Application for Accreditation As a Training Site in the FRANZCOG Training Program

Application for Accreditation as a Training Site in the FRANZCOG Training Program

Consultation with Relevant Regional Training Accreditation Committee

Before submitting an application for accreditation, the applying hospital mustdiscuss the proposed application with and obtain support from the Chair of the relevant Regional Training Accreditation Committee (Regional TAC), and from the Coordinator of the Integrated Training Program (ITP) which the hospital intends to join. Contact details for these individuals can be obtained from the Training Services Department at College House, on 03 9417 1699 or at .

Assessment of Applications

Assessment will be based on the information presented in this application form and a site visit conducted by a team from the College, comprising a RANZCOG Fellow and a trainee representative from other training regions; a member of the relevant Regional Training Accreditation Committee (if available) and a senior member of the RANZCOG Staff.

A recommendation on the hospital’s accreditation or otherwise is then considered at the next meeting of the RANZCOG Training Accreditation Committee, with a recommendation to the RANZCOG Board, as applicable. Please note that accreditation is not finalised until it has been approved by the Board.

A formal follow-up visit will be made by a team from the RANZCOG at the end of the first year trainees are at the hospital to ensure the College’s accreditation standards are being met. Ongoing reaccreditations will take place on a four-yearly basis.

RANZCOG Accreditation Standards

Applicants are advised that it is essential to complete the application form in accordance with the College’s accreditation standards as detailed in the document titled Accreditation Standards and Guidelines for Hospitals in the FRANZCOG Training Program (July 2016). This document is available on the College website

Please note that RANZCOG Accreditation Standard 1 – Appointment and Support of Integrated Training Program Coordinators applies only to home/base hospitals of ITPs.

Application Checklist

Please complete all sections and ensure that copies of the following documents are attached when returning the completed application to the College.

Proposed FRANZCOG trainees’ roster
Proposed Education Program for FRANZCOG trainees
Current in-hospital credentialing document for O&G Department (if applicable)

Submission of Application

Please email the completed application to Ms Olivia Evans, Senior Reaccreditaiton/ Specialist Training Program .

HOSPITAL DETAILS

Name of Hospital
Hospital Street Address
Hospital Website
Hospital level (Level 1, 2 or 3)
Name of relevant Area Health Service / District Health Board
Name of RANZCOG Integrated Training Program (ITP) which hospital seeks to join
Approximate size of population in catchment area served by the hospital
Approximate number of deliveries per year
Number of beds – birthing suite
Number of beds – gynaecology ward

CONTACTS

Chief Executive Officer (or equivalent)
Name
Title
Email
Director of Medical Services (or equivalent)
Name
Title
Email
Divisional Head of Obstetrics and Gynaecology (or equivalent – if applicable)
Name
Title
FTE Appointment
Email
Head of Obstetrics (or equivalent)
Name
Title
FTE Appointment
Email
Head of Gynaecology (or equivalent)
Name
Title
FTE Appointment
Email

O&G STAFFING – RANZCOG FELLOWS

STAFF SPECIALISTS

Name / FTE Appt / No. of Sessions per Week / Area of Specialty / Participates in on-call arrangements?
(Y/N)

UNIVERSITY STAFF

Name / FTE Appt / No. of Sessions per Week / Area of Specialty / Participates in on-call arrangements?
(Y/N)

VMOs

Name / FTE Appt / No. of Sessions per Week / Area of Specialty / Participates in on-call arrangements?
(Y/N)

PROPOSED TRAINING SUPERVISORS

Name / Will the hospital provide paid and protected time to Training Supervisors to fulfil the requirements of the role (Y/N)

Note:It is a requirement for nominated Training Supervisors to complete the Clinical Educator Training (CET) online interactive modules as part of the application process and attend a RANZCOG Training Supervisors Workshop either prior to becoming a supervisor or as soon as practicable afterwards.

