This information is about Stage 2 of the RANZCP Fellowship program. Stage 2 comprises the second and third years of training.
Stage 2 – Proficient
A Stage 2 training checklist is available to assist trainees to keep track of their training requirements during Stage 2 of the 2012 Fellowship Program.
.Stage 2 training checklist [PDF; 217 KB]
.Stage 2 training regulations
Trainees apply their knowledge and skills within a variety of settings and with diverse patient populations.
Minimum of 24 months full-time equivalent (FTE).
- child and adolescent psychiatry (6 months FTE)
- consultation–liaison psychiatry (6 months FTE).
Additional rotations in one or more of the following areas of practice (12 months FTE):
- addiction psychiatry
- adult psychiatry
- child and adolescent psychiatry
- consultation–liaison psychiatry
- forensic psychiatry
- Indigenous psychiatry
- psychiatry of old age
- research (maximum 6 months FTE).
A minimum of 4 hours per week for 40 weeks annually, including 1 hour per week of individual supervision of clinical work.
Formal Education Course
Trainees must enroll and demonstrate satisfactory participation in a College-accredited formal education course during the first 3 years of FTE accredited training.
.Stage 2 Syllabus [PDF; 141 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.
A Making the most of Stage 2 webinar is available on Learnit [member log-in required]. It covers specifics of Stage 2 and real-life trainees’ experiences of the training program, including:
- Stage 2 requirements
- Planning EPAs
- Preparing for the Exams
- Getting started with Psychotherapy Written Case
- Getting started with Scholarly Project
- Making the most of supervision
- Helpful hints
- Interviews with three trainees
.A list of recommended texts and useful resources (updated April 2019) [PDF; 181 KB]
.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.
During Stage 2, trainees must attain a minimum of two rotation-based EPAs for each 6-month FTE rotation; if training at less than full time, trainees must achieve a minimum of one EPA per 6 calendar months.
Trainees should plan to achieve three EPAs per 6 months FTE rotation. If trainees wish to achieve more than six EPAs per 6 months FTE rotation, they should be discussed beforehand with their DOT and supervisor.
.More about EPAs and EPA forms
By the end of Stage 2, trainees must have attained the following EPAs:
- two child and adolescent psychiatry EPAs (during the mandatory rotation in this area of practice)
- ST2-CAP-EPA1: Manage an adolescent
- ST2-CAP-EPA2: Prepubertal child
- two consultation–liaison psychiatry EPAs (during the mandatory rotation in this area of practice)
- ST2-CL-EPA1: Delirium
- ST2-CL-EPA2: Psychological distress
- two addiction psychiatry EPAs (during any Stage 2 rotation)
- ST2-ADD-EPA1: Intoxication and withdrawal
- ST2-ADD-EPA2: Comorbid substance use
- two psychiatry of old age EPAs (during any Stage 2 rotation)
- ST2-POA-EPA1: Behavioural and psychological symptoms in dementia
- ST2-POA-EPA2: Medication in patients 75 and over
- if undertaking other area of practice rotations, then the two EPAs from the associated area of practice must be undertaken.
- E.g. if in an adult psychiatry rotation, trainees must attain any two Stage 2 adult psychiatry EPAs (i.e. in addition to any general psychiatry or psychotherapy EPAs).
- Trainees who spend more than 6 months FTE in adult psychiatry rotations, must undertake two adult psychiatry EPAs in their first adult psychiatry rotation, but then may select any Stage 2 EPAs in their subsequent rotation (e.g. Indigenous or general psychiatry or psychotherapy EPAs).
- four general psychiatry EPAs (can be completed during any Stage 1 or 2 rotation; in addition to the two rotation-base area of practice EPAs)
- ST2-EXP-EPA1: Electroconvulsive therapy (ECT)
- ST2-EXP-EPA2: Mental health act
- ST2-EXP-EPA3: Risk assessment
- ST2-EXP-EPA5: Cultural awareness
- two out of three psychotherapy EPAs (can be completed during any Stage 1 or 2 rotation; in addition to the two rotation-based area of practice EPAs; the remaining (third) psychotherapy EPA can be attained in Stage 3)
- ST2-PSY-EPA2: Therapeutic alliance
- ST2-PSY-EPA3: Supportive psychotherapy
- ST2-PSY-EPA4: CBT: Anxiety management
.Table of all Stage 1 and 2 EPAs [PDF; 59 KB]
In-Training Assessment (ITA) 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 formative and 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 2 mid-rotation ITA Form [PDF; 492 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 that the ITA Form is signed by the Director of Training and its submission.
.Stage 2 end of rotation ITA Form [PDF; 470 KB]
Centrally administered summative assessments
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 in the Trainee Progress Trajectory [PDF; 77 KB]
The following are College administered summative assessments:
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
Critical Essay Question Exam
The Critical Essay Question Exam is set at the standard expected at the end of Stage 3. It should be passed by 60 months FTE training. You are eligible to apply for this exam after you have completed 18 months FTE training as shown on your Training Report.
.More about Critical Essay Question Exam
Modified Essay Question Exam
The Modified Essay Question Exam is set at the standard expected at the end of Stage 3. It should be passed by 60 months FTE training. You are eligible to apply for this exam after you have completed 18 months FTE training as shown on your Training Report.
.More about Modified Essay Question Exam
Objective Structured Clinical Exam (OSCE)
The OSCE is set at the standard expected at the end of Stage 3 and should be passed by 60 months FTE training. Trainees are eligible to apply for the OSCE after they have completed 30 months FTE training as shown on their Training Report.
.More about OSCE
Psychotherapy Written Case
The Psychotherapy Written Case is assessed at the standard expected at the end of Stage 3 and should be completed by 60 months FTE training.
.More Psychotherapy Written Case
The Scholarly Project is assessed at the standard expected at the end of Stage 3 and should be completed by 60 months FTE training.
.More about Scholarly Project
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