Medical Careers WAyfinding

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2 Medical Careers WAyfinding

3 Foreword Welcome to the 2016 Medical Careers Expo. This booklet brings together information on postgraduate and vocational training options. We know that your choice of career within medicine is important. There are many paths you can explore during your postgraduate career that will help you establish your long term goals and set your direction for the future. WAyfinding aims to assist you in a number of ways. The landscape of medical employment is changing rapidly and we are now seeing a very competitive jobs market for junior doctors in Australia. While the State government currently guarantees that all domestic graduates of WA Medical Schools receive an offer of an internship, there is no guarantee of ongoing employment once this is completed. As a junior doctor it is important to be well prepared for future employment and training so that you can maximise your opportunities. Understanding the specialist workforce and in particular, areas of medicine that may face impending shortfalls can give you the edge. The Careers Expo will provide you with the opportunity to speak directly with colleagues in most disciplines, and to hear presentations on broad career options. Use this chance to get expert advice on career direction and progression pathways. I wish you every success with your medical career. Prof. Richard Tarala B.Sc. MB,Ch.B, FRCP, FRCPE, FRACP, DMedEd Chair, Postgraduate Medical Council of Western Australia 3

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5 Contents Foreword 3 Postgraduate Medical Council of Western Australia 6 Australian and New Zealand College of Anaesthetists 10 Australasian College of Dermatologists 14 Australasian College for Emergency Medicine 16 College of Intensive Care Medicine of Australia and New 20 Zealand General Practice Western Australia 22 Royal Australasian College of Medical Administrators 26 Royal Australasian College of Physicians 28 Adult Medicine and Paediatrics and Child Health Royal Australasian College of Surgeons 32 Royal Australian and New Zealand College of Obstetricians and 36 Gynaecologists Royal Australian and New Zealand College of Ophthalmologists 38 Royal Australian and New Zealand College of Psychiatrists 42 Royal Australian and New Zealand College of Radiologists 44 Royal College of Pathologists of Australasia 46 5

6 Postgraduate Medical Council of Western Australia Introduction The Postgraduate Medical Council of Western Australia (PMCWA) was established in 2003 to promote, support and provide leadership for postgraduate medical education and training in Western Australia (WA). PMCWA facilitates a number of committees including: Accreditation and Standards, Council, Executive and Education. PMCWA also attends and supports the Junior Medical Officer Forum (JMO) and Medical Education Officer (MEO) Network Group. Accreditation and Standards PMCWA accredits intern training programs on behalf of the Australian Medical Council (AMC). PMCWA also accredits resident medical officer (RMO) or postgraduate year (PGY) 2+ training for the Department of Health and other bodies such as the Ramsay Health Care and St John of God groups. Accreditation of health services ensures that prevocational doctors can meet the objectives of their training by receiving sufficient experience, education and training, supervision and support, assessment and evaluation, in a safe working environment. Education The Education Committee is responsible for the identification, evaluation and monitoring of education and training programs for prevocational and other non-vocational doctors. Education programs include: Educational events (including the annual Medical Education Symposium and Medical Careers Expo); Free professional development for prevocational doctors and medical educators; Support for JMO Forum projects and national initiatives; WA JMO and Clinical Educator of the year awards (winners are entered in the national Confederation of Postgraduate Medical Education Councils award program); MEO Network and JMO Forum Secretariat. Medical Careers WAyfinding

7 Centralised Recruitment PMCWA is the central coordinating body for intern and RMO recruitment across WA Health. This process provides: A single online application; Information for applicants; Support for health services; Central allocation of applications to the health services or hospitals (recruitment processes are the sole responsibility of the assessing health service or hospital). Important Dates Intern Application Dates Applications open: 9 May 2016 Applications close: 3 June 2016 First offer period opens: 11 July 2016 RMO Application Dates Applications open: 16 May 2016 Applications close: 8 June 2016 KEMH/PMH/WACHS offers commence: 18 July 2016 All other Health service offers commence: 9 August 2016 Useful Links PMCWA homepage: PMCWA Facebook: JMO Survival Guide: uide.pdf JMO Health and Well-Being Guide: alth%20and%20well-being%20guide.pdf Australian Curriculum Framework: 7

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10 Australian and New Zealand College of Anaesthetists Introduction Anaesthetists have to be good all-round doctors. They have a major role in the perioperative care of surgical patients and are closely involved in several other important fields. One appeal of the specialty is the way in which physiological and pharmacological manipulations can be used for the benefit of patients presenting with a variety of conditions. Another is the application of knowledge and skills of both medical and surgical conditions to optimise patient care. Associated areas include the care of the very sick in intensive care (critical care) medicine and management of acute and chronic pain (pain medicine). Clinical anaesthesia is built on knowledge of physiology and pharmacology, and their application to the ways in which patient responses are altered by their state of health, as well as the various changes due to surgery and anaesthesia. The understanding and manipulation of these fundamental principles is part of the anaesthetist s work. Relief of pain and suffering is central to the practice of anaesthesia: to facilitate surgery and uncomfortable procedures, to aid with recovery after surgery, to administer pain relief in childbirth, and to care for those with acute and chronic pain. Close and empathetic patient contact and interaction is an integral part of anaesthesia practice. Anaesthetists work with a variety of other specialists as well as nursing and allied health practitioners. Anaesthetists may develop special interests in areas such as anaesthesia for paediatrics, obstetrics, orthopaedics, otorhinolaryngology, gynaecology, neurosurgery, cardiovascular and thoracic surgery, trauma management, respiratory medicine, hyperbaric medicine, intensive care medicine, pain medicine, ophthalmology, urology, and vascular and plastic surgery. There are also many opportunities for teaching and research. In recent years, there have been many advances in anaesthesia. It has become safer and more sophisticated with the development of imaging techniques and computer technology and the advent of drugs with fewer side effects. Advances in anaesthesia have made more complex surgery possible. The specialty is progressively challenged by the ageing Medical Careers WAyfinding

