SURVEY FORM TO ACCREDIT
NEPHROLOGY TRAINING SETTINGS
General Information
Site
Training alliance or Area
Health Service, if
applicable
Site Address
Contact Telephone
Contact Fax
Head of unit
Site Contact
Contact Email
Previous Accreditation, if
applicable
Name/s of Site Visitors
Date of Visit
Supporting documents attached:
1
Names of Current Advanced Trainees
Core
Non-core
Number of Basic
Physician Trainees in
renal unit
Names of Previous Advanced Trainees (last 12 months)
Core
Non-core
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 NEPHROLOGY
1.1.1
1.2.1
1.2.2
1.2.3
1.3.1
1.3.2
1.4.1
One on site FTE nephrologist supervisor is required. One or more nephrologists whose
appointments combine to make one FTE supervisor for the advanced trainee may share this
role.
The nephrologist nominated as supervisor must work directly with the advanced trainee and
be present to observe direct patient care and to provide training in and supervision of
nephrology procedures including hypertension management, renal failure, haemodialysis, organ
imaging, biopsies and transplants.
After hours and ambulatory care assessments should be discussed with the supervisor on a
regular basis weekly basis.
Meetings between the supervisor and Trainee must occur on a minimum 3-monthly basis. More
frequent meetings between supervisor and trainee are strongly recommended by the SAC in
Nephrology.
The supervisor must be a Fellow of the RACP or equivalent and a member of ANZSN and/or
TSANZ
Supervisors will have attended an RACP Supervisor’s workshop within the last 5 years or
intend to attend within 6 months of commencing as a supervisor.
Consultants have a proportion of non-clinical administration time, part of which can be directed to
supervision of Trainees
Supervisor(s) Name
FTE
Attended Workshop
in last 5 years
Will attend Workshop
within 12 months
2
Do consultants have dedicated time to direct to the supervision of Trainees?
Do supervisors meet formally with trainees?
Yes
Yes
No
No
If Yes, please detail:
Do trainees have the opportunity to discuss after hours and ambulatory care assessments with
consultants?
Yes
No
If Yes, please detail:
Please detail Trainee supervision structure:
Do supervisors observe direct patient care and procedures performed by the Trainee?
Yes
No
If No, please detail:
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 1achieved? Yes
Action required
Needs Improvement
To be actioned by (date)
3
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 NEPHROLOGY
2.1.1
There is access to the infrastructure required to support a nephrology service including chemical
pathology, haematology and histopathology laboratories, radiology service, access to materials
required for urine microscopy and access to dialysis facilities.
2.2.1
Trainees have dedicated office facilities, including a desk and access to IT facilities.
2.3.1
There are meeting rooms and other facilities available for the activities under section 4.1, below.
Do Trainees have access to following infrastructure:
Clinical pathology
Yes
No
Yes
No
Yes
No
Yes
No
If No, please detail:
Haematology and Histopathology laboratories
If No, please detail:
Radiology service
If No, please detail:
Materials required for urine microscopy
If No, please detail:
Dialysis facilities
Yes
No
Yes
No
If No, please detail:
If Yes, please detail average number of HD patients:
Home HD patients:
PD patients:
Do Trainees have access to office space and IT facilities?
If No, please detail:
Do Trainees have access to teleconferencing and/or videoconferencing facilities
Yes
No
If No, please detail:
4
Surveyor Comments (RACP use only)
Please assess compliance with Standard 2 (Facilities & Infrastructure) using the Matrix below:
MATRIX RANKING
1
2
3
4
No Significant
Issues
Minor
Issues
Moderate
Issues
Severe
Issues
Surveyor assessment (please tick)
Standard 2 achieved?
Yes
Needs Improvement
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 NEPHROLOGY
3.1.1
The Trainee has a suitable workload and appropriate range of work determined by the Nephrology
Advanced Training Curriculum and Nephrology Advanced Training Program Requirement
Handbook (available from RACP website). The range of work will include:

native and transplant renal biopsies

peritoneal dialysis patients

haemodialysis patients

home haemodialysis patients

acute renal transplants

chronic renal transplant recipients
Exposure to examination of urine microscopies and insertion of vascular catheters is highly desirable
Are trainees involved in patient care for:
General nephrological conditions
Yes
No
Comment:
Hypertension
Yes
No
Comment:
Acute kidney injury
Yes
No
Comment:
Pre dialysis chronic kidney disease
Yes
No
Comment:
5
End stage kidney disease patients
Yes
No
Comment:
Haemodialysis
Yes
No
Comment:
Peritoneal dialysis
Yes
No
Comment:
Renal transplantation
Yes
No
Comment:
Renal service after-hours (on-call)
Yes
No
Comment:
Do Trainees have access to patients in the following contexts:
Ambulatory case assessment
Yes
No
Comment:
Acute or Emergency admissions
Yes
No
Comment:
What is the average number of renal inpatient admissions:
What is the average weekly number of consultations to other units:
6
Indicative weekly trainee workload including outpatient clinics
Please complete a timetable as per below for each advanced trainee on site showing typical weekly activities.
Afternoon
Morning
Trainee #1
Monday
Tuesday
Wednesday
Thursday
Friday
Outpatient Clinic
Outpatient Clinic
Outpatient Clinic
Outpatient Clinic
Outpatient Clinic
Name
Name
Name
Name
Name
Frequency/Average number of
patients seen by trainee
Frequency/Average number of
patients seen by trainee
Frequency/Average number of
patients seen by trainee
Frequency/Average number of
patients seen by trainee
Frequency/Average number of
patients seen by trainee
/
/
/
/
/
Other Activities
Other Activities
Other Activities
Other Activities
Other Activities
Outpatient Clinic
Outpatient Clinic
Outpatient Clinic
Outpatient Clinic
Outpatient Clinic
Name
Name
Name
Name
Name
Frequency/Average number of
patients seen by trainee
Frequency/Average number of
patients seen by trainee
Frequency/Average number of
patients seen by trainee
Frequency/Average number of
patients seen by trainee
Frequency/Average number of
patients seen by trainee
/
/
/
/
/
Other Activities
Other Activities
Other Activities
Other Activities
Other Activities
7
Afternoon
Morning
Trainee #2
Monday
Tuesday
Wednesday
Thursday
Friday
Outpatient Clinic
Outpatient Clinic
Outpatient Clinic
Outpatient Clinic
Outpatient Clinic
Name
Name
Name
Name
Name
Frequency/Average number of
patients seen by trainee
Frequency/Average number of
patients seen by trainee
Frequency/Average number of
patients seen by trainee
Frequency/Average number of
patients seen by trainee
Frequency/Average number of
patients seen by trainee
/
/
/
/
/
Other Activities
Other Activities
Other Activities
Other Activities
Other Activities
Outpatient Clinic
Outpatient Clinic
Outpatient Clinic
Outpatient Clinic
Outpatient Clinic
Name
Name
Name
Name
Name
Frequency/Average number of
patients seen by trainee
Frequency/Average number of
patients seen by trainee
Frequency/Average number of
patients seen by trainee
Frequency/Average number of
patients seen by trainee
Frequency/Average number of
patients seen by trainee
/
/
/
/
/
8
Afternoon
Morning
Trainee #3
Monday
Tuesday
Wednesday
Thursday
Friday
Outpatient Clinic
Outpatient Clinic
Outpatient Clinic
Outpatient Clinic
Outpatient Clinic
Name
Name
Name
Name
Name
Frequency/Average number of
patients seen by trainee
Frequency/Average number of
patients seen by trainee
Frequency/Average number of
patients seen by trainee
Frequency/Average number of
patients seen by trainee
Frequency/Average number of
patients seen by trainee
/
/
/
/
/
Other Activities
Other Activities
Other Activities
Other Activities
Other Activities
Outpatient Clinic
Outpatient Clinic
Outpatient Clinic
Outpatient Clinic
Outpatient Clinic
Name
Name
Name
Name
Name
Frequency/Average number of
patients seen by trainee
Frequency/Average number of
patients seen by trainee
Frequency/Average number of
patients seen by trainee
Frequency/Average number of
patients seen by trainee
Frequency/Average number of
patients seen by trainee
/
/
/
/
/
Other Activities
Other Activities
Other Activities
Other Activities
Other Activities
9
Further comments on above activities:
Surveyor Comments (RACP use only)
Please assess compliance with Standard 3.1 (Profile of Work) using the Matrix below:
MATRIX RANKING
1
2
3
No Significant
Issues
Minor
Issues
Moderate
Issues
