Change to Post Application

Application Steps:

1. Application Start
2. Change Type
3. Contact details
4. Current Accredited Post details
5. Summary of change to existing Accredited Post
6. Change to roster
7. Change to duties and learning outcomes
8. Unit structure and supervision
9. Additional comments / documentation
10.Declaration

Note: The steps to be completed are dependent on the change type. The required pages will appear automatically as you complete the form, based on your selection.

For assistance contact the Accreditation team via: accreditation@pmcv.com.au

Accreditation - Change to Post

Application Steps

Click next to begin. Your application can be saved, and you will receive a link to complete your application within 30 days.
For accreditation guidelines please refer to the following page: Accreditation Resources

If you need assistance please contact the Accreditation team on: accreditation@pmcv.com.au

Change Type(Required)

Increase in number of posts in a speciality area

Change to roster

Change to location of post (with no other changes to post)

Redeployment (New campus/site/unit)

Change to Unit structure (eg due to model of care changes)

The selection you have made will require an application for a New Post.
Please click here to complete the application: New Post Application

Your Details

Name(Required)
First Last

Phone(Required)

Email(Required)

Role(Required)

Health Service details

Health Service(Required)

CMO/DMS Details

Name(Required)
Prefix First Last

Phone(Required)

Email(Required)

Does your health service have a SIT or DCT?
SIT
DCT
please select both if applicable

SIT

Name
Prefix First Last

Phone

Email

DCT

Name
Prefix First Last

Phone

Email

Current Accredited Post details

Post name/role(Required)

Post location (service)(Required)

Parent Health Service

Unit name(Required)

Year(Required)
Intern
PYG2

Is this position part of a vocational training program?(Required)
Yes
No

If Yes, please specify which program(Required)

Total EFT being applied for(Required)

Duration of Post (if fixed term)

Length of rotation (weeks)(Required)

Commencement Date(Required)
MM slash DD slash YYYY

If changes will affect roster please provide copy of current roster
Max. file size: 256 MB.

Summary of change to existing Accredited Post

Summary of proposed change(Required)

Expected outcome of change(Required)

Summary of anticipated impact of this change to other Interns/PGY2s(Required)

Change to roster

Upload new roster(Required)
Drop files here or
Max. file size: 5 MB.

Please ensure roster includes the following where applicable: 1. If the new roster changes week to week - a rotation-long roster should be provided; 2. Clearly specify the new intern/PGY2 post; 3. Include any protected teaching time; 4. Specify any unit-based learning opportunities e.g. Morbidity and mortality, audit, case of the week etc; and 5. For surgical terms – include theatre sessions.

Summary of proposed change(Required)

Change to duties and learning outcomes

Proposed change to learning outcomes of Post(Required)

Term description / duties statement(Required)
Drop files here or
Max. file size: 5 MB.

Education program/s available to this post(Required)
Drop files here or
Max. file size: 5 MB.

Change to Unit structure and supervision

Term Supervisor for Post(Required)
First Last

Clinical Supervisor for Post(Required)
First Last

Head of Unit(Required)
First Last

Other SMS changes - please describe

Upload the Senior Medical Staff on-call/service roster(Required)
Drop files here or
Max. file size: 5 MB.

Unit staffing - Overview

Please specify the staffing within this unit and their involvement with supervision and training of this Post

Senior Medical Staff (SMS)(Required)

Fellow(Required)

Advance Trainee(Required)

Accredited Registrar(Required)

Unaccredited Registrar(Required)

PGY3+(Required)

PGY2(Required)

Intern(Required)

Other(Required)

Will there be a change to the model of care(Required)
Yes
No

Please provide a summary of the change(Required)

Unit/Division/Organisation structure chart/s(Required)
Drop files here or
Max. file size: 5 MB.

Change to location of post

Post location (service)(Required)

Post location (address)(Required)

Parent Health Service

Unit name(Required)

Post name/role(Required)

Additional Comments or Documentation

Additional Comments

Additional Documentation
Drop files here or
Max. file size: 5 MB.

Declaration

NOTE:

This declaration must be completed by the CMO/DMS or your health service. If you are not the CMO/DMS please save this form using "Save and Continue later" and email the CMO/DMS the link to complete.

Declaration(Required)
Title First Last

CMO/DMS Email(Required)

Date(Required)
MM slash DD slash YYYY

Declaration(Required)
I declare the information contained in this application is correct at the time of submission and this post complies with the following guidelines:
• PMCV Clinical Learning for Junior Doctors Guidelines
• PMCV Clinical Supervision of Junior Doctors Guidelines
• PMCV Performance Assessment and Feedback Guidelines for Junior Doctors

The above guidelines can be found here: Accreditation Resources

CAPTCHA

File
Max. file size: 256 MB.

Comments
This field is for validation purposes and should be left unchanged.

Change to Post Application

Application Steps:

Accreditation - Change to Post

Your Details

Health Service details

CMO/DMS Details

SIT

DCT

Current Accredited Post details

Summary of change to existing Accredited Post

Change to roster

Change to duties and learning outcomes

Change to Unit structure and supervision

Unit staffing - Overview

Change to location of post

Additional Comments or Documentation

Declaration

NOTE:

Collaboration