UK Training Pathway for a Psychiatrist
- April 06, 2023
Training in the NHS offers an extensive training scheme and career development for psychiatrists, with the quality and depth of this programme being recognised as a gold standard throughout the international medical community.
In line with developments and progression in psychiatry across the field and around the world, training provided to UK psychiatry trainees is regularly reviewed and updated. This should make the training programme attractive to UK graduates, as well as IMG psychiatrists seeking the best training programmes for their field and career development.
In this article, we will explore the training pathway for psychiatrists in the UK, with a broad look at the following topics:
- What is the NHS Training Pathway?
- How do you enter the training pathway?
- What does the specialty training programme look like for psychiatry?
- What happens after completing the psychiatry training programme?
- Can I enter specialty training in the UK as an IMG?
The NHS Training Pathway
The NHS training pathway refers to the complete programme for UK trainees, from foundation training to the completion of specialist or higher training, where candidates may be eligible for a CCT within their chosen specialism, such as General psychiatry or any of its sub-specialties.
It is important for IMGs to understand this process, as it clarifies what stage they can most likely enter the system if they are interested in training in the UK.
Entering the NHS Training Pathway
After graduating from medical school, doctors will receive provisional registration from the GMC which allows them to enter the Foundation programme (a two-year work-based training programme).
Upon completion of the first year (FY1), doctors will gain full registration with the GMC and will be able to apply for further study and training in a specialised area, such as psychiatry – for psychiatry, this first stage is known as Core Psychiatry Training (CT).
Specialty Training in Psychiatry
The UK Specialty Training programme in Psychiatry is 6 years long, and whilst doctors may pass through training quicker depending on how quickly they achieve their competencies, this is rarely the case and psychiatrists will usually take the indicated time, or slightly longer to complete the Specialty Training programme.
Successful applicants entering year one of core psychiatry training (CT1), will follow the Royal College of Psychiatrists’ 2017 Specialist Training in Psychiatry Curriculum.
The Psychiatry training programme
The psychiatry specialty training scheme operates both as a run-through and uncoupled programme, though it is more often un-coupled.
Depending on where your application is successful, you may complete your period of core training, as well as the Royal College exams before making a further application for the next stage of training (requiring two applications). Alternatively, you may be able to apply for run-through training, which guarantees you complete both Core and Higher training in one region, as you are recruited for the full duration of Specialty Training.
Foundation Training (FY1 – FY2)
The foundation programme usually involves six different rotations or placements in medical or surgical specialties. These rotations enable trainees to practise and gain competence in basic clinical skills.
Selection
Here, trainees will either choose whether to enter GP (General Practitioner) training, internal medicine training (IMT) or core training in psychiatry (CT).
Core Psychiatry Training (CT1 – CT3)
This part of training takes place from year 1 to 3, where trainees will work and train in several different sub-specialties within psychiatry. They will gain a broad understanding of psychiatry by rotating between 6-month posts in the following sub-specialties:
- General and Community Psychiatry - including Assertive Outreach, Crisis Home Treatment, Outreach for Homeless People, Early Intervention for Psychosis, Rehabilitation and Liaison Psychiatry.
- Old Age Psychiatry - including Memory Clinics, Community Teams, Domiciliary Clinics, Young Onset Dementia, Day Hospital and Liaison Psychiatry.
- Child and Adolescent Psychiatry - including Specialist Adolescent and Academic Psychiatry.
- Substance Misuse
- Learning Disability Psychiatry - including Specialist Asperger Services.
- Forensic Psychiatry - including all levels of security.
By the end of CT3, trainees will need to have completed the MRCPsych exams.
Please note, trainees must pass the MRCPsych Paper A, Paper B and CASC exams in order to progress to higher psychiatry training.
For more information of the Royal College of Psychiatrists examination suite, take a look at our IMG Resources library here.
There are two opportunities per year to apply to core psychiatry training. Information about how to apply, including the person specifications, is available via the North West Deanery, who manage the recruitment process.
Selection
Here, trainees who are not currently training in a run-through programme will make applications to a deanery for higher psychiatry training in their chosen specialty. Selection is open by national competition.
Higher Psychiatry Training (ST4 – ST6)
This training takes place from years 4 – 6, where trainees will complete 3 years of yearly rotations in their chosen speciality, building on their core training and develop increasing levels of competence in clinical psychiatry.
There will also be opportunities to work in other sub-specialties including: addictions, eating disorders, neuro-psychiatry, perinatal and social & rehabilitation psychiatry.
Trainees will usually be allocated a certain number of PAs (programmed activities) weekly for special interest or research purposes. As well as sub-specialty opportunities, these can also be used towards educational opportunities such as local training days/conferences in relevant domains, from clinical leadership to humanities.