11 population, where patients present with medical conditions of increasing incidence and severity. The growing obesity problem also poses challenges for the specialty. Training During the first 26 weeks of training, trainees must successfully complete an Introductory Assessment of Anaesthetic Competence (IAAC) before being eligible to move into basic training. Once progression to basic training has been approved, in addition to ongoing core anaesthetic training, experience can be gained in any of the 12 specialised study units (SSUs) within the curriculum, these are: head and neck, ear, nose and throat (ENT), dental and ECT, ophthalmic procedures, neurosurgery and neuroradiology, general surgical, urological, gynaecological and endoscopic procedures, thoracic surgery, cardiac surgery and interventional cardiology, obstetric anaesthesia and analgesia, vascular surgery and interventional, radiology, orthopaedic surgery, intensive care, paediatric anaesthesia, plastic, reconstructive and burns surgery. All SSUs must be completed during Basic and Advanced Training, before trainees can progress to Provisional Fellowship Training. During the Provisional Fellowship trainees may focus on broadening their existing experience and/or undertaking scholarly research. In addition to meeting the requirements for clinical anaesthesia training there are two exams, the first part exam is focused on the knowledge of basic sciences and their application to anaesthesia. The final exam covers all aspects of anaesthesia for a general anaesthetist. The entire training program can be completed in five years. Completion of training results in the award of the Diploma of Fellowship of the Australian and New Zealand College of Anaesthetists (FANZCA) and recognition as a specialist anaesthetist. Training in anaesthesia can be associated with training in intensive care and pain medicine. Within the College, the Faculty of Pain Medicine is responsible for training in pain medicine. The College of Intensive Care Medicine of Australia and New Zealand is responsible for training in intensive care medicine. How to Apply The applicant must meet the Australian and New Zealand College of Anaesthetists (ANZCA) requirements for entering training (see overleaf). The application process consists of a written application addressing the selection criteria, a cover letter, your CV and the contact details for three 11

12 referees. Based upon this application potential trainees are short listed and these applicants are required to attend a face to face interview, presentation and simulation based assessment. Successful candidates are selected to a pool from which positions on the WA rotational anaesthetic training scheme are allocated. General information regarding the selection process can be found on the ANZCA website and specific information on the WA process is on the WA ANZCA website. Admission Requirements After graduating from medical school, candidates are required to complete at least 24 months of eligible prevocational medical education and training (PMET), also known as PGY1 and PGY2. Candidates must complete PMET prior to commencing approved vocational training in anaesthesia. This ensures a good grounding in general medicine and disciplines other than anaesthesia. When reviewing the 24 months PMET experience, the College will recognise a maximum of 12 months in anaesthesia, pain medicine and/or intensive care. Many successful applicants for training positions have additional experience, after completing 24 months PMET, often in anaesthesia and intensive care medicine. Important Dates Advertisement of positions: early June Closure of applications: ~ early July Offers for interview/simulation component of selection process for short listed candidates: ~ early to mid-august Interview/presentation/simulation: ~ mid-august to early September Outcome of selection process: ~ 2 weeks later Costs of Training (for 2016) Application fee: $670 Trainee registration fee: $2,173 Annual training fee: $2,939 Primary exam fee: $4,929 Final examination fee: $5,481 Medical Careers WAyfinding

13 Recommended Courses ILS and ALS course Critical care courses Teaching courses (e.g. teaching on the run) Courses relevant to your interests (e.g. perioperative medicine, pain management) Useful Links ANZCA: WA ANZCA: Contact Details ANZCA Training and Assessment Unit ANZCA House 630 St Kilda Road Melbourne VIC 3004 Phone: (03) Fax: (03)

14 Australasian College of Dermatologists Introduction Dermatology is the study of all aspects of the skin and its appendages. A Dermatologist has a wide range of medical and surgical expertise in the treatment of patients of all ages. Specific interests can be developed in numerous sub-specialty areas, such as general medical dermatology, paediatric dermatology, surgical dermatology and cosmetic dermatology including the use of lasers, injectables and other physical modalities. Dermatologists are in great demand throughout Australia. Qualification as a Dermatologist enables great job satisfaction by significantly contributing to the community. Training To become a Dermatologist it is necessary to complete a specified program of medical training. The training program is administered by the Australasian College of Dermatologists. This is the only organisation accredited to train and assess Dermatologists in Australia. Dermatology is a highly sought after specialty. As a consequence, selection for the limited positions is very competitive. Successful applicants will best demonstrate that they have the skills, abilities, competencies and personal qualities that allow them to achieve the learning outcomes of the training program and become valuable Dermatologists. The selection process is standardised, open, transparent and accountable. It involves short-listing based on information provided both in application forms and from verbal referees' reports. Shortlisted applicants will be subsequently interviewed. The number of positions is variable each year. It depends on Government funding for positions in both public and private institutions, the number of trainees who complete the training program and various other factors. Consequently, the probability of a successful application is not reliably predictable when it is received. The training program is nationally standardised. The two states in which the applicant most desires a training position are sought as part of the application process. The programme and its assessments ensure a thorough and comprehensive training in all areas of Dermatology. Medical Careers WAyfinding

