title: How can we make the current UK psychiatric training scheme truly trainee centred?
abstract: BACKGROUND
  UK Psychiatric training is popular worldwide and IMG from throughout the world come to UK. Psychiatric training has undergone significant changes but this has not reflected in the outcomes. There is a need to refocus on trainee centred teaching principles.
  Current training scheme started in 2007 as run-through programme spanning six years. Till 2005, examinations decided the progression of trainees through the training scheme with development of Work Place Based Assessments. Following Tooke's report, training was uncoupled and examinations regained importance in deciding the progress of trainees to higher training.
  EWTD, budget cuts, service priorities lead to a sense of lack of importance among trainees. Surveys focussing on clinical supervision pointed to the inadequacy and poor quality of supervision. Training has lost trainee centeredness. It is important to make the training maximally effective to deliver safer services. Trainees are major work forces and the future consultants who lead and manage services.
  
  
  CONCLUSIONS
  Student centred teaching is a highly skilled educational process. Adapting these principles into psychiatric training could help trainees learn successfully.
authors.affiliation: East London NHS Foundation Trust, London, UK.
authors.forename: Madhavan
authors.initials: M
authors.lastname: Seshadri
authors.forename: Madhusudan Deepak
authors.initials: MD
authors.lastname: Thalitaya
authors.forename: Baljit Kaur
authors.initials: BK
authors.lastname: Upadhyay
authors.forename: Ambreen
authors.initials: A
authors.lastname: Aftab
authors.forename: Z
authors.initials: Z
authors.lastname: Afghan
authors.forename: Ranbir
authors.initials: R
authors.lastname: Singh
mesh_terms: D002983:Clinical Competence; D003479:Curriculum; D004503:Education, Medical, Graduate; D004739:England; D006801:Humans; D007396:Internship and Residency; D009629:Person-Centered Psychotherapy; D011570:Psychiatry / Q000193:education*; D013222:State Medicine