The General Adult Training Scheme in Psychiatry offers 50 Advanced Trainee placements. Each placement has six core sessions, two special interest sessions and two study / research sessions. Trainees rotate each year at the beginning of August. Trainees have considerable choice in their clinical placements. Included in the placements listed, there are two Clinical (Walport) Lectureships and two Academic Advanced Trainees at the Division of Psychiatry, University of Bristol. Advanced Trainees have the opportunity of rotating into a training slot with a Senior Lecturer/Professor for one year in research by prior negotiation with the Training Programme Director.

Special experience sessions may be available in:

  • Community Psychiatry
  • Rehabilitation Psychiatry
  • Liaison Psychiatry
  • Psychotherapy
  • Forensic Psychiatry
  • Mother and Baby Psychiatry
  • Addiction Psychiatry 
  • Eating Disorder

To find out more about the General Adult Psychiatry training scheme, please take a look at the training guide.

The programmes in each of the placements have been planned to give Advanced Trainees a broad experience of Psychiatry, as well as providing scope to develop research and pursue special clinical interest.

The programme is administered by the Advanced Trainee Training Committee, chaired by the Programme Director, Dr Sian Hughes. The Flexible Programme Director is Dr Fiona Harrison. The Scheme is managed through the General Adult and Old Age Advanced Training Committee. This reports to the multi-specialty Advanced Training Group which is a sub-committee of the Board of the Severn School of Psychiatry.

The Head of the Department of Mental Health, University of Bristol, is Professor Glyn Lewis. Professor Lewis and the staff of the University Department are always keen to discuss research projects with Advanced Trainees.

General Adult Training Posts

For detailed information about all of our posts please access the relevant links on the left.  Further post details for Forensic Psychiatry and Old Age Psychiatry are available on their webpages.

The Rotation

The basic plan of each one year attachment is:

  • Six clinical sessions with the principal Consultant Trainer.
  • Two Special interest sessions, this may be with the Consultant Trainer or with another Consultant. The special interest sessions will be arranged after discussion with the Programme Director or at the RITA/ARCPs.
  • Two non-clinical special interest sessions this may relate to education, management, research depending on the interest of the trainee. These may be supervised by a Consultant Trainer or be part of a programme, for example the TLHP programme in medical education, an MSC or other higher degree. There is also an option to take up management internships within two of the three major teaching Trusts. Advice and guidance on use of these sessions is available through discussion with the Programme Director and at ARCP interviews.


Most placements are in teaching hospitals and, therefore, the teaching of medical students on ward rounds, outpatient clinics, etc forms part of the day-to-day routine of the hospitals. In addition to the above there may be certain formal teaching commitments. These are detailed in the timetable and an allowance is made for known occasional commitments and cover for colleagues’ teaching commitments when they are absent. Postgraduate teaching of medical staff will be subject to paragraph 166 of the Terms and Conditions of Service for Hospital Medical and Dental Staff, but it is a normal part of the duties of this post to instruct junior staff working under supervision. On occasions a Practitioner may be asked to give lectures to Nurses or other non-medical staff (fees are payable in accordance with paragraph 165 – Terms and Conditions of Service for Medical and Dental Staff).

The TLHP certificate in medical education requires funding. This is available at Bristol University and elsewhere. Generally it can be taken over 1 – 2 years and comprises an induction day, followed by four taught modules each with a written assignment. There is a portfolio of work (about 5,000 words) on critical reflective practice to be completed before the award of the certificate.


Advanced Trainees are expected to attend Audit Meetings in their principal unit of attachment. They are expected to be actively involved in developing or running an audit in each of the three main posts.


All posts have administrative support for writing letters, booking appointments and also provide a PC, office space and a lockable desk/filing cabinet. As part of their involvement in medical management, Advanced Trainees are expected to attend meetings of the consultant group and Medical Staff Committees at their principal unit of attachment. There are opportunities for project work and shadowing of senior managers in most posts. The new management internships in 2Gether Trust and AWP have been popular and have overseen by Dr Arnott and Dr Hussain respectively

University of Bristol

The University of Bristol is one of the UK’s leading universities with a strong research culture. The Faculty of Medicine and Dentistry includes four clinical departments in addition to the Dept of Oral and Dental Science. There are now 250 students studying medicine each year in Bristol. During the clinical attachments, students spend time in seven Clinical Academies that are spread through the region.

The Academic Unit of Psychiatry is situated within the Department of Community Based Medicine, based at Oakfield House.  The other units are primary care, ethics, community child health and the Avon Longitudinal Study of Parents and Children (ALSPAC). This new configuration will aid the existing collaborative research programmes within the medical school.

Health related research is also in progress elsewhere within other Faculties of the University. For example we have good links with the Psychology Dept in the Faculty of Science and with health related researchers in the Faculty of Social Science.