June 2009

R E G U L A T I O N S
FOR ADMISSION TO THE FELLOWSHIP OF
THE COLLEGE OF PSYCHIATRISTS OF SOUTH AFRICA
FC Psych(SA)
INTRODUCTION
The College of Psychiatrists of South Africa recognises that training should
conform to current international standards, and be appropriate for practise in
South Africa. The principles of these regulations are:
a)
Assessment should occur throughout training, especially for disciplines
such as psychotherapy that are not formally tested in examinations.
b)
The responsibility of determining the curriculum and required core
knowledge should be devolved to each Department of Psychiatry.
Accordingly candidates will orientate their studies to areas that are
currently relevant, and which can be expected to be examined (and not
according to a rigid list of topics).
c)
The Part I examination has an integrated approach to Neurosciences and
Behavioural Sciences. Basic psychiatry has been introduced, which
includes phenomenology, psychopharmacology etc. Registrars will also
have the option of completing the Part I examination within their
departments (as part of an MMed course).
1.0
STRUCTURE
1.1
The examination comprises Part I and Part II : Part II should be passed
within six years of passing Part I
1.2
Course Work:
This comprises a pre-Part I case presentation (which will be conducted
within the registrar s department, and will form part of the certification
of competence to enter the examination. Before entering the
FC Psych(SA) Part II candidates will have to obtain a Certificate of
Training from their department, which contains a record of satisfactory
psychotherapy training (at least 3 case histories must be documented).
These must be submitted at least 3 months before formal application to
write the examination ie 15 October for the January application and
15 April for the June application
1.3 /
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1.3
Trainees will be issued with logbooks in which psychotherapy case
histories and other practical experience will be recorded.
1.4
The CMSA recommends that each trainee be supervised by a senior
psychiatrist or senior clinical psychologist who will be responsible for
ensuring that the trainee fulfils the requirements. The departments of
psychiatry will assume responsibility for this.
2.0
ADMISSION TO THE PART I EXAMINATION
(to be read in conjunction with the Instructions)
2.1
For admission to Part I of the examination the candidate must:
2.1.1
hold a post-internship qualification to practise medicine and
have full registration with the Health Professions Council of
South Africa (ie must have complete 1 year of community
service post-internship)
2.1.2
have been assessed on a basic case presentation (describing
the assessment and management of an acute case), and
knowledge of basic psychiatry by a senior psychiatrist, or
submitted a written case history to the CMSA, and
2.1.3
the CMSA Senate, through its Examination and Credentials
Committee, will review all applications for admission to the
examination.
3.0
SYLLABUS FOR THE PART I EXAMINATION
3.1
Neurosciences: Neuro-anatomy, Neurophysiology, Neuropharmacology
and Neurochemistry relevant to psychiatry
3.2
Behavioural sciences:
3.3
Suggested reading:
A reading list is at the end of Appendix A.
4.0
CONDUCT OF THE PART I EXAMINATION
4.1
Three (3) written papers of 3 hours each
4.2
Two papers on Neurosciences, and one on Behavioural Sciences.
Questions may include basic psychiatry, phenomenology and
psychopharmacology
5.0
ADMISSION TO THE PART II EXAMINATION
(to be read in conjunction with the Instructions)
5.1
For admission to Part II the candidate must present evidence of
5.1.1
having passed the Part I examination, or Part I of an
accredited MMed (Psychiatry) degree
5.1.2
having not less than 3 years satisfactory fulltime experience as
the holder of a clinical appointment or registrar post
acceptable to the CMSA Senate or its Examinations and
Credentials Committee. Registrar training can only commence
after completion of (i) an internship (2 years) and (ii)
community service (1 year). Training must be under the
direction of approved departments of psychiatry, and must be
supervised throughout
5.1.3 /
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PAGE 3
5.1.3
having submitted to the CMSA a Certificate of Training in
which case histories of 3 psychotherapy cases (eg brief
psychotherapy, long psychotherapy, cognitive behavioural
therapy, family therapy or group therapy cases) and
descriptions of practical experience are certified by the head
of department as being adequate
5.1.4
having satisfactory supervised experience in a community
psychiatric service for a full-time period of not less than 3
months, or equivalent
5.1.5
having satisfactory supervised experience in a child
psychiatric unit or child guidance unit recognised for the
purpose by the CMSA for a full-time period of not less than 3
months, or equivalent
5.1.6
having spent at least one year working on the staff in an
approved psychiatric hospital or unit
5.1.7
satisfactory supervised experience and training in the fields of
neuropsychiatry, psychotherapy, emergency and crisis care, the
care of the geriatric patient, alcohol and substance
abuse/dependence, mental handicap, and forensic psychiatry at
institutions recognised for the purpose by the CMSA. If
facilities are not available, alternative arrangements which
provide equivalent experience can be submitted in advance for
approval by the CMSA Senate or its Examinations and
Credentials Committee
5.1.8
successfully completed and passed a research dissertation or a
