GERIATRIC MEDICINE
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SUPERVISING COMMITTEE

DEFINITION OF SPECIALTY

GENERAL PRINCIPLES

COMPONENTS OF TRAINING

Core Training

Non Core Training

Projects

Other Specific Requirements

Research

Training Sites

Rural/Regional Training

SPECIALTY SOCIETY

Vocational Training
Geriatric Medicine (cont.)
Projects
Projects are commonly cited as a cause of concern for trainees, supervisors and STC members. Although not prescriptive, these notes seek to provide some guidance for trainees and supervisors regarding projects. Trainees in New Zealand who began advanced training prior to January 2005 are required to submit a minimum of one written project.

From January 2005, each advanced trainee is required to submit two written projects during three years of advanced training. Each project will be assessed by two independent reviewers. One project should be submitted and assessed as satisfactory by the end of second year of training in order to progress into the third year of training.

Purpose
The intention of the “two project rule” is that trainees have an opportunity to develop two substantial projects of high quality. Project submission is a “hurdle” in advanced training. The main aim of project submission is to evidence useful learning experiences in considering and defining clinical problems; the systematic acquisition, synthesis and interpretation of data; and effective written communication.

Roles of Supervisors, Trainees and Markers
Trainees utilise the assistance of supervisors to varying extents. Generally supervisors should:
  • Meet with trainee early in the period of supervision to clarify the trainee’s project goals and requirements.
  • Consider and provide feedback regarding merits of the proposed project including study design.
  • Ensure that the project planned is feasible and of a suitable standard.
  • Agree, with trainee, timeline leading to successful submission.
  • Clarify access to statistical support or other infrastructure required.
  • Monitor progress at regular intervals (eg three monthly).
  • Review project prior to submission aiming to ensure that the project is of a suitable standard.
  • Sign the cover sheer prior to submission, indicating that the proportion of work attributed to the trainee is correct.

Some trainees work with project supervisors different to their term supervisors. This can introduce problems if there is not clear communication between supervisors and particular caution is required to ensure that the trainee’s term supervisor remains appraised of the trainee’s progress in their project work.

Trainee projects already published in an acceptable peer reviewed journal will usually be considered “satisfactory” without further review. Exceptions may arise if the trainee’s contribution, or relevance of the project to geriatric medicine, is uncertain. All other projects will be marked independently by two markers. Markers will usually be STC or GMET members, although other external markers are sometimes co-opted. If there are not two “satisfactory” ratings the project will be referred to the Markers Panel, which may resolve to Pass or Fail the project, to seek a third review or to invite submission of a revised project.

Acceptable Standard for Projects
The written piece should have direct relevance to the practice of geriatric medicine, and each trainee should aim to present and/or publish at least one research project in an appropriate forum during the course of advanced training. A presentation, for example, might be made to the Australian & New Zealand Society for Geriatric Medicine (ANZSGM) Annual Scientific Meeting.

Projects should be novel and incorporate original thought. Trainees will sometimes be working as part of larger group or project; however trainees are required to make an original contribution to the planning or interpretation of their study.

Projects should be presented in a standard suitable for publication and adhering to usual norms for scientific writing. Projects should provide defined aims, clearly articulated objectives and prospectively defined methodology. The conclusions should relate to the aims. Discussion should place the new work in the context of the published literature. In addition projects should be written in sound English and free from grammatical and typographical errors. A standard, consistent method of citing the literature should be used. Projects can take any of the following formats:
 
Project Type Content Sample Length1 (words) Examples5
Original Scholarship2 Results of original work done by a trainee alone or as part of a team. Indication of a trainee’s involvement will need to be made clear in the latter case. 3000  
Literature review Comprehensive review of a topic including search strategy used. 3000 to 5000 Iyer S, Naganathan V, McLachlan AJ, Le Couteur DG.
Drugs Aging.Medication withdrawal trials in people aged 65 years and older: a systematic review.
2008;25(12):1021-31
Case report and review3 Review of an interesting case and brief literature review. Case reports should be of publishable standard, that is providing novel knowledge or insights. 2000 to 3000 Foundas, M. Age Ageing. 2008 Mar;37(2):231-2
Research proposal A completed proposal for research including background, literature review, estimated cost, and how ethics approval will be sought. 2000  
Presentation4 Summary of oral or poster presentation made to the ANZSGM Annual Scientific Meeting, including abstract. 2000  
Audit or quality assurance Audits should generally be substantial and lead to recommendations for clinical care or quality improvement. 2000  

