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ROYAL AUSTRALIAN & NEW ZEALAND
COLLEGE OF OBSTETRICIANS & GYNAECOLOGISTS


CERTIFICATE OF WOMEN’S HEALTH,
DRANZCOG &
DRANZCOG ADVANCED
TRAINING HANDBOOK

TRAINING ADMINISTRATION & REGULATIONS
                                            Last updated: March 2012
© RANZCOG 2011

This work is copyright. Apart from any use as permitted under the Copyright Act 1968, no part
may be reproduced by any process without written permission from The Royal Australian and
New Zealand College of Obstetricians and Gynaecologists. Requests and enquiries concerning
reproduction should be directed to the Chief Executive Officer, RANZCOG, 254-260 Albert Street,
East Melbourne, Victoria 3002, Australia.

Published by
Conjoint Committee for the Diploma of Obstetrics and Gynaecology (CCDOG) comprising
representatives of the following Colleges:

The Royal Australian and New Zealand College of Obstetricians and Gynaecologists
254-260 Albert Street
East Melbourne VIC 3002

The Royal Australian College of General Practitioners
1 Palmerston Crescent
South Melbourne VIC 3205

The Australian College of Rural and Remote Medicine
1st Floor
467 Enoggera Road
Alderly QLD 4051

Disclaimer
Decisions of the CCDOG with respect to assessment of performance shall be final and shall be
made at the discretion of the CCDOG. The CCDOG shall not be liable for any claims for loss or
damage made by participants as a result of any decision by the CCDOG in relation to assessment
generally. All trainees, supervisors and others participating or applying for participation in the
Certificate and Diploma Programs in Women’s Health do so on the understanding that the
CCDOG shall not be liable for the consequences resulting from decisions of the CCDOG.




                                                                                                 2
IMPORTANT NOTICE




      IMPORTANT NOTICE ON INFORMATION AND REGULATIONS IN THIS HANDBOOK

     Every effort has been made to ensure that the information and regulations in this
                                  handbook are correct.

 It is regularly updated online and readers are strongly advised to consult the handbook on
                                    the RANZCOG website:

    http://www.ranzcog.edu.au/curriculum-a-training-handbook/certificate-a-diploma-
                         curriculum-a-training-handbook.html

   Reference should also be made to the CWH/Diploma Training & Assessment Bulletins
   which are circulated by email every 2 months to all CWH, DRANZCOG and DRANZCOG
             Advanced trainees, Training Supervisors/Mentors and Assessors.




                                                                                          3
TABLE OF CONTENTS
 TABLE OF CONTENTS
 1.0 INTRODUCTION
          1.1 Purpose of this Handbook                                       7
          1.2 Women’s Health Training Programs: An overview                  7

 2.0 COLLEGE INFORMATION
          2.1 Dates for 2011                                                 9
          2.2 Relevant College House Staff Contact Details                  10
          2.3 Governance and Administration                                 12
          2.4 State Reference Committee Chairs Contact Details              14
          2.5 Accredited CWH, DRANZCOG & DRANZCOG Advanced Training Sites   15
          2.6 RANZCOG Trainees’ Committee                                   18

 3.0 TRAINING & ASSESSMENT ADMINISTRATION
          3.1 Training & Assessment Guide for Trainees                      19
          3.2 Applying for Prospective Approval of Training                 23
          3.3 Registration & Training Fees - 2011                           25
          3.4 Workshops                                                     26
          3.5 Logbooks                                                      27
          3.6 Workplace-based Validations                                   28
          3.7 Six-monthly Trainee Feedback Questionnaire                    31
          3.8 Examinations                                                  32
          3.9 Certification & Recertification                               36

 4.0 REGULATIONS
         1.0 Certificate of Women’s Health                                  41
         2.0 DRANZCOG                                                       48
         3.0 DRANZCOG Advanced                                              60




                                                                             4
1.0 INTRODUCTION
 1.0 INTRODUCTION
 1.1 Purpose of this handbook
 Trainees will find most of the information they require about administrative aspects of the three
 Women’s Health Training Programs in this handbook. However, requests for additional information
 should be directed to the Training Services Department, RANZCOG (see Section 2.2 for contact details).


 1.2 Women’s Health Training Programs: An overview
 The Conjoint Committee for the Diploma in Obstetrics and Gynaecology (CCDOG) offers three programs
 for medical practitioners providing care in women’s health.


    1. Certificate in Women’s Health (CWH)
    This is a training program intended for medical practitioners who desire increased knowledge in
    aspects of women’s health that centre primarily on office-based practice, including shared antenatal
    and postnatal care, office gynaecology and family planning.            All training and assessment
    requirements for the CWH must be completed within two (2) years from the date of commencement
    of training.
    2. Diploma of the RANZCOG (DRANZCOG)
    The RANZCOG Diploma (DRANZCOG) builds on the knowledge and skills developed through the
    Certificate of Women’s Health program. It is intended for medical practitioners who wish to gain
    skills in obstetrics and gynaecology to a level that will enable them to safely undertake non-complex
    deliveries and perform basic gynaecological procedures. All training and assessment requirements
    for the DRANZCOG must be completed within four (4) years from the date of commencement of
    training.
    3. Advanced Diploma of the RANZCOG (DRANZCOG Adv)
    This is a hospital-based training program intended for medical practitioners who have gained skills in
    obstetrics through the Diploma and who wish to develop them to a level that will enable them to
    safely undertake complex deliveries and perform more advanced gynaecological procedures. All
    training and assessment requirements for the DRANZCOG Advanced must be completed within six
    (6) years from the date of commencement of training.




                                                                                                          5
Each qualification addresses subject areas that offer considerable breadth in terms of the subject matter
and the depth of knowledge and skills that are acquired.


      Structure of the CWH, DRANZCOG and DRANZCOG Advanced Training Programs


The three-tier structure of the Women’s Health qualifications is reflective of the progressive increase in
knowledge and skills required and the shift toward independent practice as trainees continue from one
training program to the next.


As each qualification is re-certifiable, trainees are not required to repeat the requirements of their existing
qualification should they wish to up-skill and undertake training in subsequent qualifications. For
example, holders of the Certificate who wish to undertake the Diploma or Diploma Advanced Training
Programs do not have to repeat the training and assessment requirements of the Certificate, which forms
part of the DRANZCOG training program.



       Certificate in                           DRANZCOG                        DRANZCOG Advanced
      Women’s Health
                                          Certificate of Women’s                     DRANZCOG and
        CWH1: Basic skills                      Health and
     CWH2: Introduction to                     DRAN1: Basic skills                DRAV1: Advanced Obstetrics
    Antenatal & Postnatal Care
                                             DRAN2: Antenatal care
     CWH3:Special topics in                                                           DRAV2: Advanced
    Antenatal & Postnatal Care                  DRAN3: Labour                           Gynaecology

      CWH4: Introduction to                   DRAN4: Postnatal &                      DRAV3: Ultrasound
         Gynaecology                            Neonatal Care

      CWH5: Special topics in                 DRAN5: Procedural
         Gynaecology                            Gynaecology




                                                                                                               6
2.0 COLLEGE INFORMATION
2.1 DATES FOR 2012
 2.1 DATES FOR 2012
       14 February          CWH and DRANZCOG Written Examinations 1
       17 February          Final date to submit certification applications for March RANZCOG
                            Board meeting (i.e. upon completion of training and assessment
                            requirements)
       14 – 16 March        RANZCOG Board and committee meetings
         17 April           DRANZCOG Oral Examination 1
          31 May            Closing date for applications to sit the 2012 Written and Oral
                            Examinations 2
         29 June            Final date to submit certification applications for July RANZCOG
                            Board meeting (i.e. upon completion of training and assessment
                            requirements)
        18 – 20 July        RANZCOG Board and committee meetings
          24 July           CWH and DRANZCOG Written Examinations 2
       16 September         DRANZCOG Oral Examination 2
        26 October          Final date to submit certification applications for November
                            RANZCOG Board meetings (i.e. upon completion of training and
                            assessment requirements)
        30 October          Closing date for applications to sit the 2012 Written and Oral
                            Examinations 1
     14 – 16 November       RANZCOG Board and committee meetings



       NOTE: LATE APPLICATIONS FOR RANZCOG EXAMINATIONS AND CERTIFICATION
                               WILL NOT BE ACCEPTED.
      Please refer to the relevant CWH, DRANZCOG & DRANZCOG Advanced Regulations
                             in Section 4 of this handbook.




                                                                                           7
2.2 COLLEGE STAFF CONTACTS

                                    College House Staff Contacts

        Name & Position                  Area of responsibility                Contact Details
 Ms Lyn Johnson                     Training & certification policy   tel +61 9412 2944
 Director of Education & Training                                     fax +61 3 9419 7817
                                                                      ljohnson@ranzcog.edu.au
 Mr Shaun McCarthy                  Training Policy/Programs          tel +61 3 9412 2917
 Training Services Manager                                            fax +61 3 9419 7817
                                                                      smccarthy@ranzcog.edu.au
 Ms Bronwyn Robinson                CWH, DRANZCOG & DRANZCOG          tel +61 3 9412 2982
 Senior Education Coordinator       Advanced Workplace-based          fax +61 3 9419 7817
                                    Validation implementation &       brobinson@ranzcog.edu.au
                                    Assessor training
 Mr Liam Davison                    CWH, DRANZCOG & DRANZCOG          tel +61 3 9412 2918
 Senior Online Learning             Advanced online modules           fax +61 3 9419 7817
 Coordinator                                                          ldavison@ranzcog.edu.au
 Ms Maree Brislin                   Trainee enquiries                 tel +61 3 9412 2911
 CWH/Diploma Co-ordinator           Registration/training             fax +61 3 9419 7817
                                    documentation                     mbrislin@ranzcog.edu.au
                                    Certification
 Ms Rosalie Sirotic                 Trainee enquiries                 tel +61 3 9412 29
 Reaccreditation/Diploma            Registration/training             fax +61 3 9419 7817
 Support Officer                    documentation                     rsirotic@ranzcog.edu.au
                                    enquiries
 Ms Lai Yue Aitken                  CWH & DRANZCOG Written            tel +61 3 9412 2929
 Assessment Officer                 Examinations                      fax +61 9412 2953
                                                                      laitken@ranzcog.edu.au
 Ms Kathryn Hertrick                DRANZCOG Oral Examination         tel +61 3 9412 2972
 Assessment Officer                                                   fax +61 9412 2953
                                                                      khertrick@ranzcog.edu.au




                                                                                                 8
RANZCOG Regional Offices Contacts

       State                                Staff                               Contact Details
                                                                       RANZCOG Victorian Regional
Victoria & Tasmania   Executive Officer: Ms Fran Watson                Office
                      Administrative Officer: Ms Bree Morison          8 Latrobe Street
                                                                       MELBOURNE VIC 3000
                                                                       tel +61 3 9020 0254
                                                                       fax +61 3 9662 3908
                                                                       vrc@ranzcog.edu.au
                                                                       RANZCOG New South Wales
New South Wales       Executive Officer: Ms Lee Dawson                 Regional Office
                      Administrative Officer: Mr Christopher Dowding   Suite 4, Level 5
                                                                       69 Christie Street
                                                                       St Leonards NSW 2065
                                                                       tel +61 2 9436 1688
                                                                       fax +61 2 9436 4166
                                                                       admin@ranzcog.nsw.edu.au
                                                                       RANZCOG Queensland
Queensland            Executive Officer: Ms Lee-Anne Harris            Regional Office
                      Administrative Officer: Ms Wendy Morrison        Unit 22, Level 3
                                                                       17 Bowen Bridge Road
                                                                       Herston QLD 4006
                                                                       tel +61 7 3252 3073
                                                                       fax +61 7 3257 2370
                                                                       ranzcogqld@ranzcog.edu.au
                                                                       RANZCOG SA/NT Regional
South Australia &     Executive Officer: Ms Tania Back                 Office
Northern Territory                                                     51-54 Palmer Place
                                                                       PO Box 767
                                                                       North Adelaide SA 5006
                                                                       tel +61 8 8267 4377
                                                                       fax +61 8 8267 5700
                                                                       sa.nt@ranzcog.edu.au
                                                                       RANZCOG WA Regional Office
Western Australia     Executive Officer: Ms Janet Davidson             Level 1
                                                                       44 Kings Park Road
                                                                       West Perth WA 6005
                                                                       tel +61 8 9322 1051
                                                                       fax +61 8 6263 4432
                                                                       ranzcogwa@westnet.com.au




                                                                                                    9
2.3 GOVERNANCE & ADMINISTRATION

 2.3 GOVERNANCE AND ADMINISTRATION


 The Women’s Health training programs are governed and administered by the Conjoint Committee for
 the Diploma of Obstetrics and Gynaecology (CCDOG). The CCDOG comprises representatives from the
 RANZCOG, the Royal Australian College of General Practitioners (RACGP) and the Australian College of
 Rural and Remote Medicine (ACRRM).


 The CCDOG is composed of an Executive group and two subcommittees:
     -   Education and Assessment (EA) Subcommittee, and
     -   Training, Accreditation and Recertification (TAR) Subcommittee (previously known as the Joint
         Consultative Committee on Obstetrics, JCCO).


 CCDOG Executive
 Chair: Professor Ajay Rane
 Responsibilities:
     -   To define and oversee all aspects of education, training and recertification in relation to
         qualifications awarded jointly by RANZCOG, ACRRM and RACGP, including, but not limited, to the
         Certificate of Women’s Health and the Diplomas known as the DRANZCOG and DRANZCOG
         Advanced.
 Committee Coordinator: Ms Georgina Anderson, RANZCOG


 CCDOG Training, Accreditation and Recertification (TAR) Subcommittee
 Chair: Dr Martin Ritossa
 Responsibilities:

         -   Ongoing co-ordination and administration of the training processes.

         -   Ongoing co-ordination and administration of the accreditation and/or reaccreditation of
             training sites.

         -   Ongoing co-ordination and administration of processes pertaining to certification and
             recertification of Certificate and Diploma holders, including approval of Women’s Health
             requirements for recertification and applications for reinstatement to the Register of
             Diplomates.


                                                                                                    10
-   Development and continuous review of regulations governing eligibility, training,
            accreditation and certification for the training programs.

        -   Collaboration with the Education and Assessment Subcommittee and the Executive of the
            CCDOG on training, assessment and certification issues of natural concern, where appropriate
            and as directed by the Executive of the CCDOG.
Committee Coordinator: Ms Maree Brislin, RANZCOG



CCDOG Education and Assessment (EA) Subcommittee
Chair: Professor Ian Symonds
Responsibilities:

        - The development, implementation and ongoing review of the curricula for training programs
            offered by the RANZCOG (in conjunction with the RACGP and ACRRM) through the CCDOG.

        - Developing, sourcing and advising on educational resources used to guide and support training
            in relation to the Women’s Health training programs.

        - In conjunction with the TAR Subcommittee and other relevant Committees of the RANZCOG,
            develop and regularly review regulations governing training, assessment and certification for
            the Women’s Health training programs.

        - Administration and provision of guidelines for the organisation of educational workshops used
            to guide and support training and recertification for the Women’s Health training programs.
Committee Coordinator: Mrs Anna Kaider, RANZCOG




                                                                                                      11
2.4 STATE REFERENCE COMMITTEES
 2.4 STATE REFERENCE COMMITTEE CHAIRS CONTACT DETAILS
 CWH, DRANZCOG and DRANZCOG Advanced trainees must submit their logbook for assessment and
 signing to the Chair of the relevant State Reference Committee (SRC) listed below. DRANZCOG Advanced
 trainees will also have their Case Syntheses assessed by the relevant SRC Chair.


