Trainees
The Training Support Pathway and Policy offers a clear and tailored support system to help trainees maintain their capability to progress through their RACP training.
A trainee may need enhanced support if they:
- aren’t making expected progress in training
- aren’t meeting performance standards
- are experiencing health or wellbeing issues affecting their training
- are having difficulties with a supervisor or training environment
If a trainee’s behaviour meets the threshold for mandatory notification, they should be referred to AHPRA or the Medical Council of New Zealand.
Training Support Pathway process
The Training Support Process is a framework designed to facilitate the provision of enhanced support to trainees who find themselves in difficulty during RACP training, as outlined in the Training Support Policy (PDF).
Stage 1
Support starts at a local level, with additional support offered through your supervisor.
If you don’t feel comfortable talking to your supervisor/Director of Physician/Paediatric Education (DPE), you can also approach your Co-Supervisor, Education Supervisor or Mentor.
In some cases, it may be your supervisor/DPE who notices that you require enhanced support and suggests that you meet to discuss the type of support provided on Stage 1 of the Training Support Pathway. If this happens, it's a positive opportunity to gain clarity and identify areas for development.
Preparing for your Supervisor or DPE meeting
You could prepare for a meeting with your supervisor by doing the following:
- Collate your previous supervisor and/or progress reports so you can compare previous feedback to your current supervisor's assessment of your training performance.
- Be open to constructive criticism and explore any ideas where you feel there is a need for additional support and development.
Developing your Improving Performance Action Plan
At the meeting, you can use the feedback received from your supervisor and work together on developing the College’s Improving Performance Action Plan (IPAP).
In the IPAP, you'll set learning objectives and activities over a set timeframe. It will allow you to demonstrate progress and understand what’s expected before your next assessment or review of the IPAP.
The College's role during Stage 1
The College isn’t notified at this stage. If you work through the IPAP within the agreed timeframe (usually 6 – 12 months), meet your learning objectives and return to meeting the expected levels of performance for training, you'll return to standard training and requirements.
You don’t need to advise the College, or future supervisors that you have been on Stage 1 of the pathway, unless you require further support later on. Seeking and receiving support at any stage will never be seen as a ‘black mark’ put against your name and record.
Stage 2
If you still need support at the end of Stage 1, your Supervisor or DPE will notify the College. This will be either a Supervisor Assessment Report or an Annual Progress Report.
The relevant specialty committee will review your progress and decide whether to refer you to Stage 2 of the Training Support Pathway. Trainees are generally on Stage 2 for around 12 to 24 months.
Before the committee meets, the Training Support Unit (TSU) will contact you and your supervisor or DPE to:
- explain the Stage 2 referral process
- talk through the next steps
- make sure you both feel supported
The TSU will also prepare a document pack. This includes supervisor and/or progress reports for you and your supervisor to review before submission to the committee.
If you're referred to Stage 2
If the committee decides to refer you to Stage 2 of the Training Support Pathway, the TSU will contact you and your supervisor or DPE. They'll explain how Stage 2 support works and what documentation needs to be completed.
This includes advising your supervisor or DPE on how to:
- set well-structured, achievable learning objectives for you
- provide regular feedback on your training performance
- support you to reach the expected standard
At the end of Stage 2
At the end of your Stage 2 period, the specialty committee will review your progress using:
- supervisor or progress reports
- any other relevant documents
They'll then decide whether you'll continue on Stage 2 or exit the Training Support Pathway.
Stage 3
If you haven’t successfully completed Stage 2 after 12 to 24 months and all support options have been explored, the overseeing committee may consider a referral to Stage 3 of the Training Support Pathway.
Comprehensive Review of Training (CRT)
To support this decision, the College will compile a Comprehensive Review of Training (CRT) Book. This includes your Stage 2 support, reports from previous and current supervisors, and any other relevant documents.
When you receive the CRT Book, you’ll have the opportunity to review the material and provide a written statement and provide any additional documents you believe should be included.
The committee will review the CRT Book, your statement, and any other material you’ve submitted. They'll then decide whether to move you to Stage 3 of the Training Support Pathway.
The possible outcomes are:
- involuntary discontinuation of training, or
- training continues with conditions. If these conditions are not met, your training will be discontinued without another CRT.
You'll be notified in writing of the committee’s decision.
In most cases, the CRT process is completed within 12 – 16 weeks. While the review is underway, you can continue training as long as:
- your current training has been approved
- you meet all training requirements
This training period can still count towards your certification if the outcome is positive.
