Site survey (doc 456KB)

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Specialist Advisory Committee (SAC) in Infectious Diseases
Survey Form to Accredit Clinical Training Settings
General Information
Site
Training alliance/ Area Health
Service
What is the current site
accreditation level?
core infectious diseases
non-core
Please specify number of months
the site is currently accredited for
What is the site accreditation
level being applied for?
core infectious diseases
non-core
Please specify number of months
being applied for
What division is being applied
for?
Adult Medicine
Paediatrics & Child Health
Both
Head of Unit
Site Contact
Site Address
Contact Telephone
Contact Fax
Contact Email
RACP Surveyor(s)
Please list supporting documents attached:
Number of Advanced Trainees:
Name(s) of current Advanced Trainee(s):
Are there other trainee positions in related disciplines (i.e. Microbiology)? Please list
1. Supervision
RACP STANDARD
1.1
There is a designated supervisor for each trainee.
1.2
Trainees have access to supervision, with regular meetings.
1.3
Supervisors are RACP approved and meet any other specialty specific requirements
regarding qualifications for supervisors.
1.4
Supervisors are supported by the setting or network to be given the time and resources to meet
RACP Supervision requirements and criteria on supervision.
MINIMUM REQUIREMENTS FOR ADVANCED TRAINING IN INFECTIOUS DISEASES
1.1.1
There should be a full-time infectious diseases physician, or two or more part-time
infectious diseases physicians with a total allocation of at least of 1.0 FTE per week (i.e. Fulltime equivalent).
1.2.1
An infectious diseases physician will be in attendance to supervise all clinical activities of the
trainee(s) and meet with trainee(s) for informal teaching.
1.2.2
Trainee(s) meet with supervisors at least once a week.
1.3.1
Supervisors are up to date with the College’s requirements for supervision.
1.4.1
Consultants will have a proportion of non-clinical administration time, part of which can be
directed to supervision of trainees.
Physicians involved in the supervision of Advanced Trainees
Specialty (i.e. Infectious Diseases
and/ or Microbiology)
Name
FTE
Please detail the clinical activities the trainee(s) undertake:
How are these activities supervised?
Directly
Remotely
Please detail the formal and informal teaching methods between supervisor and trainee(s):
How often do the trainee(s) and supervisors meet?
Daily
Weekly
Fortnightly
Monthly
Other (please detail)
By what method are these meetings conducted?
Face to Face
Telephone
Electronically
Do consultants have dedicated time to supervise the trainee(s)? Yes
No
If “Yes”, what is the amount of dedicated time?
How is this time managed for each supervisor (i.e. breakdown of hours of directly supervised or
remotely supervised clinical training)?
Surveyor Comments (RACP use only)
Please assess compliance with Standard 1 (Supervision) using the Matrix below:
MATRIX RANKING
1
2
3
4
No Significant
Issues
Minor
Issues
Moderate
Issues
Severe
Issues
Surveyor assessment (please tick)
Standard 1 achieved?
Yes
Needs Improvement
Action Required
To be actioned by (date)
2. Facilities and Infrastructure
RACP STANDARD
2.1
There are appropriate facilities and services for the type of work being undertaken.
2.2
Each trainee has a designated workspace including a desk, telephone and IT facilities
2.3
There are facilities and equipment to support educational activities, such as study
areas and tutorial rooms.
MINIMUM REQUIREMENTS FOR ADVANCED TRAINING IN INFECTIOUS DISEASES
2.1.1
The service employs most of the following in the investigation of patients with suspected or
proven infections:

Clinical Microbiology

Other laboratory services including histopathology, clinical chemistry, immunopathology

