Summary of RANZCP Training Requirements by cgz15130


									Summary of RANZCP
Training Requirements
        Important References
• The RANZCP training and assessment
  regulations (November 2003)
• The links associated with the above
• The various training regulations for the
  advanced training programs
• The logbooks associated with the above
• There is a form for everything - you should
  keep a list and a copy of each one
• There are a couple of checklists available:
  – a 3 page form checklist
  – a 6 page complete training experience checklist
• Each advanced training program logbook
  has a checklist of generalist and program
  specific requirements
                Please Note
• This summary is the minimum required by
  strict application of the training regulations
• The implementation of these requirements
  is the responsibility of the training
  committee (QBTC), and the reality may
  vary in the details (eg rural experience
  requirement and generalist stream
         Outline of Training
• Training can be broken into three categories
  of requirements - Fellowship, Basic and
  Advanced Training
• Basic training can be completed in 3 years
  (all references are to FTE), and experiences
  are “current” for 8 years
• Advanced training can be completed in 2
  years, and must be completed within 6 years
  of completion of basic training
  Basic into Advanced Training
• These are separate entities
• Must have completed all requirements of
  basic training before entry into advanced
• No experiences from basic training can be
  accredited to advanced training*

* special rules apply during the transition
  period - I will discuss these later
• The focus of the Fellowship program is to
  “develop skills to treat mental illness and
  mental health problems and to decrease the
  level of distress experienced by people with
  mental health problems and mental illness,
  carers and communities, utilising a broad
  biopsychosociocultural model which
  acknowledges the diversity of each person’s
  Entry into Fellowship program
• You have to register with the College
• You have to pay fees

• There are additional requirements for entry
  into basic and advanced training
     Fellowship Requirements
• Rural Mental Health experience - this can
  be a 3/12 placement or a 15 day supervised
• Continuity of Care - must treat 6 patients
  for at least 9 months, not including
  psychotherapy patients
• Annual ethical activity
• Ongoing supervision
             Basic Training
• The focus of first year is knowledge and
  skills in phenomenology, interviewing,
  clinical assessment and management
• The focus of second and third year is
  knowledge and skills in clinical
  management and teamwork
     Entry into Basic Training
• Must have completed 2 years of general
  medical training
• Must be registered with the Medical Board,
  and be in good standing
• You have to go through a selection process
• You have to be appointed to a training post
Basic Training Requirements (1)
• Satisfactory progress in a formal education
• Annual consumer experience
• Annual carer experience
• Annual NGO experience
• Indigenous mental health experience
Basic Training Requirements (2)
• Adult psychiatry experience - two 6/12
  rotations in first year, including 6/12 acute
• Child and adolescent experience - 6/12
• Consultation-liaison experience - 6/12
Basic Training Requirements (3)
• Psychiatry of old age - either a rotation OR
  managing 10 pts under supervision
• Addiction experience - either a rotation OR
  managing 9 pts with substance issues and 1
  pt with gambling
• ECT experience - at least 10 pts
Basic Training Requirements (4)
• Psychotherapy experience -
  –   one pt for 40 psychodynamic sessions,
  –   two pts for 10 psychologically based sessions
  –   two pts for 5 CBT sessions
  –   5 sessions of marital, family or group therapy
  –   relevant supervision for each
    Basic Training Assessment
• Six monthly summative and three monthly
  formative supervisor assessments
• Ten observed interviews in first year
• Two case histories
  – first presentation
  – psychological intervention
• Written examination - after 12 months
• Clinical examination - after 24 months*
         Advanced Training
• While continuing with the apprenticeship
  model, the focus of advanced training is on
  adult learning, self directed learning and
  continuing medical education
             Advanced Training
• This can be undertaken in two streams:
  – the “generalist” stream
  – an approved advanced training program:
     •   addiction psychiatry
     •   adult psychiatry
     •   child and adolescent
     •   consultation liaison psychiatry
     •   forensic psychiatry
     •   psychiatry of old age
     •   psychotherapies
Entry into Advanced Training (1)
• Must have completed basic training (there
  will be preemptive application processes to
  ensure smooth transitions)
• Must be registered with the Medical Board,
  and be in good standing
• You have to go through a selection process
• You have to be appointed to a training post
Entry into Advanced Training (2)
• These selection criteria are applicable for all
  streams of advanced training, even the
  “generalist” stream
• The selection process will often involve the
  creation of a proposed plan for the two year
   Generalist vs “subspecialty”
• All advanced trainees are required to meet
  the mandatory training experiences
• All trainees who complete AT obtain
• Trainees in subspecialty programs have
  additional requirements as outlined in their
  program regulations (I will not cover these)
• These trainees receive in addition to
  FRANZCP a Certificate of AT
 Mandatory (Generic) Advanced
  Training Requirements (1)
• Psychotherapy experience - must provide at
  least 40 weeks of psychotherapy each year,
  and have ongoing monthly supervision

• Biological learning goals - must identify 3
• Social learning goals - must identify 3
• Cultural learning goals - must identify 3
 Mandatory (Generic) Advanced
  Training Requirements (2)
• Consultative skills - must demonstrate
  significant interaction with general
  practitioners and multidisciplinary teams
• CME - must undertake 50 hours of CME
• Leadership and Management - must
  complete appropriate training
 Research in Advanced Training
• Advanced Trainees can do up to 12 months
  of clinical research in most advanced
  training programs
• In some advanced training programs this is
  a compulsory requirement
 Advanced Training Assessment
• Six monthly summative and three monthly
  formative supervisor assessments
• Final report

• Whatever else the specific advanced
  training programs require - the regulations
  and logbooks for these are available from
  either the College website or local DOAT
        Queensland Directors of
          Advanced Training
•   Addiction - David Crompton
•   Adult and Generalist - Jimsie Cutbush
•   Child and Adolescent - John Warlow
•   Consultation Liaison - John Linnane
•   Forensic - Ed Heffernan
•   POA - Gerard Byrne
•   Psychotherapies - Gary Pursley
       Election to Fellowship
• This is addressed in Link 81
• You need to submit a “Lodgement of Notice
  of Intention to Apply for Fellowship” and a
  “Letter of Good Standing”
• There are biannual deadlines for this, and it
  should be submitted about 6 months in
  advance of completing advanced training
• You can take breaks in training
• You can work part time ( 0.5 FTE)
• You can do some of your training overseas
     Transition Period Details -
           Clinical Exam
• Access to the clinical exam is currently
  determined by position on the priority table
• In practice, this means you need to have
  completed all other requirements of basic
  training to get offered a place
• This is temporary, and is being seriously
    Transition Period Details -
    Retrospective Accreditation
• In some very specific circumstances
  advanced training can be retrospectively
• This is also temporary, and is being
  seriously reviewed

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