Certificate of Advanced Training in Consultation–Liaison Psychiatry

Consultation–liaison psychiatry

This page contains information about the Certificate of Advanced Training in Consultation–Liaison 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 Consultation–Liaison Psychiatry are:

  • Successful completion of 24 months1 FTE training in accredited consultation–liaison psychiatry training posts. The following experiences can be achieved concurrently: 

    • 12 months FTE attachment to a consultation–liaison service offering consultation across an entire general hospital including emergency work2

    • one or more liaison-style attachments to a unit providing medical or surgical treatment (at least 1 day per week FTE for at least 12 months)

    • an outpatient experience, including longitudinal follow-up of patients with chronic physical illness (at least 1 half-day per week FTE for at least 12 months).

      1Up to 12 months FTE can be spent in another clinical area of practice; prospective approval on a
      case-by-case basis from the DOAT is required. The DOAT may defer this decision to the SATC-L if required.
       Up to 12 months FTE of research or medical administration can be prospectively approved on a case-by-case basis by SATC–L. Any application would need to detail how the required EPAs are to be completed.

      2Trainees must not spend more than 30% of their time during standard work hours in an emergency department. ‘Standard work hours’ does not include after-hours or on-call work.

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

    • At least four consultation–liaison psychiatry EPAs are mandatory for Certificate completion.

    • Relevant EPAs from other areas of practice may be used to satisfy the remaining EPA requirements of the Certificate; prospective approval from the Director of Advanced Training is required.

    • Stage 3 EPA rule reminder: any Fellowship (FELL) EPAs may be attained in any area of practice rotation, e.g. ST3-ADD-FELL-EPA1 may be obtained whilst in a C–L rotation. Area of practice (AOP) EPAs can only be attained in the relevant area of practice rotations. E.g. ST3-POA-AOP-EPA6 may be attained in a psychiatry of old age rotation only.

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

  • Completion of a mandatory minimum of one Observed Clinical Activity (OCA) WBA during each 6-month FTE clinical rotation. 

    • This applies to all trainees, including transitioning trainees and Fellows-in-training regardless of OCI pass.

    • The OCA will be recorded on the end-of-rotation In-Training Assessment (ITA) form.

    • This will satisfy the Fellowship OCA requirement for pre-Fellowship trainees.

  • Completion of a formal consultation–liaison psychiatry teaching program (when such programs exist), approved by SATC–L.

    • SATC–L will recommend relevant, upcoming local and international scientific meetings, conferences, workshops, etc. that trainees will be encouraged to attend as part of the teaching program.

    • 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.

  • Successful completion of a scholarly project; 3000–5000 words in length. [Summative assessment]
    .Scholarly project assessment framework and feedback(for reference) [PDF; 202 KB]

    • Projects must be submitted to the College and will be marked by two members of SATC–L.

    • A Fellowship Scholarly Project which has received a passing grade can be submitted for review of the relevance of the topic to consultation–liaison psychiatry. This review will be conducted by one member of SATC–L. If the Fellowship Scholarly Project is deemed to be relevant to consultation–liaison psychiatry, a further scholarly project will not be required for the Certificate of C–L

    • A doctoral thesis, research Masters or Honours thesis or an article published within the past 10 years in a recognised, peer-reviewed English-language journal that has satisfied the Fellowship Scholarly Project exemption criteria may be used to fulfil this requirement if relevant to consultation–liaison psychiatry.

      • Theses and articles must be submitted to the College and will be considered by two members of SATC–L to ensure they are relevant to consultation–liaison psychiatry.

    • There is no fee payable for marking the projects for the Certificate program.

  • Presentation of a scholarly project at a CPD-approved meeting or conference.

    • Trainees may be exempt from presentation of a scholarly project if they have had an article accepted for publication in a recognised peer-reviewed English-language journal relevant to consultation–liaison psychiatry approved by SATC–L, and have previously presented this article at a CPD-approved meeting or conference.

      • Trainees will be required to submit to SATC–L a letter confirming acceptance for presentation.

  • Completion of 20 case summaries; A case summary may be completed at any point during the Certificate program. It is recommended that 5 case summaries be completed per 6-month FTE clinical³ rotation.
    .Case summary form [PDF; 173 KB]

    • Summaries of 300–500 words are required for each case and they should be discussed with, and signed off by, the principal supervisor.

    • Completed case summaries must be attached to the end-of-rotation ITA form.

    • To ensure adequate breadth of cases in training, trainees need to record cases where the main focus was:

      • emotions and behaviour
      • development and adaptation
      • somatisation
      • brain function and neuropsychiatry
      • special populations
      • emergency psychiatry
      • system issues.

        3Trainees do not need to complete case summaries while undertaking prospectively approved research or medical administration.

  • Completion of (formative) mid-rotation and (summative) end-of-rotation ITAs.
    .Stage 3 trainee mid-rotation ITA form [PDF; 438 KB]
    .Stage 3 trainee end-of-rotation ITA form [PDF; 448 KB]
    .Fellow-in-training mid rotation ITA form [PDF; 283 KB]
    .Fellow-in-training end-of-rotation ITA form [PDF; 268 KB] 

    • End-of-rotation ITA forms must be submitted within 60 days of the completion of each rotation.

  • Submission of checklist & sign off
    .Checklist & sign off [PDF; 632 KB]

    • To be signed by the trainee, DOAT and SATC–L Chair as declaration and confirmation that the trainee has satisfactorily completed the requirements of the Certificate training program.

    • See Certificate award process for details.

The requirements listed here were approved by the Subcommittee of Advanced Training in Consultation–Liaison Psychiatry (SATC–L) on 20 September 2015. They were last updated on 9 May 2019.

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.Consultation–liaison psychiatry EPAs and COE forms [PDF; 175 KB] (combined document)

EPA number

EPA title




Assess, formulate and manage clinically significant psychological states in the context of the patient’s illness in the general medical setting. 




Manage a patient with medically unexplained symptoms.




Capacity assessment.




Assess and manage a patient presenting with neuropsychiatric symptoms.




Scholarly presentation to a non-psychiatric audience.




Coercive treatments.




Assess and manage psychiatric illness in patients with a chronic medical illness.




Assess and manage chronic psychiatric illness in a patient in the general hospital.



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Forms and documents – consultation–liaison psychiatry 

Workplace-based Assessments (WBAs)

Please direct all enquiries to training@ranzcp.org.

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