      State/Territory                                        Contact Details
 New South Wales &              Dr Talat Uppal
 Australian Capital Territory   SRC Chair                             tel 02 9436 1688
                                C/- Ms Lee Dawson                     fax 02 9436 4166
                                RANZCOG NSW                           admin@ranzcog.nsw.edu.au
                                Suite 4, Level 5
                                69 Christie Street
                                St Leonards NSW 2065
 Queensland                     Dr Carol Breeze
                                SRC Chair                             tel 07 3252 3073
                                C/-Ms Lee-Anne Harris                 fax 07 3257 2370
                                RANZCOG QLD                           ranzcogqld@ranzcog.edu.au
                                Unit 22, Level 3
                                17 Bowen Bridge Road
                                Herston QLD 4006
 South Australia &              Dr Christopher Sexton
 Northern Territory             SRC Chair                             tel +61 8 8267 4377
                                C/- Ms Tania Back                     fax +61 8 8267 5700
                                RANZCOG SA/NT                         sa.nt@ranzcog.edu.au
                                PO Box 767
                                North Adelaide SA 5006
 Tasmania                       Dr Frank O’Keeffe
                                SRC Chair                             tel +61 3 9020 0254
                                C/- Ms Fran Watson                    fax +61 3 9662 3908
                                RANZCOG Vic/Tas                       vrc@ranzcog.edu.au
                                254-260 Albert Street
                                East Melbourne VIC 3002
 Victoria                       Dr Bernadette White
                                SRC Chair                             tel +61 3 9020 0254
                                C/- Ms Fran Watson                    fax +61 3 9662 3908
                                RANZCOG Vic/Tas                       vrc@ranzcog.edu.au
                                254-260 Albert Street
                                East Melbourne VIC 3002
 Western Australia              Dr Tamara Walters
                                SRC Chair                             tel 08 9448 5561
                                C/- Ms Janet Davidson                 fax 08 9448 5551
                                RANZCOG WA                            ranzcogwa@westnet.com.au
                                PO Box 6258
                                East Perth WA 6892




                                                                                                  12
2.5 ACCREDITED TRAINING SITES
 2.5 ACCREDITED CWH, DRANZCOG & DRANZCOG ADVANCED TRAINING SITES
 NOTE: The RANZCOG is undertaking the re-accreditation of all the sites listed below. This re-accreditation
 process will include the formal accreditation of appropriate sites as Certificate of Women’s Health (CWH)
 training units. Prospective trainees planning to undertake the CWH in a hospital setting are advised that
 currently this training can be undertaken at any of the accredited DRANZCOG training hospitals listed
 below.


                                                                                       Accredited for
  State/Territory                          Hospital                              DRANZCOG       DRANZCOG
                                                                                  training      Adv training
                    Bundaberg General Hospital                                       
                    Caboolture Hospital                                                              
                    Cairns Base Hospital                                                             
                    Gladstone Hospital                                                               
                    Gold Coast Hospital                                                              
                    Hervey Bay Hospital                                                              
                    Ipswich General Hospital                                                         
                    Logan Hospital                                                                   
   Queensland       Mackay Base Hospital                                                             
                    Maryborough Hospital                                             
                    Mater Mothers’ Hospital                                                          
                    Mt Isa Hospital                                                                   
                    Nambour Hospital                                                 
                    Redcliffe Hospital (with Caboolture Hospital)                                    
                    Redland Hospital                                                 
                    Rockhampton Base Hospital                                                        
                    Roma Hospital (with Toowoomba Hospital)                          
                    Royal Brisbane & Women’s Hospital                                
                    Toowoomba Hospital                                                               
                    Townsville Hospital                                                              
                    Albany Hospital                                                                  
                    Bunbury Regional Hospital                                        
                    Joondalup Health Care Campus                                                     
     Western        Kalgoorlie Hospital                                                              
     Australia      King Edward Memorial Hospital for Women                                          
                    Nickol Bay Hospital*                                                              
                    Osborne Park Hospital                                                            
                    Peel Health Campus                                                                
                    Rockingham General Hospital                                                      
                    Swan District Hospital                                                           
                     *Conditions apply – please contact Training Services, College House




                                                                                                         13
Accredited for
 State/Territory                               Hospital        DRANZCOG       DRANZCOG
                                                                training           Adv
                                                                                 training
                    Alice Springs Hospital                                          
                    Flinders Medical Centre                                         
South Australia &   Katherine Base Hospital                        
   Northern         Lyell McEwin Hospital                                           
    Territory       Mt Gambier Hospital                                             
                    Murray Bridge Hospital                                           
                    Queen Elizabeth Hospital                       
                    Royal Darwin Hospital                                           
                    Women’s & Children’s Hospital                                   
                    Armidale & New England District Hospital                       
                    Auburn District Hospital                       
                    Bankstown-Lidcrombe Hospital                   
                    Bathurst Hospital                              
                    Belmont Hospital                                               
                    Blacktown Hospital                             
                    Bowral District Hospital                                       
                    Camden District Hospital                       
                    Campbelltown Hospital                                          
                    Canberra Hospital                                              
                    Canterbury Hospital                            
                    Coffs Harbour Hospital                                          
                    Dubbo Base Hospital                            
                    Fairfield District Hospital                    
                    Gosford District Hospital                      
New South Wales     Goulburn Base Hospital                                         
  & Australian      Griffiths Hospital                                             
Capital Territory   Hornsby & Ku-Ring-Gai Hospital                                 
                    John Hunter Hospital                                           
                    Lismore Base Hospital                                          
                    Liverpool Hospital                             
                    Maitland Hospital                                              
                    Manly Hospital                                 
                    Manning Base Hospital                                          
                    Mona Vale Hospital                                             
                    Moruya Hospital                                                
                    Murwillumbah District Hospital                 
                    Nepean District Hospital                                       
                    Orange Base Hospital                                           
                    Port Macquarie Hospital                                        
                    Royal Hospital for Women                       
                    Royal North Shore Hospital                     
                    Ryde Hospital                                  
                    St George Hospital                             
                    Sutherland Hospital                            
                    Tamworth Base Hospital                                         
                    Tweed Heads District Hospital                                  
                    Wagga Wagga Base Hospital                                      
                    Westmead Hospital                              
                    Wollongong/Port Kembla Hospital                


                                                                                       14
Accredited for
State/Territory                           Hospital                     DRANZCOG          DRANZCOG
                                                                         training        Adv training
                   Launceston General Hospital                                               
  Tasmania         Mersey Community Hospital                                
                   Royal Hobart Hospital                                    
                   North West Regional Hospital                             
                   Angliss Hospital                                                          
                   Ballarat Base Hospital                                                    
                   Bass Coast Regional Health                               
                   Bendigo & Northern District Base Hospital                                 
                   Box Hill Hospital                                        
                   Central Gippsland Health Service                                          
                   Dandenong & District Hospital                                             
                   Geelong Hospital                                                          
                   Goulburn Valley Hospital                                                  
                   La Trobe Regional Hospital (LRH)                                          
                   Mercy Hospital for Women                                 
   Victoria
                   Mildura Base Hospital                                                     
                   Monash Medical Centre Hospital                           
                   Moorabbin Hospital                                       
                   Mornington Peninsula (Frankston) Hospital                
                   Northern Hospital                                        
                   Northwest Health Wangaratta                              
                   Royal Women’s Hospital                                   
                   Sandringham & District Memorial Hospital                                  
                   Swan Hill Hospital*                                                        
                   Wangaratta Base Hospital                                 
                   Warrnambool Hospital                                                      
                   West Gippsland Hospital                                                   
                   Western Hospital Sunshine                                                 
                   Wimmera Base Hospital*                                                    
                   Wodonga Hospital                                                          
                *Conditions apply – please contact Training Services, College House




                                                                                                        15
2.6 RANZCOG TRAINEES’ COMMITTEE

 2.6 RANZCOG TRAINEES’ COMMITTEE


 The RANZCOG Trainees’ committee was formed in 1999 with the aim of communicating the views of
 trainees to the RANZCOG – both in relation to training issues and broader issues such as the future of
 obstetrics and gynaecology.


 The Committee comprises:
        a Chair, who is undertaking the their final years of RANZCOG Fellowship training or post-
        Fellowship training (i.e. subspecialty training);
        Fellowship trainee representatives from each state/region in Australia and New Zealand;
        a representative of RANZCOG Subspecialty trainees;
        a representative of CWH/DRANZCOG/DRANZCOG Advanced trainees;
        a representative of recent RANZCOG Fellows (i.e. of less than five years’ standing);
        a RANZCOG Fellow representing the College Training Accreditation Committee; and
        a RANZCOG Fellow representing the Education and Assessment Committee.


 The Chair attends all meetings of RANZCOG Council and the RANZCOG Education & Assessment and
 Training Accreditation Committees.


 The current Chair is Dr William Milford (Queensland).          The current CWH/DRANZCOG/DRANZCOG
 Advanced trainee representative is Dr Caitlin O’Mahony (Victoria).


 The Committee meets by teleconference six times a year and there is also an annual face-to-face meeting.


 Trainee representatives are also included on various RANZCOG committees and working groups,
 ensuring trainee involvement in RANZCOG decision-making.


 For information on the CWH/DRANZCOG/DRANZCOG Advanced trainee representative and updates on
 the Committee, refer to the Trainees’ Committee page on the RANZCOG website:
 http://www.ranzcog.edu.au/the-ranzcog/governance/college-committees.html




                                                                                                      16
3.0 TRAINING & ASSESSMENT
3.1 TRAINING & ASSESSMENT GUIDE

 3.1 TRAINING & ASSESSMENT GUIDE FOR TRAINEES


 CERTIFICATE OF WOMEN’S HEALTH
 Trainees undertaking CWH training must complete the training and assessment requirements within two
 (2) years from the date of commencement of training.


 An optional interactive CWH workshop with hands-on activities is offered to CWH trainees to assist them
 with the development of relevant clinical skills, such as antenatal examination and contraception
 insertion. Trainees must register for the workshop with Training Services, RANZCOG.


                                                                                                   Continued
                                      Training & assessment requirements                          Professional
                                                                                                 Development
                        CWH1: Basic Skills
                        CWH2: Introduction to Antenatal and Postnatal Care
              Modules




                        CWH3: Special Topics in Antenatal and Postnatal Care                  CCDOG-approved
                        CWH4: Introduction to Gynaecology                                     Professional
 Training




                        CWH5: Special Topics in Gynaecology                                   Development

              Family Planning Experience: minimum number of 12 family planning                Programs

              consultations.
              Antenatal Care Experience: minimum number of 70 antenatal consultations.
              Gynaecological Experience: minimum number of 70 gynaecological consultations.
              Logbook: Record of training experience, workplace-based validations, workshop
 Assessment




              participation and monthly logbook checks by the Training Mentor.
              Workplace-based Validations: Paper-based assessments of clinical and            Recertification
              procedural skills                                                               requirements

              Written Examination: 100 multi-choice questions




                                                                                                                 17
DRANZCOG
Trainees undertaking DRANZCOG training must complete the training and assessment requirements for
both the Certificate of Women’s Health (see page 19) and DRANZCOG (see below) within four (4) years
from the date of commencement of training.


Trainees who have already completed the Certificate of Women’s Health and maintained their
knowledge and skills by participating in CCDOG-approved professional development programs need not
repeat the Certificate of Women’s Health training and assessment requirements. These trainees must
complete the following DRANZCOG-specific training and assessment requirements within two (2) years
from the date of commencement of DRANZCOG-specific training:
           -    the five DRANZCOG modules;
           -    the DRANZCOG Skills section of the In-Training Skills Log in the DRANZCOG Logbook;
           -    Clinical Procedures Log in the DRANZCOG Logbook;
           -    The five DRANZCOG-specific            Workplace-based Validations, as listed in the Workplace-based
                Validations Log of the DRANZCOG Logbook;
           -    Additional antenatal and gynaecological consultations;
           -    Written Examination consisting of 50 DRANZCOG-specific multi-choice questions; and
           -    Oral Examination.
                                                                                                   Continued
                                       Training & assessment requirements                         Professional
                                                                                                  Development
                         DRAN1: Basic Skills
                         DRAN2: Antenatal Care
               Modules




                         DRAN3: Labour
                         DRAN4: Postnatal and Neonatal Care
Training




                         DRAN5: Procedural Gynaecology
               Minimum Procedures: personally perform minimum number of obstetric and
               gynaecological procedures.
               Antenatal Care Experience: minimum number of 70 antenatal consultations.
               Gynaecological Experience: minimum number of 70 gynaecological consultations.




                                                                                                                 18
Logbook: Record of training experience, workplace-based validations and
             monthly logbook checks by the Training Supervisor.
Assessment




             Workplace-based Validations: Paper-based assessments of clinical and                  Recertification

             procedural skills.                                                                    requirements

             Written Examination: 50 multi-choice questions.
             Oral Examination: a series of stations that simulate clinical scenarios relevant to
             the DRANZCOG scope of practice.




                                                                                                                     19
DRANZCOG Advanced
Trainees undertaking DRANZCOG Advanced training must complete the training and assessment
requirements for both the DRANZCOG (including CWH requirements) and DRANZCOG Advanced within
six (6) years from the date of commencement of training.


Trainees who have already completed the DRANZCOG and maintained their knowledge and skills by
participating in CCDOG-approved professional development programs need not repeat the DRANZCOG
training and assessment requirements.                     These trainees must complete the following DRANZCOG
Advanced-specific training and assessment requirements within two (2) years from the date of
commencement of DRANZCOG Advanced-specific training:
             -    the three DRANZCOG Advanced modules;
             -    the DRANZCOG Advanced Logbook;
             -    the DRANZCOG Advanced-specific Workplace-based Validations;
             -    Training Supervisor Reports after each six-month period in each year of training; and
             -      Five (5) written Case Syntheses of a range of obstetric conditions.


                                                                                                      Continued
                                       Training & assessment requirements                            Professional
                                                                                                    Development
                           DRAV1: Advanced Obstetrics
                 Modules




                           DRAV2: Advanced Gynaecology                                           CCDOG-approved
Training




                           DRAV3: Ultrasound                                                     Professional
                 Minimum Procedures & Scans: personally perform minimum number of                Development

                 procedures and ultrasound scans                                                 Programs

                 6-monthly Training Supervisor reports: summative assessments made by the
                 Training Supervisor of the trainee’s performance and progress after each six-
                 month period in each year of training.                                          Recertification
Assessment




                 Logbook: Record of training experience, workplace-based validations and         requirements
                 monthly logbook checks by the Training Supervisors.
                 Workplace-based Validations: Paper-based assessments of procedural and
                 ultrasound skills
                 Case Syntheses: Written case syntheses on a range of obstetric conditions



                                                                                                                    20
3.2 APPLYING FOR PROSPECTIVE APPROVAL OF TRAINING


Eligibility
Prospective trainees for the Certificate of Women’s Health must hold a primary degree in Medicine and
Surgery issued by a medical school listed in the WHO Publication World Directory of Medical Schools. They
must also hold general registration with the Medical Board of Australia and be in there second or
subsequent year of postgraduate training.


Prospective trainees for the DRANZCOG and DRANZCOG Advanced must hold a primary degree in
Medicine and Surgery issued by a medical school listed in the WHO Publication World Directory of Medical
Schools. They must also hold general registration with the Medical Board of Australia. Trainees who
occupy DRANZCOG and DRANZCOG Advanced training posts must be in their second or subsequent
postgraduate year.


Registrations/Application for Prospective Approval to Commence Training
Prospective CWH/DRANZCOG/DRANZCOG Advanced trainees must have secured an appointment in a
hospital or other appropriate setting approved by the RANZCOG for the relevant training program.
Accredited hospitals are listed in Section 2.5 of this handbook.         The RANZCOG does NOT assist
prospective trainees with hospital or clinic placements. Trainees must obtain their placement BEFORE
registration and BEFORE applying for prospective approval of training.


At least four (4) weeks prior to the commencement of training, prospective trainees must complete the
relevant CWH/DRANZCOG/DRANZCOG Advanced Registration/Prospective Approval of Training form.
These forms are available on the RANZCOG website, http://www.ranzcog.edu.au.


The completed form must be submitted to the RANZCOG along with four photographs, a certified copy
of the applicant’s primary medical degree or AMC Certificate, and fee payment. If these requirements
are not submitted, the registration process cannot be completed.




                                                                                                      21
Once the Registration/Prospective Approval Form and requirements are received at the RANZCOG,
trainee details will be added to the RANZCOG database and the trainee will be sent the relevant Logbook
that is to be used as a record of all CWH/DRANZCOG/DRANZCOG Advanced training.


The CWH/DRANZCOG/DRANZCOG Advanced curriculum document (containing the aims and objectives
of   each       training   program,    the   syllabi      and     assessment   requirements),   and   the
CWH/DRANZCOG/DRANZCOG Advanced Training Handbook (containing the administrative processes
and the regulations) are all available for viewing and/or downloading from the RANZCOG website,
http://www.ranzcog.edu.au.


Registrations/Application for Prospective Approval to Continue Training & Fee Payment
All CWH/DRANZCOG/DRANZCOG Advanced trainees are required to apply for prospective approval of
training and pay the annual training fee for each year of training. Applications for prospective approval
of   training     must     be   made    on   the       official   CWH/DRANZCOG/DRANZCOG         Advanced
Registration/Prospective Approval to Continue Training Form. This form is available from the RANZCOG
website, http://www.ranzcog.edu.au.


