The Council is implementing a series of changes to prevocational training requirements for doctors in New Zealand.
The new requirements for prevocational training apply to interns (graduates of New Zealand and Australian accredited medical schools and doctors who have passed the NZREX Clinical examination) commencing employment from 24 November 2014 during postgraduate year 1 (PGY1) and postgraduate year 2 (PGY2). Implementation of the changes is staged with the first changes taking effect November 2014 and the remaining changes taking effect November 2015. The changes aim to improve patient safety and the performance of doctors through providing high quality learning.
Accreditation standards for training providers and clinical attachments
Council has approved standards for accreditation of training providers and standards for accreditation of clinical attachments to improve the quality of prevocational training and ensure that every clinical attachment provides a quality educational experience with appropriate supervision.
All training providers will need to meet the accreditation standards by November 2015. Assessment against the new standards will take place at the next scheduled accreditation visits, for each training provider, commencing July 2015.
Training providers can begin the process of accreditation of clinical attachments against the standards from April 2015. All clinical attachments that are to be available to PGY1s and PGY2s will need to have completed the accreditation process by the end of October 2015.
Download Overview of assessment process (Aug 2014, PDF, 532 KB)
New Zealand Curriculum Framework for Prevocational Medical Training
Download New Zealand Curriculum Framework for Prevocational Medical Training (Feb 2014, PDF, 345 KB)
Supervisors of interns
Download Guide for Prevocational Educational Supervisors (August 2014, PDF, 325 KB)
Download Guide for Clinical Supervisors (June 2015, PDF, 562 KB)
Download Training workshops for supervisors of interns 2015 (November 2015, PDF, 419 KB)
Guide for the Advisory Panel
Download Guide For The Advisory Panel (July 2015, PDF, 479 KB)
Community based experience
In June 2014 Council approved a definition of community based attachment.
Download Definition of community based attachment (December 2016, PDF, 131KB)
Every intern is required to complete one clinical attachment in a community based setting over the course of the intern training programme. Council approved a staged transition, with a goal of 10% of interns completing a community based clinical attachment in the year commencing November 2015 and working towards 100% compliance by November 2020. Training providers will need to demonstrate progress over this period.
If a training provider wishes a clinical attachment to be recognised as a community based attachment, then the clinical attachment will need to meet both:
These standards will need to be considered in conjunction with the Accreditation standards for training providers.
Community Based Attachments – Information Guide for DHBs
Health Workforce New Zealand, the Medical Council of New Zealand, the Royal College of General Practitioners, Royal New Zealand College of Urgent Care, and district health Boards (DHBs) continue to work together to implement the staged introduction of community based attachments (CBA) for prevocational medical training.
The attached Information Guide for District Health Boards provides DHBs with key details regarding the CBA programme including:
- a full definition of a CBA
- oversight and governance of the CBA programme
- guiding principles of the CBA programme
- a list of key stakeholders and their related responsibilities
- links to key documents
- glossary of common terms used
- updated statistical information as at June 2016.
For further information relating to key areas of the programme, please contact:
Evaluation of changes to prevocational training
The Medical Council commenced a review of prevocational training requirement for doctors in New Zealand in 2011. Implementation of new requirements commenced in November 2014. Malatest International have been contracted to collect baseline data. The report Establishing a Prevocational Training Baseline (February 2015) has now been released.
Download report from Malatest International Establishing a Prevocational Training Baseline (Oct 2015, PDF, 942 KB)
Glossary of prevocational medical training words and phrases
Download Glossary (8/20/2014, PDF, 285 KB)
Consultation & feedback
Download A Review of prevocational training requirements for doctors in New Zealand: Stage 2 (Feb 2013, PDF, 1 KB)
Download A review of prevocational training requirements for doctors in New Zealand: Stage 1 (May 2011, PDF, 1 KB)