Clinical Radiology Reforms

The Clinical Radiology Steering Committee reviewed the existing components of the Clinical Radiology Curriculum and identified eight core ‘domains’ of knowledge and skills for assessment purposes. These eight domains form the basis of the new training program.

The Clinical Radiology training program represents a large body of work achieved as a cooperative effort by a large number of people both within and outside the College. The training program will continue to be reviewed and updated in order for it to retain relevance and to meet the goals for which it was designed.

Curriculum Framework

The Clinical Radiology curriculum will cover seven main areas.

  1. Applied Imaging Technology
  2. Artificial Intelligence
  3. Anatomy
  4. Pathology
  5. Diagnostic Radiology
  6. Procedural Radiology
  7. Intrinsic Roles

To view the full version of the learning outcomes, please click here 

Want to have your say?

If you would like to provide feedback on the curriculum/learning outcomes, please click here. Feedback is open until 20 October 2019.

Work Based Assessments

The Steering Committee, with input from working groups, reviewed all the current assessments and examinations to ensure they were fit for purpose, and allow measurement of trainee’s performance and progression. 

New assessment tools are developed adopting the ‘Entrustable Professional Activity’ model of assessment, in which supervisors make judgements of competency based on the level of supervision required by trainees when performing a task.  

The Entrustability Scale was incorporated into some work-based-assessment tools. The scale ranges from one (major supervision required in all aspects of practice) to four (competent) and reflects how ready the clinical supervisor feels the trainee is for independent clinical practice. The concept of Entrustability is at the forefront of modern medical education theory and offers ongoing formative feedback and tracking of competency milestones based on real-world supervisory judgements.  

How does the Entrustability Scale work?

It is expected, for example, that in the early phases of training, a trainee will require more direction from their supervisor and will be operating at Level 1 or 2. However, towards the final years of training and particularly before sitting the Phase 2 exam, it is expected that a trainee would require little to no guidance and be assessed as meeting Level 3 or Level 4.

The four levels of the Entrustability Scale are outlined below:

Entrustability Scale

Description

Level 1

Constant direct supervision required

Level 2

Direct Supervision required

Level 3

Minimal Direct Supervision required

Level 4

Direct Supervision not required

Since frequent feedback contributes significantly to trainee learning, the assessment tools are designed to be used numerous times to obtain feedback to assist trainees in progressing towards competence. It is expected that trainees who have lower ratings earlier in training will demonstrate improvement as they learn and gain more experience. 

Trainees hold the responsibility for initiating work-based assessments, though clinical supervisors may suggest that a trainee observe or discuss a particular case if they believe they might benefit from it. 

Want to have your say?

We encourage trainees and supervisors to trial the draft work-based assessments below. You can provide feedback on your experience using the form here and returning it to This email address is being protected from spambots. You need JavaScript enabled to view it..

Key Conditions Assessment  

The Key Conditions in the Early Training component of the curriculum defines the clinical conditions which may be life threatening if undiagnosed over a period of 12 hours. Training sites are required to ensure trainees have adequate knowledge of and exposure to these conditions prior to participation in after hours and on call rosters.  

The Key Conditions Assessment provides training sites with a standardised tool for assessing trainee readiness and provides a clear benchmark for measuring trainee progression in Year 1 of training. 

Key Conditions Assessment Tool

Interventional Procedures Logbook  

Trainees are required to perform and record interventional procedures under radiological guidance across the 3 Phases of Training.

Interventional Procedures Logbook

Fluoroscopic Procedures Logbook

The Fluoroscopic Procedures Logbook is designed to document a trainee’s progress over time in the development of competence in screening procedures.

Fluoroscopic Procedures Logbook  

Ultrasound Logbook 

Trainees must undertake the full ultrasound examination and record diagnosis and findings in their logbook.

Ultrasound Logbook

 Imaging Interpretation and Reporting Assessment

Diagnostic Radiology forms a key component of the Clinical Radiology Curriculum. This assessment tool is designed to document a trainee’s progress across time in the development of competence to practice in various modalities of diagnostic radiology, including X-ray, CT, MRI, US, Mammography and Fluoroscopic procedures, including angiography.

Imaging Interpretation and Reporting Assessment

Multi-disciplinary/Clinical Radiology Meetings Logbook

Radiologists have a critical role in both Clinical Radiology Meetings and Multi-Disciplinary Meetings (MDMs). Radiology Trainees are expected to develop skills required to become independent members of such Multi-Disciplinary Teams. In MDMs they work collaboratively with other team members in order to correlate radiological-pathological findings to optimise patient care. 

