The document summarizes key points from an external review of prevocational training in NSW and actions taken in response. The review found commitment to training but noted resources were stretched. It made 24 recommendations related to administration, resources, and the changing healthcare structure. CETI is implementing the recommendations in 6 areas including learning support, accreditation system updates, and network-hospital relationships. Upcoming CETI events on rural research and allied health conferences are also announced.

1. cetiscape
CLINICAL EDUCATION
& TRAINING INSTITUTE
 Issue 4  March 2011  Promoting excellence in clinical education  www.ceti.nsw.gov.au  page 1 
Improving prevocational training
CETI is implementing key recommendations of an external review of prevocational training in NSW
An external review of the NSW prevocational training and 
Ensuring that all possible prevocational training places are
education network system conducted in 2010 “found an used as efficiently and effectively as possible, given the
extraordinary level of commitment of individuals and institutions growth in medical graduate numbers.
at all levels to prevocational training across the NSW health
The report of the independent panel has been considered by
system.” The review panel acknowledged that “many of the
the CETI Executive and the Prevocational Training Council,
current participants and the available resources are already
and will inform the development of prevocational training over
stretched”. In response, the panel made 24 recommendations,
2011. The report and CETI’s response are now available on
many relating to simplifying the administration of prevocational
the CETI website at <www.ceti.nsw.gov.au/prevocational>.
training or augmenting the available resources.
The prevocational network training system was set up by one
of CETI’s predecessor organisations, IMET, in cooperation External review panel members
with area health services in 2007. CETI commissioned
 Professor Andrew Wilson, Executive Dean, Faculty of
an external review in 2010 as part of its commitment to Health Queensland University of Technology, Board
continuous quality improvement. The review team were given member of Health Workforce Australia
a brief to consult widely with state trainees and prevocational
 Denise Robinson, former NSW Chief Medical Officer
Dr
training providers. and Deputy Director General Population Health
“Many stakeholders thought that reforms to network training  Anthony Llewellyn, Staff Specialist and Hunter New
Dr
were needed,” said Professor Andrew Wilson, chair of the England Mental Health Executive Medical Director, Primary
review panel, “and the changing health structure in NSW had and Community Network, HNE Health
to be considered in formulating our recommendations. We are  Jim Newcombe, Paediatrics Trainee, Greater Eastern
Dr
grateful to all the participants of the review who gave up their and Southern NSW Child Health Network
valuable time to provide feedback on the current system.”  Debbie Paltridge, National Project Coordinator –
Ms
Confederation of Postgraduate Medical Education Councils
The review panel’s recommendations relate to six main themes:
 Louis Christie, Director of Medical Services, Orange
Dr

Systematically implementing a learning model that
Base Hospital NSW
supports the Australian Curriculum Framework for Junior
Doctors to ensure high quality experiential-based learning
complemented by other learning modalities across the
NSW health system.

Updating and rationalising the accreditation system to be In this issue
consistent with and reinforce the model.

Improving the fit between prevocational training networks 
Improving prevocational training 1
and the new local hospital networks. 
Coming: Fourth Rural Health Research Colloquium 2

Ensuring equity and access in relation to training

Coming: Fifth NSW Rural Allied Health Conference 2
opportunities, including rural rotations.

Improving the governance arrangements for the networks 
Coming: NSW Prevocational Medical Education Forum 2
to improve clarity of responsibility.  evaluation framework for CETI
An 3

Workshop brings rural researchers together 4
 Forum: planning another big year
JMO 5
Building 12, Gladesville Hospital, Victoria Road, Gladesville NSW, 2111 Editor: Craig Bingham
Locked Bag 5022, Gladesville NSW 1675 02 9844 6511
CLINICAL EDUCATION
& TRAINING INSTITUTE p: (02) 9844 6551 f: (02) 9844 6544 e: info@ceti.nsw.gov.au cbingham@ceti.nsw.gov.au

