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Training and Assessment Newsletter - December 2017

In this issue:


Fellowship program
Exams
Conferences

Fellowship program

The RANZCP wishes you a safe and happy festive season.

The last day of business for the College in 2017 is Friday 22 December.

2018 Training Fee Invoice

Training fee invoices for the 2018 training year were sent out the week commencing 11 December. As part of RANZCP’s move towards online communication, this year the College introduced online billing and invoices were sent via email to all trainees undertaking training for the 2018 training year. This replaced paper-based invoices.

Trainees are reminded that they are able to update their contact details, including their email address, with the College by logging into the My RANZCP at www.ranzcp.org.  

If you have not yet received your 2018 Training Fee Invoice via email please contact Michelle Stenborg at michelle.stenborg@ranzcp.org.  

Please note: Trainees who opted out of online communication with the College, should receive a paper-based invoice in the mail.

2018 admission to Fellowship schedule

The 2018 admission to Fellowship schedule is available on the Admissions to Fellowship webpage. Trainees are encourage to review the information available regarding the admission to Fellowship process to avoid any delays with gaining Fellowship. Please send any queries to training@ranzcp.org

Aboriginal and Torres Strait Islander and Māori modules policy change

The RANZCP wishes to advise trainees of a policy change regarding training requirements beginning in 2018. All trainees commencing in 2018 are required to complete Aboriginal and Torres Strait Islander mental health modules and Māori mental health modules as part of the training towards Fellowship.

The changes are summarised as follows:

  • Mandatory completion is effective from rotation one, 2018, applicable only to new trainees.
  • Existing trainees aren’t mandated to complete the modules as part of their training, but are encouraged to do so.
  • Modules can be completed at any point in training, but trainees are encouraged to complete them early in training.
  • The modules must be accessed through the RANZCP’s Learnit online learning management system to ensure that completion can be tracked.
  • Alternatively, modules can be completed as part of a FEC session. Attendance will be monitored by the local training program with an update being provided by the DOT in order for the completion to be reflected on the trainee’s training record.
  • Discussions regarding the development of Māori modules is currently underway and further progress will be updated in due course.

The changes made are reflected in the Stage 1, 2 and 3 Mandatory Requirements Policies. Further information regarding the policy available at www.ranzcp.org/RPP-training.

If you have any questions, please contact the Training team on training@ranzcp.org

EPA requirements for part-time or interrupted rotations

The RANZCP Board has approved changes to the number of EPAs required in part-time or interrupted rotations. As of 7 December 2017, trainees who complete 2 months of FTE training or less during a rotation are not required to have achieved an EPA to be eligible to pass that rotation and end-of-rotation ITA form. Examples of this may be when trainees:

  • are required to leave a rotation early due to personal or other reasons
  • will be receiving approval for Fellowship after less than 2 months of training in a rotation; or
  • trained at 0.33 FTE throughout a 6-month rotation (refer to the Part-time Training Policy in relation to approval of this FTE status).  

A trainee who completes more than 2 months but less than 6 months FTE in a rotation is still required to achieve a minimum of one rotation-based EPA to be eligible to pass the rotation.

As per usual, trainees must be awarded a ‘pass’ mark by their principal supervisor on their end-of-rotation ITA form in order to pass the rotation. All trainees must also complete a minimum of two rotation-based EPAs for each 6 months FTE of accredited training to be able to move to the next stage of training or to be eligible for Fellowship.

The Stage 1, 2, and 3 Mandatory Requirements Policy have been updated with references to the Leave and Interruptions to Training and Part-time Training Policies, which set out the changes.

The EPA sections of each stage policy have also been updated to clarify that an EPA cannot be repeated for the purposes of the Fellowship Program once it has already been achieved at the required standard (e.g. proficient standard).

Where a trainee has achieved a rotation-based EPA prior to entering its linked rotation, the trainee must work with their supervisor and DOT to select an appropriate EPA from the relevant Stage to achieve in its place.