15 How to Apply and Admission Requirements Applicants must have completed a medical degree registrable in Australia and at least two years (PGY 1 and PGY 2 accredited positions) acceptable training in a teaching hospital or equivalent. The program is open only to registered medical practitioners who have resident status in Australia. Applications open in February (for the following year) and the usual closing date is 31 March. There is an application fee of $1,600. All applications are received via a form on the Australasian College of Dermatologists website. Other supporting documentation required is also detailed on the website. Important Dates Applications must be received, with all the required documentation, by 31 March each year. Costs of Training There is an application fee of $1,600. There is an annual subscription applicable to trainees and to Fellows, this is subject to change each year. There is also a fee applicable to exam candidates to cover the College costs of administering these. Recommended Courses No specific courses are recommended. A broad range of clinical, teaching and research experience will be desirable in applicants. Useful Links Contact Details Australasian College of Dermatologists PO Box 3785 Rhodes NSW 2138 Phone: (02)

16 Australasian College for Emergency Medicine Introduction Emergency Physicians are true acute generalists, with specialist skills in resuscitation, trauma and diagnosis in the acute phase of illness. With a strong belief in evidence-based medicine and a wide range of procedural and technical skills, Emergency Physicians provide care for patients in all age groups, with various pathologies and coordinate their acute care within the health system. Emergency Medicine is a high-intensity, diverse and stimulating specialty in which to work. It requires decisiveness, teamwork, resilience and excellent interpersonal skills, as well as a breadth of knowledge across all facets of medicine. Training The Emergency Medicine Specialist Training program is a specialist medical course for medical clinicians wishing to pursue a career in Emergency Medicine. Successful completion qualifies for independent practice as a consultant in Emergency Medicine in Australia and New Zealand and awards Fellowship. Doctors can undertake Emergency Medicine training from a wide variety of backgrounds and prior experience. To be eligible to enter the Emergency Medicine Specialist Training program you must prove: Successful completion of a medical degree Successful completion of 24 months prevocational training Current general registration as a medical practitioner in Australia or New Zealand. The training program is divided into two stages: Provisional and Advanced Training, during which trainees will work in both emergency and nonemergency posts. The program structure is outlined on the next page. Medical Careers WAyfinding

17 Provisional Training Advanced Training As outlined above, Advanced Training is of at least four years duration, comprising 30 months in approved Emergency Departments, and 18 months in approved non-emergency posts. There is a lot of flexibility in what non-ed posts can be undertaken (interesting examples include hyperbaric medicine, Royal Flying Doctor Service, Forensic Medicine, Toxicology), but must include at least six months of anaesthesia or 17

18 intensive care medicine. A minimum paediatric training requirement is also included, as is a research component, which can be a research project or completion of specified university-based research/statistics units. The fellowship examination is an exit examination that is taken during the final year of training. Dual training programs for combined qualifications in intensive care or paediatrics are available. Emergency Physicians may also sub-specialise in a number of areas, including Toxicology, Ultrasound, Disaster Medicine, Retrieval Medicine, Trauma, Hyperbaric Medicine, Paediatrics, Teaching, Research, Administration and Public Health. Timeframe for training completion Australasian College for Emergency Medicine (ACEM) trainees have an overall 12-year period to complete the Emergency Specialist Training Program and achieve Election to Fellowship from the date of commencement of training. Please note: Maximum of five years may be taken to progress from Provisional to Advanced Training. Maximum of ten years may be taken to election to Fellowship (time period will be reduced if more than two years are spent in Provisional Training). Flexibility The ACEM specialist program may be conducted part-time. Minimal on-call and standard working hours support a good worklife balance. Some training may be taken overseas. How to Apply The application process involves an interview and submission of an application to ACEM. The details of the registration process are well described on the ACEM website. Important Dates Registration may be submitted at any time. Appropriate methods of delivery are by post, courier or personal delivery; faxed or ed applications are not acceptable. Costs of Training The cost of training and other training details are available on the ACEM website. Medical Careers WAyfinding

19 Certificate and Diploma Courses The Emergency Medicine Certificate (EMC) and Emergency Medicine Diploma (EMD) are aimed at providing doctors working in Emergency Departments with adequate knowledge and sufficient clinical experience to be safe, efficient practitioners. The courses benefit Career Medical Officers, JMOs and Visiting Medical Officers/General Practitioners. For more information visit: Courses/Emergency-Medicine-Diploma.aspx Useful Links ACEM website: Contact Details Australasian College for Emergency Medicine 34 Jeffcott Street West Melbourne VIC 3003 Phone: (03) Fax: (03)

20 College of Intensive Care Medicine Of Australia and New Zealand Introduction The College of Intensive Care Medicine is the body responsible for intensive care medicine specialist training and education in Australia and New Zealand. The College offers a minimum six year training program, in both general and paediatric intensive care, with a number of assessments, culminating in Fellowship of the College of Intensive Care Medicine (FCICM). The College has over 900 Fellows throughout the world. The main office is located in Melbourne, with regional committees throughout Australia, and national committees in New Zealand and Hong Kong. Training The training program in intensive care medicine is a minimum of six years and each trainee s requirements will vary depending on prior experience and qualifications. The required 42 months of specific intensive care training is divided into three stages: Foundation training 6 months (Undertaken prior to selection into the program) Core training 24 months Transition year 12 months Other required training time: Clinical Anaesthesia 12 months Clinical Medicine 12 months Elective 6 months Rural exposure (any discipline) 3 months Paediatric exposure 6-12 months Assessments CICM first part examination CICM second part examination In-training evaluation reports Workplace competency assessments Observed clinical encounters Formal project Medical Careers WAyfinding

21 Other Required Learning Activities Online courses Face to face courses How to Apply To request an application pack please The Trainee Selection Panel will assess all applications and will meet four times a year. Costs of Training A list of fees can be found at: Contact Details CICM website: Phone: (03)