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 March 2011  Promoting excellence in clinical education  www.ceti.nsw.gov.au  page 2 
CLINICAL EDUCATION
 Issue 4
& TRAINING INSTITUTE
Coming events
Rural research Strong foundations in shifting sands
î
Fourth Rural Health
Research Colloquium
Fifth NSW Rural Allied Health Conference î
The Glasshouse, Port Macquarie, 9–11 November 2011
Dubbo, 11–13 October 2011 Presented by CETI’s Rural Division
The Colloquium is co- Rural allied health services bring together a blend of
convened by the Australian multidisciplinary skills, requiring a flexible approach to
Rural Health Research cooperation, coordination and collaboration. Interdisciplinary
Collaboration and CETI’s Rural rural health partnerships have become strong foundations
Division, and will be hosted by which will continue to sustain quality care in shifting sands,
The Western NSW and Far West Local Health Networks. the transitional period of the current national health reform.
The theme for the Colloquium is “Sustaining Rural Health This conference will provide an opportunity for all allied health
through Research”. staff, managers and education providers to demonstrate how
collaborative health partnerships create models of care which
Abstracts are now being received (closing date 13 May achieve positive patient journeys.
2011). Abstracts should present research with implications for
This conference is designed
rural health practice, and should demonstrate clarity in regard
to attract rural and remote
to the research question, research method, and the analysis of
allied health clinicians from
qualitative and/or quantitative data.
new graduates to senior
Areas of particular interest include: managers, and those who

Aboriginal health work in partnership with allied
health services.

Preventive health and health promotion
Abstracts are now being

Community well-being
received (closing date 27 June 2011).

Service delivery
Additional information can be obtained from the conference

Workforce.
website: <www.hotelnetwork.com.au/conferences/
For additional information, please see <www.rhrc.com.au>. conferences/ruralhealth2011>
Principles and practice
î
NSW Prevocational Medical Education Forum
Stamford Grand North Ryde 11–12 August 2011
î
At this year’s prevocational forum, medical educators,
directors of training and administrators will share their
experience, workshop the issues that matter and hear
practical advice from leaders in JMO education.
On the agenda
 learning model in prevocational training: who learns
The
what, when, how.

Tuning the networks for smoother performance

Workable methods of assessing trainees and evaluating
programs: building better feedback

Workshop: techniques for building online learning

Maximising the benefit of general practice training terms

Innovations in training and education.
16th Australasian
More information: Craig Bingham (02 9844 6511, Prevocational Medical Education Forum
cbingham@ceti.nsw.gov.au), or visit the website <www.ceti.
nsw.gov.au/prevocational>. 6-9 November 2011 Auckland, New Zealand

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CLINICAL EDUCATION
 Issue 4
& TRAINING INSTITUTE
An evaluation framework for CETI
Dr Gaynor Heading, General Manager, CETI
CETI aims to improve patient outcomes by enhancing the As CETI’s new divisions (eg, Allied Health, Nursing and
education and training opportunities and resources available Midwifery and the Centre for Learning and Teaching) take
to health professionals. We will achieve this goal by working shape, new staff will create program-specific evaluation
with health professionals, health services, consumers, plans within the framework and guided by the organisation’s
government, educational providers, member organisations mission and goals. We will consult our partners in the local
and partners. Because we aim to be an efficient and health networks during this process.
evidence-based facilitator of training, we think that the
evaluation of our programs is central to our activities.
CETI is developing an organisational
evaluation framework to ensure
that the organisation, and its
initiatives, programs and Elements of the program logic model
projects are evaluated
regularly, consistently and Inputs: Outputs: Outcomes:
P
in accord with principles of R resources – what the program short, medium,
best practice. O what is invested does – long term
activities and
This work builds on a number of B
participant reach
related CETI activities including L
the recent review of prevocational E Assumptions:
training networks (see page 1) and M
about the nature of the Environment:
the evaluation of capacity building problem, and the
programs. In addition to identifying linkages between
elements of the program
external factors that
organisational achievements
influence outcomes CLINICAL
and informing decision making, the & TRAININ
framework will ensure that business
decisions are based on evidence and that the
organisation is accountable. Evaluation findings will identify
our strengths and weaknesses and contribute to continual
enhancement of our work.
Part of CETI’s approach to evaluation is staff capability
building. Staff will be supported in evaluation
CETI’s seven Cs
CLINICAL EDUCATION
& TRAINING INSTITUTE
planning, program logic modeling and evaluation plan
implementation. Results identified through such activities Capacity
will be communicated to stakeholders and findings will be Communication
incorporated into programs to drive improvement.
Collaboration
During March, CETI held its first program logic workshop for
staff. A number of places were offered to partner agencies, Coordination
and we welcomed participants from the Policy and Technical Competency
Support Unit, the Clinical Excellence Commission and the
Cancer Institute NSW. Program logic is a practical method Care models
for planning programs to ensure that the linkages between Culture
aims, processes and outcomes are logical and that evaluation
of the program is integral to the program design. We hope
that sharing tools and knowledge across agency partners will
support future collaborative efforts.