Completion of the Psychiatry Specialty Training Programme
Upon completion of the training programme, the choice is made as to whether the trainee will be awarded a Certificate of Completion of Training (CCT) in General Adult Psychiatry of one of its sub-specialisms. This will be based on criteria set out in the curriculum by the Royal College. You can find the 2021 curriculum here.
At this point, the psychiatrists are entered onto the specialist register and can now take permanent consultant posts in the NHS.
Specialist Registration for overseas doctors
Doctors who completed part or all of their psychiatry training outside of the UK are eligible for specialist registration through the CESR or CESR-CP pathways. To learn more about specialist registration for overseas doctors, read our blog here.
Joining the Psychiatry Specialty Training Programme as an IMG
It is possible for overseas doctors to join the Specialty Training programme in Psychiatry in the UK, however it is very competitive.
IMGs interested in UK specialty training must have:
- Full GMC registration
- Completion of a minimum 12-month (FY1 equivalent) internship
- English language test
- PLAB
AND
- 12 months post-internship experience by the time you start begin ST1
Although UK trainees are not given priority for specialty training places, it can be very difficult to join the Psychiatry Specialty Training programme without NHS experience.
So here you have it, a broad overview of the NHS Psychiatry Specialty Training pathway for UK trainees. This training scheme is the core of psychiatry training in the UK, and for IMGs looking to join the training programme, understanding of the pathway allows you to better align your overseas training with the relevant stage you wound enter into Specialty Training in the UK.
Getting started
If you have any further questions about the UK training pathway or your route to the UK as an overseas psychiatrist, or would like guidance in finding NHS posts which offer CESR support, please get in touch with us here.
For access to a community of like-minded MRCPsych aspirants and dedicated psychiatry recruiters, join the IMG Psychiatrists Facebook group.
To receive the latest news and updates on all things psychiatry, including the Royal College, GMC registration and the NHS, follow us on social media and join the conversation.
Relevant Jobs
A new role as Specialty Doctor in inpatient child and adolescent mental health service at a Trust rated \"Outstanding\" by the CQC has just opened for both UK based and overseas candidates. Based in a city just north of London the trust supports doctors looking to build experience before entering ST4 or to support with CESR applications.
This is a great opportunity for overseas Specialty Doctors who want to establish themselves in the NHS, and grow their career. The post is suitable for candidates holding specialisation in the EEA, or for experienced IMGs looking to complete CESR.
ELIGIBILITY FOR THE ROLE:
Non-EEA:
- MRCPsych
- Experience in Child & Adolescent Psychiatry
- Specialist certification in Psychiatry (desirable)
- Experience in Child & Adolescent Psychiatry
- Experience in Child & Adolescent Psychiatry
Discover an exceptional opportunity for a Specialist Doctor in General Adult Psychiatry at an NHS Trust in London. This dynamic role caters to overseas specialists aspiring to join the NHS, accepting applications from EEA-specialized candidates and experienced IMGs pursuing CESR.
As part of the highly diverse General Adult Psychiatry Department, you\'ll work in various mental health services, contributing to the well-being of over 800,000 individuals. The department functions as a cohesive team of doctors built on mutual respect and trust. It offers a comprehensive range of services, including adult mental health, crisis resolution, home treatment teams, community integrated mental health teams, eating disorders, liaison psychiatry, personality disorder services, and psychological therapies.
There will be a CESR support, Section 12, and AC are provided, fostering career development. Enjoy a vibrant life in London, while advancing your career in this exceptional NHS job opportunity.
ARE YOU ELIGIBLE FOR THIS ROLE?
EEA Candidates:
-
Experience of working in General Adult Psychiatry (essential)
Non-EEA Candidates:
-
MRCPsych or PLAB (essential)
-
Experience of working for General Adult Psychiatry (essential)
UK based applicants
-
Experience of working in General Adult Psychiatry(essential)
An excellent job opportunity for either experienced Specialist grade (Associate Specialists) or Consultants in General Adult Psychiatry working in the community across five boroughs of Greater Manchester. The Trust\'s vision is for a happier and more hopeful life for everyone in their communities and their staff work hard to deliver the very best care for the people who use their services. They are really proud of their people, and continue to do everything they can to make sure that they are a great place to work.
The post is suitable for candidates holding specialisation in the EEA, or for experienced IMGs looking to complete CESR.
WHAT IS THE NHS FOUNDATION TRUST LIKE?
The NHS Foundation Trust serves a population of 1.3 million and their vision is a happier and more hopeful life for everyone in their communities. The Trust has more than 3,600 dedicated and skilled staff deliver care from 88 different locations in six boroughs. The Trust\'s mental health teams provide care and treatment for people with mild to moderate conditions such as depression, anxiety or dementia, or more serious mental health illnesses such as schizophrenia and bi-polar disorder. They run \"Healthy Minds\" (psychological therapies), drug and alcohol services, psychiatric intensive care, rehabilitation services, military veterans\' services and many more.