Imaging services including radiology, nuclear medicine, echocardiography
2.2.1
Each trainee has a dedicated office area, readily accessible to the ward/laboratory
2.2.2
The trainee has a dedicated computer with access to the Pathology IT system, internet,
electronic journals and text books
2.3.1
There are meeting rooms and other facilities available for the activities under section 3.1
Are the following services available (tick all that apply)
Clinical microbiology
Histopathology
Radiology
Clinical chemistry
Nuclear medicine
Do trainees have access to IT facilities (computer etc.): Yes
On the wards
In Registrar’s office
Immunopathology
Echocardiography
No
In their own / shared office space
Are there meeting rooms available for the use of the trainee?
Yes
No
Is there a secure area(s) for storage of trainee belongings?
Yes
No
Surveyor Comments (RACP use only)
Please assess compliance with Standard 2 (Facilities & Infrastructure) using the Matrix below:
MATRIX RANKING
Surveyor assessment (please tick)
1
2
3
4
No Significant
Issues
Minor
Issues
Moderate
Issues
Severe
Issues
Standard 2 achieved?
Yes
Needs Improvement (specify action required below)
Action Required
To be actioned by (date)
3. Profile of work
RACP STANDARD
3.1
The setting shall provide a suitable workload and appropriate range of work.
MINIMUM REQUIREMENTS FOR ADVANCED TRAINING IN INFECTIOUS DISEASES
3.1.1
A consultative service seeing at least 500 Category A consults per year per trainee
3.1.2
The trainee has a suitable workload and appropriate range of work determined by the
Infectious Diseases Advanced Training Curriculum and Infectious Diseases Advanced
Training Program Requirement Handbook. The range of work will include:
-
Selection of antimicrobial and other relevant drugs
Broad case mix exposure to infectious diseases patients
Infections in immune-compromised hosts (e.g. burns, HIV/AIDS, pregnancy, neonates
and young infants, oncology patients, solid organ transplant recipients)
Infection control and immunisation
Healthcare associated infections (including surgical infections)
Collaboration with public health services
Involvement with diagnostic microbiology laboratory
Outpatient and community infectious diseases management (including sexually
transmitted diseases)
3.1.3
The trainee will have clinical involvement in a range of conditions that reflect the Infectious
Diseases Advanced Training Curriculum as such that over 3 years of full time Advanced
Training the majority of curricular domains and learning objectives are achieved.
3.1.4
Experience in being “on-call” for consultation regarding infectious diseases problems.
3.1.5
Formative assessments of trainees are conducted throughout the period to aid learning and
cover the majority of curricula domains.
3.1.7

What is the number of infectious diseases consultations per year?

Formal:
Adult
Paediatrics

What would the range of outpatients be in a typical week?
Adult
Paediatrics
What would the range of inpatients be in a typical week?
Adult
Paediatrics
Please complete a timetable for each trainee on site showing a typical workload for weekly activities.
Additional timetables must be attached if there are more than four trainees on site. If the site is
applying for the maximum 24 months core infectious diseases training please provide training details
for each 12 month training term.
Trainee #1
Monday
A
M
Tuesday
Wednesday
Thursday
Friday
P
M
On-call requirements:
days per month
Trainee #2
Monday
Tuesday
Wednesday
Thursday
Friday
Thursday
Friday
Thursday
Friday
A
M
P
M
On-call requirements:
days per month
Trainee #3
Monday
Tuesday
Wednesday
A
M
P
M
On-call requirements:
days per month
Trainee #4
Monday
Tuesday
Wednesday
A
M
P
M

Areas of trainee experience and level of
involvement:
Care of inpatients assigned to infectious diseases
service
Consultations on hospitalised patients
Surgical patient care (e.g. infections, prophylaxis)
Selection of antimicrobial drugs and other relevant
drugs
Immunisation and adverse events
Sexually transmitted infections
Human immunodeficiency virus and other blood borne
viruses
Pregnancy associated infections
Infections in the young infant
Yes
No
Please tick
If Yes, detail trainee
involvement
Management of solid organ transplant recipients
Care of oncology patients (infections/prophylaxis)
Use of epidemiological tools in the surveillance and
control of infections in health care settings
Healthcare associated infections
Collaboration with public health services
Public health issues in Indigenous populations
(northern and central Australia,
Aboriginal & Torres Strait Islanders and Maori
populations)
Global epidemiology and the impact of infections
outside Australia
and New Zealand
Outpatient and community infectious diseases
management (not including sexually transmitted
diseases)
RACP STANDARD
3.2 Trainees participate in quality and safety activities.
MINIMUM REQUIREMENTS FOR ADVANCED TRAINING IN INFECTIOUS DISEASES
3.2.1
Quality assurance activities could include participation in morbidity/mortality audits or meetings
and quality assurance/audit evaluations of clinical management of common conditions.
Trainee involved?
Please tick
Program
Y
N
Frequency
Morbidity/mortality audits/meetings
Quality assurance/audit
Evaluations of clinical management of common conditions
Other quality assurance activities (please describe below)
Further comment on trainee involvement in these activities
RACP STANDARD
3.3
There is the capacity for project work (including research) and ongoing training.
MINIMUM REQUIREMENTS FOR ADVANCED TRAINING IN INFECTIOUS DISEASES
3.3.1
The service will have, or participate in an active research program (through meetings, journal
clubs etc.) where trainees will be encouraged to participate in critical appraisal of research
papers.
3.3.2
The trainee will be involved in at least one research project during the course of his/her
training
Is the trainee involved in at least one research project during the course of their training?
Yes
No
If “Yes”, please detail:
Please detail research activities available for future trainees:
Surveyor Comments (RACP use only)
Please assess compliance with Standard 3 (Profile of Work) using the Matrix below:
MATRIX RANKING
1
2
3
4
No Significant
Issues
Minor
Issues
Moderate
Issues
Severe
Issues
Surveyor assessment (please tick)
Standard 3 achieved?
Yes
Needs Improvement
Action Required
To be actioned by (date)
4. Teaching and Learning
RACP STANDARD
4.1.
There is an established training program or education activities such as multidisciplinary
meetings, academic meetings, rounds and journal clubs.
4.2.
There are opportunities to attend external education activities as required.
4.3.
There is access to sources of information, both physical and online, including a medical library
or e-library facility appropriately equipped for physician training.
MINIMUM REQUIREMENTS FOR ADVANCED TRAINING IN INFECTIOUS DISEASES
4.1.1.
Appropriate core training should be within a tertiary teaching hospital with regular clinical
infectious diseases meetings designed for teaching and consultation with related disciplines
4.1.2.
Trainees are expected to attend teaching sessions in important relevant areas:

clinical epidemiology and public health;

immunisation;

infection control;

antibiotic resistance;

infections in immuno-compromised hosts (e.g. burns, HIV/AIDS, pregnancy, neonates
and young infants, oncology patients, solid organ transplant recipients);

tropical medicine and parasitology;

microbiology (bacteriology, virology; and mycology); and

sexually transmitted diseases.
4.2.1.
Trainee attendance at the Annual Scientific Meeting of the Australasian Society of Infectious
Diseases (ASID) and the lectures conducted during Registrars' Day is encouraged.
Attendance at courses covering at least six of the eight major topics should be documented in
the Trainee logbook and reviewed by supervisors.
4.3.1.
Library facilities with access to all major infectious disease journals and texts, and literature
search facilities
Is the site a university or equivalent tertiary teaching hospital?
Yes
No
If the site is a university teaching hospital, please provide name of affiliated university:
Please detail the regular journal club, clinical and research meetings in infectious diseases that
trainee(s) attend:
Activity (e.g. areas covered in teaching)
Frequency (e.g. weekly)
Duration (e.g. 1 hour)
Please detail trainee access to lectures in the above mentioned areas (ASID, Registrars’ Day,
laboratory courses etc.):
Is attendance at these lectures documented in the trainee logbook?
Yes
No
Do trainee(s) have access to medical library facilities on site or in the network?
Yes
No
Are there eLibrary facilities available to trainees?
Yes
No
Do trainee(s) have access to infectious disease journals, articles, search facilities
or other related educational literature?
Yes
No
If “No”, please detail:
Surveyor Comments (RACP use only)
Please assess compliance with Standard 4 (Teaching & Learning) using the Matrix below:
MATRIX RANKING
1
2
3
4
No Significant
Issues
Minor
Issues
Moderate
Issues
Severe
Issues
Surveyor assessment (please tick)
Standard 4 achieved?
Yes
Needs Improvement
Action Required
To be actioned by (date)
5. Support Services for Trainees
RACP STANDARD
5.1
There are workplace policies covering the safety and well-being of trainee(s)
5.2
There is a formal induction/orientation process for trainee(s)
MINIMUM REQUIREMENTS FOR ADVANCED TRAINING IN INFECTIOUS DISEASES
5.1.1
There are a range of policies dealing with health and safety of trainee(s), and trainees are
aware of these policies.
5.2.1
Supervisors or designees provide an orientation/induction into training at the setting to new
trainees within the first week of commencing training.
Please list any policies in place relevant to the safety and wellbeing of trainee(s)
Do trainee(s) receive an orientation/induction within their first week of training? Yes
No
Please provide further details
Surveyor Comments (RACP use only)
Please assess compliance with Standard 5 (Support Services) using the Matrix below:
MATRIX RANKING
1
2
3
4
No Significant
Issues
Minor
Issues
Moderate
Issues
Severe
Issues
Surveyor assessment (please tick)
Standard 5 achieved?
Yes
Needs Improvement
To be actioned by (date)
Action Required
Accreditation Decision (RACP use only)
Overall Comments
Action(s) Required
To be actioned by (date)
Recommended Accreditation Status
Please tick
Accredited
Conditional
Not accredited
Training type accredited
Number of trainee
positions available
Number of trainee
positions filled
Core Infectious Diseases
Non-Core
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