FPM accreditation overview

Definitions:
Unit - organisation , personnel and facilities
Suite of training - experience devised for an individual trainee

Training may be pursued through multiple units

Each unit can have satellite sites

Time at non-accredited sites is not approved

Unit Hierarchy

Level 1

Level 2

"able to provide a comprehensive training program in chronic non-cancer pain, acute pain and cancer pain with adequate experience for trainees to complete all requirements of the core training stage"

"Level 2 units have strengths in certain areas of the practice of pain medicine, but do not meet the requirements of a comprehensive level 1 training unit"

Clinical supervision

"Trainees should observe specialists undertaking assessments of patients with pain, performing examinations relevant to pain medicine, discussing treatment options and performing interventions"

Two reviewers

 Ensure adherence to FPM and ANZCA policies.

 Have reviewed the quantitative data and discussed any concerns with the chair, TUAC.

 Discuss provisional feedback with the unit director at the end of the review.

 Oversee writing of the narrative describing the reviewers’ findings.

Staff members involved

Networked units - "training units may develop formalised collaborative relationships with other accredited units to form networks where trainees rotate throughout the core training stage"

Unit director

Supervisor(s) of training (SoT) provides information via the datasheet and meets with the reviewers during the on-site visit

Trainees – provide information separately (and confidentially) to the Faculty and meet with the reviewers during the on-site visit.

Departmental senior medical staff (FPM and other senior medical staff with appointments to the unit) – meet with the reviewers.

Senior allied health and nursing staff involved in training in the unit.

Heads of affiliated/satellite units (where trainees spend time) – meet with the reviewers.

Representatives of the hospital executive – meet with the reviewers.

Unit administrator – co-ordinates visit requirements.

Satellite units - "Many multidisciplinary training units choose to enter into partnership arrangements with other, usually smaller sites (satellite sites), to meet FPM standards for accreditation"

Examples of satellite arrangements

  1. Co-located private and public hospitals – trainees rotate to the private hospital for subspecialty experience or to gain access to alternative supervisors. A nominated supervisor is located at the satellite site.
  2. Public non-teaching hospital and major teaching hospital – trainees may rotate to the satellite. A nominated supervisor is located at the satellite as well as at the partner unit.
  3. Major teaching hospitals with different clinical emphases (for example, adult and paediatric) in the same metropolitan area – trainees rotate for specific experience in a subspecialty area of practice. A nominated supervisor is located at the satellite site.

Standards

  1. Quality patient care
  2. Clinical experience
  3. Supervision
  4. Supervisory roles and assessment
  5. Education and teaching The unit must ensure that trainees have access to formal and informal educational programs that meet their training needs.
  6. Facilities
  7. Clinical governance

SOT - "must be allocated adequate clinical support time to ensure their duties"

Ensuring trainees have complied with all registration requirements of the FPM.

Providing an orientation program to the training program and the multidisciplinary pain management unit.

Assisting trainees to develop and implement a personal training plan.

Ensuring trainees are provided with appropriate supervision and role modelling in clinical practice.

Ensuring that trainees’ clinical exposure encompasses all aspects of pain medicine.

Overseeing the formative assessment requirements of the program.

Attending regular meetings with trainees to provide feedback on their performance and to identify early difficulties.