Emergency Medicine Training Program

Workplace-Based Assessments

• It is the responsibility of the trainee to ensure you have completed the required minimum number of WBAs within the required time frame.

• The figures provided on the ACEM website are the minimum requirements - we recommend you try and do more than this to give yourselves a ‘buffer’

• Maintaining a solid rate eg ‘1 CBD per month’ will ensure you avoid any delays or penalties

• Dr David McAroe has the role of WBA co-ordinator, and can assist with consultant availability - please contact directly if any issues completing WBAs

• Please ensure you complete WBAs with a wide range of consultant to maximise your learning from a variety of different feedback sources

• More information on Workplace-Based Assessments can be found on the ACEM website here https://acem.org.au/Content-Sources/Training/How-the-FACEM-Training-Program-works/FACEM-Trainees-Enrolled-Prior-to-2022/Assessments-and-Requirements-FACEM-Trainees-Enro

Registrar Mentoring Program

• Mentoring is increasingly recognised as a key part of training and ongoing professional development. ACEM has several useful resources available for both mentors and mentees here https://elearning.acem.org.au/course/view.php?id=882

• Each trainee will be matched with an ED physician mentor during their first rotation, and a suggested meeting structure and schedule emailed out as the year progresses

• Dr Phil Ward is the Mentor Program co-ordinator

ACEM Training Stage 4 Requirements

Leadership & Management:

• In charge shifts (16 shifts in charge across 12 months):

  • TS4 registrars to be allocated 2-3 shifts per month  as ‘in charge’

  • These shifts will be denoted as a split colour on the roster (start time = colour of area that they are in charge: red, yellow, blue etc., finish time = white)

  • The shifts will be AM weekdays shifts only

  • The TS4 registrar will take on the in-charge responsibilities for this area (supervising junior staff, managing flow) under the supervision & guidance of a FACEM allocated to that area.

    • Note: clinical bedside teaching of junior medical staff is a core component of the in-charge role, and is a particular focus of these in-charge shift opportunities

• On call:

  • TS4 registrars will be prospectively offered to cover as “first on call” for shifts where they are the PM red registrar. The red consultant/AO will be “second on call” on these occasions

  • This will be denoted on the roster as “registrar/consultant” on the on-call line (e.g. “Kilmurray/Karro”)

  • The TS4 registrar will be remunerated for any phone calls/recall they complete as per their current contract and as per the EBA

  • Second-on-call (consultant) to be notified of any calls received by first-on-call, and to attend on site if first-on-call is being called in.

Scholarship & Teaching:

• Formal teaching opportunities: the Directors of Emergency Medicine Training (DEMTs) will continue to offer formal teaching opportunities as part of our Emergency Registrar Teaching Program, along with

  • Emergency HMO teaching

  • Hospital Grand Rounds

  • Division of Medicine meetings

  • Victorian Emergency Training Network (VETN) program

• Clinical teaching opportunities: this is a core component of the ‘in charge’ shifts duties mentioned above

Quality Management:

• TS4 registrars to be offered to take 2 hours from the end of appropriate AM weekday shifts (i.e., finish clinical work at 15:30 rather than 17:30) once to twice per month, to a total of 6-8 hours per term to facilitate CST to complete QI/QA work (ongoing until on QI/QA project is completed)

  • This is to occur prospectively prior to the week the shift occurs in, and under the guidance of the ED Leadership and Education teams.

  • This will be noted on the roster to ensure all clinical team members are aware.

• TS4 trainees to be offered formal audit/guideline work by the departmental QI Lead and the Director of Emergency Medicine Research (DEMR), under the supervision and guidance of the DEMTs.

• QI work to be presented at Registrar Training Program, Emergency Dept QI meeting, ED consultant meeting upon completion.

Intern Supervision

• Dr Joel Wilson is Term Supervisor for interns within ED. Under his co-ordination, all ED interns are allocated a FACEM supervisor who is responsible for their mid-term and end-of-term assessments.

• Interns are also allocated a Registrar supervisor - usually a Reg they work nights with

• The Registrar’s responsibilities include looking out for their intern during their term, and providing feedback to their FACEM prior to assessments.

Learning & Development Plan

• Each trainee needs to complete a Learning & Development Plan at the start of each term in conjunction with one of the co-DEMTs

• The plan should align with the ACEM curriculum domains. Each trainee’s progress is discussed in individual meetings with the DEMTs at the mid-point and end of each term

• The Learning & Development Plan can be used to reflect on what each trainee’s strengths, weaknesses, and opportunities to develop further may be

• This should be further explored with their mentor, with regular catch-ups to guide ongoing development. In setting goals, mentees should endeavour make each goal S.M.A.R.T

  • Specific: Shouldn’t be too broad

  • Measurable: Should be measurable to determine whether the goal has been achieved

  • Achievable: Needs to be realistic

  • Relevant: A goal should be relevant to the overall personal and professional goals

  • Time-framed: An expected timeframe should be decided on to achieve the goal

Quality Programs & Research

• Many research, audit and quality improvement projects exist within the department, and trainees are encouraged to involve themselves in areas of interest

  • The Director of Emergency Medicine Research is Dr Hamed Akhlaghi

  • The Quality Clinical Lead is Dr Leonie Marcus

  • The Morbidity and Mortality Clinical Review Lead is Dr Philip Ward

• ED Clinical Review Meetings occurs weekly on Thursdays at 0915. This is a multidisciplinary discussion of challenging patients, aiming to develop management strategies individualised to specific frequent ED attenders

  • Registrars are encouraged to attend, participate, and may be asked to present

  • The ED Frequent Presenters portfolio is shared by Dr Leonie Marcus and Dr Jessica Robinson

• A regular Mortality & Morbidity Clinical Review occurs as part of our registrar teaching program. We encourage trainees to report any relevant cases to the DEM, the DEMTs or Phil for review, quality improvement and teaching purposes

• Regular Senior Medical Staff meetings occur within the ED to discuss department issues, quality assurance initiatives and future-state planning. A nominated trainee representative is encouraged to attend to advocate trainee interests and concerns

• The ED participates in regular inter-departmental grand rounds and case presentations, as well as regional teaching sessions. Please contact the leadership and education teams to get involved

Additional Learning Resources