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CLINICAL EDUCATION
 Issue 4
& TRAINING INSTITUTE
Workshop brings rural researchers together
Thirty-three researchers from the Rural Research Capacity The Thursday program focused on stages of writing,
Building Program gathered for the annual two-day workshop enhancing recruitment, data collection and comparative
at the University of Sydney on 23–24 February. Bringing statistics. A reflection and feedback session bringing the two
together current participants from the 2009 and 2010 groups together concluded the workshop.
cohorts, the workshop combined lecture, small group and
Tutors and presenters came from the Australian Rural Health
interactive sessions.
Research Collaboration (ARHRC), the PHC Collaboration,
On Wednesday, Associate Professor David Perkins shared the NSW Health Bio-statistics program as well as graduates
his expertise on writing literature reviews, before candidates and staff from CETI Rural Division. Thank you on behalf of all
split into groups for targeted sessions on topics ranging the candidates to David Lyle, David Perkins, Megan Passey,
from running interviews to descriptive statistics. In project Raechelle Rubenstein, Frances Boreland, Alistair Merrifield
development workshops, participants met with tutors to and Rachael O’Brien.
discuss and solve problems in their own projects. The
The value of networking and peer support provided by the
day concluded with a dinner which provided networking
workshop was a strong theme in feedback from participants,
opportunities for the two cohorts.
who also provided plenty of ideas for next year’s event.
Left: David Lyle gets precise.
Below: The workshop group.
Right: IMG stats can be fun
with Frances Boreland (at left
of picture).
For further information on the Rural Research
Capacity Building Program please contact
Emma Webster (6841 2652) or David Schmidt
(6492 9600) or visit <www.ruralceti.health.
nsw.gov.au/initiatives/building_rural_research_
capacity>.
Scholarships for doctors in rural training
 you be working in two or more rural terms this year?
Will 
Prevocational trainees — 2 terms
Are you in a CETI network training program? 
Basic trainees — 2 3-month terms
 you can answer yes to both questions then you may be
If 
Advanced trainees — a full clinical year.
entitled to apply for a rural scholarship of up to $6,000,
depending on your level of training. Eligible trainees receive payments of:

$1500 for prevocational trainees
The Rural Scholarship Fund supports medical trainees
committed to training and providing patient care in rural 
$5000 for basic trainees
locations in NSW. Prevocational (PGY1 or 2), basic physician, 
$6000 for advanced trainees.
paediatric physician, emergency medicine, pre-specialist Applications for the Rural Scholarship Fund close on 15 April.
surgical and psychiatry (basic and advanced) trainees can apply.
For more information, follow the links on the CETI website or
Applicants must complete a minimum number of regional contact Andrea Ross (02 9844 6530) or Kirsten Campbell
and/or remote terms in NSW Health facilities in the 2011 (02 9844 6536) at CETI.
clinical year as follows:

