PMCV Accreditation Guide 2018 v1 Postgraduate Medical Council of Victoria Inc. 11 The accreditation of a term will lapse when the facility no longer wishes to have the term accredited; when the term is disaccredited by PMCV or if no junior doctors have worked in the term for two years. Once accreditation of a post has lapsed the facility will need to re- apply for new accreditation. For facilities to be accredited to offer new intern training programs (as a parent facility) and/or intern terms, the usual model is for the facility to be involved in medical training across the continuum (e.g. medical students and vocational registrars). Facilities wishing to establish stand-alone intern training programs have usually already been accredited for intern training as a rotation site. Consideration for accreditation of new stand-alone programs (e.g. intern training) will also include assessment of ongoing training pathways. 2.3 Changes to prevocational medical training programs and posts All Victorian facilities accredited for prevocational medical training must ensure that PMCV is advised of any changes to intern and PGY2 posts or rotations between accreditation visits that may significantly affect the education and training of junior doctors in accredited posts for a significant period of time (greater than one month) or are intended to be permanently implemented. If new terms or posts are planned the PMCV Accreditation Committee should be notified early so that they can be assessed against the accreditation standards and approved prior to junior doctors working in the new posts. Such changes will be reviewed by the PMCV Accreditation Committee on a case by case basis and facilities are encouraged to discuss proposed changes with the Accreditation Manager in the first instance. Circumstances which would normally prompt a review for a parent facility/ training program may include (but are not limited to): • Facility is no longer able to meet core term intern training requirements. • Absence of senior facility staff with a significant role in prevocational medical training for an extended period with no replacement (e.g. absence of Director Medical Services or Supervisor of Intern Training for greater than one month). • Plans for significant redesign or restructure of the facility that impacts on junior doctors (for example, a significant change to clinical services provided or a ward closure causing change to caseload and casemix for the term). • Change to overall accreditation status of facility (e.g. ACHS accreditation). • Resource changes that significantly reduce administrative support, facilities or educational programs available. • Proposal to change (acquire/remove) a junior doctor term including external rotations, or a change to the number of junior doctors in a rotation. Circumstances which would normally prompt a review for individual terms (including general practice terms) may include (but are not limited to): • Absence of a Term Supervisor for an extended period (e.g. greater than one month) with no replacement. • Rostering changes that significantly alter access to supervision or exposure to learning opportunities. • Change in structure of supervision where change will impact on the supervision of junior doctors significantly and for an extended period.