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Training and Assessment Newsletter - October 2016

In this issue:


Fellowship program
Exams
Trainee Representative Committee
Specialist Training Program
Conferences
Mentoring
Clinical Practice Guidelines

Fellowship program

Failure to progress

The Failure to Progress Policy including ‘show cause’ will be reactivated on 1 January 2017.

Trainees who have accrued at least 36 FTE months training prior to 31 December 2016 and who have not passed the MCQ Exam, will be required to undertake targeted learning upon the reactivation of the Failure to Progress Policy on 1 January 2017. Should trainees enrol in the February 2017 MCQ Exam (applications close in November 2016), their targeted learning will be postponed and will be dependent on the exam result. If a trainee is required to commence targeted learning, this will be included in the exams result letters.

Should you have any queries about the revised trajectory, the reactivation of the policy or require any assistance, we encourage you to contact the Training Trajectory Coordinator at trajectory@ranzcp.org.

Reminder: Stage 3 Generalist ITA vs Stage 3 trainee Certificate of Advanced Training ITAs

Generalist Stage 3 trainees and those enrolled in the Certificate of Advanced Training in the Psychotherapies are reminded that they are required to complete and submit a Stage 3 Generalist ITA only.

For trainees enrolled in a Certificate of Advanced Training (except for the Psychotherapies), only the Certificate of Advanced Training ITA in their area of practice is required (E.g. a trainee enrolled in the Addiction Certificate is only required to submit the Stage 3 trainee Addiction end-of-rotation ITA). The ITA forms are available on the respective Certificate of Advanced Training webpages.

Stage 2 Mental health act EPA (ST2-EXP-EPA2) revisions

The Stage 2 Mental Health Act EPA (ST2-EXP-EPA2) has recently been revised to reflect the introduction of new Acts in a number of jurisdictions. The revised Mental Health Act EPA is now available online

Reminder: EPA attainment rules

Trainees are reminded of the following EPA rules:

  • If training at full time, trainees are required achieve a minimum of two EPAs and a maximum of six EPAs per 6 month FTE training.
  • If training at less than full time, must achieve a minimum of one EPA per 6 calendar months.
  • If trainees wish to attain more than six EPAs in a 6 FTE month rotation, they must discuss this beforehand with their DOT and supervisor.
  • Stage 2 Generalist EPAs can be achieved in any Stage 1 or 2 rotation.

Any two Stage 2 Adult EPAs must be completed during the first (elective) Stage 2 Adult rotation. Trainees may then select any Stage 2 EPA in subsequent Adult rotations (i.e. General psychiatry EPAs).

Access training support through RANZCP’s new online platform

Trainees can now access a broad range of support resources through the College’s new learning management system, Learnit. Free to access as part of your membership of the College, Learnit resources include hundreds of learning activities in the form of modules, podcasts, videos and webinars.

Trainees can expect to be able to access modules of interest in the future, including:

  • understanding the complexities of the new training program
  • welfare of trainees
  • Observed Clinical Activity.

The College’s newly launched online platform, Learnit is an easy-to-use system providing you with enriched, high-quality content, overseen by Australian and New Zealand psychiatrists. It provides the ability to search, browse, and even mark content to return to using desktops, laptops or tablets. Participants can conveniently exit half-way through completion of a College module and resume at a later date.

New content will be made available on a regular basis, in consultation with experts in relevant areas of psychiatry.

You can access Learnit using your current RANZCP log-in details. Visit Learnit now.

For more information, visit the Learnit information page or email learnit@ranzcp.org.

Email cpd@ranzcp.org for any queries about the CPD program.

Risk Basics module: an interactive guide to risk in Clinical Psychiatry

The new Risk Basics module available in Learnit is an interactive guide to risk in Clinical Psychiatry.

The module has been developed to assist RANZCP Trainees to develop the requisite level of competency to pass the Stage 2 EPA: “Assessment and management of risk of harm to self and others”.

The module was created by:

  • Assoc. Prof. Andrew Carroll: Victorian Institute of Forensic Mental Health (Forensicare) and Centre for Forensic Behavioural Science, Swinburne University of Technology.
  • Jonathon Adams: Staff Specialist Forensic Psychiatrist, Community Forensic Mental Health Service, Justice Health & Forensic Mental Health Network.
  • Dr Andrew Ellis: Forensic Psychiatrist, UNSW & Justice Health & Forensic Mental Health Network

2017 Admission to Fellowship Schedule

The 2017 Admission to Fellowship Schedule is now available on the College website, please note a date has been added in for December 2016.  Trainees who have been transitioned to the 2012 Fellowship Program without attaining a pass of the Observed Clinical Interview (OCI) in the 2003 Fellowship Program, are reminded that an Observed Clinical Activity (OCA) is required per 6 month rotation, and regardless of the number of rotations required in attaining Fellowship, a minimum of 4 OCAs must be completed by the end of training i.e. even if you are in your final year of stage 3 training, you must complete at least 4 OCAs  in order to attain Fellowship.

