New Post Application

Application Steps:

1. Application Start
2. Change Type
3. Contact details
4. Post summary
5. Post details and learning outcomes
6. Education and orientation details
7. Unit structure and supervision
8. Additional comments / documentation
9. Declaration

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

Accreditation of New 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

Application Type(Required)

If you are wanting to change an existing post or apply for an intern extension - please go back and chose the appropriate form

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/DCT

SIT

DCT

please select both if applicable

SIT

Name

First Last

Phone

DCT

Name

First Last

Phone

Post Summary

Post name/role(Required)

Post location(Required)

Unit name(Required)

Parent Health Service

Clinical Experiences(Required)

Is this position part of a vocational training program?(Required)

Yes

If Yes, please specify which program

Total EFT being applied for(Required)

Duration of Post (if fixed term)

Reason for Post(Required)

Length of rotation (weeks)(Required)

Requested Commencement Date(Required)

DD slash MM slash YYYY

*Post cannot commence until accredited

Post details and learning outcomes

Proposed learning outcomes of Post(Required)

Will this post participate in an on-call roster and/or after-hours work?(Required)

Yes

If yes, what supervision is provided by registrars and/or SMS?

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 4 week 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; 5. For surgical terms – include theatre sessions; 6. If this is a post being added to a unit that has interns/PGY2's - please also add current roster for comparison.

Upload Term Description(Required)

Drop files here or

Max. file size: 256 MB.

What clinics will this Post attend?(Required)

In what capacity will they be working in these clinics?

Parallel consulting

Independent practice

Supernumerary

Frequency of SMS lead Ward Round(Required)

Daily

Weekly

Ad Hoc

Acuity of patients(Required)

Low

Medium

High

Number of Beds/Cubicles in unit(Required)

Number of Beds/Cubicles allocated to this Post(Required)

Clinical case-mix

Average Length of Stay(Required)

Admission outcomes(Required)

Is this a Surgical post?(Required)

Yes

Emergency vs Elective split(Required)

When does Rostered Theatre time occur?(Required)

Education and Orientation details

Please either provide written details or upload the documentation. If you have uploaded documentation, please note "documentation uploaded" in the mandatory field.

When is unit orientation conducted?(Required)

Who conducts unit orientation?(Required)

Outline Unit orientation details(Required)

Outline Unit orientation details

Drop files here or

Max. file size: 5 MB.

How is ad-hoc orientation managed?(Required)

Outline Unit Education details(Required)

Outline Unit Education details

Drop files here or

Max. file size: 5 MB.

Outline Organisation wide Education program details(Required)

Upload Organisation wide Education Schedule

Drop files here or

Max. file size: 5 MB.

Upload the unit ROVER

Drop files here or

Max. file size: 5 MB.

Upload the unit Escalation Matrix

Drop files here or

Max. file size: 5 MB.

If your Escalation Matrix is available in another uploaded document - please document below

Unit structure and supervision

Term Supervisor for Post(Required)

Prefix First Last

Clinical Supervisor for Post(Required)

Prefix First Last

Head of Unit(Required)

Prefix First Last

Unit staffing - Overview

Please specify the staffing within this unit. If none please use "0".

Senior Medical Staff (SMS)(Required)

Fellow(Required)

Advanced Trainee

Accredited Registrar(Required)

Unaccredited Registrar(Required)

PGY3+(Required)

PGY2(Required)

Intern(Required)

Other(Required)

Additional Comments or Documentation

Please include anything that you would like to note for the committee's consideration.

Additional Comments

Additional Documentation

Drop files here or

Max. file size: 5 MB.

Declaration

By signing this declaration, you are confirming that your CMO/DMS is aware of, and has approved, this application. They will receive a copy of this application following submission.

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

Declaration(Required)

Prefix First Last

DMS/CMO Email(Required)

Date(Required)

DD slash MM slash YYYY

The above guidelines can be found here: Accreditation Resources

CAPTCHA

Comments

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

New Post Application

Application Steps:

Accreditation of New Post

Your Details

Health Service details

CMO/DMS Details

SIT

DCT

Post Summary

Post details and learning outcomes

Education and Orientation details

Unit structure and supervision

Unit staffing - Overview

Additional Comments or Documentation

Declaration

Collaboration