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Stage 2

This information is about Stage 2 of the RANZCP Fellowship program. Stage 2 comprises the second and third years of training.
For enquiries, contact training@ranzcp.org.

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]

Regulations

For Stage 2 regulations and policies, see the Training chapter [PDF; 1.2 MB] of the Regulations, policies and procedures.

Focus

Trainees apply their knowledge and skills within a variety of settings and with diverse patient populations.

Duration

Minimum of 24 months full-time equivalent (FTE). 

Rotations

Mandatory rotations:

  • 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).

Supervision requirements

A minimum of 4 hours per week for 40 weeks annually, including 1 hour per week of individual supervision of clinical work.

Syllabus

.Stage 2 Syllabus  [PDF; 141 KB]

Useful resources

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
  • 3 real-life trainees’ experiences interviews
  • 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 [PDF; 160 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; 124 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; 495 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; 469 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

Essay-style Exam

The Essay-style Exam is set at the standard expected at the end of Stage 3 should be passed by 60 months FTE training. Trainees are eligible to apply for the Essay-style Exam after they have completed 18 months FTE training as shown on their Training Report.
.More about Essay-style 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

Scholarly Project

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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