1 The recommended length is indicative only.
2 Includes scholarly work, such as original research and educational projects, written in IMRD (Introduction, Methods, Results, Discussion) format.
3 Only one case report should be submitted during the course of advanced training.
3 Please note: Power Point presentations will not be accepted. Projects should be written in a style suitable for publication in a peer-reviewed journal.
5 Published examples, accessible in the public domain, are provided. Published projects are of a high standard and thus are not intended to indicate the “satisfactory” standard.

Other projects formats may also be acceptable. For example occasional trainees have submitted prose or creative writing pieces. If in doubt, the trainee should discuss the proposal with a member of the STC.

TimelinesProjects may now bridge more than one year of training. The “two project” rules aim to allow trainees to avoid rushed submission of projects. Trainees should ensure that their supervisor has provided critical feedback before the project is submitted to the STC. It is essential that work is presented to supervisors in a timely fashion, to enable any changes recommended to be incorporated before submission deadlines. Trainees in their third year should aim to present projects to their supervisors at least 4 months prior to becoming eligible for fellowship and to the STC three months prior to the fellowship round. This is essential to avoid delay in award of FRACP.
When submitting a project for review, three copies must be submitted along with three copies of the project cover sheet. The cover sheet is available from the College website.
*You will need to be a member of the RACP to access this section of the website.

The written project will be assessed by 2 members of the SAC and may be submitted at any time during the year to which it applies, but not later than 15 September in Australia or 31 October in New Zealand. If submitted later, there will be a delay in accreditation of training. This is particularly important for trainees in their final year of advanced training as a delay in project accreditation may result in a delay in admission to Fellowship.

See the section on Advanced Training Projects in Australia for further advice on preparing project reports.

Research
It is strongly recommended that trainees develop experience in research skills by participation in at least one research project. Experience should be sought in study design; literature research and review; writing submissions for grants; data collection; storage and analysis; and computer skills involved in analysing results, statistics and graphics. Success in these activities is demonstrated by publication or presentation of a significant project at a national meeting such as the ASM of the ASGM, or at an international meeting. Such work may also fulfil the written requirements outlined above.

Training Sites
Sites suitable for core training programs will provide exposure to the range of functions listed above, either sequentially or in an integrated fashion. In Australia a list of sites, which have been accredited, is available to prospective and current advanced trainees from the CAT or the Training Section of the College office. New Zealand trainees should contact the Chair of the SAC if they need advice about training sites in New Zealand.

Prospective trainees should contact the CAT/Chair for advice regarding training positions. To ensure an adequate range of experience during training, approval will not generally be given to 3 years of training being spent in one position.

List of accredited hospitals for training in Geriatric Medicine

Rural/Regional Training
The SAC supports the training of geriatricians in rural and regional sites with the following comments

  • non core training (one year) for advanced trainees in geriatric medicine at any suitable rural/regional site will be approved. The content of training could be variable and provided there is relevance to the practice of geriatric medicine either in a metropolitan or rural setting, the SAC will look favourably on this as a non core year of training;
  • core training in geriatric medicine is currently provided at several rural sites. This training is under the direct supervision of practicing geriatricians and the sites of training have been accredited by the SAC. Up to 2 years core training can be spent in a rural setting under the direct supervision of the regional geriatrician(s).

Specialty Society

Australian and New Zealand Society for Geriatric Medicine (ANZSGM).
Advanced trainee membership is encouraged. For information about the requirements for registration with the society, please contact:
The Secretariat
Australian and New Zealand Society for Geriatric Medicine
145 Macquarie Street
Sydney NSW 2000
Tel. 61 2 9256 5460
Fax: 61 2 9241 3458
E-mail: admin@anzsgm.org
Website:  www.anzsgm.org

New Zealand:
Dr Paul Owen
Chair
SAC Geriatric Medicine
Older People's Health
Auckland City Hospital
Private Bag 92024
Auckland
E-mail: powen@adhb.govt.nz

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This page was last edited: June 2011