Retrospective applications for Certificate Training

After discussions at EC and CFT the CFT would like to remind all SATs that:
  • Stage 3 training can only be entered upon completion of all the Stage 2 requirements;
  • Certificate Training applications are made prospectively, the date of commencement cannot be “backdated”
  • Training undertaken prior to the start of Certificate Training may be eligible to be considered RPL (if it meets RPL requirements) and is subject to the usual RPL application process. It will thus require the support of the relevant SAT etc and be considered by the CFT. It will also require payment of the RPL fee.
This aligns the process in a transparent and fair manner for all.

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Exams

2003 Psychological Methods Case History resubmission countdown: 1 to go

Trainees who have submitted and were not successful in the 2003 Psychological Methods Case History before transitioning are able to resubmit the Psychological Methods Case History under the 2003 Regulations throughout 2016 (after transition has taken place).

Please remember that there is only one resubmission date left for the 2003 Psychological Methods Case History, the 18 November 2016.

Trainees who are eligible to re-submit and do not PASS the 2003 Psychological Methods Case by the 18 November 2016 submission are required to successfully complete the 2012 Psychotherapy Written Case. A PASS of the 2003 Psychological Methods Case will result in gaining exemption from the 2012 Psychotherapy Written Case.

For any queries regarding transition, please contact transition@ranzcp.org. For any queries regarding the 2003 Psychological Methods Case History or the 2012 Psychotherapy Written Case please contact cases@ranzcp.org

Scholarly Project Policy and Procedure update

The College Board approved a revision version of the Scholarly Project Policy and the Scholarly Project Procedure out of session on 20 August 2016.

The amendments to the Scholarly Project Policy and Procedure include:

  • BTCs can conditionally approve proposals pending ethics committee approval
  • trainees who co-author a shared project will be awarded same result
  • trainees may not apply for exemption for projects that have BTC-approved proposals
  • applications for exemptions require trainees to submit full thesis and provide detailed accounts of their contribution to project if not sole authors; first authors to confirm trainee contribution
  • a Master’s thesis may be submitted for exemption consideration
  • literature reviews must include critical appraisal of literature
  • third submissions will be marked by Chair of the Subcommittee.

Please refer to the Scholarly Project chapter for details of the revised Scholarly Project Policy and the Scholarly Project Procedure. For any queries regarding Scholarly Project, please email scholarly@ranzcp.org

Electronic Delivery of Candidate Results - Essay-style and OSCE Results

In response to trainee representations, the Education Committee in conjunction with the Committee for Examinations, has agreed to trial the distribution of result letters via email.

All MCQ result letters for the August 2015 examination were delivered by email to candidates and DoTs.

Following the trial of the MCQ result distribution, the electronic delivery of results has now been extended to OSCE and the Essay-style examination.

Candidates will still be required to log into the College website to obtain their result on the scheduled result release date.

It is anticipated that candidate results will be electronically delivered in the week following the release of results on the College website. The result release date for:

OSCE

Monday, 3 October 2016 at 5.00 pm

Essay-style

Monday, 7 November 2016 at 5.00 pm

Directors of Training (DoTs) will also receive candidate result letters via email.

To facilitate successful delivery of assessment outcomes, candidates must ensure that their email address are current under My RANZCP and they can securely receive emails.

Please note that result letters will not be sent via post and that no results will be given over the telephone.

Exam Preparation Workshops

The RANZCP and its Committees for Training and Examinations does not have a role in assessing or accrediting external or non-RANZCP facilitated exam training workshops. 

The RANZCP expects Trainees and SIMGs to undertake a broad approach to exam preparation based on the 2012 Competency-Based Fellowship Program and Syllabus.

Essay Style Examination: Revised Scale for the CEQ Scoring Key

For the Essay style examination under the 2012 Fellowship Program, the scoring key for the CEQ varies and is tailored to the CEQ question being asked. The CEQ Fellowship competencies to be assessed for each paper are selected from the generic CEQ scoring key available on the College website, taking into consideration the relevance of each competency to the question asked. Each competency is also weighted based on its relevance to the question.

The CEQ generic scoring key is available on the Essay-style Exam page.

