Advanced Training in Public Health Medicine

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1 Physician Readiness for Expert Practice Advanced Training in Public Health Medicine 2014 Program Requirements Handbook Australasian Faculty of Public Health Medicine

2 Updates made to the Advanced Training in Public Health Medicine Program Requirements Handbook for 2014 The Royal Australasian College of Physicians College training programs Paediatrics and child and adolescent psychiatry removed from the list of Joint Training Programs (This program is under review. Trainees currently in this training pathway are not impacted). RACP Fellowship training pathways diagram amended to clarify the training pathways currently available for trainees to enter and qualifications awarded. Overview of Advanced Training in Public Health Medicine This section heading changed from Summary of the requirements for Advanced Training in Public Health Medicine Eligibility and entry into Advanced Training Advanced Training positions Information of submission dates and trainees responsibilities updated Program requirements Progression through training Deadline for submission of Learning Contracts updated Teaching and learning activities Description of teaching and learning activities incorporated into this section. Assessments Description of assessments incorporated into this section. One Direct Observation of Practical Professional Skills required over the course of Advanced Training, prior to sitting the Final Oral Examination. Information on Learning Contract Report updated. Roles and responsibilities College support for trainees Information on trainee support processes removed (now available on College website). Training policies and processes Variations in training Sections on part-time training and post-fellowship training inserted. Recognition of previously certified prior learning This section heading changed from Retrospective Certification. Additional sections of the handbook have been reformatted for ease of access to information and reworded to clarify and enhance content for trainees and supervisors PREP Advanced Training in Public Health Medicine Program Requirements Handbook 2

3 Table of contents Updates made to the Advanced Training in Public Health Medicine Program Requirements Handbook for The PREP Advanced Training Program Requirements Handbook... 5 The Royal Australasian College of Physicians... 6 College training programs... 7 Principles of Physician Readiness for Expert Practice (PREP) Training... 9 Advanced Training in Public Health Medicine The specialty of public health medicine Overview of Advanced Training in Public Health Medicine Competencies expected at the completion of training Overview of training requirements in Important dates in Eligibility and entry into Advanced Training Application for approval of Advanced Training Programs Advanced Training positions Training and assessment fees Curriculum Relevant curriculum Program requirements Annual certification of training Duration of training Training positions Teaching and learning activities Assessments AFPHM Advanced Training Portal Roles and responsibilities Supervising committee Advanced Training supervisors Advanced Trainees College support for trainees Accreditation of training positions Training policies and processes Education policies Variations in training Fellowship Admission to Fellowship PREP Advanced Training in Public Health Medicine Program Requirements Handbook 3

4 Information for new Fellows Contact details Trainees Committees PREP Advanced Training in Public Health Medicine Program Requirements Handbook 4

5 The PREP Advanced Training Program Requirements Handbook This handbook outlines the complete program requirements for the Royal Australasian College of Physicians (the College) Physician Readiness for Expert Practice (PREP) Advanced Training in Public Health Medicine Program. Over the course of the training program, all trainees must carry out a variety of teaching and learning activities, assessments and other program requirements in consultation with their supervisors. Satisfactory completion of these requirements is a pre-requisite for admission to Fellowship of the College or completion of post Fellowship training. This handbook includes information for both Australian and New Zealand based trainees and supervisors. Where not specified as being particular to either Australia or New Zealand, information applies to trainees and supervisors in both countries. For trainees This guide helps trainees satisfy the requirements for progressing through and completing this training program. For supervisors This handbook helps supervisors identify training program requirements and facilitate learning experiences for trainees under their supervision. Related resources In addition to this guide, trainees and supervisors should refer to the following: The Public Health Advanced Training Curriculum and the Professional Qualities Curriculum; please see the Curricula section of this handbook The resources and tools provided on the AFPHM Training Portal Education policies these are a source of advice regarding the guidelines and procedures governing College training programs. For further information on current College education policies, please refer to the Training policies and processes section of this handbook or the College website Specialty web pages. About this edition This handbook applies to trainees registered in PREP Advanced Training in Public Health Medicine in either Australia or New Zealand in Program requirements as specified in the handbook apply to all PREP trainees, regardless of the year in which they commenced PREP Advanced Training. A trainee is considered to be in a PREP Advanced Training Program if they first enrolled in that program from 2011 onwards. Advanced Training committees regularly evaluate their training requirements to ensure that they are in line with educational best practice, and requirements are published and communicated annually. Changes to the training program that may substantially impact a trainee s plan for training will be implemented following an extended period of notice. It is the responsibility of the trainee to ensure that they are following the correct guidelines. Copyright RACP all rights reserved PREP Advanced Training in Public Health Medicine Program Requirements Handbook 5

