APPLICATION FOR ACCREDITATION OF LABORATORY
FOR TRAINING CANDIDATES IN CHEMICAL 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 Chemical
Pathology Laboratory Service
Accreditation (NATA, IANZ, IS015189)
Is the Chemical Pathology Laboratory accredited?
Current accreditation period
Accreditation
agency?
From:
To:
Please tick the boxes below for training for Fellowship through the single-discipline examination
pathway and/or if your organisation has or is seeking accreditation for training in the Joint
Specialist Advisory Committee (JSAC) program with the Royal Australasian College of Physicians
Chemical Pathology 
JSAC (Endocrinology) 
External proficiency program(s)
List program(s) that the laboratory currently participates in
(RCPA/ QAP; EMQN; CAP; etc)
Document Number:
1
Document Name: Chemical Pathology Accreditation Application form
Document Path: BOC - Lab accreditation - Forms - Current Accreditation application forms
Supervision
Supervisor(s) of Trainees
(if shared supervision, please indicate primary
supervisor)
Number of funded EFT Pathologist positions with the Chemical 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
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.
Document Number:
2
Document Name: Chemical Pathology Accreditation Application form
Document Path: BOC - Lab accreditation - Forms - Current Accreditation application forms
LABORATORY WORKLOAD
Please complete the following table to provide information about the range and type of specimens
received each year
This laboratory data is requested to assist with determining the range of tests and samples
available to trainees.
The information collected in this document is used for the conduct of the assessment, reporting
on the assessment and the process of granting / continuing accreditation. It will not be disclosed
to any third party and remains confidential to the assessor and the RCPA
Please note that not all of the questions may be relevant to your laboratory.
You are invited to use free text to provide information which may not be appropriately covered by
the questions or comments on the questionnaire itself.
If you have any queries, please do not hesitate to contact the RCPA office.
SCOPE OF ACCREDITATION Assessment
Please indicate by ticking the scope for which accreditation is sought at this assessment.
Only include examinations/tests which are currently performed.
General chemistry
Analytes in general use in cardiac, liver function, lipid, renal and other profiles and metabolic studies
Proteins, quantitative analysis
Proteins, qualitative and semi-quantitative analysis; including by electrophoresis and
immunoelectrophoresis
Point of care testing for blood gases, glucose and other profiles
CO-oximetry
Blood pH and gas tensions
Haem-related pigments and precursors
Trace elements
Drugs for therapeutic monitoring
Alcohol for non-legal purposes
Drugs for toxicological purposes
Hormones
Hormone receptor assays
Sweat electrolytes
Maternal markers of foetal wellbeing
Amniotic fluid analytes for foetal abnormalities
Document Number:
3
Document Name: Chemical Pathology Accreditation Application form
Document Path: BOC - Lab accreditation - Forms - Current Accreditation application forms
Iron studies
Vitamin B12 and folate
Vitamin assays
Protein and peptide tumour markers
C-1 esterase inhibitor
Markers of bone metabolism
Solid tissue enzymes
Biogenic amines
Glycohaemoglobins
Breath tests
Faecal fats
Faecal occult blood
Faecal α1–antitrypsin
Reducing substances and/or other sugars in urine and faeces
Malabsorption tests, not otherwise specified
Calculi
Intermediary metabolites
Special enzyme assays
Automated detection of autoantibodies in body fluids
Miscellaneous tests
Molecular genetics
DNA sequencing
Genetic testing for constitutional gene variants (diagnostic and carrier testing)
Screening for an unknown mutation
Prenatal genetic testing
Pharmacogenetic testing (results influence drug prescribing decisions)
Next generation sequencing
Miscellaneous
Document Number:
4
Document Name: Chemical Pathology Accreditation Application form
Document Path: BOC - Lab accreditation - Forms - Current Accreditation application forms
Biochemical genetics
Metabolite analysis
Enzymology
Tissue culture and long-term storage
Newborn screening
Immunoassays
Colorimetric/fluorescence assays
Tandem mass spectrometry
DNA assays for a defined mutation or polymorphism
Who authorises or validates reports?
SERVICES PROVIDED BY THE LABORATORY
Please list examinations/tests which are performed by the laboratory on table.
Service provided to:
Hospitals (please list) (age ranges of patients)
Other (eg medical practitioners, community health centres)
Is the laboratory responsible for testing conducted outside this laboratory?
eg. intensive care units, operating theatres. If yes, please describe briefly.
Document Number:
5
Document Name: Chemical Pathology Accreditation Application form
Document Path: BOC - Lab accreditation - Forms - Current Accreditation application forms
EXAMINATIONS/TESTS PERFORMED IN YOUR LABORATORY
PAGE
EXAMINATION/TEST
OF
PAGES
METHOD/INSTRUMENT OR
SYSTEM/MANUFACTURER
NO OF TESTS
PER MONTH
Document Number:
6
Document Name: Chemical Pathology Accreditation Application form
Document Path: BOC - Lab accreditation - Forms - Current Accreditation application forms
BACKUP
PROCEDURE
Chemical Pathology Trainees
RCPA ONLY
RCPA 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
JSAC ONLY
JSAC 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 3 years.
Number of current trainees
Total no. trainees over past 5 years
Summary details of current and past trainees exposed to Chemical Pathology training
Name
Discipline
Duration of
Chemical
Pathology
training?
Year
training
started
Exam
progress?
JSAC or
RCPA
only
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.
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.
Document Number:
7
Document Name: Chemical Pathology Accreditation Application form
Document Path: BOC - Lab accreditation - Forms - Current Accreditation application forms
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:
8
Document Name: Chemical Pathology Accreditation Application form
Document Path: BOC - Lab accreditation - Forms - Current Accreditation application forms