Criteria for Accreditation of Basic Physician Training for NEW ZEALAND

Transcription

1 Criteria fr Accreditatin f Basic Physician Training fr NEW ZEALAND The Cllege uses the fllwing criteria fr the accreditatin f hspitals fr Basic Physician Training: Hspital Levels Level 3 Teaching Hspital fr up t three years f Basic Training Level 2 Teaching Hspital fr up t tw years f Basic Training Level 1 Teaching Hspital fr up t ne year f Basic Training Secndment Site fr up t six mnths f Basic Training Level 3 and Level 2 Teaching Hspitals need t ensure that they meet the relevant criteria and agree t hst the FRACP Divisinal Clinical Examinatin when required. Hw t apply fr Accreditatin Requests fr accreditatin must be submitted t the New Zealand Adult Medicine Divisin Educatin Cmmittee. All requests must include a cver letter and a cmpleted Adult Medicine Accreditatin Assessment Frm (Accreditatin Survey Frm). The cver letter must utline the site s suitability as a training site with reference t the relevant criteria (see belw) t be included. All crrespndence must be addressed t: The Chair The New Zealand Adult Medicine Divisin Educatin Cmmittee The Ryal Australasian Cllege f Physicians P.O. Bx Wellingtn 6143 Questins can be directed t New Zealand Site Accreditatin n (04) and all submissins can be ed t accreditatin@racp.rg.nz Applicatins will be cnsidered by the New Zealand Adult Medicine Divisin Educatin Cmmittee and an accreditatin assessment visit will be scheduled if required. The prcess fr accreditatin and reaccreditatin f Secndment Sites require the submissin f a cmpleted Accreditatin Assessment Frm and a letter f recmmendatin frm the Directr f Physician Educatin at the parent facility t the Accreditatin Subcmmittee fr review. The Cllege des nt rutinely undertake accreditatin assessments t Secndment Sites unless determined necessary by the Accreditatin Subcmmittee r the site is applying fr an upgrade in accreditatin status. Fr sites requesting an accreditatin upgrade, submissin f the fllwing dcuments are required t accmpany the cmpleted Accreditatin Assessment Frm and cver letter: trainee rsters, academic appintments in subspecialties, and an educatin schedule. Hspitals seeking Cllege accreditatin as a training site fr the first time must apply in the calendar year prir t the year they wuld like accreditatin t cmmence. Sufficient ntice needs t be given in rder fr an accreditatin assessment t take place.

2 Level 3 Teaching Hspital A Level 3 Teaching Hspital shall have: At least tw departments within the Divisin f Medicine (r equivalent) that are cnsidered academic departments n the fllwing criteria: The department is staffed by tw r mre senir academic appintees An established undergraduate and pstgraduate teaching prgram as well as demnstrated significant activity in clinical and basic research n the basis f grants and published papers At least nine medical specialty departments, each headed by a physician with a substantial appintment available t supervise trainees. T have a term in these departments cunted twards basic training subspecialty requirements, a trainee will need t spend at least 50% f their time in that subspecialty in at least tw f the fllwing three areas: inpatients, cnsults, ambulatry care Expsure t General Medicine must be available at the hspital, r thrugh rtatin t anther hspital At least nine psitins within the Divisin f Medicine available t basic trainees A Directr f Physician Educatin (DPE) wh shall be assisted by a senir registrar nminated by the Divisin f Medicine, and an established training prgram aimed at Basic Physician Trainees An Intensive Care Unit with a directr having a gegraphical full time appintment. Basic Physician Trainees shall have a rle in the lngitudinal care f their patients wh are admitted t the unit An Emergency Department with a directr hlding a substantial (at least half-time) appintment. Basic Physician Trainees shall have a rle in the initial management f patients admitted under their care thrugh the department Expsure t patient management in ambulatry settings. Ambulatry care is any cntact with a cnsultant physician which ccurs while the patient is nt an in-patient f a hspital. Ambulatry care wuld include cntact with patients at the fllwing lcatins: physician's ffice, clinics r cmmunity centres, patient's hme r nursing hme r hstel. Basic trainees shuld attend at least ne ambulatry clinic fr ne sessin a week Facilities and preparedness t hst the FRACP Clinical Examinatin Cmprehensive diagnstic labratry and imaging facilities including MRI and access t Nuclear Medicine A cmprehensive medical library apprpriately equipped fr physician training; A range f plicies and prcedures dealing with: Lifting plicy Infectin cntrl There will be a range f ther plicies dealing with ther health and safety issues Hspitals shuld als ensure that physician trainees are expsed t an envirnment that fsters and supprts quality assurance and clinical practice imprvement. These cncepts are seen as being integral t mdern physician practice with lifelng learning and Cntinuus Prfessinal Develpment. In any teaching hspital expsure t the cncepts and their peratin must ccur at an early stage f training. Hspitals are required t ensure all Basic Physician Trainees cmplete a cmprehensive Advanced Life Supprt (ALS) training curse f minimum three hurs duratin (as part f a cntinuus blck) by the end f their first term as a basic trainee, if they have nt undertaken an ALS curse within the past 12 mnths. Hspitals shuld be prviding supprt fr their basic trainees undertaking such a curse. Trainees shuld nt be placed in a psitin where they are expected t manage a medical emergency r respnse team withut adequate training. Physician Trainees shuld be adequately supervised ut f hurs and a frmal clinical handver fllwing night duty shuld ccur t prvide educatin and supprt as well as ensure cntinuity f patient care. This shuld ccur every day f the week and wuld ideally be cnsultant led invlving thse units wh are mst actively n take vernight. Accreditatin as a Level 3 Teaching Hspital allws up t 36 mnths f Basic Physician Training. Trainees are encuraged t spend up t three mnths f the 36 mnths utside a Level 3 teaching hspital. At least 12 f the 36 mnths f Basic Training must be spent in a Level 3 teaching hspital.