Do consultant contracts stipulate the requirement to teach and supervise trainees? (Y/N)
Is there a proposed IHCA assessor in Ultrasound on site? (Y/N)
Is there a proposed IHCA assessor in Colposcopy on site? (Y/N)

O&G STAFFING – TRAINING POSITIONS

FELLOWSHIP TRAINING POSTS (both Domestic and International Medical Graduates)

Name / Clinical Area (e.g.: MFM, Gynaecology oncology)

OVERSEAS TRAINED SPECIALISTS/PRACTITIONERS

Please list below any current Specialist International Medical Graduate (SIMG) in the department assessed by the College for comparability to an Australian trained specialist and required to undertake further training/supervised practice to obtain Fellowship:

Name

NON-ACCREDITED REGISTRARS AND RESIDENTS

Current number of non-accredited registrars
Diploma Basic (DRANZCOG)
Diploma Advanced (DRANZCOG Advanced)
Current number of dedicated O&G residents
Current number of general residents

PROPOSED NUMBER OF FRANZCOG ACCREDITED POSTS BY YEAR LEVEL

Year 1 / Year 4
Year 2 / Year 5
Year3 / Year 6

BIRTH SUITE

Always / Sometimes / Never
Please indicate the nature of consultant presence at birth suite handovers on / Weekdays
Weekends
Dedicated Birth suite consultant on weekdays (Y/N)

WARD ROUNDS

Always / Sometimes / Never
Please indicate the nature of consultant presence on labour ward rounds on / Weekdays
Weekends
Please indicate the nature of consultant presence on antenatal ward rounds on / Weekdays
Weekends
Please indicate the nature of consultant presence on post-natal ward rounds on / Weekdays
Weekends
Please indicate the nature of consultant presence on gynaecology ward rounds on / Weekdays
Weekends

OPERATING AND OTHER PROCEDURES

Please list the total number of operative procedures (public and private) which will be accessible to RANZCOG trainees, either in the hospital or in private rooms, during the most recent year for which data is available.

Procedure / Total Number Available
OBSTETRICS
External cephalic version
Intrapartum procedures (including fetal scalp blood sampling)
Administration of local anaesthesia including pudendal block
Spontaneous vaginal birth
Vaginal birth: Complex
Instrumental birth: low/outlet vacuum
Instrumental birth: low/outlet forceps
Instrumental vaginal birth:midcavity or rotational
Caesarean section: Basic
Complicated caesarean section: fully dilated
Complicated caesarean section: e.g. placenta praevia
Repair of episiotomy or second degree perineal tear
Repair of third and fourth degree tears
Manual removal of placenta
Management of PPH>=1000ml: Examination under anaesthetic
GYNAECOLOGY
Endometrial sampling, outpatient
IUCD insertion/removal
Diagnostic hysteroscopy, dilation & curettage
Suction D&C for retained products of conception
Endometrial ablation
Laparoscopic surgery: AGES Skill levels 1-2
Laparoscopic surgery: AGES Skill levels 3+
Laparotomy: Basic (e.g. oophorectomy, ovarian cystectomy)
Laparotomy: Intermediate (hysterectomy)
Cystoscopy
Vaginal surgery: Basic (anterior +/or posterior repair)
Vaginal surgery: Intermediate (hysterectomy)
Tensionless vaginal tape procedures, including cystoscopy
Surgical procedures for urinary stress incontinence
Vulva biopsy (diagnostic)
Minor perineal surgery
Diagnosis – Colposcopy, cervix and CIN management
Treatment – LLETZ, LEEP and Cone biopsy

CLINICS

Please list all clinics conducted at the hospital to which RANZCOG trainees will be rostered. / Frequency of clinic (daily, weekly, etc.) / Consultant-led
(Y/N)

THEATRE

Average number of gynaecology operating sessions per weekto be available to RANZCOG trainees
Average number of elective Caesarean section lists per week to be available to RANZCOG trainees

ULTRASOUND

What provisions will be made for ultrasound training/experience for RANZCOG registrars at the hospital? Please provide details
Name of proposed Ultrasound Educator/s at hospital responsible for hands-on ultrasound training - as required by the revised RANZCOG ultrasound training program.
Note: if there is no Ultrasound Educator because the hospital does not offer ultrasound training, please indicate.
Will formal ultrasound training take place during normal working hours and in protected time? (Y/N)
How many formal hours of ultrasound training per week will each trainee receive?
What additional ultrasound experience will be available to trainees?

