Reg 15 Training in anaesthesia
Australian and New Zealand
Note: Dates in italics flag the dates of recent changes to the regulation, e.g., 06/10 indicates a change made to the previous paragraph in June 2010.
Regulation 15 applies to all Trainees from 1 July 2011.
Regulation 15 applies to all Trainees.
The definitions and abbreviations as specified in Regulation 14 apply to Regulation 15.
- 15.2.1 Hospital medical officers and other medical practitioners may apply to the College for registration as a Trainee after completing 52 weeks PMET.
- 15.2.2 Approved Training can only commence after 104 weeks PMET has been completed. The date of graduation from medical school is deemed the date of formal completion of university studies.
- 15.2.3 The 104 weeks PMET may include a maximum of 52 weeks experience in any combination of Clinical Anaesthesia, Intensive Care Medicine and Pain Medicine.
All Trainees must register for training with the College and submit the following documentation:
- 15.3.1 The original basic medical qualification or a copy certified by a Justice of the Peace (JP) or an equivalent official.
- 15.3.2 An original hospital document or a copy certified by a JP or an equivalent official that confirms required PMET experience.
- 15.3.3 A signed Training Agreement that allows the College to keep, and have access to, all information necessary for training purposes.
- 15.3.4 A copy of the birth certificate or the identity page of a current passport, certified by a JP or an equivalent official.
- 15.3.5 A copy of the Trainee’s current Medical Registration.
For Training Time to be recognised, Trainees must pay the following training fees:
- 15.4.1 A once-only Registration Fee, which must be paid within 4 weeks of commencing Approved Training. Candidates presenting for the Primary Examination prior to commencing Approved Training must pay this fee.
- 15.4.2 An Annual Training Fee which must be paid by 31 January each year by all Trainees except those in Singapore, Hong Kong and Malaysia who must pay by 30 June. Trainees commencing a Training Year in an Approved Training Site after 1 March or 01 September in Affiliated Training Regions, must pay the Annual Training Fee within 4 weeks of starting the appointment.
- 184.108.40.206 Trainees undertaking part-time training, or spending only part of a Hospital Employment Year in Approved Training, or spending part or all of the year outside Australia, New Zealand, and Affiliated Training Regions during any single continuous year of Approved Training, will pay the full Annual Training Fee.
- 220.127.116.11 Trainees granted retrospective recognition of training experience that predates commencement of Approved Training must pay the full Annual Training Fee for each year of credited training. Retrospective recognition of training is provisional until all relevant fees are paid.
- 18.104.22.168 Trainees will be required to pay no more than five Annual Training Fees in the course of their FANZCA training and, unless interrupting their training, are liable for these fees in the first five consecutive Hospital Employment Years of their personal training program, irrespective of whether this training is full-time or part-time.
- 15.4.3 A Registration Maintenance Fee is payable by Trainees undertaking Interrupted Training, as defined in Regulation 15.10. Trainees who have not completed their training for FANZCA in five years are required to pay the Registration Maintenance Fees for each additional training year, irrespective of whether this training is full-time or part-time.
- 15.4.4 Medical practitioners who are not registered with the College and who enquire about recognition of prior experience for Approved Training may be required to pay an Assessment Fee.
The FANZCA Training Program requires completion of specified Training Time, Clinical Training, Curriculum Modules, Examinations and other Assessments, and the EMAC or EMST course.
- 15.5.1 The Training Time required shall be a minimum of five years of Approved Training, comprising from 1 January 2004, a minimum of 104 weeks of Basic Training and a minimum of 156 weeks of Advanced Training.
- 22.214.171.124 Approved Training commences on the date the Trainee takes up a supervised appointment within an Approved Training Site, having complied with all the requirements of PMET, registration with the College, and payment of training fees.