6 The Royal Australasian College of Physicians The College is a diverse and energetic organisation responsible for training, educating and representing over 13,500 physicians and paediatricians in Australia and New Zealand. The College is responsible for the training and assessment of doctors who have completed their medical degree and wish to practise as physicians or paediatricians in a specialised area of medicine. The College is comprised of the following: Divisions The College has two Divisions: Adult Medicine Division Paediatrics & Child Health Division Division Training Programs result in the qualification of Fellowship of the RACP (FRACP). Faculties The College has three Faculties: Australasian Faculty of Occupational & Environmental Medicine (AFOEM) Australasian Faculty of Public Health Medicine (AFPHM) Australasian Faculty of Rehabilitation Medicine (AFRM). Faculty Training Programs result in the qualification of Fellowship of the relevant Faculty, e.g. FAFOEM. Chapters The Adult Medicine Division of the College has three Chapters that support groups of practitioners working in the areas listed below. There are three Chapters attached to the Adult Medicine Division: Australasian Chapter of Addiction Medicine (AChAM) Australasian Chapter of Palliative Medicine (AChPM) Australasian Chapter of Sexual Health Medicine (AChSHM). Chapter Training Programs result in the qualification of Fellowship of the relevant Chapter, e.g. FAChAM. The Chapter of Community Child Health is attached to the Paediatrics & Child Health Division; however, there is no Chapter training pathway for Community Child Health. Training in this specialty field is directly obtained through the Paediatrics & Child Health Division. Specialty societies Specialty societies are medical/scientific societies that bring together research and clinical scientists and physicians who are actively involved in the study of a particular specialty, e.g. cardiology, geriatric medicine. Each society is run independently from the College. However, the College has formed partnerships with some specialty societies through the establishment of Specialty Training Committees (STCs) in Australia and Specialist Advisory Committees (SACs) in New Zealand for developing and supervising Advanced Training Programs for those specialty areas. Training programs supervised by STCs and SACs result in the qualification of FRACP, and are attached to one of the Divisions PREP Advanced Training in Public Health Medicine Program Requirements Handbook 6

7 College training programs The College is an accredited provider of specialist medical education for doctors who wish to practise as physicians or paediatricians. College trainees have completed their medical degree and an internship at a hospital, and undertake further training through the College in order to specialise in a certain area of medicine. The College offers Basic Training Programs under the following Divisions: Adult Medicine Paediatrics & Child Health The College offers Advanced Training Programs in the following specialty fields: Division Training Programs Cardiology Clinical genetics Clinical haematology Clinical immunology and allergy Clinical pharmacology Community child health Dermatology (New Zealand only) Endocrinology Gastroenterology General and acute care medicine General paediatrics Geriatric medicine Infectious diseases Medical oncology Neonatal/perinatal medicine Nephrology Neurology Nuclear medicine Palliative medicine Respiratory medicine Rheumatology Sleep medicine Faculty Training Programs Occupational and environmental medicine Public health medicine Rehabilitation medicine Chapter Training Programs Addiction medicine Palliative medicine Sexual health medicine Joint Training Programs The College also offers Joint Advanced Training between the Divisions and the following Colleges and Faculty: The Australasian College for Emergency Medicine (ACEM) o Paediatric emergency medicine The Royal College of Pathologists of Australasia (RCPA) o Endocrinology and chemical pathology o Haematology o Immunology /allergy o Infectious diseases and microbiology The Australasian Faculty of Rehabilitation Medicine (AFRM) o Paediatric rehabilitation medicine Entry eligibility, duration of training, program requirements and resulting qualifications for these programs can vary. For specific information on any of the College s training programs, please refer to the Program requirements section of the relevant PREP Program Requirements Handbook PREP Advanced Training in Public Health Medicine Program Requirements Handbook 7

8 Diagram 1 RACP Fellowship training A P Trainees must complete Basic Training in Adult Medicine to enter this program. Trainees must complete Basic Training in Paediatrics & Child Health to enter this program. * Alternative entry requirements exist for these training programs; please see the corresponding PREP Program Requirements Handbook for further information. # Trainees who have entered Advanced Training in Palliative Medicine via a RACP Basic Training Program will be awarded FRACP on completion and may subsequently be awarded FAChPM. Trainees who have NOT entered Advanced Training in Palliative Medicine via a RACP Basic Training Program will only be awarded FAChPM upon completion. Diagram 1 depicts the relationship between the various College training programs that lead to Fellowship and reinforces the link between initial medical training, post-graduate workplace experience, Basic/Advanced/Faculty/Chapter Training and continuing professional development. For further information on any of the above listed training programs, please see the corresponding PREP Program Requirements Handbook. NB: Diagram 1 only depicts training programs that lead to Fellowship. Please see the College website for additional RACP training programs PREP Advanced Training in Public Health Medicine Program Requirements Handbook 8