SUBSPECIALTY TRAINING

Will RANZCOG trainees have access to available opportunities in the Subspecialties areas below? / Available (Y/N) / Arrangements
Gynaecology oncology
Maternal Fetal medicine
Reproductive Endocrinology and Infertility
Urogynaecology

PROPOSED ROSTERS

Who will be responsible for organising the roster?
How far in advancewill the on-call roster be released?
How far in advance will the clinical duties roster be released?
Proposed rostered hours per week (average)
Proposed rostered overtime per week (average)
Proposed non-rostered overtime per week (average)
Will the roster include a team structure? Y/N
If Yes, please specify.
REMINDER: Please attach copy of proposed roster for FRANZCOG trainees

PROPOSED AFTER-HOURS COMMITMENT FOR REGISTRARS

Rostering / Y/N / Frequency rostered on
(e.g. 1 in 2, 1 in 3, 1 in 4) / Rostered on with other trainees
(Snr/Jnr) / Rostered with O&G resident (Y/N) / Rostered with general resident
(Y/N) / Cover Emergency Dept. and Birth Suite (Y/N)
On-call off site
On-call but remains on site
Evening shift
(long day)
Nights

PROPOSED WEEKEND COMMITMENT FOR REGISTRARS

IN-HOSPITAL CREDENTIALING

Is there an in-hospital credentialing document for registrars? (Y/N)
Who is responsible for updating this document?
How often is this document updated?
Please describe the process for updating this document
To whom is this document distributed?
REMINDER: Please attach copy of current in-hospital credentialing document for O&G Department

STRUCTURED EDUCATION PROGRAM

Is there a structured Education Program in place?
Who is responsible for coordinating the education program?
REMINDER: Please attach copy of the proposed Education Program for FRANZCOG trainees
Please list the regular sessions/meetings which will comprise the teaching/learning program for RANZCOG trainees.
Note: Trainees should be receiving at least four hours paid and protected training/teaching time per week. / Frequency
(Weekly/fortnightly/etc.) / Held in Protected time?
(Y/N)

STAFF MEETINGS

Please indicate the proposed type of meetings to be held. / Frequency
(Weekly/fortnightly/etc.) / Please indicate the general attendance at these meetings.
Will all O&G staff be expected to regularly attend, including most VMOs?

RESEARCH

Briefly describe what assistance the hospital will provide for RANZCOG trainees at the hospital, particularly in relation to getting trainees started on their compulsory research project and training in research methods.
Will trainees have access to an obstetric database? (Y/N)
Will the hospital provide rostered protected research/study time (separate from education time)?
(Y/N) – If Yes, please indicate no. of hours per fortnight

SHARED TRAINING

Will the Department of O&G have any shared training arrangements with other hospitals?
(Y/N) – If Yes, please specify
Will RANZCOG trainees have any sessional training at nearby sites which are not RANZCOG-accredited (e.g. private settings)?
(Y/N) – If Yes, please specify

FACILITIES AVAILABLE

Please specify what facilities will be available to RANZCOG trainees rotating through your hospital.

Type of Facility / Available
(Y/N) / Brief Description of Facility
Dedicated O&G registrars’ room
On-call room
Computers
Supportive Software (e.g.: UpToDate, Medline)
Library
Simulation Centre/Equipment

ASSISTANCE PROVIDED TO TRAINEES ON THEIR RURAL ROTATION AT THIS HOSPITAL (if applicable)

Type of Assistance to be Provided / Available
(Y/N) / Brief Description
Hospital accommodation (free/subsidised/other)
Subsidised private accommodation
Removal expenses from/to home base at the start and end of rotation
Travel expenses from home base at start and end of rotation
Funded home visits (in full or part) during rotation (specify number)
Interstate telephone facilities in accommodation
Internet facilities in accommodation

GENERAL COMMENTS (OPTIONAL)

Please provide additional comments/points to support your application.

Application Submitted by
Position Title
Date

Thank you for completing and returning this document to College House.

RANZCOG | Application for Accreditation as a Training Site in the FRANZCOG Training Program / |1