Please refer to the accreditation handbook guidelines for supervisors and trainees.
Doctors on the Urgent Care training programme
"If you are a doctor in an accredited vocational training programme, you will have an established relationship with your supervisor. As long as you stay in your vocational training programme, as shown on your APC application form and verified by your College or other training authority, you do not have to keep CPD* records or establish a collegial relationship. If you withdraw from vocational training and continue practising you must establish a collegial relationship." (excerpt from MCNZ CPD brochure.)
Please note ED-based doctor section below.
*Note that RNZCUC DOES require CPD records for training and recertification.
Doctors working in Urgent Care who are registered in a General Scope
The MCNZ requires doctors registered in a General Scope, or who practise outside their vocational scope, and who are not in an accredited training programme, to practise in a collegial relationship with a doctor registered in that scope, and do Continuing Professional Development.
ED-based Urgent Care doctors
ED-based Urgent Care doctors (be they Fellows or trainees), in common with all ED doctors who are not Fellows of the Australasian College of Emergency Physicians (FACEMs), must must be in a 'collegial relationship" (as defined by the Medical Council) with a Fellow of the Australasian College of Emergency Medicine (FACEM).
The MCNZ has provided the following oversight guidelines in discussion with RNZCUC:
"How [oversight] is achieved is to be mutually decided by the overseer and the overseen.
Oversight will be given as set out in the General Oversight booklet produced by the Medical Council.
The two people may meet at individual meetings six times a year.
The six interactions may include group meetings of several doctors being overseen and one overseer.
The relationship may be more indirect between the overseer and the overseen if the clinical director is more experienced, e.g. the clinical director is an RNZCUC doctor.
The vocationally registered emergency medicine doctor could delegate some of his/her responsibilities, at his or her discretion, to another suitably trained and qualified doctor such as a vocationally registered RNZCUC doctor or other vocationally registered doctor who was on site.
This would be done with the approval of the Medical Council and with clearly defined responsibilities for the oversight."
ED experience is fully accepted by RNZCUC for Urgent Care training and recertification purposes. FACEMs may require additional CME activities as a condition of oversight.