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MALTA POST-GRADUATE TRAINING PROGRAM IN PSYCHIATRYIntroduction
I am pleased and honoured to present this first Post-Graduate Psychiatry Training Programme in Malta. With the invaluable helpof my specialist committee, I have endeavoured to reflect in this programme the advances in the neurosciences, molecular biology,molecular genetics, as well as in diagnostic and treatment modalities that have vastly expanded the ability of today's psychiatrist torender competent and compassionate treatment to the patient with psychiatric disorder. Our thoughts throughout the planning of this programme was always, to give our patients, their families and our community, a better quality of life.
Definition of Psychiatry:
 Psychiatry is a discipline of medicine that deals with the etiology, prevention, diagnosis, management and rehabilitation of disorders affecting mental functioning. Psychiatry is also involved in promoting positive mental health.
Overall Goals of the Program
Our five year, full time, teaching program in post-graduate psychiatry is designed to assist trainees to:
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Become competent psychiatrists able to manage a variety of clinical situations and problems in different settings in anethical manner.
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Have a good background knowledge of the basic sciences applicable to psychiatry.
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Become balanced clinicians with strengths in both psychotherapeutic and biologic aspects of psychiatry
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Learn critical thinking skills in the practice of evidence-based psychiatry and to thereby become physicians with life-longlearning skills.
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Become leaders in psychiatry who will serve in research, teaching, administration and clinical service
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Be able to lead a multidisciplinary team.
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Satisfy the training requirements set by the Union Europeen des Medecins Specialistes
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Be able develop skills and or knowledge in the expanded roles of Psychiatric Expert/Clinical Decision-Maker ,Communicator, Collaborator, Manager, Health Advocate, Scholar and Professional.
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Above all, to become professional and compassionate psychiatrists.The philosophy of our programme is grounded in the biopsychosocial model of mental illness. Mind and brain receive equalemphasis, and trainees are encouraged to pursue the integration of diverse theoretical and scientific domains of understanding. Thismodel enables the trainee to interact with different disciplines and mental health professionals and become enriched from thediverse expertise of these colleagues.
The Teaching Programme:
The programme is divided into two parts, Part 1 and Part 2.
Part 1:
Duration: three yearsContent:Work Experience:General Adult Psychiatry (in and out patients) ------------ minimum of: 18 months*Emergency Psychiatry (including night duties)-----------minimum of: 33 monthsChild and Adolescent Psychiatry ---------------------------- minimum of: 3 monthsForensic Psychiatry -------------------------------------------- minimum of: 3 monthsOld Age Psychiatry --------------------------------------------- minimum of: 3 months
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Consultation-Liaison Psychiatry including emergencies).. minimum of: 3 monthsChronic Care/Rehabilitation Psychiatry ----------------------minimum of: 3 monthsSubstance Abuse/Addictions Psychiatry -------------------- minimum of: 3 monthsPsychotherapy…………………………………………….2 years
* Experience in emergency psychiatry is gained through day and night duties at Mount Carmel Hospital ,and through urgent request for consultations from Emergency Department and any other departments at Mater Dei Hospital. The trainee is available for these consultations he/she is on duty at Mount Carmel, or when he/she is at psychiatric out-patients in Mater Dei Hospital, during the Consultation-Liaison placement and at the Health Centres. The trainee is supervised byhis/her Consultant Psychiatrist/Clinical Supervisor.
Theoretical Teaching:All teaching modules, covering psychiatry and disciplines necessary for the understanding and the practice of psychiatry.Seminars, tutorials, case presentations and discussions, journal clubs, videos, research and research presentations (see table hereunder), and an enrichment program.Basic Psychology …………………………………………………………………….
3 months
Social Psychology ……………………………………………………………………
3 months
Cognitive Psychology ……………………………………………………………….
3 months
Human Development ………………………………………………………………...
3 months
The Personality and its Problems ……………………………………………………
3 months
Research methods, Statistics, Epidemiology and Evidence-based practice …………
3 months
History taking and psychiatric examination, Mental Status, Formulation.Psychological tests & lab. investigations Diagnosis & classification ……………….
