Skip to content
About
Close About
Open About
Our Organisation
About PMCV
Strategic Plan
Annual Reports
Reconciliation Action Plan
About PMCV
Strategic Plan
Annual Reports
Reconciliation Action Plan
Our People
PMCV Committees
PMCV Board
PMCV Team
Careers at PMCV
Contact Us
PMCV Committees
PMCV Board
PMCV Team
Careers at PMCV
Contact Us
Accreditation
Close Accreditation
Open Accreditation
Resources & Guidelines
PGY1 & PGY2 Program Guidance
Entrustable Professional Activities (EPAs)
Term Descriptions
Rotation Planners
Assessment Review Panels
PGY1 & PGY2 Program Guidance
Entrustable Professional Activities (EPAs)
Term Descriptions
Rotation Planners
Assessment Review Panels
Accreditation Resources
Accreditation Process
Information for Health Services & General Practices
Survey Reports & Approved Posts
Application Forms
Accreditation Committee
Accreditation Process
Information for Health Services & General Practices
Survey Reports & Approved Posts
Application Forms
Accreditation Committee
Education
Close Education
Open Education
EPA Assessor Training
Victorian JMO Curriculum
Digital Training Resources
Clinical Educators Network
Hitting the Ground Running
Clinical Educators Network
EPA Assessor Training
Victorian JMO Curriculum
Digital Training Resources
Clinical Educators Network
Hitting the Ground Running
Clinical Educators Network
Workforce
Close Workforce
Open Workforce
Term Dates
Allocation & Placement Service
Term Dates
Allocation & Placement Service
2026 Intern Match
Graduate Nurse & Midwifery Program Match
2026 First Year Psychiatry Match
2026 Paediatric Rheumatology New and Continuing Advanced Trainees Match
2026 BPT1 Match
2026 BPT 2&3 Match
2026 PGY2 Match
2026 RACP ATSM Matches
2025 Late Vacancy Match
2025 Orthopaedics Unaccredited Registrar Match
2025 Rural Generalist Advanced Match (RGA)
2026 Intern Match
Graduate Nurse & Midwifery Program Match
2026 First Year Psychiatry Match
2026 Paediatric Rheumatology New and Continuing Advanced Trainees Match
2026 BPT1 Match
2026 BPT 2&3 Match
2026 PGY2 Match
2026 RACP ATSM Matches
2025 Late Vacancy Match
2025 Orthopaedics Unaccredited Registrar Match
2025 Rural Generalist Advanced Match (RGA)
Prevocational Doctors
Close Prevocational Doctors
Open Prevocational Doctors
National Framework for Prevocational Doctors
Accreditation For Prevocational Doctors
Career Pathways
National Framework for Prevocational Doctors
Accreditation For Prevocational Doctors
Career Pathways
Login
About
Our Organisation
About PMCV
Strategic Plan
Annual Reports
Reconciliation Action Plan
About PMCV
Strategic Plan
Annual Reports
Reconciliation Action Plan
Our People
PMCV Committees
PMCV Board
PMCV Team
Careers at PMCV
Contact Us
PMCV Committees
PMCV Board
PMCV Team
Careers at PMCV
Contact Us
Accreditation
Resources & Guidelines
PGY1 & PGY2 Program Guidance
Entrustable Professional Activities (EPAs)
Term Descriptions
Rotation Planners
Assessment Review Panels
PGY1 & PGY2 Program Guidance
Entrustable Professional Activities (EPAs)
Term Descriptions
Rotation Planners
Assessment Review Panels
Accreditation Resources
Accreditation Process
Information for Health Services & General Practices
Survey Reports & Approved Posts
Application Forms
Accreditation Committee
Accreditation Process
Information for Health Services & General Practices
Survey Reports & Approved Posts
Application Forms
Accreditation Committee
Education
EPA Assessor Training
Victorian JMO Curriculum
Digital Training Resources
Clinical Educators Network
Hitting the Ground Running
Clinical Educators Network
EPA Assessor Training
Victorian JMO Curriculum
