ACCREDITATION OF TRAINING POSTS
The College inspects all training locations, and holds discussions with the key stakeholders including hospital administrators, Clinical Tutors, Term Supervisors and trainees. The College seeks to work in a partnership of consultation and co-operation with all hospital and health services to optimise training opportunities and experiences.
The College works with health agencies to identify new posts for government support and funding. Consistent with measures to encourage specialists to practise in non-metropolitan regions, the College seeks training posts to facilitate this. Posts in settings outside public training hospitals are also considered.
COLLEGE STANDARDS FOR TRAINING NETWORKS AND POSTS
The College Standards for Training Networks and Posts is authorised by the College as a provisional statement for consultation with ophthalmology training networks, hospital and health systems, government agencies, College Fellows and others involved in the education of ophthalmology specialists in Australia and New Zealand. It describes the College's standards for hospital-based networks that provide training in specialist ophthalmology, and for each rotational post within those networks. The College expects training hospitals and practices within networks to understand and meet these standards and thus qualify for the College's accreditation of training posts within the networks.
ACCREDITATION OF TRAINING POSTS: SITE INSPECTIONS
Site inspections of existing training posts take place in a three-year cycle. Other reasons for site inspections are by request either from an institution applying for a new training post, or from the regional QEC Chair because of changes in the system.
STEP 1: INITIATING AN INSPECTION
For existing posts, the College’s Chief Inspector of Posts and the regional QEC chairman agree on an inspection program for that region, and advise the participating hospitals at least four weeks in advance of a site inspection.
For proposed new posts, the hospital contacts the regional QEC chairman, who initiates appropriate action by the College, taking account of overall training arrangements in the region, and other relevant factors.
The College’s four broad criteria for an accredited training post are, in summary
the adequacy of the institution in terms of the physical facilities, and the depth and comprehensiveness of allied departments
an appropriate volume, variety, complexity and comprehensiveness of eye disease and surgical load
the quality of the eye department, reflected in the specialist and related staff, equipment and facilities, and academic and research linkages
suitability of the didactic and clinical ophthalmic education program and infrastructure for Trainees, and the demonstrated support for education from ophthalmic staff and hospital administration.
Notwithstanding the above, accreditation may be granted to posts which have special features, such as exposure to rural ophthalmology.
STEP 2: APPLICATION BY THE HOSPITAL
The hospital submits the College’s application form, complete with the requested information, and arranges a site inspection program in consultation with College staff. This should include an agreed timetable of discussions with Trainees, ophthalmic specialists and hospital administrators, and site inspections of physical facilities and equipment. The program should enable the inspectors to deal on site with all issues of importance, rather than having unresolved matters dealt with by correspondence at a later time.
STEP 3: SITE INSPECTION AND DISCUSSIONS
In assessing the hospital and posts against the four criteria, the inspectors:
review documentation and information from the hospital and the College, including previous reports
seek information from Trainees on a confidential basis, at the time of inspection and, if appropriate, also in advance
identify, and discuss with ophthalmic staff and hospital administration, any apparent inadequacies
provide informal feedback to the ophthalmic staff and hospital administration, if possible at the end of the site inspection.
STEP 4: INSPECTORS PREPARE REPORT AND RECOMMENDATIONS TO THE COLLEGE
The inspectors prepare a draft report. College staff send the draft report to the key ophthalmic and administrative staff for the correction of facts. This draft is confidential, until it has been through the College’s decision processes.
STEP 5: COLLEGE DECISION, AND ADVICE TO HOSPITAL
Following the College’s decision on the Inspector’s recommendations, the Censor-in-Chief will convey the outcome to the hospital and the regional QEC Chair will coordinate any follow up.