Stage 1

This information is about Stage 1 of the RANZCP Fellowship Program. Stage 1 is the first year of training. 
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Stage 1 – Basic

A Stage 1 training checklist is available to assist trainees to keep track of their training requirements during Stage 1 of the 2012 Fellowship Program.

.Stage 1 training checklist [PDF; 87 KB]

.Stage 1 training regulations


Acquisition of the knowledge and skills required to practise within the general adult clinical setting.


Minimum of 12 months full time equivalent (FTE). 


Minimum of 12 months FTE in adult psychiatry training, including a minimum of 6 months FTE in an acute setting.

Supervision requirements

Minimum of 4 hours per week for 40 weeks, including:

  • 2 hours per week exclusive of ward rounds and case review
  • at least 1 hour per week of individual supervision of clinical work.

Formal Education Course

Trainees must enrol and demonstrate satisfactory participation in a College-accredited formal education course during the first 3 years of FTE accredited training.

.Stage 1 Syllabus [PDF; 53 KB]

Aboriginal and Torres Strait Islander modules and Māori mental health modules

Trainees must complete the three Aboriginal and Torres Strait Islander modules and Māori mental health module (once developed) via Learnit. The modules can be completed at any point in training and must be completed via Learnit in order to be tracked.

  • Module 1: Interviewing an Aboriginal or Torres Strait Islander patient
  • Module 2: Developing a mental health management plan for an Aboriginal or Torres Strait Islander patient
  • Module 3: Formulation of a case involving an Aboriginal or Torres Strait Islander patient.

Useful resources

Making the most of Stage 1 webinar is available on Learnit [member log-in required]. It covers specifics of Stage 1 and real-life trainees’ experiences of the training program, including:

  • Stage 1 requirements
  • Helpful hints
  • 5 real-life trainees’ experiences interviews
  • Where to find support?
  • Q&A

The Directors of Training from Queensland, Auckland and South Australia have provided a consolidated list of resources to assist trainees to prepare for the summative assessments in the Fellowship Program.

.A list of recommended texts and useful resources (updated April 2019) [PDF; 181 KB]

A guide to assist trainees in understanding the psychotherapy training requirements across the stages of training has been prepared.

.Guide to psychotherapy training [PDF; 148 KB]

Learning Outcomes and Developmental Descriptors

The Learning Outcomes prescribe the expectations of what trainees will need to attain in their rotations in order to meet the Fellowship Competency requirements and will be assessed in the In-Training Assessment (ITA) forms. 
Trainees must attain the Stage 1 Learning Outcomes in order to progress to Stage 2.

The Developmental Descriptors are behavioural descriptors for the Fellowship Competencies. They are intended to provide supervisors and trainees with a reference point for defining performance standards. It is anticipated that the descriptors will be of use as criteria supporting workplace-based assessments and guiding the provision of formative feedback to trainees.

.Learning Outcomes [PDF; 238 KB]

.Developmental Descriptors [PDF; 249 KB]

WBAs, EPAs and ITAs

Workplace-Based Assessments (WBAs)

Formative assessments performed in the workplace. Trainees must complete one Observed Clinical Activity (OCA), a type of WBA, per 6-month FTE rotation.  A minimum of three WBAs are used to inform the assessment of each Entrustable Professional Activity (EPA).

.More about WBAs

Entrustable Professional Activities (EPAs)

Summative assessments performed in the workplace. Trainees must attain two EPAs per 6-month FTE rotation; if training at less than full time, trainees must achieve a minimum of one EPA (with a minimum of three WBAs as evidence base) per 6 calendar months.
.More about EPAs and EPA forms

In order to complete Stage 1, trainees must attain the two Stage 1 Entrustable Professional Activities (EPAs). 

  • ST1-GEN-EPA5: Use of an antipsychotic medication in a patient with schizophrenia/psychosis.
  • ST1-GEN-EPA6: Providing psychoeducation to a patient and their family and/or carers about a major mental illness.

Additionally, trainees can also attain any of the four Stage 2 general psychiatry EPAs or any of the three Stage 2 psychotherapy EPAs.

Remember that two EPAs must be attained in each 6-month FTE rotation so if a trainee attains the two Stage 1 EPAs in their first 6-month rotation, they must attain two Stage 2 general/psychotherapy EPAs in their second 6-month Stage 1 rotation. 

.Table of all Stage 1 and 2 EPAs [PDF; 59 KB]

The Stage 1 First 6 Months FTE Rotation Exception Rule

A trainee in the first 6-month FTE rotation of Stage 1 may pass that rotation and its corresponding end-of-rotation ITA form before being entrusted with any EPAs. This rule may only be applied in the first 6-month FTE rotation of Stage 1 and cannot be applied in any other Stage or rotation.

In-Training Assessment Forms

Formative and summative assessments performed in the workplace. Trainees will be assessed on their progress throughout each rotation on two ITAs: the formative mid-rotation ITA Form and the summative end of rotation ITA Form.

.More about ITA Forms

The mid-rotation ITA Form is used to identify and provide feedback on the trainee's strengths and weaknesses as well as their progress in the rotation, it does not need to be submitted to the College.

.Stage 1 trainee mid-rotation ITA form [PDF; xx KB]Stage 1 mid-rotation ITA Form [PDF; 587 KB]

The end of rotation ITA Form must be fully completed with all OCAs completed during the rotation attached, and submitted to the College within 60 days of the completion of each rotation. Trainees are responsible for ensuring the ITA is signed by the Director of Training and its submission.

.Stage 1 end of rotation ITA Form [PDF; 419 KB]

Centrally administered summative assessments

While there are no College-administered assessments for trainees to complete by the end of Stage 1, trainees are responsible for their own progress in line with the Trainee Progress Trajectory and must take into account the time required for enrolling in, sitting and marking each assessment in order to successfully meet each deadline.
The deadlines for completion of these assessments are shown on the Trainee Progress Trajectory [PDF; 77 KB]

For more information, please see Assessments – College-administered.

Multiple Choice Question (MCQ) Exam

The MCQ Exam is set at the standard expected at the end of Stage 3 and should be passed by 36 months FTE training; however, it is not a barrier to the commencement of Stage 3, although it is an entry requirement for Certificates of Advanced Training. Trainees are eligible to apply for the MCQ Exam after they have completed 6 months FTE training as shown on their Training Report.

.More about MCQ Exam

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