manuscript that has been accepted for publication in a
recognized peer reviewed scientific journal. A letter from the
Head of Department stating the mark awarded (as a percentage)
must be submitted to the CMSA by the candidate at the time of
applying for admission to the examination.
In the event of a research dissertation not yet being completed,
certification by the Head of Department of satisfactory
progress having been made. The dissertation requirement will
only be applicable to registrars who start their training on or
after 1 January 2007
5.1.9
satisfactory supervised experience in administering
electroconvulsive therapy ( minimum of 5 )
5.2
On application to the CMSA Senate, exemption may be granted from
part of the examination or certain requirements for those who present
evidence of acceptable training and/or examination in one of the
Colleges with which there is an arrangement or reciprocity
5.3
The CMSA may accept from registrars part-time training of up to 50%
of the training required for admission to the examination, provided the
candidate submits evidence of prior approval by the Health Professions
Council of South Africa of a part-time training programme acceptable
for specialist registration.
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6.0
THE PART II EXAMINATION
6.1
General Psychiatry, including Therapeutics
6.2
Special Psychiatry (Child and Adolescent, Old Age Psychiatry, Mental
Handicap, Forensic, Community, Cultural, Ethics and Research Issues)
6.3
Neuropsychiatry, Neurology relevant to Psychiatry, General Medicine
relevant to Psychiatry
6.4
Suggested reading:
A reading list is at the end of Appendix B.
7.0
CONDUCT OF THE PART II EXAMINATION
7.1
Three written papers of 3 hours each (each on the topics listed in 6.1 to
6.3 above)
7.2
A clinical examination and OSCE (objective structured clinical
examination) on the topics listed in 6.1 to 6.3 above.
7.3
An oral examination on the topics listed in 6.1 to 6.3 above.
JOHANNESBURG
June 2009
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PAGE 5
8.0
ADMISSION AS A FELLOW
8.1
The candidate having passed Part I and Part II of the examination and
having been admitted as a Fellow of the College of Psychiatrists of
South Africa, will be asked to sign a declaration, as under:
I, the undersigned, do
solemnly and sincerely declare
that while a member of the CMSA I will at all times do all within my
power to promote the objects of the CMSA and uphold the dignity of
the CMSA and its members
that I will observe the provisions of the Memorandum and Articles of
Association, By-laws, Regulations and Code of Ethics of the CMSA as
in force from time to time
that I will obey every lawful summons issued by order of the Senate of
the said CMSA, having no reasonable excuse to the contrary
and I make this solemn declaration faithfully promising to adhere to its
terms
Signed at .. . this day of
.. 20 ..
Signature .
Witness
(who must be a Founder, Associate Founder, Fellow, Member,
Diplomate or Commissioner of Oaths)
8.2
A two-thirds majority of members of the Senate of the CMSA present at
the relevant meeting shall be necessary for the award to any candidate
of a Fellowship
8.3
A Fellow shall be entitled to the appropriate form of certificate under
the seal of the CMSA
8.4
In the event of a candidate not being awarded the Fellowship (after
having passed the examination) the examination fee shall be refunded
in full
8.5
The first annual subscription is due one year after registration
(statements are rendered annually)
JOHANNESBURG
June 2009
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PAGE 6
A N N E X U R E A
GUIDELINES TO THE SYLLABUS FOR THE FC PSYCH(SA) PART I
This document is meant as a guide to important topics which candidates can
expect to meet in the examinations. It does not, however, exclude a basic
knowledge of other aspects of these subjects which may be relevant to
psychiatry
1.0 NEUROSCIENCES
1.1 Anatomy of the nervous system:
1.1.1 Basic cellular elements of the nervous system
Gross embryological development
Main features of skull and vertebral column
Membranes and spaces in and surrounding the brain and cord
Blood supply of brain and cord
Cerebro-spinal fluid
Function components of mixed spinal nerves
Distribution of mixed spinal nerves (in outline)
Main components of the brainstem
Main features of the cerebellum
Functional components of cranial nerves
Main components of diencephalon and pituitary
Anatomical limbic system
Main components of telecephalon and cortical organisation
Main components of the special senses
1.1.2 Candidates will be expected to:
1.1.2.1
describe the main constituents of a given cross-
section of brain or spinal cord
1.1.2.2
describe the course of the major nerves and tracts
of the brain and cord, as well as their significant
connections
1.1.2.3
describe the main features of the adjacent systems
such as bony coverings, membranes, blood vessels
and cerebrospinal fluid
1.1.2.4
identify the main features of the brain, cord, nerve
pathway, or skull, in diagrams, microscopic
sections, or dissected specimens; also by means of
techniques such as X-rays, CAT scans, angio- and
myelograms etc
1.2 Physiology of the nervous system:
1.2.1 Cellular biology of neurones:
Structure and function of cell membranes
Resting membrane potentials
Passive electrical properties of neurones
Membrane excitability
Synaptic transmission (chemical and electrical basis of
synaptic transmission, receptor functions, neuromuscular
junction)
Axonal transport ... /
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PAGE 7

