Accreditation and Quality Improvement
The Victorian Board of the Medical Board of Australia has approved the Postgraduate Medical Council of Victoria (PMCV) as an intern training accreditation authority. In addition the Department of Health has authorised PMCV to review postgraduate year two posts (PGY2).
Accreditation of prevocational medical training programs and posts is a process undertaken by an accreditation authority (PMCV) that establishes and monitors standards to ensure high quality clinical training for junior doctors (interns and PGY2s). This comprises:
- Quality assurance, involving facility self-evaluation and external peer review of compliance with the standards, and remediation following review (conditions);
- Quality improvement involving peer review with a focus on excellence identifying commendations (best practice) and recommendations for improvement; and
- Continuous improvement involving ongoing monitoring by the facility itself as well as regular formal reviews by the accreditation authority.
Duration of accreditation decisions arise from the assessment process and recommendations are designed to assist the facility to improve the education and training of junior doctors and to provide the best possible environment for the training of junior doctors.
All facilities in Victoria that employ interns and/or PGY2 junior doctors must be accredited by PMCV prior to the commencement of junior doctors. Changes in structure or governance of the facility or facilities participating in the intern or PGY2 training program may affect the Accreditation Status
Survey visits usually occur every four years with structured mid-cycle reviews.
The following principles underpin the PMCV accreditation processes and standards:
- Safe and high quality patient care is a primary consideration.
- That the safety and welfare of the junior doctor, who play a key role in the delivery of patient care, is optimised and that junior doctors experience a high standard of general clinical education and training.
- All intern training posts will be accredited and all PGY2 posts will be reviewed and monitired in Victoria.
- Promotes an appropriate balance between service and training elements and fosters quality education, training and support for junior doctors.
- Accreditation involves a global assessment of the intern and/or PGY2 training program provided by a facility and assessment at a unit level as issues arise from pre-visit documentation or during the survey visit.
- Accreditation will involve a regular cycle with specified reporting between visits to support continuous quality improvement in educational programs, supervision and service delivery.
- The accreditation process follows the documented procedures and decision-making is based on the documented standards.
- The accreditation standards and process will be reviewed on a regular basis.
- Accredited intern training programs will enable interns to progress to general medical registration.
A facility may appeal against the accreditation status awarded by PMCV following a survey visit.