List of EPAs
This page provides links to the detailed descriptions of each Entrustable Professional Activity (EPA) available as part of RANZCP training.
EPA Handbook for Stage 1 and 2 [PDF; 121 KB]
Stage 1 EPAs
Use of an antipsychotic medication in a patient with schizophrenia/psychosis.
Providing psychoeducation to a patient and their family and/or carers about a major mental illness.
Stage 2 EPAs
Demonstrating proficiency in all the expected tasks associated with prescription, administration and monitoring of ECT.
The application and use of the Mental Health Act.
Assessment and management of risk of harm to self and others.
Assess and manage adults with cultural and linguistic diversity.
Psychodynamically informed patient encounters and managing the therapeutic alliance.
Cognitive–behavioural therapy (CBT) for management of anxiety.
Develop a management plan for an adolescent where school attendance is at risk.
Clinical assessment of a prepubertal child.
Care for a patient with delirium.
Manage clinically significant psychological distress in the context of the patient’s medical illness in the general hospital.
Management of substance intoxication and substance withdrawal.
Comorbid mental health and substance use problems.
Behavioural and psychological symptoms in dementia (BPSD).
The appropriate use of antidepressants and antipsychotics in patients aged 75 years and over (or under 75 with excessive frailty).
Assess treatment-refractory psychiatric disorders.
Physical comorbidity 2.
Assess and manage a patient with anorexia nervosa presenting in a severely underweight state.
Assess and manage an adult with bulimia nervosa.
Assess and manage a woman experiencing a major postpartum illness within 12 months of childbirth.
Assess and manage a pregnant woman presenting with a psychiatric disorder.
Assess and manage a mental illness occurring in an adult with an established diagnosis of epilepsy.
Assess and manage psychological and behavioural symptoms in an adult under the age of 50 with an acquired brain injury.
Assessment of people of Pacific Island descent.
Collaborative management of people of Pacific Island descent.
Differential diagnosis in people presenting for the first time with psychosis.
Engagement with people with first episode psychosis and with their families.
Violence risk assessment and management 2.
Expert evidence 2.
Understanding and managing psychological issues in forensic patients and carers.
Interviewing an Aboriginal or Torres Strait Islander patient.
Develop a mental healthcare management plan for an Aboriginal or Torres Strait Islander patient.
Interviewing a Māori patient.
Develop a mental healthcare management and recovery plan for a Māori patient.
Planning and initiating a research project 2.
Planning, conducting and reporting a review of scientific literature 2.
Skills in research methodology and data collection 2.
Skills in data analysis and synthesis 2.
Stage 3 Fellowship EPAs
Acute assessment and diagnosis of substance use.
Long-term management of severe alcohol use disorders.
Advanced management of substance intoxication and substance withdrawal.
Management of comorbid substance use, including tobacco dependence, and other mental health problems.
Teach and supervise.
Consult and collaborate with another health professional about their risk assessment
Recovery and rehabilitation
Complex work with families and/or carers.
Preparation and presentation of a treating doctor’s report to a tribunal authorising treatment under mental health legislation.
Demonstrate leadership skills in a multidisciplinary team setting. (Adult)
First presentation of a complex mental disorder.
Assessment and management of adults with a comorbid intellectual/developmental disability and mental illness.
Conduct assessments of adults, collaborate with carers, referrers and health professionals and implement management via telehealth to rural, remote or outlying areas.
Advanced clinical work with people with cultural and linguistic diversity.
Medicolegal (civil) assessment and report not connected with the relevant mental health act.
Assessment and comprehensive management of a patient over the age of 18 years with anorexia nervosa presenting in a severely underweight state (eg. BMI < 14)
Assessment and comprehensive management of an outpatient adult with bulimia nervosa.
Assessment and comprehensive management of a woman experiencing a major postpartum mental illness within 12 months of childbirth.
Assessment and comprehensive management of a pregnant woman presenting with a psychiatric disorder.
Assessment and management of a mental illness occurring in an adult with an established diagnosis of epilepsy.
Assessment and management of psychological and behavioural symptoms in an adult under the age of 50 with an acquired brain injury.
Review service delivery
Assessment of a military or veteran patient
Review service delivery in an Early Intervention Service
Forensic education seminars.
