Accreditation Standards

As a trainee surveyor, you are not expected to know all the criteria, but some familiarity with them with be helpful – for example if the junior doctors seem dissatisfied with aspects of a term then look to see which criteria match with those areas of dissatisfaction. The lead surveyor will guide you on how the criteria are interpreted, and the usual standard required.

Criteria	Evidence/Examples
1.1 Capacity to provide mandatory supervised general clinical experience	Proposed term rotations for each prevocational doctor Confirmed year term rotations for each prevocational doctor Evidence of case mix/workload infrastructure and support data Accreditation survey interviews
1.2 Strategic planning and training budget	Organisational purpose and aims. Documented commitment to support the ongoing and future needs of the PTP. Evidence showing that the person(s) involved in implementing the PTP is actively involved in the strategic planning process. Accreditation survey interviews
1.3 Structure supporive of prevocational doctors	Organisational structure Ratio of Postgraduate Medical Education Unit staff to prevocational doctors Accreditation survey interviews
1.4 Delivery and coordination of prevocational training	Policies, processes and procedures relevant to the delivery and coordination of the PTP Demonstration of mechanisms monitoring implementation of policies, processes and procedures between and within the health services.
1.5 Prevocational Training Committee	TOR for the Committee responsible for PTP including membership. Minutes for past twelve months.
1.6 Coordination between health services	Process for communication between network partners. Minutes of meetings between network partners. Intern and RMO term allocations Obligations of each Primary Placement and Placement Health Service in supporting training and the learning objectives for prevocational doctors at that site.
1.7 Process for appointment to program	Documentation of selection processes

Criteria	Evidence/Examples
2.1 Understanding of role	Job description forms for relevant positions.
2.2 Support for supervisors, term supervisors and directors of clinical training	List of relevant professional development for term supervisors, directors of clinical training and other clinical supervisors.
2.3 Prevocational doctor feedback	Documentation of feedback mechanisms provided to prevocational doctors and relevant policy documents
2.4 Supervisor feedback	Documentation of feedback mechanisms provided to supervisors and senior staff, and relevant policy documents. Accreditation survey interviews
2.5 Identification of opportunities for improvements	Documentation of review mechanisms, relevant policy documents and relevant PTC minutes. Cover letter from DPGME or WA General Practice Education and Training. This letter should include the accreditation level recommended, identified deficiencies, recent or planned improvements and other forecast changes to the term.
2.6 Health service orientation	Orientation manual or program. Electronic documents referenced during orientation. Completed questionnaires (such as term evaluation questionnaires) from doctors currently in the rotation who have previously been in the rotation.
2.7 Clinical opportunities	Statement of ‘Term Objectives’ (as provided to the prevocational doctor during orientation). Timetable of weekly clinical and education sessions and the weekly timetable including teaching time and clinical duties or duty roster/ job description. Completed questionnaires (such as term evaluation questionnaires) from doctors currently in the rotation who have previously been in the rotation. Basic clinical activity statistics per department and for the hospital or practice.
2.8 Formal education opportunities	Formal education timetable and relevant policy and summary of program implementation over last 12 months.
2.9 Performance management processes	Relevant policy and documents for the performance management process. Accreditation survey interviews
2.10 Patient safety	Copy of relevant policy and documents relating to patient safety Completed questionnaires (such as term evaluation questionnaires) from doctors currently in the rotation who have previously been in the rotation. Basic clinical activity statistics per department and for the hospital or practice.
2.11 Personal support and wellbeing	Relevant policies and procedures for: dealing with issues, concerns and grievances, identifying prevocational doctors with particular needs provision of career guidance. supporting and promoting professional development encouraging them to take responsibility for their personal health and wellbeing Include links of where the information can be accessed.
2.12 Safe and flexible work practices	Relevant policies, procedures and documents for providing safe and flexible work practices.
2.13 Physical facilities and amenities 2.13.1 Security in physical amenities 2.13.2 Physical space for consuming meals, relaxation and communication 2.13.3 On-call and rest area amenities 2.13.4 Provision of nutrition during and after ordinary working hours	Orientation manual. Site visit.
2.14 Learning and workspace facilities 2.14.1 Communication facilities during and after ordinary working hours 2.14.2 Workspace in a clinical environment 2.14.3 Learning facilities	Orientation manual. Site visit.

Criteria	Evidence/Examples
3.1 Term Orientation	Content page of the orientation manual Completed PMCWA questionnaire from doctors
3.2 Educational Opportunities	Statement of 'Term Objectives' Timeline of weekly clinical and education sessions
3.3 Term Supervisors	List of term supervisors
3.4 Supervision	Documents outlining supervision arrangements including supervisor timetables.
3.5 Supporting prevocational doctors taking responsibility	Statement of 'Term Objectives' Completed PMCWA questionnaires
3.6 Appraisal Mechanism	Feedback arrangements and mechanisms provided to prevocational doctors Content page of the orientation manual
3.7 Assessment Mechanism	Completed PMCWA questionnaires from doctors
3.8 Prevocational doctors are informed of the assessment and appraisal process	Content page of the orientation manual Completed PMCWA questionnaires from doctors
3.9 Achievement below expected level	Relevant policy and documents for the performance management process
3.10 Junior Doctor Wellbeing	Duty rosters and timesheets Completed PMCWA questionnaires from doctors
3.11 Patient Safety	Documented escalation pathways and procedures
3.12 Obtaining Consent to Treatment by Prevocational Doctors	Policy, information sheets or a list of procedures for obtaining consent Orientation paperwork
3.13 Appropriate case numbers and case mix to provide adequate learning opportunities	Cover letter from DPGME or WA General Practice Education and Training Clinical activity statistics per department and for the hospital or practice