The RNZCUC training programme leads to Fellowship in urgent care. It is designed with the needs of part time trainees in mind. Fellowship criteria include four years and 3,000 hours of experience. Up to 1,500 hours of prior experience can be recognised. The main parts of the programme are:- The Urgent Care Course and UCPEX examination- Three university papers, and- An accreditation process.
The current Fellowship criteria are listed below, along with the criteria for trainees who joined prior to 2012.
If you are ready to join the programme, please complete the application form
Post-2012 Criteria READ MORE
These are the criteria for students who begin training in 2012 or later.Trainees who commenced before 2012 may also be able to attain Fellowship using these criteria, provided they obtain Board of Censors approval.
Emergency Medicine Fellows may be eligible for an Accelerated Pathway to Fellowship.
CategoryCriteriaPrescribed trainingA) Trainee (1)1. Registration with the MCNZ or other RNZCUC-approved registration body.2. Current annual practising certificate.3. One year of supervised postgraduate general medical training, including one pre-registration intern year and one year including posts in general medicine and/or surgery in full time supervised positions as approved by RNZCUC. (7)1. Complete accreditation process2. UCPEX3. UCC 2012(4)4. University courses (5)5. Four years / 3,000 hours of Urgent Care Clinic or Emergency Department experience. (6) B) Advanced trainee (2)1. Trainee criteria as above2. UCC plus UCPEX.3. 1,000 hours of Urgent Care Clinic or Emergency Department experience.(6)1. University courses (5)2. Complete four years / 3,000 hours of Urgent Care Clinic or Emergency Department experience. (6) C) Fellow (3)1. Trainee / advanced trainee criteria as above.2. Four years / 3,000 hours of Urgent Care Clinic or Emergency Department experience.(6)3. University courses.(5)4. Exit interview.5. Education Committee confirms accreditation complete.Begin recertification
Notes:1) For the first 1,000 hours of accreditable experience, trainees must work with another doctor on-site whose vocational standing is at least advanced trainee or equivalent in the field in which the experience is being obtained, or who is otherwise approved by RNZCUC, for example, an RNZCUC graduate or advanced trainee in respect of Urgent Care Clinic experience, a FACEM or senior registrar in respect of emergency department experience, or a vocationally registered general practitioner or registrar with PRIMEX in the case of general practice experience.
Time spent working alone without this level of direct supervision will not be recognised for accreditation purposes.RNZCUC generally approves registration bodies in countries that the Medical Council of New Zealand considers to have a healthcare system comparable to New Zealand’s. A list of these countries can be found here
2) Advanced trainees may work alone, subject to MCNZ supervision criteria, and may use the letters ‘MRNZCUC’.
3) Fellows may work independently and may use the letters ‘FRNZCUC’.
4) Urgent Care Course, 2012The Board of Censors may accept trainees who have completed the UCC prior to 2012 (then called the AMCC), with Board of Censors-prescribed additional learning and assessment (‘supplementary module’) to give 2012 UCC equivalence.
5) Presently the required courses are the University of Auckland’s postgraduate Diploma courses in Paediatrics (714), Evidence for Best Practice (709), and one course of the trainee’s choice (see below).
6) Four years’ experiencea) Hours required3,000 hours experience is required, with a minimum of 400 hours in any one year.
b) Definition of yearA year can be any 12-month period nominated by the trainee.
c) SupervisionExperience is to be supervised per RNZCUC Education Committee standards.
d) Alternative experienceGeneral practice experience or subspecialty ED experience (such as paediatric emergency department or other RNZCUC-approved) to a maximum of 500 hours is accepted.
e) Proof of hoursA log of hours submitted as part of the urgent care training programme is accepted as proof of hours.
f) Junior doctor hoursHours worked by junior doctors prior to full registration (that is, during or prior to New Zealand postgraduate year 1 [PGY1] or overseas equivalent) can not be claimed.
g) Countries acceptedHours worked in a country on the MCNZ’s list of countries with a healthcare system comparable to New Zealand’s (‘MCNZCHS’) are accepted. Hours worked in a facility administered by a MCNZCHS country and of a comparable standard to MCNZCHS urgent care and emergency department facilities (such as NATO overseas armed forces medical facilities) may be accepted at RNZCUC’s discretion.
h) Hours worked PRIOR to joining the training programme
i) Up to 1,500 hours of Emergency Department experience worked while a member of an approved Emergency Medicine or Rural Hospital Medicine training programme, or while working with direct on-site supervision from a FACEM or approved equivalent are accepted.
ii) Up to 1,500 hours of urgent care experience worked with direct on-site supervision from an Urgent Care Fellow are accepted.i) Armed forces trainees.
