Why not just do what other countries do and have it still a separate training pathway (because it’s completely different & RACP training is a bit of a nothing affair after the two exams) BUT have trainees do rotations in relevant fields?

Psychiatry registrars should do Neurology terms (including learning how to LP!). Neurology registrars are completely left in the lurch by the College of physicians and underprepared for specialist practice at fellowship due to their lack of psychiatry experience (several of their major presentations are psychiatric & I’ve only seen a small handful have any clue how to approach those issues at what I would consider a minimum acceptable standard…)

Dermatology trainees should do rheum/immuno (& vice versa)

Orthopods should do Rheum

Geriatrics should do CL Psychiatry (or Psychogeriatrics with at least some CL component)

Etc. etc. ad nauseam

My German-trained colleagues all did Neurology rotations (and some were recognised as neurologists & psychiatrists in Germany, but working that out here was not logistically worth it so now do neuropsychiatry work).

I know about three geriatricians that can appropriately diagnose delirium & do capacity assessments. Don’t know two of their backgrounds. The other says he only knows these things due to 3 months in Psychogeriatrics during training.

I’m sure there’s variations at different places, but the Colleges (& health services) would need to get their shit together to organise it. I’m 150% sure they can’t be arsed to do it (I’m doubtful most of them would be able to; on a good day it seems they’d have trouble getting water out of a shoe with instructions on the bottom).