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 March 2011  Promoting excellence in clinical education  www.ceti.nsw.gov.au  page 5 
CLINICAL EDUCATION
 Issue 4
& TRAINING INSTITUTE
JMO Forum: planning another big year UM
FOR
JMO
Lucy Cho
JMO Forum Chair 2011, PGY2 at Wollongong Hospital (Oceans 11 Training Network) N E W S O U T H WA L E S
lucy.cho@sesiahs.health.nsw.gov.au
The NSW JMO Forum began a new year of work at its first
meeting for 2011 on 11 March at the old Gladeville Hospital.
Elected representatives from the 15 prevocational training
networks in NSW and the ACT were present.
The group discussed the report of the External Review of
Prevocational Training (see story, page 1). CETI is acting on
the recommendations for improving prevocational training,
and the JMO Forum, through its advice to the Prevocational
Training Council, will be helping to shape developments. CETI Chief Executive Professor Steven Boyages spoke to the
meeting about his vision for work-appropriate technology and the
The Forum redefined its working groups and launched some future of medicine.
great projects for the year (see below).
All JMOs should know that they can contact their hospital or
Acute Care Taskforce: safe clinical
network JMO Forum representatives if they have any concerns
or good ideas to share regarding their education and training. handover
Check out <www.ceti.nsw.gov.au/jmoforum> for more info and In 2010 this NSW Health project focused on JMO shift
a contact list. handover, rolling out recommendations for a structured
approach to ensure that the transfer of patient care is efficient
and effective, and that JMOs learn from the experience. The
Become an accreditation surveyor taskforce will soon be assessing the changes made in handover.
The Prevocational Accreditation Committee is always looking JMO Forum reps will be helping with an audit of handover
for interns and residents to join the accreditation survey teams procedures in their hospitals.
which check that training hospitals are meeting standards for The next stage of the Safe Clinical Handover project focuses on
prevocational education, training and JMO welfare. If you are handover from hospitals to GPs and vice versa. If you have any
interested in becoming a surveyor please contact Mathew comments on handover in your hospital please pass them on.
Smith at CETI (msmith@ceti.nsw.gov.au). You are paid for
a rostered working day and have travel/accommodation
expenses covered where necessary. It’s a great way to see Education working group
what is happening at other hospitals, network with other JMO contact: Dr Blake Sandery, blake.sandery@gmail.com
clinicians and support your colleagues.
The Education group is very excited to get back to work this
year, riding high on the success of the unified lecture series
Emergency department capacity for last year (see story in cetiscape, December 2010). At the first
forum meeting, we outlined a few big, but we hope achievable,
interns projects for the year:
Rebecca Leon, from the Workforce Development and Innovation Skills Audit Tool — an online skills log. Having focused on
Branch of NSW Health, spoke to the JMO Forum about future increasing knowledge last year, we felt it would be beneficial to
challenges of education and supervision in EDs in NSW arising address the improvement of JMO skills this year. The skills audit
from the large volume of graduates coming in and the ongoing tool would serve as a personal record where JMOs could keep
shortages and stresses on senior ED staff. track of the number and type of procedures they have performed
A NSW Health working group will be looking into ways to (eg, lumbar punctures, central lines, assisting in theatre), along
increase the capacity of emergency departments to provide with any complications or learning points. This would help
this core term in a safe and effective manner. JMO Forum highlight any areas of improvement needed, and could also be
used as a good addition to a resume.
representatives will be involved in the working group. If you
have any ideas or questions for the working party, please Peer-to-peer teaching. Every JMO has had a different clinical
pass them on to your JMO Forum rep. experience, and as such, has developed specific knowledge