Systemic working: case review.
Systemic working: clinical audit.
Academic forensic psychiatry: research project.
Formulation of a case involving an Aboriginal or Torres Strait Islander patient.
Review a model of mental health service delivery in an Aboriginal or Torres Strait Islander community service.
Formulation of a case involving a Māori patient.
Review a model of mental health service delivery in a Māori community service (including hospitals and community services attached to hospitals).
Formal capacity assessment and report.
Demonstrate leadership skills in a multidisciplinary team setting (POA).
Assessment of older people in general medical settings.
Older adult psychopharmacology, including the use of psychotropic medications in patients with treatment-resistant depression and those with complex general medical needs.
Foundational use of supervision and co-management approaches in psychotherapy.
Foundational assessment and treatment planning.
Foundational management in psychotherapy.
Research skills in psychotherapy.
Demonstrate leadership skills in a multidisciplinary team setting (Admin).
Small and large group teaching.
Deliver and evaluate clinical (bedside) teaching sessions.
Assist learning though receiving and providing feedback.
Training to become an effective and competent supervisor.
Assessment of course/teaching
Stage 3 Area of Practice EPAs
Treatment of substance use disorder with psychological methods.
Provide training for other clinicians in delivery of brief interventions for substance use disorder.
Alcohol and other drug (AOD) consultation–liaison.
Management of chronic pain with comorbid substance misuse.
Assess and manage a patient with opioid drug use problems.
Treatment of people with gambling disorder and other behavioural addictions.
Assess and manage complex comorbid substance use and physical health problems, including tobacco use.
Impairment assessment and report for patients with substance use disorders.
Assess and manage treatment-refractory psychiatric disorders.
Physical comorbidity 3.
Independently conducts an initial family interview involving children and adolescents.
Discussing a formulation and negotiating a management plan with a pre-adolescent child and/or family.
Produces comprehensive psychiatric reports after initial assessment of children, adolescents and their families.
Commencing psychopharmacological treatment for children and adolescents who have not previously been treated with psychopharmacology.
Provision of psychiatric consultation to the multidisciplinary team for the management of a child or adolescent in an inpatient setting.
Conducts an assessment of culturally and linguistically diverse children and adolescents.
Provides leadership in an interagency case conference focused on a child or adolescent.
Assesses and implements a management plan for a complex clinical presentation where there are ongoing child protection concerns.
Conducts comprehensive assessment of child under three presenting with feeding and sleeping problems and presents the formulation to the family.
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.
Assess and manage a patient presenting with neuropsychiatric symptoms.
Scholarly presentation to a non-psychiatric audience.
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.
Consultation and liaison role to contribute to a multi-agency approach to manage a complex forensic patient.
Violence risk assessment and management 3.
Management of a long-term forensic patient.
Expert evidence 3.
Women’s forensic psychiatry: consultation–liaison.
Medicolegal assessment (civil): injury and impairment.
Medicolegal assessment (civil): fitness and capacity.
Adolescent forensic psychiatry: clinical assessment and treatment.
Assessment of an older person in a criminal or civil context.
Assessment and management of sexual offending.
Civil forensic psychiatry: Family Court.
Management of behavioural and psychological symptoms of dementia.
Neuropsychological testing, neuroimaging and rating scales.
Assessing older people in complex domiciliary settings, including those with problems such as hoarding, squalor and homelessness.
Residential aged care facility assessment and management planning.
Psychological treatments in older people.
Advanced use of supervision and co-management approaches in psychotherapy.
Advanced assessment and treatment planning.
Advanced management in psychotherapy.
Introductory training in supervisory skills in psychotherapy.
Advanced presentation skills in psychotherapy.
Formal research in psychotherapy.
Reviewing performance and development of a learning plan.
Demonstrate leadership skills in a review of an incident or complaint.
Strategy and policy.
Demonstrate leadership skills through participation in a clinical governance committee.
Develop a summative assessment for learners who have completed a course, program or teaching session.
Planning a course, workshop or learning session.
Planning and initiating a research project 3.
Planning, conducting and reporting a review of scientific literature 3.
Skills in research methodology and data collection 3.
Skills in Data Analysis and Synthesis 3.