Armed forces trainees may claim credit for up to 1,500 hours worked in armed forces medical facilities, provided that the patient care services are covered by the urgent care curriculum.
A log of all cases must be kept including, for each shift, commencement and finishing times, hours claimed and diagnoses. Maximum credit of one hour per two patients applies.j) Minimum hours after joiningNotwithstanding a) – i) above, a minimum of 1,500 hours must be worked in an Urgent Care facility or Emergency Department while a member of the RNZCUC Urgent Care training programme.
7) Doctors entering the training programme after one postgraduate (house surgeon) year must submit a professional development plan (PDP) for the second postgraduate year.A PDP comprising typical house surgeon runs and urgent care training activities is likely to be accepted. A plan to work unsupervised in the community may be rejected.
University Optional Courses
The optional course is in addition to the two courses in note 5 above. RNZCUC intends this to give trainees an opportunity to study an area of interest in more depth. Topics should be relevant to Urgent Care, and not covered elsewhere in the training programme (see list below).
RNZCUC may accept other courses, proposed or prior, that meet the above intent.Diplomas and diploma courses, from a country on the MCNZ’s list of countries with a healthcare system comparable to New Zealand’s, can be accepted. College-based diplomas, such as ACEM’s, may also be accepted, provided they are comparable to a university course in depth and rigour of assessment.
Please contact the College if you wish to have an alternative course considered in lieu of the optional course.
Accepted Courses include:
a) Distance learning options
POPLPRAC 743 Upper Limb and SpineSports medicine course
POPLPRAC 744 Lower Limb and PhysiotherapySports medicine course
POPLHLTH 701 Research Methods in HealthSuitable for those interested in research, particularly with a view to a later Postgraduate Diploma, Master’s and Doctorate.GENA 717 Generalist Medical Echocardiography – University of OtagoGENA 718 Generalist Medical Ultrasound – University of Otago
b) Taught on-site only (University of Auckland, Tamaki Campus)
POPLPRAC 702 Primary Mental HealthCommunity psychiatry; includes communication.
HLTHMGT 721 Health ManagementUnit-level management. Suitable for those interested in facility management.
POPLHLTH 722 Organisation of Health SystemsMacro level health systems.
Certificate vs ‘Certificate of Proficiency’
To clarify, a certificate comprises four courses done as part of a University approved certificate programme.A Certificate of Proficiency certifies proficiency in one course only.Three courses are needed for Fellowship.Four courses will qualify a student for a Postgraduate Certificate in Health Sciences.Students may therefore wish to consider doing an extra course and getting a postgraduate certificate.
This gives the option for the academically inclined of going on to a Postgraduate Diploma, Masters and Doctorate, and possibly a teaching and / or research position.Generally, RNZCUC and Urgent Care would benefit if least some students do this, to bolster the Urgent Care presence in the University and support Urgent Care teaching and research.
In summary, students who only want to do what’s needed for Fellowship and no more should do the three courses individually as a ‘Certificate of Proficiency.’Those who want a certificate should enrol in a Postgraduate Certificate in Health Sciences.
Not that the University may allow a student to reassign one or two courses completed as Certificate of Proficiency towards a Postgraduate Certificate in Health Sciences.The student must apply to the University to do this.
For information on how to apply for a programme (either a Postgraduate Certificate in Health Sciences or a Certificate of Proficiency) and application deadlines please see this link:
The University of Auckland Application and Enrolment ProcessRNZCUC advises all trainees to apply for admission earlyAdditional information is on these University of Auckland webpages created by the School of Population Health to assist RNZCUC Trainees.
These pages include:
– Your programme and course options. – The process of applying for admission and course enrolment- Important information for all students at UOA – UOA contact information for advice
Pre-2012 criteria READ MORE
These criteria are for trainees who commenced training prior to 2012. They may also be able to attain Fellowship using the 2012 criteria, provided they obtain Board of Censors approval.
