All registrars and Fellows are required to complete ongoing recertification activities.
Background MCNZ requirements
The MCNZ requires 50 hours per annum of continuing professional development activities. RNZCUC’s CPD programme is a points-based system based on MCNZ guidelines. There are five compulsory CPD activities, of which three are points based, where one point is given per hour, to prescribed maxima.
1. Professional development plan (‘PDP’)
2. Annual resuscitation course
3. Continuing medical education (points)
4. Audit (points)
5. Peer review (points).
A minimum of 120 hours per cycle is required from the points-based activities above. Combined with the resuscitation and professional development plan requirements, this exceeds MCNZ’s CPD requirement of 50 hours per annum.
The RNZCUC recertification programe (for registrars and Fellows) covers a three-year cycle of activities.
- Clinical hours in urgent care. Fellows should complete 600 hours in urgent care over the triennium. Registrars should complete 400 hours in urgent care (as described in the Fellowship Regulations) per annum.
- Maintain a Professional Development Plan (PDP). This is updated with goals for the next year/few years, how you intend to achieve that goal, the outcome of that action, and any reflection on having completed that goal.
- Complete Continuing Medical Education (CME). You should gain CME 60 points over a triennium, which averages out to 20 points per annum. One point equates to one hour of activity, but note that RNZCUC awards points for workshops and conferences up to a maximum of 6 points per day.
- Peer review. You should gain a minimum of 10 points per year, and over a triennium a minimum of 30 points. Peer review groups will be discussing cases applicable to urgent care. One hour of peer review equates to one point.
- Resuscitation. Fellows and registrars complete a resuscitation course annually. Registrars are to complete a full ACLS in their first year of the training programme (unless granted CPLE). RNZCUC recommends completing resuscitation courses most appropriate to your clinical practice. The minimum requirement for ongoing resuscitation is an annual refresher, though RNZCUC recommends a full resuscitation course every three years.
- Clinical Audits. One clinical audit is required annually. The RNZCUC pattern for clinical audits is:
- Clinical Notes Audit (CNA). Registrars are to complete one within three months of commencing the training programme. Thereafter, Fellows and registrars are to complete a CNA every three years (unless granted dispensation).
- Patient Satisfaction Survey (PSS). Registrars are to complete one within twelve months of commencing the training programme. Fellows and registrars are to complete a PSS every three years.
- RNZCUC-approved optional audit. One every three years. There are several pre-approved ‘optional’ audits. Doctors may also request that alternatives be approved as their ‘optional’ audit.
CPD is recorded on ePortfolio. Doctors are reminded to load supporting documentation to support their record of professional activities.