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Supervisor Resources

Trainees under the RANZCP Fellowship Regulations 2012 are required to complete a minimum of 60 months’ full-time equivalent accredited training in an approved training program to achieve Fellowship of the College.

Stage One:

  • Minimum of 12 months’ full-time equivalent accredited training in a College-accredited Adult Psychiatry training post, 6 months of which must be an acute setting
  • Clinical supervision of trainees must be maintained at a minimum of 4 hours per week over 40 weeks for full-time trainees. Of these hours, a minimum of 1 hour per week must be individual supervision of a trainee’s current clinical work. Of the 4 supervision hours per week, at least 2 hours per week must be closer supervision outside ward rounds and case review meetings
  • Trainees are expected to achieve four Entrustable Professional Activities (EPAs) within Stage 1, two of which are mandatory:
    • 1. Use of an antipsychotic medication in a patient with schizophrenia/psychosis
    • 2. Providing psychoeducation to a patient and their family and/or carers about a major mental illness
  • 2 EPA’s and 1 OCA per rotation.

Stage Two:

  • Minimum 6 months’ full-time equivalent of approved training in Consultation-Liaison Psychiatry
  • Minimum 6 months’ full-time equivalent of approved training in Child and Adolescent Psychiatry
  • Minimum 12 months of full-time equivalent accredited training must be undertaken in one or more of the following elective Areas of Practice, or in additional accredited training in Child and Adolescent Psychiatry and/or Consultation-Liaison Psychiatry
  • Clinical supervision of trainees must be maintained at a minimum of 4 hours per week over 40 weeks for full-time trainees (a minimum of 1 hour per week must be individual supervision of a trainee’s current clinical work)
  • 14-18 Entrustable Professional Activities dependent on the areas of practice. Trainees must achieve eight rotation-based Stage 2 EPAs during 24 months FTE of accredited training. Required stage 2 EPA*s:
  • Two rotation-based EPAs for each 6-month FTE training rotation, including the EPAs associated with the mandatory stage 2 child and adolescent psychiatry and consultation-liaison psychiatry rotations
    • Addiction Psychiatry and Psychiatry of Old Age EPAs
    • Two of three Psychotherapy EPAs
    • Four General Psychiatry EPAs
    • *It is recommended to do more than two EPA's per rotation to complete all required EPAs by the end of Stage 2
  • 1 OCA every rotation

Stage Three:

  • Competent performance to an advanced level in either a single area or multiple areas of practice
  • Minimum of 24 months of full-time equivalent training in college accredited training posts
  • Successful completion of centrally administered summative assessments:
    • Written Multiple Choice Question Examination
    • Written Essay Style Examination
    • Objective Structured Clinical Examination
    • Scholarly Project
    • Psychotherapy Written Case
  • Accredited training may be undertaken in one or more of the following elective areas (Addiction Psychiatry, Adult Psychiatry, Child and Adolescent Psychiatry, Consultation-Liaison Psychiatry, Forensic Psychiatry, Indigenous Psychiatry, Psychiatry of Old Age and Psychotherapies)
  • Protected education time of 4 hours per week over 40 weeks for full-time trainees
  • Leadership and management requirements: achieve any two Medical administration EPAs under appropriate supervision with experience in management (in addition to trainee requirement to achieve 2 EPAs in any 6-month FTE rotation)
  • Trainees must provide psychotherapy to a minimum of three patients for at least six sessions each
  • A trainee who has already achieved an EPA at the required standard (e.g. advanced standard) cannot achieve that EPA again
  • Minimum of 8 stage 3 EPAs during 24 months FTE. Two rotation-based EPAs per 6-month rotation (full-time) or a minimum of one rotation-based EPA per 6 calendar months (less than full-time). Refer to the Leave and Interruptions to Training or Part-time Training Policy
  • 1 OCA per rotation.

Workplace-Based Assessments:

  • Minimum of three WBAs must contribute to the evidence base for a supervisor’s decision to entrust a trainee with an Entrustable Professional Activity (EPA)
  • Minimum of one Observed Clinical Activity (OCA) must be completed during each 6-month full0time equivalent (FTE) rotation
  • A WBA can be assessed by the trainee’s principal supervisor or any other College-accredited supervisor. The supervisor must be familiar with the use of the specified WBA tool and must also be clinically competent in the area of psychiatry being assessed. A trainee’s principal supervisor must have access to and be able to cite WBAs that have been assessed by another supervisor
  • Case-based discussion – a trainee should select no fewer than four cases for possible discussion, of which the supervisor will select one. A trainee should have had the opportunity to manage a number of patients prior to arranging a CbD
  • Mini-clinical evaluation exercise
  • Professional presentation
  • Direct observation of procedural skills
  • Observed clinical activity – it can be conducted during regular supervision time. This will require two one-hour supervision sessions that occur no more than a week from each other.

RANZCP Supervisor Accreditation Modules:

Mandatory:
Recommended:
Additional Supervisor Resources
Last updated 11 October 2019
Last reviewed 16 April 2019