Axonal transport
Reactions of neurones to injury
1.2 Physiology of the nervous system:
1.2.1 Cellular biology of neurones:
Structure and function of cell membranes
Resting membrane potentials
Passive electrical properties of neurones
Membrane excitability
Synaptic transmission (chemical and electrical basis of
synaptic transmission, receptor functions, neuromuscular
junction)

Axonal transport
Reactions of neurones to injury
1.2.2 Sensation and perception:
Transfunction by sensory receptors
Sensory processing in the CNS
Organisation of sensory pathways
thalamus and cerebrum
Vision, balance, hearing, taste, smell
Pain and analgesia
The kindling phenomenon
1.2.3 Motor system:
Control of muscle contraction
Spinal reflexes
Brainstem motor system
Cerebellar function
Basal ganglia function
Cortical motor system
Oculomotor system
in cord, brainstem,

Cerebral cortex - physiology and pathophysiology

1.2.4 Autonomic system, limbic system and hypothalamus:
Homeostasis
Emotional behaviour
Sleep and dreaming
Reticular-activating system
Brainstem and monoamine systems
1.2.5 The cerebrospinal fluid:
.
Formation and normal values and common abnormalities
.
The feature of the normal EEG at various ages: Evoked
potentials
1.2.6 Behaviour:
The neural basis of:
perception speech
learning language
memory movement
1.3.../
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PAGE 8
1.3
Psychopharmacology:
1.3.1
The candidate should have knowledge and understanding of
the following, and be able to apply this knowledge in
practical situations:
.
The synthesis, metabolism, action and distribution of
important central neurotransmitters
.
Theories of the biochemical abnormalities, underlying the
common psychiatric disorders, particularly schizophrenia,
affective disorders and dementia (Alzheimer s), together
with the evidence for these theories
.
The theories regarding the mechanism, actions and
appropriate use of psycho-tropic drugs
1.3.2
The pharmaco-kinetics, pharmaco-dynamics, indications
and side effects of the following:
Antipsychotic agents
Antidepressants
Mood stabilising agents
Anxiety relieving agents
Stimulants
Drugs used in alcoholism
Anti-epileptics
Anti-Parkinsonian agents
Drugs used to improve intellectual function
The mode of action and effects of dependence-producing
and psycho-active drugs, and withdrawal illnesses
2.0
BIOSTATISTICS RELEVANT TO PSYCHOLOGY
2.1
In general, candidates should be able to critically evaluate commonly
used experimental designs such as appear in the psychiatric literature
2.2
Candidates are also expected to be able to plan simple research projects
in a scientific manner. This involves a basic knowledge of data-
gathering systems, planning and protocols, use of libraries and data-
storage systems, and other such resources
2.3
Fundamental statistical concepts:
Basic descriptive statistic:
.
the mean, standard deviation, dependent and independent
variables, etc
.
normal distribution, confidence intervals and basic probability
theory

Principles of statistical inference, and significance of differences,

hypothesis testing
Problems of extrapolation and causal reasoning
Differences between parametric and non-parametric statistics
Simple commonly used tests including Chi-square, Fisher s exact
test, Student s T-Test, etc
2.3.1 /
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PAGE 9
2.3.1
NB: The main requirement is the understanding of how
statistical procedures are applied. Candidates will not
however, be expected to work out the mathematical
calculations
2.4 Special topics:
Research design
Measurement issues in respect of psychological and psychiatric
assessment instruments
Problems in psychiatric epidemiology and case identification
(including sampling)
3.0 PSYCHOLOGY
3.1 Personality:
Important theories of personality development
Psychological studies of early development
The interaction of heredity and environment in development
Social and cultural influences on personality development
Cognitive development
Classification of personality - traits and types
Methods of personality assessment
Behavioural and psychophysiological correlates of personality
3.2 Motivation:
The concept of instincts and drives
Unconscious motivation and personality defence mechanisms
The development and assessment of emotion
Anxiety, and the concept of arousal as a drive state
3.3 Intelligence and its assessment:
The nature of intelligence and its development
The assessment of intelligence the application and clinical use of
intelligence tests
Principles of standardisation and reliability
Intelligence and subnormality
The relation of psychological data to clinical findings
3.4 Statistical design in psychological and psychiatric investigations:
(See Biostatistics Relevant to Psychology and Psychiatry)
3.5 The process of attending:
Theoretical models of attention (psychological,
psychophysiological, and neurophysiological)
Studies of normal attention (eg selective inattention, vigilance, etc)
Effects of varying sensory input (eg monotonous situations,
sleeplessness, sensory deprivation, hallucinogenic drugs)
Changes in selective attention in psychiatric patients
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PAGE 10
3.6
The process of perceiving:
Theories of perceptual processes
Effect of past experience on perception (eg perceptual constancy,
perceptual defence)
Perceptual anomalies studies of illusions
Pathological changes in perception
3.7
The process of learning:
Theories of learning classical and operant conditioning
Social learning theories
The application of learning theory to the treatment of maladaptive
human behaviour (behavioural modification and therapy)
3.8
The process of remembering:
Theories of memory
Psychological studies of remembering and forgetting
Changes in memory with normal ageing
Pathological changes of memory and their assessment
3.9
The process of thinking:
Theoretical and experimental studies of normal thinking
Types of normal thinking (eg deductive thinking, creative thinking,
dream thinking, autistic thinking)
Thinking and language
Studies of thought disorder in psychiatric patients
3.10
Development psychology:
The contributions of ethology
Concepts of maturation and learning
The developmental tasks of each life phase
The relevance of immature or distorted development to psychiatry
3.11
General:
The anti-psychiatry stance
The principles of psychotherapy
4.0
SOCIOLOGY AND SOCIAL ANTHROPOLOGY RELEVANT TO
MENTAL HEALTH AND ILLNESS
4.1
In depth knowledge of these subjects is not required but candidates
should be familiar with the main terms and concepts relevant to
psychiatry
4.2
These should include an understanding of:
Basic sociological concepts such as role (including sick-role),
deviance, social stratification, social class, stigma, etc
The nature of socialisation including toilet training, weaning,
initiation, peer groups, etc
The dynamics and effects of groups and social networks
The social correlates /
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PAGE 11