3 Level 2 Teaching Hspital A Level 2 Teaching Hspital shall have: Access t at least six different medical subspecialty services. T have a term in these departments cunted twards Basic Training subspecialty requirements, a trainee will need t spend at least 50% f their time in that subspecialty in at least tw f the fllwing three areas: inpatients, cnsults, ambulatry care At least six psitins within the Divisin f Medicine which may be ccupied by Basic Physician Trainees. There shall be clinical interactin between a trainee and a cnsultant A Directr f Physician Educatin (DPE) and an established training prgram aimed at Basic Physician Trainees An Intensive Care Unit r HDU. Basic Physician Trainees shall have a rle in the lngitudinal care f their patients wh are admitted t the unit An Emergency Department with a directr hlding a substantial (at least half-time) appintment. Basic Physician Trainees shall have a rle in the initial management f patients admitted under their care thrugh the department Expsure t patient management in ambulatry settings. Ambulatry care is any cntact with a cnsultant physician which ccurs while the patient is nt an in-patient f a hspital. Ambulatry care wuld include cntact with patients at the fllwing lcatins: physician's ffice, clinics r cmmunity centres, patient's hme r nursing hme r hstel. Basic Trainees shuld attend at least ne ambulatry clinic fr ne sessin a week Facilities and preparedness t hst the FRACP Clinical Examinatin Adequate diagnstic labratry and imaging facilities including CT scanning and access t Nuclear Medicine An adequate medical library apprpriately equipped fr physician training A range f plicies and prcedures dealing with: Lifting plicy Infectin cntrl There will be a range f ther plicies dealing with ther health and safety issues Hspitals shuld als ensure that physician trainees are expsed t an envirnment that fsters and supprts quality assurance and clinical practice imprvement. These cncepts are seen as being integral t mdern physician practice with lifelng learning and Cntinuus Prfessinal Develpment. In any teaching hspital expsure t the cncepts and their peratin must ccur at an early stage f training. Hspitals are required t ensure all Basic Physician Trainees cmplete a cmprehensive Advanced Life Supprt (ALS) training curse f minimum three hurs duratin (as part f a cntinuus blck) by the end f their first term as a basic trainee, if they have nt undertaken an ALS curse within the past 12 mnths. Hspitals shuld be prviding supprt fr their basic trainees undertaking such a curse. Trainees shuld nt be placed in a psitin where they are expected t manage a medical emergency r respnse team withut adequate training. Physician Trainees shuld be adequately supervised ut f hurs and a frmal clinical handver fllwing night duty shuld ccur t prvide educatin and supprt as well as ensure cntinuity f patient care. This shuld ccur every day f the week and wuld ideally be cnsultant led invlving thse units wh are mst actively n take vernight. Accreditatin as a Level 2 Teaching Hspital allws up t 24 mnths f Basic Physician training. Trainees must spend the additinal 12 mnths training at a Level 3 Teaching Hspital.