The scale for the CEQ scoring key in the Essay style examination has been revised to extend between 0 and 5 proficiency levels instead of the previous scale of 0 to 3. This will provide a wider range of scores to examiners for marking, therefore allowing more flexibility in marking. A wider range of scores is likely to improve inter-rater reliability and hence the validity and reliability of the examination.

Please note: the content of the scoring key will not change from the previous CEQ scoring key – the only change is in the extended scale for scoring.

The revised CEQ scoring key will be applied from the February 2017 Essay style examination.

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Trainee Representative Committee

Constitutional Amendment Ballot Outcome

As many of you will be aware the Fellowship recently voted in a ballot to amend the College’s Constitution so as to recognise Affiliates and Associates (trainees) as voting members under the Constitution.  This would mean that Affiliates and trainees would be eligible to vote in electing the President Elect, electing Board Directors, changes to the Constitution and matters arising at the Annual General Meeting.  The ballot was conducted as two individual Special Resolutions, one with regards to Affiliates and the other Associates (trainees).

26% of the Fellowship voted on this ballot, with 50% voting for Affiliates to be included as voting members, and 48% voting for Associates (trainees) to be included as voting members.  For a Special Resolutions to pass, 75% of those voting would need to vote in favour of the Special Resolution, as such neither of the Special Resolutions were carried.  This means that there will be no changes to the College’s current Constitution.

Affiliates and Associates (trainees) represent approximately a quarter of the overall membership of the College and should have an inclusive and meaningful level of participation within the College.  The Trainee Representative Committee (TRC) will continue to advocate around the importance of the work of trainees within the College and is dedicated to promulgating awareness of this.  Though the outcome of the ballot is disappointing, with almost half of the voting Fellows in favour of trainee voting rights, this is a positive base from which to continue momentum for greater trainee engagement.

Although the Special Resolutions were not successful, it is important to acknowledge that trainees will continue to have voting rights at a Committee level within the College.  Trainees currently sit on approximately 46 committees and advocacy will continue towards further improvements in trainee representation, including at Board level, as is the case in other Colleges.  Further to committee issues, the TRC has recently been involved in the process of standardising the appointment of trainees to College Committees.  The result of this process is that trainee representatives will be endorsed by the TRC and then appointed by the committee in question.  This will aid in clear lines of communication and reporting in an open and transparent manner.

The TRC continues to see increased trainee inclusion within the College as a priority and will maintain its advocacy for greater trainee engagement and participation.  We would encourage all trainees to become involved and interested in the work of the College, which has an important role to play in our future careers.  As always, we would encourage all trainees to contact their local TRC representative with any issues, concerns or suggestions.  Please see the TRC page on the College website for further information and contact details.

Dr Alexandra Dunne and Dr Rima Staugas

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Specialist Training Program

2015–2016 STP Trainee Survey

The College recently invited trainees who occupied a post funded under the Specialist Training Program (STP) to complete the 2015–2016 STP Trainee Survey. The survey was distributed to the 267 psychiatry trainees, SIMGs and new Fellows who had trained in an STP post during rotation two 2015 and/or rotation one 2016.

Some highlights from the survey included:

  • A record 92% of respondents said they would recommend other psychiatry trainees undertake training in an STP post.
  • 90% rated the quality of training they received as ‘good’ or ‘very good’.
  • 91% reported that their experience had influenced their career aspirations with the most common factors relating to population groups (59%) and treatment modalities (51%).
  • 98% indicated that the STP training experience was different from that received in major public teaching hospitals with the most commonly reported differences relating to population groups (60%), setting types (57%) and increased levels of autonomy (56%).
  • Respondents identified the most beneficial aspects of posts as being the opportunity to work in different settings, particularly in the private sector, as well as greater autonomy in their role, exposure to disorders and treatment modalities, and the quality of supervision received.
  • ‘Subspecialties you would gain experience in’ and ‘disorders you would treat’ were noted as the factors most responsible for attracting respondents to an STP post. Two thirds of rural respondents were attracted to the post by its location.
  • Respondents reported gaining experience in a variety of disorders with the highest reported including mood (86%), anxiety (81%) and personality (74%) disorders.
  • Respondents reported the highest exposure to pharmacological (85%), psychotherapeutic (75%) and psychosocial (71%) treatment modalities.

Overall, the feedback was very positive with strong support for the continuation of STP posts.

To show its gratitude for completing the survey, the College offered a prize draw with a $500 Visa gift card as the major prize and one of two $100 gift cards as the minor prize. Congratulations to the prize recipients:

Major prize: Dr Hannah Kim

Minor prize: Dr Andy Chua and Dr Sadia Saeed

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Conferences

55th Barton Pope Lecture

Tuesday 11 October, 2016 at 7.30pm

Wayne Schwass

‘A long road to becoming authentic’

Wayne Schwass is a retired elite Australian Rules Footballer. His extensive career included playing for both North Melbourne and the Sydney Swans. Throughout his highly successful sporting career, Wayne lived with clinical depression for more than a decade.