9 Principles of Physician Readiness for Expert Practice (PREP) Training The PREP Program is a comprehensive system of education incorporating Basic Training, Advanced Training and continuing professional development (CPD). Trainees and Fellows are supported throughout the process of lifelong learning by a range of learning strategies and tools. The key principles of the PREP training philosophy are: Supportive learning environment trainees are provided with a supportive educational framework that will guide them through a defined learning pathway. Trainee-centred, physician-led approach supervisors aim to foster a learning culture within each healthcare setting which allows trainees to tailor learning experiences to meet their individual needs. Reflective practice through enquiry and personal reflection, trainees develop skills for reflective practice necessary for continuous learning and professional practice. Diagram 2 The PREP framework 2014 PREP Advanced Training in Public Health Medicine Program Requirements Handbook 9

10 The PREP framework, as illustrated in Diagram 2, is made up of various elements, including: Curricula a curriculum specific to each training program outlines the broad concepts and learning objectives related to that program, and the Professional Qualities Curriculum explains the non-clinical knowledge, skills, attitudes and behaviours that all trainees and Fellows need to develop or have as part of their practice. Program requirements program requirements are the mandatory components of a training program that a trainee must complete in order to progress through training. They specify the required formative and summative assessments, teaching and learning activities, type and duration of training rotations/runs, course work, and other requirements such as the minimum duration of training. Accreditation of settings the process of evaluating the suitability and capability of a training setting to deliver a College training program. elearning environment (Portals) both trainees and supervisors are supported by the elearning environment, which provides easy access to relevant information, online learning tools and resources for each component of the PREP Program. Teaching and learning tools these are designed to support reflective practice and self-directed learning. These tools cater to a range of learning needs, styles and situations that may arise in workplace training. Assessments there are both formative and summative assessments within each program. Formative assessments are carried out as workplace-based assessments and do not require a pass. They provide a means for trainees to gain feedback and plan for future learning. Summative assessments require a pass for trainees to progress through the program. Supervision supervisors contribute significantly to a trainee s learning process by planning and facilitating the trainee s learning path, facilitating effective teaching and learning opportunities, and providing comprehensive and timely feedback on the trainee s progress and achievement of the curricula learning objectives. Certification of training certification of training is the process of verifying that a trainee has met the program requirements for annual progression and completion of training. Evaluation continually informs the development of the PREP Program. The College engages in regular, systemic evaluation of trainees satisfaction with training, learning experiences, quality and amount of supervision, professional support and career development PREP Advanced Training in Public Health Medicine Program Requirements Handbook 10

11 Advanced Training in Public Health Medicine The specialty of public health medicine The public health physician must have a sound knowledge of health and disease in populations. They may be a generalist with a broad understanding of many conditions and circumstances, or specialise in a particular area of public health medicine. The core functions of a public health physician s work include: to assess and monitor the health of communities and populations at risk to identify health problems, prioritise their importance and develop action plans to respond to major outbreaks of disease to formulate and advocate for public policies that address local and national health problems to advocate that all populations have access to appropriate and cost-effective care, including health promotion and disease prevention services, and to evaluate the effectiveness of that care. The public health physician negotiates with other sectors of the health profession to involve them in the determination of the appropriateness, utility, effectiveness and benefits to the community of health services, including public health initiatives and policies. Public health physicians evaluate population health or disease and their focus to sustain population health rests on work relevant to entire populations rather than the individual. Please refer to the Roles and responsibilities section for further information about the Faculty. Overview of Advanced Training in Public Health Medicine Advanced Training in Public Health Medicine provides trainees with experience in the practice of public health medicine in appropriately supervised and supported environments. Trainees acquire the knowledge, skills and attitudes of a public health physician by completing, with guidance from regional education coordinators, supervisors, and mentors, placement in a variety of public health activities. The program requirements for Advanced Training in Public Health Medicine are summarised below. For further details, please refer to the Program requirements section of this handbook. Pre-requisites The entry requirements for Advanced Training in Public Health Medicine are: A Master of Public Health degree (or equivalent degree) that satisfies the AFPHM compulsory core discipline areas OR Current enrolment in a Master of Public Health course at the time of application For trainees in Australia (including IMGs): Have general medical registration with the Medical Board of Australia. For trainees in New Zealand: Have general medical registration with the Medical Council of New Zealand (MCNZ) and a practising certificate. At least three years post graduate medical experience (which may include one year of full-time study toward a Master of Public Health (MPH) An approved public health training position. For more detail about the entry requirements, including information for overseas trained physicians versus international medical graduates, refer to the Eligibility and how to apply for Advanced Training in Public Health Medicine section of this handbook PREP Advanced Training in Public Health Medicine Program Requirements Handbook 11

12 Duration Trainees are required to complete 36 units of certified training (one unit is equivalent to one month of FTE training). Structure and content The training program is delivered through the workplace and the content is defined by the learning objectives outlined in the Public Health Medicine Advanced Training Curriculum. Workplace-based learning is supported by learning sessions that are delivered off-the-job. To cover the broad areas of the Curriculum, the trainee is encouraged to seek a range of training opportunities. This may be achieved in many ways including formal rotations, secondments, or through seeking varied employment posts during the course of training. Supervision A Regional Education Coordinator for each state/jurisdiction will oversee the trainee s work experiences. In addition, the trainee is required to have: a minimum of one supervisor per public health training post a minimum of one mentor over the course of their training experience. Qualification Fellowship of the Australasian Faculty of Public Health Medicine (FAFPHM). Competencies expected at the completion of training At the completion of training, it is expected that a new Fellow will have developed the competencies outlined in the Public Health Medicine Advanced Training Curriculum. The Curriculum contains a list of the learning objectives and the level of attainment expected. Each of these objectives is further grouped into themes, and the themes classified within six broad domains. In summary, the six broad domains of the Curriculum are: General professional practice Cultural competency Information, research & evaluation Policy Health promotion and disease prevention Health sector advocacy, development, & management. Supervision A Regional Education Coordinator for each state/jurisdiction will oversee the trainee s work experiences. In addition, the trainee is required to have: a minimum of one supervisor per public health training post a minimum of one mentor over the course of their training experience. Qualification Fellowship of the Australasian Faculty of Public Health Medicine (FAFPHM) PREP Advanced Training in Public Health Medicine Program Requirements Handbook 12

13 Overview of training requirements in 2014 Training program content Public Health Medicine Advanced Training Curriculum Supervision requirements For each period of training, trainees must have: A supervisor with FAFPHM (if workplace supervisor does not have FAFPHM there must be a FAFPHM co-supervisor) A mentor with FAFPHM (unless special dispensation from Faculty Education Committee). Teaching and learning requirements and assessments To obtain Fellowship, trainees must complete: 36 units of training All teaching and learning requirements and assessments (formative and summative) for the training period as listed below. For each 12-month training period, trainees: Must complete the following teaching and learning requirements: o 1 Learning Contract per training post or rotation (at least one each 12-month training period) Should attend the following teaching and learning opportunities: o Annual National Training Day (recommended, not compulsory) o AFPHM videoconferences (recommended, not compulsory) Must complete the following formative assessments: o 1 Learning Contract Report for each Learning Contract In order to complete the training program, trainees must also complete the following over the course of the entire training program: Formative assessments: o 1 formative Oral Presentation Assessment o 1 Direct Observation of Practical Professional Skills (DOPPS) assessment Summative assessments: o 2 summative Oral Presentation Assessments o 3 Workplace Reports o 1 Final Oral Examination* *In order to sit their Final Oral Examination, trainees: Must have completed the following teaching and learning requirements: o At least 29 units of training by 1 December of the year of the exam o Submission of a training summary prior to the examination Must have completed the following formative assessments: o 1 formative Oral Presentation Assessment o At least 1 Direct Observation of Practical Professional Skills (DOPPS) assessment Must have completed the following summative assessments: o At least 1 summative Oral Presentation Assessment o At least 2 satisfactory Workplace Reports o Current medical registration equivalent to eligibility requirements for entering the training program IMPORTANT NOTE: The same certification requirements apply to both full-time and part-time trainees. For more information refer to the RACP Flexible Training Policy, available on the College website PREP Advanced Training in Public Health Medicine Program Requirements Handbook 13

14 Important dates in February January June Learning Contract for new trainees commencing on 1 January due Learning Contract for current trainees due (first deadline for submission) Learning Contract Report for previous training period for current trainees due (first deadline for submission) 1 April Eligibility to Join the Advanced Training Program form for new trainees wishing to commence training on 1 July due 15 May Application for commencement of Advanced Training form for new trainees wishing to commence training on 1 July due 31 July July December Advice to Faculty Office of intention to sit Final Oral Examination due (in writing, s accepted) 31 August Learning Contract for new trainees commencing on 1 July due Learning Contract for current trainees due (second deadline for submission) Learning Contract Report for previous training period for current trainees due (second deadline for submission) Payment of Final Oral Examination Fee due 1 October Eligibility to Join the Advanced Training Program form for new trainees wishing to commence training on 1 January 2015 due Mid-October Training Summary and any outstanding reports for trainees sitting the exam, due Mid-November Final Oral Examination 15 November Application for commencement of Advanced Training form for new trainees wishing to commence training on 1 January 2015 Please refer to the Eligibility and how to apply for Advanced Training in Public Health Medicine and the Program requirements sections of this handbook for further information. For information on submission dates for Workplace Reports, see the Assessment section of this handbook PREP Advanced Training in Public Health Medicine Program Requirements Handbook 14

15 Meeting training requirements Trainees should refer to the Overview of Training Requirements in 2014 for an overview of training requirements across the spectrum of Advanced Training in Public Health Medicine. Please also refer to the section on Progression through training in this handbook for a more detailed explanation of the impact on training if these requirements are not met. It is a requirement for trainees to complete a certain number of assessments (both formative and summative) by the end of their training period, however the Assessment Subcommittee recommends that trainees complete assessment requirements regularly across their training period. If trainees leave submission of assessments until the end of their training period it may impact on their ability to obtain Fellowship as there is a time limit to complete all training programs (refer to the Flexible Training Policy and the Duration of training section in this handbook for more information). The following table has been developed by the Assessment Subcommittee as a guide for trainees on how best to structure their assessments over the course of their training. Recommended timeline for completing assessments in PREP Advanced Training in Public Health Medicine 2014 Formative assessment Summative assessment One Oral Presentation Assessment (suggest completed in first year) One Direct Observation of Practical Professional Skills Two Oral Presentation Assessments (one per year in the second and third years) Units 0 12 (Training Year 1) Units (Training Year 2) Units (Training Year 3) Three Workplace Reports (one in each year) 2014 PREP Advanced Training in Public Health Medicine Program Requirements Handbook 15

16 Eligibility and entry into Advanced Training Advanced Training in Public Health Medicine has a two point entry system, with commencement of training on 1 January and 1 July each year. Please refer to the Important Dates in 2014 for required submission dates for entry forms described below. 1. Applicants should complete the Eligibility to Join the Advanced Training Program form and forward to the Public Health Medicine Faculty Office. Applicants should first ensure that they meet the eligibility requirements; if in doubt, please contact the Faculty Office before proceeding to the next step. Applicants will be asked to map their Master of Public Health course content against the Faculty s core discipline areas and will need to provide sufficient evidence to make the case for eligibility in the five areas. For completed courses, a copy of an official academic transcript of results is required. For courses in progress, a transcript of completed subjects and evidence of enrolment is required. These applications are considered by the Faculty Education Committee and it is the applicant s responsibility to ensure they provide all requested evidence on the approved form, as the Committee will base their decision on what has been provided by the applicant. The form will be assessed by the Committee to confirm whether the contents of the completed or proposed Master of Public Health program meet the Faculty s requirements. The applicant will be notified by the Faculty if their eligibility is approved, not approved, or whether any additional study required in specific areas. NB: It is the trainee s responsibility to organise the timely submission of all necessary and complete documentation. Applications will not be considered complete without all required information. 2. Once accepted to enter Advanced Training the successful applicant should contact the Regional Education Coordinator (REC) in their jurisdiction to discuss suitable training positions/posts and appropriate supervisors and mentors. If the site is not already accredited for public health medicine training, it will need to be included for consideration in the next accreditation round coordinated by the Faculty. 3. Once the trainee has applied for and been accepted for a position, they complete an Application to Commence Advanced Training form, and forward to the Public Health Medicine Faculty Office with the nominated application fee. All these forms are available on the AFPHM website, or by contacting the Faculty directly. Application for approval of Advanced Training Programs Applicants must apply for approval of the proposed training period through submission of at least one Learning Contract per 12 months. Learning Contracts must be submitted via to the College by the relevant date (please refer to Important Dates in 2014). Ideally trainees should try to align their training periods as close as possible to one or both of the two submission dates so that the Learning Contract can be completed soon after starting a new training. It is the trainee s responsibility to organise the timely submission of all necessary documentation. Following application, the Committee will consider the Learning Contract and decide if the training period is approved. This decision will then be communicated to the trainee via . Upon approval of training, trainees will be prompted to pay their training fees. Trainees should refer to the Progression Through Training Policy on the College website for further information on applying for approval of Advanced Training PREP Advanced Training in Public Health Medicine Program Requirements Handbook 16

17 Advanced Training positions The Faculty does not offer or arrange training positions or posts for trainees. Applicants must independently secure employment in a public health medicine position/post in an approved public health medicine training site and then apply to the Faculty to undertake their training program in that position. Local Regional Education Coordinators will be aware of positions available or potentially available in their jurisdiction and will be able to provide guidance to trainees. Accreditation of all current Advanced Training in Public Health Medicine sites supporting AFPHM trainee positions/posts is currently underway. Any new proposed public health site at which a trainee nominates to undertake his/her training must apply for and receive accreditation from the AFPHM Accreditation subcommittee prior to the site being approved for training. Training and assessment fees Training fees contribute to funding essential services including: elearning materials accreditation of training settings approval, review and certification of training regular review and monitoring of program requirements training portals for recording educational activities new forms of workplace-based assessment the provision of support for trainees and supervisors, including onsite support facilitation of trainee and supervisor input into the development and evaluation of the College s training programs development of education policies training and other resources for supervisors. The current training fees can be found on the College website PREP Advanced Training in Public Health Medicine Program Requirements Handbook 17

