European Psychiatry - Volume 41 - April 2017

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S898 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S847–S910
Introduction The proportion of international medical graduates
(IMGs) in Ireland has increased from 13.4% in 2000 to over 33%
in 2010. Many of their countries of origin have different cultures,
expectations of the doctor–patient relationship and communica-
tion styles than Ireland. These differences can adversely impact on
the quality of care provided by IMGs. There is a lack of research on
the impact of cultural differences on communication in the Irish
context.
Methods Semi-structured interviews were conducted with 16
IMGs in Drogheda Department of Psychiatry. Transcripts were
analysed using nVivo10, a specialised computer programme for
conducting qualitative analysis and analysed thematically.
Results General themes emerged relating to IMG experience of
cultural differences in medicine and psychiatry and cultural dif-
ferences in communication. IMGs did not find their proficiency
in English to be a barrier to communication but did find accents,
culture-specific sayings and non-verbal cues to be challenging.
Differences in doctors’ status relative to patients and different
expectations of the doctor–patient relationship were challenging
and, at times, frustrating and annoying. It was generally recognised
that training in cross-cultural communication skills would be ben-
eficial to new IMGs although a small minority recognised no such
issues. Significant differences in attitude to patient confidentiality
in Ireland versus the country of origin were identified.
Conclusions Consideration should be given to providing specific
cross-cultural communication skills training for all IMGs training in
Ireland focusing not just on verbal and non-verbal communication
but also differences in the doctor–patient relationship, patient and
relative expectations and medical confidentiality requirements.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1502
European Federation of Psychiatric
Trainees Exchange: Benefits to
trainees and organisations
A. Rebowska
TEWV, Newberry Unit, Darlington, United Kingdom
Introduction During my time in Gothenburg, I have spent my
first week with the team on the emergency inpatient ward. Dur-
ing my second week in Sweden, I have visited inpatient assessment
unit where in depth psychological and psychiatric evaluations can
be conducted. My final day was spend in a secure state institu-
tion providing accommodation and care to young people at risk of
absconding or presenting with challenging behaviours.
What did I learn Through the participation in the program I was
able to gain first-hand experience of different models of healthcare
delivery and I intend to implement some of the positive ideas into
the services in the UK. Similarly, I hope that the host organisation
may benefit from hearing how care is provided in the UK.
During my trip to Sweden, it was the first time I had an oppor-
tunity to deliver a presentation to an international audience. This
highlighted new challenges such as language barrier and lack of
familiarity with jargon, systems and practices that we take for
granted within the NHS. I have learnt from the experience and I
have now a better idea how to improve my presentations in the
future. I have gained a lot of confidence in my presentation skills
by speaking in front of a large audience of clinicians that I have not
met before.
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.
EV1503
A quality improvement project
focused on assessment of risk level of
outpatient psychiatry patients
T. Tuvia∗, M. Kats , C. Aloezos , M. To , A. Ozdoba , L. Gallo
Montefiore Hospital, Psychiatry, Bronx, USA
∗ Corresponding author.
Since the implementation of the Clinical Learning Environment
Review by the Accreditation Council for Graduate Medical Educa-
tion, there has been an emphasis on training residents in health
care quality as well as patient safety. As such, psychiatry residency
training programs have had to incorporate quality improvement
(QI) projects into their training. We developed a QI curriculum,
which not only included resident and faculty participation, but
also encouraged other staff in our department to focus on patient
safety as well as improving their performance and the quality of
care provided to the patients.
In this poster, we present the development of our curriculum and
will include a successful QI project to highlight this. This project
focused on creating an algorithm to help assign patient risk level,
which is based on evidence based risk factors. This project was cre-
ated due to a survey conducted in our clinic which demonstrated
that clinicians, and in residency training in particular, identify-
ing and managing high risk patients can be anxiety provoking for
trainees. We will present the specifics of this QI project, and addi-
tionally outline the steps that were taken to develop and integrate
the QI project into clinical practice.
Objectives (1) Learn how to successfully incorporate a QI project
and curriculum into a psychiatry residency training program.
(2) Understand both resident and faculty perspectives on what
resources facilitated participation in QI.
(3) Present the development of a quality improvement project
focused on risk assessment of outpatient psychiatric patients.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
e-Poster viewing: Women, gender and mental
health
EV1504
The effect of vitamin B1 on the change
of appetite related to premenstrual
syndrome in young women
S. Abdollahifard ∗, M. Maddahfar
1 Jahrom University of Medical Sciences, Jahrom, Iran
2 BHOWCO Trading GmbH, Frankfurt am Main, Germany
∗ Corresponding author.
Introduction Many women in the premenstrual period may be
faced with physical and psychological changes that restricted the
acceptance of the responsibility of daily living, jobs and reduced
quality of life outdoors. One of thesemental disorders is the changes
in appetite. Preventing the initiation is the first step in reducing
premenstrual syndrome, is very important. Vitamin B1 (Thiamin)
may reduce symptoms of PMS through affecting the performance
of coenzymes in the metabolism of carbohydrates.
Objectives This study was conducted to determine the effect of
vitamin B1 on the change of appetite related to PMS.
Methods In this double-blind placebo-controlled clinical trial,
100 studentswith PMS residing at dormitories of JahromUniversity
were divided randomly into two groups, vitamin B1 and placebo.
The severity of mental symptoms specially change in appetite and