This formative assessment will guide your learning through structured feedback and help the supervisor evaluate the expertise and judgement exercised in clinical cases.

Requirement

Australia: Three per year due by 31 January of the following year (core and non-core)
New Zealand: Minimum three per year (minimum one per six-month period) due by the end of the training rotation (core and non-core).

More information

• Enter CbD rating form data into the  Advanced Training Portal
• See Case-based discussion for information sheets, workflow, ratings and other resources

For Paediatrics ​& Child Health trainees only​.
This ​training assists you in developing a sophisticated understanding of child development, encompassing physical, cognitive, emotional, behavioural and social areas, which should be gained from the perspective of the child within the family and in the context of the community.

Requirement

More information

• Developmental & Psychosocial Training

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This formative assessment is used to guide your learning and achievement of competency in procedural skills, through direct observation and the provision of structured feedback by an experienced assessor. 

Requirement

Australia: four per year due by 31 January of the following year (core and non-core)
New Zealand: minimum four per year (minimum two per six-month period) due by the end of the training rotation (core and non-core).

Acceptable procedures

More information

• Enter DOPS rating form data into the Advanced Training Portal
• See Direct Observation of Procedural Skills for information sheets, rating forms, and more

Learning Needs Analys​is (LNA) helps embed the process of planning and evaluating learning in ​your practice.

Requirement

More information

• Complete and submit the LNA via the Advanced Training Portal
• See Learning Needs Analysis for information sheets and other resources

Keeping a logbook ensures that ​you can demonstrate competence in undertaking clinical procedures.

Requirement

One logbook is to be ​kept per training program over the course of training (core and non-core).  Logbooks must be updated throughout training and trainees are required to submit logbooks for review at the end of each training year with the Supervisors Report. 

Note: both a respiratory medicine logbook and a sleep medicine logbook must be completed for dual respiratory medicine and sleep medicine certification.

Additional requirements

Completion of the logbook for the relevant period must also be reported in each Supervisor’s Report.

• Trainees are required to maintain a logbook that documents clinical procedures including bronchoscopy, tube thoracotomy 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.
• Respiratory Trainees are required to maintain a logbook that documents clinical procedures including bronchoscopy, tube thoracostomy, pleural ultrasound 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. Trainees also need to keep a record of all respiratory function tests reported.
• Sleep Medicine Trainees are required to maintain a logbook that documents clinical work, sleep lab work, sleep study reporting, presentations and respiratory function test reporting.

Competence may be assessed based on 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.

Guide to number of procedures

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:

Respiratory medicine

• Bronchoscopies – 200
• Tube thoracostomies – 10
• Lung function reports (total) – 300 (specific tests should be recorded and it is expected that trainees will gain expertise in the full range of lung function testing including spirometry, gas transfer factor, maximal respiratory pressures, lung volumes, bronchoprovocation testing, cardiopulmonary exercise testing and other specialised tests)
• Thoracic ultrasonography

Highly desirable (optional) procedural skills

• Transbronchial lung biopsies – 25
• Pleuroscopy
• EBUS

Paediatric Respiratory medicine

• Fiberoptic bronchoscopy – 50 cases performed by trainee during course of training
• Lung function reports – 300 (Specific tests should be recorded)
• Pulmonary function tests – trainee performed (i.e. not just reported)

Sleep medicine

Clinical work:

• Total cases (this includes all new and review patients seen as inpatients and outpatients) – 500
• New patients – 150
• New cases in which primary problem is a non-respiratory sleep disorder – 30
• Positive airway pressure therapy – 50
• Institution of NIV – 20

Sleep laboratory work:

• Study set-up and calibration of physiological signals – 5
• Review of raw data: sleep staging and respiratory scoring – 25
• Concordance assessment – 5

Sleep study reporting:

• Total studies – 500
• Level 1 studies – 350
• NIV studies – 20
• Vigilance (MSLT, MWT) – 20

Presentations:

• Physiology topic – 3
• Sleep cases – 12

In addition to the above, non-respiratory Advanced Trainees must undertake:

• RFT reporting – 100  
• Respiratory medicine outpatient clinics – 1 per week
• Inpatient management of respiratory patients, including acute respiratory failure

More information

• See Additional resources for the Sleep Medicine Logbook Template

This requirement assists you in demonstrating professional learning in Respiratory Medicine or Sleep Medicine.

Requirement

Two* national or international scientific meetings are to be attended over the course of training, due by the completion of training. You must provide documentary evidence of your meeting attendance to the College in the form of a Certificate of Attendance. A tax invoice for registration at an event will not suffice.

