Supervised clinical experience pathway

This pathway is open to FPM fellows and trainees in the practice development stage who choose to expand their practice by gaining workplace-based experience in planning, performing and managing pain procedures while working under the supervision of an FPM accredited procedural supervisor.

The curriculum guides learning, teaching and assessment of endorsees, and articulates the knowledge, skills, judgement and conduct that faculty-endorsed fellows are expected to demonstrate in their procedural practice. The program’s handbook and by-law 20 outline the requirements of fellows and trainees undertaking the program.

Joining the program

Applicants should secure a position in a pain unit that provides pain procedures, with agreed access to an FPM accredited procedural supervisor. The position should share responsibility for patient assessment, selection and preparation, performing procedures, and post-procedure follow up.
When approaching a potential procedural supervisor, applicants are asked to outline their previous procedures experience in the Supervised Clinical Experience Pathway: Expression of Interest Intake Assessment Form, which is submitted to the procedural supervisor in addition to references and a curriculumcurriculum vitae. 

Once a position has been secured, the applicant should submit the Supervised Clinical Experience Pathway Application Form an application form to the faculty and pay the non-refundable registration and annual training fees prior to commencing the role.

Participating in the program

Clinical experience under the supervision of an FPM accredited procedural supervisor will be accrued towards the pain medicine procedures listed in the program’s curriculum.

The following Workplace-based progressive feedback (WBPF) tools are used to promote formative assessment of endorsees through direct observation and provision of timely and constructive feedback:

  • Zwisch App is used by endorsees and supervisors to log cases and provide quick feedback on performed procedures.
  • Direct Observation of Procedural Skills (DOPS) assessment is used to progress the endorsee to the next level of supervision (using the Zwisch scale). The procedural supervisor uses the form to assess the endorsee’s performance during a nominated case, provide feedback, and determine whether the endorsee has achieved the current level of competency and is ready to progress to the next competency level.
  • Confirmation of competence form is used by the procedural supervisor when they are satisfied that the endorsee can competently and independently perform a particular procedure within the context of the sociopsychobiomedical framework, and that they are suitable for faculty endorsement in the nominated procedure. 

The endorsee has to have successfully completed at least one DOPS assessment at Zwisch 4 (‘supervision only’) level before approaching the procedural supervisor regarding sign off, however the decision of the supervisor to declare an endorsee as competent is not based solely on DOPS.

See the program handbook for further details.


When joining the Procedures Endorsement Program, or returning to the program after a break, a non-refundable registration fee will be payable. 

An annual program fee will be charged while undertaking the Supervised Clinical Experience Pathway.  In the first year, this fee is due prior to commencing the placement of supervised clinical experience and upon payment, access will be given to the Zwisch App to record cases. In subsequent years, payment is due by the end of January to maintain active registration status within the program and to access the Zwisch App for the purposes of the program. 

It is understood that many endorsees will be in the program part time or for part of the year, and the fee is set recognising this. Therefore, pro-rata program fees are not offered.

The current fees are specified on the application form.

Find a procedures endorsed supervisor

A list of our procedures endorsed supervisors can be found on our Pain medicine training sites page.

Last updated 11:23 26.03.2021