FPS skills training: application for GPMHSC accreditation 2011 - 2013
Application for GPMHSC accreditation 2011 – 2013 triennium
FOCUSSED PSYCHOLOGICAL STRATEGIES SKILLS TRAINING
Instructions for applicants:This application form is for training providers seeking accreditation from the General Practice Mental Health Standards Collaboration (GPMHSC) for education activities to be recognised as 'focussed psychological strategies skills training'
(FPS skills training)
Activities require prior accreditation with the RACGP and/or ACRRM before adjudication by the GPMHSC. Training organisations can seek accreditation from these organisations using this form. Applications submitted to the GPMHSC without prior accreditation with the RACGP and/or ACRRM will be forwarded to the respective college.
Training providers are strongly advised to review the GPMHSC educational standards outlined in the document 'A framework for professional development in mental health for GPs' to assist in completing this form.
Requirements for re-accreditation
Training providers who have had FPS skills training activities accredited with the GPMHSC in previous trienniums, will need to apply to the GPMHSC for re-accreditation for the 2011 – 2013 Triennium using this form.
Training providers seeking re-accreditation will also be required to submit with this form:
· a covering letter outlining the changes that have been made from the original application that have been incorporated into the program that you are seeking accreditation for, and;
· a copy of an evaluation report containing aggregated data from the l activities conducted in the previous triennium. The report can be the same as what is submitted to the RACGP and ACRRM.
Please complete section 1 or 2 and sections 3 -8 of this application
Section 1 - Please indicate which organisation(s) you are seeking accreditation from using this form:
I want to use this form to seek RACGP
QI&CPD Program accreditation.
Please complete all yellow shaded 'RACGP' sections.
Please forward a copy of this application to the RACGP for adjudication.
Please note that providers who do not have an existing ‘Provider Contract’ with the QI&CPD Program will be required to pay adjudication fees. Please complete the Tax invoice included at the back of the form. / I want to use this form for ACRRM PD Program accreditation.
Please complete all green shaded 'ACRRM' sections.
Section 2 - Please indicate if you already have accreditation and are seeking only GPMHSC accreditation:
I already have RACGP QI&CPD accreditation for this activity and seek GPMHSC accreditation only.
RACGP activity number: / I already have ACRRM accreditation for this activity and seek GPMHSC accreditation only.
ACRRM activity number:
Submission process
If you require RACGP and/or ACRRM accreditation, this application must be submitted directly to the relevant College. If you already have existing accreditation for this activity with the RACGP and/or ACRRM, you may submit this application to the GPMHSC Secretariat at:
Key contact detailsGPMHSC Secretariat / RACGP QI&CPD Program / ACRRM PD Program
Tel: 03 8699 0556
Email:
Web: www.gpmhsc.org.au / Contacts for all states available:
www.racgp.org.au/qicpd/contacts
Web: www.racgp.org.au/qicpd / Tel: 1800 223 226
Email:
Web: www.acrrm.org.au
Section 3. Organisational information
3.1 Education activity title:
3.2 Total number of hours of structured learning:
/ (hours) / Do not include time allocated for breaks, meals, trade displays or completion of predisposing and reflective activities.3.3 Provider/organisation:
3.4 RACGP Provider number:
3.5 Organisation address:
3.6 Organisation website:
3.7 Name of Education activity developer:
/3.8 EAR reference no:
3.9 Position title:
3.10 Telephone:
/3.11 Fax:
3.12 Email:
3.13 Contact name for administration enquiries:
3.14 Telephone:
/3.15 Fax:
3.16 Email:
3.17 Sponsoring/funding organisations involved with this activity:
3.18 Other organisations involved in developing this activity:
RACGP REQUIRED INFORMATION: complete only if seeking RACGP accreditation with this form. Questions relating to completion of this section should be directed to the RACGP QI&CPD Office in your state (refer to www.racgp.org.au/qicpd/contacts for contact details)3.19 Name of GP on planning committee:
/ RACGP QI&CPD Number:3.20 Qualification(s):
3.21 Contact number:
/ Contact email:3.22 Delivery options:
One off event (run once only)A repeated activity (identical activity repeated at different times and/or locations)
Continuous education (e.g. online)
3.23 Calendar of events: All accredited activities will be advertised on the QI&CPD Calendar.
Please select one below: Please select one below:
By invitation only GPs
Only available to members GPs and practice team
All attendees welcome
3.24 Select the domains of general practice covered:
/ Communication skills / Professional knowledge / Population health / Professional & ethical role / Organisational & legal issues3.25 If this module includes components covering basic CPR training skills to be adjudicated for GPs' CPR requirements:
/ Consistent with Australian Resuscitation Council ARC guidelines?Total time allocated to CPR (min 1hr) / Yes
No
Not applicable
3.26 Specific interest requirements & training grants: Indicate if you want this application to be adjudicated for points in a specific interest area (in addition to mental health) and attach all relevant materials. Content must represent more than 50% of the total activity to be eligible
/ Medical acupunctureAnaesthetics
Diagnostic radiology
Breast medicine
[X] FPS skills training / Women's health
Surgery
Procedural skills training*
Emergency medicine*
* Training grant eligibility. Must be a minimum of 6 hours
3.27 The main aim of this activity is:
/ Non-medical/ clinical educationMedical/clinical education à COMPLETE SECTION 0
3.28 ICPC codes: For medical/clinical education please provide up to three ICPC codes and descriptions of the medical /clinical issues covered by your activity. It is the responsibility of the GP on your planning committee to identify the ICPC codes and classification areas.
