Shanley Ivan, Jones Claire, Reddi Neelima
Br J Psychother. 2022 May;38(2):338-352. doi: 10.1111/bjp.12719. Epub 2022 Mar 1.
The COVID-19 pandemic has seen a move away from face-to-face interactions and core psychiatry training has not been immune to this. The Royal College of Psychiatrists introduced online examinations (https://www.rcpsych.ac.uk/training/exams), Health Education England utilized virtual annual reviews of competencies (https://www.hee.nhs.uk/coronavirus-information-trainees), and locally, trusts adopted virtual academic and clinical work. This article seeks to highlight the impact of the pandemic on acquiring psychotherapy experience in the context of core psychiatry training. Trainees delivering psychodynamic psychotherapy via telephone in Surrey and Borders NHS Foundation Trust were included in the study and data were gathered using a phenomenological approach via reports provided by two core trainees in addition to a questionnaire distributed to all core trainees delivering telephone therapy. The results indicated that whilst telephone therapy may not be a full replacement for face-to-face contact, it has been an adequate substitute during the COVID-19 period, enabling trainees to achieve the required competencies, receive supervision and provide care where it may otherwise have been impossible.
新冠疫情期间,人们减少了面对面的交流,核心精神科培训也未能幸免。皇家精神科医学院推出了在线考试(https://www.rcpsych.ac.uk/training/exams),英国健康教育署采用了虚拟年度能力评估(https://www.hee.nhs.uk/coronavirus-information-trainees),在地方层面,信托机构采用了虚拟学术和临床工作模式。本文旨在强调疫情对核心精神科培训背景下获取心理治疗经验的影响。研究纳入了萨里和边境国民保健服务基金会信托基金通过电话提供心理动力心理治疗的实习生,并采用现象学方法收集数据,这些数据来自两名核心实习生的报告,此外还向所有提供电话治疗的核心实习生发放了问卷。结果表明,虽然电话治疗可能无法完全替代面对面接触,但在新冠疫情期间它是一种足够的替代方式,使实习生能够获得所需的能力、接受督导并提供原本可能无法提供的护理。