Australia
Australia
Over the course of Basic Training in Adult Internal Medicine (Australia), trainees are required to:
Clinical experience
- Complete 36-months of certified training time, of which:
- 24-months must be in core rotations, including a minimum of:
- 3 months in general and acute care medicine
- 12 months in medical specialties.
- 12-months may be spent in either ‘core’ or ‘non-core’ rotations.
- 24-months must be in core rotations, including a minimum of:
Location of training
- Complete training in at least two different accredited training settings.
- Complete at least 24 months of training in accredited training settings in Australia and/or Aotearoa New Zealand.
Core rotations
Minimum time required Maximum time required
Rotation type (Australia)
Related Knowledge Guide(s) and additional notes
General and acute care medicine
Min time: 3 months (10-13 weeks)
Max time: 24 months
Notes
General medicine rotations may include, but do not exclusively consist of:
- peri-operative medicine
- obstetric medicine
- admitting medical registrar
- medical assessment unit
- acute assessment
- adolescent and young adult medicine
A total of 12 months general and acute care medicine can count as ‘core’ rotations. A further 12 months can count as ‘non-core’ rotations.
Trainees should only complete up to 6 months of general medicine at any one training setting.
Medical specialties*
Min time: 12 months (44-52 weeks)
Max time: 33 months
Notes
To count as adequate medical specialty training time, trainees will need to spend at least 50% of their time in the specialty, in at least two of the following areas:
- inpatients
- consults
- ambulatory care
Up to 6 months in any one specialty can count as ‘core’ rotations. An additional 6 months can count towards the ‘non-core’ training requirement.
Cardiology*
Min time: 0 months
Max time: 6 months
Clinical genetics*
Min time: 0 months
Max time: 6 months
Clinical haematology*
Min time: 0 months
Max time: 6 months
Clinical immunology / allergy*
Min time: 0 months
Max time: 6 months
Clinical pharmacology*
Min time: 0 months
Max time: 6 months
Endocrinology*
Min time: 0 months
Max time: 6 months
Gastroenterology*
Min time: 0 months
Max time: 6 months
Geriatric medicine*
Min time: 0 months
Max time: 6 months
Infectious diseases*
Min time: 0 months
Max time: 6 months
Medical oncology*
Min time: 0 months
Max time: 6 months
Nephrology*
Min time: 0 months
Max time: 6 months
Neurology*
Min time: 0 months
Max time: 6 months
Palliative medicine*
Min time: 0 months
Max time: 6 months
Rehabilitation medicine*
Min time: 0 months
Max time: 6 months
Notes
Rehabilitation medicine rotations can only count towards ‘core’ rotations if they are part of a Geriatrics or Neurology rotation, supervised by a consultant with FRACP.
Respiratory and/or sleep medicine*
Min time: 0 months
Max time: 6 months
Rheumatology*
Min time: 0 months
Max time: 6 months
Other specialties**
Anaesthetics**
Min time: 0 months
Max time: 3 months
Intensive care medicine**
Min time: 0 months
Max time: 6 months
Emergency medicine**
Min time: 0 months
Max time: 3 months
Notes
Up to 3 months can be counted as a ‘core’ rotation and an additional 6 months can be counted as an ‘non-core’ rotation.
General paediatrics**
Min time: 0 months
Max time: 6 months
Notes
General paediatrics can count as 6 months of ‘core’ rotations. In total, no more than 6 months of paediatric training (core and/or non-core) will count towards the overall clinical experience requirements for Basic Training in Adult Internal Medicine.
Nuclear medicine
Min time: 0 months
Max time: 3 months
Notes
The rotation supervisor must have FRACP or FAANMS (Australasian Association of Nuclear Medicine Specialists).
Non-core rotations
Minimum time required Maximum time required
Rotation type (Australia)
Related Knowledge Guide(s) and additional notes
Nights
Min time: 0 months
Max time: 6 months
Notes
Trainees can spend up to 6 months on nights rotations provided the rotation meets the criteria for RACP training, including demonstrated:
- Supervision allocations as outlined in the teaching program requirements.
- Relevance of clinical experiences to delivering the learning goals of the program.
Paediatrics
Min time: 0 months
Max time: 6 months
Notes
In total, no more than 6 months of paediatric training (core and/or non-core) will count towards the overall clinical experience requirements for Basic Training in Adult Internal Medicine. Up to 6 months of General paediatrics can count as ‘core’ training.
Relieving
Min time: 0 months
Max time: 6 months
Notes
Trainees can spend up to 6 months on relief rotations provided the rotation meets the criteria for RACP training, including demonstrated:
- Supervision allocations as outlined in the teaching program requirements.
- Relevance of clinical experiences to delivering the learning goals of the program.
Other non-core rotations
Min time: 0 months
Max time: 3 months
Notes
Directors of Physician Education may approve additional rotations provided they meet the criteria for RACP training, including demonstrated:
- Supervision allocations as outlined in the teaching program requirements.
- Relevance of clinical experiences to delivering the learning goals of the program.
Other non-core rotations may include:
- Addiction medicine
- Dermatology (Dermatology Knowledge Guides)
- General practice
- Pathology
- Psychiatry
- Radiation oncology
- Surgery
- Discretionary rotations:
- Medical administration
- Medical education
- Medical and humanitarian aid organisations^
- Post-acute community care
- Supervised clinical research
^Experience with medical aid agencies that may be certified towards Basic Training in Adult Internal Medicine includes, but is not limited to Médecins Sans Frontières, Red Cross, and Royal Flying Doctor Service.
Location of training
Basic Training in Adult Internal Medicine (Australia) is undertaken at training settings accredited by the RACP.
Location type (Australia)
Notes
Level 3 teaching (Prinicipal Training Program)
Min time: 12 months
Max time: 33 months
- At least 12 months training must be spent in a Level 3 teaching.
- Up to 33 months of Basic Training may be undertaken in Level 3 teaching.
- At least 3 months must be completed outside a Level 3 teaching. Ideally this will be in a Level 1 teaching or a rural secondment site. If adequate rural rotations are available in the state or territory, a 3-month period must be spent in these locations. However, it is recognised that differences exist between states and territories and therefore it is acceptable that the required 3 months be spent in a Level 2 teaching in a non-metropolitan site.
- If only 12 months are spent in a Level 3 teaching, this may include a maximum of 3 month on rotations to a Level 2 teaching, Level 1 teaching or secondment hospital.
Level 2 teaching (Prinicipal Training Program)
Min time: 0 months
Max time: 24 months
- Up to 24 months training may be spent in Level 2 teaching.
Level 1 teaching (Adjunct Training Program)
Min time: 0 months
Max time: 12 months
- Up to 12 months training may be spent in Level 1 teaching.
- An additional 6 months of Basic Training may be spent in a Level 1 teaching on rotation from a Level 2 or Level 3 teaching.
Secondment hospitals (Adjunct Training Program)
Min time: 0 months
Max time: 6 months
- A total of 6 months training may be spent in secondment hospitals.
- Training in a secondment hospital will be on rotation from a Level 3 or Level 2 teaching. Please refer to the RACP website for a list of recognised secondment settings.