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Vocational Training Infectious
Diseases and Microbiology Supervising Committee
A Joint Sub-committee comprising representatives of the Royal Australasian College
of Physicians Specialist Advisory Committee (SAC) in Infectious Diseases and
representatives of the Royal College of Pathologists of Australasia. The Sub-Committee
will be Australasian, with representation from both Colleges, accrediting the
training for Advanced Trainees in Australia and New Zealand. Administration
of training will be done in Australia.
Definition
of Specialty
An integrated discipline encompassing expertise in:
- the investigation, pathogenesis, diagnosis and treatment of Infectious
Diseases;
- the prevention and control of infectious Diseases;
- laboratory procedures,
management and administration of a Microbiology laboratory.

General Principles
- Trainees will generally enter the joint training program following completion
of at least three years of basic physician training and success in the FRACP
written and clinical examinations.
Where a trainee is yet to successfully
complete the FRACP examination, provided that basic training has been satisfactorily
completed, the Joint
Sub-committee in Microbiology and Infectious Diseases may consider conditional
approval for advanced training of part or all of the year in which the
examination is successfully completed, subject to prospective application
and RACP guidelines.
- Joint training is a five-year training program combining
clinical training in Infectious Diseases and laboratory training in Microbiology.
Joint trainees
must be registered with and supervised by the Joint Sub-committee in
and Infectious Diseases Microbiology and registered with the Board of Censors,
RCPA.
- Infectious Diseases advanced training is conducted by the RACP
and leads to the award of FRACP and the ability to practise as an Infectious
Diseases Physician.
- Laboratory training in Microbiology is conducted
by the RCPA and leads to the award of FRCPA and the ability to practise
as a Microbiologist.
- Joint training should be undertaken at at least two
separate sites.

Components of Joint Training
The training period of 5 years is expected to encompass 2 years of core training
in Infectious Diseases and 3 years in Laboratory Microbiology. These years can
be undertaken in any order. In some cases trainees will occupy joint laboratory/clinical
positions. In this case trainees in discussion with the supervisor and, if necessary,
the Joint Sub-committee, will be required to nominate the breakdown of time sought
for approval for each of the core Infectious Diseases or Microbiology training.
Infectious Diseases Trainees
Fellows of the RACP may not enter the joint training program. They may however
apply to the Registrar of the Board of Censors (RCPA) for retrospective accreditation
of training in Microbiology.
Infectious Diseases Trainees can enter the Joint
Infectious Diseases/Microbiology Program any time; however they will have to
pay retrospective fees to the RCPA.
Trainees entering the joint program after
commencing ID training will not be granted retrospective accreditation of their
6 months required laboratory time unless they can demonstrate that this time
was wholly devoted to Microbiology training.
Retrospective acceptance of training
under another SAC is generally not applicable under this training program.
Training under a different SAC (eg General Medicine) is accepted by the SAC
in Infectious
Diseases as an elective term of training. However, the Joint Infectious Diseases/Microbiology
Program encompasses five years of core training (two years of clinical Infectious
Diseases and three years of microbiology), thus not allowing for retrospective
acceptance of training undertaken under a different SAC.

Core Training in Infectious Diseases (2 years)
The required 2 clinical years must be a comprehensive and structured program,
prospectively approved the Specialist Advisory Committee. Exposure to inpatients
and outpatients with a broad range of Infectious Diseases is required.
Laboratory Training in Microbiology (3 years)
Training
in Microbiology may only be undertaken in laboratories accredited with the
RCPA Board of Censors and under approved supervision. It is expected that only
a small
proportion of time (approx. 10%) would be spent in direct patient care during
this time.
Trainees will be expected to develop comprehensive knowledge and practical
skills in all facets of Microbiology and to be proficient at handling specimens
and identifying the range of organisms expected to be encountered in a tertiary
care hospital, with attention to safety and quality assurance.
Assessment in Infectious Diseases
It is anticipated, that the majority of candidates will undertake their
two core clinical training years required for the FRACP, commencing in the
year immediately following completion of the FRACP Written Exam. Consecutive
years
of clinical training are not necessarily required.
Assessment of the clinical
years by the joint committee will occur on the basis of the current guidelines
for core clinical training. Conjoint clinical and laboratory training will
be assessed on an individual basis by the Joint Sub-Committee.
Trainees are
required
undertake three projects; two clinical projects to satisfy the requirements
of the Infectious Diseases component and one more substantive project to
meet the
Microbiology training requirements. The two infectious diseases projects
must be commenced during, and relate to work undertaken in, the two core clinical
years of infectious diseases training. At least one infectious diseases project
must be submitted by the end of the second year of clinical infectious diseases
training. These two projects will be reviewed by members of the Joint Sub-Committee.
The third project should be based on work completed during training for the
RCPA Part II Examination (i.e. after successful completion of the Part I
Examination)
and must be submitted to the RCPA one month before the Part II Viva Exam.
The RCPA will give the Sub-Committee the title of the projects that have passed.
The Sub-Committee will accept this project as the third project.
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