Clinical Practice Guidelines - reference update for EPAs

The RANZCP has updated a number of Entrustable Professional Activities (EPAs) with the relevant Clinical Practice Guidelines (CPGs). The EPAs with updated CPGs are listed below, encompassing Stage 1, 2 and 3 EPAs, which may be a helpful resource for trainees: 

Area of Practice EPA Code EPA title Relevant clinical practice guideline(s)
Adult psychiatry ST1-GEN-EPA5 Use of an antipsychotic medication in a patient with schizophrenia/psychosis

Schizophrenia

General Psychiatry ST2-EXP-EPA3 Assessment and management of risk of harm to self and others

Deliberate self-harm

Adult psychiatry ST2-AP-EPA2 Physical comorbidity 2 Physical Health
Adult psychiatry ST2-AP-EPA3 Assess and manage a patient with anorexia nervosa presenting in a severely underweight state

Eating Disorders

Adult psychiatry ST2-AP-EPA4 Assess and manage an adult with bulimia nervosa

Eating Disorders

Adult psychiatry ST2-AP-EPA5 Assess and manage a woman experiencing a major postpartum illness within 12 months of childbirth

Mood Disorders

Adult psychiatry ST2-AP-EPA6 Assess and manage a pregnant woman presenting with a psychiatric disorder

Mood Disorders
Schizophrenia

 

Area of Practice EPA code EPA title Relevant clinical practice guideline(s)

Addiciton psychiatry

ST3-ADD-FELL-EPA4 Management of comorbid substance use, including tobacco dependence, and other mental health problems.

Mood Disorders

Adult psychiatry ST3-AP-FELL-EPA2 Consult and collaborate with another health professional about their risk assessment.

Deliberate self-harm

Adult psychiatry ST3-AP-AOP-EPA6

Physical comorbidity 3.

Physical Health
Adult psychiatry ST3-AP-FELL-EPA14 Assessment and comprehensive management of a patient over the age of 18 years with anorexia nervosa presenting in a severely underweight state (e.g. BMI < 14). Eating Disorders
Adult psychiatry ST3-AP-FELL-EPA15 Assessment and comprehensive management of an outpatient adult with bulimia nervosa Eating Disorders
Adult psychiatry ST3-AP-FELL-EPA16 Assessment and comprehensive management of a woman experiencing a major postpartum mental illness within 12 months of childbirth

Mood Disorders

Adult psychiatry ST3-AP-FELL-EPA17 Assessment and comprehensive management of a pregnant woman presenting with a psychiatric disorder

Mood Disorders
Schizophrenia

 

Stage 2 Psychotherapy area of practice

The RANZCP Board has approved Psychotherapy as an area of practice for Stage 2. Trainees who are enrolled in a psychotherapy rotation must undertake the associated area of practice EPAs.

Stage 3 training beyond 24 FTE months

Trainees who have successfully complete their Stage 3 training requirements but have outstanding College-administered summative assessments may elect to apply for a break in training in order to focus on successfully completing their remaining assessment(s). If they continue to undertake additional Stage 3 rotations, they must fulfil all requirements including supervision, ITAs, EPAs and OCA.

Advice for planning the Centrally Administered Summative Assessments

The Chair of the Committee for Training (CFT) and members of the Trainee Representative Committee (TRC) have developed a joint communiqué [PDF; 72 KB] to provide trainees some guidance on how to plan completing the five Centrally Administered Summative Assessments across training.

Progression-based targeted learning

Trainees are reminded if they are currently enrolled for a College-administered summative assessment when they reach the progression-based deadline, their targeted learning will be postponed and will be depended on the exam result. If a trainee is required to commence targeted learning, this will be included in the exam result letters.

Show cause communique

The Committee for Training has reviewed a small number of show cause applications since the beginning of 2017.

Since this is the first year that show cause applications have been considered in the Fellowship Program, the Chair of the Committee for Training and Trainee Representative Committee members have developed a joint communication to provide trainees and supervisors with information regarding the process and a summary of the types of applications reviewed.

