Workplace based assessment

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. 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. 

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You may be required to successfully complete an SIMG workplace-based assessment (WBA). A WBA is a comprehensive one-day assessment undertaken at the hospital approved for your clinical practice assessment (CPA) period.  

The WBA is usually undertaken towards the end of your CPA period. You must have successfully completed at least six months of CPA (with at least three months at the hospital where you will be doing the WBA) before arrangements for your SIMG WBA can begin.  We will write to you before this time to begin arrangements. 

The WBA will be conducted by two ANZCA Fellows. One assessor will observe your morning and afternoon lists while the other will interview staff chosen by you. Both assessors will meet with you in the afternoon to undertake case-based discussions.

After the WBA, ANZCA’s Director of Professional Affairs (DPA) SIMG will review the assessors’ findings and we will send you the outcome of the WBA.
Arranging the WBA
We will contact you when arrangements for your WBA can commence. Please be aware that arrangements will not commence until you have had your position approved for your CPA period and the WBA payment has been received.

If you have had a position approved at interview, arrangements for the WBA commence immediately following receipt of the WBA fee payment. Please be aware that it usually takes at least 12 weeks to arrange a SIMG WBA.
We will liaise with your supervisor to obtain information on your hospital and to determine whether any dates are unsuitable for the SIMG WBA. You will be informed of the date of your SIMG WBA once we have selected a suitable date.

You will be requested to complete a timetable for the day of your SIMG WBA and will need to schedule 12-15 colleagues and staff with whom you have worked, for multi-source feedback interviews with the assessors. You should give careful consideration to selecting a range of people who are able to provide information about your attributes/qualities as a specialist. You should provide a copy of this document to any staff who agree to participate in the multi-source feedback, which will assist them in understanding their role in the SIMG WBA process. The assessors may also speak with other staff (not listed in your timetable) throughout the day. If you are unable to schedule enough people for multi-source feedback please contact us to discuss.

You will also be required to send us an updated CV and signed agreement, at least two weeks prior to your SIMG WBA.

You should arrange a private room with a table and chairs where the assessors can meet, conduct the interviews and review the case records. Easy access to a telephone is essential. You will also need to ensure that you have the following documents available for the assessors at your SIMG WBA:
Anaesthesia SIMG
You will require 20 anaesthesia records. Where possible, these records should be de-identified. It is preferable that you provide the entire patient file including all anaesthesia records. As a minimum the file should include:
  • The anaesthesia record including pre-op assessment.
  • The Post Anaesthetic Care Unit (PACU) record.
  • Drug charts.
  • Fluid balances.
  • Analgesia forms.
At least half of the records should be from cases in the last three months. Records should include cases that were challenging and/or had complications. Cases should be from a variety of surgical/medical procedures.
Pain medicine SIMG
You are required to make available to the assessors the following information:
  •  six patient management records in which you demonstrate evidence of substantial clinical management over a period allowing assessment, initiation of treatment, review and evaluation of outcome. Records should allow access to communication with other practitioners (such as clinical letters to GPs and specialists). The records should allow the assessor to evaluate your management across a variety of pain presentations and should be chosen accordingly; and
  • Current certificate of registration.
  • Evidence of CPD participation which must include your progress to date including your plan. You are still required to submit your CPD to the SIMG administrative team at the College.
  • Details of any secondments undertaken (if applicable).
  • Any other documents that you consider applicable.
On the day of your SIMG WBA
One of the assessors will contact you prior to your SIMG WBA to confirm arrangements for the day and answer any questions you may have. 
Both assessors will meet with you early in the morning to discuss the day’s program and timetable, answer any queries and access the required documentation. The assessors will confirm consent by all relevant parties for their presence.
One assessor will observe your morning and afternoon lists and, when appropriate, may ask you questions during your procedures. The other assessor will speak with those staff chosen by you for interview according to your prepared timetable. Last minute re-arrangement of the interview program is not unusual and is unlikely to be a problem. A clerical officer can be very helpful in facilitating such changes.
Both assessors will meet with you mid-afternoon to discuss scenarios from your 20 anaesthesia cases, and other contemporary anaesthesia issues, raise any issues of concern and seek clarification where necessary. At this point you may ask any questions you may have. You may be asked for feedback on the WBA process from your perspective.
After the SIMG WBA
Once the SIMG WBA is completed the assessors will forward us their findings. These will then be reviewed by DPA SIMG/FPM Assessor or the SIMG Committee. The outcome of this review will be forwarded to you and your nominated supervisor within 21 days of the SIMG WBA.

If the SIMG WBA is determined to be unsatisfactory the SIMG Committee will review your SIMG process under regulation 23.12
Frequently asked questions
Can my WBA be undertaken if I am in a trainee level position?
No. You must be in a provision fellow (or higher) level position in order for your WBA to be unertaken.  

What sort of list should I have on the day of my WBA?
The list should be one of at least moderate complexity, with more than one patient on it, and that reflects your usual practice.

My patient records are electronic and can't be deidentified. What should I do?
It is reccomended that you print hardcopies of the anaesthesia chart and PACU chart/notes and then redact the patients' names/ID.

Can I have an exam instead?
Yes. Any SIMG who is required to complete an SIMG WBA may opt to sit the examination instead. You will need to submit a request form. Please be aware that should you be unsuccessful at the examination you will be unable to request to then undertake a WBA.

Can I choose the date of the WBA?
No. We will give a date range to your supervisor and if there are unsuitable days in the range the supervisor should let the SIMG team know.

The date for my WBA has already been set. Can I change the date of the WBA?
In exceptional circumstances a date change may be considered. You will be responsible for any costs involved in rescheduling.

Do I get fellowship once the WBA is complete?
No. You must complete all requirements of your individual program. 
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