Digital Training Resources
Clinical Educators Network
Hitting the Ground Running
Clinical Educators Network
Workforce
Term Dates
Allocation & Placement Service
Term Dates
Allocation & Placement Service
2026 Intern Match
Graduate Nurse & Midwifery Program Match
2026 First Year Psychiatry Match
2026 Paediatric Rheumatology New and Continuing Advanced Trainees Match
2026 BPT1 Match
2026 BPT 2&3 Match
2026 PGY2 Match
2026 RACP ATSM Matches
2025 Late Vacancy Match
2025 Orthopaedics Unaccredited Registrar Match
2025 Rural Generalist Advanced Match (RGA)
2026 Intern Match
Graduate Nurse & Midwifery Program Match
2026 First Year Psychiatry Match
2026 Paediatric Rheumatology New and Continuing Advanced Trainees Match
2026 BPT1 Match
2026 BPT 2&3 Match
2026 PGY2 Match
2026 RACP ATSM Matches
2025 Late Vacancy Match
2025 Orthopaedics Unaccredited Registrar Match
2025 Rural Generalist Advanced Match (RGA)
Prevocational Doctors
National Framework for Prevocational Doctors
Accreditation For Prevocational Doctors
Career Pathways
National Framework for Prevocational Doctors
Accreditation For Prevocational Doctors
Career Pathways
Search
Login
PGY1 Extension Flagging Form
X/Twitter
This field is for validation purposes and should be left unchanged.
This form is intended for notifying PMCV of a prospective PGY1 extension identified during the year. Such an extension may be necessitated due to a delayed commencement, excessive leave, or concerns regarding fulfillment of the outcomes required for General Registration. Completion of this form does NOT indicate that an extension is proceeding but serves to notify parties for planning purposes. If an extension is being pursued, a complete application must be submitted using
this form by December of the calendar year in which the Internship begins.
If you need assistance please contact the Accreditation team on:
accreditation@pmcv.com.au
Health Service Contact Details
Contact Name
(Required)
First
Last
Contact Phone
(Required)
Contact Email
(Required)
Role
(Required)
Health Service details
Health Service
(Required)
Please Select
Albury Wodonga Health
Alfred Health
Austin Health
Bairnsdale Regional Health Service
Grampians Health
Barwon Health
Bendigo Health
Central Gippsland Health Service
East Grampians Health Service
Eastern Health
Echuca Regional Health
Goulburn Valley Health
Latrobe Regional Health
Murray to Mountains (M2M)
Mercy Health
Mildura Base Public Hospital
Monash Health
Northeast Health Wangaratta
Northern Health
Peninsula Health
Peter MacCallum Cancer Centre
Portland District Health
Royal Children’s Hospital
Royal Melbourne Hospital
South West Healthcare
St Vincent’s Hospital Melbourne
Swan Hill District Health
West Gippsland Healthcare Group
Western District Health Service
Western Health
Wimmera Health Care Group
Wonthaggi Hospital
CMO/DMS Details
CMO/DMS?
(Required)
CMO
DMS
CMO/DMS Name
(Required)
Dr.
Miss
Mr.
Mrs.
Ms.
Mx.
Prof.
Rev.
Prefix
First
Last
CMO/DMS Phone
(Required)
CMO/DMS Email
(Required)
Details of PGY1
PGY1 Name
(Required)
First
Last
Reason for possible extension
(Required)
May not meet time requirement of 47 weeks - Late commencement
May not meet time requirement of 47 weeks - Registration issues
May not meet time requirement of 47 weeks - Medical reasons
May not meet time requirement of 47 weeks - Excess leave
May not meet competency/outcome requirements
select all applicable
Anticipated duration of extension
(Required)
Additional Comments or Documentation
Additional Comments
Would you like PMCV to contact you at this time?
Yes
No
CAPTCHA
Find what you are looking for.
Search
Search