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