3 months
Basic Neurosciences (Neuroanatomy, Neurophysiology) …………………………...
3 months
Basic Neurosciences (Neurochemistry, Genetics) …………………………………..
3 months
Psychiatry overview & Emergency Psychiatry ……………………………………..
3 months
ECT ………………………………………………………………………………….
3 months
Philosophy, Ethics, Religion & Psychiatry ………………………………………….
3 months
Case conferences, Seminars …………………………………………………………
27 months
Journal Club, Research Presentations ………………………………………………
27 months
Psychotherapy ……………………………………………………………………….
27 months
History of Psychiatry, Social Science & Socio-cultural Psychiatry …………………
3 months
 Neurobiology & Clinical Psychopharmacology ……………………………………..
9 months
Child and Adolescent Psychiatry …………………………………………………….
6 months
Learning Disability …………………………………………………………………..
3 months
Mental Health Problems and Mental Illness …………………………………………
9 months
Addictions and Addictive Behaviour ………………………………………………..
6 months
Old Age Psychiatry ………………………………………………………………….
6 months
Consultation Liaison, Clinical Topics Interfacing Medicine & Psychiatry ………..
6 months
Forensic Psychiatry …………………………………………………………………..
6 months
Sex, Marital and Couple problems …………………………………………………..
3 months
Clinical Neurology, Neuropsychiatry, EEG, Neuroimaging
6 months
Perinatal Psychiatry ………………………………………………………………….
3 months
Eating Disorders ……………………………………………………………………..
3 months
Leadership and Management ………………………………………………………...
3 months
Chronic care & psychiatric rehabilitation ……………………………………………
3 months
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Part 2:
Duration: two yearsContent:Work Experience:General Adult Psychiatry (in and out patients) ---------------------------- minimum of: 6 months*Emergency Psychiatry (including night duties)---------------------------minimum of: 6 monthsChild and Adolescent Psychiatry -------------------------------------------- minimum of: 3 monthOld Age Psychiatry ------------------------------------------------------------minimum of: 3 monthsConsultation-Liaison Psychiatry (including emergencies)----------------minimum of: 3 monthsForensic Psychiatry ------------------------------------------------------------minimum of: 1 monthChronic Care/Rehabilitation Psychiatry ------------------------------------minimum of: 1 monthSubstance Abuse/Addictions Psychiatry ------------------------------------ minimum of: 1 monthPerinatal Psychiatry, ----------------------------------------------------------- minimum of: 1 monthLearning Disabilities, ---------------------------------------------------------- minimum of: 1 month Neurology------------------------------------------------------------------------ minimum of: 1 month Neuroradiology------------------------------------------------------------------minimum of: 1 month
 
Psychotherapy…………………………………….………………………..2 years
* See note on ‘Experience in Emergency Psychiatry’ above.
The length of each placement to be decided by the Director of Training, after considering the expressed interest of the trainee andthe recommendation of the clinical and educational supervisors of the particular trainee.Theoretical Teaching:Seminars, tutorials, case presentations and discussions, journal clubs, videos, research and research presentations and an enrichment program.Teaching modules (In-depth mental health problems, Advanced psychopharmacology, Psychotherapy,Special topics including recent developments and telemedicine). (see table hereunder)In-depth mental health problems …………………………………18 monthsAdvanced psychopharmacology…………………………………..6 monthsSpecial topics including recent developments and telemedicine …6 monthsCase conferences, Seminars……………………………………….18 monthsJournal Club, Research Presentations …………………………….18 monthsPsychotherapy ………………….…………………………………18 months
Methods of teaching:
 The programme includes both practical (competences) and theoretical components. Each trainee is attached to a clinical supervisor who guides and helps the trainee to acquire skills in variety of clinical situations and problems. The practical programme isenriched by a didactic programme in the form of lectures (modules), seminars, tutorials, case presentations and discussions, journalclubs, videos, research presentations and an enrichment program which is held every 2 months and includes presentations of topicsnot directly related to psychiatry. The didactic curriculum is designed to provide an interactive forum to augment the trainees’independent reading and clinical experience Part of the didactic program is organized in modules covering the various aspects of  psychiatry and its practice.
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