European Psychiatry - Volume 33 - March 2016

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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.
EV823
Portuguese junior doctors exchanging
in the UK – Reflections from the
experience
H. Salgado ∗, M. Pinto da Costa , H. Walker , J. Powell ,
L. Potter , H. Ryland , A. Kjellstenius , C. Feteanu
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.
EV824
Where to be in 5 years? Brain drain of
psychiatric trainees – Case of Albania
S. Tomori ∗,
M. Pinto da Costa , European Federation of Psychiatric Trainee
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.
Neuroimaging
EV825
Psychosis and mega cisterna magna:
Case report
G. Erzin ∗, A. Demirci , D. Cılız , S. Göka , C¸ . Aydemir ,
E. Göka
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 erebellar structures, especially the vermis, are
considered to be associatedwith the pathophysiology of psychiatric
disorders such as schizophrenia 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’.