NSW Clinical Education and Training Institute Prevocational Accreditation 2011

Dr Claire Blizard

Overview

• Expanded Training Settings

• PGPPP • Community Terms • Private Hospitals

• AOL

• Accreditation outcomes

• The year ahead

Prevocational GP Placement Program - Outcomes

• Commonwealth funded program to offer prevocational trainees a clinical experience in general practice

• 54 general practices accredited

• 6 practices accredited for PGY1 training

• 6 - 8 practices offer trainees clinical exposure in a small rural hospital

• 2 general practice placements accredited in the Northern Territory

• All networks, except one, offer trainees a general practice training opportunity

• Accredited against 25 standards. (13= RTP, 12=GP). This compares to 54

standards in the previous accreditation process

• Expansion expected for the 2012 clinical year

PGPPP – Trainee Evaluation

• Survey of 17 trainees and telephone interviews with 8 trainees from

Term 1 placements

• Almost unanimous positive feedback o 100% would recommend the term

o 100% felt their skills and confidence had improved, with almost 2/3

feeling their skills and confidence had significantly improved

o Trainees indicated supervision was robust and supportive

o Orientation was positively rated

Community Based Facilities

• New program to provide training opportunities in environments that could

not previously be accredited. eg community based drug & alcohol centre

• Flexible accreditation whereby hospital and community facility determine who will take responsibility for which standards

• Modified version of PGPPP accreditation

• In pilot, facility has taken on responsibility for clinical experience and the hospital is providing leadership, governance and trainee support

Private Hospitals

• CETI supports prevocational training in private hospitals

• Private hospitals provide valuable learning experiences

because of their different case mix and service delivery model

Delivering the terms

• Very limited incentives within private hospital sector to

support training – provide hospital services

• Main barrier is funding of positions and training infrastructure

• Small number of private hospitals are interested in training

• CETI is investigating funding sources

Accreditation on line

• AOL is a web based system being developed to facilitate the accreditation program

• First build of the software and testing is complete

• Specification refined as a result of hospital feedback

• Software refinement underway

• Terms section due for release January 2012

• Investigation into the viability to include PGPPP accreditation processes

Accreditation Outcomes

0

5

10

15

20

25

30

35

40

45

50

2009 2010 2011

Num

ber

Year

Types of Accreditations Completed

Hospital Focus visit / Reclassification Hospital reaccreditation GP reaccreditation

Initial hospital accreditation Initial gp accreditation Initial training provider accreditation

Accreditation Status

2%

47%

3%

1%

47%

1 Year

3 Years - Hospital

3 years - GP

Provisional - Hospital

Provisional GP & RTP

Accreditation Decisions

Proviso distribution

No Standard Number of Provisos

%Provisos

1.3 Supervision 35 24% 3.4 Promoting Prevocational Interests 33 22% 3.1 Prevocational Trainee Management 26 18% 2.2 Training and service requirements 20 14%

Top 4 provisos (2009 - 2011)

The Year Ahead

• Accrediting new terms for increasing numbers

o Emergency terms o Surgery terms

• Supporting innovative prevocational training opportunities o PGPPP o Community facilities o Subacute facilities o Acute facilities

• Developing a flexible accreditation framework o Surveyor training – early December 2011

• National standards for general registration of interns o International internships o Emergency Medical Care