The British Journal of Psychiatry 129: 167-172 (1976)
© 1976 The Royal College of Psychiatrists
Trainees' competence in psychiatric case writing
WE Kiernan, RG McCreadie and WL Flanagan
An assessment was made of 100 case records written by junior medical staff
working in a psychiatric teaching hospital. Thirty-nine items were rated,
and considerable gaps were found in the records. The Mental State was more
poorly recorded than the History; the Formulation and Summary were more
satisfactory. Possible reasons for the findings are discussed, including
methodological difficulties, administrative considerations, and attitudes
of junior staff. The implications for the training and assessment of junior
psychiatrists are explored.