/ CODE / Description1. / 1.
2. / 2.
3. / 3.
Refer to http://www.globalfamilydoctor.com/wicc/pagers/english.pdf for list of ICPC codes and classifications.
3.29 How many GPs do you anticipate will attend? / 3.29 How many facilitators will assist?
3.30 Needs assessment: / All needs assessments need to be supported by current and clinical evidence based references, in accordance with the RACGP guidelines for QICPD, demonstrating that this activity is valid to GP needs.
The needs assessment for this activity may include information from one or more of the following:
§ information from expert bodies including references to peer reviewed medical literature and/or recognised health organisation documentation
§ references to federal and/or state government policy; relevant guidelines, reports and initiatives
§ GP perspective, e.g. formal GP participant survey - Note: anecdotes, informal surveys, personal opinions and single ‘expressions of interest’ are not valid
§ community perspective, e.g. information from community groups, other health professionals, GP divisions and consumer groups.
Attach a copy of your needs assessment including references
ACRRM REQUIRED INFORMATION: complete only if seeking ACRRM accreditation with this form. Questions relating to completion of this section should be directed to the ACRRM PD Program (refer to www.acrrm.org.au for contact details).
3.31 Activity type:
ConferenceWorkshop
Satellite broadcast (inc web casts)
Group seminar / Skills based training (inc simulator training)
In practice visit
Other – please specify:
3.32 Curriculum area(s) & Educational Domain(s)
Educational DomainsPlease mark with a X the curriculum area(s) relevant to the activity mapped against the relevant educational domain(s) / Core clinical knowledge & skills / Extended clinical practice / Emergency care / Population health / Aboriginal and Torres Strait islander health / Professional, legal & ethical practice / Rural and remote context
Curriculum areas / Aboriginal People & Torres Strait Islander Health
Adult Internal Medicine
Aged Care
Anaesthetics
Child and Adolescent Health
Dermatology
Emergency Medicine
Information Technology/Information Management
Management
Musculoskeletal Medicine
Obstetrics/Women’s Health
Office Based General Practice
Ophthalmology
Oral Health
Palliative Medicine
Population Health
Psychiatry/Mental Health
Radiology
Rehabilitation Medicine
Research and Evidenced Based Medicine
Strategic Skills in Rural Medical Practice
Surgery
3.33 Target audience:
/ Rural medical practitioners / Rural registrars / Other3.34 Do you require this activity to be assessed for Rural and Remote Procedural GP's Program Incentive? If YES, indicate relevant discipline:
/ Anaesthetics / Obstetrics / Surgery /Emergency Medicine
Section 4. Training activity details
4.1 Minimum number of enrolments:
/4.2 Maximum number of enrolments:
4.3 Please detail any prerequisites or entry requirements:
4.4 Scheduled date(s) and time(s):
4.5 Venue(s) for activity (include full street address and postcode):
4.6 Please indicate how this activity will be funded, and the anticipated cost to general practitioners:
4.7 Please tick this box if you do not consent to the GPMHSC advertising your activity on the GPMHSC webpage: (Please note, if you do not tick this box, your activity will automatically be added to the ‘find mental health training’ webpage
Attach a copy of advertising material/program flyerAttach a detailed program timetable or outline
Section 5. Overview of activity
Responses to the following points should incorporate clear examples from the program development process and/or content where appropriate and relevant. The overall educational goal of FPS skills training is to provide GPs with quality training in the provision of focussed psychological strategies (FPS) for the treatment of common mental disorders. / OFFICE USE ONLY5.1 Please give an overview and summary of the activity (please note; this section may be used as a publishable summary of your activity if accredited)
/ [ ] Criterion Met[ ] Criterion Not Met
5.2 Please detail the specific learning objectives for this activity.
Please note for RACGP applications you must include at least one learning objective that addresses patient safety using a systems based approach. / [ ] Criterion Met[ ] Criterion Not Met
5.3 GP participants may have various levels of prior knowledge and expertise. Please provide details of how this activity is adaptable to diversity in participants' existing knowledge and skills.
/ [ ] Criterion Met[ ] Criterion Not Met
5.4 FPS skills training must include at least 20 hours of interactive, structured learning. Describe the duration and format of the activity, including the different learning methodologies that will be utilised, opportunities for participant interaction etc.