The social correlates of mental illness, including the psychological

and psychiatric effects of migration, uprooting, acculturation,
urbanisation, industrialisation, poverty, and social drift
The nature and effect of life-change events
The nature and dynamics of family and kinship systems in various
ethnic groups in South Africa. In particular, the dynamics of the
African family with special reference to the nature of parental
authority, sibling rivalry, and conjugal relations. Attention should
be paid to the changes taking place in these relationships
Concepts of mental health and illness in distinctive ethnic groups in
Southern Africa; including causation, the system of witch beliefs,
pollution beliefs, the role of ancestors, etc
Healing practises in distinctive ethnic groups, including the role of
indigenous healers, diviners, etc
Culture-bound psychiatric syndromes, local and world-wide: their
identification and treatment
5.0 RECOMMENDED READING FOR PART I
A) Neuroanatomy:
1.
Kiernan, John A. Barr s the Human Nervous System: An Anatomical
Viewpoint. 7th ed. Lippincott Williams & Wilkins, (Periodicals)
1998
2.
Waxman, Stephen G. Clinical Neuro-Anatomy. 25th ed.
McGraw-Hill, 2002
3.
Martin, JH. Neuroanatomy Text and Atlas. 3rd ed. McGraw-Hill.
2003
4.
Crossman, AR & Neary, D. Neuroanatomy: An Illustrated Colour
Text. 2nd ed. Churchill Livingstone, 2000
5.
Cotran, RS; Kumar, V and Collins, T. Robbins Pathologic Basis of
Disease. 6th ed. Philadelphia; Saunders, 1999
6.
Fitzgerald, MJT & Folan-Curran, J. Clinical Neuroanatomy and
Related Neuroscience. 4th ed. Saunders, 2001
7.
Reid, C. Primer of Human Neuroanatomy. 2nd ed. London;
Hoyd-Luke, 1983
B) Neurophysiology:
1.
Guyton, AC & Hall, JE. Textbook of Medical Physiology. 10th ed.
Philadelphia; Saunders, 2001
2.
Ganong, WF. Review of Medical Physiology. 21st ed. McGraw-Hill,
2003
3.
Kruk, ZL and Pycock, CJ. Neuro-transmitters and Drugs. 2nd ed.
London; Croom Helm, 1983
4.
Kandel, ER; Schwartz, JH & Jessel, TM. Essentials of Neural
Science and Behaviour. Appleton & Lange, 1995
C. Psychology: /
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PAGE 12
C. Psychology:
1.
Hurloch, E. Developmental Psychology. 2nd ed. McGraw-Hill, 1968
2.
Hook, D; Watts, J & Cockcroft, K. Developmental Psychology.
UCT Press, 2002
3.
Malan, D. Individual Psychotherapy and the Science of
Psycho-dynamics. Boston; Butterworths, 1979
4.
Casement, P. On learning from the Patient. Tavistock Publications,
1985
5.
Weiten, W. Psychology: Themes and Variations. 5th ed. RR Donelley
and Sons, 2001
6.
Newman, BM & Newman, PR. Development Through Life: A
Psychosocial Approach. 8th ed. Australia; Thomson/Wadsworth,
2003
7.
Hawton, K; Salkovskis, PM; Kirk, J & Clark, DM.
Cognitive-Behaviour Therapy for Psychiatric Problems. Oxford
University Press, 1998
8.
Yalom, ID. The Theory and Practice of Group Psychotherapy. 3rd
ed. New York; Harper Collins Basic Books, 1985
9.
Möller, AT. Perspectives on Personality. Durban; Butterworth, 1995
10. Maultsby,
MC. Rational Behaviour Therapy. London; Oxford
University Press, 1984
11. Walen, S
& DiGuiseppe, R. A Practitioner s Guide to Rational
Emotive Therapy. 2nd ed. New York; W Dryden, Oxford University
Press, 1992
12. Brammer,
LM & Shostrom, EL. Therapeutic Psychology:
Fundamentals of Counselling and Psychotherapy. 4th ed. Prentice
Hall, 1982
13. Corey, G.
Theory and Practice of Counselling and Psychotherapy.
6th ed. Brooks/Cole, 2001
14. Bateman, A; Brown, D & Pedder, J.
Introduction to Psychotherapy:
An Outline of Psychodynamic Principles and Practice. 3rd ed.
Philadelphia; Routledge; 2000
15. Barker, P. Basic Family Therapy. 4th ed. Oxford; Blackwell Science,
1998
16. Greenbeger, D & Padesky, C.
Mind Over Mood: Change How You
Feel by Changing the Way You Think: New York; Guilford Press,
1995
17. Gilliland, BE & James, RK.
Theories and Strategies in Counselling
and Psychotherapy. 4th ed. Boston; London: Allyn & Bacon,1998
18. Levenson, H; Butler,
SF & Beitman, BD. Concise Guide to Brief
dynamic Psychotherapy. 1st ed. American Psychiatric Press, 1997
19. Palmer,
S. Introduction to Counselling and Psychotherapy:
The Essential Guide. London; Sage, 2000
20. Othmer, E & Othmer, SC. The Clinical Interview Using DSM-IV. 2nd
ed. American Psychiatric Press, 1994
21. Bloch, S.
An Introduction to the Psychotherapies. 3rd ed. Oxford
University Press, 1996
22. Worden, JW.
Grief Counselling and Grief Therapy: A Handbook for
the Mental Health Practitioner: London; Routledge, 1991
23. Beck, J.
Cognitive Therapy - Basics and Beyond. Guilford Press;
1995
24. ... /
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PAGE 13
24. Sanderson, C.
Counselling Adult Survivors of Child Sexual Abuse.