Please note that trainees will be invoiced for the annual training fee at the commencement of each year
of training (up to the maximum allowable time for that program).




                                                                                                      22
3.3 REGISTRATION & TRAINING FEES - 2011

 3.3 REGISTRATION & TRAINING FEES - 2012

 All fees are reviewed annually and are subject to change.
 Annual Training Fees

 CWH annual training fee                                               $300.00

 DRANZCOG annual training fee (includes CWH training)                  $600.00

 DRANZCOG Advanced annual training fee (includes DRANZCOG training)    $900.00

 DRANZCOG ONLY annual training fee                                     $300.00

 DRANZCOG Advanced ONLY annual training fee                            $300.00
 Workshops

 CWH Workshop                                                          $350.00
 Examination fees

 CWH Written Examination fee                                           $300.00

 DRANZCOG Written Examination fee                                      $175.00

 CWH & DRANZCOG combined Written Examination fee                       $450.00

 DRANZCOG Oral Examination fee                                        $1,180.00
 Certification

 CWH/DRANZCOG/DRANZCOG Advanced Certification fee                      $200.00




                                                                                  23
3.4 WORKSHOPS

  3.4 WORKSHOPS
  The RANZCOG is committed to providing a program of face-to-face training workshops to all trainees and
  Training Supervisors involved in the Women’s Health Training Programs. The training workshops
  promote active learning and are practical and interactive in format, including discussion of real patient
  scenarios, videos, hands-on practical activities and (where relevant) role plays. The training workshops
  are delivered at diverse locations, including workplaces and regional centres to optimise access for all
  trainees.


  3.4.1 Certificate of Women’s Health Workshop
  The CWH workshop is an optional component of the CWH program.                 The Training Mentor may
  recommend that attendance at the workshop would assist the trainee in their performance and progress,
  or the trainee may themselves elect to participate. The workshop is designed to offer specific training in
  the following:
      -   Routine antenatal care;
      -   Conducting a ‘Well Woman’ check;
      -   Performing gynaecological and breast examinations;
      -   Taking genital tract specimens;
      -   Family planning and contraception counselling; and
      -   Contraception insertion and management.
  Trainees must register for the CWH Workshop using the official form found on the RANZCOG website,
  http://www.ranzcog.edu.au.



3.5 LOGBOOKS




                                                                                                         24
3.5 LOGBOOKS
The Logbook is used by each trainee as a record of all required procedural and other training experiences
in every year of CWH/DRANZCOG/DRANZCOG Advanced training. It is an essential proof of training,
which is used by the Training Mentor or Training Supervisor(s) and Chair of the relevant State Reference
Committee (SRC) to monitor the trainee’s experience to ensure that it is appropriate for the level of
training. The information in trainee Logbooks is also used by the RANZCOG to monitor each trainee’s
training experience. Trainees must keep their Logbooks at hand at all times and always up-to-date.


The Logbook must be reviewed by the Training Mentor or Training Supervisor(s) once a month.


Logbooks are only obtainable from the RANZCOG Training Services Department once the annual training
fee is paid. Payment is required prior to the commencement of the training period.


Once the Logbook is completed, it is to be sent to the relevant State Reference Committee (SRC) Chair
within two weeks of completion for assessment and signing. The Logbook is then forwarded by the SRC
Chair to RANZCOG Training Services where a copy is taken of the Certificate of Training, signed off by the
SRC Chair. The original Logbook is then returned to the trainee. Enquiries regarding approval of training
should be directed to the relevant SRC Chair. A list of all SRC Chairs and their contact details can be found
in Section 2.4 of this Handbook.




                                                                                                          25
3.6 WORKPLACE-BASED VALIDATIONS

 3.6 WORKPLACE-BASED VALIDATIONS
 Workplace-based validation (WBV) is part of the holistic assessment framework for the Certificate of
 Women’s Health (CWH), DRANZCOG and DRANZCOG Advanced curricula. It involves a process whereby a
 trainee’s competency in core clinical and procedural skills is assessed in real patient scenarios during a
 trainee’s everyday work against clearly defined criteria and established standards.

 The strength of workplace-based validation is that trainees are assessed at the time of undertaking
 clinical work in real patient encounters during a normal working week. When a trainee is involved in a
 clinical encounter or performing a procedure that is to be assessed (see list below), a suitable Assessor
 utilises the relevant form to assess the trainee’s performance against the standards described for each
 criterion. A suitable Assessor is one who has worked with the trainee and who can make a balanced and
 informed judgement of the trainee’s performance: the Training Mentor, Training Supervisor or another
 ‘teacher’ who has guided and supported the trainee’s knowledge and skill development, namely other
 consultants or registrars in obstetrics and gynaecology who hold Membership of RANZCOG, who have
 been approved by the Training Supervisor to act as Assessors.
 For each validation, either formative or summative, the relevant assessment form MUST be completed by
 a RANZCOG-approved Assessor.              Assessment forms are available on the RANZCOG website,
 http://www.ranzcog.edu.au


 Each form clearly articulates the assessment criteria for that validation, with clinical descriptors for ‘Below
 MAPS’, ‘At MAPS’ and ‘Above MAPS’. Trainees must meet the Minimum Acceptable Passing Standard, or
 MAPS, for each criterion as described on the assessment form. If ‘Below MAPS’ or ‘Not Observed’ is
 recorded for one (1) or more criteria, the validation is deemed ‘unsatisfactory’ and must be repeated until
 at least ‘At MAPS’ is achieved for all criteria in any one attempt of the validation. However, it is not
 expected that trainees achieve MAPS on all criteria on the first attempt of a given WBV; the trainee may
 use the validations, where appropriate, as a formative process prior to having a final satisfactory
 summative sign-off validation. There is no limit to the number of formative attempts. Formative
 validations are encouraged and the number required to achieve a satisfactory outcome must be recorded
 in the Validation of Clinical Skills Log in the Logbook.




                                                                                                             26
Trainees MUST retain copies of all assessment forms (satisfactory and unsatisfactory) as the Training
Supervisor may want to review them at any time and they will be checked when the Logbook is assessed.
These may be stored in the plastic pocket at the back of the Logbook. Trainees must submit only
satisfactory forms when submitting their Logbook for assessment at the conclusion of training.
Trainees and their assessors should make use of the WBV assessment process as a formal mechanism for
contemporaneous feedback by using the criteria to help structure discussion as follows:
    -   prior to the validation in order to discuss the trainee’s progress and ascertain whether the
        trainee is ready to complete a final sign-off validation, and
    -   immediately (or as soon as possible) after the validation in order to discuss the result and plan
        for future learning.
VALIDATIONS FOR EACH TRAINING PROGRAM
Certificate of Women’s Health:
         VALIDATION                                                     FORM
1. Communication Skills                    Workplace-based Validation Form – Communication Skills
2. Taking a Cervical Smear                       Workplace-based Validation Form –Cervical Smear
3. Antenatal Examination                   Workplace-based Validation Form –Antenatal Examination

Trainees may complete the Communication Skills validation concurrently with the Cervical Smear or
Antenatal Examination validation. However, the Communication Skills Assessment form must be used in
addition to the form for the other validation.

DRANZCOG:
         VALIDATION                                                     FORM
1. Low instrumental delivery                  Workplace-based Validation Form –Procedural Skills
2. Episiotomy/vaginal/perineal                Workplace-based Validation Form –Procedural Skills
tear repair
3. Examination of a neonate              Workplace-based Validation Form –Examination of a Neonate
4. Management of obstetric         Facilitator to sign Workplace-based Validations Log in trainee’s Logbook
emergencies
5. CPR of a pregnant woman         Facilitator to sign Workplace-based Validations Log in trainee’s Logbook
6. Neonatal resuscitation          Facilitator to sign Workplace-based Validations Log in trainee’s Logbook




                                                                                                         27
Trainees are expected to receive training in the validations 4 - 6 listed above in the course of their
DRANZCOG training. The Training Facilitator for these courses must sign the relevant section of the
Workplace-based Validations Log in the trainee’s Logbook.


Trainees who have already completed the Certificate of Women’s Health and maintained their
knowledge and skills by participating in CCDOG-approved professional development programs need not
repeat the Certificate of Women’s Health validations. However, details of these validations must be
completed in the Workplace Based Validations Log in the DRANZCOG Logbook.
DRANZCOG Advanced:

                   VALIDATION                                               FORM
1. Caesarean delivery                                 Workplace-based Validation Form – Procedural Skills
2. Management of occipito-posterior position in       Workplace-based Validation Form –Procedural Skills
   mid-pelvis at full dilatation
3. Pelvic laparotomy                                  Workplace-based Validation Form –Procedural Skills
4. Personally conducted management of first           Workplace-based Validation Form – Management of
   trimester termination of pregnancy and/or                    Termination or Pregnancy Loss
   missed miscarriage
5. Personally conducted management and                Workplace-based Validation Form – Management of
   performance of uterine evacuation following                  Termination or Pregnancy Loss
   second trimester pregnancy loss and/or mid
   trimester termination
6. First trimester ultrasound scanning –               Workplace-based Validation Form – First Trimester
   transvaginal                                                        Ultrasound Skills
7. First trimester ultrasound scanning –               Workplace-based Validation Form – First Trimester
   transabdominal                                                      Ultrasound Skills
8. Third trimester ultrasound scanning                 Third Trimester Ultrasound Skills Validation Form

For further information or support related to WBVs, trainees and/or Assessors should contact RANZCOG
Assessment & Development Services.




                                                                                                           28
3.7 SIX-MONTHLY TRAINEE FEEDBACK QUESTIONNAIRE
This is a confidential, non-compulsory questionnaire (not for assessment purposes) which trainees are
asked to complete and submit to the RANZCOG at the end of each six-month training period.


The purpose of the questionnaire is to assess the training hospitals rather than individuals within
hospitals, so that future training can be modified and improved. The questionnaire asks trainees to rate
and comment on various aspects of their training, including the standard of supervision and appropriate
clinical experience.


Information collated from the completed questionnaires is referred to the relevant State Reference
Committee Chair and the TAR Subcommittee of the CCDOG. Trainees may submit the questionnaire
anonymously if they prefer.


The feedback questionnaire is available on the RANZCOG website at
http://www.ranzcog.edu.au/assessment/trainee-feedback-questionnaire.html
Although submission of this questionnaire is voluntary, trainees are urged to send it to College
House, as per the instructions on the questionnaire, as it is a vital source of trainee feedback.




                                                                                                     29
3.8 EXAMINATIONS

 3.8 EXAMINATIONS

 Trainees are advised to consult the Regulations section of this handbook pertaining to Examinations.

 The CWH and DRANZCOG qualifications require a Written Examination (100 item multiple choice paper
 for two hours for CWH and additional 50 item multiple choice paper for one hour for DRANZCOG). The
 DRANZCOG also requires an Oral Examination, consisting of 15 OSCE stations, each of seven minutes’
 duration).

 APPLICATION FORMS

 Examination application forms can only be obtained from –
      Examinations Officer
      RANZCOG
      254-260 Albert Street
      East Melbourne VIC 3002
      tel 03 9417 1699
      fax 03 9412 2953

 or via the RANZCOG website at http://www.ranzcog.edu.au
 It is the candidate’s responsibility to apply for all examinations. Late applications will NOT be
 accepted. Applications need to be made for both the Written and Oral Examinations at the same
 time.


 DATES FOR CWH & DRANZCOG EXAMINATIONS

              Session     Examination             Date                  Closing date for
                                                                          applications

              First     Written           February each year     30 October of previous year

                        Oral              April each year        30 October of previous year

              Second    Written           July each year         31 May each year

                        Oral              September each year    31 May each year




                                                                                                        30
Note: Late applications will NOT be accepted. Applications for the Written and Oral Examinations
in the same half year must be made together. The examination fee is subject to annual review.
Trainees should refer to Section 3.3 of this handbook for current fees.


EXEMPTION FEES
A fee is payable to the RANZCOG in cases where an exemption from the DRANZCOG examination in
Australia is recommended by the Conjoint Committee for the Diploma of Obstetrics and Gynaecology
(CCDOG) and granted by the RANZCOG.


CRITICAL STATIONS IN THE ORAL EXAMINATION
Four of the seven topics below will be examined in stations at the DRANZCOG Oral Examination and
these stations will be ‘critical’. That is, in addition to obtaining an overall result that equals or exceeds the
pass mark for the examination, candidates will have to pass at least three of the four stations relating to
the topics taken from the list below in order to achieve a pass in the examination.
The topics are as follows:
    -   Management of antepartum haemorrhage;
    -   Instrumental deliveries;
    -   Management of eclamptic patient;
    -   Resuscitation of neonate;
    -   Management of postpartum haemorrhage;
    -   Management of pre-eclampsia;
    -   Management of shoulder dystocia.
The standard required to achieve a pass at an individual station in the examination will be determined by
the standard setting process that is conducted prior to each examination. As with the overall passing
mark for the examination, there is no pre-set mark that corresponds to a pass; consequently, it is not
possible to indicate the marks required to pass individual stations, or the entire Oral Examination, prior to
the examination.




                                                                                                              31
CWH & DRANZCOG EXAMINATION REQUIREMENTS CHECKLIST
When applying for admission to the examination for the CWH and the DRANZCOG, you must provide all
of the following –
    -   Complete and signed application form.
    -   The appropriate examination fees.
It is the responsibility of the candidate to ensure that all relevant documents are received by the
Examinations Officer, RANZCOG, by the due dates. If all requirements are not met, candidates may not be
given permission to proceed to examination, or alternatively, results may be withheld from those
candidates from whom no documentation has been received.


VENUES FOR EXAMINATIONS

Written Examinations

Applicants for the Written Examination may select the venue where they wish to take the examination.
All RANZCOG written examinations will be held only in centres where there is a RANZCOG Regional
Office: Adelaide, Brisbane, Melbourne, Perth, Sydney and Wellington.
Oral Examinations
All DRANZCOG Oral Examinations are held in Melbourne. Please check the RANZCOG website for details
of the examination venue – http://www.ranzcog.edu.au



REVISION COURSES FOR CWH & DRANZCOG TRAINEES
There is no requirement for attendance at an approved course; however, trainees are encouraged to
attend the revision courses which are offered by some states to prepare trainees for the CWH and
DRANZCOG examinations. For precise course dates and information on course registration, contact the
Executive Office in the relevant state.




                                                                                                    32
State             Course Dates & Venue                             Contact Details

New South    November                                      Executive Officer
Wales                                                      RANZCOG NSW Regional Committee
             Rydges Hotel                                  Suite 4
             54 McLaren St                                 Level 5
             North Sydney                                  69 Christie Street
                                                           St Leonards NSW 2065

                                                           tel 02 9436 1688
                                                           fax 02 9436 4166
                                                           admin@ranzcog.nsw.edu.au


Queensland   June or July                                  Executive Officer
                                                           RANZCOG QLD Regional Committee
             Check with the Executive Officer for venue    Unit 22, Level 3
             information.                                  17 Bowen Bridge Road
                                                           Herston QLD 4006

                                                           tel 07 3839 9001
                                                           fax 07 3839 0299
                                                           ranzcogqld@powerup.com.au

                              Enrolments are accepted up to the date of the course.

Victoria     January or February, and                      Executive Officer
             July or August                                RANZCOG Vic Regional Committee
                                                           8 La Trobe Street
             Check with the Executive Officer for venue    Melbourne VIC 3000
             information.
                                                           tel 03 9663 5606
                                                           fax 03 9662 3908
                                                           vsc@ranzcog.edu.au

                              Enrolments are accepted up to the date of the course.




                                                                                            33
3.9 CERTIFICATION & RECERTIFICATION

 3.9 CERTIFICATION & RECERTIFICATION
 Trainees are advised to consult the Regulations section of this handbook pertaining to Certificate and
 Diploma certification.


 CERTIFICATION - CWH
 To be eligible to enrol on the register of Certificate of Women’s Health holders, trainees must have
 satisfactorily completed the following requirements:
     -   Certificate of Women’s Health Logbook, and have it signed by the Chair of the relevant State
         Reference Committee (SRC);
     -   CWH Workplace-based Validations;
     -   CWH Written Examination;
     -   CWH Declaration; and
     -   Enrolment on the Register of CWH holders form.


