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Annual Report 2010 - St. James's Hospital

Annual Report 2010 - St. James's Hospital

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CNon Directorate Specialities I Psychiatry<br />

Psychological Medicine Service<br />

Continued support of and working with the emergency<br />

department has led to signifi cant involvement in the<br />

development of the emergency medicine programme<br />

nationally. There is regular review of practice and close<br />

liaison of both senior medical and nursing interfaces. Regular<br />

teaching with junior staff occurs both on a formal and informal<br />

basis in the emergency department. Incorporation into the<br />

intern teaching occurred this year and there is continuation<br />

of a national lead in psycho-oncology training with a number<br />

of week long courses taking place. Changes have taken<br />

place in the staffi ng of the psychological medicine services<br />

with negotiations undertaken to set up the fi rst intern post in<br />

psychiatry nationally. Similarly, the possibility of developing<br />

an alliance with general practice training is underway.<br />

A major initiative was undertaken with respect to cancer<br />

related fatigue. A DVD and booklet have been developed with<br />

a strong cognitive behavioural theoretical basis. The service<br />

has contributed to peer review journals and continues with to<br />

collaborate in research projects in the hospital. Current work<br />

includes developing an approach to chronic pain and ongoing<br />

work in respect of relationship between trauma and post<br />

stroke fatigue.<br />

75

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