- 126.96.36.199 A maximum of 104 weeks Training Time may be undertaken outside Australia, New Zealand, or Affiliated Training Regions. This Training Time requires prospective approval by the Assessor and:
- 188.8.131.52.1 Is limited to a maximum of 52 weeks each in Basic Training and Advanced Training.
- 184.108.40.206.2 Must be undertaken for at least 13 consecutive weeks in an appointment recognised by an appropriate College or training body for specialist training in Anaesthesia or related specialties.
- 15.5.2 The Clinical Training required is a minimum of 260 weeks of Approved Training consisting of:
- 220.127.116.11 Clinical Anaesthesia of at least 143 weeks in Approved Training Sites or equivalent as accepted by Council.
- 18.104.22.168 Intensive Care Medicine of 13 weeks in a unit that has been approved by Council. Units approved by CICM for Advanced Training (but not those approved only for Basic Training) in Intensive Care Medicine have such approval. The period of 13 weeks need not be continuous, but each component period must last at least 4 weeks (1 month).
22.214.171.124 An optional training component in related disciplines and research of up to 104 weeks in any combination of:
- Intensive Care Medicine (ICM) in a unit approved by Council (other than in 126.96.36.199). All units approved by CICM for training in ICM have such approval.
- Neonatal Intensive Care in a unit approved by Council
- Pain Medicine
- Clinical Medicine
- Emergency Medicine
- Retrieval Medicine
- A formal research program of at least 26 weeks duration. An established research secondment within a Rotational Training Program may be for a minimum period of 13 weeks.
- Any other training experience that is relevant to the practice of anaesthesia.
- 188.8.131.52.1 The training experience must be recognised by the relevant College or training body as appropriate for specialist training.
- 184.108.40.206.2 This training experience need not be continuous, but except for approved formal research programs, each component period must last at least 13 weeks
- 220.127.116.11.3 Trainees must submit an application in writing to the DPA Assessor to seek prospective approval for Training outside of Clinical Anaesthesia, Intensive Care Medicine or Pain Medicine, including formal research programs. The application must include comprehensive details of the proposed training experience to demonstrate its relevance to anaesthesia. An established research secondment within a Rotational Training Program does not require formal approval.
15.5.3 The Curriculum Modules must be completed as follows:
- 18.104.22.168 Modules 1 and 3 plus at least one of Modules 4 to 10 must be completed in Basic Training. It is recommended, but not essential, that Module 2 be completed during Basic Training. Modules that were not completed in Basic Training must be completed in Advanced Training with Modules 11 and 12.
- 22.214.171.124 Modules 2 and 3 cannot commence until 26 weeks of training have been completed. Modules 2 and 4 to 10 may be completed in either Basic or Advanced Training. These are specified in Professional Document TE2 Policy on Vocational Training Modules and Module Supervision.
- 126.96.36.199 After completing each of Modules 1 to 10 and Module 12, Trainees must have Validation of Full Completion in the Learning Portfolio signed by the relevant Module Supervisor, or if absent, by the Supervisor of Training.
- 188.8.131.52 Modules 4 to 10 remain valid for 10 years after completion. A Trainee must repeat a Module if its validity expires before he/she completes all other requirements for admission to Fellowship.
- 184.108.40.206 Exemptions from completing certain Modules are specified in the regulation regarding Retrospective Recognition of Training (Regulation 15.11). Unless specified otherwise, Modules exempted are deemed completed on the date of registration with the College.
- 15.5.4 Examinations and other Assessments required to be satisfactorily completed are:
- 220.127.116.11 The Primary and Final Examinations as specified in Regulation 14.
- 18.104.22.168 In-Training Assessments using the criteria and process set out in Professional Document TE14 Policy for the In-Training Assessment (ITA) Process.
- 15.5.5 The EMAC or the EMST course, or an equivalent course recognised by Council must be satisfactorily completed, and may be undertaken at any stage during training.
Basic Training comprises BTY1 and BTY2, each of 52 weeks duration.
