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Fellowship Support Program Registrar handbook

Training program requirements

Out-of-practice education

    1. Out-of-practice education
  1. Withdrawal and re-entry
  2. Disputes and complaints

Out-of-practice education

In addition to your in-practice education, you can access out-of-practice education, including self-directed learning, peer learning and exam preparation. Some activities are mandatory for your progression through training and others are optional.

We encourage you to make the most of all the resources and opportunities to connect with your peers.

Small group learning

You'll attend a monthly small group learning (SGL) session run by an ME. In these groups, you'll work with your peers and the ME(s) on topics from the RACGP Curriculum and syllabus. These sessions will be semi-structured and tailored to the group's learning needs. SGLs run for 1.0-1.5 hours and you'll be sent a calendar invite of these sessions, in advance, to your nominated email address.

Participation in SGL is mandatory throughout your training terms.

Clinical audit

A clinical audit is a systematic review of aspects of clinical performance. It's a valuable quality improvement activity designed to explore areas such as:

  • rational ordering of investigations (radiology/pathology):
    • review the frequency of tests ordered, for example, thyroid function test in patients on long-term thyroxine replacement
    • imaging in acute knee and ankle injuries, for example, what the indications are and what modalities could be used
  • management/prescribing:
    • how closely did you follow clinical guidelines in the management of (for example) lower back pain
    • review your prescribing as compared to current best practice
  • preventive medicine activities:
    • review patient records for recording of smoking status and smoking cessation advice given
    • review patient records for recording of current alcohol use and alcohol cessation and reduction advice given.
In GPT1, you’ll be enrolled in the Registrars’ Clinical Encounters in Training (ReCEnT) program as a tool to facilitate your clinical audit. On completion you’ll receive a report to discuss with your ME in GPT2, to inform your learning plan.

Event analysis

An event analysis is a way of formally analysing incidents that may have implications for patient care. It involves you identifying an incident (eg unexpected death, delayed or missed diagnosis, medical error or communication failure) and reviewing reporting guidelines and subsequent actions, including remedial activities. Your event analysis will occur in GPT1 and form part of a SGL session.

Evidence-based medicine activity

Critical appraisal in medicine is an important skill to ensure your practice is evidence based. In GPT3, you’ll be required to submit an evidence-based medicine activity for discussion with your ME.

The EBM activity will be introduced brielfy in SGL session #16, followed by an email to your preferred email address with written instructions on how to complete the task (with an example for reference).

The EBM involves choosing an article from a selection provided by your ME, and completing an analysis of the evidence. You'll be equipped with a worksheet containing a framework for completing the anaylsis and you'll need to upload the completed worksheet to the Documentation section of the FSP portal one week before SGL session #17. You should have three weeks to complete the task.

You will discuss what you have learned in SGL #17, with your ME and peers.

Continuing professional development

While you're progressing adequately in the education component of the FSP your continuing professional development (CPD) requirements will be met by your program participation. You don't need to complete additional CPD.

The RACGP CPD team will log CPD hours in your 'myCPD' portal, acknowleding your training program participation. This will occur for every term you are in the educational component of the FSP.


What activities do I need to attend?

Out-of-practice teaching and peer learning groups (ie teams sessions) are mandatory (Table 2), except for workshops. Your training coordinator will let you know the dates of any mandatory out-of-practice learning activities for your region. You’ll need to communicate with your practice to ensure you can attend. If you miss a compulsory educational activity, you’ll need to discuss with your ME how you will make up the missed learning opportunity.