Wayne will share his experiences, knowledge and understanding of the following fourteen stages he worked through to overcome the debilitating effects of a mental illness.

Please RSVP to the SA Branch Office, RANZCP by 4 October, 2016.

Telephone: (08) 8239 2911 or Email: ranzcp.sa@ranzcp.org

 

Victorian Branch Conference, 21-23 October 2016, Lorne – Program Released

The Organising Committee is pleased to announce the release of the program for the annual Victorian Branch Conference 2016 to be held on 21-­23 October 2016 at the Lorne Cumberland Resort.

The focus of this conference is to provide stimulating, clinically oriented sessions that traverse the spectrum of psychiatric practice. The conference program consists of a select range of invited experts, and includes interstate and local speakers who will present on a range of topics including:

  • Professor Carol Harvey – Working with families: an update on family psychoeducation
  • Professor Louise Howard (UK) – Domestic Violence and Mental Health - the role of the Psychiatrist
  • Professor Richard Kanaan – Conversion Disorder
  • Associate Professor Steve Macfarlane – Disease Modifying Drugs in Alzheimer's Disease
  • Dr Mark Montebello – What psychiatrists need to know about methamphetamine and the new “Ice Age”
  • Dr Sylvia Solinski – Dissociative Identity Disorder

View the full program here.

Registration is now open. This annual conference has been a highly popular and well received event, and is a key component of the Victorian Branch’s educational program for Fellows and Trainees, and represents fantastic value for money. The registration fee also covers a 3 course dinner including drinks, to be held at the conference venue on Saturday 22 October. This year's Dinner Speaker, Professor Ian Freckelton QC, will be discussing Scholarly Misconduct in the Mental Health professions.

Visit the conference website to register and book accommodation.

Please note this is a sponsorship-­free event.

Queensland Consultation Liaison Psychiatry Symposium

Clinical Innovation - Welcome to the Ideas Boom

There has never been a more exciting time to be working at the interface of medicine and mental health with CL & Health Psychology actively involved in the development and implementation of a wide range of new treatments & patient centred approaches to health care.

Date: Friday 4 November 2016 Time: 8.30am - 4.00pm

KEYNOTE SPEAKERS Dr Timothy Wand: “The Nurse Practitioner in the Emergency Department” Associate Professor at Sydney Nursing School, former Chair of Australian College of Mental Health Nurses CL Special Interest Group. Nurse practitioner, Emergency Department, Royal Prince Alfred Hospital, N.S.W. Dr Phil Mosley: “Deep Brain Stimulation” Principal investigator in study of DBS for Parkinson’s disease & investigator in clinical trial of DBS for obsessive-compulsive disorder. Member of St. Andrew’s War Memorial Hospital DBS team. Member of the Systems Neu-roscience group at QIMR Berghofer Medical Research Institute. Dr Chris Stapelberg “Cardiac Markers of Depression” General Adult Psychiatrist specialising in Organic Psychiatry, Heart Disease and Depression and complex patients with general medical conditions as well as mental illness. School of Medicine, Griffith University

Registration

Program

Section of Child & Adolescent Forensic Psychiatry Conference 2016 – Program released

The Organising Committee is pleased to announce that the full program for the Section of Child & Adolescent Forensic Psychiatry is now available. The conference will be held at Rydges Melbourne from Friday 18 November (12pm) to Saturday 19 November.

Leading the program is keynote speaker Dr Susan Hatters-Friedman who is a perinatal and forensic psychiatrist. Dr Hatters-Friedman is Associate Professor of Psychological Medicine at the University of Auckland School of Medicine, and Consultant Psychiatrist at Mason Clinic, Regional Forensic Services. Her research has primarily focused on the interface of women’s mental health and forensic psychiatry, including notably child murder by mothers. Dr Friedman is currently vice-President of the American Academy of Psychiatry and the Law (AAPL), and is also chair of the Law and Psychiatry committee at the Group for Advancement of Psychiatry (GAP).

Joining Dr Hatters-Friedman as presenters in the conference program will be Dr Caleb Armstrong, Professor Anne Buist, Dr Scott Harden, Dr John Kasinathan, Dr Yolisha Singh and Dr Marshall Watson.

Also in the program will be a Members Forum of the Section of Child & Adolescent Forensic Psychiatry, in which members will have the opportunity to discuss topics of interest, related to the subspecialty, with the Section’s executive committee. Future plans and activities of the Section will also be discussed.  

