a. 

Neuroscience (aspects of neuroanatomy, neurophysiology and neuropathology)

b. 

Psychology and social studies

c.  

Clinical psychopharmacology

d. 

General Adult Psychiatry

• The assessment and management of psychiatric disorders in their clinical and community aspects.
• Aspects of general medicine as applied to psychiatry.

e. 

Genetics

• A basic knowledge of genes, chromosomes, cell division and the principles of inheritance.
• A general understanding of the principal kinds of inherited abnormality encountered in the practice of psychiatry (including work with the mentally handicapped)
• The principles of family, twin and adoption studies, with appropriate clinical examples.

f.

Epidemiology

• The concepts of incidence, prevalence, and population at risk.
• The principles of classification of disease, and the problems encountered in classifying psychiatric disorders.
• Definition of cases, screening techniques, the production of morbidity statistics, and the use and limitations of case registers.
• A broad understanding of the uses of epidemiological methods in psychiatric research.

g. 

Statistics and research methods

• The principles of medical statistics, including concepts and methods which have a bearing on clinical measurement and on the understanding, evaluation, and planning of epidemiological enquiries and therapeutic trials. This requirement will include an understanding of concepts of scale, sampling methods, frequency distributions and applications of probability theory to test the significance of differences, including non-parametric methods. (Details of computing procedures need not be known).
• Psychometrics: the statistical basis of theoretical concepts and scientific inference in psychiatry; the main principles underlying different forms of multivariate analysis, and their applications and recognized misapplications.
• A broad knowledge of research methodology for drug trials.

h.

Theories, principles and practice of psychiatry in the following areas of sub-specialties:

·        Old age psychiatry

·        Substance misuse

·        Forensic psychiatry

·        Child and adolescent psychiatry

·        Learning disability

·        Psychotherapy

·       Sexology

i.

Basic medical ethics and legal aspects relevant to the practice of psychiatry

Clinical psychiatry shall include the followings:

i.     Theories, principles and practice of psychiatry.

ii.    Aspects of general medicine as applied to psychiatry.

iii.   The assessment and management of psychiatric disorders in children, adults and the elderly in their clinical and community aspects.

iv.   The psychiatry of mental handicap.

v.    Forensic psychiatry.

vi.   Psychotherapy.

vii.  Substance misuse.

viii.  Aspects of epidemiology relevant to psychiatry.

ix.   History of psychiatry.   

2.

Individual Patient Assessment (IPA)
Candidates will be expected to examine a patient or patients with disorder(s) from any aspect of clinical psychiatry in one hour.  General medical or neurological disorders having substantial psychiatric aspects may be included.

The interview with the examiners will occupy a maximum of 30 minutes.  Discussion will generally cover each of the following topics:

a.   Assessment
The candidate's overall view of the patient deriving from salient features in the history; the findings on examination; the diagnosis and differential diagnosis; the supposed aetiological factors.

b.   Management
Further enquiries and investigations.

c.   Treatment
Short-term and long-term biological and sociopsychological treatment (including the part that would be played by other members of the psychiatric team, and by the family).

d.   Prognosis
Review of possible outcomes. The examiners may raise general clinical or scientific questions stemming from consideration of the particular patient. At some stage, the candidate will be asked to conduct a brief interview of the patient and/or the informant in the presence of the examiners.
Candidates are not expected to carry out a physical examination as a routine but should do so if prompted by their observations during the clinical interview. The necessary instruments and facilities will be available.  

3.

Patient Management Problems (PMP) The PMP oral examination will consist of an interview of 30 minutes with a second pair of examiners. Questions may be asked on any aspect of psychiatric disorders and their management.

4.             

Trainee Casebook