Clinical practice assessment period

The following information relates to doctors undertaking the Specialist International Medical Graduate (SIMG) assessment process in Australia and SIMG who are undertaking the ANZCA fellowship pathway in New Zealand who were assessed after April 3, 2017. For SIMG undertaking the pathway for Vocational Registration in New Zealand, please contact the Medical Council of New Zealand (MCNZ) for information on your requirements. 
 
If you were assessed prior to April 3, 2017 please click here for information on the CPA period.

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The clinical practice assessment (CPA) period is the period of clinical practice an SIMG must complete during their individual program. If you have been assessed for anaesthesia your CPA period must be in clinical anaesthesia; time spent in other specialities will not be considered. If you have been assessed for pain medicine, your CPA period must be in pain medicine; time spent in other specialities will not be considered.
 
Positions
Prior to commencing the CPA period you must submit an application for approval of a position and supervisors agreement for review. The outcome of this review will be sent to the SIMG, their supervisor and, in Australia, to AHPRA. Positions submitted for consideration which are not in the prescribed format will not be considered. Failure to submit this application prior to starting the position may result in the time prior to application not being counted towards your CPA period.
 
CPA positions must be at least 0.5 full-time equivalent in clinical anaesthesia/pain medicine.
If at any point during your employment you wish to change an aspect of your position (for example, changes to the start or end dates of the position, move to part-time hours) you must submit a PD change request form for consideration. If your supervisor changes during your position you should submit a new supervisor’s agreement and PD change request form for  review by the College.

If at any point during your individual program you move positions you should first submit a new application for approval of a position to the College for review.
 
Reports
Once we have approved a CPA position, the nominated supervisor must submit a CPA report every three months. The College will accept ANZCA CPA reports or MCNZ supervisor reports. CPA report should be submitted within three months of the end date of the report. Failure to do so may result in that period of CPA not being counted towards your requirements.
 
You must continue to submit three-monthly CPA reports until all requirements of your individual program are complete. Failure to do so will delay the completion of your SIMG process.

Any CPA report that is submitted prospectively will not be considered unless prior written consent to submit a prospective CPA report has been granted.
 
Retrospective CPA
If you have been working in clinical anaesthesia/pain medicine prior to attending your SIMG interview there may be scope to count up to six months retrospective CPA. In order for retrospective CPA to be considered you must be employed in the position at the time of interview.
 
Reduction of CPA
If you have completed all requirements of your individual program and still have some CPA time remaining you may apply to the College for a reduction of your CPA period. Such requests should be submitted using the “Application for reduction of CPA period” form and will be considered by the SIMG Committee at their next meeting.
 
Frequently asked questions
 
Can the College assist me to find a suitable position?
No. The College cannot assist SIMG in gaining employment suitable for a CPA period.
 
Who can supervise me?
Any active ANZCA/FPM Fellow may be nominated as the supervisor for an SIMG. You should contact the Medical Board of Australia and/or the Medical Council of New Zealand to determine their requirements for supervisors.
 
What level of position can I apply for?
Please refer to your Report 1/interview outcome to determine specific requirements for you.  In general:
  • Substantially comparable SIMG can apply for any position including specialist equivalent in clinical anaesthesia/pain medicine, however the SIMG WBA can only be undertaken in a position that is at provisional fellow level or higher.
  • Partially comparable SIMG can apply for any position including specialist equivalent in clinical anaesthesia/pain medicine unless the report 1/interview outcome report determines that the post must be within an ANZCA approved department, however if applicable the SIMG WBA can only be undertaken in a position that is at provisional fellow level or higher.
 
Can the College support me in a position even if it’s not suitable for my CPA period?
No. The College cannot support you in a position that does not allow you to work towards completion of your SIMG assessment process.
 
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