22 General practice is the single largest medical specialty in Australia, and is the foundation of our health care system. No other medical specialty has a greater level of patient contact than general practice, with practitioners providing continual, whole-of-patient medical care to individuals, their families and the community. Where general practice can take you is limitless, offering a life-long career filled with a wide range of learning and employment opportunities. General practice offers: A diverse and flexible career path Options for you to sub-specialise in areas such as Anaesthetics and Obstetrics A unique opportunity to form a bond with your patients Varied and stimulating clinical cases A dynamic and supportive working environment The opportunity to manage your own business A balance of career and lifestyle Training The Australian General Practice Training (AGPT) program is an Australian Government funded initiative which provides training for registrars towards fellowship and gaining specialist (general practitioner) registration. The AGPT program is three to four years of full-time training offered in urban, regional and rural locations nationally, delivered through regional training organisations across Australia. Western Australian General Practice Education and Training (WAGPET) is the training organisation for the whole of WA. The AGPT program delivers training towards two vocational endpoints recognised by Medicare Australia: the Fellowship of the Royal Australian College of General Practitioners (FRACGP) and the Fellowship of the Australian College of Rural and Remote Medicine (FACRRM). WAGPET also deliver training towards the RACGP s Fellowship in Advanced Rural General Practice (FARGP) under the AGPT program. Medical Careers WAyfinding

23 How to Apply and Important Dates The AGPT program has a national application process with a single intake per year. Applications for the 2017 intake are currently open, closing 8:00am (AWST), Monday 9 May To apply please complete the application form available at Admission Requirements In order to be eligible to apply for the 2017 AGPT program you must have: General registration, or be eligible to be granted it by the time you are due to commence the training program in January Australian/New Zealand citizenship/permanent residency, or be granted your permanent residency by close of applications, Monday 9 May Costs of Training The AGPT program is government funded however participants are required to cover the cost of the College exams. For details on the cost of the College exams please visit or There are a number of subsidies and Government incentives for registrars training in outer metropolitan or rural WA. For more information please visit wagpet.com.au. Useful Links GP Stakeholders Group: Aboriginal Health Council of WA: Australian College of Rural and Remote Medicine: Australian Medical Association WA: Rural Health West: The Royal Australian College of General Practice: Western Australian General Practice Education and Training: wagpet.com.au WA Country Health Service: WA Primary Health Alliance: Choose Country WA: 23

24 Contact Details WA GP Stakeholders Group The WA GP Stakeholders Group is a coalition of organisations with an interest in attracting high quality doctors to general practice. The GP Stakeholders Group is responsible for promoting the profession and ensuring the pathway to a general practice career is clearly articulated for medical students and prevocational doctors. Group members include: Find out more at Medical Careers WAyfinding

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26 Royal Australasian College of Medical Administrators Introduction The Royal Australasian College of Medical Administrators (RACMA) is a specialist medical college accredited by the AMC and boasts over 800 members. It is dedicated to the education, training and professional development of medical practitioners in senior leadership, management and administrative roles, in clinical and non-clinical settings, throughout the world. This constantly evolving fellowship and professional development program responds and pre-empts the ever changing landscape of medical administration both in Australasia and beyond. RACMA s involvement in education, policy formulation and decision-making enables it to help shape the future and thus represent the professional interests of its members. RACMA Fellows and Associate Fellows are opinion leaders and decision makers in large networked healthcare services. They are extensively involved in the decision making about hospital resources, clinical governance, safety and quality, health services reform, technology acquisition, e-health, workforce strategy, and policy and advocacy to government bodies. Founded in 1963 with 279 founding Fellows, the College has now accumulated over 800 members comprising Fellows, Associate Fellows, Affiliates and Candidates spread across Australia, New Zealand and the rest of the world. The vision of the College is: To be valued by our membership, and recognised internationally as the Australasian medical college that provides professional education, leadership, advice and expertise in medical management that promotes safe and effective healthcare. There is no point of comparison anywhere in the world for the College s delivery of the RACMA s medical specialty training. Being a formally accredited College provides a means for developing and enhancing standards of professional medical management, credible networks and assistance to members in a way that cannot be replicated in a non-college environment. It also provides the means to interact formally with clinical colleagues to further enhance health service delivery and health care Medical Careers WAyfinding

27 provision. The College is a member of the influential Committee of Presidents of Medical Colleges; a unifying organisation that supports the 12 Australian specialist Medical Colleges. As the peak specialist College in Australia, it also provides objective advice on health issues to Government and the wider community. RACMA s affiliated College in Hong Kong is a member of the Hong Kong Academy of Medicine. Upon successful completion of their training, candidates of the College are eligible for election to the College Fellowship and specialist/vocational registration in the specialty of medical administration. To meet its educational commitments and to communicate with its members, the College has regular meetings, conferences, teleconferences, short courses and training workshops, mentoring and coaching, hosts discussion forums, maintains a website and publishes a quarterly journal and monthly e- newsletters, it participates at career expos and runs annual scientific meetings nationally and at jurisdiction levels. RACMA awards Fellowships and prizes, offers reduced registration rates for annual conferences, and creates opportunities to publish and join various State and National Committees within the College. When you associate with RACMA you connect with many of Australia s leading health services decision makers. RACMA members run hospitals, consulting firms and advise governments at all levels. They work in the defence industries, immigration, tertiary education, health authorities, pharmaceuticals, IT and e-health. To be a RACMA member, is to be a medical leader of influence. Admission Requirements All information regarding admission requirements will be available on the RACMA website. Important Dates RACMA applications for candidacy open in May The RACMA Autumn Professional Development Forum is running from May 2016 and applications are now open Useful Links RACMA website: Contact Details Phone: (03)

