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RACGP Rural Generalist Fellowship Training Handbook

Training program requirements for the Rural Generalist Fellowship (FRACGP-RG)

Core Emergency Medicine Training

Core Emergency Medicine Training

Core emergency medicine training (core EMT) is designed to provide you with the skills, knowledge and confidence to manage emergency situations in rural and remote environments. You’ll be able to address unique rural challenges, provide high quality emergency medical care and lead healthcare teams in your community.

Core EMT requires a minimum of six months FTE spent in an accredited training post. You need to demonstrate satisfactory achievement of the outcomes outlined in the core EMT curriculum. Core EMT satisfies your extended skills training term requirement. However, if you want to complete an extended skills training term other than emergency medicine, you have the option of completing an extended skills term in addition to core EMT.

You can choose to complete core EMT immediately after your hospital training time, which enables you to contribute to the emergency roster in a rural hospital while training in a rural general practice. Alternatively, you can complete core EMT after, or even concurrently with, your rural general practice terms, which will give you an understanding of the context in which the emergency services are provided.

The RACGP recommends you work closely with your training program team to develop the best training plan for your individual circumstances.

If you plan to complete your ARST in emergency medicine, you’ll need to complete your core EMT training before starting your ARST placement, as it forms the foundation on which more advanced emergency skills are developed.

Completion of the Australian College of Emergency Medicine (ACEM) Emergency Medicine Certificate (EMC) will partially meet the requirements of core EMT. Additional rural context requirements must be met to receive full recognition; refer to ACEM Emergency Medicine Certificate and Rural Generalist Fellowship core-EM training gaps for details prior to applying for RPLE.

Training post and supervision requirements

For an overview of the requirements for core EMT, please refer to the sections on the Context and Content for the RACGP RG Fellowship Core Emergency Medicine Training in the curriculum.

Workplace-based assessments for core EMT

Satisfactory completion of core EMT will be assessed by a suite of workplace-based assessments (WBA). The following WBA tools will be used to assess the candidate’s competency:

WBA templates for core EMT

Names of WBAs

Mini – CEX – mini clinical evaluation exercise

RCA – random case analysis

DOPS – direct observation of procedural skills

WBA Requirement Assessor Number of Assessments/activities When assessment/activity should occur* 
Mini-CEX Independent assessor 1 session with 3 observations Completed during months 4-5 
RCA Supervisor 1 session with 3 case discussions Completed during months 2-3 
Medical educator or independent assessor 1 session with 3 case discussions Completed during months 4-5 
DOPS Supervisor 1 session with 3 case discussions Completed during months 2-3 
Medical educator or independent assessor 1 session with 3 case discussions Completed during months 4-5 
Logbook of core procedural skills Signoff by supervising senior clinician or educator Listed in logbook Throughout training 
Supervisor Reports Supervisor 1 Middle of training (eg at 3 months) 
1 End of training (eg at 6 months

* Timing of when assessments occur is based on 6 months of FTE training