Provisional Advanced Training

Due to COVID-19, the 2020 Divisional Clinical Examination (DCE) was postponed until later in 2020. A provisional Advanced Training (pAT) progression pathway is available to help you continue your training.

Overview

Eligibility requirements

If you were planning to sit the 2020 DCE, you can apply for Provisional Advanced Training (pAT) for either later in 2020 or in early 2021 if you:

  • completed all other Basic Training (BT) requirements, including passing the Divisional Written Examination AND

  • secured an AT position that starts after the date you would have sat the clinical exam in 2020 (this position must be in an accredited AT setting, approved by the relevant AT Committee) AND

  • plan to sit the rescheduled 2020 DCE in late 2020/early 2021

For Basic Trainees currently on the Training Support Pathway:

  • all of the above conditions must be met AND

  • your current supervising committee must recommend advancing to provisional AT

pAT pathways

If you were eligible to sit the DCE this year, you can either go into pAT or stay in BT. Use the graphic below to find out more about your options (click to expand).
pAT-pathway

Pathways breakdown

Australian (Adult and Paediatrics) and Aotearoa NZ (Adult) Basic Trainees

Started pAT in 2020 and...

  Passed the Long Case DCE Failed the Long Case DCE Passed the Long and Short Case DCE Failed the Short Case DCE
(passed the Long Case)
What PREP tool do I complete? 2020 PREP Tools for your AT program (required) 2020 PREP Tools in AT or BT Program (optional) 2020 and 2021 PREP Tools for your AT Program (required) 2020 PREP Tools for your AT Program (optional)

2021 PREP Tool for BT Program (required)
PREP tool due date As per 2020 due dates for your training program (preferred)* As per 2021 due dates for your training program 2020 PREP Tools as per 2020 due dates for your training program (preferred)*

2021 PREP Tools as per 2021 due dates for your training program
What should I do next? Submit PREP Tools (required)

2021 application for pAT
Submit 2021 application for BT continuation or interruption Submit PREP Tools (required) and continue with AT Change to BT continuation or apply for interruption
What is my training status? 2020: pAT

2021: pAT
2020: pAT

2021: BT continuation or interruption
2020: pAT

2021: AT
2020: pAT

2021: BT continuation or interruption
Training fees: When are they due and how much will I pay? 2020: Continuation of BT fees only (waived)
AT fees to be determined (based on results)

2021: to be determined (based on results)
2020: Continuation of BT fees only (waived)

2021: BT fees as per registration
2020: Continuation of BT fees only (waived)

2021: AT fees (2020 and 2021) pro-rata as per approved application/rotations
2020: Continuation of BT fees only (waived)

2021: BT fees as per registration
*College will be flexible.

Will complete Basic Training in 2020 and...

  Passed the Long Case DCE Failed the Long Case DCE Passed the Long and Short Case DCE Failed the Short Case DCE
(passed the Long Case)
What PREP tool do I complete? 2020 PREP Tools for your BT program (required)

2020 PREP Tools for BT (required)

2021 PREP Tools for your AT Program (required)
2020 PREP Tools for your BT Program (required)

2021 PREP Tool for BT Program (required)
PREP tool due date As per 2020 due dates for your training program (preferred) As per 2020 and 2021 due dates for your training program

What should I do next? Submit PREP Tools (required)

Submit 2021 application for pAT
Submit PREP Tools (required)

Submit 2021 application for BT continuation or interruption
Submit PREP Tools (required) and continue with AT Submit PREP Tools (required)

Change to BT continuation or apply for interruption
What is my training status? 2020: BT

2021: pAT
2020: BT

2021: BT continuation or interruption
2020: BT

2021: AT
2020: BT

2021: BT continuation or interruption
Training fees: When are they due and how much will I pay? 2020: BT fees as per approved application/rotations

2021: To be announced
2020: BT fees as per approved application/rotations

2021: BT fees as per registration
2020: BT fees as per approved application/rotations

2021: AT fees as per approved application/rotations
2020: BT fees as per approved application/rotations

2021: BT fees as per registration

Aotearoa NZ Paediatric Basic Trainees

Started pAT in 2020 and...