2nd ed. 1994
25. Myers, MF.
How s Your Marriage?: A Book for Men and Women.
American Psychiatric Press; 1998
26. Hollender,
MH & Ford, CV. Dynamic Psychotherapy: An
Introductory Approach. American Psychiatric Press; 1990
27. Hinshelwood,
RD. A Dictionary of Kleinian Thought. 2nd ed.
London: Free Association Books; 1991
28. Swartz,
L. Culture & Mental Health: A Southern African View.
Oxford University Press; 1998
D. General Psychiatry:
1.
Andreasen, N. An Introductory Textbook of Psychiatry. 2nd ed.
American Psychiatric Press; 1995
2.
Robertson, BA; Allwood, CW & Gagiano, CA. Textbook of
Psychiatry for Southern Africa. Oxford University Press; 2001
3.
Taylor, D; Paton, C & Kerwin, R. The Maudsley 2003 Prescribing
Guidelines. 7th ed. Martin Dunitz; 2003
4.
Allwood, CW & Gagiano, CA. Handbook of Psychiatry for Primary
Care. Cape Town, Oxford South Africa, 1997
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A N N E X U R E B
GUIDELINES TO THE SYLLABUS FOR THE FC PSYCH(SA) PART II
1.0 PSYCHIATRY
The aim of the examination in Psychiatry is to determine that the
candidate is able to treat or deal effectively with all the common
clinical problems of psychiatry at a specialist level without
supervision. The candidate should also have a broad knowledge of
medicine and paediatrics relevant to psychiatry
2.0 KNOWLEDGE AND UNDERSTANDING
2.1 The candidate should have:
Knowledge and comprehension of technical terms, facts, concepts,
principles, laws, methods and procedures as applied to normal and
subnormal behaviour and psychiatric disturbance
The ability to use facts and currently accepted concepts and
principles, etc in the diagnosis and therapy of patients, including
rehabilitation
The ability to analyse (elements, relationships, etc); translate from
one metaphor or model to another; recognise data limitations;
formulate plausible hypotheses and predictions
Knowledge of the laws relevant to psychiatry and their practical
application
Competence in the use of DSM-IV and ICD-10 (ie current diagnostic
systems)
3.0 CLINICAL SKILLS
3.1 The candidate will be able to:
Take an effective psychiatric history from a patient or relative, ie
elicit the main complaints; obtain a clear description of the present
illness; follow positive leads in the history; obtain adequate
information of mental and physical function, and about
development, past illnesses and family history
Perform a systematic mental state examination
Perform a complete physical examination, including a competent
neurological examination
Solve clinical problems, ie recognise relevant and significant data
and assess priorities; use appropriate investigations; present a
comprehensive diagnostic formulation, and rationally plan a
programme of management
Demonstrate effective therapeutic skills
4. ... /
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PAGE 15
4.0
ADMINISTRATIVE SKILLS
4.1
The candidate should be able to:
Plan the management of a given psychiatric situation and check its
effectiveness
Plan the management of a psychiatric service and check its
effectiveness (such as a hospital, clinic, community service, etc)
5.0
RESEARCH
5.1
The candidate should be:
Reasonably familiar with the various research techniques for testing
hypotheses, be able to outline the plan of one such project, and
critically analyse the results of others
Able to discuss quantitative and qualitative research techniques in
psychiatry, eg in epidemiology, clinical trials, field studies and case
studies
Familiar with recent research in psychotherapy and cross-cultural
psychiatry
Able to discuss ethical issues in research and professional practise
6.0
NEUROLOGY/NEUROPSYCHIATRY
6.1
The aim of the examination in Neurology is to determine that the
candidate is proficient in recognising neurological and general medical
disorders in referred patients. Should have sufficient knowledge and
skill to undertake their treatment and management in an emergency
situation. Attention should be paid to those that can be confused with
functional conditions and conversion phenomena, and the neurological
entities which come the psychiatrist s way
7.0
KNOWLEDGE AND UNDERSTANDING
7.1
The candidate should have sufficient knowledge of the structural and
functional elements of the nervous system to provide a grounding for
understanding the causes, manifestations and treatment of common
neurological conditions, and/or those with a relationship to psychiatric
illness
8.0
CLINICAL SKILLS
8.1
The candidate should:
Be able to do a systematic general and neurological examination, put
relevant physical findings together to form a meaningful clinical
picture, and to discard chance, unrelated or non-significant findings

