Psychiatric Bulletin (2006) 30: 234. doi: 10.1192/pb.30.6.234-c
© 2006 The Royal College of Psychiatrists
Psychiatric Bulletin (2006) 30: 234
© 2006 The Royal College of Psychiatrists
Exploitation or experiential learning?
Charles Dixon, Specialist Registrar in Psychiatry
Wonford House Hospital, Exeter EX2 5AF, e-mail:
Charles.Dixon{at}DevonPtnrs.nhs.uk
Dr Sundeep comments that psychiatric trainees having to perform
inappropriate duties and considers this exploitation
(Psychiatric Bulletin, February 2006, 30, 75). I agree that
good training is crucial for producing the consultants of tomorrow but think
that we must not lose sight of how we learn. Workplace experiential learning
gives a broader understanding of how the hospital and its systems work.
Consultants have expanding roles beyond the more traditional clinical ones and
early exposure to finding patients beds, for example, can enhance
understanding of bed management and allocation of resources, giving the
trainee a more-rounded education. I feel that these inappropriate
duties can actually be beneficial if they do not become routine and are
balanced with appropriate clinical duties and study time.
On a more cautionary note, with the probable increase in the number of
medical care practitioners, trainees need to be careful about what they will
or will not do, or trusts might find a cheaper and more flexible alternative
to senior house officers.