 CERTIFICATION - DRANZCOG
 To be eligible to enrol on the register of Diplomates, trainees must have satisfactorily completed the
 following requirements:
     -   All CWH training and assessment requirements, or be maintaining their CWH by completing the
         recertification requirements;
     -   The DRANZCOG Logbook, and have it signed by the Chair of the relevant State Reference
         Committee (SRC);
     -   The DRANZCOG Workplace-based Validations;
     -   The DRANZCOG Written Examination;
     -   The DRANZCOG Oral Examination;
     -   DRANZCOG Declaration; and
     -   Enrolment on the Register of Diplomates form.


 The Declaration and Enrolment on the Register forms can be downloaded from the RANZCOG website,
 http://www.ranzcog.edu.au.




                                                                                                    34
The forms need to be completed and forwarded to College House, along with the payment of the current
certificate fee (payable to RANZCOG). This fee covers the administration costs associated with the
awarding of the Certificate/Diploma.


Following receipt of the forms, the Certificate/Diploma, signed by the Presidents of all three Colleges
(RANZCOG, RACGP and ACRRM) will be prepared and forwarded to you, along with an invoice for a pro-
rata subscription fee that entitles you to receive the College magazine O&G and the Australian and New
Zealand Journal of Obstetrics and Gynaecology (ANZJOG).
NOTE: All examination results are subject to ratification by the RANZCOG Council and as such
Certificates/Diplomas will not be sent until Council has met. For examinations sat in April, Council will
meet in July. For examinations held in September, Council will meet in November.


CERTIFICATION - DRANZCOG Advanced
To be eligible to enrol on the register of Diplomates (Advanced), trainees must have satisfactorily
completed the following requirements:
    -   All DRANZCOG training and assessment requirements, or be maintaining their DRANZCOG by
        completing the recertification requirements;
    -   The DRANZCOG Advanced Logbook, and have it signed by the Chair of the relevant State
        Reference Committee (SRC);
    -   The DRANZCOG Advanced Workplace-based Validations;
    -   The five Case Syntheses on a range of obstetric cases;
    -   DRANZCOG Advanced Declaration; and
    -   Enrolment on the Register of Diplomates (Advanced).


Following successful completion of all training and assessment requirements, the Chair of the SRC will
formally recommend to the Training, Accreditation and Recertification (TAR) Subcommittee that the
candidate be awarded the DRANZCOG Advanced. Once the recommendation has been approved by the
TAR Subcommittee, it is referred to the next meeting of RANZCOG Board for formal ratification. The
Board meets in March, July and November each year. After this ratification, the Training Services
Department at the RANZCOG sends the candidate a form to apply for certification and to be placed on
the Register. The candidate also receives an invoice for a certification fee payable to the RANZCOG (see
Section 3.3 for current fees).



                                                                                                      35
RECERTIFICATION
The CWH, DRANZCOG and DRANZCOG Advanced are all re-certifiable and time-limited qualifications.
They are granted for a period of three – five years, adjusted to align with the period of the RACGP Quality
Assurance and Continued Professional Development (QA&CPD) Program. Recertification occurs every
three years thereafter. Recertification is contingent on the Certificate or Diploma holder accruing a set of
points in the RACGP QA&CPD Program or the ACRRM Professional Development Program.


CWH and Diploma holders who are not included on the list of recognised GPs with the Health Insurance
Commission will have their points administered by the RANZCOG.




                                                                                                         36
4.0 REGULATIONS
TABLE OF CONTENTS
 TABLE OF CONTENTS
 1.0 CERTIFICATE OF WOMEN’S HEALTH
          1.1 Eligibility Requirements for CWH                                       41
          1.2 Registration & Prospective Approval of Training & Training Settings    41
          1.3 Annual Training Fee                                                    42
          1.4 Training Time Frames                                                   42
          1.5 Training Mentors                                                       43
          1.6 Satisfactory Completion of the CWH                                     44
          1.7 CWH Written Examination                                                44
                    1.7.1 Eligibility                                                44
                    1.7.1 Application and Examination Fee                            44
                    1.7.2 Maximum Number of Attempts                                 45
                    1.7.3 Withdrawal                                                 45
                    1.7.4 Results                                                    45
                    1.7.5 Special Consideration                                      46
          1.8 Certification and Certification Fee                                    46
          1.9 Recertification and Annual Subscription Fee                            46
          1.10 Appeals Procedures                                                    47

 2.0 DIPLOMA OF THE RANZCOG (DRANZCOG)
          2.1 Eligibility Requirements for the DRANZCOG                              48
          2.2 Registration & Prospective Approval of Training & Training Settings    48
          2.3 Annual Training Fee                                                    49
          2.4 Training Time Frames                                                   49
          2.5 Training Supervisors and Assessors                                     50
          2.6 Satisfactory Completion of the DRANZCOG                                51
          2.7 DRANZCOG Written and Oral Examinations                                 52
                    2.7.1 Application and Examination Fees                           52
                    2.7.2 Maximum Number of Attempts                                 53
                    2.7.3 Withdrawal                                                 53
                    2.7.4 Results                                                    54
                    2.7.5 Special Consideration                                      54
          2.8 Certification and Certification Fee                                    54
          2.9 Recertification and Annual Subscription Fee                            55
          2.10 Conversion to the DRANZCOG                                            55
          2.11 Recognition of Prior Learning (RPL)                                   56
          2.12 Appeals Procedure                                                     59

 3.0 ADVANCED DIPLOMA OF THE RANZCOG (DRANZCOG Advanced)
         3.1 Eligibility Requirements for the DRANZCOG Advanced                      60
         3.2 Registration and Prospective Approval of Training & Training Settings   60
         3.3 Annual Training Fee                                                     61
         3.4 Training Time Frames                                                    62
         3.5 Training Supervisors and Assessors                                      62
         3.6 Satisfactory Completion of the DRANZCOG Advanced                        64
         3.7 Certification and Certification fee                                     65
         3.8 Recertification and Annual Subscription Fee                             65
         3.9 Recognition of Prior Learning (RPL)                                     65
         3.10 Appeals Procedures                                                     68

                                                                                     37
SCOPE OF REGULATIONS
The regulations herein apply to all trainees entering
 the Certificate of Women’s Health, the DRANZCOG
and the DRANZCOG Advanced training programs as
                 from 1 August 2011.




   1.0 CERTIFICATE OF WOMEN’S
                       HEALTH                           38
1.0 CWH
 1. CERTIFICATE OF WOMEN’S HEALTH (CWH)
 1.1   Eligibility Requirements for the CWH

       1.1.1   To be eligible to be a trainee in the CWH program, doctors must hold a primary
               medical degree in Medicine and Surgery issued by a medical school listed in the
               World Health Organisation publication World Directory of Medical Schools.

       1.1.2   Prospective trainees must also have general registration with the Medical Board
               of Australia under the National Registration and Accreditation Scheme.

       1.1.3   Prospective trainees must be in their second or subsequent postgraduate year.
               [Ratified by the Board, June 2011]

       1.1.4   Prospective trainees must also satisfy any one of the following eligibility
               requirements:
                Currently in practice providing shared antenatal care with a recognised
               facility, or practising in an established GP practice in an arrangement approved
               for training by the College;
                Currently an RACGP and/or ACRRM registrar in a GP placement where a
               suitable Training Mentor is available;
                Undertaking or commencing a hospital appointment in an obstetric RMO
               rotation at PGY2 and above, generally for a minimum of three (3) months.
               [Ratified by the Board, June 2011]

 1.2   Registration and Prospective Approval of Training & Training Settings

       1.2.1   Prospective trainees must register with the RANZCOG and obtain prospective
               approval of training in order to have their training credited. This must be done
               using the CWH registration/prospective approval form available on the College
               website. The form should be lodged with the RANZCOG Training Services
               Department not less than four (4) weeks prior to commencement of training.

       1.2.2   The CWH Logbook, completion of which is a mandatory assessment
               requirement, is only made available to the trainee once the registration and
               prospective approval of training process has been completed. This includes
               payment of the training fee (see Regulation 1.3 below).

       1.2.3   Any training undertaken prior to registering and obtaining prospective
               approval will not be credited.




                                                                                              39
1.2.4   In order to be prospectively approved, training can take place in:

               a hospital accredited by the College for the purposes of CWH training; or
               an appropriate established GP practice to which the trainee is attached and
                which has been approved for that trainee by the College (by means of the
                CWH registration/prospective approval of training form submitted by the
                trainee); or
               an approved combination of the above.

              NOTE: Trainees can change training arrangements/settings in the course of
              their training provided such changes are as per the above list and the amended
              arrangement has been prospectively approved by the College. Requests for
              amendments to training arrangements must be made through the RANZCOG
              Training Services Department. Amended training arrangements which have
              not been prospectively approved by the College will not be credited.

1.3   Annual Training Fee

      1.3.1   The initial annual training fee is payable at the time of lodging the
              registration/prospective approval of training form. Registration/prospective
              approval of training forms which are not accompanied by the fee payment will
              not be processed.

      1.3.2   The trainee will be invoiced by the College for an annual training fee at the
              commencement of each year of training (i.e. up to the maximum allowable
              training time of two years – see Regulation 1.4.1 below).

      1.3.3   Trainees who remain in arrears with their annual training fee will be ineligible to
              sit the CWH Written Examination. Trainees who remain in arrears with their
              annual training fee will not receive their CWH qualification until such time as
              the overdue amount is paid.

1.4   Training Time Frames

      1.4.1   Whilst there is no minimum period of training for the CWH, it is generally
              expected that trainees must complete a minimum of three (3) months of
              prospectively approved hospital- and/or practice-based training. All training
              and assessment requirements as defined in these regulations must be
              completed within two (2) years of commencement of training, irrespective of
              whether training is on a part-time or full-time basis.
               [Revised and ratified by the Board, June 2011]




                                                                                              40
1.4.2   Training may be on a full-time or part-time basis, or a combination of both. This
              must be arranged between the trainee and the hospital or other facility where
              they are training.


1.5   Training Mentors

      1.5.1   Each trainee must have one (1) Training Mentor, who must be in active clinical
              practice. In the case of trainees undertaking the CWH through hospital-based
              training, the Training Mentor must be located at the hospital. In the case of
              trainees undertaking the CWH through training in an appropriate established
              GP practice, the Training Mentor may be located off-site. (Note: This
              requirement does not apply to trainees undertaking the CWH as part of the
              DRANZCOG qualification.) The trainee must organise an appropriate Training
              Mentor before they commence training. Training Mentors may be drawn from
              any of the following categories of practitioners:
               a holder of the DRANZCOG qualification; or
               a holder of the DRANZCOG Advanced qualification; or
               a Fellow of the RANZCOG; or
               holder of the old Diploma of the Royal Australian College of Obstetricians
              and Gynaecologists (DipRACOG), who is in current medical practice and who
              has maintained their Continuing Professional Development points with the
              Royal Australian College of General Practitioners (RACGP) or the Australian
              College of Rural and Remote Medicine (ACRRM).

      1.5.2   All Training Mentors must be approved for this role by the Training,
              Accreditation and Recertification (TAR) Subcommittee of the Conjoint
              Committee for the Diploma of Obstetrics and Gynaecology (CCDOG) at
              RANZCOG.

      1.5.3   The Training Mentor is responsible for the following:
               providing the trainee with ongoing mentoring and support;
               reviewing and signing-off on the trainee’s Logbook each month;
               meeting regularly with the trainee (preferably at the time of the monthly
              checking/signing of the Logbook) to review case records, discuss cases and
              provide the trainee with feedback on performance and progress;
               devising, in consultation with the trainee, a remedial plan to assist them in
              the event they are experiencing difficulties in meeting CWH training
              requirements;
               acting as an assessor for the Workplace-based Validations the trainee must
              satisfactorily complete; and

                                                                                                41
 signing the Certificate of Satisfactory Completion of Training in the Logbook
                 once they are satisfied that the trainee has met the competency requirements
                 as listed in the Logbook.

1.6     Satisfactory Completion of the CWH

        Trainees certified as having satisfactorily completed the Certificate must have met the
        following requirements within two (2) years of the date of commencement of training:

        1.6.1    Satisfactorily completed the procedural requirements listed in the Logbook,
                 which must be signed off progressively each month by the Training Mentor and
                 signed off definitively once training is completed by the Training Mentor and
                 the relevant State Reference Committee Chair, who is ultimately responsible for
                 signing off on the Logbook.

        1.6.2    Satisfactorily completed the following three Workplace-based Validations (i.e.
                 paper-based assessments of clinical skills which take place during the trainee’s
                 normal working day in real patient clinical encounters):
                  Communication Skills;
                  Antenatal Examination;
                  Taking a Cervical Smear.

        1.6.3    Attended a CWH Workshop organised by the RANZCOG (where the Training
                 Mentor recommends that attendance at the workshop would assist the trainee
                 in their performance and progress).

         1.6.4   Passed the CWH Written Examination.

1.7     CWH Written Examination

        1.7.1    Eligibility

                 1.7.1.1 Candidates for the CWH may sit the Written Examination even if their
                         logbooks have not been formally approved by the Chair of the relevant
                         State Reference Committee (SRC).
                         [Ratified by the Board, June 2011]


        1.7.2    Applications and examination fees

1.7.2.1 Applications for the Written Examination and payment of the examination fee must be
made to the Examinations Officer, RANZCOG Assessment Services, on the prescribed application
form by the designated closing date for applications. The closing date for

                                                                                                42
applications is 30 October for the first examination and 31 May for the
                        second examination (the same examination is available on two
                        occasions in every 12-month period). Late applications and fee
                        payments will not be accepted.

                1.7.2.2 Candidates who are not registered CWH trainees and who have not
                        paid their annual training fee are ineligible to apply to sit the Written
                        Examination.

                1.7.2.3 Examination fees may not be credited against future applications to sit
                        the examination unless the candidate can show cause to the
                        satisfaction of the College that exceptional circumstances prevail.

        1.7.3   Maximum number of attempts

                1.7.3.1 Candidates have a maximum number of four (4) attempts at the
                        Written Examination unless the candidate can show cause to the
                        satisfaction of the College that exceptional circumstances exist.

                1.7.3.2 The Written Examination can be attempted at any stage of training (i.e.
                        at the examination dates set by the RANZCOG), provided the candidate
                        is a registered CWH trainee and has paid their annual training fee.

        1.7.4   Withdrawal

        Unless the candidate can show cause to the satisfaction of the Education and
        Assessment Committee that exceptional circumstances prevail:

                1.7.4.1 Formal written withdrawal received within four weeks of the closing
                        date for applications will result in 25 per cent of the examination fee
                        being retained. Written notification received after that time but before
                        the starting time of the examination will result in 50 per cent of the
                        examination fee being retained.

                1.7.4.2 Failure to give written notice of withdrawal before the starting time of
                        the examination or failure to present for the examination will
                        constitute a failure in the examination and the whole examination fee
                        forfeited.
                        [Revised and ratified by the Board, March 2012]

        1.7.5 Results

Candidates are not permitted to communicate directly with individual examiners regarding their
results. All enquiries must be directed in


                                                                                                    43
1.7.5.1   writing to the Chairman of the RANZCOG Education and Assessment
                        Committee.

              1.7.5.2   Results will not be released to any person other than the candidate,
                        unless proof can be provided that the candidate’s express permission
                        has been given.

              1.7.5.3   If, in the opinion of the RANZCOG Education and Assessment
                        Committee, a candidate has made an attempt to obtain, or has
                        obtained, an unfair advantage before or during any part of the
                        examination, the candidate will be withdrawn from the examination.
                        Subsequent to this, the candidate’s eligibility for further examination
                        by the College will be considered by the RANZCOG Education and
                        Assessment Committee.

      NOTE: Special Consideration
      For issues related to special consideration and examinations refer to theCollege’s
      Exceptional Circumstances and Special Consideration Policy on the RANZCOG website.
      http://www.ranzcog.edu.au/the-ranzcog/policies-and-guidelines/exceptional-circumstances-
      special-consideration.html


1.8   Certification and Certification Fee

      1.8.1    The Certificate of Women’s Health is awarded to persons who have met all the
               assessment requirements stipulated in Regulations 1.6.1 – 1.6.4 above.

      1.8.2    It is the responsibility of the trainee to submit to the RANZCOG Training
               Services Department their application for CWH certification, with the required
               certification fee, using the standard application form available on the College
               website. Certification is not obtained until this application and fee payment
               have been processed. The applicant will then be listed on the CWH Register.

