For a rotation to meet the requirements of Clinical Experience A, the prevocational doctor must be actively involved in the assessment and initial management of the patients during the rotation. This includes the opportunity to be the first assessor of patients and to develop management plans.
Term Descriptions will need to contain adequate evidence to support the clinical experience classification.
AMC description of Clinical Experience A:
Prevocational doctors must have experience in caring for, assessing and managing patients with undifferentiated illnesses. Learning activities include admitting, formulating an assessment, presenting and clinical handover. This means the prevocational doctor has clinical involvement at the point of first presentation and when a new problem arises. This might occur working in a range of settings such as in an emergency department or in general practices.
| Examples of how a rotation may meet the requirements of Clinical Experience A | Examples of how a rotation may not meet requirements of Clinical Experience A |
|---|---|
| Term Description acknowledges the requirement for the prevocational doctor to undertake assessments and present cases. | The hospital runs a dedicated admission service (e.g. for General Medicine or Surgery) separate to the unit the prevocational doctor is working in. |
| Identified rostered time with attachment to the admitting service (where this exists) or in being the initial assessor of patients on presentation. | The unit model of care requires the Registrar to undertake most initial assessments and develop the management plan. |
| Identified opportunities for the prevocational doctor to present and discuss cases (e.g. ward rounds, meetings). | The predominant focus of the Term Description is on completion of ward-based tasks for the patients in-hours. |
| Participation in the after-hours/cover roster with adequate supervision and discussion (hospital positions). | There is no involvement in the after-hours/cover roster. |
| Opportunity to assess and manage patients booked on the day (community positions). | Attendance in outpatients involves only seeing review patients. |
| Attendance in outpatients or with the opportunity to see and manage new patients and present to the supervisors. | In community rotations, the prevocational doctor is not able to be the first assessor for new patients. |
| In community rotations, the prevocational doctor is provided with the opportunity to see patients presenting with a new condition/presenting complaint. |
Learn more about Clinical Experiences
