Halliday G, Johnson G
Department of Psychiatry, Repatriation General Hospital, Concord, New South Wales.
Aust N Z J Psychiatry. 1995 Mar;29(1):133-8. doi: 10.3109/00048679509075902.
Recent Royal Australian and New Zealand College of Psychiatrists guidelines regarding Electroconvulsive Therapy (ECT) call for "specific training in both the practical and theoretical aspects of ECT", involving provision of an "educational programme" by centres where ECT is administered, and "supervised administration of ECT prior to administering this treatment alone". This survey was undertaken to elicit the attitudes and experiences of current trainees in relation to training to administer ECT. It was found that ECT is given entirely by the registrars, that consultants are rarely or never present, and in most centres, training typically consists of registrars being supervised once or twice by another registrar, and thereafter administering ECT alone. Twenty percent of those who had given ECT, however, reported not being supervised the first time they administered it. Most trainees indicated limited theoretical teaching in this area, and almost none were aware of a formal training scheme at their respective hospitals. The College guidelines, as stated, address these issues, and priority should be given to their implementation.
澳大利亚和新西兰皇家精神科医学院近期发布的关于电休克治疗（ECT）的指南要求“在ECT的实践和理论方面进行专项培训”，包括由开展ECT治疗的中心提供“教育计划”，以及“在单独进行该治疗之前进行ECT的监督管理”。本次调查旨在了解当前受训人员在ECT管理培训方面的态度和经历。结果发现，ECT完全由住院医生实施，顾问医生很少或从不在场，而且在大多数中心，培训通常是由一名住院医生对另一名住院医生进行一两次监督，之后便由其单独实施ECT。然而，20%实施过ECT的人员报告称，他们首次实施ECT时没有受到监督。大多数受训人员表示这方面的理论教学有限，而且几乎没有人知道各自医院有正式的培训计划。如上所述，学院指南解决了这些问题，应优先予以实施。