15.6.1 The requirements for Basic Training are:
- 22.214.171.124 Completion of BTY1 and BTY2. Basic Trainees must submit the relevant In-Training Assessment Form(s) within 4 weeks of completing each HEY. A Trainee who fails, without reasonable excuse, to submit the form on time, may be disqualified from Approved Training from the date that the form was due to the date the form was received by the College.
- 126.96.36.199 Completion of Curriculum Modules. Trainees must submit a completed Module Completion Form for Modules completed in the training year with the In-Training Assessment Form(s) for that year.
- 188.8.131.52 A pass in the Primary Examination. Trainees who have fulfilled all requirements other than successful completion of the Primary Examination, may commence Advanced Training a day after passing the examination.
- 15.6.2 Basic Trainees who have completed 104 weeks. Training Time shall remain in BTY2 (BTY2 Extended) until all the requirements of Basic Training are met.
- 15.6.3 Basic Trainees may undertake up to 52 weeks Basic Training outside Australia, New Zealand and Affiliated Training Regions. Prospective approval must be obtained from the Assessor. The training experience must be acceptable to the College, including contributing experience towards Curriculum Modules and providing appropriate supervision and In-Training Assessment.
- 184.108.40.206 Trainees granted less than 52 weeks retrospective recognition of Basic Training in a foreign training program that predates commencement of Approved Training, may undertake such additional training above, provided that the total time spent in Basic Training outside Australia, New Zealand and Affiliated Training Regions shall not exceed 52 weeks.
Advanced Training comprises ATY1, ATY2 and ATY3, each of 52 weeks duration.
15.7.1 The requirements for Advanced Training are:
- 220.127.116.11 Completion of ATY1, ATY2 and ATY3. Advanced Trainees must submit the relevant In-Training Assessment Form(s) within 4 weeks of completing each HEY. A Trainee who fails, without reasonable excuse, to submit the form on time, may be disqualified from Approved Training from the date that the form was due to the date the form was received by the College.
- 18.104.22.168 Completion of Curriculum Modules as specified. Trainees must submit a completed Module Completion Form for Modules completed in the training year with the In-Training Assessment Form(s) for that year.
- 22.214.171.124 A pass in the Final Examination.
- 15.7.2 Advanced Trainees may undertake ATY3 training in Approved Training Sites recognised for training by the College of Intensive Care Medicine or the Faculty of Pain Medicine, provided that the requirements of Clinical Training are met.
- 15.7.3 Advanced Trainees who have completed three years of Training Time shall remain in ATY3 (ATY3 Extended) until all the requirements of Advanced Training are met.
15.7.4 Advanced Trainees may undertake up to 52 weeks Advanced Training outside Australia, New Zealand and Affiliated Training Regions. Prospective approval must be obtained from the Assessor. The training experience must be acceptable to the College, including contributing experience towards applicable Curriculum Modules and providing appropriate supervision and In-Training Assessment.
- 126.96.36.199 Trainees granted retrospective recognition of training in a foreign training program that predates commencement of Approved Training, may undertake such additional training above, provided that the total time spent in Advanced Training outside Australia, New Zealand and Affiliated Training Regions shall not exceed 52 weeks.
15.7.5 Advanced Trainees in ATY3 who have successfully completed the Final Examination and Modules 1 to 10 may undertake an optional individualized period of training as a Provisional Fellow, after prospective approval by the Assessor. The requirements are set out in Professional Document TE13 Guidelines for the Provisional Fellowship Program.
A total of 16 weeks leave for all purposes (e.g. annual leave, sick leave, study leave, examination leave, parental leave) may be taken during the minimum 104 weeks of Basic Training, and thereafter up to 8 weeks leave for all purposes may be taken for each additional 52 weeks of training. A total of 24 weeks leave for all purposes may be taken during the minimum 156 weeks of Advanced Training, and thereafter up to eight weeks leave for all purposes may be taken for each additional 52 weeks of training.