28 Royal Australasian College of Physicians Adult Medicine and Paediatrics and Child Health Introduction Physicians are often called medical specialists. They are doctors who have completed an extra eight years or more of training after their initial university medical training. They are specialists in internal medicine who diagnose and manage complex medical problems. Physicians manage the medical problems of adults, while paediatricians focus on children and adolescents. Training The Royal Australasian College of Physicians (RACP) oversees the training of qualified medical practitioners who wish to become physicians or paediatricians in Australia or New Zealand. The College s Physician Readiness for Expert Practice (PREP) training program requires a minimum of six years to complete, including: three years of Basic Training, followed by the College written and clinical examinations, and then three or more years of Advanced Training. The aim of PREP training is to develop a physician or paediatrician competent to provide, at consultant level, unsupervised comprehensive medical care in one or more of the subspecialties of internal medicine or paediatrics. Successful completion of the PREP program enables a trainee to be admitted to Fellowship of the RACP and to use the post-nominal letters, FRACP. The RACP is divided into two Divisions: Adult Medicine; and Paediatrics and Child Health. There are four Chapters sitting under the Divisions which support groups of practitioners working in the following areas of practice: Chapter of Community Child Health; Australasian Chapter of Palliative Medicine; Australasian Chapter of Addiction Medicine; and Australasian Chapter of Sexual Health Medicine. A Faculty is an independent body within the RACP which offers its own vocational training program: Australasian Faculty of Public Health Medicine (AFPHM); Medical Careers WAyfinding

29 Australasian Faculty of Rehabilitation Medicine (AFRM); and Australasian Faculty of Occupational and Environmental Medicine (AFOEM). The sub-specialties which come under the RACP include: Cardiology, Clinical Genetics, Clinical Haematology, Clinical Immunology and Allergy, Clinical Pharmacology, Community Child Health, Endocrinology, Gastroenterology and Haematology, 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, and Sleep Medicine. Admission Requirements The PREP training program is a prospective training program. All trainees commence as a Basic Trainee and then progress to Advanced Training. To be eligible to apply to join the PREP Program, trainees must: have completed a medical degree; have completed at least one intern year (post MBBS/MBChB); be employed by a hospital accredited by the College for the PREP Basic Training Program in either Adult Internal Medicine or Paediatrics and Child Health; have discussed with the relevant hospital Educational Supervisor or Director of Physician/Paediatric Education (DPE) to inform them of an intention to apply for the PREP program. How to Apply Applications to join the PREP program can be made online via the RACP website. Application dates each year are 28 February for commencement of training in the first half of the year, and 31 August for the second half of the year. Once a trainee has submitted an online application form, the nominated DPE at the trainee s hospital will be notified and asked to confirm the training rotations outlined in the application. All trainees must register on an annual basis to outline their proposed training for the year. The PREP Basic and Advanced Training Programs The PREP training program is roughly divided into two, three year blocks: Basic Training and Advanced Training. The Basic Training program is aimed at developing a breadth of competence that is further developed into a depth of competence during the Advanced Training program. Basic training runs over a total period of three years and includes the written and clinical exams which must both be passed. The program 29

30 generally comprises periods of three to six month-long rotations in either general internal medicine or general paediatrics. Advanced training runs for an additional three years and focuses on the trainee s chosen subspecialty. Faculty training programs have different entry requirements and training pathways than for adult medicine and paediatrics and child health. The Faculty websites, available through the RACP website detail the respective eligibility and application processes for each Faculty. Important Dates 28 February: Closing date for application to College for prospective approval to enter basic physician training. 31 August: Closing date for applications for prospective approval of second half of year only. Costs of Training Basic and advanced trainees pay an annual training fee. In 2016, the annual fee for basic physician training is $3,370. There are additional fees for written and clinical examinations. Information on fees is available on the Training Fees page of the RACP website: Useful Links RACP website: Contact Details The Member Support Officer in the WA State office is available to answer enquiries about application to the RACP training program, as well as providing support to trainees during the period of their training. In addition, the Basic Training Unit and Advanced Training Unit in the College s national office provide information and advice to prospective and current trainees. RACP WA State Office 1-3/24 Leura Street NEDLANDS WA 6009 Phone: (08) Fax: (08) Basic Training Unit: Advanced Training Unit: Medical Careers WAyfinding

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32 Royal Australasian College of Surgeons Introduction The Royal Australasian College of Surgeons (RACS), formed in 1927, is a non-profit organisation which is internationally recognised in training surgeons and maintaining surgical standards in Australia and New Zealand. Approximately 90 per cent of all surgeons practising in Australia and 80 per cent practising in New Zealand are Fellows of the Royal Australasian College of Surgeons (FRACS). The College's purpose is to be the unifying force for surgery in Australia and New Zealand, with FRACS standing for excellence in surgical care. Training is offered in nine surgical specialties via the Surgical Education and Training (SET) program. The College is also responsible for maintaining surgical standards in Australia and New Zealand through its Department of Continuing Professional Development and Standards. The College conducts a comprehensive selection, training, examination, accreditation and assessment programme in order to maintain high standards of surgical services, which in turn ensure that trainees become safe and competent surgeons. Training The SET program promotes high quality, efficient surgical education and training through early selection into speciality training - surgical trainees are selected directly into the specialty in which they will undertake specialist surgical education and training. RACS has been recognised for over 80 years as the authoritative body for standards and training in surgical practice in Australia and New Zealand. RACS commits to ensure the highest standard of safe and comprehensive surgical care for the community we serve through excellence in surgical training. RACS is the accredited training organisation in Australia and New Zealand to train surgeons as competent, independently practising specialists in each of the nine surgical specialties. Common standards and principles underpin training across all the specialties. The specialty training boards allocate trainees to accredited training posts for their clinical placements. The specialty boards monitor the quality and outcomes of training in each post through regular hospital accreditation Medical Careers WAyfinding

