Certificate of Advanced Training in Adult Psychiatry

Adult psychiatryThis page contains information about the Certificate of Advanced Training in Adult Psychiatry. The requirements apply to both trainees and Fellows-in-training.

Training requirements

For each Certificate of Advanced Training, there are specific training requirements (outlined below) in addition to mandatory training requirements that apply to all Certificates of Advanced Training. Specific training requirements for the Certificate of Advanced Training in Adult Psychiatry are:

  • Successful completion of 24 months FTE training in accredited adult psychiatry training posts. 
    .Learning and development plan [MS word; 64 KB]

    • Up to 6 months FTE can be spent in another clinical area of practice or in teaching or medical administration provided the training experience relates to adults; prospective approval on a case-by-case basis from the Director of Advanced Training (DOAT) is required. 

    • Up to 12 months FTE of research can be prospectively approved on a case-by-case basis by SATAP. Any application would need to detail how the required adult psychiatry EPAs are to be completed, satisfactory supervision and how the formal teaching program is to be achieved.

  • Attainment of eight Stage 3 adult psychiatry EPAs (see below); two per 6-month FTE rotation.

    • Five EPAs are mandatory for Certificate completion, trainees are to choose an additional three EPAs to attain from the remaining adult psychiatry EPAs. If a trainee has completed the Stage 2 adult psychiatry EPAs ‘Assess treatment-refractory psychiatric disorders’, ‘Physical comorbidity’ ‘Postpartum mental illness’ and ‘Psychiatric disorders in pregnancy’, the similar, mandatory Stage 3 EPAs cannot be attained. In this situation, the remaining three mandatory Stage 3 EPAs are to be attained and trainees are to choose an additional five EPAs to attain from the remaining adult psychiatry EPAs.

    • Transitioning trainees: trainees who have transitioned from the 2003 program may attain the two aforementioned Stage 3 EPAs if they have only been credited the similar Stage 2 EPAs (and have not actually attained them). This is clearly marked on their Training Report (Transition: Credited EPA).

    • If a trainee undertakes a prospectively approved 6-month FTE elective rotation in another clinical area of practice, they must attain the EPAs relevant to that area of practice, e.g. if undertaking a forensic psychiatry rotation, the trainee must attain two forensic psychiatry EPAs. (I.e. the trainee will attain six adult psychiatry EPAs and two EPAs from the other clinical area of practice.)

    • A minimum of three WBAs are required to contribute to the evidence base for each required EPA.

  • Completion of a formal adult psychiatry teaching program.
    . Syllabus guideline [PDF; 173 KB]

    • If a local, SATAP-approved program is available, trainees are required to attend. If no formal program is available, trainees are required to complete self-directed learning.

    • The teaching program can be undertaken while on a break in training depending on the arrangements with the course provider and with the employing health service, where relevant.

  • Participation in two committees or planning groups.

    • ​Involvement in at least two administrative, quality assurance or planning committees/groups, each for a sufficient time-period to gain some experience of this aspect of a psychiatrist’s role. Choice of committee or planning group should be discussed with your DOAT.

    • The details of the committees particpation will be noted on the In-Training Assessment (ITA) forms.

  •  Treatment of at least four adults with a mental disorder to completion with a structured psychotherapy.
    .Structured psychotherapy requirements [PDF; 45 KB]
    .Structured psychotherapy form [PDF; 133 KB]

    • Suitable therapies and further guidance have been provided by SATAP. 

    • The structured psychotherapy requirement is in addition to the Stage 3 Fellowship psychotherapy requirement.

    • The patients treated must be different patients to those the trainee has seen for the Psychotherapy Written Case, the Stage 3 Fellowship psychotherapy requirements or any psychotherapy-related EPAs.

  • Completion of 10 case formulations. 
    .Case formulation form [PDF; 146 KB]

    • ​​De-identified, typed formulations of 800–1000 words (or approximately 2 pages) are required for each case and should include the following: patient age and gender, brief details of presenting context and symptom(s), and a formulation culminating in a formal diagnosis presented according to a recognised diagnostic system (DSM-5 or ICD-10).

    • Case formulations are formative and can assist trainees in preparing for the OSCE and Essay-style Exam. Trainees are encouraged to complete at least 5 case formulations per year (preferably completing Case Formulations in each rotation) and to discuss these with their supervisor. Case Formulations are to be submitted to the DOAT for feedback. 

    • The principal supervisor must sign and date each. The number of completed case formulations per rotation will be noted on the end-of-rotation ITA form. 

    • Cases as per the following:

      • 2 patients with bipolar disorder
      • 2 patients with borderline personality disorder
      • 2 patients with schizophrenia
      • 2 patients with major depression
      • 2 patients with anxiety/trauma- and stressor-related/obsessive-compulsive and related disorders.

The requirements listed here were approved by the Subcommittee of Advanced Training in Adult Psychiatry (SATAP) on 29 September 2015.

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.Adult psychiatry EPAs and COE forms (combined document) [PDF; 502 KB]

EPA number
EPA title
ST3-AP-FELL-EPA1 Teach and supervise. EPA COE
ST3-AP-FELL-EPA2 Consult and collaborate with another health professional about their risk assessment. EPA COE
Assess and manage treatment-refractory psychiatric disorders. EPA COE
ST3-AP-FELL-EPA4 Recovery and rehabilitation. EPA COE
Complex work with families and/or carers.  EPA COE
Physical comorbidity 3. EPA COE
ST3-AP-FELL-EPA7 Preparation and presentation of a treating doctor’s report to a tribunal authorising treatment under mental health legislation. EPA COE
Demonstrate leadership skills in a multidisciplinary team setting. (Adult) EPA COE
First presentation of a complex mental disorder. EPA COE
ST3-AP-FELL-EPA10 Assessment and management of adults with a comorbid intellectual/developmental disability and mental illness. EPA COE
ST3-AP-FELL-EPA11 Conduct assessments of adults, collaborate with carers, referrers and health professionals and implement management via telehealth to rural, remote or outlying areas. EPA COE
ST3-AP-FELL-EPA12 Advanced clinical work with people with cultural and linguistic diversity. EPA COE
ST3-AP-FELL-EPA13 Medicolegal (civil) assessment and report not connected with the relevant mental health act. EPA COE
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). EPA COE
ST3-AP-FELL-EPA15 Assessment and comprehensive management of an outpatient adult with bulimia nervosa. EPA COE
ST3-AP-FELL-EPA16 Assessment and comprehensive management of a woman experiencing a major postpartum mental illness within 12 months of childbirth. EPA COE
ST3-AP-FELL-EPA17 Assessment and comprehensive management of a pregnant woman presenting with a psychiatric disorder. EPA COE
ST3-AP-FELL-EPA18 Assessment and management of a mental illness occurring in an adult with an established diagnosis of epilepsy. EPA COE
ST3-AP-FELL-EPA19 Assessment and management of psychological and behavioural symptoms in an adult under the age of 50 with an acquired brain injury. EPA COE
ST3-AP-FELL-EPA20 Review service delivery EPA COE
ST3-AP-FELL-EPA22 Review service delivery in an Early Intervention Service. EPA COE

*If similar Stage 2 EPA has been completed, this EPA should not be attained.

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Forms and documents – adult psychiatry

Workplace-based Assessments (WBAs)

Please direct all enquiries to training@ranzcp.org

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