• at least six different medical subspecialty services, each headed by a physician with a substantial (at least half-time) appointment available to supervise trainees. To have a term in these departments counted towards basic training subspecialty requirements, a trainee will need to spend at least 50% of their time in that subspecialty in at least two of the following three areas: inpatients, consults, ambulatory care;
  
• at least six positions within the Division of Medicine which may be occupied by basic physician trainees. There shall be clinical interaction between a trainee and a consultant;
  
• a Director of Physician Training (DPT) and an established training program aimed at basic physician trainees;
  
• an Intensive Care Unit with a director having a substantial (at least half-time) appointment. Basic physician trainees shall have a role in the longitudinal care of their patients who are admitted to the unit;
  
• an Emergency Department with a director holding a substantial (at least half-time) appointment. Basic physician trainees shall have a role in the initial management of patients admitted under their care through the department;
  
• exposure to patient management in ambulatory settings. Ambulatory care is any contact with a consultant physician which occurs while the patient is not an in-patient of a hospital. Ambulatory care would include contact with patients at the following locations: physician's office, clinics or community centres, patient's home or nursing home or hostel. ( See Guidelines for FRACP Training in Ambulatory Settings). Basic trainees should attend at least one ambulatory clinic for one session a week;
  
• facilities and preparedness to host the FRACP Clinical Examination;
  
• adequate diagnostic laboratory and imaging facilities including CT scanning and access to Nuclear Medicine;
  
• an adequate medical library appropriately equipped for physician training;
  
• a range of policies and procedures dealing with:
  • needle stick injuries;
  • lifting policy;
  • infection control.
    
• There will be a range of other policies dealing with other health and safety issues.
  

Hospitals are required to ensure all basic physician trainees complete a comprehensive Advanced Life Support (ALS) training course of a minimum three hours duration (as part of a continuous block) by the end of their first term as a basic trainee, if they have not undertaken an ALS course within the past 12 months. Hospitals should be providing support for their basic trainees undertaking such a course. Trainees should not be placed in a position where they are expected to manage a medical emergency or response team without adequate training.

Physician Trainees should be adequately supervised out of hours and a formal clinical handover following night duty should occur to provide education and support as well as ensure continuity of patient care. This should occur every day of the week and would ideally be consultant led involving those units who are most actively on take overnight.

Accreditation as a Level 2 Teaching Hospital allows up to 24 months of basic physician training. Trainees must spend the additional 12 months training at a Level 3 Teaching hospital.

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