RNZCUC requires attendance at these specialists clinics as part of the training programme:
- Orthopaedics (20 hours, or 10 hours attendance at a FRNZCUC-run fracture clinic)- Examination of common joints and orthopaedic conditions and review of the management of common orthopaedic conditions. Fracture management, classification. Referral guidelines.
- Plastics (10 hours)- Examination of the hand and management of wounds, hands and other plastic surgical conditions such as burns. Includes hand therapy as an option.
- Radiology (10 hours)- Review of systematic approach to plain radiology.
- Emergency Medicine (10 hours)- Common emergency conditions and their management. In all aspects of emergency medicine. Referral guidelines. Procedures not commonly performed in Urgent Care. An introduction to POCUS and its uses.
- ENT (4 hours)- ENT condition management such as quinsy, epistaxis, foreign body and nasal fracture as well as common ear conditions. Please try to attend clinics that see acute self-referrals or urgent care / ED referrals.
- Ophthalmology (4 hours)- common ophthalmological emergencies and use of slit lamp and visual acuity.
- Ambulance (1 shift)- the ambulance environment as well as discussion on priorities and feedback with regard to transfer and drop off. Contact the local shift roster manager. Download and complete this form and hand in before commencing your attachment.
RNZCUC encourages registrars to choose specialist clinics that are held in urgent care clinics and/or which review patients referred from an urgent care clinic or emergency department.
The goal of these attendances is to gain extra exposure and experience that may not be available routinely in an urgent care environment as well as to ask or be informed on the current management of relevant conditions by the specialist area. The registrar should already have adequate knowledge of the area. The practical management of conditions shared by a specialist with experience is invaluable knowledge.
The doctor signing to confirm attendance takes no responsibility for gaps in knowledge and is not expected to vouch for the competency. However, should time and availability allow, discuss the core skills that relate to the speciality.
Arrange the visits yourself, possibly with support from your supervisor. Some DHBs have restrictions on attending services so we recommend enquiring with the department on how to attend. RNZCUC has created a letter of support available for download here.
If no clinics in a particular specialty are held in your area (for example, plastic surgery), please contact the DCT for assistance. We may suggest and approve alternatives.
You should record your attendance at the clinics on this form and send it to the College once complete.