All training facilities employing junior doctors must comply with the accreditation standards throughout the period for which they are accredited.
Following the granting of accreditation, PMCV will monitor the prevocational medical training program and posts provided by the facility to ensure they continue to meet the accreditation standards.
The monitoring tools are structured progress reports at specified times (mid-cycle reviews and review of new posts) and full accreditation survey visits every four years.
It is also expected that facilities will report at any time on matters which may affect the accreditation status of prevocational medical training posts including changes to posts or any other relevant issues. If PMCV has reason to believe that changes are planned, are occurring or have occurred to prevocational medical training programs or posts which may affect accreditation status, PMCV will seek further information from the facility.
The mid-cycle review occurs two years after the survey visit and focuses on conditions and recommendations, changes to the program or posts since the previous visit and involves junior doctor feedback. Self-evaluation against the accreditation standards is not part of this process although feedback is sought in regards to those standards that were not met at the previous survey visit. The facility will be provided with a mid-cycle review template four months prior to the due date for the report.
All new prevocational medical training posts will be provisionally accredited for 12 months. Extension of accreditation up to three years is dependent upon two factors:
i. Completion of the self-assessment form by the facility; and
ii. Satisfactory feedback from junior medical staff (PMCV survey).
The facility will be provided with a progress report template four months prior to the due date for the report.
Refer: Duration of Accreditation, Applications, Communication and Monitoring Guidelines
Ongoing monitoring by facilities
Apart from the formal new post progress and mid-cycle reviews coordinated by PMCV, facilities are expected to monitor prevocational medical training programs and posts to ensure they continue to meet requirements between survey visits according to accreditation standard 8.2.2 (Appendix B) and the PMCV Guidelines for Accreditation of Intern Terms (see section 3.4) and communicate any concerns, issues or changes to PMCV in accordance with accreditation standard 1.2.2 (Appendix B).
In particular, standard 8.2.2 requires review of posts in relation to the following criteria:
• Complexity and volume of the unit’s workload
• The intern/PGY2’s workload
• The experience interns/PGY2s can expect to gain
• How the intern/PGY2 will be supervised, and by whom
i. Continuous collection of evidence including collated trainee survey during the cycle.
ii. Review of intern annual allocation plans against the list of accredited intern posts published on the PMCV website to ensure compliance with training requirements.