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Page Background

24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805

S613

these three areas when assessing a patient. Here we start with a

family history unrelated to the Mental Health so that adherence to

antipsychotic treatment is guaranteed with monthly administra-

tion depot preparation. These socio-cultural factors are the main

trigger for the breakdown of the subject that cause the patient

psicotización (exacerbations related to stressful situations).

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1807

EV823

Portuguese junior doctors exchanging

in the UK – Reflections from the

experience

H. Salgado

1 , 2 ,

, M. Pinto da Costa

1 , 3

, H. Walker

4

, J. Powell

4

,

L. Potter

4

, H. Ryland

5

, A. Kjellstenius

6

, C. Feteanu

7

1

Hospital de Magalhães Lemos, Porto, Portugal

2

University of Porto, Faculty of Medicine, Department of

Neurosciences and Mental Health, Porto, Portugal

3

University of Porto, Institute of Biomedical Sciences Abel Salazar,

Psychiatry Department, Porto, Portugal

4

South London and Maudsley NHS Foundation Trust, London, United

Kingdom

5

Forensic Psychiatry Registrar, London, United Kingdom

6

Child and Adolescent Psychiatric Trainee, Gothenburg, Sweden

7

Psychiatric Trainee, Paris, France

Corresponding author.

Introduction

The interest in experiencing training abroad has

grown and its benefits have been progressively recognized. For

these reasons, several psychiatric trainees seek to extend their

competencies, skills and knowledge through these exchange

opportunities, such as the European Federation of Psychiatric

Trainees (EFPT) Exchange Programme.

Objectives

With this work we intend to describe these inter-

national experiences of being acquainted with a different health

system and psychiatry training programme.

Aims

Reflect on the impact of these experiences, considering on

how these can be used to benefit the patient care provided across

countries, further to the professional and personal individual ben-

efits that colleagues gain.

Methods

Presenting the testimonials of junior doctors from

abroad that have had the opportunity to observe and collaborate in

the current system of the United Kingdom.

Results

The EFPT Exchange Programme is an excellent opportu-

nity for psychiatry trainees to share experiences, knowledge and

good practices. The cultural and social framework of psychiatry cer-

tainly has an impact on the approach to mental health problems,

and being knowledgeable of these differences can provide bene-

fits not only to the junior doctors who complete these exchanges

abroad, but also to their colleagues working at their hosting institu-

tions that become acquainted with different realities through their

presence and feedback.

Conclusions

The benefits of these exchange mobility experiences

are unequivocal. Therefore, it is fundamental to share these expe-

riences and promote these opportunities.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1808

EV824

Where to be in 5 years? Brain drain of

psychiatric trainees – Case of Albania

S. Tomori

1 ,

,

M. Pinto da Costa

2

, European Federation of Psychiatric Trainee

s 3

1

University Hospital Center “Mother Teresa”, Pediatric Service,

Tirana, Albania

2

Hospital de Magalhães Lemos, University of Porto, Porto, Portugal

3

European Federation of Psychiatric Trainees, European Federation

of Psychiatric Trainees, Brussels, Belgium

Corresponding author.

Introduction

The brain drain of psychiatrists is considered as a

mental health care damaging phenomenon in low- and middle-

income countries. Albania currently has one of the world’s highest

emigration rates, relative to its population and a total emigrant

population of more than 1.25 millions in 2014. More than 50%

of the lecturers and researchers in Albania left the country during

1991–2005. Nevertheless, the data on healthcare workers migra-

tion is very limited.

Objectives

Assessing the migration profile and migratory trends

of psychiatry trainees in Albania as part of EFPT Brain Drain study

in Europe.

Methods

Data collection was accomplished by an anonymous

online survey and hard-copy questionnaire in University Hospital

Center “Mother Teresa”, to all psychiatric residents in Psychiatric

Clinic in Tirana, during May–October 2013.

Results

More than 2/3 respondents are very dissatisfied with

their income but the main reasons for leaving the country are per-

sonal and family composition. A minority did have a short term or

long term experience abroad respectively 8,3% and 16.7% during

which 50% of them considered to have the same opportunities as

the locals. A total of 66% of residents consider leaving the country

after the residency training.

Conclusions

Losing large numbers of skilled psychiatrists con-

tributes to decreasing of quality of mental health services. Since it

can be considered “brainwaste” in terms of a loss of investment into

human resource development, Albania needs to establish policies

to promote returnees.

Keywords

Migration; Brain Drain; Psychiatry residents; Albania

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1809

Neuroimaging

EV825

Psychosis and mega cisterna magna:

Case report

G. Erzin

1 ,

, A. Demirci

1

, D. Cılız

2

, S. Göka

1

, C¸ . Aydemir

1

,

E. Göka

1

1

Ministry of Health, Ankara Numune Training and Research Hospital,

psychiatry, Ankara, Turkey

2

Ministry of Health, Ankara Numune Training and Research Hospital,

radiology, Ankara, Turkey

Corresponding author.

Introduction

Mega cisterna magna is a developmental varia-

tion of the posterior fossa characterized by the enlargement of

the cisterna magna, morphologically intact vermis and cerebellar

hemispheres

[1] . C

erebellar structures, especially the vermis, are

considered to be associatedwith the pathophysiology of psychiatric

disorders such as schizophrenia

[2] . W

e present a case of psychosis

with in a patient with ‘mega-cisterna magna’.

Case

A 21-year-old male with a three-day history of psychotic

symptoms presented with disinhibited behavior, delusions of per-

secution and grandeur and labil affect. He neglected personal

hygiene and grooming activities. He had dropped out of school a

few weeks ago and functioned poorly. The patient admitted to the

service. The patient’s problems have regressed after 4mg Pimozid

treatment. Neurological examination and EEGwere normal. CT and

MRI scans disclosed ‘mega-cisterna magna’.