Prevocational Standards Accreditation
The Australian Medical Council has a role in setting standards for elements of the prevocational phase of the medical education continuum, including intern training accreditation and accreditation of providers of international medical graduate assessment processes. These functions are described in further detail below. The Prevocational Standards Accreditation Committee, reporting to the AMC Directors, oversees these accreditation functions.
Intern training accreditation authorities and the national framework for medical internship
The AMC accredits the eight state-based intern training accreditation authorities that are responsible for accreditation of intern posts and programs. The AMC develops standards and procedures for accreditation and monitoring of intern training accreditation authorities and also, develops national guidance and standards on internship.
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Pre-employment Structured Clinical Interviews (PESCI)
The Pre-employment Structured Clinical Interview (PESCI) is an objective assessment of the clinical experience, knowledge, skills and attributes of an international medical graduate to determine whether they are suitable to practise in a specific position. It consists of a structured interview using scenarios. The interview scope is determined by the level of risk of the position that the international medical graduate is applying for. The PESCI is conducted by a provider that has been accredited by the AMC.
The AMC develops guidelines and procedures for accreditation and monitoring of PESCI providers. Further information about the PESCI process and AMC accreditation of PESCI providers is described in the Pre-employment Structured Clinical Interview (PESCI) Guidelines and Criteria for AMC Accreditation of PESCI Providers. The PESCI guidelines have been developed to provide information to PESCI providers, applicants, health services and jurisdictions. They include an overview of when a PESCI is required, what a PESCI involves, and the roles and responsibilities of stakeholders and AMC accredited providers. The criteria detail what providers must demonstrate to be granted and maintain AMC accreditation to conduct PESCIs.
The AMC accredits and monitors PESCI providers on behalf of the Medical Board of Australia. The Medical Board of Australia has developed a standard PESCI report format for PESCI providers to complete. When deciding whether or not to grant medical registration to the applicant in that position, the Board considers the completed PESCI report together with other sources of information. Information about the Board’s requirements for PESCI is available here.
Workplace Based Assessment (WBA) programs
The workplace based assessment (WBA) pathway it is an alternative to the clinical exam component of the assessment pathway for international medical graduates. A WBA program is a structured program (minimum six months) of on the job assessment. It tests if the candidate has an adequate and appropriate set of clinical skills and the professional qualities to practise safely within the Australian healthcare environment and cultural setting.
The AMC accredits providers to conduct workplace based assessment, subject to providers continuing to demonstrate via annual progress reports to the AMC that they meet the accreditation standards. The AMC also develops guidelines and procedures for accreditation and monitoring of WBA providers.
The Australian Medical Council Accreditation of Workplace Based Assessment Providers: Standards and Procedures provides information to relevant stakeholders (WBA providers, applicants, health services and jurisdictions), describes how the AMC accredits and monitors providers, and details the standards providers must demonstrate to be granted and maintain AMC accreditation. In 2016 the AMC completed a review of the workplace-based assessment accreditation guidelines and procedures. The AMC approved the revised standards for implementation from 1 July 2016, with an annotation to indicate that additional notes would be provided for standard 4 concerning the assessment plan, assessment methods and blueprinting and 7 concerning calibration and training of assessors. The planned revision to the notes will not lead to changes to the approved standards.
Please address any questions about prevocational standards accreditation to firstname.lastname@example.org.