The 20 hours must contain a minimum of 12 hours of face to face contact time, plus a further 8 hours of interactive, structured learning activities.Meal breaks, predisposing and reinforcing activities such as pre/post tests do not contribute to the 20 hour minimum total training.
Your response should demonstrate a high level of interactivity, with a focus on participant engagement and active learning, including opportunities for:
► scripting and rehearsal
► demonstration of techniques
► supervised practice of skills
► case based discussion
5.5 Describe how participants are given the opportunity to prepare for the activity and set their own goals (i.e. a predisposing activity)?
/ [ ] Criterion Met[ ] Criterion Not Met
Attach a copy of predisposing activity material
5.6 Describe how participants are given the opportunity for reflection to ensure learning is reinforced/strengthened back into practice (i.e. a reinforcing activity)?
/ [ ] Criterion Met[ ] Criterion Not Met
Attach a copy of reinforcing activity material
5.7 Describe how the activity will be evaluated.
/ [ ] Criterion Met[ ] Criterion Not Met
RACGP REQUIRED INFORMATION: Applicants for RACGP QI&CPD accreditation must include three mandatory questions within post program evaluations. These are: 1.To what degree were the learning objectives met (each LO listed) 2. To what degree were your learning needs met, and 3. Rate to what degree this activity was relevant to your' practice.
Attach a copy of all evaluation material
5.8 Describe the active involvement of general practitioners in program planning, development, review and delivery. Provide the name, and organisational affiliation of the general practitioners involved.
/ [ ] Criterion Met[ ] Criterion Not Met
Name
Organisational affiliations
Involvement in planning
Involvement in development
Involvement in delivery
Involvement in review
5.9 The perspectives of consumers and carers are frequently different; both must be addressed within FPS skills training
Describe the active involvement of mental health consumers within program► Planning (required);
► Development (required);
► Delivery (required); and
► Review (required).
Please also briefly detail consumers' organisational affiliations (e.g. with recognised advocacy groups) and past experience in similar roles.
For information on consumer and carer participation, refer to Section 7 within the document ‘A framework for professional development in mental health for GPs’, available at www.gpmhsc.org.au / [ ] Criterion Met
[ ] Criterion Not Met
Name(s) of consumer(s)
Involvement in planning
Involvement in development
Involvement in delivery
Involvement in review
Organisational affiliations
Past experience
5.10 The perspectives of consumers and carers are frequently different and both must be addressed within FPS skills training
Describe the active involvement of mental health carers within program► Planning (required);
► Development (required);
► Delivery (required); and
► Review (required).
Please also briefly detail carer's organisational affiliations (e.g. with recognised advocacy groups) and past experience in similar roles.
For information on consumer and carer participation, refer to Section 7 within the document A framework for professional development in mental health for GPs, available at www.gpmhsc.org.au / [ ] Criterion Met
[ ] Criterion Not Met
Name(s) of carer(s)
Involvement in planning
Involvement in development
Involvement in delivery
Involvement in review
Organisational affiliations
Past experience
5.11 Describe the active involvement of appropriately trained mental health professionals in program planning, development, delivery and review. Please provide their name, qualifications, experience in providing FPS as well as their teaching experience.
/ [ ] Criterion Met[ ] Criterion Not Met
Name of mental health professionals
Qualifications
Experience in provision of FPS
Teaching experience
Involvement in planning
Involvement in development
Involvement in delivery
Involvement in review
Organisational affiliations
Section 6. Content area: focussed psychological strategies
Not all approved FPS are expected to be addressed within a 20 hour program.The GPMHSC has endorsed two program variations:
Programs which are based on
cognitive behaviour therapy (CBT) / Programs which are based on
interpersonal therapy (IPT)
Programs predominantly based on CBT must provide skills orientated training in 1, 2, 3, 4 (4.1), 5 (5.1) and any one strategy from 6 or 7, from the list below.
1. Psycho-education
2. Motivational interviewing
3. Theory and principles underlying CBT
4. Behavioural interventions
4.1 Essential: behaviour modification
4.2 Optional: activity scheduling
4.3 Optional: exposure techniques
5. Cognitive Interventions
5.1 Essential: Cognitive analysis, thought challenging & cognitive restructuring
5.2 Optional: self instructional training, attention regulation and control
6. Relaxation strategies
7. Skills training (problem-solving, communication training, parent management training, stress management) / Programs predominantly based on IPT must at a minimum provide skills orientated training in the areas listed below.
1. Psycho-education
2. Motivational interviewing
3. Theory and principles underlying IPT
► Mental disorders linked to 4 types of relationship difficulties (loss, role disputes, role transitions and interpersonal deficits)
4. IPT training
► Exploration of patient’s perceptions, expectations of others and relationships
► Identification of problems with relationships
► Use of affect to bring about change
► Problem-solve to get resolution of relationship issues
► Communication analysis and training
► Role-play changed behaviour
► Use of the therapeutic relationship
6.1 Is this program a CBT based program, or an IPT based program?