The Trust\'s learning disability services are for people with a moderate to profound level of learning disability, such as those with downs syndrome. The Trust has an updated strategy (2022-2025) that confirms their commitment to being a specialist mental health, learning disability and autism provider, while recognising the impact of the pandemic and the changes within the health and social care system.
WHAT IS THE DEPARTMENT & TEAM LIKE?
The service (generally for people aged 16 to 64) has been running since 2008, according to a model whereby their team of consultants are deployed as follows: three consultants work exclusively in the community and outpatient areas, one consultant works with the Early Intervention Service, two consultants cover the inpatient area and one works with our Home Treatment and A&E Liaison Team. Within this arrangement, the consultant appointed to this post will work with other sector consultants (East, West and South sector community outpatients).
WHAT IS LIFE LIKE IN THE REGION?
Situated in the east of Greater Manchester, between the City of Manchester and the Pennines National Park, the area offers a wonderful mixture of city and famously beautiful countryside. Manchester is one of the main cities of England, with all the benefits that brings including vibrant social and entertainment options in a vibrant city centre. The region enjoys excellent transport connections both international through the airport and local, via the M62, and M60 motorways and the Metrolink tram system. Approximately 22.5% of the population are from ethnic minority groups.
WHAT OPPORTUNITIES ARE AVAILABLE TO YOU?
If you are a new consultant you will receive mentoring and support from medical leads as well as access to a large peer group of enthusiastic and high-caliber Consultants.
ARE YOU ELIGIBLE FOR THIS ROLE?
EEA Candidates:
- European Specialist Qualification
- Experience of working in General Adult Psychiatry
Non-EEA Candidates:
- MRCPsych
- Experience of working in General Adult Psychiatry
UK based applicants
- Experience of working in General Adult Psychiatry
- Section 12 and Approved Clinician
This is a great opportunity for any experienced General Adult Psychiatrists and including those working towards CESR or specialist registration in the UK.
The NHS Foundation Trust is currently looking for a Specialist in Inpatient Adult Psychiatry. This is an outstanding opportunity for experienced Consultants Psychiatrists, Associate Specialist (Specialist Grade) and Specialty Doctors who is looking to work toward Specialist Registration through the CESR pathway.
The post is suitable for candidates holding specialisation in the EEA, or for experienced IMGs ideally with MRCPsych and overseas consultant or specialist experience looking to complete CESR.
WHAT IS THE NHS FOUNDATION TRUST LIKE?
The NHS Trust provides mental health services to all age ranges and supports people with a range of mental health problems whether they are mild, moderate or severe. The NHS Trust employs over 9,000 people who deliver support for the patient services. In addition to providing a wide range of patient services, we also contribute to training the next generation of nurses, doctors and therapists and conduct research that will help to advance clinical practice and treatments in the future.
WHAT IS THE DEPARTMENT & TEAM LIKE?
The Department is a 14 bedded ward which admits adults of working age. The district covers a largely rural area of 285 square miles with a population of approximately 114,000. There are 275 admissions per 100,000 adult population in Somerset. Over the last three years there was an average of 223 admissions per year with bed occupancy being lower than the national average. The majority of the patients admitted were given a diagnosis of a psychotic illness, followed by a mood disorder and then personality disorders.
The post holder will be part of the team which consists of a ward manager 0.5WTE, a deputy ward manager 1WTE, a trainee doctor 1.WTE, a medical secretary 0.4WTE, a ward administrator 1.0WTE, a ward psychologist 0.5WTE, three occupational therapists, 11 staff nurses, 17 health care assistants, and 6 service assistants.
The post holder will also be responsible for conducting Mental Health Act assessments for adults of working age admitted to the ward. Other Mental Health Act assessments for adults of working age in Mendip will fall to the community adult consultant psychiatrists. The post holder may be invited to contribute.
WHAT IS LIFE LIKE IN THE REGION?
Based in the South West, the trust is located between various areas of outstanding natural beauty and the idyllic rolling hills of Exmoor, featuring national hotspots for cycling, surfing, and climbing. There’s plenty to keep you occupied alongside the abundance of music festivals and local traditions.
WHAT OPPORTUNITIES ARE AVAILABLE TO YOU?
There is real opportunity to progress through CESR at pace at this trust, with a strong desire for newly-qualified consultants to develop their specialty areas of interest and undertake in various cancer trials and research projects where possible. Research is encouraged here, particularly when this is appropriate to professional development and to the service development of the department.
If you are a new consultant you will receive mentoring and support from medical leads as well as access to a large peer group of enthusiastic and high-caliber Consultants.
ARE YOU ELIGIBLE FOR THIS ROLE?
