APPLICATION FOR ACCREDITATION OF LABORATORY
FOR TRAINING CANDIDATES IN GENERAL PATHOLOGY
Please refer to policies when preparing your application. All information will be treated with
strictest confidence by the Board of Education and Assessment (BEA)
Note: No application will be considered without the following:
(1) Attachment of a Training Program with detail of progression through the 5 years of training.
(2) Detail of how competency will be maintained in areas not adequately covered in the training
lab.
Please complete all sections of this form, sign and return to College.
Lab Name:
Address:
Area Health Service / District
Health Board (if applicable):
Telephone (switch):
Fax:
Contact person for
application?
Date:
Email:
Telephone
(direct):
RCPA ID No (if applicable – refer to RCPA lab accreditation letter):
Director / Departmental Head
of Laboratory Service:
If applicable, Director /
Departmental Head of General
Pathology Laboratory Service
Please tick the boxes below for each discipline for which accreditation is sought:
Training for Fellowship through the General Pathology examination pathway
Anatomical Pathology

Chemical Pathology

Haematology

Microbiology

Accreditation (NATA, IANZ, ISO15189)
Is the General Pathology
Laboratory accredited?
Discipline category
(if relevant)
Accreditation agency?
Current accreditation
From:
period
Document Number:
1
Document Name: General Path Lab Accreditation Application form
Document Path: BOC - Lab accreditation - Forms - Current Accreditation application forms
To:
External proficiency program(s)
List program(s) that the laboratory currently participates in (RCPA/ QAP; EMQN; CAP; etc)
Supervision
Supervisor(s) of Trainees for each discipline for which accreditation is sought
(if shared supervision, please indicate primary supervisor)
Stream
Name
Qualification
Date of
appointment
% week in
laboratory
Anatomical Pathology
Chemical Pathology
Haematology
Microbiology
Number of funded EFT Pathologist positions with the General
Pathology Laboratory Service
Pathologists, with their qualifications, contributing to the training program
(add extra lines if required)
Name
Qualifications
Scope(s) of
practice
Date of
appointment
% of week
in
laboratory
Other medically qualified staff providing essential training (add extra lines if required)
Name
Qualifications
Date of
appointment
% of week in
laboratory
Senior Scientific and Tech staff contributing to Trainee supervision (add extra lines if required)
Name
Qualifications
Document Number:
2
Document Name: General Path Lab Accreditation Application form
Document Path: BOC - Lab accreditation - Forms - Current Accreditation application forms
Area of technical expertise
NOTE: The RCPA should be informed of any periods of extended absence, long service leave or sick leave of the
supervisor/s. To ensure ongoing continuity of training the RCPA must be informed of the relief arrangement.
General Pathology Trainees
General Pathology only
General Pathology only
Please indicate the number of
trainees you wish to accommodate
at any one time
Duration of Training considered
appropriate (in years)?
Please note It is College policy to limit
training in one institution* to a
maximum of four years.
Number of current trainees
Total no. trainees over past 5 years
Summary details of current and past trainees exposed to General Pathology training
Name
Discipline
Year
training
started
Duration of
General
Pathology
training?
Exam
progress?
Training facilities
Comments (if applicable)
Professional Journals/ Library
Computer/ Internet facilities
Other (e.g. learning and
teaching aids, etc)
*To ensure that candidates for RCPA qualifications are exposed to more than one style and
philosophy of pathology practice, they are ordinarily limited to spending a maximum of 4
years training in one laboratory. Where the same members of a pathology service/practice
supervise geographically separate laboratories, this may be viewed as training undertaken in a
single laboratory and may not fulfil the College requirements for employment in a different
institution unless significant differences in practice and supervision can be demonstrated.
Document Number:
3
Document Name: General Path Lab Accreditation Application form
Document Path: BOC - Lab accreditation - Forms - Current Accreditation application forms
To assist the College in monitoring the above policy, please list all regular rotation arrangements
below, specifying whether they are internal or external (i.e. to an operationally distinct service or
geographically separate site with different management, practice and supervision). Please note
that if Trainees participate in an external rotation, that site is required to be separately
accredited.
Discipline
Site
Type of Rotation
Internal
External
Internal
External
Internal
External
Internal
External
Internal
External
Internal
External
Purpose of Rotation
Please indicate any additional areas listed under the discipline check lists in the Trainee
Handbook for which your laboratory is unable to provide training on site. Please state how these
areas are/will be covered.
Signature: ________________________________________ Date: _____________________
Completed application forms, together with all relevant training programs and other supporting
documentation, should be forwarded to the Registrar at the Royal College of Pathologists of
Australasia. You will be advised of your accreditation status following the next meeting of the
Board of Education and assessment (BEA)/ and or determination by the Chief Examiner.
Email to lab@rcpa.edu.au fax to +61 2 8356 5828 or mail to RCPA, 207 Albion Street, Surry
Hills NSW 2010 Australia.
Thank you for your support of pathology training.
PLEASE NOTE THAT YOUR APPLICATION WILL NOT BE
ACCEPTED WITHOUT A TRAINING PROGRAM
Document Number:
4
Document Name: General Path Lab Accreditation Application form
Document Path: BOC - Lab accreditation - Forms - Current Accreditation application forms