PMCV Accreditation Guide 2018 v1 Postgraduate Medical Council of Victoria Inc. 15 • Core terms in emergency, medicine and surgery must meet the mandatory intern training requirements and allocations fulfil the requirements for general registration. • Rotations must be continuous, involve direct patient care and generally not involve travel between multiple sites. • Interns must consult a clinical supervisor regarding management plans for all patients, and all patients should undergo review by a more senior doctor (at some point during presentation/ admission) prior to discharge. • Their immediate clinical supervisor must be awake and onsite at all times and at no time should interns be the sole doctor in the emergency department • Interns should not be expected to manage obstetric patients or children less than two years of age without direct supervision. • Interns should not be expected to consent patients for surgical procedures. PGY2 Training PGY2 doctors (2nd year junior doctors) remain under clinical supervision but take on increasing responsibility for patient care. They begin to make management decisions as part of their progress towards independent practice, particularly towards the end of each term, and towards the end of the PGY2 year. As a general rule, PGY2s should consult their clinical supervisor regarding patient admissions, discharges, and significant changes in patient clinical condition or management. Clinical learning provided should ensure the provision of appropriate prevocational medical training to support their professional development needs and enable transition to vocational training programs. Evaluation Facilities are expected to regularly evaluate intern and PGY2 posts in regards to, but not limited to, these parameters: • Adequacy and effectiveness of supervision • Unit specific orientation, including explanation of expectations, learning objectives and term description • Safe and effective handover • Education offered – facility wide program/ unit specific teaching • Access to education (at least one hour protected) • Duties, rostering and work hours consistent with high quality safe patient care and junior doctor wellbeing 2.7 Monitoring of accredited prevocational medical training programs During the accreditation period awarded to the facility, PMCV will monitor the prevocational medical training programs and posts through regular progress reports. Further, if issues are raised regarding individual posts, the PMCV Accreditation Committee may implement a monitoring process whereby regular updates are provided by the facility until such time as the PMCV Accreditation Committee is satisfied. The monitoring tools are structured progress reports at specified times and full accreditation survey visits every four years. It is also expected that facilities will report at any time on matters which may affect the accreditation status of prevocational medical training posts including changes to posts or any other relevant issues. If PMCV has reason to believe that changes are planned, are occurring or have occurred to prevocational medical training programs or posts which may affect accreditation status, PMCV will seek further information from the facility.