18 Curriculum Relevant curriculum The Public Health Medicine Advanced Training Curriculum outlines the broad concepts, and the learning objectives relevant to the attainment of the competencies and associated theoretical knowledge, skills, attitudes and behaviours needed by public health physicians within Australia and New Zealand. The Public Health Medicine Advanced Training Curriculum should be used to: guide public health medicine trainees, supervisors, assessors and others in the competencies that should be developed during training assist public health physicians to identify the competencies they should maintain and develop for practising public health medicine in their particular work settings indicate to potential employers and other groups the range of competencies they can expect from trainees and Fellows of the AFPHM. Attaining competency to an appropriate level in all aspects of the Curriculum is expected to take three years full-time equivalent of training. It is expected that all teaching, learning and assessment associated with the Curriculum will be undertaken in the context of the public health physician s everyday practice and will accommodate discipline-specific contexts and practices as required. As such, it will need to be implemented within the reality of current workplace and workforce issues and the needs of health service provision. The competencies that need to be achieved during training are outlined in the learning objectives of the Curriculum. Details of the competencies are defined in the elements of competence under each learning objective. There may be learning objectives that overlap with or could easily relate to other domains within the Curriculum; however, to avoid repetition, these have been assigned to only one domain. The Public Health Medicine Advanced Training Curriculum can be found on the AFPHM website PREP Advanced Training in Public Health Medicine Program Requirements Handbook 18

19 Program requirements Program requirements are the components of a training program that a trainee must complete in order to progress through training. Mandatory program requirements are linked to certification of training, both annually and in determining completion of training. Program requirements are made up of formative and summative assessments; teaching and learning activities; and other requirements, such as the minimum duration of training. The Faculty Education Committee and relevant subcommittees will regularly evaluate their training requirements to ensure that they are in line with educational best practice. Requirements will be published and communicated annually. Changes to the training program that may substantially impact a trainee s plan for training will be implemented following an extended period of notice. It is the responsibility of the trainee to ensure that they are following the correct guidelines. Annual certification of training For details regarding certification of and progression through training, please refer to the Progression Through Training Policy, available on the College website. Upon completion of each prospectively approved period of training, the Teaching and Learning subcommittee considers each trainee s progress according to yearly requirements, including submission of a Learning Contract Report withing four weeks of that training period, and satisfactory completion of the summative and formative requirements. If training requirements are not met during that year of training, neither the units nor the formative or summative assessments completed during that year can be certified. Please refer to the ProgressionThrough Training Policy for further information. Progression to Fellowship is conditional upon completing all requirements for Advanced Training in Public Health Medicine (please refer to Overview of Advanced Training in 2014). If the outcome of all assessments is not satisfactory by the end of the training period, the trainee should apply to the Faculty Education Committee for an extension to attempt the assessment again. If the trainee has completed 36 units of training but not passed all of their assessments, they would not be required to extend their training period; however they would not be able to progress to Fellowship without meeting all of the training requirements. Trainees are strongly encouraged to complete assessment requirements regularly across their training period (refer to Important dates in 2014 for recommended timeline to complete assessments). AFPHM trainees should note that it is a condition of training that trainees must maintain current medical registration for the duration of the Advanced Training Program. Duration of training Trainees are required to complete a minimum of 36 units of certified Advanced Training in Public Health Medicine. At a full-time training load, a trainee could complete 12 units per year, and therefore it would take three years to complete the training. For details regarding leave entitlements, part-time training, interrupted training and time limits for completing training, flexible training options, trainees should refer to the Flexible Training Policy, available on the College website PREP Advanced Training in Public Health Medicine Program Requirements Handbook 19