Should you have any questions regarding show cause, please contact the Trainee Trajectory Coordinator at trajectory@ranzcp.org.  

Applications for individual training trajectory adjustments

Trainees may submit an application to the Committee for Training (CFT) to adjust their individual training trajectory due to exceptional circumstances prior to approaching the deadlines as depicted on the Trainee Progress Trajectory.

Applications can be made at any point during training and should include:

  • the reason(s) for the application
  • a plan outlining their proposed course of action to complete the Fellowship requirements
  • any other relevant information (e.g. medical certificate, references, statements showing how trainee has progressed to date)
  • correspondence from the supervisors/Director of Training (DOT)/Branch Training Committee (BTC); if trainee does not want to seek DOT/BTC support, they should express their reasons in the application.

Any applications for individual consideration will be considered by the CFT on a case by case basis. Please see the Failure to Progress Policy for more details: www.ranzcp.org/RPP-Progression.

Please contact the Trainee Trajectory Coordinator at trajectory@ranzcp.org for any assistance or queries about the trajectory or the Failure to Progress Policy.

RANZCP trainee support webinar series: ‘Subspecialties: a day in the life…’

Are you a trainee interested in the College’s Certificates of Advanced Training? A new resource has been created to provide insights into professional life in each of the subspecialties of psychiatry. Listen as RANZCP Fellows share their experiences of professional life in:

  • Child & adolescent psychiatry
  • Consultation-liaison psychiatry
  • Addiction psychiatry
  • Adult psychiatry, working in private practice
  • Psychotherapy
  • Forensic psychiatry
  • Old age psychiatry

Date: Available on demand via Learnit

Time: Anytime
Where: Online – via your computer, tablet or phone

Special introduction by: Dr Kym Jenkins (RANZCP President), with 7 short presentations by experts in each subspecialty:

  • Dr Ben Goodfellow
  • Dr Alexandra Welborn & Dr Chris Ryan
  • Dr Mark Montebello
  • Dr Michelle Atchison
  • Dr Paul Cammell
  • Dr Andrew Ellis
  • Dr Doug Subau


Log on to this new resource in Learnit to hear from experts in the field. RANZCP President Dr Kym Jenkins introduces the video presentations on each subspecialty (click on your area of interest) made by the chairs of the Sub-committees for Advanced Training or their chosen representative. Hear them speak about why they chose their particular subspecialty, what a day in their working life is like, plus useful training resources.

Access ‘Subspecialties: a day in the life…’ in Learnit [member log-in required]

 

2012 Fellowship survey

The 2012 Fellowship Program Survey for trainees will close on 17 December 2017 and the 2012 Fellowship Program Survey for supervisors will close on 18 December 2017.

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Exams

Revised OSCE Regulations, Policy and Procedures (RPP) v3.0

Trainees and SIMGs are advised to be familiar with the latest edition of the OSCE Regulations, Policies and Procedures (www.ranzcp.org/RPP-Examinations), prior to their sitting the OSCE.

A full summary of the recent changes to the RPP may found under Pt 25 of the RPP, but the salient point of note are:

  • To accommodate the increasing number of candidates sitting the OSCE, the format of the OSCE has been changed to include 2 bye stations in short circuit and 2 bye stations in long circuit.
  • Candidates will not be able to wear watches (both analogue and digital) into the examination.
  • Examiners are not excluded from examining on the basis of having supervised a candidate, unless the supervision has occurred within the past six months or there has been a significantly problematic relationship. Therefore, candidates may encounter an examiner who has been a previous supervisor.
  • There is to be no communication between examiners and candidates in relation to the examination or results before or after the examination. As with any breach of this policy, a violation of these rules will be reviewed and potentially escalated by the Committee for Examinations in line with the Examination Incident Report and Breach Review Policy.
  • The interior of the examination venue will be off limits to all candidates from midday the day prior to the examination.  College staff will be setting up the venue during this time and any candidate presence will be considered an ethical breach.

