title: Challenges faced by trainee psychiatrists working towards competency in psychotherapies.
abstract: OBJECTIVE
  This paper explores the challenges that trainees of the Royal Australian and New Zealand College of Psychiatrists face as they work towards competency in psychotherapy during basic training.
  
  
  METHODS
  The state of training programs in other countries including the trainee and supervisor perspectives on the outcomes of the shift to competency-based assessment is reviewed, and the limited literature examining the systemic problems impacting on the quality of the training experience in psychotherapies for Australian and New Zealand trainees is considered.
  
  
  RESULTS
  The risk of an increasing gap between the ideals and the reality of training expectations and experiences is discussed.
  
  
  CONCLUSIONS
  The importance of auditing the adherence of training services to College guidelines and formally evaluating the training outcomes in the future is emphasised.
authors.affiliation: Metro South Mental Health District, Queensland Health, The Princess Alexandra Hospital, Woolloongabba, QLD, Australia. stephen.parker@health.qld.gov.au
authors.forename: Stephen
authors.initials: S
authors.lastname: Parker
authors.forename: Margaret
authors.initials: M
authors.lastname: Bylett
authors.forename: Andrew
authors.initials: A
authors.lastname: Leggett
mesh_terms: D001315:Australia; D002983:Clinical Competence; D004503:Education, Medical, Graduate; D006801:Humans; D009520:New Zealand; D011570:Psychiatry / Q000193:education* / Q000592:standards; D011613:Psychotherapy / Q000193:education* / Q000592:standards