1.9   Recertification and Annual Subscription Fees

      1.9.1    The CWH is a re-certifiable and time-limited qualification. It is granted for a
               period of three – five years (adjusted to align with the period of the RACGP
               Quality Improvement and Continuing Professional Development (QI&CPD)
               Program and the ACRRM Professional Development Program (PDP).
               Recertification occurs every three years thereafter. This recertification is
               contingent on the CWH holder accruing a set of points in the RACGP QI & CPD
               Program or the ACRRM PDP.
               NOTE: CWH holders who are not included on the list of recognised GPs with the
               Health Insurance Commission will have their points administered by the
               RANZCOG.



                                                                                                  44
1.9.2   Payment of an annual CWH subscription fee is required to ensure maintenance
               of the qualification and retention on the RANZCOG CWH Register.

       1.9.3   If CWH holders do not pay their annual subscription fee by the due date or they
               fail to attain the required points by the end of the relevant triennium, they will
               be removed from the CWH Register.

       1.9.4   CWH holders who have been removed from the Register will have to apply to
               the Training, Accreditation and Recertification (TAR) Subcommittee of the
               Conjoint Committee for the Diploma of Obstetrics and Gynaecology (CCDOG)
               for reinstatement on the CWH Register.

1.10   Appeals Procedures

       Decisions associated with the CWH are governed by the RANZCOG appeals procedures,
       which may be accessed via the College website at:
       www.ranzcog.edu.au/about/pdfs/appealsprocedures.pdf




                                                                                               45
2.0 DRANZCOG
 2.    DIPLOMA OF THE RANZCOG (DRANZCOG)
 2.1   Eligibility Requirements for the DRANZCOG

       2.1.1   To be eligible to be a trainee in the DRANZCOG training program, doctors must
               hold a primary medical degree in Medicine and Surgery issued by a medical
               school listed in the World Health Organisation publication World Directory of
               Medical Schools.

       2.1.2   Prospective trainees must have general registration with the Medical Board of
               Australia under the National Registration and Accreditation Scheme.

       2.1.3   Prospective trainees must also be in their second or subsequent postgraduate
               year.

 2.2   Registration and Prospective Approval of Training & Training Settings

       2.2.1   Prospective trainees must register with the RANZCOG and obtain prospective
               approval of training in order to have their training credited. This must be done
               using the DRANZCOG registration/prospective approval form available on the
               College website. The form should be lodged with the Training Services
               Department at RANZCOG not less than four weeks prior to commencement of
               training.

       2.2.2   The DRANZCOG Logbook, completion of which is a mandatory assessment
               requirement, is only made available to the trainee once the registration and
               prospective approval process has been completed. This includes payment of
               the training fee.

       2.2.3   Any training undertaken prior to registering and obtaining prospective
               approval will not be credited.

       2.2.4   In order to be prospectively approved, training must take place in:
                a hospital accredited by the College for the purposes of DRANZCOG training;
               or
                a combination of appropriate practice-based and hospital-based training
               (the latter must be located at an accredited DRANZCOG training site); or
                an arrangement where training is split between a RANZCOG-accredited
               hospital and a remote non-accredited site (i.e. in exceptional circumstances and
               only when approved prior to commencement of training by the Training,
               Accreditation and Re-accreditation (TAR) Subcommittee of the Conjoint
               Committee for the Diploma of Obstetrics and Gynaecology (CCDOG)).



                                                                                               46
Cwh Dranzcog Adv Training Handbook[1]
Cwh Dranzcog Adv Training Handbook[1]
Cwh Dranzcog Adv Training Handbook[1]
Cwh Dranzcog Adv Training Handbook[1]
Cwh Dranzcog Adv Training Handbook[1]
Cwh Dranzcog Adv Training Handbook[1]
Cwh Dranzcog Adv Training Handbook[1]
Cwh Dranzcog Adv Training Handbook[1]
Cwh Dranzcog Adv Training Handbook[1]
Cwh Dranzcog Adv Training Handbook[1]
Cwh Dranzcog Adv Training Handbook[1]
Cwh Dranzcog Adv Training Handbook[1]
Cwh Dranzcog Adv Training Handbook[1]
Cwh Dranzcog Adv Training Handbook[1]
Cwh Dranzcog Adv Training Handbook[1]
Cwh Dranzcog Adv Training Handbook[1]
Cwh Dranzcog Adv Training Handbook[1]
Cwh Dranzcog Adv Training Handbook[1]
Cwh Dranzcog Adv Training Handbook[1]
Cwh Dranzcog Adv Training Handbook[1]

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Cwh Dranzcog Adv Training Handbook[1]

