Training Site Accreditation

Full details on the accreditation structure and the curriculum can be found here. Sites that are accredited for ED or Special Skills Placement will need to apply for TS4 accreditation if they wish to have TS4 trainees at their site.

All interim application forms are to be submitted via email to [email protected]. If approved, the site will be provisionally accredited for TS4 and on-going accreditation will be confirm or declined at the site’s next inspection. The TS4 Interim Process Guide can be found here.

The full details of the TS4 application requirements can be found here.

• ED TS4 application
• Non-ED TS4 application

The below video provides an overview of Training Stage Four.

Please contact the accreditation team if you have any queries:
e: [email protected]
t: +61 3 9320 0407

New accreditation requirements for emergency medicine (EM) specialist training providers are now in place. Find more information in FAQs.

The table below outlines the process and accreditation requirements for each accreditation category:

The College may initiate a Focused Investigation at any point within the five-year cycle of an accredited site. This may include a site visit. This is usually in response to issues identified through the monitoring of accreditation conditions, the review of College data, or other substantiated avenues. However, any accredited site can be the subject of a Focused Inspection.

Where sufficient cause is identified, the College may investigate the performance of a site with respect to specifically identified accreditation requirements. This may be via phone, written correspondence, or other methods of communication.

If your site has been notified that a Focussed Inspection is required, the College's Accreditation Team will be in contact to organise the inspection. You can contact the accreditation team for further details about this process:

e: [email protected]
t: +61 3 9320 0407

For all routine inspections, the accreditation team will be in contact:

• To request the site submits an updated F548 FACEM Training Program Site Accreditation - Application for ED accreditation or an updated F173 SSP Application.
• To arrange a site inspection on a mutually agreed date.

If your site would like to vary the tier of accreditation at any point in the five-year cycle:

• Submit a letter addressed to the chair of the Accreditation Subcommittee applying for the change.
• Submit an updated F548 FACEM Training Program Site Accreditation - Application.
• The Accreditation Subcommittee will assess the request and respond within eight weeks of receipt of the application.
• If the Subcommittee approves the application to proceed, a site visit may be conducted to make a final determination on the application.

With the introduction of the College’s revised accreditation standards from August 2027, tiered accreditation will no longer apply. As a result, ED/PEDs should closely consider if a tier upgrade is required at this time. Tier upgrade requests will not be accepted from 1 December 2026. Click here for more information.

Emergency departments in Australia and Aotearoa New Zealand that are not currently ACEM accredited can apply for BSP approval, provided they meet the BSP site criteria.

If the response to the self-assessment questionnaire indicates your site may be eligible for BSP approval, you can find further details in the BSP section.

F548 – FACEM Training Program Site Accreditation – Application

AC549 – FACEM Training Program Site Accreditation – Requirements

G550 – FACEM Training Program Site Accreditation – Process guide

You are required to submit an application form and self-assess to show all standards are met. Supporting documents as evidence that a requirement is met will also be required but please note the maximum number of attachments accepted is 20 in total. If you submit more than 20 attachments, the application may be return to you for amendment.

Required Documents:

• The completed application form F548 in “.doc” format.
• Six months previous rosters and three months future rosters with clear legends to decipher rosters including FACEM trainees and FACEM consultants clearly identified (new sites may provide proposed rosters).
• List of FACEMs and their FTEs and Clinical Support Time.
• List of all PEMs for PED application.
• Orientation Manual.
• Education Program for last 12  months with name of presenter and with clear descriptions of specific topics, including Primary and Fellowship examination preparation program.
• Attendance record for the education program.
• CVs of DEM, DEMT, local WBA coordinator.
• CV of Network DEMT if applying as an EMTN.
• If applying as a new linked-ED, a formal letter from the host hospital confirming agreement. 

Please do not submit Hospital Policies and Manuals (apart from the Orientation manual) with your application. However it is expected they will be made available for the inspectors at the inspection.
 
Apart from the F548 Application form (which must be submitted in Microsoft Word format), all supporting documents must be submitted as PDFs.

The College will provide these data to the inspectors which you do not need to submit:

• WBA reports
• ACEM Annual Site Census (unless there has been updates to these details)
• Examination Reports

Description on how each requirement is met
 
It is advised that you be brief but be descriptive. The intent is for the inspectors to be able to glean enough information to determine whether a requirement is met. Please do not only just state “Refer to attachment xxx” with no other description else the application may be return to you for amendment.
 
The required supporting documents
 
The supporting document is to corroborate what is written about how the particular requirement is met.
 
Useful tips

Clearly number and name the documents appropriately to make it easy for the inspectors to refer to

• Eg 1-Clinical Rosters-Jan-June-2017
• 2-List of FACEMs FTE

If you are zipping your documents please do not include zipped files within zipped files.

View a sample filled in application.

View the top 10 unmet requirements which may be of assistance to you.

All applications must be submitted online. No hard copy application will be accepted.

New ED/Cat A Applications or applying for a change in accreditation level
Once you are ready to submit the application, please contact [email protected]. The accreditation team will liaise with you and a dedicated and secure Sharepoint folder will be set up for you to upload the application and supporting documents.

Submission for Inspections
The accreditation team will be in touch when the inspection date is confirmed, and you will be asked to nominate an email address for a dedicated and secure Sharepoint folder to be set up specifically for your inspection. All documents can be uploaded directly into this folder.

Category T applications
Submit all applications to [email protected]
 

Yes. For any variation to your accreditation status, you will be required to complete and submit an application.