Have sufficient knowledge of the use and value of special

investigations as required (these include CSF analysis, EEG, skull
X-ray, and CAT scan). In this respect the candidate is expected to
be able to recognise characteristic abnormalities. The emphasis is
on the place of such investigations in the clinical context rather than
on detailed technical knowledge
8.2 /
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PAGE 16
8.2
Particular attention should be paid to the diagnosis, investigation
and management of the following conditions:
General medical conditions which may present with psychiatric
disorders
Acute conditions, in which there are disturbances of consciousness,
including the diagnosis and management of the unresponsive patient
Acute intracerebral conditions causing psychiatric symptoms such as
neoplasms, infections, toxin, etc
Movement disorders including tremor, dyskinesias, writers cramp,
de la Tourette syndrome, etc
The neuropsychiatric sequelae of head injury
Cerebrovascular conditions
Epilepsy
Neurological disorders associated with drug and alcohol abuse
The neuropsychiatric complications of medication
The differentiation of those neurological conditions which may
come the psychiatrist s way. This includes dissociation, conversion
factitious disorders and conditions which may mimic or confuse a
neurological diagnosis
8.3
Genetic disorders:
This should include a basic knowledge of the principles of classical
(Mendelian) and molecular genetics and of cytogenetics, necessary to
an understanding of applications in the realm of psychiatry, with
particular reference to mechanisms of inheritance, penetrance,
expressivity and chemical reversal (by diet as in phenyketonuria or by
medication), DNA, the genetic code, mutation, chromosomal
abnormalities
8.4
The candidate should also have a knowledge of:
Genetics of schizophrenia
The genetics of affective disorders
The psychiatric implications of sex chromosome abnormalities
(Klinefelders, Turners, XYY Syndromes)
The common forms of genetically influenced mental retardation
Genetic counselling relevant to psychiatric conditions
The relative roles of heredity and environment in intelligence and
various psychiatric conditions, including the neuroses, psychoses,
personality disorders, etc
Influences of twin and family studies
9.0 /
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PAGE 17
9.0 RECOMMENDED READING FOR PART II
A) Neurology/Neuropsychiatry:
1.
Greenberg, DA; Aminoff, MJ; & Simon, RP. Clinical Neurology.
Appelton and Lange, 1989
2.
Brazis, PW; Masdeu, JC & Biller, J. Localization in Clinical
Neurology. 4th ed. Lippincott Williams and Wilkins, 2001
3.
Lishman, WA. Organic Psychiatry: The Psychological Consequences
of Cerebral Disorders. 3rd ed. Oxford; Blackwell Science, 1998
4.
Yudofsky, SC & Hales, RE. American Psychiatric Press Textbook
of Neuropsychiatry. 3rd ed. American Psychiatric Press, 1997
5.
Yudofsky, SC & Hales, RE. Synopsis of Neuropsychiatry. American
Psychiatric Press, 1994
6.
Lindsay, KW & Bone, I. Neurology and Neurosurgery Illustrated.
4th ed. Churchill Livingstone, 2004
B) General Psychiatry:
1.
Sadock, BJ; Kaplan, H & Sadock, VA. Kaplan & Sadock s Synopsis
of Psychiatry: Behavioural Sciences, Clinical Psychiatry. 9th ed.
Lippincott-Raven Publishers, 2003
2.
Sadock, BJ & Sadock, VA. Kaplan and Sadock s Comprehensive
Textbook of Psychiatry. 7th ed. Lippincott Williams & Wilkins, 2000
3.
DSM-IV-TR. American Psychiatric Press, 2000
4.
Tasman, A; Kay, J & Lieberman, JA; Psychiatry. 2nd ed. Chichester;
Wiley, 2003
C) Child/Adolescent Psychiatry:
1.
Lewis, M. Child and Adolescent Psychiatry: A Comprehensive
Textbook. 3rd ed. Philadelphia; Lippincott Williams & Wilkins, 2002
2.
Robertson, BA. Handbook of Child Psychiatry for Primary Care.
Oxford University Press. 1996
3.
Graham, P; Turk, J & Verhulst, F. Child Psychiatry: A
Developmental Approach. 3rd ed. Oxford Medical Publications. 1999
4.
Goodman, R & Scott, S. Child Psychiatry. Oxford Blackwell
Science, 1997
5.
Barker, P. Basic Child Psychiatry. 6th ed. Oxford; Blackwell
Science, 1995
D) Psychopharmacology:
1.
Stahl, S. Essential Psychopharmacology: Neuroscientific Basis and