33 processes and through information from trainees' logbooks. Hospitals also have supervisors to monitor trainee progress. Selection into SET is a competitive process and has two stages: Registration and Application. Trainees are selected directly into one of the following nine SET programs. Cardiothoracic Surgery General Surgery Neurosurgery Orthopaedic Surgery Otolaryngology Head and Neck Surgery Paediatric Surgery Plastic and Reconstructive Surgery Urology Vascular Surgery How to Apply and Admission Requirements Registration: Eligibility to register for SET Any person wishing to apply for selection into the training program of one (or more) of the surgical specialties must fulfil all of the generic eligibility criteria, plus the eligibility criteria for the specific specialty (or specialties). The generic eligibility requirements which apply across all nine specialties are: Permanent residency or citizenship of Australia or New Zealand at the time of registration General (unconditional) registration in Australia or general scope or restricted general scope registration in the relevant specialty in New Zealand Successful completion of the RACS Hand Hygiene Learning Module from Hand Hygiene Australia since 1 January 2013 (New Zealand registrants please note: Hand Hygiene New Zealand uses the Australian Learning Module as its default program. New Zealand registrants must also complete the Hand Hygiene Australia Learning Module). Registrants must complete the RACS Module which is available on the Hand Hygiene Australia website. No other module will be accepted. All generic eligibility requirements must be satisfied at the time of registration. At the time of registration applicants must consent to a full 33

34 criminal history check including submission of relevant documentation on request to enable this to be undertaken. Application: Eligibility to apply for SET Doctors who have registered for selection and have been confirmed as satisfying the generic eligibility requirements may lodge an application for selection in the current year. Each of the nine surgical specialties administers their own selection processes in accordance with College policy. As well as the generic eligibility requirements in order to register for SET, there are also specialtyspecific eligibility requirements for selection into the SET program. These requirements are detailed on the College website. The number of new trainees appointed each year for a particular specialty is dependent upon the number of available accredited hospital posts and the number of trainees who meet the minimum selection criteria. Important Dates Stage 1:Selection Registration: opens January closes February Stage 2: Selection Application: opens March closes April Stage 3: Referee Reports: April - May Stage 4: Interviews: specialty specific Stage 5: Selection: July - August Costs of Training Fees are payable for registration, selection application, and training. The fee amounts are published on the College website and explained in the College s Surgical Training Fees policy. Useful Links Contact Details Royal Australasian College of Surgeons 184 Hampden Road Nedlands WA 6009 Phone: (03) Phone: (08) Medical Careers WAyfinding

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36 Royal Australian and New Zealand College of Obstetricians and Gynaecologists Introduction Excellence in women s health. Fellowship of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) is the only postgraduate qualification which leads to recognition as a specialist obstetrician/gynaecologist in Australia or New Zealand. Training Membership and Fellowship Training The training program comprises the four-year Integrated Training Program (ITP - Core) and a two-year Advanced Program. Core Training Program The four-year ITP consists of defined clinical and educational experience gained while working in teaching hospitals. Rotations through tertiary hospitals and a rural hospital, logged clinical work, gynaecological oncology, assessment, written and oral examinations, compulsory Communication Skills workshop and a compulsory research project. Advanced Training The training usually focuses on a particular area of special interest (e.g. general obstetrics and gynaecology, general gynaecological surgery, provincial practice, research expertise, practice in developing countries, subspecialty training). Subspecialty Training The College also offers subspecialty training in a wide range of areas (e.g. Gynaecological Oncology, Obstetrical and Gynaecological Ultrasound, Maternal-Fetal Medicine, Reproductive Endocrinology and Infertility, Urogynaecology). How to Apply The National Trainee Selection Process is undertaken via the College s website by submitting a CV, referees are then nationally ranked, culminating into an interview process. Please note that in WA it is also essential to submit a job application to the WA Department of Health: Medical Careers WAyfinding

37 Admission Requirements Have an approved Australian primary medical degree, or have successfully completed the requirements necessary to obtain the AMC certificate; Possess general registration with the Medical Board of Australia; Have completed PGY2 or above. Important Dates Applications for 2017 entry open on Thursday 21 April 2016 and close on Thursday 19 May If shortlisted, interviews will be conducted on Friday 5 August Useful Links RANZCOG website: Contact Details 44 Kings Park Road West Perth WA 6005 PO Box 6258 East Perth WA 6892 Phone: (08) Fax: (08) WA contact: Janet Davidson, Executive Officer - RANZCOG WA 37

38 Royal Australian and New Zealand College of Ophthalmologists Introduction An ophthalmologist is a medical practitioner with specialised medical qualifications and skills in the diagnosis of disorders of the eye and related structures, and of their medical and/or surgical management. The practice of ophthalmology includes prevention of blindness and the promotion of eye health. Ophthalmological practice includes both medicine and surgery, treatment of paediatric and adult patients, and the provision of primary care as well as highly specialised treatment. For most doctors cataract removal is the most commonly performed surgical procedure. Given the nature and wide prevalence of eye problems, a patient s relationship with an ophthalmologist may continue over many years. Scientific and technological advances offer possibilities for diagnostic precision in ophthalmology, and a wide range of clinical and research opportunities in a number of specialty areas of interest. These include cornea and external disease, glaucoma, neuro-ophthalmology, ophthalmic pathology, ocular inflammation, oculo-plastics, orbital surgery, paediatric ophthalmology, vitreoretinal disease and developing world ophthalmology. Training The Royal Australian and New Zealand College of Ophthalmologists (RANZCO) is the specialist medical College responsible for the training and accreditation of ophthalmologists. The purpose of the RANZCO Vocational Training Program (VTP) is to produce specialist ophthalmologists who on completion of their training can undertake safe, unsupervised, comprehensive general ophthalmology practice. The training takes place over five-years and is divided into three stages: two years basic training, two years advanced training and a final year. The training takes place in one of eight networks across Australia and New Zealand. Each network consists of a number of posts in different hospitals through which trainees rotate. Assessment during the VTP utilises a variety of methods, including examination and work based assessment. The purpose of assessment is to determine the satisfactory development of knowledge and skills, and to ensure that a trainee reaches the College standard. Medical Careers WAyfinding