  • 1. ROYAL AUSTRALIAN & NEW ZEALAND COLLEGE OF OBSTETRICIANS & GYNAECOLOGISTS CERTIFICATE OF WOMEN’S HEALTH, DRANZCOG & DRANZCOG ADVANCED TRAINING HANDBOOK TRAINING ADMINISTRATION & REGULATIONS Last updated: March 2012
  • 2. © RANZCOG 2011 This work is copyright. Apart from any use as permitted under the Copyright Act 1968, no part may be reproduced by any process without written permission from The Royal Australian and New Zealand College of Obstetricians and Gynaecologists. Requests and enquiries concerning reproduction should be directed to the Chief Executive Officer, RANZCOG, 254-260 Albert Street, East Melbourne, Victoria 3002, Australia. Published by Conjoint Committee for the Diploma of Obstetrics and Gynaecology (CCDOG) comprising representatives of the following Colleges: The Royal Australian and New Zealand College of Obstetricians and Gynaecologists 254-260 Albert Street East Melbourne VIC 3002 The Royal Australian College of General Practitioners 1 Palmerston Crescent South Melbourne VIC 3205 The Australian College of Rural and Remote Medicine 1st Floor 467 Enoggera Road Alderly QLD 4051 Disclaimer Decisions of the CCDOG with respect to assessment of performance shall be final and shall be made at the discretion of the CCDOG. The CCDOG shall not be liable for any claims for loss or damage made by participants as a result of any decision by the CCDOG in relation to assessment generally. All trainees, supervisors and others participating or applying for participation in the Certificate and Diploma Programs in Women’s Health do so on the understanding that the CCDOG shall not be liable for the consequences resulting from decisions of the CCDOG. 2
  • 3. IMPORTANT NOTICE IMPORTANT NOTICE ON INFORMATION AND REGULATIONS IN THIS HANDBOOK Every effort has been made to ensure that the information and regulations in this handbook are correct. It is regularly updated online and readers are strongly advised to consult the handbook on the RANZCOG website: http://www.ranzcog.edu.au/curriculum-a-training-handbook/certificate-a-diploma- curriculum-a-training-handbook.html Reference should also be made to the CWH/Diploma Training & Assessment Bulletins which are circulated by email every 2 months to all CWH, DRANZCOG and DRANZCOG Advanced trainees, Training Supervisors/Mentors and Assessors. 3
  • 4. TABLE OF CONTENTS TABLE OF CONTENTS 1.0 INTRODUCTION 1.1 Purpose of this Handbook 7 1.2 Women’s Health Training Programs: An overview 7 2.0 COLLEGE INFORMATION 2.1 Dates for 2011 9 2.2 Relevant College House Staff Contact Details 10 2.3 Governance and Administration 12 2.4 State Reference Committee Chairs Contact Details 14 2.5 Accredited CWH, DRANZCOG & DRANZCOG Advanced Training Sites 15 2.6 RANZCOG Trainees’ Committee 18 3.0 TRAINING & ASSESSMENT ADMINISTRATION 3.1 Training & Assessment Guide for Trainees 19 3.2 Applying for Prospective Approval of Training 23 3.3 Registration & Training Fees - 2011 25 3.4 Workshops 26 3.5 Logbooks 27 3.6 Workplace-based Validations 28 3.7 Six-monthly Trainee Feedback Questionnaire 31 3.8 Examinations 32 3.9 Certification & Recertification 36 4.0 REGULATIONS 1.0 Certificate of Women’s Health 41 2.0 DRANZCOG 48 3.0 DRANZCOG Advanced 60 4
  • 5. 1.0 INTRODUCTION 1.0 INTRODUCTION 1.1 Purpose of this handbook Trainees will find most of the information they require about administrative aspects of the three Women’s Health Training Programs in this handbook. However, requests for additional information should be directed to the Training Services Department, RANZCOG (see Section 2.2 for contact details). 1.2 Women’s Health Training Programs: An overview The Conjoint Committee for the Diploma in Obstetrics and Gynaecology (CCDOG) offers three programs for medical practitioners providing care in women’s health. 1. Certificate in Women’s Health (CWH) This is a training program intended for medical practitioners who desire increased knowledge in aspects of women’s health that centre primarily on office-based practice, including shared antenatal and postnatal care, office gynaecology and family planning. All training and assessment requirements for the CWH must be completed within two (2) years from the date of commencement of training. 2. Diploma of the RANZCOG (DRANZCOG) The RANZCOG Diploma (DRANZCOG) builds on the knowledge and skills developed through the Certificate of Women’s Health program. It is intended for medical practitioners who wish to gain skills in obstetrics and gynaecology to a level that will enable them to safely undertake non-complex deliveries and perform basic gynaecological procedures. All training and assessment requirements for the DRANZCOG must be completed within four (4) years from the date of commencement of training. 3. Advanced Diploma of the RANZCOG (DRANZCOG Adv) This is a hospital-based training program intended for medical practitioners who have gained skills in obstetrics through the Diploma and who wish to develop them to a level that will enable them to safely undertake complex deliveries and perform more advanced gynaecological procedures. All training and assessment requirements for the DRANZCOG Advanced must be completed within six (6) years from the date of commencement of training. 5
  • 6. Each qualification addresses subject areas that offer considerable breadth in terms of the subject matter and the depth of knowledge and skills that are acquired. Structure of the CWH, DRANZCOG and DRANZCOG Advanced Training Programs The three-tier structure of the Women’s Health qualifications is reflective of the progressive increase in knowledge and skills required and the shift toward independent practice as trainees continue from one training program to the next. As each qualification is re-certifiable, trainees are not required to repeat the requirements of their existing qualification should they wish to up-skill and undertake training in subsequent qualifications. For example, holders of the Certificate who wish to undertake the Diploma or Diploma Advanced Training Programs do not have to repeat the training and assessment requirements of the Certificate, which forms part of the DRANZCOG training program. Certificate in DRANZCOG DRANZCOG Advanced Women’s Health Certificate of Women’s DRANZCOG and CWH1: Basic skills Health and CWH2: Introduction to DRAN1: Basic skills DRAV1: Advanced Obstetrics Antenatal & Postnatal Care DRAN2: Antenatal care CWH3:Special topics in DRAV2: Advanced Antenatal & Postnatal Care DRAN3: Labour Gynaecology CWH4: Introduction to DRAN4: Postnatal & DRAV3: Ultrasound Gynaecology Neonatal Care CWH5: Special topics in DRAN5: Procedural Gynaecology Gynaecology 6
  • 7. 2.0 COLLEGE INFORMATION 2.1 DATES FOR 2012 2.1 DATES FOR 2012 14 February CWH and DRANZCOG Written Examinations 1 17 February Final date to submit certification applications for March RANZCOG Board meeting (i.e. upon completion of training and assessment requirements) 14 – 16 March RANZCOG Board and committee meetings 17 April DRANZCOG Oral Examination 1 31 May Closing date for applications to sit the 2012 Written and Oral Examinations 2 29 June Final date to submit certification applications for July RANZCOG Board meeting (i.e. upon completion of training and assessment requirements) 18 – 20 July RANZCOG Board and committee meetings 24 July CWH and DRANZCOG Written Examinations 2 16 September DRANZCOG Oral Examination 2 26 October Final date to submit certification applications for November RANZCOG Board meetings (i.e. upon completion of training and assessment requirements) 30 October Closing date for applications to sit the 2012 Written and Oral Examinations 1 14 – 16 November RANZCOG Board and committee meetings NOTE: LATE APPLICATIONS FOR RANZCOG EXAMINATIONS AND CERTIFICATION WILL NOT BE ACCEPTED. Please refer to the relevant CWH, DRANZCOG & DRANZCOG Advanced Regulations in Section 4 of this handbook. 7
  • 8. 2.2 COLLEGE STAFF CONTACTS College House Staff Contacts Name & Position Area of responsibility Contact Details Ms Lyn Johnson Training & certification policy tel +61 9412 2944 Director of Education & Training fax +61 3 9419 7817 ljohnson@ranzcog.edu.au Mr Shaun McCarthy Training Policy/Programs tel +61 3 9412 2917 Training Services Manager fax +61 3 9419 7817 smccarthy@ranzcog.edu.au Ms Bronwyn Robinson CWH, DRANZCOG & DRANZCOG tel +61 3 9412 2982 Senior Education Coordinator Advanced Workplace-based fax +61 3 9419 7817 Validation implementation & brobinson@ranzcog.edu.au Assessor training Mr Liam Davison CWH, DRANZCOG & DRANZCOG tel +61 3 9412 2918 Senior Online Learning Advanced online modules fax +61 3 9419 7817 Coordinator ldavison@ranzcog.edu.au Ms Maree Brislin Trainee enquiries tel +61 3 9412 2911 CWH/Diploma Co-ordinator Registration/training fax +61 3 9419 7817 documentation mbrislin@ranzcog.edu.au Certification Ms Rosalie Sirotic Trainee enquiries tel +61 3 9412 29 Reaccreditation/Diploma Registration/training fax +61 3 9419 7817 Support Officer documentation rsirotic@ranzcog.edu.au enquiries Ms Lai Yue Aitken CWH & DRANZCOG Written tel +61 3 9412 2929 Assessment Officer Examinations fax +61 9412 2953 laitken@ranzcog.edu.au Ms Kathryn Hertrick DRANZCOG Oral Examination tel +61 3 9412 2972 Assessment Officer fax +61 9412 2953 khertrick@ranzcog.edu.au 8
  • 9. RANZCOG Regional Offices Contacts State Staff Contact Details RANZCOG Victorian Regional Victoria & Tasmania Executive Officer: Ms Fran Watson Office Administrative Officer: Ms Bree Morison 8 Latrobe Street MELBOURNE VIC 3000 tel +61 3 9020 0254 fax +61 3 9662 3908 vrc@ranzcog.edu.au RANZCOG New South Wales New South Wales Executive Officer: Ms Lee Dawson Regional Office Administrative Officer: Mr Christopher Dowding Suite 4, Level 5 69 Christie Street St Leonards NSW 2065 tel +61 2 9436 1688 fax +61 2 9436 4166 admin@ranzcog.nsw.edu.au RANZCOG Queensland Queensland Executive Officer: Ms Lee-Anne Harris Regional Office Administrative Officer: Ms Wendy Morrison Unit 22, Level 3 17 Bowen Bridge Road Herston QLD 4006 tel +61 7 3252 3073 fax +61 7 3257 2370 ranzcogqld@ranzcog.edu.au RANZCOG SA/NT Regional South Australia & Executive Officer: Ms Tania Back Office Northern Territory 51-54 Palmer Place PO Box 767 North Adelaide SA 5006 tel +61 8 8267 4377 fax +61 8 8267 5700 sa.nt@ranzcog.edu.au RANZCOG WA Regional Office Western Australia Executive Officer: Ms Janet Davidson Level 1 44 Kings Park Road West Perth WA 6005 tel +61 8 9322 1051 fax +61 8 6263 4432 ranzcogwa@westnet.com.au 9
  • 10. 2.3 GOVERNANCE & ADMINISTRATION 2.3 GOVERNANCE AND ADMINISTRATION The Women’s Health training programs are governed and administered by the Conjoint Committee for the Diploma of Obstetrics and Gynaecology (CCDOG). The CCDOG comprises representatives from the RANZCOG, the Royal Australian College of General Practitioners (RACGP) and the Australian College of Rural and Remote Medicine (ACRRM). The CCDOG is composed of an Executive group and two subcommittees: - Education and Assessment (EA) Subcommittee, and - Training, Accreditation and Recertification (TAR) Subcommittee (previously known as the Joint Consultative Committee on Obstetrics, JCCO). CCDOG Executive Chair: Professor Ajay Rane Responsibilities: - To define and oversee all aspects of education, training and recertification in relation to qualifications awarded jointly by RANZCOG, ACRRM and RACGP, including, but not limited, to the Certificate of Women’s Health and the Diplomas known as the DRANZCOG and DRANZCOG Advanced. Committee Coordinator: Ms Georgina Anderson, RANZCOG CCDOG Training, Accreditation and Recertification (TAR) Subcommittee Chair: Dr Martin Ritossa Responsibilities: - Ongoing co-ordination and administration of the training processes. - Ongoing co-ordination and administration of the accreditation and/or reaccreditation of training sites. - Ongoing co-ordination and administration of processes pertaining to certification and recertification of Certificate and Diploma holders, including approval of Women’s Health requirements for recertification and applications for reinstatement to the Register of Diplomates. 10
  • 11. - Development and continuous review of regulations governing eligibility, training, accreditation and certification for the training programs. - Collaboration with the Education and Assessment Subcommittee and the Executive of the CCDOG on training, assessment and certification issues of natural concern, where appropriate and as directed by the Executive of the CCDOG. Committee Coordinator: Ms Maree Brislin, RANZCOG CCDOG Education and Assessment (EA) Subcommittee Chair: Professor Ian Symonds Responsibilities: - The development, implementation and ongoing review of the curricula for training programs offered by the RANZCOG (in conjunction with the RACGP and ACRRM) through the CCDOG. - Developing, sourcing and advising on educational resources used to guide and support training in relation to the Women’s Health training programs. - In conjunction with the TAR Subcommittee and other relevant Committees of the RANZCOG, develop and regularly review regulations governing training, assessment and certification for the Women’s Health training programs. - Administration and provision of guidelines for the organisation of educational workshops used to guide and support training and recertification for the Women’s Health training programs. Committee Coordinator: Mrs Anna Kaider, RANZCOG 11
  • 12. 2.4 STATE REFERENCE COMMITTEES 2.4 STATE REFERENCE COMMITTEE CHAIRS CONTACT DETAILS CWH, DRANZCOG and DRANZCOG Advanced trainees must submit their logbook for assessment and signing to the Chair of the relevant State Reference Committee (SRC) listed below. DRANZCOG Advanced trainees will also have their Case Syntheses assessed by the relevant SRC Chair. State/Territory Contact Details New South Wales & Dr Talat Uppal Australian Capital Territory SRC Chair tel 02 9436 1688 C/- Ms Lee Dawson fax 02 9436 4166 RANZCOG NSW admin@ranzcog.nsw.edu.au Suite 4, Level 5 69 Christie Street St Leonards NSW 2065 Queensland Dr Carol Breeze SRC Chair tel 07 3252 3073 C/-Ms Lee-Anne Harris fax 07 3257 2370 RANZCOG QLD ranzcogqld@ranzcog.edu.au Unit 22, Level 3 17 Bowen Bridge Road Herston QLD 4006 South Australia & Dr Christopher Sexton Northern Territory SRC Chair tel +61 8 8267 4377 C/- Ms Tania Back fax +61 8 8267 5700 RANZCOG SA/NT sa.nt@ranzcog.edu.au PO Box 767 North Adelaide SA 5006 Tasmania Dr Frank O’Keeffe SRC Chair tel +61 3 9020 0254 C/- Ms Fran Watson fax +61 3 9662 3908 RANZCOG Vic/Tas vrc@ranzcog.edu.au 254-260 Albert Street East Melbourne VIC 3002 Victoria Dr Bernadette White SRC Chair tel +61 3 9020 0254 C/- Ms Fran Watson fax +61 3 9662 3908 RANZCOG Vic/Tas vrc@ranzcog.edu.au 254-260 Albert Street East Melbourne VIC 3002 Western Australia Dr Tamara Walters SRC Chair tel 08 9448 5561 C/- Ms Janet Davidson fax 08 9448 5551 RANZCOG WA ranzcogwa@westnet.com.au PO Box 6258 East Perth WA 6892 12
  • 13. 2.5 ACCREDITED TRAINING SITES 2.5 ACCREDITED CWH, DRANZCOG & DRANZCOG ADVANCED TRAINING SITES NOTE: The RANZCOG is undertaking the re-accreditation of all the sites listed below. This re-accreditation process will include the formal accreditation of appropriate sites as Certificate of Women’s Health (CWH) training units. Prospective trainees planning to undertake the CWH in a hospital setting are advised that currently this training can be undertaken at any of the accredited DRANZCOG training hospitals listed below. Accredited for State/Territory Hospital DRANZCOG DRANZCOG training Adv training Bundaberg General Hospital  Caboolture Hospital   Cairns Base Hospital   Gladstone Hospital   Gold Coast Hospital   Hervey Bay Hospital   Ipswich General Hospital   Logan Hospital   Queensland Mackay Base Hospital   Maryborough Hospital  Mater Mothers’ Hospital   Mt Isa Hospital  Nambour Hospital  Redcliffe Hospital (with Caboolture Hospital)   Redland Hospital  Rockhampton Base Hospital   Roma Hospital (with Toowoomba Hospital)  Royal Brisbane & Women’s Hospital  Toowoomba Hospital   Townsville Hospital   Albany Hospital   Bunbury Regional Hospital  Joondalup Health Care Campus   Western Kalgoorlie Hospital   Australia King Edward Memorial Hospital for Women   Nickol Bay Hospital*  Osborne Park Hospital   Peel Health Campus  Rockingham General Hospital   Swan District Hospital   *Conditions apply – please contact Training Services, College House 13
  • 14. Accredited for State/Territory Hospital DRANZCOG DRANZCOG training Adv training Alice Springs Hospital   Flinders Medical Centre   South Australia & Katherine Base Hospital  Northern Lyell McEwin Hospital   Territory Mt Gambier Hospital   Murray Bridge Hospital  Queen Elizabeth Hospital  Royal Darwin Hospital   Women’s & Children’s Hospital   Armidale & New England District Hospital   Auburn District Hospital  Bankstown-Lidcrombe Hospital  Bathurst Hospital  Belmont Hospital   Blacktown Hospital  Bowral District Hospital   Camden District Hospital  Campbelltown Hospital   Canberra Hospital   Canterbury Hospital  Coffs Harbour Hospital  Dubbo Base Hospital  Fairfield District Hospital  Gosford District Hospital  New South Wales Goulburn Base Hospital   & Australian Griffiths Hospital   Capital Territory Hornsby & Ku-Ring-Gai Hospital   John Hunter Hospital   Lismore Base Hospital   Liverpool Hospital  Maitland Hospital   Manly Hospital  Manning Base Hospital   Mona Vale Hospital   Moruya Hospital   Murwillumbah District Hospital  Nepean District Hospital   Orange Base Hospital   Port Macquarie Hospital   Royal Hospital for Women  Royal North Shore Hospital  Ryde Hospital  St George Hospital  Sutherland Hospital  Tamworth Base Hospital   Tweed Heads District Hospital   Wagga Wagga Base Hospital   Westmead Hospital  Wollongong/Port Kembla Hospital  14
  • 15. Accredited for State/Territory Hospital DRANZCOG DRANZCOG training Adv training Launceston General Hospital   Tasmania Mersey Community Hospital  Royal Hobart Hospital  North West Regional Hospital  Angliss Hospital   Ballarat Base Hospital   Bass Coast Regional Health  Bendigo & Northern District Base Hospital   Box Hill Hospital  Central Gippsland Health Service   Dandenong & District Hospital   Geelong Hospital   Goulburn Valley Hospital   La Trobe Regional Hospital (LRH)   Mercy Hospital for Women  Victoria Mildura Base Hospital   Monash Medical Centre Hospital  Moorabbin Hospital  Mornington Peninsula (Frankston) Hospital  Northern Hospital  Northwest Health Wangaratta  Royal Women’s Hospital  Sandringham & District Memorial Hospital   Swan Hill Hospital*  Wangaratta Base Hospital  Warrnambool Hospital   West Gippsland Hospital   Western Hospital Sunshine   Wimmera Base Hospital*   Wodonga Hospital   *Conditions apply – please contact Training Services, College House 15
  • 16. 2.6 RANZCOG TRAINEES’ COMMITTEE 2.6 RANZCOG TRAINEES’ COMMITTEE The RANZCOG Trainees’ committee was formed in 1999 with the aim of communicating the views of trainees to the RANZCOG – both in relation to training issues and broader issues such as the future of obstetrics and gynaecology. The Committee comprises:  a Chair, who is undertaking the their final years of RANZCOG Fellowship training or post- Fellowship training (i.e. subspecialty training);  Fellowship trainee representatives from each state/region in Australia and New Zealand;  a representative of RANZCOG Subspecialty trainees;  a representative of CWH/DRANZCOG/DRANZCOG Advanced trainees;  a representative of recent RANZCOG Fellows (i.e. of less than five years’ standing);  a RANZCOG Fellow representing the College Training Accreditation Committee; and  a RANZCOG Fellow representing the Education and Assessment Committee. The Chair attends all meetings of RANZCOG Council and the RANZCOG Education & Assessment and Training Accreditation Committees. The current Chair is Dr William Milford (Queensland). The current CWH/DRANZCOG/DRANZCOG Advanced trainee representative is Dr Caitlin O’Mahony (Victoria). The Committee meets by teleconference six times a year and there is also an annual face-to-face meeting. Trainee representatives are also included on various RANZCOG committees and working groups, ensuring trainee involvement in RANZCOG decision-making. For information on the CWH/DRANZCOG/DRANZCOG Advanced trainee representative and updates on the Committee, refer to the Trainees’ Committee page on the RANZCOG website: http://www.ranzcog.edu.au/the-ranzcog/governance/college-committees.html 16
  • 17. 3.0 TRAINING & ASSESSMENT 3.1 TRAINING & ASSESSMENT GUIDE 3.1 TRAINING & ASSESSMENT GUIDE FOR TRAINEES CERTIFICATE OF WOMEN’S HEALTH Trainees undertaking CWH training must complete the training and assessment requirements within two (2) years from the date of commencement of training. An optional interactive CWH workshop with hands-on activities is offered to CWH trainees to assist them with the development of relevant clinical skills, such as antenatal examination and contraception insertion. Trainees must register for the workshop with Training Services, RANZCOG. Continued Training & assessment requirements Professional Development CWH1: Basic Skills CWH2: Introduction to Antenatal and Postnatal Care Modules CWH3: Special Topics in Antenatal and Postnatal Care CCDOG-approved CWH4: Introduction to Gynaecology Professional Training CWH5: Special Topics in Gynaecology Development Family Planning Experience: minimum number of 12 family planning Programs consultations. Antenatal Care Experience: minimum number of 70 antenatal consultations. Gynaecological Experience: minimum number of 70 gynaecological consultations. Logbook: Record of training experience, workplace-based validations, workshop Assessment participation and monthly logbook checks by the Training Mentor. Workplace-based Validations: Paper-based assessments of clinical and Recertification procedural skills requirements Written Examination: 100 multi-choice questions 17