Practical Application. 2nd ed. Cambridge University Press, 2000
2.
Leonard, BE. Fundamentals of Psychopharmacology. 2nd ed. Wiley,
1997
3.
Bloom. FE & Kupfer, DJ. Psychopharmacology: Fourth Generation
of Progress. New York; Raven, 1995
4.
Cooper, JR; Boom, FE & Roth, RH. The Biochemical Basis of
Neuropharmacology. 8th ed. Oxford University Press, 2002
5.
Hyman, SE; Arana, GW & Rosenbaum, JF. Handbook of Psychiatric
Drug Therapy. 3rd ed. Boston; Little, Brown & Co, 1995
6.
Hyman, SE & Nestler, EJ. The Molecular Foundations of Psychiatry.
American Psychiatric Press, 1993
E) Forensic Psychiatry:
1.
Bluglass, R & Bowden, P. Principles & Practice of Forensic
Psychiatry. Churchill Livingstone, 1990
2.
Mental Health Care Act, No 17 and regulations, 2002
3.
Snyman, CR. Criminal Law. 4th ed. Butterworths, 2002
F) Geriatric Psychiatry: /
FC Psych(SA)
PAGE 18
F) Geriatric Psychiatry:
1.
Jacoby, R & Oppenheimer, C. Psychiatry in the Elderly. 3rd ed.
Oxford University Press, 2002
2.
Copeland, JRM; Abou-Saleh, MT & Blazer, D. Principles and
Practice of Geriatric Psychiatry. 2nd ed. John Wiley & Sons Ltd,
2002
G) Additional Readings:
1.
TerreBlanche, M & Durheim, K Research in Practice: Applied
Methods for the Social Sciences. UCT Press, 2002
2.
Tredoux, C & Durheim, K. Numbers, Hypothesis, and Conclusions:
A Course in Statistics for the Social Sciences. UCT Press, 2002
3.
Brownwell, KD & Fairburn, C. Eating Disorders and Obesity:
A Comprehensive Handbook. Guilford Press Ingram, 2002
4.
Babbie, E. The Practice of Social Research. 10th ed.
Thomson/Wadsworth, 2004
H) Psychotherapy:
Essential Reading:
1.
Bloch, S. An introduction to the psychotherapies. 3rd ed.
Oxford University Press, 1996 (Basic general psychotherapy text:
Essential for 1st year registrars)
2.
Prochaska, JO & Norcross, J (Thomson, Brooks & Cole). Systems of
psychotherapy, a transtheoretical analysis. (Comprehensive general
psychotherapy text)
3.
Beck, JS. Cognitive therapy: basics and beyond. The Guilford Press
ISBN: 0-89862-847-4, 1995
4.
Gabbard, G. Psychodynamic Psychiatry in Clinical Practice. 3rd ed.
Washington DC, American Psychiatry Press, 2000
5.
Bloch, S; Hafner, J; Harari, E & Szmukler, GI. The family in
clinical psychiatry. Oxford Medical Publication. (Basic family
therapy text)
Recommended Reading:
1.
Levenson, H et al. Concise guide to Brief Dynamic Psychotherapy.
American Psychiatric Press Inc, 1997
2.
Glick, IE; Berman, EO; Clarkin, JF & Rait, DS. Marital and Family
Therapy. 4th ed. American Psychiatric Press, ISBN: 158 5621749.
(Comprehensive family and marital therapy text)
3.
Yalom, ID. The Theory of Practice of Group Psychotherapy.
New York, Harper Collins Basic Books; 1988
4.
Beitman, BD & Klerman, GL. Integrating pharmacotherapy and
psychotherapy. American Psychiatric Press, ISBN : 0-88048-350-4;
1991
5.
Clark, DM & Fairburn, CG. The Science and Practice of Cognitive
Behaviour Therapy. Oxford University Press; ISBN: 0-19-262725-2;
1997
6.
Mace, C. The Art and Science of Assessment in Psychotherapy.
London, Routledge; 1995
7.
L Abate, L. Family psychopathology, the rational roots of
dysfunctional behaviour. Guilford
8.
Lawton, K; Salkovskis, PM; Kirk, J & Clark, DM. Cognitive
Behaviour Therapy for psychiatric problems. Oxford University
Press, ISBN: 0-19-261832-6
9.
Malan, DH. Individual Psychotherapy and the Science of
Psychodynamics. London, Butter; 1979
JOHANNESBURG
June 2009
FC Psych(SA) PAGE 19
A N N E X U R E C
COLLEGE OF PSYCHIATRISTS OF SOUTH AFRICA
CERTIFICATE OF TRAINING FC PSYCH(SA)
The certificate of training must be submitted on application to write the
FC Psych(SA) Parts I and II examinations. All sections must be signed off by
the supervising Psychiatrist and the Head of Department
NAME: . .........
INSTITUTION: .... .
REGISTRAR TIME: .... .
DATE STARTED: .....
FC PSYCH(SA) PART I
This candidate has had satisfactory experience and is competent to write the
FC Psych(SA) Part I examination.
*
Case History presented to Prof/Dr:
Signed: ......
Date: ......
or
*
Case History submitted to the College of Psychiatrists of South Africa
Date: ......
*
delete where not applicable
JOHANNESBURG
June 2009
FC Psych(SA) PAGE 20
ANNEXURE D
FC Psych(SA) Part II
PSYCHOTHERAPY RECORD