The Training Committee will wait until the CRT is complete before deciding on any future training approvals.
If the outcome of the CRT is that you are discontinued, the current training period won’t be certified, and you won’t be charged for this time.
If you're allowed to continue training, the Training Committee will:
- decide whether to certify the training you completed during the CRT, and
- may approve your next rotation
You can also interrupt your training during the CRT process by submitting an Application for Interruption of Training.
If you disagree with the CRT outcome, you have 28 days from the date on your decision letter to:
- apply for reconsideration
- request a review, or
- lodge an appeal
Improving Performance Action Plan (IPAP)
Download the Improving Performance Action Plan (DOC).
The IPAP is a framework to help you and your supervisor work together on your learning and development. It outlines:
- learning strategies to be implemented to improve performance in specific areas
- expected outcomes from these actions and strategies
- dates on which you and your supervisor will meet to review your progress
You're required to share your documents from previous training rotations, supervisor reports, and any other documents relevant to your training to help guide the plan.
An IPAP usually runs for 6 months and gives you the support and time needed to develop your skills.
IPAP review
At the end of the agreed timeframe, your supervisors will provide feedback on your progress. This is recorded in the IPAP Review section of the plan.
It includes:
- a summary of your progress on the agreed actions
- your current performance against training standards
- recommendations for any further support and areas for growth if you haven’t reached the agreed standard
At this stage, your supervisor will recommend one of the following options:
- exit from the Training Support Pathway if your performance has improved and you’re now meeting the expected level
- continue with support by developing a new IPAP plan. This means continuing remediation and possibly moving to Stage 2 of the Training Support Pathway – if you’ve already completed Stage 1 IPAP but haven’t yet met the required standard
Only the overseeing committee can decide whether you progress to Stage 2.
Trainee obligations on the Training Support Pathway
Record of meetings
When meeting with your supervisor at any stage of the Training Support Pathway to discuss your progress through training, it is suggested that a record of the meeting be completed for both yours and the supervisor’s reference and for future submission to the relevant training committee.
A record can be completed using the Record of Meeting template (DOC).
Reporting during Stage 2 and 3
When you're on Stage 2 or 3 of the Training Support Pathway, you're required to submit 3-monthly supervisor progress reports to assist the Training Support Unit and relevant Training Committee with monitoring your training progress.
These reports ensure that you have clarity regarding your progress and performance against expected standards at regular intervals.
- Basic Trainees on the pathway should use the Ward Consultant's Report template to complete these.
- Advanced Trainees on the pathway should use the Final Supervisor's Report template for their training program.
Trainee responsibilities
If you find yourself on any stage of the Training Support Pathway, you'll need to have a thorough understanding of the policy and process, your responsibilities as an adult learner, an ability to manage your professional development and willingness to meet College requirements.
While you're on the Training Support Pathway, you'll need to complete and submit:
- Improving Performance Action Plans
- meeting records
- any additional documents, including additional assessments as required
If you're undertaking dual or conjoint training
The Training Support Process is used across the whole College.
If you’re doing more than one training program at the same time, or if you switch to a new specialty, you’ll continue to receive support through this process in your additional or new program.
If you’re in more than one training program:
- all relevant training committees will take part in your Comprehensive Review of Training (CRT)
- each committee will decide whether you can continue in their training program
It’s possible that you may need to stop training in one program but be allowed to continue in another, either with or without conditions.
Trainee support documents and resources
Examinations support
We recognise the significant time and effort trainees dedicate to preparing for examinations.
If you've experienced multiple unsuccessful attempts, we encourage you to contact the Training Support Unit. The team can provide tailored advice, resources, and collaborate with your supervisor or DPE to establish additional support strategies.
Please note that if you exhaust all available examination attempts, you may become ineligible to continue in training in line with the Progression through Training Policy. We strongly encourage early engagement with the Training Support Unit to explore available options and supports.
Support Helpline
The
RACP Support Program is a professional and confidential counselling service, available to all RACP Fellows and trainees, 24 hours, seven days per week.
The program provides members with access to confidential counselling, coaching and support for workplace and personal issues.
Difficulties with Colleagues
Deciding what to do to resolve a difficulty with a colleague can be difficult, especially if they are in a more senior position.
The Decision Tree may help as you consider your options.
Learning Resources
Peer reviewed resources to support your learning are available including: