2025 Learning, teaching, and assessment programs

• Complete at least 36 months of relevant professional experience in accredited core clinical training positions.

• Complete training in at least 2 different accredited training settings.
• Complete at least 24 months of training in accredited training settings in Australia and/or Aotearoa New Zealand.

• Cardiothoracic surgical (CTS) training 2 quarantined full weeks’ attachment to a cardiothoracic surgical unit at a minimum. CTS training can be completed through a 1-week attachment across 2 years of training. Variations can be made to suit staffing requirements of individual cardiology and surgical units. Trainees based in Aotearoa New Zealand can complete the requirement during their CTS rotation.
• Electrophysiology (EP) training EP training can be achieved by a single dedicated attachment to an EP unit for at least 3 weeks or through a series of attachments, such as one session or day, over a training period.
• Experience in rural/remote contexts (recommended) 2 full days’ rural/remote and/or Indigenous health outreach clinics per year of training (6 full days or equivalent) over the course of Advanced Training, ideally face-to-face, but telehealth accepted where face-to-face is unavailable.

1 x rotation plan per rotation.

The rotation plan is a work-based tool to document details of a training rotation and how a trainee intends to cover their program learning goals over the rotation period.

The rotation plan helps trainees evaluate their learning gaps, curriculum needs, and local opportunities to meet expected standards. It is validated by College staff to ensure it aligns with the professional experience requirements for the program.

Trainees can submit a rotation plan in TMP under the training plan tab.

Trainees undertaking their first rotation of their training program must select the following checkbox, 'The rotation start date is also the start date of my Training Program' to record the start date for their training program.

If a trainee is expecting a learning goal to be covered during a rotation, select 'yes' for 'coverage offered' and outline the learning opportunities available. See this completed rotation plan for examples of the learning opportunities that may be available for each learning goal.

This information will be used by supervisors and overseeing RACP training committee to determine the relevance of the rotation to the program’s professional experience requirements.

Trainees should upload a copy of the position description and any other supporting information that outlines the training position being undertaken. This should include regular/weekly activities that the trainee will be undertaking during the rotation (e.g. timetable).

Trainees can also set custom goals to define personal objectives that they want to achieve during the rotation. These goals should be measurable and align with the trainee’s professional objectives, skill gaps, or personal interests.

Trainees need to nominate their rotation supervisors in the plan, and they will need to approve the plan in TMP via ‘my assigned actions’.

For more information on how to complete a rotation plan review the training resources.

Due dates

28 February for rotations in the first half or whole of the year.

31 August for rotations in the second half of the year.

1 x procedural logbook, completed over the course of Advanced Training.

Minimum procedural requirements must be met by the end of Advanced Training.

Trainees are to maintain a logbook, using the prescribed logbook template, that demonstrates completion of the minimum procedural requirements.

The logbook is a learning tool that helps trainees capture data about and reflect on specific workplace experiences. Keeping a logbook ensures that trainees have adequate exposure to a range of clinical procedures and techniques in preparation for physician practice.

Trainees are to log all procedures completed over the course of training, using the prescribed logbook template.

The minimum procedural requirements are outlined below and in the logbook template. All completed procedures must be logged even after the minimum number has been reached.

Trainees are to submit their completed logbook to cardiology@racp.edu.au (Australia) or cardiology@racp.org.nz (Aotearoa New Zealand) at the end of the transition to fellowship phase.

Procedure	What is required?	Minimum
Coronary angiograms
a) Coronary angiograms (primary operator)	Perform and report	75
b) Coronary angiograms (non-primary operator)	Perform and report	No minimum
Total (a+b)		150
Right heart catheterisation and haemodynamic studies	Perform and report	15
Temporary transvenous pacemaker insertion (this may include EP studies or wire insertion in EP studies)	Perform	10
Permanent pacemaker (PPM) implantation (can be primary or secondary operator)	Perform and report	10
Device testing in pacemaker clinic (or remote device testing)
a) Dual chamber	Perform	50
b) Other devices including single chamber, ICD, CRT	Perform	No minimum
Total (a+b)		75
Observe the insertion and/or participate in the management of percutaneous mechanical support device (includes IABP, Impella, ECMO)	Observe/participate	3
Observe the insertion and/or participate in the management of transcatheter aortic valve implantation (TAVI)	Observe/participate	5
Observe the insertion and/or participate in the management of interventional structural cases of your choice (e.g., PFO closure, ASD closure, mitral intravention, LA appendage closure)	Observe/participate	5
Pericardial effusion management
a) Pericardiocentesis (pericardial aspiration)	Observe/participate	5
b) Management of pericardial effusion (postaspiration)	Observe/participate	No minimum
Total (a+b)		10

Procedure	What is required?	Minimum
Echocardiography
Transthoracic echocardiograms (TTEs) performed and reported
a) Comprehensive TTEs performed and reported under supervision of sonographer	Perform and report	100
b) TTEs performed and subsequently reviewed/reported with a cardiologist	Perform and report	100
Other TTEs performed (e.g. including point of care echocardiograms in the ward)	Perform and report	No minimum
Total (a+b+c)		300
d) TTEs reported (not performed) under supervision (excluding above)	Report (not perform)	225
e) Transoesophageal echocardiograms (TOEs) under supervision	Perform and report	50
f) Supervision and reporting of stress echocardiograms	Perform and report	25
Total echocardiograms (total of a-f)		600
Exercise electrocardiograms (ECG)	Participate in	50
Direct current cardioversion	Perform	10
Holter monitor under supervision	Report	50

Procedure	What is required?	Minimum
Electrophysiology studies (EPS)
a) EPS	Participate in	10
b) Catheter ablation study	Participate in	5
Total (a+b)		15
Cardiac resynchronisation therapy (CRT) and implantable cardioverter defibrillator (ICD)
a) Involvement in the referral for CRT and/or ICD devices	Participate in	10
b) Involvement in the insertion and post procedural care of CRT	Participate in	5
c) Involvement in the insertion and post procedural care of ICD	Participate in	5
Total (a+b+c)		20

Procedure	What is required?	Minimum
a) New outpatients (in-person)	Perform	150
b) Outpatients by video/telehealth consultation (new or review)	Perform	30
c) Review outpatients (in-person)	Perform	No minimum
Total outpatients reviewed (a+b+c)		400

Procedure	What is required?	Minimum
Cardiac MRI studies (reporting and/or scanning)	Participate in	5
Cardiac CT
a) CT coronary angiogram (reporting and/or scanning)	Participate in	20
b) CTs performed for evaluation of potential TAVI procedures (reporting and/or scanning)	Participate in	No minimum
Total (a+b)		25
Nuclear cardiological investigations (can include stress MIBI scan, PET scan, cardiac blood pool scan) (reporting and/or scanning)	Participate in	5