Patient Initials Hospital and Number Type of Psychotherapy Number of sessions De

partmental Supervisor
(print and signature)
1
2
3
CASE HISTORY RECORD

Patient initials Hospital and Number Diagnosis Department Supervisor

(print and signature)
Date submitted to
CMSA
1
2
3
FC Psych(SA) PAGE 21
RECORD OF FORMATIVE TRAINING (SUPERVISED EXPERIENCE AND
TRAINING)
The candidate has had at least 3 years of training comprising:
Community Psychiatry (At least 3 months fulltime
or equivalent)
Child (Adolescent) Psychiatry (At least 3 months fulltime
or equivalent)
Hospital Psychiatry (> 12 months)
Neuropsychiatry
Emergency/Crisis Care
Addiction Psychiatry
Intellectual Disability
Old Age Psychiatry
Forensic Psychiatry
Experience with administering of electroconvulsive therapy (minimum of 5)
The candidate has completed a research dissertation
I certify that the above information is correct.
In my opinion, the candidate has the knowledge, skills and attitudes to attempt
the FC Psych(SA) Part II examination.
The candidate is of good standing and during the course of her/his training has
shown attitudes and ethical standards worthy of the Psychiatric Profession.
..
SIGNATURE
................................................................................
....

HEAD OF DEPARTMENT OF PSYCHIATRY:

.........................................................................

UNIVERSITY:
......................................................
DATE:
ACADEMIC OFFICE
GAUTENG

CMSA
The Colleges of Medicine of South Africa
Incorporated Association not for gain (Reg No 1955/000003/08)
27 Rhodes Avenue PARKTOWN WEST 2193
Private Bag X23 BRAAMFONTEIN 2017
Tel: +27 11 7267037 Fax: +27 11 7264036
Email: Academic Registrar: alv@cmsa-jhb.co.za
General: admin@cmsa-jhb.co.za
Website: http://www.collegemedsa.ac.za
INSTRUCTIONS FOR ADMISSION TO CMSA EXAMINATIONS
To be read in conjunction with the relevant Regulations)

1.
You may obtain your examination application forms (in duplicate) from the CMSA
offices in Johannesburg, Cape Town or Durban, by calling, writing or
telephoning/faxing.
2.
PLEASE OBTAIN IN GOOD TIME PROPER CERTIFICATES (SIGNED BY THE HEAD
OF DEPARTMENT) FOR THE TRAINING CALLED FOR BY THE REGULATIONS,
AND ATTACH THEM TO YOUR APPLICATION. Applications offering inadequate or
uncertificated/unrecognised training, or which in other respects display ignoran
ce of
the regulations, will be returned less a 10% handling fee.
3.
Please also attach two recent passport-size photographs. Both photographs must b
ear
your name in BLOCK LETTERS on the back and one photograph must be certified as a
true photograph or yourself, either by a Commissioner of Oaths or by a Justice o
f the
Peace. On acceptance of your application the CMSA will certify the other photogr
aph
and will return it to you on your numbered examination card which you should pro
duce
at all examination sessions.
4.
The examination fee is on a separate schedule. Please check current rates.
5.
Your completed application forms including certified statements where required,
passport-size photographs and correct examination fee must reach the CMSA before
or
on 15 January and 15 June for the March/April and September/October examinations
respectively. You may deliver your application to our Johannesburg, Cape Town or
Durban office but if you post it, we recommend you register it.
6.
Late applications will be considered up to 10 days after the closing date, on pa
yment of
an additional fee. After that they will be returned.
7.
Requests for withdrawal, if received in writing before the closing date, will be
granted
and the examination fee will be refunded less a 10% handling fee. If received af
ter the
closing date no such refund will be made except in the case of serious illness,
properly
certificated, or in other exceptional circumstances. Postponement will not be
considered.
8.
Regarding the examination:
a)
during all written sessions cellphones must be switched-off and lodged with the
chief invigilator
b) during all oral sessions cellphones must not be in the candidates possession
c) unsuccessful candidates may request, in writing, an identification of questio
ns
or sections failed. If practicable this information will be supplied
d) re-marking of papers or supplementary examinations will not be considered
e) candidates who stammer, suffer from writer s cramp etc, should indicate and
certificate this with their applications so that the CMSA, wherever possible,
can arrange to accommodate them prior to the examination.
9.
Fellowship candidates who are in doubt whether the posts they occupy or intend
occupying are acceptable for examination admission and/or specialist registratio
n (they
are separate issues) should enquire from the CMSA as to the former, and from the
Health Professions Council of South Africa, PO Box 205, Pretoria 0001, telephone
012
338 9300, as to the latter.
GAUTENG ACADEMIC (EXAMINATIONS) OFFICE
November 2008
CMSA is opposed to all forms of discrimination