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CLINICAL EDUCATION
 Issue 4
& TRAINING INSTITUTE
that other JMOs will not have. It
would be fantastic if we could
tap into that knowledge, and
find an easy way for it to be
shared in some form of peer-to-
peer teaching. We’re aiming to
develop practical ways to help
institute peer to peer teaching.
New and improved
assessment. Following Pictured left to right: Education working group members Dr Vik Gupta, Dr Richard Sullivan, Dr Jean-Paul
on from the work of the Favero, Dr Blake Sandery, Dr Emily Zammit, Dr Kieren Po, and Dr Elize O’Reilly.
assessment portfolio last year,
and the review of assessment
conducted by CETI, we hope
to trial some new assessment
forms which will provide more
valuable feedback on your
performance.
If you’re a JMO and have some
ideas for any of the above
topics, we’d love you to get in Pictured left to right: Accreditation working group members Dr Stefan Aveling, Dr Daniel Stewart,
contact with the JMO Forum Dr James Maung, Dr Cameron Korb-Wells, Dr Louisa Ng and Dr Negin Sedaghat.
education working group.
Accreditation working group Information technology working group
JMO contact: Dr Negin Sedaghat, neginsedaghat@gmail.com JMO contact: Dr Gabriel James, gabatronic@gmail.com
The accreditation working group will aim to become more This small but enthusiastic working group has the following
familiar with the standards of accreditation for prevocational aims for the year:
terms and training facilities. As accreditation is directly 
Define available IT resources for JMOs:
concerned with maintaining high standards of training  software being used at hospitals (each AHS/network)
and welfare of prevocational trainees, this working group  popular smartphone apps and websites being used by
looks forward to positively contributing, with other key JMOs.
stakeholders, towards refining the standards. The proposed 
Improve use of existing resources:
outcome for this year is to develop a representative JMO  provide handy hints for use of powerchart and similar
working paper regarding the current standards which we tools
hope will support a robust accreditation process. The  define basic standards JMOs should expect at their
working group will also be reviewing ways and methods of hospitals (hardware and software), based on surveys
increasing JMO recruitment in the accreditation process.  create a list of apps and IT resources for JMOs

Create new resources:
 investigate simple software systems, such as an
overtime task list that might be implemented state-wide
 support other working groups in creating good online
content for welfare, education, careers, supervision and
networking tools
 study possibility of getting MIMS and other useful apps
made available to all JMOs
 study idea of a NSW JMO app with curriculum content,
Pictured left to right: IT working group members networking, rostering, procedure log, etc.
Dr Tom Hughes, Dr Gabriel James and If you’re an IT-savvy JMO or have a helpful app you’d like to
Dr Brenton Sanderson. share, please get in touch with us.

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Supervision working group
JMO contact: Dr Rahil Nagpal, nagpal.rahil@
gmail.com
The supervision working group is continuing
work commenced last year on profiling
supervision for JMOs in NSW. There was
a good response to the survey conducted
in Term 5 2010, and the group is currently
analysing the data to compare the surgical/
medical/ED experience and to identify terms
of concern across the state.
The group is looking at ways and means to
identify and help JMOs who may need some
initial extra support and to preempt Pictured left to right: Supervision working group members Dr Rahil Nagpal,
problems by improving preparation (eg PRINT Dr Jovina Graham, Dr Shehnarz Salinders, Dr Kristelle Day, Dr Russell Thomas,
terms, orientation, buddy systems). If you have Dr Masum Alam and Dr Peter Chigwidden.
some ideas about what does or does not work
in your hospital and ways to improve the intern
experience please let us know.
Careers working group
JMO contact: Dr Nicole Hersch, nhersch@nsccahs.
health.nsw.gov.au
This is a new working group which aims to provide
JMOs with career-related information from their
first days as an intern through to their transition into
specialty training.
The careers group will update and continue work on
the Doctor’s Compass handbook, which is a broad
introduction to managing the challenges of internship.
This year we hope to create a new publication as
well — a guide to training that collates information
on vocational training in all the major specialties with
Pictured left to right: Careers working group members Dr Usaid Allahwala, information on colleges, deadlines, courses and other
Dr Christine Velayuthen, Dr Adi Vyas, Dr Morgan Anslow, Dr Timra Bowerman, helpful information. This is a big task and of course
Dr Christine Verdon, Dr Juan Dong and Dr Nicole Hersh. more people are welcome to join and help the group,
especially anyone with magazine making/IT skills.
cetiscape is published monthly by email and online: The submission deadline for each issue is the middle of
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Building 12, Gladesville Hospital, Victoria Road, Gladesville NSW, 2111 Editor: Craig Bingham
Locked Bag 5022, Gladesville NSW 1675 02 9844 6511
CLINICAL EDUCATION
& TRAINING INSTITUTE p: (02) 9844 6551 f: (02) 9844 6544 e: info@ceti.nsw.gov.au cbingham@ceti.nsw.gov.au