  • 18. DRANZCOG Trainees undertaking DRANZCOG training must complete the training and assessment requirements for both the Certificate of Women’s Health (see page 19) and DRANZCOG (see below) within four (4) years from the date of commencement of training. Trainees who have already completed the Certificate of Women’s Health and maintained their knowledge and skills by participating in CCDOG-approved professional development programs need not repeat the Certificate of Women’s Health training and assessment requirements. These trainees must complete the following DRANZCOG-specific training and assessment requirements within two (2) years from the date of commencement of DRANZCOG-specific training: - the five DRANZCOG modules; - the DRANZCOG Skills section of the In-Training Skills Log in the DRANZCOG Logbook; - Clinical Procedures Log in the DRANZCOG Logbook; - The five DRANZCOG-specific Workplace-based Validations, as listed in the Workplace-based Validations Log of the DRANZCOG Logbook; - Additional antenatal and gynaecological consultations; - Written Examination consisting of 50 DRANZCOG-specific multi-choice questions; and - Oral Examination. Continued Training & assessment requirements Professional Development DRAN1: Basic Skills DRAN2: Antenatal Care Modules DRAN3: Labour DRAN4: Postnatal and Neonatal Care Training DRAN5: Procedural Gynaecology Minimum Procedures: personally perform minimum number of obstetric and gynaecological procedures. Antenatal Care Experience: minimum number of 70 antenatal consultations. Gynaecological Experience: minimum number of 70 gynaecological consultations. 18
  • 19. Logbook: Record of training experience, workplace-based validations and monthly logbook checks by the Training Supervisor. Assessment Workplace-based Validations: Paper-based assessments of clinical and Recertification procedural skills. requirements Written Examination: 50 multi-choice questions. Oral Examination: a series of stations that simulate clinical scenarios relevant to the DRANZCOG scope of practice. 19
  • 20. DRANZCOG Advanced Trainees undertaking DRANZCOG Advanced training must complete the training and assessment requirements for both the DRANZCOG (including CWH requirements) and DRANZCOG Advanced within six (6) years from the date of commencement of training. Trainees who have already completed the DRANZCOG and maintained their knowledge and skills by participating in CCDOG-approved professional development programs need not repeat the DRANZCOG training and assessment requirements. These trainees must complete the following DRANZCOG Advanced-specific training and assessment requirements within two (2) years from the date of commencement of DRANZCOG Advanced-specific training: - the three DRANZCOG Advanced modules; - the DRANZCOG Advanced Logbook; - the DRANZCOG Advanced-specific Workplace-based Validations; - Training Supervisor Reports after each six-month period in each year of training; and - Five (5) written Case Syntheses of a range of obstetric conditions. Continued Training & assessment requirements Professional Development DRAV1: Advanced Obstetrics Modules DRAV2: Advanced Gynaecology CCDOG-approved Training DRAV3: Ultrasound Professional Minimum Procedures & Scans: personally perform minimum number of Development procedures and ultrasound scans Programs 6-monthly Training Supervisor reports: summative assessments made by the Training Supervisor of the trainee’s performance and progress after each six- month period in each year of training. Recertification Assessment Logbook: Record of training experience, workplace-based validations and requirements monthly logbook checks by the Training Supervisors. Workplace-based Validations: Paper-based assessments of procedural and ultrasound skills Case Syntheses: Written case syntheses on a range of obstetric conditions 20
  • 21. 3.2 APPLYING FOR PROSPECTIVE APPROVAL OF TRAINING Eligibility Prospective trainees for the Certificate of Women’s Health must hold a primary degree in Medicine and Surgery issued by a medical school listed in the WHO Publication World Directory of Medical Schools. They must also hold general registration with the Medical Board of Australia and be in there second or subsequent year of postgraduate training. Prospective trainees for the DRANZCOG and DRANZCOG Advanced must hold a primary degree in Medicine and Surgery issued by a medical school listed in the WHO Publication World Directory of Medical Schools. They must also hold general registration with the Medical Board of Australia. Trainees who occupy DRANZCOG and DRANZCOG Advanced training posts must be in their second or subsequent postgraduate year. Registrations/Application for Prospective Approval to Commence Training Prospective CWH/DRANZCOG/DRANZCOG Advanced trainees must have secured an appointment in a hospital or other appropriate setting approved by the RANZCOG for the relevant training program. Accredited hospitals are listed in Section 2.5 of this handbook. The RANZCOG does NOT assist prospective trainees with hospital or clinic placements. Trainees must obtain their placement BEFORE registration and BEFORE applying for prospective approval of training. At least four (4) weeks prior to the commencement of training, prospective trainees must complete the relevant CWH/DRANZCOG/DRANZCOG Advanced Registration/Prospective Approval of Training form. These forms are available on the RANZCOG website, http://www.ranzcog.edu.au. The completed form must be submitted to the RANZCOG along with four photographs, a certified copy of the applicant’s primary medical degree or AMC Certificate, and fee payment. If these requirements are not submitted, the registration process cannot be completed. 21
  • 22. Once the Registration/Prospective Approval Form and requirements are received at the RANZCOG, trainee details will be added to the RANZCOG database and the trainee will be sent the relevant Logbook that is to be used as a record of all CWH/DRANZCOG/DRANZCOG Advanced training. The CWH/DRANZCOG/DRANZCOG Advanced curriculum document (containing the aims and objectives of each training program, the syllabi and assessment requirements), and the CWH/DRANZCOG/DRANZCOG Advanced Training Handbook (containing the administrative processes and the regulations) are all available for viewing and/or downloading from the RANZCOG website, http://www.ranzcog.edu.au. Registrations/Application for Prospective Approval to Continue Training & Fee Payment All CWH/DRANZCOG/DRANZCOG Advanced trainees are required to apply for prospective approval of training and pay the annual training fee for each year of training. Applications for prospective approval of training must be made on the official CWH/DRANZCOG/DRANZCOG Advanced Registration/Prospective Approval to Continue Training Form. This form is available from the RANZCOG website, http://www.ranzcog.edu.au. Please note that trainees will be invoiced for the annual training fee at the commencement of each year of training (up to the maximum allowable time for that program). 22
  • 23. 3.3 REGISTRATION & TRAINING FEES - 2011 3.3 REGISTRATION & TRAINING FEES - 2012 All fees are reviewed annually and are subject to change. Annual Training Fees CWH annual training fee $300.00 DRANZCOG annual training fee (includes CWH training) $600.00 DRANZCOG Advanced annual training fee (includes DRANZCOG training) $900.00 DRANZCOG ONLY annual training fee $300.00 DRANZCOG Advanced ONLY annual training fee $300.00 Workshops CWH Workshop $350.00 Examination fees CWH Written Examination fee $300.00 DRANZCOG Written Examination fee $175.00 CWH & DRANZCOG combined Written Examination fee $450.00 DRANZCOG Oral Examination fee $1,180.00 Certification CWH/DRANZCOG/DRANZCOG Advanced Certification fee $200.00 23
  • 24. 3.4 WORKSHOPS 3.4 WORKSHOPS The RANZCOG is committed to providing a program of face-to-face training workshops to all trainees and Training Supervisors involved in the Women’s Health Training Programs. The training workshops promote active learning and are practical and interactive in format, including discussion of real patient scenarios, videos, hands-on practical activities and (where relevant) role plays. The training workshops are delivered at diverse locations, including workplaces and regional centres to optimise access for all trainees. 3.4.1 Certificate of Women’s Health Workshop The CWH workshop is an optional component of the CWH program. The Training Mentor may recommend that attendance at the workshop would assist the trainee in their performance and progress, or the trainee may themselves elect to participate. The workshop is designed to offer specific training in the following: - Routine antenatal care; - Conducting a ‘Well Woman’ check; - Performing gynaecological and breast examinations; - Taking genital tract specimens; - Family planning and contraception counselling; and - Contraception insertion and management. Trainees must register for the CWH Workshop using the official form found on the RANZCOG website, http://www.ranzcog.edu.au. 3.5 LOGBOOKS 24
  • 25. 3.5 LOGBOOKS The Logbook is used by each trainee as a record of all required procedural and other training experiences in every year of CWH/DRANZCOG/DRANZCOG Advanced training. It is an essential proof of training, which is used by the Training Mentor or Training Supervisor(s) and Chair of the relevant State Reference Committee (SRC) to monitor the trainee’s experience to ensure that it is appropriate for the level of training. The information in trainee Logbooks is also used by the RANZCOG to monitor each trainee’s training experience. Trainees must keep their Logbooks at hand at all times and always up-to-date. The Logbook must be reviewed by the Training Mentor or Training Supervisor(s) once a month. Logbooks are only obtainable from the RANZCOG Training Services Department once the annual training fee is paid. Payment is required prior to the commencement of the training period. Once the Logbook is completed, it is to be sent to the relevant State Reference Committee (SRC) Chair within two weeks of completion for assessment and signing. The Logbook is then forwarded by the SRC Chair to RANZCOG Training Services where a copy is taken of the Certificate of Training, signed off by the SRC Chair. The original Logbook is then returned to the trainee. Enquiries regarding approval of training should be directed to the relevant SRC Chair. A list of all SRC Chairs and their contact details can be found in Section 2.4 of this Handbook. 25
  • 26. 3.6 WORKPLACE-BASED VALIDATIONS 3.6 WORKPLACE-BASED VALIDATIONS Workplace-based validation (WBV) is part of the holistic assessment framework for the Certificate of Women’s Health (CWH), DRANZCOG and DRANZCOG Advanced curricula. It involves a process whereby a trainee’s competency in core clinical and procedural skills is assessed in real patient scenarios during a trainee’s everyday work against clearly defined criteria and established standards. The strength of workplace-based validation is that trainees are assessed at the time of undertaking clinical work in real patient encounters during a normal working week. When a trainee is involved in a clinical encounter or performing a procedure that is to be assessed (see list below), a suitable Assessor utilises the relevant form to assess the trainee’s performance against the standards described for each criterion. A suitable Assessor is one who has worked with the trainee and who can make a balanced and informed judgement of the trainee’s performance: the Training Mentor, Training Supervisor or another ‘teacher’ who has guided and supported the trainee’s knowledge and skill development, namely other consultants or registrars in obstetrics and gynaecology who hold Membership of RANZCOG, who have been approved by the Training Supervisor to act as Assessors. For each validation, either formative or summative, the relevant assessment form MUST be completed by a RANZCOG-approved Assessor. Assessment forms are available on the RANZCOG website, http://www.ranzcog.edu.au Each form clearly articulates the assessment criteria for that validation, with clinical descriptors for ‘Below MAPS’, ‘At MAPS’ and ‘Above MAPS’. Trainees must meet the Minimum Acceptable Passing Standard, or MAPS, for each criterion as described on the assessment form. If ‘Below MAPS’ or ‘Not Observed’ is recorded for one (1) or more criteria, the validation is deemed ‘unsatisfactory’ and must be repeated until at least ‘At MAPS’ is achieved for all criteria in any one attempt of the validation. However, it is not expected that trainees achieve MAPS on all criteria on the first attempt of a given WBV; the trainee may use the validations, where appropriate, as a formative process prior to having a final satisfactory summative sign-off validation. There is no limit to the number of formative attempts. Formative validations are encouraged and the number required to achieve a satisfactory outcome must be recorded in the Validation of Clinical Skills Log in the Logbook. 26
  • 27. Trainees MUST retain copies of all assessment forms (satisfactory and unsatisfactory) as the Training Supervisor may want to review them at any time and they will be checked when the Logbook is assessed. These may be stored in the plastic pocket at the back of the Logbook. Trainees must submit only satisfactory forms when submitting their Logbook for assessment at the conclusion of training. Trainees and their assessors should make use of the WBV assessment process as a formal mechanism for contemporaneous feedback by using the criteria to help structure discussion as follows: - prior to the validation in order to discuss the trainee’s progress and ascertain whether the trainee is ready to complete a final sign-off validation, and - immediately (or as soon as possible) after the validation in order to discuss the result and plan for future learning. VALIDATIONS FOR EACH TRAINING PROGRAM Certificate of Women’s Health: VALIDATION FORM 1. Communication Skills Workplace-based Validation Form – Communication Skills 2. Taking a Cervical Smear Workplace-based Validation Form –Cervical Smear 3. Antenatal Examination Workplace-based Validation Form –Antenatal Examination Trainees may complete the Communication Skills validation concurrently with the Cervical Smear or Antenatal Examination validation. However, the Communication Skills Assessment form must be used in addition to the form for the other validation. DRANZCOG: VALIDATION FORM 1. Low instrumental delivery Workplace-based Validation Form –Procedural Skills 2. Episiotomy/vaginal/perineal Workplace-based Validation Form –Procedural Skills tear repair 3. Examination of a neonate Workplace-based Validation Form –Examination of a Neonate 4. Management of obstetric Facilitator to sign Workplace-based Validations Log in trainee’s Logbook emergencies 5. CPR of a pregnant woman Facilitator to sign Workplace-based Validations Log in trainee’s Logbook 6. Neonatal resuscitation Facilitator to sign Workplace-based Validations Log in trainee’s Logbook 27
  • 28. Trainees are expected to receive training in the validations 4 - 6 listed above in the course of their DRANZCOG training. The Training Facilitator for these courses must sign the relevant section of the Workplace-based Validations Log in the trainee’s Logbook. Trainees who have already completed the Certificate of Women’s Health and maintained their knowledge and skills by participating in CCDOG-approved professional development programs need not repeat the Certificate of Women’s Health validations. However, details of these validations must be completed in the Workplace Based Validations Log in the DRANZCOG Logbook. DRANZCOG Advanced: VALIDATION FORM 1. Caesarean delivery Workplace-based Validation Form – Procedural Skills 2. Management of occipito-posterior position in Workplace-based Validation Form –Procedural Skills mid-pelvis at full dilatation 3. Pelvic laparotomy Workplace-based Validation Form –Procedural Skills 4. Personally conducted management of first Workplace-based Validation Form – Management of trimester termination of pregnancy and/or Termination or Pregnancy Loss missed miscarriage 5. Personally conducted management and Workplace-based Validation Form – Management of performance of uterine evacuation following Termination or Pregnancy Loss second trimester pregnancy loss and/or mid trimester termination 6. First trimester ultrasound scanning – Workplace-based Validation Form – First Trimester transvaginal Ultrasound Skills 7. First trimester ultrasound scanning – Workplace-based Validation Form – First Trimester transabdominal Ultrasound Skills 8. Third trimester ultrasound scanning Third Trimester Ultrasound Skills Validation Form For further information or support related to WBVs, trainees and/or Assessors should contact RANZCOG Assessment & Development Services. 28
  • 29. 3.7 SIX-MONTHLY TRAINEE FEEDBACK QUESTIONNAIRE This is a confidential, non-compulsory questionnaire (not for assessment purposes) which trainees are asked to complete and submit to the RANZCOG at the end of each six-month training period. The purpose of the questionnaire is to assess the training hospitals rather than individuals within hospitals, so that future training can be modified and improved. The questionnaire asks trainees to rate and comment on various aspects of their training, including the standard of supervision and appropriate clinical experience. Information collated from the completed questionnaires is referred to the relevant State Reference Committee Chair and the TAR Subcommittee of the CCDOG. Trainees may submit the questionnaire anonymously if they prefer. The feedback questionnaire is available on the RANZCOG website at http://www.ranzcog.edu.au/assessment/trainee-feedback-questionnaire.html Although submission of this questionnaire is voluntary, trainees are urged to send it to College House, as per the instructions on the questionnaire, as it is a vital source of trainee feedback. 29
  • 30. 3.8 EXAMINATIONS 3.8 EXAMINATIONS Trainees are advised to consult the Regulations section of this handbook pertaining to Examinations. The CWH and DRANZCOG qualifications require a Written Examination (100 item multiple choice paper for two hours for CWH and additional 50 item multiple choice paper for one hour for DRANZCOG). The DRANZCOG also requires an Oral Examination, consisting of 15 OSCE stations, each of seven minutes’ duration). APPLICATION FORMS Examination application forms can only be obtained from – Examinations Officer RANZCOG 254-260 Albert Street East Melbourne VIC 3002 tel 03 9417 1699 fax 03 9412 2953 or via the RANZCOG website at http://www.ranzcog.edu.au It is the candidate’s responsibility to apply for all examinations. Late applications will NOT be accepted. Applications need to be made for both the Written and Oral Examinations at the same time. DATES FOR CWH & DRANZCOG EXAMINATIONS Session Examination Date Closing date for applications First Written February each year 30 October of previous year Oral April each year 30 October of previous year Second Written July each year 31 May each year Oral September each year 31 May each year 30
  • 31. Note: Late applications will NOT be accepted. Applications for the Written and Oral Examinations in the same half year must be made together. The examination fee is subject to annual review. Trainees should refer to Section 3.3 of this handbook for current fees. EXEMPTION FEES A fee is payable to the RANZCOG in cases where an exemption from the DRANZCOG examination in Australia is recommended by the Conjoint Committee for the Diploma of Obstetrics and Gynaecology (CCDOG) and granted by the RANZCOG. CRITICAL STATIONS IN THE ORAL EXAMINATION Four of the seven topics below will be examined in stations at the DRANZCOG Oral Examination and these stations will be ‘critical’. That is, in addition to obtaining an overall result that equals or exceeds the pass mark for the examination, candidates will have to pass at least three of the four stations relating to the topics taken from the list below in order to achieve a pass in the examination. The topics are as follows: - Management of antepartum haemorrhage; - Instrumental deliveries; - Management of eclamptic patient; - Resuscitation of neonate; - Management of postpartum haemorrhage; - Management of pre-eclampsia; - Management of shoulder dystocia. The standard required to achieve a pass at an individual station in the examination will be determined by the standard setting process that is conducted prior to each examination. As with the overall passing mark for the examination, there is no pre-set mark that corresponds to a pass; consequently, it is not possible to indicate the marks required to pass individual stations, or the entire Oral Examination, prior to the examination. 31
  • 32. CWH & DRANZCOG EXAMINATION REQUIREMENTS CHECKLIST When applying for admission to the examination for the CWH and the DRANZCOG, you must provide all of the following – - Complete and signed application form. - The appropriate examination fees. It is the responsibility of the candidate to ensure that all relevant documents are received by the Examinations Officer, RANZCOG, by the due dates. If all requirements are not met, candidates may not be given permission to proceed to examination, or alternatively, results may be withheld from those candidates from whom no documentation has been received. VENUES FOR EXAMINATIONS Written Examinations Applicants for the Written Examination may select the venue where they wish to take the examination. All RANZCOG written examinations will be held only in centres where there is a RANZCOG Regional Office: Adelaide, Brisbane, Melbourne, Perth, Sydney and Wellington. Oral Examinations All DRANZCOG Oral Examinations are held in Melbourne. Please check the RANZCOG website for details of the examination venue – http://www.ranzcog.edu.au REVISION COURSES FOR CWH & DRANZCOG TRAINEES There is no requirement for attendance at an approved course; however, trainees are encouraged to attend the revision courses which are offered by some states to prepare trainees for the CWH and DRANZCOG examinations. For precise course dates and information on course registration, contact the Executive Office in the relevant state. 32