20 Training positions The Advanced Training in Public Health Medicine Program does not have specified core or non-core training, or formal rotations. Rather, trainees are required to find one or more approved training positions over the course of their training that provide exposure to training opportunities that span the curriculum. Trainees may be employed at an individual training position, meaning that they are based at one primary or base location for the entire placement. In this situation, the trainee may be required to travel to other locations to participate in learning opportunities and/or service provision. Typically, a trainee will have one overarching supervisor for the entire placement. Trainees may be employed in a network training position, meaning that they are based at one location for a set period of time (minimum of three months), and at the end of this period they rotate to another facility or work location. In some cases, but not all, the trainee may have a different supervisor for each rotation. For further information about the required supervision during training, please refer to Roles and responsibilities, and for further information on accredited settings for training, please refer to Accreditation of training positions. Clinical or laboratory work during training The Faculty recognises that some training positions may require a certain amount of clinical and/or laboratory work. This may be necessary on a week-to-week basis, or may consist of brief periods of full-time work (for example, as part of a research initiative). This work, in the judgment of the Regional Education Coordinator, must relate qualitatively to the public health work of the trainee. Clinical and/or laboratory work during Advanced Training may comprise: no more than one third of each working week over the three years of training (if the amount of clinical and/or laboratory work exceeds this limit, public health training will be regarded as conducted on a parttime basis, the proportional rate being at the discretion of the Regional Education Coordinator) OR limited periods of more than one-third of the working week for special projects or research initiatives; in such cases, the maximum period permitted of greater than one-third clinical and/or laboratory work per week is one month. Over the course of three years of training, clinical and/or laboratory work may not exceed a total of 12 months. Applicants and trainees seeking to include clinical or laboratory work in their training programs must provide details of this experience in their application forms and obtain prospective accreditation from their Regional Committee. Teaching and learning activities PREP teaching and learning activities are designed to support reflective practice and self-directed learning. A variety of teaching and learning activities are used throughout PREP training. These activities cater to a range of learning needs, styles and situations that may arise in workplace training and aim to facilitate learning and enhance the attainment of desired learning outcomes. For Advanced Training in Public Health Medicine in 2014, trainees are required to complete the following teaching and learning activities: Learning Contract (at least one required per 12 months of training) Attendance at National Training Days (highly recommended) Trainee videoconferencing (highly recommended) PREP Advanced Training in Public Health Medicine Program Requirements Handbook 20

21 Description of teaching and learning activities Learning Contract Modality Workplace-based and summarises the negotiated projects and activities that will contribute to learning outcomes in a given period of training Frequency At least one required per 12 months of training Timing There are two deadlines for when Learning Contracts can be submitted to the Faculty for review, these are the 28 th February and/or the 31 st August. Trainees should attempt to align their training periods to coincide with one of these deadlines so that the learning contract is completed as early as possible in the training period. Description A Learning Contract is written by the trainee at the commencement of a period of training at least annually and includes a description of professional roles, activities and projects that will be carried out in that period and their links to the competencies of the Public Health Medicine Advanced Training Curriculum. It is a negotiated document, drawn up through consultation between an Advanced Trainee in Public Health Medicine and his/her supervisor who is familiar with the workplace learning opportunities. All Advanced Trainees in Public Health Medicine must complete a Learning Contract within the early weeks of commencing the period of training, giving them time to scope out this learning plan. If possible, Advanced Trainees in Public Health Medicine trainees should begin negotiating a Learning Contract with their supervisor as soon as the position is confirmed (even before actual commencement of employment). The Learning Contract covers a maximum period of 12-months training and documents the learning outcomes that are agreed upon by both parties for the period of training to ensure the training curriculum is being addressed. For trainees who rotate placements or move to a new position, apart from notifying the Faculty, the current Learning Contract must be signed off (see Learning Contract Report under formative assessments) and a new Learning Contract developed. The document, once finalised through a review process between the trainee and supervisor, is submitted to the Teaching & Learning subcommittee for endorsement/advice. In most cases trainees adhere to the plans set out in their original signed Learning Contract, but it is expected that it is used as a live document to monitor progress and minor modifications are expected to be made as projects and activities unfold. Please note: For each new period of training (at least once a year), a new Learning Contract needs to be drawn up and approved by the relevant supervisor. Information and training resources For current Learning Contract information and template, go to the AFPHM Application & Training Forms website. National Training Days Modality Interactive presentations Frequency Offered once per year; highly recommended but not compulsory Timing Two full days Description The AFPHM trainee National Training Days consist of several workshop sessions presented over one to two days. They feature a number of interactive workshops on identified public health topics and associated competencies that may not be readily available in some work place settings. This event is a non-compulsory but highly recommended component of training as it supports workplacebased learning and competency attainment PREP Advanced Training in Public Health Medicine Program Requirements Handbook 21

22 Trainee videoconferencing Modality Expert speaker presentations Frequency Approximately 10 to 11 per year; highly recommended but not compulsory Timing 90 minutes per session Description AFPHM trainee videoconferencing features sessions of 'expert' speakers presenting alongside a Faculty trainee on a range of public health topics. Each session is up to 90 minutes in length. These are available for all public health medicine trainees. Although a non-compulsory component of training, participation is highly recommended, especially for those trainees in rural or more isolated regions of Australia or New Zealand. These videoconferences support workplace-based learning and competency attainment. Supervisors and mentors are also encouraged to attend PREP Advanced Training in Public Health Medicine Program Requirements Handbook 22

