Accreditation

Accreditation

All training sites and supervisors involved in the training or registrars in the Australian General Practice Training (AGPT) program or FSP need to be formally accredited. From January 2023, accreditation of training sites and supervisors will be undertaken by the general practice training colleges. Accreditation of training sites and supervisors focuses on quality; it includes regular reporting and monitoring and quality improvement requirements.

Accreditation of training sites is undertaken against the RACGP Standards for general practice training. The Accreditation standards for training sites and supervisors provides guidance on how the standards apply to both training sites and supervisors. The RACGP will assist practices and supervisors through the accreditation process.

Training sites and supervisors can be accredited with either the RACGP or ACRRM, or both. This is a single application process through an expression of interest (EOI) which is found on either of the college's websites. For dual college accreditation requests, liaison will occur between the colleges, with sharing of information to ensure a streamlined process for applicants. Training sites and supervisors can also be accredited for different training programs, for example, the AGPT and the FSP.

Benefits of being a training site and supervisor

There are many benefits of becoming a training practice, which include:

  • enhancing your practice’s reputation as a quality medical education training site
  • developing collaborative relationships with other organisations involved in teaching registrars
  • bringing fresh ideas and energy into your practice, which may lead to improved processes, systems and care
  • contributing to the training of future GPs.

Supervisors and the supervisory team provide on the job teaching, mentoring, supervision and support to registrars through a work-based learning model, which involves teamwork, coaching, mentoring and computer-based learning; it can be a rewarding and fulfilling experience.

Benefits to accredited supervisors include:

  • the opportunity to learn new skills through professional development activities such as learning modules and supervisor workshops
  • connecting with a community of supervisors
  • receiving clinical support from registrars in the practice
  • the FSP pays a teaching allowance to supervisors via an agreement directly with RACGP. 

Registrars make up an important component of the general practice workforce. Through the FSP, the RACGP will ensure registrar placements are supported to address areas of workforce need.

Eligibility for accreditation as a training site

To be eligible to apply for accreditation, a training site needs to: 

  • hold current accreditation against the RACGP Standards for general practices
  • be able to support a registrar and provide a safe clinical learning environment
  • provide adequate patient numbers with a variety of demographics to ensure registrars experience sufficient depth and breadth of general practice
  • provide a suitably equipped, dedicated patient consultation room, which includes:
    • computer and internet access with suitable communication software to allow the registrar to participate in education activities
    • access to a telephone and fax machine
    • equipment to access and update patient records, including health screening and recall systems
    • access to online resources to support clinical decision making
    • contact details for alternative avenues of support and information. 

In most cases, a training site will apply for accreditation concurrently with one or more of its GPs applying to become accredited supervisors. Some training sites may be eligible to be accredited independently of providing supervision if their registrar is accessing the RACGP’s remote supervision model. 

FSP location restrictions

All general practices are classified, based on their location, according to the Modified Monash Model (MMM), which categorises metropolitan, regional, rural and remote areas according to both geographical remoteness and town size. For more information, please refer to the Health Workforce Locator.

The FSP is a rural training program and only accepts registrars who are working in rural or remote locations (MMM 2-7), unless there are extentuating circumstances.

Eligibility for accreditation as a supervisor

Each training site (except sites meeting the eligibility criteria for remote supervision) must have an accredited primary supervisor who is responsible for clinical and educational support to the registrar as well as assessing clinical safety and competence. They are responsible for coordinating the supervisory team at the training site to fulfill this responsibility.

Training sites may also have accredited secondary supervisor/s to ensure a registrar always has a supervisor available to them when working.

Primary supervisor

An accredited primary supervisor should be an excellent professional and clinical role model. Applicants need to have:

  • Fellowship of either RACGP and/or ACRRM
  • full and unrestricted registration as a specialist GP under the Australian Health Practitioners Regulation Agency (Ahpra)
  • preferably at least 4 years of experience working in general practice in Australia (two years post-Fellowship) and show evidence of current professional development
  • evidence of participation in continuing professional development
  • a position in which they work a substantial part of the week at the same location as the registrar.

As part of the accreditation process, a primary supervisor must complete:

  • an interview with the local Medical Educator (ME)
  • learning modules for new supervisors
  • cultural awareness and cultural safety training  

Secondary supervisor

Training sites may also have accredited secondary supervisor/s to ensure a registrar always has a supervisor available to them when working. 

To apply to become a secondary supervisor, applicants need to have:

  • Fellowship of the RACGP and/or ACRRM
  • full and unrestricted registration as a specialist GP under Ahpra
  • an active position at the training site as a GP
  • evidence of participation in continuing professional development

Remote Supervision

Based on specific eligibility criteria outlined within the RACGP Guidelines for safe and effective GP training utilising Remote Supervision, a training site may be accredited without an onsite accredited GP Supervisor. Various supervision models can be accredited depending on a practice's location and situation. For example, remote supervision could be used to cover times (planned or unplanned) when a primary supervisor is unavailable. 

Models of remote supervision include:

  • Remote supervision – The registrar works remotely and is supervised by a remote supervisor who may be located anywhere in Australia and who has experience working in the region where the training site is located.
  • Blended supervision – The registrar and remote supervisor work in the same location for a period of time throughout the placement, with periods of remote supervision.
  • Satellite supervision – The registrar is supervised by a remote supervisor in a nearby town, who is available for some face-to-face meetings and supervision.
  • Group supervision – Multiple remote supervisors support multiple remotely located trainees, with rostering to ensure that there is always supervision support available.

To facilitate these models, a GP may choose to be accredited as a remote supervisor. They may be an existing supervisor with extra capacity, or a GP in a non-accredited practice who wishes to provide teaching and supervision. Remote supervisors will be allocated to training sites and linked to carefully chosen registrar placements.

Eligibility requirements for remote supervisors can be found in Remote supervision eligibility and selection requirements.