View the full conference program here.

Registration for the conference is open. Included in the registration fee is the Welcome Reception, at Locanda on Friday 18 November. The Welcome Reception will provide delegates the opportunity to network and enjoy the company of colleagues and friends in a relaxed environment.

Abstracts open for RANZCP 2017 Congress in Adelaide

Don’t miss out on the opportunity to submit an abstract for a program session and take part in the scientific program of the largest psychiatry conference in Australia and New Zealand. Abstract submissions close on Friday 21 October.
 

The RANZCP 2017 Congress of Psychiatry will be held in Adelaide from 30 April to 4 May 2017, at the Adelaide Convention Centre. The Congress will be hosted by the College’s South Australian Branch.
 

Congress 2017 will centre on an extensive scientific program based around the theme, ‘Speaking our minds. Telling our stories’ and will cover all subspecialty areas within psychiatry.
 
Papers should be clinically relevant to psychiatrists and other mental health professionals and will be considered for a range of presentation formats and themes.

Visit the Congress website to submit an abstract.

The following keynote speakers have been confirmed for Congress 2017:

  • Professor Anthony Bateman (UK)
  • Professor Sir Mason Durie KNZM (NZ)
  • Professor Nav Kapur (UK)
  • Dr Charles Kellner (USA)
  • Professor Helen Milroy (AUS)
  • Professor Dame Til Wykes DBE (UK)

View keynote speakers’ biographies online.  

Registrations for Congress will open in November 2016. For more information as it becomes available, please register your interest.

The Addiction Psychiatry Prize

The Sub-Committee of Advanced Training Addiction Psychiatry (SATADD) would like to invite all trainees to submit an entry for review by the SATADD for The RANZCP Addiction Psychiatry Prize. The prize is an incentive award of the College, designed to encourage achievements and excellence in addiction psychiatry.

The Prize consists of AUD$1500, a framed certificate, and a complimentary registration to the Section of Addiction Psychiatry’s conference. The amount shall be determined from time to time by the General Council, on the recommendation of the Section Executive in consultation with the College Awards Committee.

The Prize is open to all Psychiatry Trainees. Fellows who have achieved the Certificate of Advanced Training in Addiction Psychiatry within the 12 months prior to the 30 November deadline are also eligible. Entries are open until 30 November 2016 and may be submitted to awards@ranzcp.org

More information and eligibility criteria is available via the College Website.

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Mentoring

Mentoring applications now open

Following the success of the recent Mentoring Program for Rural Trainees in 2014-2015, two mentoring programs are being offered in 2016:

  • Mentoring Program for Rural Trainees - (all trainees based in a RA 2-5 location)
  • Victorian Branch Mentoring Pilot - (Victorian trainees)

Participation as a mentor is open to all Fellows of the College (in Australia).

Mentoring is identified as a complementary personal and professional support system, suitable to be accessed across the career life-cycle of all psychiatrists. It is a particularly valuable non-supervisory support for those on the pathway to Fellowship. 

Applications close 1 November 2016

Places are limited so express you interest at www.ranzcp.org/mentoring

If you have any questions about the mentoring program, please contact mentoring@ranzcp.org or 03 9601 4977.

The Royal Australian and New Zealand College of Psychiatrists has received Australian Government funding under the Specialist Training Program (STP) to deliver this mentoring program.

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Clinical Practice Guidelines

New Clinical Practice Guideline for the Management of Deliberate Self-Harm

The new RANZCP clinical practice guideline for the management of deliberate self-harm has been published this month in a special edition of ANZJP. 

The guideline provides up-to-date guidance on the management of two main variants of deliberate self-harm: hospital treated deliberate self-harm and community self-harm. It covers the epidemiology of deliberate self-harm and the organisation of services in Australia and New Zealand for people who self-harm, and effective interventions.

A PDF version of the guideline, and access to other RANZCP clinical practice guidelines, is available at www.ranzcp.org/guidelines.

A summary for psychiatrists of the clinical practice guideline will be made available shortly, and a consumer guide to accompany the guideline will be published in 2017.

Congratulations to the deliberate self-harm working group for this significant contribution to clinical practice in Australia and New Zealand: Professor Greg Carter (Chair), Dr Andrew Page, Professor Matthew Large, Dr Sarah Hetrick, Dr Allison Joy Milner, Dr Nick Bendit, Dr Carla Walton, Professor Brian Draper, Professor Phillip Hazell, Dr Sarah Fortune, Associate Professor Jane Burns, Professor George Patton, Dr Mark Lawrence, Dr Lawrence Dadd, Dr Jo Robinson and Professor Helen Christensen.

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