Policies and Forms

The ACEM CPD program is supported by the Recertification Regulation and the CPD Participation Policy and procedures that outline the requirements that apply to all aspects of the program. The CPD unit in collaboration with the CPD Committee has developed a number of procedures and supporting documentation to enable Fellows and Non-Fellow Participants to meet their registration requirements. However, all participants are advised to monitor these to ensure they are complying with the requirements relevant to their scope of practice in their particular jurisdiction.

Compliance Audit
Documenting
Exemption
MCNZ requirements
Non-Fellow Participants
Re-entry
Remediation
The College conducts a CPD program in accordance with the requirements for accreditation by the Australian Medical Council (AMC) and the Medical Council of New Zealand (MCNZ), as a specialist medical college. These requirements include the conduct of audits on a percentage of CPD records annually.

Purpose

The College conducts annual audits of CPD records in order to demonstrate its commitment to:
  • the promotion of exemplary standards of practice in emergency medicine through CPD
  • the compliance of ACEM Fellows and Non-Fellow Participants (NFPs) with the requirements of the program and of the bi-national medical registration authorities
  • the strength and integrity of the ACEM CPD program.
Selection for Audit

Immediately following the close of each CPD year or cycle, a cohort of 10% of all CPD participants shall be selected for compliance audit in respect of that year or cycle.

The cohort shall include any ‘mandatory participants’, being:

(a) Those who failed to record minimum requirements in respect of the year or cycle to which the audit relates
(b) Those who failed to pass or failed to participate in a compliance audit undertaken in relation to the CPD year immediately preceding the year to which the current audit relates
(c) Those who have requested and been allowed an exemption from the audit process in relation to the CPD year immediately preceding the year to which the current audit relates.
(d) Those who having been compliant, have requested the CPD unit to alter their return in such a way that they become non-compliant.

The remaining participants for the year in question shall be selected randomly.

Immunity from Audit

Audit participants who are found to be compliant shall not be selected for audit more than once during the relevant three-year CPD cycle.

Notification of Selection

Those selected for audit shall be notified in writing that they have been selected for audit, and shall be required to submit their audit return within two (2) months of the due date of the notification. In extenuating circumstances, an extension of time may be granted upon written request.

Documenting your evidence

Documents are to be retained to support your CPD activity record. Audit participants shall attach evidence to support their CPD activity via the CPD Online platform for the relevant year or cycle.

Acknowledgement of Compliance

Certification shall be provided at the appropriate time to participants in the CPD program as follows:
  • an annual completion certificate – to those who meet all minimum annual requirements for a CPD year, and
  • a CPD cycle completion certificate – to those who meet all requirements for a three-year CPD recertification cycle
  • a CPD compliance certificate – to those who have successfully completed a compliance audit.
The following documents support the exemption process:

Documenting your evidence

Peer review

Audit of medical practice

Procedural skills

The College conducts a CPD program in accordance with the requirements for accreditation by the Australian Medical Council (AMC) and the Medical Council of New Zealand (MCNZ), as a specialist medical college. These requirements allow for exemption from the program where this is warranted by extraordinary personal circumstances affecting a practitioner’s capacity to undertake the CPD program, or the Procedural Skills component of that program.

Please note that the Exemption Policy is currently under review. If you have any queries please contact the CPD Unit via email: [email protected] or ph: +61 3 9320 0408 

All doctors registered to practice in New Zealand have a number of recertification requirements in place by the Medical Council of New Zealand (MCNZ). The ACEM CPD Program is aligned with annual requirements for doctors with Vocational Scope of Practice, being:

  • 1 Audit of Medical Practice
  • 10 hours of Peer Review
  • 20 hours of Continuing Medical Education (CME) - a combination of Group Learning and Self-Directed Learning within the ACEM CPD Program.

MCNZ definitions

Audit of Medical Practice (AMP): 'A systematic critical analysis of the quality of the doctor’s own practice that is used to improve clinical care and/or health outcomes and/or to confirm that current management is consistent with the current available evidence or accepted consensus guidelines.'

Peer Review: 'This is evaluation of the performance of individuals or groups of practitioners by members of the same profession or team. It may be formal or informal and can occur whenever practitioners are learning about their practice with colleagues. Peer review can also occur in multidisciplinary teams when team members who are ‘peers’ or other health professionals give feedback. Formal peer review is an activity where peer(s) systematically review aspects of a doctor’s work, e.g. a review of the first six cases seen or a presentation on a given topic. It normally includes feedback, guidance and a critique of the doctor’s performance.'


Continuing Medical Education (CME): This includes attendance at relevant educational conferences, courses and workshops, self-directed learning programs and learning diaries, journal reading. CME is a a combination of Group Learning and Self-Directed Learning within the ACEM CPD Program.

Documents supporting the MCNZ Recertification requirements are available here

Purpose:

The College allows for the participation of Non-Fellows in the CPD program to demonstrate its commitment to:

  • The strength and integrity of the ACEM CPD program, in ensuring all practitioners working in Emergency Departments have access to an appropriate and relevant CPD program

  • Supporting ACEM Fellows and Non-Fellow doctors working in Emergency Departments to maintain compliance with the requirements for CPD and hence the bi-national medical registration authorities.

Policy:

  • Membership of the ACEM CPD program is available to registered practitioners working in Emergency Departments

  • Applications for CPD enrolment for Non-Fellow Participants (NFPs) may be made using the application form and addressed to the CPD Office

  • CPD NFPs are required to appoint a Mentor (a Fellow of the ACEM) to support their application for enrolment and their CPD program.

Membership Benefits:

  • Access to the CPD online program and library of activities

  • Support from the CPD staff in achieving the requirements of the program

  • Certification on completion of each CPD year and cycle

  • Confirmation of compliance as requested throughout the CPD year

  • Electronic access to the ACEM Journal for Emergency Medicine

  • Electronic access to the ACEM Emergency Medicine Certificate and Diploma learning modules as determined by the Board of Education

  • Electronic access to additional CPD resources including the Best of Web EM platform and CPD online questions, as approved by the CPD Committee.

Application Process:

Registered medical practitioners working in Emergency Departments may apply to join the CPD program for NFPs using the application form. An annual fee applies to membership of the CPD program for Non-Fellows.

The application for the CPD program for NFPs shall include:

  • The completed application form including payment details

  • Certification of registration as a medical practitioner

  • The name of a Fellow of ACEM who has agreed to support the application and to act as a mentor for the applicant.


The following documents support the exemption process:

The procedure for CPD and re-entry to practice outlines the steps to be undertaken in the case of a practitioner wishing to re-enter CPD and clinical practice or to change their field of practice. The procedure is informed by the Medical Board of Australia (MBA) Recency of practice registration standard (31 March 2010) and the MCNZ Policy on doctors returning to medical practice after an absence from practice for three or more years (June 2004).

Purpose

The College provides a pathway for CPD and re-entry to practice to demonstrate its commitment to:
  • ensuring the highest standard of safe and comprehensive care for the community through excellence in emergency medicine education, training, professional development and support
  • the strength and integrity of the ACEM CPD program, in ensuring all participants have the capacity to fully engage with the program after a period of absence from the program and/or clinical practice
  • supporting ACEM Fellows and participants in resuming practice and compliance with the requirements of the CPD program after a period of absence from practice.

Policy

  • Fellows of the College wishing to return to active practice in emergency medicine following a prolonged absence from clinical practice (as defined by the MBA and the MCNZ) or retirement shall make application to the Chair of the CPD Committee.
  • The Re-entry to practice flowchart (link below) summarises the requirements.
  • Fellows and NFPs returning to practice and/or resuming CPD shall determine the requirements that apply to their case, on the basis of the MBA and MCNZ requirements.
The following resources have been developed to support CPD planning and return to practice:

The College conducts a CPD program in accordance with the requirements for accreditation by the Australian Medical Council (AMC) and the Medical Council of New Zealand (MCNZ), as a specialist medical college. These requirements include a program of remedial management for a Fellow or graduate who is identified as performing poorly in their role as an emergency medicine practitioner.

Purpose

From time to time a Fellow or graduate of the ACEM may be identified to be performing poorly in their role as an emergency medicine practitioner. This procedure exists to provide:

  • collegiate support for the poorly performing practitioner
  • ​a process for improving the clinical skills of the Fellow or graduate to the standard expected of a Fellow/graduate respectively of the ACEM under an appropriate degree of supervision
  • a process to assess that the required standard has been achieved
  • a process to report on the successful completion or otherwise of this process to appropriate parties including the practitioner, the referring body, the ACEM Board of Education and ACEM Council.

Policy

  • Fellows with identified issues in practice (or poor performance as defined by the Medical Board of Australia) may be required to undertake a program of remediation under the direction of the CPD Committee.
  • A Fellow or graduate of the ACEM may be identified as a poorly performing practitioner by:
    • Self-referral to the College via the Chair CPD Committee, Censor in Chief, President or CEO.
    • Referral to the Chair CPD Committee or other appropriate College Officer by an appropriate regulatory body i.e. the Medical Board of Australia, the Australian Health Practitioner Regulation Agency (AHPRA), the Medical Council of New Zealand, and other regulators as identified.
  • Referral by an employer without the Fellow’s or graduate’s consent and direct involvement will not be accepted. Such issues should be referred to the relevant regulatory body for appropriate consideration. The Chair CPD Committee will respond to any such notification suggesting means by which a valid referral can be made, and support the Fellow and the employer is achieving a valid referral where appropriate.
Please email the CPD Team at the College for further information regarding the policy and procedure relating to managing remediation.