February 2018 MCQ Exam and Essay-style Exam and April 2018 OSCE Candidates

To facilitate successful delivery of assessment outcomes, candidates must ensure that their email address with the College is current and they can securely receive emails. To view or update contact details, log into My RANZCP at www.ranzcp.org.   

Online delivery of the Essay examination

The College has received a number of enquiries regarding online delivery of the Essay-style Exam in 2018. Prior to online delivery of the Essay-style Exam, the Committee for Examinations and the College need to be fully assured of the rigour of technical processes involved in the delivery, handling, and marking of the examination.

The College continues to work with its Examination vendor in developing and testing such processes.

For this reason a pilot of the online delivery of the Essay-style Exam has been deferred. It is hoped that this will occur for the August 2018 examination. The College will ensure that prior to offering online delivery of the Essay-style Exam, candidates will be notified about it in a timely manner.

Hence, the Essay-style Exam will be a paper-based examination for all candidates sitting in February 2018.

Meanwhile candidates are encouraged to practice their keyboard skills for speed and accuracy, if they are planning to take the Essay-style Exam after the second half of 2018.

The Guide to the Critical Essay Question module is now available on Learnit

A Guide to the Critical Essay Question e-module is available on Learnit [member log-in required].

The aim of this module is to assist you in preparing for the Critical Essay Question (CEQ) part of the Essay-style Exam by improving your understanding of what is expected. The module will:

  • Present the concept of the CEQ
  • Explain the scoring system
  • Offer samples of the CEQ to comment on
  • Compare with examiner’s comments
  • Supply tools & methods to formulate your approach to the CEQ
  • Review previous CEQ examples
  • Offer resources to assist you in your CEQ response

It is recommended that you work through all the material to better understand how to approach and answer the Critical Essay Question.

Duration: 60 min.

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Conferences

Registrations open & program released: Youth Mental Health Conference 2018

The Organising Committee is pleased to announce that early bird registrations are now open for the Section of Youth Mental Health Conference 2018.  With the theme 'Overcoming clinical challenges: improving the mental health of youth', the conference will be held from Friday 9 to Saturday 10 March 2018 at the RACV Noosa Resort on the Sunshine Coast, Queensland.

Register now to secure your place. Early bird registrations close on Wednesday 31 January.

The Organising Committee is also pleased to advise that the conference program has been released.

We are delighted to have Dr Paul Denborough as our keynote speaker. Dr Denborough is a youth psychiatrist and Clinical Director of Alfred Child & Youth Mental Health Service and South East Melbourne Headspace.

Dr Denborough will be joined by an array of compelling interstate and local speakers including Dr Jackie Curtis, Dr Megan Kalucy, Associate Professor Dan Siskind, Dr Sharon Foley, Dr Hugh Morgan, Dr Lisa Juckes, Associate Professor Daniel Johnson, Dr Scott Harden, Dr Cathy Franklin, Dr Jennifer Harrison, Dr Anne Maree Bickerton and Dr Elizabeth Mackenzie.

Accommodation is available at the RACV Noosa Resort and can be booked by clicking here.  Noosa also features a wide range of other accommodation options which delegates may choose to book directly. As Noosa is a popular tourist destination, we encourage delegates to look into flight options early to secure preferred options.

To register, view the conference program or for more information please visit the conference website.

I look forward to seeing you there.

Associate Professor James Scott, Conference Convenor.

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Confidential advice is available to all members of the RANZCP. Call the Member Welfare Support Line on 1800 941 002 (AUS) or 0800 220 784 (NZ) for support on any issue that affects your physical or mental wellbeing. Please be aware that this service operates between 8.30am – 5pm AEST Monday–Friday (or call out of hours and leave a message to receive a call-back).

The RANZCP acknowledges the Traditional Owners of the land, and pays respect to Elders past, present and future.

The RANZCP Committee for Training wishes to acknowledge the lived experience of mental health difficulty amid our trainees, affiliates and Fellows, their families and friends. We recognise the immense insight this provides us in our capacity to care for others, while also asking for vigilance and thoughtful recognition of our own humanity, and the need at times to ask for assistance.