  • 33. State Course Dates & Venue Contact Details New South November Executive Officer Wales RANZCOG NSW Regional Committee Rydges Hotel Suite 4 54 McLaren St Level 5 North Sydney 69 Christie Street St Leonards NSW 2065 tel 02 9436 1688 fax 02 9436 4166 admin@ranzcog.nsw.edu.au Queensland June or July Executive Officer RANZCOG QLD Regional Committee Check with the Executive Officer for venue Unit 22, Level 3 information. 17 Bowen Bridge Road Herston QLD 4006 tel 07 3839 9001 fax 07 3839 0299 ranzcogqld@powerup.com.au Enrolments are accepted up to the date of the course. Victoria January or February, and Executive Officer July or August RANZCOG Vic Regional Committee 8 La Trobe Street Check with the Executive Officer for venue Melbourne VIC 3000 information. tel 03 9663 5606 fax 03 9662 3908 vsc@ranzcog.edu.au Enrolments are accepted up to the date of the course. 33
  • 34. 3.9 CERTIFICATION & RECERTIFICATION 3.9 CERTIFICATION & RECERTIFICATION Trainees are advised to consult the Regulations section of this handbook pertaining to Certificate and Diploma certification. CERTIFICATION - CWH To be eligible to enrol on the register of Certificate of Women’s Health holders, trainees must have satisfactorily completed the following requirements: - Certificate of Women’s Health Logbook, and have it signed by the Chair of the relevant State Reference Committee (SRC); - CWH Workplace-based Validations; - CWH Written Examination; - CWH Declaration; and - Enrolment on the Register of CWH holders form. CERTIFICATION - DRANZCOG To be eligible to enrol on the register of Diplomates, trainees must have satisfactorily completed the following requirements: - All CWH training and assessment requirements, or be maintaining their CWH by completing the recertification requirements; - The DRANZCOG Logbook, and have it signed by the Chair of the relevant State Reference Committee (SRC); - The DRANZCOG Workplace-based Validations; - The DRANZCOG Written Examination; - The DRANZCOG Oral Examination; - DRANZCOG Declaration; and - Enrolment on the Register of Diplomates form. The Declaration and Enrolment on the Register forms can be downloaded from the RANZCOG website, http://www.ranzcog.edu.au. 34
  • 35. The forms need to be completed and forwarded to College House, along with the payment of the current certificate fee (payable to RANZCOG). This fee covers the administration costs associated with the awarding of the Certificate/Diploma. Following receipt of the forms, the Certificate/Diploma, signed by the Presidents of all three Colleges (RANZCOG, RACGP and ACRRM) will be prepared and forwarded to you, along with an invoice for a pro- rata subscription fee that entitles you to receive the College magazine O&G and the Australian and New Zealand Journal of Obstetrics and Gynaecology (ANZJOG). NOTE: All examination results are subject to ratification by the RANZCOG Council and as such Certificates/Diplomas will not be sent until Council has met. For examinations sat in April, Council will meet in July. For examinations held in September, Council will meet in November. CERTIFICATION - DRANZCOG Advanced To be eligible to enrol on the register of Diplomates (Advanced), trainees must have satisfactorily completed the following requirements: - All DRANZCOG training and assessment requirements, or be maintaining their DRANZCOG by completing the recertification requirements; - The DRANZCOG Advanced Logbook, and have it signed by the Chair of the relevant State Reference Committee (SRC); - The DRANZCOG Advanced Workplace-based Validations; - The five Case Syntheses on a range of obstetric cases; - DRANZCOG Advanced Declaration; and - Enrolment on the Register of Diplomates (Advanced). Following successful completion of all training and assessment requirements, the Chair of the SRC will formally recommend to the Training, Accreditation and Recertification (TAR) Subcommittee that the candidate be awarded the DRANZCOG Advanced. Once the recommendation has been approved by the TAR Subcommittee, it is referred to the next meeting of RANZCOG Board for formal ratification. The Board meets in March, July and November each year. After this ratification, the Training Services Department at the RANZCOG sends the candidate a form to apply for certification and to be placed on the Register. The candidate also receives an invoice for a certification fee payable to the RANZCOG (see Section 3.3 for current fees). 35
  • 36. RECERTIFICATION The CWH, DRANZCOG and DRANZCOG Advanced are all re-certifiable and time-limited qualifications. They are granted for a period of three – five years, adjusted to align with the period of the RACGP Quality Assurance and Continued Professional Development (QA&CPD) Program. Recertification occurs every three years thereafter. Recertification is contingent on the Certificate or Diploma holder accruing a set of points in the RACGP QA&CPD Program or the ACRRM Professional Development Program. CWH and Diploma holders who are not included on the list of recognised GPs with the Health Insurance Commission will have their points administered by the RANZCOG. 36
  • 37. 4.0 REGULATIONS TABLE OF CONTENTS TABLE OF CONTENTS 1.0 CERTIFICATE OF WOMEN’S HEALTH 1.1 Eligibility Requirements for CWH 41 1.2 Registration & Prospective Approval of Training & Training Settings 41 1.3 Annual Training Fee 42 1.4 Training Time Frames 42 1.5 Training Mentors 43 1.6 Satisfactory Completion of the CWH 44 1.7 CWH Written Examination 44 1.7.1 Eligibility 44 1.7.1 Application and Examination Fee 44 1.7.2 Maximum Number of Attempts 45 1.7.3 Withdrawal 45 1.7.4 Results 45 1.7.5 Special Consideration 46 1.8 Certification and Certification Fee 46 1.9 Recertification and Annual Subscription Fee 46 1.10 Appeals Procedures 47 2.0 DIPLOMA OF THE RANZCOG (DRANZCOG) 2.1 Eligibility Requirements for the DRANZCOG 48 2.2 Registration & Prospective Approval of Training & Training Settings 48 2.3 Annual Training Fee 49 2.4 Training Time Frames 49 2.5 Training Supervisors and Assessors 50 2.6 Satisfactory Completion of the DRANZCOG 51 2.7 DRANZCOG Written and Oral Examinations 52 2.7.1 Application and Examination Fees 52 2.7.2 Maximum Number of Attempts 53 2.7.3 Withdrawal 53 2.7.4 Results 54 2.7.5 Special Consideration 54 2.8 Certification and Certification Fee 54 2.9 Recertification and Annual Subscription Fee 55 2.10 Conversion to the DRANZCOG 55 2.11 Recognition of Prior Learning (RPL) 56 2.12 Appeals Procedure 59 3.0 ADVANCED DIPLOMA OF THE RANZCOG (DRANZCOG Advanced) 3.1 Eligibility Requirements for the DRANZCOG Advanced 60 3.2 Registration and Prospective Approval of Training & Training Settings 60 3.3 Annual Training Fee 61 3.4 Training Time Frames 62 3.5 Training Supervisors and Assessors 62 3.6 Satisfactory Completion of the DRANZCOG Advanced 64 3.7 Certification and Certification fee 65 3.8 Recertification and Annual Subscription Fee 65 3.9 Recognition of Prior Learning (RPL) 65 3.10 Appeals Procedures 68 37
  • 38. SCOPE OF REGULATIONS The regulations herein apply to all trainees entering the Certificate of Women’s Health, the DRANZCOG and the DRANZCOG Advanced training programs as from 1 August 2011. 1.0 CERTIFICATE OF WOMEN’S HEALTH 38
  • 39. 1.0 CWH 1. CERTIFICATE OF WOMEN’S HEALTH (CWH) 1.1 Eligibility Requirements for the CWH 1.1.1 To be eligible to be a trainee in the CWH program, doctors must hold a primary medical degree in Medicine and Surgery issued by a medical school listed in the World Health Organisation publication World Directory of Medical Schools. 1.1.2 Prospective trainees must also have general registration with the Medical Board of Australia under the National Registration and Accreditation Scheme. 1.1.3 Prospective trainees must be in their second or subsequent postgraduate year. [Ratified by the Board, June 2011] 1.1.4 Prospective trainees must also satisfy any one of the following eligibility requirements:  Currently in practice providing shared antenatal care with a recognised facility, or practising in an established GP practice in an arrangement approved for training by the College;  Currently an RACGP and/or ACRRM registrar in a GP placement where a suitable Training Mentor is available;  Undertaking or commencing a hospital appointment in an obstetric RMO rotation at PGY2 and above, generally for a minimum of three (3) months. [Ratified by the Board, June 2011] 1.2 Registration and Prospective Approval of Training & Training Settings 1.2.1 Prospective trainees must register with the RANZCOG and obtain prospective approval of training in order to have their training credited. This must be done using the CWH registration/prospective approval form available on the College website. The form should be lodged with the RANZCOG Training Services Department not less than four (4) weeks prior to commencement of training. 1.2.2 The CWH Logbook, completion of which is a mandatory assessment requirement, is only made available to the trainee once the registration and prospective approval of training process has been completed. This includes payment of the training fee (see Regulation 1.3 below). 1.2.3 Any training undertaken prior to registering and obtaining prospective approval will not be credited. 39
  • 40. 1.2.4 In order to be prospectively approved, training can take place in:  a hospital accredited by the College for the purposes of CWH training; or  an appropriate established GP practice to which the trainee is attached and which has been approved for that trainee by the College (by means of the CWH registration/prospective approval of training form submitted by the trainee); or  an approved combination of the above. NOTE: Trainees can change training arrangements/settings in the course of their training provided such changes are as per the above list and the amended arrangement has been prospectively approved by the College. Requests for amendments to training arrangements must be made through the RANZCOG Training Services Department. Amended training arrangements which have not been prospectively approved by the College will not be credited. 1.3 Annual Training Fee 1.3.1 The initial annual training fee is payable at the time of lodging the registration/prospective approval of training form. Registration/prospective approval of training forms which are not accompanied by the fee payment will not be processed. 1.3.2 The trainee will be invoiced by the College for an annual training fee at the commencement of each year of training (i.e. up to the maximum allowable training time of two years – see Regulation 1.4.1 below). 1.3.3 Trainees who remain in arrears with their annual training fee will be ineligible to sit the CWH Written Examination. Trainees who remain in arrears with their annual training fee will not receive their CWH qualification until such time as the overdue amount is paid. 1.4 Training Time Frames 1.4.1 Whilst there is no minimum period of training for the CWH, it is generally expected that trainees must complete a minimum of three (3) months of prospectively approved hospital- and/or practice-based training. All training and assessment requirements as defined in these regulations must be completed within two (2) years of commencement of training, irrespective of whether training is on a part-time or full-time basis. [Revised and ratified by the Board, June 2011] 40
  • 41. 1.4.2 Training may be on a full-time or part-time basis, or a combination of both. This must be arranged between the trainee and the hospital or other facility where they are training. 1.5 Training Mentors 1.5.1 Each trainee must have one (1) Training Mentor, who must be in active clinical practice. In the case of trainees undertaking the CWH through hospital-based training, the Training Mentor must be located at the hospital. In the case of trainees undertaking the CWH through training in an appropriate established GP practice, the Training Mentor may be located off-site. (Note: This requirement does not apply to trainees undertaking the CWH as part of the DRANZCOG qualification.) The trainee must organise an appropriate Training Mentor before they commence training. Training Mentors may be drawn from any of the following categories of practitioners:  a holder of the DRANZCOG qualification; or  a holder of the DRANZCOG Advanced qualification; or  a Fellow of the RANZCOG; or  holder of the old Diploma of the Royal Australian College of Obstetricians and Gynaecologists (DipRACOG), who is in current medical practice and who has maintained their Continuing Professional Development points with the Royal Australian College of General Practitioners (RACGP) or the Australian College of Rural and Remote Medicine (ACRRM). 1.5.2 All Training Mentors must be approved for this role by the Training, Accreditation and Recertification (TAR) Subcommittee of the Conjoint Committee for the Diploma of Obstetrics and Gynaecology (CCDOG) at RANZCOG. 1.5.3 The Training Mentor is responsible for the following:  providing the trainee with ongoing mentoring and support;  reviewing and signing-off on the trainee’s Logbook each month;  meeting regularly with the trainee (preferably at the time of the monthly checking/signing of the Logbook) to review case records, discuss cases and provide the trainee with feedback on performance and progress;  devising, in consultation with the trainee, a remedial plan to assist them in the event they are experiencing difficulties in meeting CWH training requirements;  acting as an assessor for the Workplace-based Validations the trainee must satisfactorily complete; and 41
  • 42.  signing the Certificate of Satisfactory Completion of Training in the Logbook once they are satisfied that the trainee has met the competency requirements as listed in the Logbook. 1.6 Satisfactory Completion of the CWH Trainees certified as having satisfactorily completed the Certificate must have met the following requirements within two (2) years of the date of commencement of training: 1.6.1 Satisfactorily completed the procedural requirements listed in the Logbook, which must be signed off progressively each month by the Training Mentor and signed off definitively once training is completed by the Training Mentor and the relevant State Reference Committee Chair, who is ultimately responsible for signing off on the Logbook. 1.6.2 Satisfactorily completed the following three Workplace-based Validations (i.e. paper-based assessments of clinical skills which take place during the trainee’s normal working day in real patient clinical encounters):  Communication Skills;  Antenatal Examination;  Taking a Cervical Smear. 1.6.3 Attended a CWH Workshop organised by the RANZCOG (where the Training Mentor recommends that attendance at the workshop would assist the trainee in their performance and progress). 1.6.4 Passed the CWH Written Examination. 1.7 CWH Written Examination 1.7.1 Eligibility 1.7.1.1 Candidates for the CWH may sit the Written Examination even if their logbooks have not been formally approved by the Chair of the relevant State Reference Committee (SRC). [Ratified by the Board, June 2011] 1.7.2 Applications and examination fees 1.7.2.1 Applications for the Written Examination and payment of the examination fee must be made to the Examinations Officer, RANZCOG Assessment Services, on the prescribed application form by the designated closing date for applications. The closing date for 42
  • 43. applications is 30 October for the first examination and 31 May for the second examination (the same examination is available on two occasions in every 12-month period). Late applications and fee payments will not be accepted. 1.7.2.2 Candidates who are not registered CWH trainees and who have not paid their annual training fee are ineligible to apply to sit the Written Examination. 1.7.2.3 Examination fees may not be credited against future applications to sit the examination unless the candidate can show cause to the satisfaction of the College that exceptional circumstances prevail. 1.7.3 Maximum number of attempts 1.7.3.1 Candidates have a maximum number of four (4) attempts at the Written Examination unless the candidate can show cause to the satisfaction of the College that exceptional circumstances exist. 1.7.3.2 The Written Examination can be attempted at any stage of training (i.e. at the examination dates set by the RANZCOG), provided the candidate is a registered CWH trainee and has paid their annual training fee. 1.7.4 Withdrawal Unless the candidate can show cause to the satisfaction of the Education and Assessment Committee that exceptional circumstances prevail: 1.7.4.1 Formal written withdrawal received within four weeks of the closing date for applications will result in 25 per cent of the examination fee being retained. Written notification received after that time but before the starting time of the examination will result in 50 per cent of the examination fee being retained. 1.7.4.2 Failure to give written notice of withdrawal before the starting time of the examination or failure to present for the examination will constitute a failure in the examination and the whole examination fee forfeited. [Revised and ratified by the Board, March 2012] 1.7.5 Results Candidates are not permitted to communicate directly with individual examiners regarding their results. All enquiries must be directed in 43
  • 44. 1.7.5.1 writing to the Chairman of the RANZCOG Education and Assessment Committee. 1.7.5.2 Results will not be released to any person other than the candidate, unless proof can be provided that the candidate’s express permission has been given. 1.7.5.3 If, in the opinion of the RANZCOG Education and Assessment Committee, a candidate has made an attempt to obtain, or has obtained, an unfair advantage before or during any part of the examination, the candidate will be withdrawn from the examination. Subsequent to this, the candidate’s eligibility for further examination by the College will be considered by the RANZCOG Education and Assessment Committee. NOTE: Special Consideration For issues related to special consideration and examinations refer to theCollege’s Exceptional Circumstances and Special Consideration Policy on the RANZCOG website. http://www.ranzcog.edu.au/the-ranzcog/policies-and-guidelines/exceptional-circumstances- special-consideration.html 1.8 Certification and Certification Fee 1.8.1 The Certificate of Women’s Health is awarded to persons who have met all the assessment requirements stipulated in Regulations 1.6.1 – 1.6.4 above. 1.8.2 It is the responsibility of the trainee to submit to the RANZCOG Training Services Department their application for CWH certification, with the required certification fee, using the standard application form available on the College website. Certification is not obtained until this application and fee payment have been processed. The applicant will then be listed on the CWH Register. 1.9 Recertification and Annual Subscription Fees 1.9.1 The CWH is a re-certifiable and time-limited qualification. It is granted for a period of three – five years (adjusted to align with the period of the RACGP Quality Improvement and Continuing Professional Development (QI&CPD) Program and the ACRRM Professional Development Program (PDP). Recertification occurs every three years thereafter. This recertification is contingent on the CWH holder accruing a set of points in the RACGP QI & CPD Program or the ACRRM PDP. NOTE: CWH holders who are not included on the list of recognised GPs with the Health Insurance Commission will have their points administered by the RANZCOG. 44
  • 45. 1.9.2 Payment of an annual CWH subscription fee is required to ensure maintenance of the qualification and retention on the RANZCOG CWH Register. 1.9.3 If CWH holders do not pay their annual subscription fee by the due date or they fail to attain the required points by the end of the relevant triennium, they will be removed from the CWH Register. 1.9.4 CWH holders who have been removed from the Register will have to apply to the Training, Accreditation and Recertification (TAR) Subcommittee of the Conjoint Committee for the Diploma of Obstetrics and Gynaecology (CCDOG) for reinstatement on the CWH Register. 1.10 Appeals Procedures Decisions associated with the CWH are governed by the RANZCOG appeals procedures, which may be accessed via the College website at: www.ranzcog.edu.au/about/pdfs/appealsprocedures.pdf 45
  • 46. 2.0 DRANZCOG 2. DIPLOMA OF THE RANZCOG (DRANZCOG) 2.1 Eligibility Requirements for the DRANZCOG 2.1.1 To be eligible to be a trainee in the DRANZCOG training program, doctors must hold a primary medical degree in Medicine and Surgery issued by a medical school listed in the World Health Organisation publication World Directory of Medical Schools. 2.1.2 Prospective trainees must have general registration with the Medical Board of Australia under the National Registration and Accreditation Scheme. 2.1.3 Prospective trainees must also be in their second or subsequent postgraduate year. 2.2 Registration and Prospective Approval of Training & Training Settings 2.2.1 Prospective trainees must register with the RANZCOG and obtain prospective approval of training in order to have their training credited. This must be done using the DRANZCOG registration/prospective approval form available on the College website. The form should be lodged with the Training Services Department at RANZCOG not less than four weeks prior to commencement of training. 2.2.2 The DRANZCOG Logbook, completion of which is a mandatory assessment requirement, is only made available to the trainee once the registration and prospective approval process has been completed. This includes payment of the training fee. 2.2.3 Any training undertaken prior to registering and obtaining prospective approval will not be credited. 2.2.4 In order to be prospectively approved, training must take place in:  a hospital accredited by the College for the purposes of DRANZCOG training; or  a combination of appropriate practice-based and hospital-based training (the latter must be located at an accredited DRANZCOG training site); or  an arrangement where training is split between a RANZCOG-accredited hospital and a remote non-accredited site (i.e. in exceptional circumstances and only when approved prior to commencement of training by the Training, Accreditation and Re-accreditation (TAR) Subcommittee of the Conjoint Committee for the Diploma of Obstetrics and Gynaecology (CCDOG)). 46