Part-time training must be prospectively approved by the Assessor and will be considered on an individual basis. This training:
- 15.9.1 Requires submission of documents that provide details on the training arrangements and confirm compliance with requirements stated under this section. The application must be endorsed and approved by the Trainee’s Head of Department or Supervisor of Training.
- 15.9.2 Requires registration with the College and payment of the full Annual Training Fee or Registration Maintenance Fee (see Regulation 15.4).
- 15.9.3 May be undertaken in any year of training.
- 15.9.4 Must result in the same Training Time and Clinical Training experience as that required for full-time Trainees.
- 15.9.5 Requires a commitment to both in-hours and out-of-hours duties. These duties must be assigned on a pro rata basis and must comprise a minimum of 50% of the commitment of a full-time trainee.
- 15.9.6 Must involve participation in regional and/or hospital teaching programs.
- 15.9.7 Requires Trainees to maintain appropriate records in their Learning Portfolios for submission to the Assessor when requested, so that their workload and Training Time can be evaluated.
Approved Training must include at least two continuous years of Training Time, interrupted only by Normal Leave. Any period of leave longer than Normal Leave is considered Interrupted Training.
- 15.10.1 Extended parental leave or sick leave must be notified to the College and advice obtained as to the effect on Training Time.
- 15.10.2 If training is interrupted for more than one year, subsequent training must include at least one continuous year of supervised training.
- 15.10.3 Interrupted Training requires payment of the Registration Maintenance Fee (see Regulation 15.4.3).
Council may grant Training Time exemptions for previously undertaken training that is considered to be equivalent to components of the FANZCA Program.
- 15.11.1 A Trainee who has completed partial training in a foreign training program that predates commencement of Approved Training, and who is not deemed an International Medical Graduate Specialist, may have up to 104 weeks of this training credited towards Basic Training provided that:
- 188.8.131.52 The previous training experience is comparable to that in Basic Training and the foreign training program is acceptable to Council.
- 184.108.40.206 The Trainee provides verified documented evidence of previous training.
- 220.127.116.11 The Trainee must complete all Modules except Module 1. Retrospective recognition may be granted for Module 3 and any of Modules 4 to 10, if approved by the Trainee’s Supervisor of Training or relevant Module Supervisor, based on documented evidence. The documentation must validate that the Trainee has completed experience, which meets the requirements of the Module.
- 18.104.22.168 The Trainee must complete the Primary Examination, except if he/she holds a postgraduate qualification in anaesthesia by examination that is accepted by Council for exemption from the Primary Examination.
- 22.214.171.124 The Trainee must complete all other requirements of Basic Training.
- 126.96.36.199 The Trainee must complete all other requirements of the FANZCA Program including Advanced Training.
15.11.2 A Trainee who works in an Affiliated Training Region and who holds a postgraduate qualification in anaesthesia by examination that is accepted by Council for exemption from the Primary Examination, may be exempted from completing Basic Training and Modules 1 to 3, and:
- 188.8.131.52 The Trainee may be granted retrospective recognition of up to 208 weeks of Training Time, provided that the time was undertaken in supervised training in Approved Training Sites and complies with the requirements for Clinical Training.
- 184.108.40.206 The Trainee must complete Modules 4 to 12, but any of Modules 4 to 10 may be recognised retrospectively, if approved by the Trainee’s Supervisor of Training or relevant Module Supervisor based on documented evidence. The documentation must validate that the Trainee has completed experience, which meets the requirements of the Module.
220.127.116.11 The Trainee must complete all other requirements of the FANZCA Program including Advanced Training.
- 15.11.3 A Trainee who has occupied a Senior House Officer appointment in anaesthesia in the United Kingdom after 1 April 1996 and up until 31 July 2007 may have that time recognised for up to 52 weeks of Basic Training provided that:
- 18.104.22.168 The appointment was in a hospital which was accredited for training by the Royal College of Anaesthetists.
- 22.214.171.124 The appointment was occupied for at least 13 weeks.
