Fellowship of Australian College of Rural and Remote Medicine (FACRRM)
GP registrars enrolled in the Australian General Practice Training (AGPT) program and working towards completion of the FACRRM undertake a four-year program which includes a year of specialised training to prepare for rural general practice. The program normally comprises:
||Core Clinical Training (CCT)
||Post intern hospital posts
|Year 2 &3
||Primary Rural and Remote Training (PRRT)
||Rural or remote practices
||Advanced Skills Training (AST)*
||Advanced skills post
To be eligible to apply for the FACRRM, you must complete the following:
- Training must take place in ACRRM accredited facilities. This includes CCT, PRRT and AST training and the time spent whilst waiting for award of Fellowship after successful completion of exams (usually 8-10 weeks).
- Undertake placements in Rural or Remote areas, with the exception of the AST which may be undertaken in a metropolitan area if unavailable in a rural location.Successful attendance/completion of education workshops across the 36 month period. The detail of the workshops is outlined in each specific Term section to follow.
- Two ACRRM approved emergency courses
- Successful completion of fellowship formative and summative assessment components
- Multiple Source Feedback (MSF)
- Procedural Skills Logbook
- Mini Clinical Evaluation Exercises (miniCEX)
- Multiple Choice Question (MCQ) exam
- Structured Assessment using Multiple Patient Scenarios (StAMPS)
- Additional assessment for Advanced Skills post form according to the specific discipline (see ACRRM website)
The ACRRM Examinations
Disclaimer: The information provided in this section is current at the time of publishing and is subject to change. Contact ACRRM to confirm details prior to enrolling in the examination components.
The ACRRM Assessments and Examination
The ACRRM assessment process has been designed to provide registrars with a valid and reliable assessment of their knowledge, skills and attitudes that comprehensively reflects the educational outcomes of the training program, and is relevant to the rural and remote context.
a) Procedural Skills Logbook
The logbook provides structured and objective assessment of the registrars key psychomotor procedural skills at the level of competency required for independent rural and remote practice. The logbook contains those procedural items that are defined as mandatory skills in the ACRRM curriculum. Certification of competency in all skills is a prerequisite for those applying for the Fellowship of the College.
b) Multiple Source Feedback (MSF)
The MSF consists of three components; colleague feedback, patient feedback an online self-assessment. Upon enrolment, you will supply the names and addresses of 15+ colleagues who, upon agreement, will be provided with a relevant questionnaire. You will also be posted 25 patient questionnaires with detailed instructions on how to administer.
c) Mini Clinical Evaluation Exercises (miniCEX)
The mini Clinical Evaluation Exercise (miniCEX) examination assesses overall clinical competence which includes communication skills, history taking, physical examination, clinical judgment, clinical organisation and efficiency. The examination takes 3.5-4 hours to complete, spread over a four-week period. A total of nine cases will be seen. The examination is conducted in a regular clinical environment with non-emergency patients.
d) Multiple Choice Question (MCQ) examination
The MCQ examination provides an assessment of the registrar’s recall, reasoning and applied clinical knowledge. The examination is conducted over three hours (180 minutes) and consists of 125 questions that consist mostly of a clinical case presentation, a brief targeted lead-in question and four or five options, from which you are required to choose the single best option. Each question is designed to address specific components of the curriculum and focuses on topics and concepts that are important to the everyday experience of rural and remote doctors in practice. The examination is conducted through a secure website over the internet.
e) Structured Assessment using Multiple Patient Scenarios (StAMPS)
The Structured Assessment using Multi Patient Scenarios (StAMPS), is a blend of the Objective Structured Clinical Examination (OSCE) and the traditional viva vocé examination. The examination has been designed to provide ACRRM registrars with a reliable, affordable, flexible, acceptable and contextually relevant assessment method.
The examination is conducted by videoconference with each registrar in his/her home region and all examiners at the one examination centre. The registrars have one continuous videoconference connection, with examiners rotating between registrars, so that each registrar has a range of examiners. The registrars are provided with written documentation detailing the background information for each scenario at the start of the 10 minute reading time, which precedes the first scenario. Each examination comprises eight scenarios of 10 minutes duration, with five minutes between scenarios during which time the registrar can read the material for the next scenario. Each registrar’s performance is digitally recorded to assist in the marking process and for quality assurance purposes.
ACRRM is also developing AST StAMPS. From 2010 there is one available for Emergency Medicine.
Overview ACRRM Summative Assement Components
Refer to ACRRM Handbook as the timing of the assessments is dependent on the order in which you undertake training terms.
ACRRM Examination Enrolment
ACRRM recommend reading the Assessment Handbook prior to enrolling.