4 Level 1 Teaching Hspital A Level 1 Teaching Hspital shall have: At least three psitins available t basic trainees At least three physicians wh, in cmbinatin, are n site and available t supervise trainees at least half time A physician available t serve as a Directr f Physician Educatin (DPE) A training prgram, cnsisting f an average f at least tw weekly tutrials/training sessins An Emergency Department An Intensive Care Unit r high dependency unit Access t diagnstic services including CT scanning, with adequate basic services n site A range f plicies and prcedures dealing with: Lifting plicy Infectin cntrl There will be a range f ther plicies dealing with ther health and safety issues Hspitals shuld als ensure that physician trainees are expsed t an envirnment that fsters and supprts quality assurance and clinical practice imprvement. These cncepts are seen as being integral t mdern physician practice with lifelng learning and Cntinuus Prfessinal Develpment. In any teaching hspital expsure t the cncepts and their peratin must ccur at an early stage f training. Hspitals are required t ensure all Basic Physician Trainees cmplete a cmprehensive Advanced Life Supprt (ALS) training curse f minimum three hurs duratin (as part f a cntinuus blck) by the end f their first term as a basic trainee, if they have nt undertaken an ALS curse within the past 12 mnths. Hspitals shuld be prviding supprt fr their basic trainees undertaking such a curse. Trainees shuld nt be placed in a psitin where they are expected t manage a medical emergency r respnse team withut adequate training. Physician Trainees shuld be adequately supervised ut f hurs and a frmal clinical handver fllwing night duty shuld ccur t prvide educatin and supprt as well as ensure cntinuity f patient care. This shuld ccur every day f the week and wuld ideally be cnsultant led invlving thse units wh are mst actively n take vernight. Australia nly: Level 1 Teaching Hspital can prvide up t 12 mnths f Basic Physician training. An individual trainee may nt have mre than 12 mnths training at a Level 1 Teaching Hspital. Hwever, this can increase t 18 mnths if the trainee is, in additin t nrmal 12 mnths, secnded t Level 1 Teaching Hspital frm a Level 2 r Level 3 Teaching Hspital fr 6 mnths. New Zealand nly: Level 1 Teaching Hspital can prvide up t 12 mnths f Basic Physician Training. Level 1 Teaching Hspital (as part f a netwrk) A hspital may be suitable fr recgnitin as a Level 1 Teaching Hspital (L1TH) if it substantially fulfils the abve criteria required fr a L1TH and the remaining criteria are fulfilled by virtue f it being part f a recgnised netwrk. In particular, adequate frmal training must be available, but nt necessarily n site. Such hspitals wuld be called L1TH (as part f a netwrk). Hspitals are required t ensure all Basic Physician Trainees cmplete a cmprehensive Advanced Life Supprt (ALS) training curse f minimum three hurs duratin (as part f a cntinuus blck) by the end f their first term as a basic trainee, if they have nt undertaken an ALS curse within the past 12 mnths. Hspitals shuld be prviding supprt fr their basic trainees undertaking such a curse. Trainees shuld nt be placed in a psitin where they are expected t manage a medical emergency r respnse team withut adequate training.

5 Secndment Site A Secndment Site shall have: At least 30 medical beds At least tw physicians n staff Adequate investigative and educatinal resurces (Fr Secndment Hspitals within NSW training netwrks nly) a Directr f Physician Educatin (DPE) and an established training prgram aimed at Basic Physician Trainees Accreditatin f a hspital as a Secndment Site depends n the recmmendatin f the DPE at a Level 3 r a Level 2 Teaching Hspital. The DPE may decide t waive ne f the criteria if it is felt that the terms prvide sufficient and gd quality teaching relevant t internal medicine. Training in these hspitals will be n rtatin frm a Level 3 r Level 2 Teaching Hspital. A ttal f six mnths f the 36 mnths f basic training may be spent at Secndment Sites, r hspitals which frm part f the rtatin netwrk.