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Vocational Training Respiratory and Sleep Medicine (cont.) RESPIRATORY MEDICINE (cont.) Components of Training (cont.) Procedural Skills Essential Procedural Skills These include fibreoptic bronchoscopy, pleural aspiration and tube thoracostomy. As a guide to the numbers required to gain competence, trainees should aim to complete approximately the following numbers of procedures during their training period: Bronchoscopies ~200
 Projects or Case Reports Trainees are required to
Other Specific Requirements Attendance at Meetings Trainees are expected to attend at least one annual scientific meeting of TSANZ during the 3 years of training. Sleep Medicine Trainees wishing to make sleep medicine an important part of their practice (e.g. to manage complex sleep breathing disorders and to report sleep studies) will be expected to undertake at least one year of training in clinical sleep medicine in an appropriate centre (see Advanced Training Program in Sleep Medicine , LEVELS 1 and 2). Logbook Trainees are required to maintain a logbook which documents clinical procedures including bronchoscopy, tube thoracostomy and pleural aspiration. The information required for each procedure includes the medical record number, the procedure performed, and the outcome of the procedure including any complications or unusual features. The logbook should state whether these procedures were supervised or unsupervised. Competence may be assessed on the basis of the written record of procedures in the logbook, the written assessment by supervisors who will be asked to verify the details of the logbook, and the trainee's experience and competence. Clinical Respiratory Physiology Those intending to make clinical respiratory physiology an important area of their practice (e.g. to specialise in complex respiratory function testing) are expected to spend the equivalent of one year of non core training in a comprehensively equipped and staffed laboratory performing a wide range of respiratory function tests under the supervision of physicians specialising in this area of medicine. Research It is strongly recommended that trainees undertake a significant research project during their training in order to understand and apply appropriate research methodologies in laboratory and clinical settings. Trainees should become actively involved in research activities including QA. Experience should be gained in: study design; literature research and review; writing submissions for grant funding and ethics committee approval; data collection; storage and analysis; and computer program evaluation for results analysis, statistics and graphics. Success in these activities is demonstrated by publication or presentation of a significant project at a national or international meeting. Training Sites Sites which have programs of core advanced training in respiratory medicine must be able to provide a program which meets the guidelines for core training, and the site accreditation criteria. (The requirement to satisfy the accreditation process will commence after the criteria are finalised.) Further information concerning accredited sites is available from the Training Section of the College office. Rural/Regional Training The SAC supports trainees who seek to undertake part of their training in regional or larger rural centres. In Australia such training may be suitable for either core or non core years of advanced training. New Zealand trainees should contact the Chair of the SAC to discuss possible training in smaller centres. Adequate supervision may be available in regional centres and most of the larger rural centres, and many opportunities exist for varied and interesting project work in this specialty. Suitable opportunities and information may also be identified by contacting the CAT or the Manager, Rural Workforce and Advanced Training Unit on 61 2 9256 5444. Recognition of Advanced Training Programs in Respiratory and Sleep Medicine Confirmation of completion of training from the RACP will reflect the level of training achieved, and will only be issued following admission to FRACP. Special Societies Thoracic Society of Australia and New Zealand (TSANZ). Trainees are encouraged to join the Society as associate members and to participate in scientific meetings of the Society at both state and national levels. For further information regarding the requirements for registration with the society, please contact: The Secretariat Thoracic Society of Australia and New Zealand 145 Macquarie Street SYDNEY NSW 2000 Tel: 61 2 9256 5457 Fax 61 2 9241 4162 E-mail: admin@thoracic.org.au Website: www.thoracic.org.au
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