- 126.96.36.199 The Trainee must complete the Primary Examination and all other requirements of Basic Training.
- 188.8.131.52 The Trainee must complete all other requirements of the FANZCA Program including Advanced Training.
15.11.4 A Trainee who has previously undertaken full-time research or training in an anaesthesia-related discipline conducted by another College, may have this experience recognised under 184.108.40.206. The previous training may include some Clinical Anaesthesia, which if undertaken in an Approved Hospital Department after 2003, may be credited under 220.127.116.11. The following conditions apply:
- 18.104.22.168 The Trainee must submit documented evidence to validate the past training experience.
- 22.214.171.124 The past training experience was undertaken after 104 weeks PMET and the requirements of PMET are met.
- 126.96.36.199 The past training experience, if less than 52 weeks, may be credited towards BTY1.
- 188.8.131.52 The past training experience, if more than 52 weeks, may be credited as 52 weeks Basic Training and up to 52 weeks ATY1. This recognition of ATY1 Training Time is prospective, to take effect after the Trainee has completed all the requirements of Basic Training.
- 184.108.40.206 The Trainee must complete the Primary Examination and all other requirements of Basic Training.
- 220.127.116.11 The Trainee must complete all other requirements of the FANZCA Program including Advanced Training.
- 18.104.22.168 The Trainee must satisfy all the requirements of Clinical Training.
- 22.214.171.124 Except for retrospective recognition of training experience, all conditions in 126.96.36.199 apply.
15.11.5 A Trainee with FCICM (or antecedent) may be granted retrospective approval of supervised training in Clinical Anaesthesia in Approved Training Sites during training for FCICM (or antecedent). The Trainee may also be granted retrospective recognition for up to 117 weeks Training Time in Intensive Care Medicine and other anaesthesia-related disciplines.
Each Approved Hospital Department must be accredited by the College to provide Approved Training in anaesthesia. Such approval requires an accreditation review that has been accepted by Council. An Approved Training Site may have more than one Approved Hospital Department and may include other health service organisations and facilities that provide training experience. The health organisation or facility might not have been formally reviewed for accreditation, but is recognised by the College for training experience.
- 15.12.1 An Approved Hospital Department or Training Site must provide appropriate Clinical Training experience in-hours and out-of-hours and ensure supervision at all times in accordance with the requirements of Professional Document TE3 Policy on Supervision of Clinical Experience for Trainees in Anaesthesia.
- 15.12.2 An approved Hospital Department or Training Site must appoint Trainees to appointments for a continuous period of at least 13 weeks, except for training experience in Intensive Care Medicine.
- 15.12.3 An Approved Hospital Department may be recognised as suitable only for Advanced Training or only for the Provisional Fellowship program.
- 15.12.4 An Approved Hospital Department is accredited for training in Clinical Anaesthesia for six months, one year, two years, or three years.
- 15.12.5 An Approved Hospital Department must be incorporated within at least one approved Rotational Training Program.
- 15.12.6 Trainees must notify the College when they take up an appointment in an Approved Hospital Department within four weeks of commencing the appointment.
- 15.12.7 Trainees may spend a maximum Training Time of four years at any one Approved Training Site.
- 15.13.1 Any decision, approval, consent, or the exercise of any discretion, by the Council or other committee or authority under Regulation 15 will be considered on a case-by-case basis, having regard to the particular circumstances of each case.
- 15.13.2 Notwithstanding Regulation 15, Council may exercise or dispense other decisions after consideration of relevant circumstances.
- 15.13.3 Any such decision, approval, consent or exercise of discretion will not be binding on any other or future decisions or set any precedent for other or future decisions regarding Regulation 15.
All enquiries, applications, and communications regarding Regulation 15 must be made in writing and addressed to:
The Chief Executive Officer,
Australian and New Zealand College of Anaesthetists
630 St Kilda Road, Melbourne
Victoria 3004, Australia.