4
Sever
e
Issues
Surveyor assessment (please tick)
Standard 3.1 achieved?
Yes
Needs Improvement
Action Required
To be actioned by
(date)
RACP STANDARD
3.2 Trainees participate in quality and safety activities.
MINIMUM REQUIREMENTS FOR ADVANCED TRAINING IN NEPHROLOGY
3.2.1
The site should have an active quality assurance program and Trainees are involved in quality
assurance activities.
Are trainees encouraged to participate in workplace management of critical incidents and near misses?
Yes
No
If No, please detail:
Where ever applicable, are trainees involved in routine quality assurance activities for the clinical service?
Yes
No
If No, please detail:
Are adequate clinical and laboratory procedure manuals and patient documentation kept?
Yes
No
If No, please detail:
10
Surveyor Comments (RACP use only)
Please assess compliance with Standard 3.2 (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 3.2 achieved?
Yes
Needs Improvement
Action Required
To be actioned by (date)
RACP STANDARD
3.3 There is the capacity for project work (including research) and ongoing training.
MINIMUM REQUIREMENTS FOR ADVANCED TRAINING IN NEPHROLOGY
3.3.1 The site should provide opportunities for the advanced trainee to develop research interests either
on site or through affiliation with appropriate research institutions.
Please describe any research activities of current Trainee?
Surveyor Comments (RACP use only)
Please assess compliance with Standard 3.3 (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 3.3 achieved?
Action Required
Yes
Needs Improvement
To be actioned by (date)
11
4. Teaching and Learning
RACP STANDARD
4.1 There is an established training program or educational activities such as multidisciplinary
meetings, academic meetings, rounds, 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 NEPHROLOGY
4.1.1
The site shall provide formal training which may include some or all of the following:
a lecture programme, journal club, grand rounds, seminars, case presentations, radiology
meeting, histopathology meeting or research meetings.
4.1.2
The site must provide the advanced trainee with an opportunity to teach junior colleagues,
undergraduates, nursing and allied health staff.
4.2.1
The site must provide the opportunity for the advanced trainee to attend at least one annual
scientific meeting of the ANZSN and TSANZ or postgraduate course in nephrology during
the two years of their core training.
4.3.1
The site shall provide access to a medical library with current and relevant text books, journals and
computer or Internet based education, retrieval and search facilities.
Activity
On site
Off
site
Frequency
Lecture program
Journal club
Grand rounds
Seminars
Case presentations
Radiology Meeting
Histopathology Meeting
Other
Hours per week trainee undertakes teaching in Nephrology
Are Trainees able to attend scientific meetings of local, national and international societies, and to submit
abstracts to such meetings?
Yes
No
If No, please detail:
12
Does the library carry latest copies of major medical journals and medical texts? Yes
No
If No, please detail:
Is there access to the library or journals online? Yes
No
Comment:
Are there computer retrieval and search facilities available to trainees?
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 Trainees
5.2 There is a formal induction/orientation process for Trainees
MINIMUM REQUIREMENTS FOR ADVANCED TRAINING IN NEPHROLOGY
5.1.1
The workplace has all policies and procedures required by Federal and State legislation
appropriate to the activities and environment of its service.
5.2.1
Supervisors or designees provide an orientation/induction into training at the setting to new
Trainees within the first week of commencement of training.
Do trainees receive an orientation/induction within their first week of training?
Yes
No
If yes please provide further details:
13
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?
Action Required
Yes
Needs Improvement
To be actioned by (date)
14
Accreditation Decision (RACP use only)
Overall recommendations
Accreditation status
Not accredited
Provisional (pending Trainee feedback)
Accredited
Conditional (action/s required)
Action/s
To be actioned by (date)
Areas of training accredited and maximum number of months training time
Maximum number of Trainees
Accreditation length (years)
Year of next review
15