39 How to Apply Registrations for selection into the RANZCO VTP open in early March each year. Online registrations may then be made by eligible doctors at The centralised selection process is coordinated across Australia and New Zealand and is usually completed by early September each year. Admission Requirements You are eligible to register for selection into the RANZCO VTP if you meet all of the College prerequisites: You have full registration to practise medicine in either New Zealand or a state or territory of Australia, at the time of applying. Citizenship or permanent resident status of Australia or New Zealand at the time of applying. Completion of a minimum of two years (including the intern year) postgraduate prevocational experience at the commencement of your ophthalmology training. The requirements are that you should have a broad experience across a range of non-ophthalmic medical, surgical and clinical settings with a minimum of 21 months in such posts. After registration for selection into the RANZCO VTP, eligible doctors must apply for and secure, through application to a hospital employing authority, appointment to an accredited ophthalmology training network. Important Dates 2016 Registration closes on the 29th April 2016 at 11:59pm (AEST) and no extensions will be available. Applicants are therefore encouraged to submit their registration form as soon as possible. The online registration form can be found at The dates for 2017 have yet to be finalised but will most likely follow a similar timeframe. More information will be available at closer to the time. Following registration a formal application for employment in a state-based Training Network is required between June and August

40 2016 timeline for selection commencing 2017 Stage 1 Registration for selection Opens: 1 March 2016 Closes: 29 April 2016 (5:00pm AEST) Stage 2 Referee reports collected May 2016 with closing date being 2 June 2016 (11:59pm AEST) Stage 3 Employment applications open in training networks June - August 2016 Applicants need to seek information from the employing hospitals' website Stage 4 Interviews in training networks See specific information when available on the RANZCO website Stage 5 National Ophthalmic Matching 31 August 2016 Program is completed Stage 6 Hospital employing bodies make offer of employment to the matched applicants, and then inform the College of acceptance of offers September - October 2016 Costs of Training (approximate) Registration for training: $450 VTP Training fees: $2,900 p.a. Trainee Associate Membership: $348 p.a. Other fees apply for each exam These fees are related to Trainees enrolled in ANZCO's VTP Useful Links RANZCO website: Follow links to Education and Training pages Contact Details RANZCO Chalmers Street Surry Hills NSW 2010 Phone: (02) Medical Careers WAyfinding

41 41

42 Royal Australian and New Zealand College of Psychiatrists Western Australian Branch Training Committee Introduction Psychiatry is the subspecialty of medicine which deals with persons with mental illnesses and emotional difficulties using evidence based treatments. It is a diverse discipline so a psychiatrist may elect to work with infants through to the elderly in settings ranging from teaching hospitals, community clinics or outreach to homes, prisons and almost anywhere else. They may be active in research, academic and administrative areas or a combination thereof. Psychiatrists work with a range of allied health workers and address a range of cultural and social issues. Psychiatrists are uniquely placed to integrate the various factors that contribute to mental illness and work with the person and family for the best possible outcomes. Training Specialist Training in Psychiatry is regulated by the Royal Australian and New Zealand College of Psychiatrists (RANZCP). In WA, Postgraduate Training in Psychiatry is accredited by the RANZCP to provide this training. Training consists of three years of Basic Training with a further two years of Advanced Subspecialty Training, provided in accredited training posts with extensive clinical supervision. Assessment will entail structured work-based assessments and formal written and clinical examinations. Medical practitioners with at least one year postgraduate experience are eligible to apply to the WA Postgraduate Training in Psychiatry programme. The Training Programme organises rotation of trainees through a variety of training posts in both the metropolitan area and rural mental health services. Experience occurs in a wide range of settings including adult, child and adolescent, community psychiatry; consultation-liaison, forensic psychiatry and psychiatry of the old aged. A didactic programme is offered one afternoon per week to all trainees throughout the five years of training to complement clinical experience and supervision. Medical Careers WAyfinding

43 How to Apply Application intake for eligible candidates opens in early June and closes in early July. Interviews for successful applicants are usually held late August with successful candidates commencing in late January/early February the following year. Admission Requirements Full registration with AHPRA, and at least one year postgraduate experience. Important Dates Applications for 2017 intake open 1 June Applications for 2017 intake close 4 July Interviews for 2017 intake scheduled for third week of August Training commences 30 January Costs of Training Postgraduate Training in Psychiatry charges a training fee as does the RANZCP. Approximately $2,500 - $3,000 per year. Useful Links RANZCP website: Contact Details C/- Postgraduate Training in Psychiatry Gascoyne House, Graylands Hospital Campus John XXIII Avenue Mount Claremont WA 6010 PO Private Bag No 1 Claremont WA 6910 Phone: (08) Fax: (08)