Evidence can be submitted at any time to respiratorysleep@racp.edu.au

*Post-FRACP Sleep Medicine trainees who have already completed Advanced Training in Respiratory Medicine are required to attend only one meeting over the course of training.

This formative assessment is used to evaluate your clinical performance in real life settings. The mini-CEX ensures you receive timely, structured feedback on how to improve your practice in areas such as communication, history taking, physical examination and professional practice.

Requirement

Australia: three per year due by 31 January of the following year (core and non-core)
New Zealand: minimum three per year (minimum one per six-month period) due by the end of the training rotation (core and non-core).

More information

• Complete and submit the mini-CEX via the Advanced Training Portal
• See mini-Clinical Evaluation Exercises for information sheet, workflow, rating forms and other resources

Requirement

Australia: One per year due by 31 January of the following year (core and non-core)
New Zealand: Minimum one per year due by the end of the training rotation (core and non-core).​

More information

• Complete and submit the PQR via the Advanced Training Portal
• See Professional Qualities Reflection for information sheets and workflows

One RACP Research Project or one Respiratory Medicine/Sleep Medicine Research Project over the course of training as outlined below.

To attain dual certification in both respiratory medicine and sleep medicine, you must complete both a respiratory medicine project and a sleep medicine project (except New Zealand trainees commencing training from 2017 onwards who only need to complete one project regardless).

RACP Research Project (for New Zealand trainees commencing training in 2017 onwards)

Research requirements enable you to gain experience:

• in research methods
• in interpretation of research literature
• in participation in research at some stage of your career
• to develop quality improvement skills

Submission of a research project provides:

• evidence of the skills of considering and defining research problems
• the systematic acquisition, analysis, synthesis and interpretation of data
• effective written communication

Requirement

New Zealand trainees commencing training in 2017 onwards:

• One over the course of training due by 31 October in the penultimate year before the end of Advanced Training.
• The research project must be marked as satisfactory prior to admission to Fellowship.
• Submission by 31 October in their penultimate year of training allows time for marking and resubmission of research projects initially marked ‘Resubmit’.

Australian trainees and New Zealand trainees who commenced training before 2017:

• Respiratory Medicine/Sleep Medicine Project is required.
• RACP Research Project is not required.

Respiratory Medicine/Sleep Medicine Research Project (for all Australian trainees and New Zealand trainees who commenced training before 2017)

Research requirements enable you to gain experience:

• in research methods
• in interpretation of research literature
• in participation in research at some stage of their career and to
• to develop quality improvement skills

These summative assessments provide you with structured feedback on your performance and inform the certification of training decision.

Requirement

Australia

• For Advanced Trainees in 12-month positions: one Supervisor’s Report is to be submitted by 15 July for the first six months of the calendar year and one Supervisor’s Report is to be submitted by 31 January of the following year covering the final six months of the calendar year.
• For Advanced Trainees in positions of six months or less with separate supervisors, or at separate sites: one Supervisor’s Report should be completed for each rotation and submitted to the College by 15 July (for first half of the year) and 31 January the following year (for the second half of the year).
• Advanced Trainees approaching the end of their training should submit a report that covers the whole second half of the year by 15 October.

New Zealand​

• For Advanced Trainees in 12-month positions: one Supervisor’s Report is to be submitted by 31 May for the first six months of the rotation and one Supervisor’s Report is to be submitted by 31 October covering the full 12 months.
• For Advanced Trainees in three, four, or six-month positions: one Supervisor’s Report must be completed for each rotation and submitted by 31 May (for rotations in the first half of the year) and 31 October (for rotations in the second half of the year).​

Additional Requirements

Supervisor’s responsibilities

• The Supervisor’s Report must be completed by supervisors who have directly supervised the trainee.
• If the supervisor has not directly supervised the trainee throughout the whole rotation, the supervisor should obtain individual reports from those who have directly supervised the trainee and provide a composite report. 
• Discuss the report with the trainee prior to both parties signing the report, and provide the trainee with a copy of each report.

Trainee’s responsibilities

• ensure that all supervisors receive a copy of the Supervisor’s Report (failure to do this may result in delays or non-certification of a period of training)
• provide copies of previous Supervisor's Report(s) to the next year's/rotation’s supervisor.

Progression to the next year of training is dependent upon the College receiving satisfactory Supervisor’s Report(s) covering the full year/period of training completed.

More Information

• Advanced Training Progress Reports
• Education Policies
• See Additional resources for Supervisor’s Report​s