GENERAL MEDICINE
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SUPERVISING COMMITTEE

Definition

GENERAL PRINCIPLES

COMPONENTS OF TRAINING

Core/Non Core Training, Rural/Regional Training and Procedures

Project or Case Reports

Other Specific Requirements

Research

Training Sites

Other Training Programs

SPECIAL SOCIETY

Vocational Training
General Medicine (cont.)
Components of Training (cont.)
Project or Case Reports
The SAC must be satisfied that advanced trainees are capable of collecting and analysing data, critically reviewing published information and synthesising and expressing conclusions. To this end, each trainee in Australia is required to submit, in each of the 3 years of training a substantive piece of scholarly work. New Zealand trainees are required to submit one project during their 3 years of training. From 2004 onwards New Zealand trainees will be required to submit two projects during their 3 years of training.Project reports may take several forms, e.g.:
  • a case report with a detailed review of the literature. Only one case report is allowed during the 3 years of training;
  • a report of a research program;
  • a report of a QA activity.
Reports must be of a standard suitable for publication and should include a detailed bibliography. If project reports are written as multi-authorship papers, trainees are required to indicate the precise extent of their own involvement. It is desirable that there has been project peer review before the report is forwarded to the SAC for assessment. Peer review might include presentation at a scientific meeting or submission for publication in a scientific journal. The Annual Scientific Meetings of the College, IMSANZ and other special societies or associations provide ideal opportunities for advanced trainee presentations.

The length of the report to the SAC is not specified, but trainees should work towards providing a sound document which has a similar structure to articles published by refereed journals. Project reports must be pertinent to the practice of general medicine and to the training program of that year, and must be of such a standard as to be considered a useful resource. Abstracts are not acceptable.

A trainee should give a copy of the project report to their supervisor at least 6 weeks before the supervisor’s report is to be submitted to the College. In Australia the trainee should submit two copies to the Training Section of the College office before 15 September whereas New Zealand trainees must submit two copies of their project before 31 October to allow independent assessment and approval by each SAC. It must be emphasised that these reports must be received by the SAC and deemed satisfactory by referees appointed by the SAC before accreditation of the year’s training can be considered and granted.

Trainees must satisfactorily complete at least one project before the end of the second year of advanced training in order to progress to the third year. Please refer to the section on Advanced Training Projects in Australia for more detailed requirements and guidance on project reports.
Guidelines for project - Organising RACP Clinical Examination

Other Specific Requirements

The SAC requires a formal interview between a trainee and a supervisor in the mid part of each term of supervision. The SAC is to be notified that this interview has taken place but the supervisor is not required to furnish a formal report at that time. The interview should address those issues outlined in the supervisor's report, which will be completed at the end of the term. The SAC should be notified if there are issues which require attention and which might lead to concerns regarding accreditation.

The CPT will nominate a mentor in each training institution. In addition to this, IMSANZ has developed a mentorship scheme to ensure access to a senior physician.

Research
Research programs may be undertaken for a period of up to 2 years and should be relevant to the practice of general medicine. Where a trainee specifically proposes a research year of advanced training (as opposed to a research activity being undertaken as part of a clinical year), the research program will need to be prospectively approved by the SAC. At the end of each research year, the SAC expects a full report on progress (in addition to a supervisor's report) which should provide evidence that the calibre of the work has been such that publication in a refereed journal or as part of a thesis will follow.

Training Sites
Training will normally take place in general medical units or in subspecialty units.
  • In the circumstances of remote training sites, the SAC will rely heavily on a careful appraisal of the proposed program and contact with nominated supervisors.
  • Training positions outside Australia and New Zealand will require detailed documentation prior to prospective approval.

In order to facilitate the approval of training programs submitted by trainees each year, the SAC in General Medicine has been accrediting sites for core advanced training from July 2005. Institutional accreditation is not required for non-core training. The SAC will periodically review the accreditation of sites in order to ensure that they are of acceptable quality and of an adequate standard.

List of accredited hospitals for training in General Medicine

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This page was last edited: September 2008