Requirements for Physician Training - Paediatrics 2000
  Vocational Advanced Training

Palliative Medicine

Palliative Medicine Sub-Menu
Supervising Committee
Definition of Specialty
General Principles
Components of Training
  Core Training
Procedural Skills
Elective Training
Assessment
Other Specific Requirements
Research
Training Posts
Special Society

Components of Training

Core Training

  • A minimum of two years is required.
  • At least 18 months must be spent in a palliative medicine service under the supervision of a specialist who is an FRACP. If the supervisor is not a Fellow, then a co-supervisor, who holds Fellowship, must be appointed.
  • A minimum of six months must be spent in a specialist palliative medicine service in a teaching hospital.
  • During core training a minimum of six months must be spent in a clinical oncology position approved for advanced training in medical oncology or in radiation oncology.
  • This period should include an adequate exposure to the delivery of palliative care services to the community and in clinics.
  • You are strongly discouraged from undertaking core palliative medicine training during the year in which you sit for the Examination.

The content of training should include:

  • Experience in clinical decision making.
  • Development of management strategy in the light of personal priorities of the patient.
  • Experience in communication and counselling with patients, their families and health care professionals, with respect to information transfer, therapeutic strategy development, and for purposes of support.
  • Assessment, diagnosis and management of various symptom complexes (including various pain syndromes with due regard to medical and non- medical measures).
  • Studies of pathology, pathophysiology including clinical pharmacology of relevance to major symptoms.
  • Experience elucidation and management of confusional states and psychiatic syndrome in liaison with psychiatric staff.
  • Experience in the psychosocial, cultural and spiritual issues in relation to the dying children and their family.
  • Experience in the ward and outpatient and domiciliary situation of the problems encountered by the nursing staff in palliative medicine.
  • Interdisciplinary contact with professionals.
  • Development of skills in team management.

Procedural Skills
Competence in procedures such as paracentesis and thoracocentesis is essential.

Elective Training

  • A maximum of one year could be spent in an area with a strong palliative component such as HIV medicine, respiratory medicine, geriatric medicine, clinical pharmacology, pain management, intensive care, research, liaison psychiatry or further experience in palliative medicine.
  • Experience in a suitable training post outside Australia is encouraged. Early discussion with the SAC is recommended to ensure suitability.
  • With respect to training undertaken in other services, the supervisor should be the director or supervisor of training in that service and the program should be approved by the SAC.

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