confidence in different psychiatric domains; availability of clinical supervision and educational opportunities during training Quasi-experimental (quantitative) study: Survey Response rate: 194/ Unknown total respondents from 34 European countries NA
Online survey among European ECPs. self-reported questionnaires with multiple choice answers - Most respondents (73%) were completely or partially satisfied with provided training.
- Most problematic areas: forensic psychiatry (68%), psychotherapy (63%) and CAP (57%).
- 30% of ECPs were not assigned to a tutor for clinical activities. - 67% did not receive any psychotherapeutic supervision.
Kokras et al., 2011 [54] To investigate, from a trainee’s point of view, the degree of compliance of Greek training centres to EBP recommendations Quasi-experimental (quantitative) study: Survey
Training centers in psychiatry were identified and trainees were invited by e-mail to complete an on-line survey in autumn 2010
Preliminary results from the first quarter of the sample. NA
- Vast majority of Greek psychiatric trainees do not have individualized training programs (88%) and logbooks (99%).
- No auditing experience (90%) and no exposure to internal (90%) or external (93%) evaluation.
- Structured theoretical training available to the majority of trainees (94%).
- Only 25% are offered psychotherapeutic supervision.
Still inadequate compliance to some of the recommendations developed by the
EBP.
Atti et al., 2012 [55] To describe the opinion of Italian ECPs about provided training Quasi-experimental (quantitative) study: Survey Response rate: 244 respondents (216 last-year trainees and 8 recently qualified psychiatrists). NA
30-item questionnaire administered to all the participants during 3 years in a yearly training event for ECPs
- ECP felt the most uncomfortable in Forensic Psychiatry (62.5%), CAP (37.2%), and Dual Diagnosis/Substance-Abuse Related Disorders (33.9%).
- 45% of ECP complained that Psychotherapy is a critical issue.
- Though 46.4% of participants had supervision within the training program (less than two hours per week), the 87.4% sought help from external psychotherapeutic training programs.
Lee & Noonan, 2012 [56] To ascertain if trainees had fulfilled the Royal College of Psychiatrists’ psychotherapy training requirements, models of psychotherapy available and the availability of psychotherapy qualifications among consultants and senior registrars Quasi-experimental (quantitative) study: Survey Response rate: Unknown respondents / 62 (79%) registered college tutors. NA
A questionnaire was posted to all registered tutors in the Republic of Ireland - No psychotherapy training was available according to 16.3% of tutors.
- Only 22.5% of tutors were aware of trainees who had met college training requirements in the previous two years.
- 79.8% of tutors reported that there were consultants and senior registrars with qualifications in psychotherapy.
Conclusions: Current training requirements are not being fulfilled. There are inadequate resources and time to formalise training. It is unlikely that the implementation of training requirements by the new college will be realisable without a review of training delivery.
  1. UEMS CAP Union Européenne des Médecins Spécialistes section of Child and Adolescents Psychiatry, EFPT European Federation of Psychiatry Trainees, WHO World Health Organization, WPA World Psychiatric Association, EBP European Board of Psychiatry, ECPC Early Career Psychiatrists Committee, CAP Child and Adolescent Psychiatry, AP Adult Psychiatry, ESCAP European Society of Child and Adolescents Psychiatry, GAP General and Adult Psychiatry