CategoryCriteriaPrescribed trainingA) Trainee (1)1. Registration with the MCNZ or other RNZCUC-approved registration body.2. Current annual practising certificate.3. Two years of supervised postgraduate general medical training, including one pre-registration intern year and one year including posts in general medicine and/or surgery in full time supervised positions as approved by RNZCUC.1. Complete accreditation process2. BoC approved primary (4)3. Four years / 3000 hours of Urgent Care Clinic or Emergency Department experience. (5)4. PG Diploma in Community Emergency Medicine. B) Advanced trainee (2)1. Trainee criteria as above2. BoC approved primary.3. 1000 hours of Urgent Care Clinic or Emergency Department experience.1. Sit part II examination (PGDipCEM)2. Complete four years’ experience (3000 hours). (5) C) Fellow (3)1. Trainee / advanced trainee criteria as above.2. Four years / 3000 hours of Urgent Care Clinic or Emergency Department experience.3. PG Diploma in Community Emergency Medicine.4. Exit interview.5. Education Committee confirms accreditation complete.Begin reaccreditation.
Notes:1) Trainees are recommended to work with another doctor whose vocational standing is at least advanced trainee or equivalent in the field in which the experience is being obtained, or who is otherwise approved by RNZCUC, for example, an RNZCUC graduate or advanced trainee in respect of level two experience, a FACEM or senior registrar in respect of emergency department experience, or a vocationally registered general practitioner or registrar with Primex in the case of general practice experience. Time spent working alone without this level of direct supervision will not be recognised for accreditation purposes.
2) Advanced trainees may work alone, subject to MCNZ supervision criteria.
3) Fellows may work independently.
4) Board of Censors (BoC) approved primaryUCPEX and the ACEM part 1 are the only approved primary examinations. The Board of Censors will review the list of acceptable alternative primary examinations annually, or at its discretion.
5) Four years’ experience3,000 hours experience is required, with a minimum of 400 hours in any one year.
A year can be any 12-month period nominated by the trainee.General practice experience or subspecialty ED experience (such as paediatric Emergency Department or other RNZCUC-approved) to a maximum of 500 hours is acceptable.Experience is to be supervised per RNZCUC Education Committee standards.
A log of hours submitted as part of the Urgent Care training programme is accepted as proof of hours.
Verifiable overseas experience to a maximum of 1,000 hours will be accepted.
Up to 1,000 hours of New Zealand Emergency Department experience worked while a member of the Emergency Medicine or Rural Hospital Medicine training programmes is accepted.
A minimum of 1,500 hours must be worked in an Urgent Care facility or Emergency Department while a member of the RNZCUC Urgent Care training programme.
Hours worked prior to full registration (PGY1 or before) can not be claimed, excepting that overseas trained doctors working under interim registration (prior to full registration) may claim their hours.
Urgent Care definition
RNZCUC defines Urgent Care as primary care services that are episodic, with a no-appointments system, and covered by RNZCUC’s training programme.
General practice experience
RNZCUC does not provide training and recertification in the ongoing management of long term medical problems. The MCNZ recognises the RNZCGP as the group responsible for this aspect of primary care.
Doctors who provide ongoing care, irrespective of the ‘level’ of the facility in which the service is provided, should be vocationally registered as general practitioners, or practising under.
On Completion of the Training Programme
On completion of the training programme, the Board of Censors will check that you are eligible for Fellowship, and confirm this during an exit interview.
To become registered as a Fellow with the Medical Council of New Zealand, complete the appropriate MCNZ form . The forms and locations on the MCNZ website change periodically.
The MCNZ will compare applications with a list, supplied by RNZCUC, of doctors who have fulfilled RNZCUC’s criteria.
Fellows must enter RNZCUC’s recertification programme in order to maintain vocational registration.
Recognition of alternative clinical experience for reaccreditation
Some vocationally registered urgent care physicians provide services from a facility that does not quite meet the approved facility criteria. An example is doctors practising in the armed forces. RNZCUC feels that it is in the best interests of the public that such physicians be able to maintain vocational registration in urgent care.
Accordingly, up to half such work (four hours per week) can be counted towards urgent care reaccreditation, subject to the following conditions:
1. A biennial log of one week’s consecutive patients and diagnoses be kept.2. That information on hours of xray and accessibility to x-ray be provided.3. That there is no other vocational branch that provides training and recertification that more closely addresses the services provided.4. Approval by the Medical Council.
Responsibilities of Fellows
The MCNZ expects Fellows of all branches to be ready, if asked, to help Council and their Branch in certain areas, including:
1. To work in Collegial Relationships with more junior doctors if requested.2. To go on a Professional Conduct Committee, Vocational Practice Assessment or Performance Assessment Committee, and / or, to recommend a suitable colleague.3. To refer any colleague for a competence review, as needed.4. To help Council to teach and support colleagues whose clinical performance is poor.