UK based candidates:
- Specialty Doctor Experience
- Specialisation in Psychiatry
- MRCPsych
- Consultant or specialist experience
An excellent job opportunity for either experienced Specialist grade (Associate Specialists) or Consultants in Learning Disability Psychiatry that continuously provide high quality mental health and learning disability services, both inpatient and in the community across five boroughs of Greater Manchester. The Trust\'s vision is for a happier and more hopeful life for everyone in their communities and their staff work hard to deliver the very best care for the people who use their services. They are really proud of their people, and continue to do everything they can to make sure that they are a great place to work.
The post is suitable for candidates holding specialisation in the EEA, or for experienced IMGs looking to complete CESR.
WHAT IS THE NHS FOUNDATION TRUST LIKE?
The NHS Foundation Trust serves a population of 1.3 million and their vision is a happier and more hopeful life for everyone in their communities. The Trust has more than 3,600 dedicated and skilled staff deliver care from 88 different locations in six boroughs. The Trust\'s mental health teams provide care and treatment for people with mild to moderate conditions such as depression, anxiety or dementia, or more serious mental health illnesses such as schizophrenia and bi-polar disorder. They run \"Healthy Minds\" (psychological therapies), drug and alcohol services, psychiatric intensive care, rehabilitation services, military veterans\' services and many more.
The NHS Foundation Trust aims to deliver mental health through services based in each Borough and in conjunction with local Commissioners and local social service departments. The Trust\'s learning disability services are for people with a moderate to profound level of learning disability, such as those with downs syndrome. The Trust has an updated strategy (2022-2025) that confirms their commitment to being a specialist mental health, learning disability and autism provider, while recognising the impact of the pandemic and the changes within the health and social care system.
The Trust made the list of the top 120 best places to work in 2015, as compiled by HSJ and Nursing Times, in association with NHS Employers. 5 The list is a celebration of NHS organisations that have worked hard to promote great staff engagement and create an environment where people can enjoy their work. The Trust is accredited with a ‘two ticks’ symbol to ensure that people with disabilities are afforded equal opportunity to enter employment and progress if and where possible.
WHAT IS THE DEPARTMENT & TEAM LIKE?
The Department is a team of kind, fair & determined doctors. In the context of a Specialist Community Learning Disability service model these values translate into principles which drive their vision and work. The team is committed to building upon the evidence base which informs the delivery of safe, caring, responsive and well led services. Their network of teams benefit from sharing learning from quality initiatives, research, compliments, complaints and incidents which in turn drive locality developments and the plans they share. Their service model will be supported by Quality Improvement forums and Research and Innovation hubs, these groups will work across disciplines, organisations and geographical boundaries.
The service model provides a platform from which their multi-disciplinary teams deliver a broad spectrum of pathways. Each pathway is flexed to meet the individual needs, skills and circumstances of the client. A client’s pathway may vary in the range of reasons for involvement, the setting of the intervention, the approach taken, even the number of disciplines involved. The population of Oldham is around 238,722, with a growth projected increase to 246,645 by 2025 (2.18%). At present, around 5156 people, within the borough of Bury, have a known learning disability, with the five year forecast showing this to increase to 5536 by mid-2025.
The post holder will provide psychiatric input to adults with learning disabilities of 18 years and older within the area. The post holder will be a key member of the team and will have access to clinical space at the clinic. It is also expected that psychiatric assessment, advice and liaison will be given in a variety of community locations. For example: The post holder is expected to carry out assessments of complex cases and support development of multi-disciplinary management plans.
WHAT IS LIFE LIKE IN THE REGION?
Oldham is a town with considerable geographical, cultural and ethnic diversity, situated in the northeast part of Greater Manchester, between the City of Manchester and the Pennines. The town enjoys excellent transport connections via the M62, and M60 motorways and the Metrolink tram system. The population of Oldham Borough is 227,312, of whom 62.1% are aged between 16 and 64 (OMBC 2013 mid-year estimate). Approximately 22.5% of the population are from ethnic minority groups.
WHAT OPPORTUNITIES ARE AVAILABLE TO YOU?
If you are a new consultant you will receive mentoring and support from medical leads as well as access to a large peer group of enthusiastic and high-caliber Consultants.
ARE YOU ELIGIBLE FOR THIS ROLE?
EEA Candidates:
- Experience of working in Learning Disability Psychiatry
- Board Certified Specialist in Learning Disability Psychiatry
Non-EEA Candidates:
- MRCEM (UK) (essential)
- Experience of working in Learning Disability Psychiatry
- Specialist training in Learning Disability Psychiatry
UK based applicants
- Experience of working in Learning Disability Psychiatry
This is a great opportunity for any experienced General Adult Psychiatrists working towards CESR or specialist registration in the UK, whilst working as a specialty doctor in the NHS.