  Passed the DCE Failed the DCE
What PREP tool do I complete? 2020 PREP Tools for your AT program (required) 2020 PREP Tools in AT or BT Program (optional)
PREP tool due date As per 2020 due dates for your training program As per 2020 due dates for your training program (preferred)*
What should I do next? Submit PREP Tools (required)

Submit 2021 application for AT
Submit 2021 application for BT continuation or interruption
What is my training status? 2020: pAT

2021: AT
2020: pAT

2021: BT continuation or interruption
Training fees: When are they due and how much will I pay? 2020: AT fees pro-rata as per approved application/rotations 2020: Continuation of BT fees only
*College will be flexible.

Will complete Basic Training in 2020 and...

  Passed the DCE Failed the DCE
What PREP tool do I complete? 2020 PREP Tools for your BT program (required)
PREP tool due date As per 2020 due dates for your training program
What should I do next? Submit PREP Tools

Submit 2021 application for AT
Submit PREP Tools (required)

Submit 2021 application for BT continuation or interruption
What is my training status? 2020: BT

2021: AT
2020: BT

2021: BT continuation or interruption
Training fees: When are they due and how much will I pay? 2020: BT fees as per approved application/rotations

Application considerations

Discuss the following with your DPE or supervisor before deciding whether pAT is the right pathway for you:

  • Health and wellbeing
    Advanced Training (AT) can be stressful, so starting it while also preparing for exams might impact your day-to-day life, work and training.

    Another option is to continue in Basic Training (BT) in 2021, sit the rescheduled DCE and then apply for AT. This could help lower stress and allow you to concentrate on preparing for the DCE in a more supportive environment. Then you could begin AT with fewer distractions.

  • Preparation and support
    We’re working with Health Departments and DPEs to provide pATs with access to support and for this to continue if your exam outcome is unsuccessful in 2021. We added a number of resources to the 'Prepare' tab for the Adult Medicine and Paediatrics & Child Health DCE.

    We cannot guarantee all pATs will have access to the preparation program they may have expected as a Basic Trainee. You need to consider how you would practice long and short cases and your access to education and training events and study time may not be ideal.

  • Exam attempts
    If you're coming up to your last attempt at the DCE and wish to apply for pAT, carefully consider the implications of preparing for your final attempt and entering into AT at the same time.

    All current trainees have been granted a 12-month extension to complete their current training program.

  • Recruitment implications
    Recruitment and selection into AT positions are undertaken by Health Departments and local networks, with limited involvement from the College.

    We’re advising recruitment panels not to discriminate against candidates who haven’t been able to sit the DCE due to the postponement. However, local selection panels will make their own selection decisions as usual.

    pATs who don’t pass the DCE in late 2020/early 2021 will have gathered useful experience which may be a point of difference between them and other trainees during future recruitment rounds once they have passed the DCE. However, Recognition of Prior Learning will not be granted for the time previously spent in pAT in this case.

  • Employment implications of not passing the DCE
    If your attempt at passing the Clinical Exam at its first scheduled offering in late 2020/early 2021 is unsuccessful, any training provisionally approved as 'conditional upon passing the Clinical Examination' won’t be accepted as AT.

    You'll be classified as a Continuation Basic Trainee (per the Progression Through Training Policy). The implications on your employment will be determined by your employer and differ by jurisdiction, network or training setting. For example, you may be able to continue in the same role but in an unaccredited position. Discuss this with your employer before accepting a position.

  • Length of training
    We anticipate that pAT will enable progression in training on similar timelines as if the DCE had not been postponed.

    If you pass the DCE at its first scheduled offering in late 2020/early 2021, you’ll continue on in AT. If you fail the DCE, you’ll be able to re-sit later in 2021.

Duration

The pAT process currently expires in 2021 after delivery of the DCE for the 2020 exam cohort. This is subject to how the COVID-19 pandemic unfolds in Australia and Aotearoa New Zealand.

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