44 Royal Australian and New Zealand College of Radiologists Introduction As a Radiologist you are a crucial member of the medical team assisting with patient management and the investigation of diseases. By the end of training, you will know how to interpret diagnostic tests, assess the need for interventional procedures, and select the best possible treatment based on radiographs, ultrasounds, computed tomography and magnetic resonance imaging. Radiologists are vital because they have the medical knowledge to understand and explain medical problems using medical imaging. Training As a Radiology trainee you will learn how to interpret diagnostic tests, assess the need for interventional procedures, and select the best possible imaging investigation for your patients. The Radiology Training Program is a five year program which is completed in two phases. Phase 1: Years 1-3, which focuses on general radiology training and Phase 2: Years 4-5, which focuses on rotations for advanced radiology training. The Royal Australian and New Zealand College of Radiologists (RANZCR) training program runs for five years, commencing with general radiology and followed by focused training rotations. New trainees will also study a recently revamped curriculum that covers modern development within the field, ensuring that the demand for highly skilled radiologists across the country can be met. Potential candidates need to meet the College requirements which are identified below and have secured a training position within an accredited training department. How to Apply and Admission Requirements To be accepted by the College into the RANZCR Radiology Training Program, a candidate must meet the prerequisites on the following page. Medical Careers WAyfinding

45 Meet the following criteria: Be a graduate of a medical school recognised by the Medical Board of Australia and the Board of the RANZCR (or have successfully completed both Part I and Part II AMC examinations for overseas Medical Graduates in Australia); or Be a graduate of a medical school recognised by the Medical Council of New Zealand and the Board of the RANZCR (or have successfully completed the NZREX for overseas medical graduates in New Zealand); or Be a graduate of a medical school recognised by the registering authority of the country in which the RANZCR training program is conducted and the Board of the RANZCR. Be fully registered as a medical practitioner by the registering authority recognised by the Board of the RANZCR, in the state or country in which the RANZCR training program is conducted. Complete two full years in an approved hospital as an intern/resident. As a general rule, the Education Board encourages experience in a broad spectrum of clinical disciplines prior to undertaking radiology training. Costs of Training All trainees must pay $1,860 in order to become members of the college and to have access to the member s benefits program. There is also a training fee of $1,442 (to assist the college in meeting the significant additional costs associated with the new curriculum). All examination sittings attract a fee which covers the administration costs of the exam. Part I: Full Sitting (papers 1 and 2): $2,680 Part II: Full Sitting: $3,650 Useful Links Career: Training: Training Program: training-program Contact Details If you have any more specific, in depth enquiries based on the information above, feel free to contact Ms. Sandra McDonald from the Training Department at any time on: or call the College with any enquiries on (02)

46 Royal College of Pathologists of Australasia Introduction Pathology is the study of disease, or any condition that limits the quality, length or enjoyment of life. From the time a new life is created to the time it ends, pathology is involved. Pathology touches every facet of medicine and therefore society. In fact Medicine Is Pathology. There are nine different disciplines of Pathology: Anatomical Pathology, Chemical Pathology, Clinical Pathology, Forensic Pathology, General Pathology, Genetic Pathology, Haematology, Immunopathology, and Microbiology. The Royal College of Pathologists of Australasia (RCPA) training program is linked to training programs of The Royal Australasian College of Physicians in Chemical Pathology, Haematology, Immunopathology and Microbiology. If you choose these disciplines you may choose to undertake conjoint training and attain dual Fellowships of both Colleges. Training The minimum time for specialist training is five years in a registrar position accredited by the RCPA. In most disciplines there are three levels of examinations: 1. Basic Pathological Sciences Examination The examination may be taken before commencement of training. The examination is open to any intern, medical or dental student in their final year as well as registered trainees. It is usually taken in the first year of training. 2. Discipline specialty Part I This is usually taken in the third year of training. 3. Discipline specialty Part II This is usually taken in the fifth or final year of training, though some components may be completed in the fourth year in Anatomical Pathology. A research project of dissertation is required in some disciplines of Pathology. Medical Careers WAyfinding

47 How to Apply Application requirements and the application process differ from state to state. Full requirements will be listed in advertisements for registrar positions. Admission Requirements The prerequisite to becoming a pathologist is a qualification as a medical practitioner followed by internship. An additional year of general clinical residency is preferred. Important Dates Accredited registrar positions are advertised by each state, usually in June/July with completed applications due in July/August. There are centralised appointment processes in most disciplines of Pathology. Applications for General, Clinical, Chemical and Genetic Pathology are usually made directly to the advertising institutions. Costs of Training Fees for training, examinations and overseas trained specialist assessments are determined annually by the College: Recommended Courses There are no specific course requirements. However, a sound knowledge of basic pathological processes is expected. Useful Links RCPA website: Contact Details Dr Kathy Robinson, Education Advisor Direct: (02) Switch: (02) Fax: (02)

48 Medical Careers WAyfinding

49 49

50 The SWCP summary sheets have been developed to provide an overview of the WA medical workforce based on the SWCP Each SWCP summary sheet provides the following information: The projected workforce 2013 to 2021 Projected consultant supply and demand 2013 to 2021 Current workforce distribution 2013 Trainees and new fellows Consultant age distribution 2013 Workforce planning and risk rating 2013 to 2021 The SWCP summary sheets should be read in conjunction with the User information: Specialist Workforce Capacity Program summary sheets. The summary sheets are available at: Capacity-Program-SWCP Medical Careers WAyfinding

51 The Medical Careers WAyfinding document is collated by: Postgraduate Medical Council of Western Australia PO Box 8172 Perth Business Centre WA 6849 T: (08) F: (08) E: W: For additional copies of this document, please visit the PMCWA website: 51

52 Medical Careers WAyfinding Avant MIGA MDA National St John of God Subiaco

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