European Psychiatry - Volume 33 - March 2016

196 / 812

S192 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348
Results In this sample, the majority are aware of having a compe-
tency based training programme but 86.5% are poorly acquainted
with the UEMS competencies framework. All key competencies
were rated as being important but not all as being relevant in the
assessment process. One’s level of preparedness and the degree
of education one’s receives during their training differs from one
competency to another. Trainees who aren’t satisfied with their
national training would be in favour of taking an end of training
Pan-European exam which differs from the one’s that are satis-
fied and wouldn’t be interested in undergoing this assessment
method.
Conclusions This sample isn’t fully acquainted with the
competency-based concept for postgraduate training. The ones
satisfied with their postgraduate psychiatric education seem
to be less inclined to take an end of training Pan European
exam.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW227
Developing simulated training in old
age psychiatry to recognise and assess
medical problems in a psychiatric
setting (RAMPPS)
U. Narayana ∗, O.J. Corrado , P. Rowlands , S. Kaur
1 Health Education Yorkshire and Humber, Leadership fellow-ST5 Old
Age Psychiatry, Hull and East Yorkshire NHS Trust, United Kingdom
2 Leeds Teaching Hospitals NHS Trust, Consultant Geriatrician, Leeds,
United Kingdom
3 Head of School of Psychiatry, Health Education Yorkshire and
Humber, Derbyshire Healthcare Foundation Trust, United Kingdom
4 Bradford District Care Trust, Clinical Audit, Bradford, United
Kingdom
∗ Corresponding author.
Introduction Older people with mental ill health are more
likely to receive lower quality of health care, inappropri-
ate prescriptions and reduced access to services, leading to
increased rates of mortality [1–3]. There is increase focus on
supporting people with multiple long-term physical and men-
tal health conditions, particularly by embracing opportunities
created by technology [4] (references are not available for this
abstract).
Objectives To identify the common medical comorbidities on the
Old Age Psychiatry Wards.
Aims To develop simulation training from the medical scenarios.
Method We audited all patients referred to the Liaison Geri-
atrician from 2008 to October 2015 from the Mount Hospital
Leeds, which consists of 4 Old Age Psychiatry wards. Data was
collected in October 2015 and included referral date, patients’
age and sex, number of referrals, reason for referral and the
outcome.
Results We assessed 339 (142 F, 197 M) patients with a mean
age of 77 (range: 56-94). The cardiovascular problems consti-
tuted the majority (34%) of the referrals, central nervous system
(11%), respiratory (8%), gastrointestinal (8%), infection (8%), mus-
culoskeletal (7%), renal (3%), others (19%) and the reasons were
unknown in (2%) of the 440 referrals. Some unusual problems were
diagnosed including a spontaneous pneumothorax, primary biliary
cirrhosis.
Conclusion The audit highlights the essence for more training in
recognising and assessing medical problems in psychiatric sett-
ings - the simulation programme (RAMPPS) in Old Age Psychiatry.
As a result of the service model, we are developing a simulation-
training course tailored to the mental and physical health needs of
the elderly.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW228
Indicators in psychiatric assessments;
an evidence-based practice
Y. Rumalean ∗ arfitt
1 UK National Health Service & London Metropolitan Police, General
Psychiatry and Forensic & Legal Medicine, Goffs Oak- Hertfordshire,
United Kingdom
2 Global Insurance- UK, Statistics and Engineering, London, United
Kingdom
∗ Corresponding author.
There are subtle signs and symptoms that can function as strong,
significant and evidence-based indicators to improve upon diagno-
sis of mental illness as a primary clinical issue. With the well-being
of patients at stake and services experiencingmounting pressure on
their time and resources, the accuracy of such a diagnosis is critical.
The data used in this studywas obtained from the Hampshire Police
of individuals arrested under Section 136 of the Mental Health Act
1983 (Amended 2007). Documented observations by the arrest-
ing officers were transferred onto a list of signs and symptoms,
adapted for clinicians and non-clinicians. Answers to all 23 indica-
tor questions were assigned a binary coding and became the input
data. A logistic regression model (LRM), sensitivity and specificity
analysis, analysis of maximum likelihood estimates, and confusion
matrix, were applied. Three significant evidence-based indicators
for primary mental illness diagnosis: “fixed stare/looking (pos-
sibly) confused” (perplexed), “calm/seemingly calm”, and “poor
attention and concentration, not able to follow instructions easily”
(distracted). There was suggestion that when all three identified
indicators are absent within the same assessment period, primary
mental illness should not be diagnosed. A correlation was observed
between the presence of one, two, or all three indicators and the
increased chance of patients suffering from moderate-to-severe
primary mental illness. The indicators would very likely be par-
ticularly helpful in cases where signs and symptoms of primary
mental illness are less obvious and made more complex by actual
underlying problems of drugs/alcohol, difficult personality traits,
and/or criminal behaviour.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW229
Lessons from a Balint group scheme
led by psychiatry trainees for year
3 bristol medical students on their
medicine/surgery placements
K. Wood ∗ othari alone
1 Southmead Hospital, North Bristol Trust, Bristol, United Kingdom
2 Callington Road Hospital, Avon and Wiltshire Mental Health
Partnership, Bristol, United Kingdom
3 Retired consultant psychiatrist, North Bristol Trust, Bristol, United
Kingdom
∗ Corresponding author.
Background The UK General Medical Council highlights the cen-
trality of effective communication, reflective practice and the
doctor-patient relationship in medical practice. A decline in empa-
thy has been documented as occurring within clinical and early
postgraduate years, potentially affecting diagnostic processes and
patient engagement. Access to Balint groups can enhance aware-
ness of the patient beyond the medical model, but remains limited
at many UK medical schools. This scheme offered Balint groups to