PMCV Accreditation Guide 2018 v1 Postgraduate Medical Council of Victoria Inc. 14 involved in medical training across the continuum (e.g. medical students and vocational registrars). There are a range of general learning and supervision requirements for junior doctor training posts which apply to both interns and PGY2s including: Learning • Rotation allocations ensure the achievement of defined training requirements, learning objectives and career aspirations. • Junior doctors are provided opportunities to develop skills and increasing independence in clinical management, skills and procedures, communication and professionalism. • The duties, rostering, working hours and supervision of junior doctors are consistent with the delivery of high-quality, safe patient care and with intern/PGY2 welfare. • Rosters reflect a balance between service provision and training and rostered hours reflect the unit expectations and provide sufficient time to complete the work. • The number of patients in the care of the junior doctor, and the severity of their conditions, is at a level at which the junior doctor can provide safe continuing care. • Junior doctors are provided with a term description, unit orientation, an education program and their performance is assessed at mid-term and end-term with formal feedback by the Term Supervisor. Supervision • There is a nominated term supervisor responsible for orientation, monitoring and performance assessment. • There is a designated clinical supervisor responsible for day to day supervision. • Junior doctors are supervised at all times at a level appropriate to their experience. • The process for contacting clinical supervisors and escalating clinical concerns is clear at all times. • Teaching time is provided and protected. • The performance of all junior doctors is assessed and feedback, formal and informal, is provided. • There are also some specific requirements for supervision of interns and PGY2s in psychiatry (e.g. with regard Mental Health Tribunals) and general practice terms (e.g. parallel consulting). Intern Training Internship is a period of mandatory supervised general clinical experience (provisional registration). It allows medical graduates to consolidate and apply clinical knowledge and skills while taking increasing responsibility for the provision of safe, high quality patient care. Diagnostic skills, communication skills, management skills, including therapeutic and procedural skills, and professionalism are developed under appropriate supervision. Internship also informs career choices for many graduates by providing experience in different medical specialties including general practice, and providing a grounding for subsequent vocational (specialist) training. Completion of the internship leads to general registration where the doctor has been assessed as having the skills, knowledge and experience to work as a safe entry level medical practitioner. The MBA Intern Registration Standard specifically describes the training requirements for completion of internship which should comprise 47 weeks including terms in core medicine, surgery and emergency care. There are some specific learning and supervision requirements which apply to interns: • Interns cannot work in units not accredited for intern training.