IMMUNOLOGY AND ALLERGY
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SUPERVISING COMMITTEE

DEFINITION OF SPECIALTY

GENERAL PRINCIPLES

JOINT TRAINING SCHEME

TRAINING FOR FELLOWSHIP OF THE RACP

SPECIAL SOCIETY
Vocational Training
Immunology and Allergy (cont.)
Components of Training for Fellowship of RACP
Training will consist of 2 years of core training and one year of non core training. The content of training will be as follows:

Clinical Training
At least one year in a recognised training position directly supervising inpatient and outpatient care in Australia or New Zealand (for details of clinical activities see joint training program).

Non Core Training

Trainees are allowed considerable flexibility in their selection of non core training for a period of up to 12 months. This may be in Australia or overseas and may involve clinical work and/or research in an area related to immunology or another relevant area of medical practice.

Laboratory Training

The re is no prescribed period of training in immunopathology, but trainees should be familiar with all tests outlined under the joint program. Laboratory skills should not necessarily be developed to the level required for the FRCPA but all trainees should understand the principles and complexities of the assays and be able to interpret the results in detail.

Other Training Requirements

Research Projects
(Guidelines revised December 2006)
As part of their program both joint and clinical trainees are required to submit a research project. The objective of this project is give the trainee experience in clinical or laboratory research, scientific methodology and scientific writing, and thus to enable the established physician to apply these skills to further research endeavours during their career. A substantial piece of work is required, and it is recommended that the project be planned early in advanced training with the trainee’s supervisor(s).

Ideally the project should be performed during the period of advanced training, although earlier studies might be deemed satisfactory if the objective stated above is fulfilled. The project may form part of a higher research degree undertaken during or prior to commencement of advanced training. Presentation skills should be developed by presenting clinical or laboratory projects at national meetings of relevant colleges or societies. The project report should be deemed as satisfactory by the supervisor prior to submission, and a statement detailing the supervisor’s assessment of the merits of the study and verifying the efforts expended by the trainee should be attached.

Post-FRACP trainees who undertake to complete the requirements of the JSAC as a second-subspecialty may be exempt from project submission if the above objective is fulfilled by the project submitted to the previous SAC. If no such project has been submitted, or it is deemed not to have fulfilled the objective, no exemption will be granted. It is therefore recommended that this be discussed with the Co-ordinator of Advanced Training early in their training.

Trainees should submit their project to the JSAC before 15 September in the penultimate year of training. The deadline for the completion of a satisfactory project will be 15 September in the final year of training. This interval is to allow a project to be assessed by two independent examiners, and to allow revision of the manuscript if found to be unsatisfactory. Late submission of projects (after the 15th September in the penultimate year of training) may thus delay conferring of Fellowship and may prolong the period of advanced training. FRACP-only trainees should note that the failure to submit a project by the deadline in their second year of training will result in a failure to approve the first six months of training in the third year, and will therefore extend training time by at least six months (this penalty applies only to trainees who commenced advanced training in 2007 or later). Joint FRACP-FRCPA trainees are exempt from this penalty due to the requirements of the FRCPA part I examination, but should nevertheless attempt to meet them to avoid delay in conferring of Fellowships.

The project must be presented in rigorous scientific format that would be of a quality suitable for publication, with sections for abstract, introduction, aim, methods, results, discussion and conclusion. A publication in a peer-reviewed medical journal is most suitable for this purpose. If not a first-author publication, the trainee’s exact contribution to the publication should be detailed. This contribution, when separated from the remainder of the publication, must in itself meet the required standards.

A project should meet the following criteria:
  • It must make a contribution to established medical knowledge;
  • It must constitute a significant body of work, either as a publication in a peer-reviewed medical journal, or as a scientific report;
  • It must be presented in a logical sequence and convey a detailed understanding of the topic with appropriate and comprehensive reference to published medical literature;
  • It must constitute original work by the trainee. Material not directly arising from the work of the trainee may be included in the report (eg as an Appendix) or form part of the publication, but will not be considered in determining whether the trainee’s contribution meets a satisfactory standard.
  • It will normally constitute between 5,000 and 10,000 words, although shorter concise submissions may be satisfactory if they meet the other criteria.
  • Work towards the project should normally constitute the equivalent of 2-4 hours per week over a one year period.
     
Projects may constitute one of the following:
  • A quality assurance activity or clinical audit that refines or attempts to refine standards in patient management within clinical immunology, with recommendations for improvement in patient care.
  • Analysis of a laboratory test of an immunological condition.
  • Analysis of a clinical test of an immunological condition.
  • A case series to identify a novel aspect of an immunological condition;
  • A case report with detailed laboratory assessment beyond routinely available diagnostic assays. A simple case report is not satisfactory unless used as an introduction to an extensive literature review.
  • A small clinical study of a novel therapeutic, or more likely an established therapeutic for a novel condition.
  • A basic research project within the discipline of Immunology.
  • A detailed review of the literature on an immunological topic.
Other projects outside the above categories may be acceptable as long as they meet the objective. Such exceptions should be discussed with the Co-ordinator of Advanced Training in Immunology prior to commencement.


Training Sites In order to broaden their experience, trainees are encouraged to rotate to different institutions if possible.

Details of training sites are available from the JSAC.

Rural/Regional Training
The JSAC supports trainees who seek to undertake part of their training in regional or larger rural centres. Such training may be suitable for the non core year of advanced training.

Adequate supervision is available in regional centres and most of the larger rural centres, and many opportunities exist for varied and interesting project work in this specialty. The CAT in Australia and Chairman in New Zealand is prepared to advise individual trainees on request of the opportunities available in particular centres. Information can also be obtained from the Rural Taskforce Committeeon 61 2 9256 5444.

Special Society
Australasian Society of Clinical Immunology and Allergy (ASCIA).
For information regarding the requirements for registration with the society, please contact:
Jill Smith
Executive Officer
Australasian Society of Clinical Immunology and Allergy
PO Box 450
Balgowlah NSW 2093
Tel: 61 2 8900 6402
Mobile: 0425 216 402
Fax: 61 2 9907 9773
Email: education@allergy.org.au
Website: www.allergy.org.au


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This page was last edited: May 2007