Trajectory to Fellowship: further examination of the road to becoming a psychiatrist.

Abstract

In 2003 a revised RANZCP training program was implemented. This involved a revised training structure with Basic (years 1-3) and Advanced (years 4-5) requirements. All summative assessments occur during Basic Training and generalist or sub-specialty streams are available in Advanced Training. Trainees that started from2003 onwards have reached or exceeded the minimum time to attain Fellowship. This paper updates the original study to assess the progression of trainees through the elements of the training program and those that have attained Fellowship. This paper examines the pathway and barriers to attaining Fellowship with a focus on assessments and time to complete. Data were extracted for all trainees commencing training between December 2003 and February 2006. Items on assessments, rotations, breaks in training, part-time training, and other items were analysed. Time taken to complete mandatory training requirements and outcomes were the key elements evaluated. For those who attained Fellowship, the median training time was 6.1 years. It was common for trainees to attain Fellowship in the minimum time of 5 years. Delaying the completion of assessments or examinations contributed to the expanded time to attain Fellowship Training, as did part-time training and breaks in training.