23 Assessments Advanced Trainees in Public Health Medicine are required to complete both formative and summative assessments during each year of training. Formative assessments provide a means for trainees to gain feedback and inform their future learning, whilst completion of summative assessments is necessary for trainees to progress to the next stage of training. The workplace-based formative assessments for PREP Advanced Training have been selected in relation to educational best practice, and in the interest of achieving consistency across all College education programs. For Advanced Training in Public Health Medicine, trainees are required to complete the following assessments: Formative assessments: Learning Contract Report (minimum one per 12 months of training) Training Summary (one at the end of training, prior to sitting the Final Oral Examination) Oral Presentation Assessment (one over the entire training period) Direct Observation of Practical Professional Skills (one over the entire training period). Summative assessments: Workplace Reports (three over the entire training period) Oral Presentation Assessment (two over the entire training period) Final Oral Examination (one at the end of training) PREP Advanced Training in Public Health Medicine Program Requirements Handbook 23

24 Description of formative assessments Learning Contract Report Modality Review of learning outcomes associated with the projects and activities undertaken in the placement Frequency Once per year of training (minimum) Timing Completed and submitted within four weeks of the end of each prospectively approved training period. Description A Learning Contract Report is completed by the trainee towards the end of each training period (at least annually). This report summarises all the activities and projects the trainee actually undertook during that period, in reference to those planned in the trainee s Learning Contract at the beginning of the period (see Teaching and learning activities). It details the outcomes of these activities and examines how they link to the learning objectives outlined in the Public Health Medicine Advanced Training Curriculum. The Learning Contract Report includes: a retrospective account of the professional roles, activities and projects that link to the learning objectives of the Curriculum outputs from the projects which demonstrate progress across competencies training and conferences attended reflection on the training period by trainee and supervisor submission dates and any known outcomes from assessments and teaching and learning requirements completed during that time period signatures of both the trainee and supervisor. The Learning Contract Report must be submitted to the Teaching & Learning subcommittee for endorsement. Progression to the next year of training is confirmed by the Teaching & Learning subcommittee, and the trainee will be notified in writing of the outcome. The Learning Contract Report includes a summary of competencies by both project/activity and period of training, forming an accumulative record of competencies addressed throughout training. Therefore it is useful for planning subsequent learning contracts to address learning needs. Information and training resources For current Learning Contract information and template, go to the AFPHM Applications & Training Forms webpage. Training summary Modality Summary of positions held and their responsibilities Frequency One for the entire training period Timing Prior to presentation for the Final Oral Exam Description The training summary is completed on a prescribed template and provides an overview across the entire training period of positions held and the main tasks and responsibilities for each. It provides a guide to examiners for the allocation of questions in the Final Oral Examination. It is a compulsory requirement of the training program and for examination. Information and training resources Download Training Summary template from the AFPHM Assessments webpage PREP Advanced Training in Public Health Medicine Program Requirements Handbook 24

25 Oral Presentation Assessment Modality Oral presentation on a public health topic Frequency Once over the course of training required, additional as desired Timing It is recommended that it is completed in the first year or equivalent of training Description The Oral Presentation Assessment is an assessment of an organised oral presentation of at least 10 minutes duration with additional time (a minimum of five minutes) set aside for questions/discussion, delivered by the trainee to an audience and assessed by two AFPHM Fellows. The assessors provide feedback to the trainee about their strengths and areas for improvement directly following the presentation. Public health physicians are required to make oral presentations within a variety of settings, from presenting a research paper at a conference to addressing a public meeting about a contentious public health issue. The Oral Presentation Assessment is designed to provide an opportunity for practice that aligns with these professional demands, as well as assess learning objective of the Public Health Medicine Advanced Training Curriculum: communicate effectively through oral discussion and presentations. Information and training resources Go to the AFPHM Advanced Training Portal (Online Tools) for the following information: Oral Presentation guidelines Oral Presentaion Assessment Form Frequently asked questions Direct Observation of Practical Professional Skills (DOPPS) Modality Observation of public health work in action Frequency Once over the course of training Timing It is recommended that one is completed in second or third year (or equivalent) of training Description The Direct Observation of Practical Professional Skills provides an opportunity for trainees to receive practice and feedback on commonly required practical skills in public health. The type of work that may be suitable for assessment include chairing a meeting, speaking at a community forum, conducting an environmental audit, or a site inspection, or doing a media interview. Information and training resources See Online Tools (via AFPHM Advanced Training Portal) or contact the AFPHM office 2014 PREP Advanced Training in Public Health Medicine Program Requirements Handbook 25

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