Assessment Form to Accredit Training Settings (DOC 117KB)

advertisement
ATC IN GENERAL PAEDIATRICS
ACCREDITATION ASSESSMENT FORM
Please do not alter the format of this document; it has been locked for editing.
This form should be completed electronically and returned via email to: accreditation@racp.edu.au
Any additional attachments should be sent separately.
General Information
Facility Name
Training alliance or
Area Health Service,
(if applicable)
Facility Address
Contact Telephone
Contact Fax
Head of Department
Director of Medical
Services
First time Accreditation
Accreditation Type:
Community/Developmental Paediatrics
Routine Reaccreditation
Regional and Rural Paediatrics
Date of last Accreditation review:
Supporting documents attached:
Names of current Trainees
Is your facility accredited for training by the ATC in:
Yes
No
Neonatal Perinatal Medicine
Community Child Health
Basic Paediatric Training
Please complete all questions in Section 1 - Community/Developmental Paediatrics and/or Section 2 Rural or Regional Paediatrics.
Section 1 - Community/Developmental Paediatrics
The following questions have been designed to assist the ATC in General Paediatrics to determine
whether your hospital or service meets the requirements for accreditation of Advanced Training in
General Paediatrics in Community/Developmental Paediatrics.

Please attach a timetable for the position. Applications without this will not be considered.
Do you have advanced training positions allowing training in community/developmental paediatrics?
Yes
No
If Yes, how many?
In what area of practice is this position?
Yes
No
Community/Developmental Paediatrics
Child Protection
Child and Adolescent Psychiatry
Rehabilitation
Adolescent Medicine
Combination
(Please specify)
Is this position a combined position with time spent training in areas other than
Community/Developmental Paediatrics?
Yes
No
If Yes, what is the percentage of time spent undertaking training in Community/Developmental
Paediatrics?
For the Community/Developmental component of
training, are there?
Yes
No
Ambulatory Patients only?
Inpatients only?
Combination of Ambulatory and Inpatients?
Pertaining to the trainee’s responsibilities in assessment and management within
Community/Developmental practice:
How many clinics are attended by trainees each week?
How many patients are seen by the trainee each clinic?
Are clinics supervised by a consultant Paediatrician or Child and Adolescent Psychiatrist?
Yes
No
If Yes, which role?
Is there an opportunity for trainees to have their own patient load with supervision in these clinics?
Yes
No
If inpatient care is involved:
How many inpatient admissions each week?
Page 2 of 5
Please specify the nature of inpatients:
Yes
No
Community/Developmental Paediatrics
Child Protection
Child and Adolescent Psychiatry
Rehabilitation
Adolescent Medicine
How many ward rounds per week?
Are inpatient services supervised by Consultant Paediatricians ot Child and Adolescent
Psychiatrists?
Yes
No
Is Yes, which role?
How many FTE consultant positions are there pertaining to practice of Community/Developmental
Paediatrics?
How many VMO sessions?
How is onsite support and supervision provided to trainees within your hospital?
What are the on call requirements for these trainees within your hospital/service?
Please list all the responsibilities of trainees, other than patient care (e.g. Meetings/in-service,
teaching, training junior staff)?
Is there access to a Training Program specific to Community/Developmental Paediatrics (e.g. journal
club, lecture program, supervision sessions)?
Is there appropriate infrastructure in place to accommodate the needs of all trainees?
Yes
No
Who is the nominated Co-ordinator of Community/Developmental Paediatrics or Coordinator of
General Paediatric Training (or DPE) in your hospital/service, or at the hospital seconding to your
service?
Does your hospital follow the Australian Medical Association’s guidelines for safe working hours?
Yes
No
Page 3 of 5
Section 2 – Rural and Regional Paediatrics.
The following questions have been designed to assist the ATC in General Paediatrics to determine
whether your hospital or service meets the requirements for accreditation of Advanced Training in
General Paediatrics in a rural or regional centre.

Please attach a timetable for the position. Applications without this will not be considered.
What is your settings Remote Area (RA)
RA1 (Major City)
Classification?
RA2 (Inner Regional)
RA3 (Outer Regional)
RA4 (Remote)
RA5 (Very Remote)
If unsure of the above, please refer to the following website:
http://www.doctorconnect.gov.au/internet/otd/publishing.nsf/Content/locator#
Is acute Paediatric care undertaken in the Emergency Department of your hospital?
Yes
No
Are trainee’s responsible for the assessment and management of patients?
Yes
No
Are there patient beds in your hospital that are allocated specifically to paediatrics?
Yes
No
If Yes, how many?
Does your hospital have trained paediatric nursing staff available to care for paediatric patients in
accordance with the Australian Councils Health Standards (ACHA)?
Yes
No
In your hospital, how many non-neonatal admissions are there per year?
In your hospital, how many deliveries are there per year?
Does your hospital have a Level 2 Nursery as defined in the HIC guidelines?
Yes
No
What is the number of appointed general paediatricians within your hospital in the following
categories:
Staff Specialist FTE:
VMO Sessions:
How is onsite supervision provided to trainees within your hospital?
Does your hospital have referral based ambulatory care clinics that are attended by the trainees?
Page 4 of 5
Yes
No
If Yes, how many clinics are attended by each trainee per week?
How many patients are seen by each trainee in each clinic?
Are these clinics supervised by a Consultant Paediatrician?
Yes
No
Is there an opportunity for a trainee to have their own patient load with supervision in these clinics?
Yes
No
Is there exposure to or opportunity for trainees to participate in developmental/behavioural/community
paediatrics?
Yes
No
Does your hospital follow the Australian Medical Association guidelines for safe working hours?
Yes
No
What are the on call requirements for trainees within your hospital?
Please list all responsibilities of trainees, other than patient care (e.g. in-service, teaching, training
junior staff)
Is there access to a Training Program (e.g. Telemedicine, journal club, other)?
Is experience available in outreach services including telehealth?
Is there appropriate infrastructure in place to accommodate the needs of all trainees?
Yes
No
Is Yes, please provide details:
Who is the nominated Coordinator of General Paediatrics in your hospital?
Does your hospital have formal links to tertiary institutions?
Yes
No
If Yes, please list the tertiary institutions your hospital is formally linked to:
Thank you for completing this survey
If you have any questions about Advanced Training in General Paediatrics, please email
Accreditation@racp.edu.au
Page 5 of 5
Download