From SPM to consultant
What does a consultant psychiatrist have to learn?
Becoming a psychiatrist in Malaysia typically takes about 14–18 years after SPM: pre-university science, five years of medical school, two years of housemanship, a few years as a medical officer, about four years of psychiatry specialist training and a supervised gazettement period. Consultant level comes after further years of specialist practice. This site lists every major subject on that path, explains each in plain language, and shows how deeply it is expected to be known at each stage.
128 subjects7 stages4-step awareness scale
What is the journey, stage by stage?
- 1Pre-university1–2 yrs · age ~17–19SPM science stream, then matriculation, foundation-in-science, STPM or A-levels. Builds the biology, chemistry, physics and maths base that medical school expects.
- 2Medical school: pre-clinical yearstypically Yr 1–2 · age ~19–21First part of the 5-year MBBS/MD: how the healthy body works and how disease begins, mostly in lecture halls, labs and small groups, with early patient contact.
- 3Medical school: clinical yearstypically Yr 3–5 · age ~21–24Ward and clinic rotations through the main specialties, including a psychiatry posting. Ends with the final professional examination.
- 4Housemanship (house officer)2 yrs · age ~24–26Supervised work in public hospitals, rotating through major departments (typically six postings of about four months). Leads to full registration with the Malaysian Medical Council.
- 5Medical officer (MO)typically 1–3+ yrs · age ~26–29Independent doctor under specialist supervision. Doctors aiming for psychiatry usually work as MOs in a psychiatry department before applying for specialist training.
- 6Psychiatry specialist trainingtypically 4 yrs · age ~28–33Typically a four-year Master of Medicine (Psychiatry) at a Malaysian public university, with Part I and Part II examinations and a dissertation. Some doctors also sit the UK MRCPsych examinations; how these count in Malaysia is decided by the National Specialist Register. Rotations cover general adult psychiatry and the subspecialties.
- 7Specialist, gazettement and consultantongoing · age ~33+After the specialist qualification: a supervised gazettement period, registration on the National Specialist Register, then years of specialist practice. Consultant level brings leadership, teaching and often a subspecialty fellowship (typically 2–3 yrs).
Ages and durations are typical and vary. Specialist training can be through a Malaysian master's programme; some doctors also sit the UK MRCPsych examinations — check how each is recognised with the National Specialist Register.
What do the awareness levels mean?
- Not expected — Not part of this stage.
- Aware — Knows the subject exists, its main terms and why it matters. Can recognise it, not use it.
- Understands — Can explain the core ideas and pass written exams on them. Knows when they are relevant.
- Applies — Uses it in real patient care, safely, with supervision available. Can make routine decisions.
- Masters / Teaches — Works independently at expert level, handles complex or unusual cases, teaches and supervises others.
On cards, the seven small bars show the level at each stage, left to right: Pre-U → Pre-clinical → Clinical → Housemanship → Medical officer → Psych trainee → Specialist / consultant.
How do I use this site?
- Start with the journey below to see the seven stages and roughly how long each takes.
- Open any subject card to read a plain-language overview, the key topics, how it is taught and examined, and the books people use.
- Each subject shows an awareness level for every stage, on a four-step scale: Aware, Understands, Applies, Masters / Teaches.
- Use the Matrix for the at-a-glance view of all subjects against all stages, and filter or sort it.
- Read Background required for entry requirements, personal qualities, costs, alternative routes and a short self-check.
Subject map
Background required 11
- Entry to medical school: academic requirements
- Entry to psychiatry training: MMed & MRCPsych
- Empathy & compassion
- Communication & languages (BM, English and more)
- Resilience & self-care
- Ethics, integrity & professionalism
- Curiosity & lifelong learning
- Cultural & religious sensitivity
- Related background that helps
- Alternative entry routes
- Time, cost & career outlook
Pre-university sciences 5
Pre-clinical medicine 13
Clinical medicine rotations 16
- Internal medicine
- General surgery
- Obstetrics & gynaecology
- Paediatrics
- Orthopaedics
- Emergency medicine
- Family medicine & primary care
- Psychiatry (undergraduate posting)
- Neurology
- Ophthalmology
- Otorhinolaryngology (ENT)
- Dermatology
- Anaesthesiology & critical care
- Forensic medicine
- Radiology
- Geriatric medicine & palliative care
Housemanship postings 7
Medical officer years 5
Psychiatry: basic sciences 12
- Neuroanatomy
- Neurophysiology
- Neurochemistry
- Psychopharmacology (basic)
- Human development & developmental psychology
- Social psychology
- Cognitive psychology & neuropsychology
- Learning theory & behavioural psychology
- Psychiatric genetics
- Psychiatric epidemiology
- Neuroimaging & investigations
- History & philosophy of psychiatry
Psychiatry: core clinical skills 5
Psychiatry: disorder groups 21
- Schizophrenia & other psychotic disorders
- Bipolar disorders
- Depressive disorders
- Anxiety disorders
- Obsessive-compulsive & related disorders
- Trauma- and stress-related disorders
- Dissociative & bodily distress (somatic symptom) disorders
- Feeding & eating disorders
- Sleep–wake disorders
- Personality disorders
- Substance use disorders & addiction
- Gambling, gaming & behavioural addictions
- Delirium, dementia & neurocognitive disorders
- Old age psychiatry
- Neurodevelopmental disorders (ADHD, autism, intellectual disability)
- Child & adolescent psychiatry
- Perinatal psychiatry
- Consultation-liaison (psychosomatic) psychiatry
- Neuropsychiatry (epilepsy, brain injury, movement disorders)
- Forensic psychiatry
- Sexual dysfunctions & sexual health
Psychiatry: treatments 11
- Clinical pharmacotherapy & safe prescribing
- Electroconvulsive therapy (ECT)
- rTMS & other neuromodulation
- Cognitive behavioural therapy (CBT)
- Psychodynamic psychotherapy
- Family & couple therapy
- Group therapy
- Dialectical behaviour therapy (DBT)
- Motivational interviewing
- Other therapies: IPT, supportive, ACT, mindfulness
- Psychoeducation & psychosocial interventions
Psychiatry: practice, law & professional skills 13
- Emergency psychiatry
- Risk assessment & suicide prevention
- Community psychiatry
- Psychiatric rehabilitation & recovery
- Mental health law (Mental Health Act 2001)
- Ethics in psychiatry
- Research methods & the dissertation
- Critical appraisal & evidence-based psychiatry
- Teaching & medical education
- Leadership & service management
- Cultural psychiatry (Malaysian context)
- Religion, spirituality & mental health
- Telepsychiatry & digital mental health
Specialist & consultant level 9
- Subspecialty fellowship training
- Gazettement & National Specialist Register
- Continuing professional development (CPD)
- Clinical supervision & mentoring
- Medico-legal reports & expert evidence
- Service leadership & mental health policy
- Research leadership & publication
- Doctor wellbeing, burnout & resilience
- Private practice & multi-disciplinary networks