Multi-disciplinary/Clinical Radiology Meetings Logbook

Examinations

Effectiveness of examinations depend on reliability, validity, educational impact, acceptability and feasibility. With this framework in mind, the Steering Committee has undertaken a rigorous review of the College examinations, as part of the Training and Assessment Reform. In consultation with various exam panels and Australian Council for Educational Research, the Steering Committee has proposed changes to current exams to make sure they are fit-for-purpose and aligned with the curriculum.

Clinical Radiology Part 1 Exams

The new Anatomy and AIT examination formats will commence in Series 1 - March 2021, and will apply to all trainees, including new trainees commencing in 2021, and trainees who will be required to sit the Series 1 2021 examinations for various reasons. Trainees will be permitted to apply to sit the Part 1 Anatomy Examination and Part 1 AIT Examination independent of each other.

 

Current

Future

Anatomy Exam

 

Two papers of

  • 15 short answer questions in two hours and
  • Eight questions based on radiological anatomy in two hours

One paper based on radiological anatomy in three hours:

  • 120 Diagram Labelling
  • 60 Multiple Choice Questions (MCQs)
  • 30 Very Short Answer Questions (VSAs)
  • 20 Short Answer Questions (SAQs)

Applied Imaging Technology (AIT) examination

Two papers of

  • three written essay format questions in two hours and
  • 100 questions multiple choice format in two hours

One paper based on content comprising imaging technology, quality and safety in three hours with:

  • written essay format questions in two hours
  • MCQs in one hour

Clinical Radiology Part 2 Exams

The College will provide updates via email and e-newsletters when more information about the changes to the Part 2 exams are available.

Structured Learning Experiences

Experiential Training Requirement

The Experiential Training Requirement are designed as a practical activity to enable the trainee to study different types of examinations/procedures across a wide range of topic areas and imaging modalities.  It also helps trainees to understand the interaction and roles of radiologists and other health professionals, such as radiographers and sonographers, etc.

Training sites/networks are expected to make every effort to ensure that trainee rosters accommodate these training requirements. Trainees are also expected to meet certain Entrustability levels at various stages of their training program when completing the ETRs.

Experiential Training Requirements

Other Monitoring and Review Tools

Want to have your say?

We encourage trainees and supervisors to trial the draft Monitoring and Review Tools below and provide feedback to This email address is being protected from spambots. You need JavaScript enabled to view it. on their experience.

Multi-Source Feedback (MSF)

The MSF aims to aid trainee learning by providing an opportunity for trainees to receive feedback on intrinsic role competencies from a range of co-workers who have direct experience with the trainee.

MSF also helps to identify specific aspects where the trainee requires improvement, so that appropriate support and remediation can be provided. 

It is the College’s intention that a standard MSF form will incorporate items from all the intrinsic roles and be used for Continued Professional Development purposes.

Multi-Source Feedback Form

Director of Training Review 

The purpose of this review is for the DoT and the trainee to jointly evaluate trainee progress through the training program.  

For trainees who are meeting or exceeding expectations, this assessment provides an opportunity to identify new milestones for achievement and areas for development.  For trainees who are falling short of expected milestones, this provides an opportunity to initiate corrective measures, including, if needed, an earlier DoT review and/or commencing a formal trainee in difficulty pathway. 

Draft Director of Training Review Forms

Draft Director of Training Phase 1 form

Draft Director of Training Phase 2 form

Draft Director of Training Phase 3 form

How Do I Find Out More Information?

For more information about the Clinical Radiology Training Program please contact us at This email address is being protected from spambots. You need JavaScript enabled to view it. or call (+61) 02 9268 9777

  1. Why did you introduce Artificial Intelligence (AI) into the curriculum and what benefits will it bring?

The profession of Clinical Radiology has always been and continues to be at the forefront of technology and innovation. Including Artificial Intelligence in the College curriculum is the next exciting step in embracing technology advancements to ensure we can provide time-efficient, effective and even greater quality treatment for patients.

  1. On the flyer you mention that examinations are of an ‘optimised format and duration’? – what do you mean by that?

For Clinical Radiology, there will be two separate papers of three-hour duration for each of the two Part 1 Exams (Anatomy and Applied Imaging Technology (AIT)). The Part 1 exams will need to be completed within two years of commencing training. 

The Part 2 exams for Clinical Radiology are still under review. Information will be communicated as it becomes available, but the College is working towards providing digitalised and standardised Vivas.

  1. On the flyer you mention that there will be ‘more flexibility around examination sittings’ – what do you mean by that?

For Clinical Radiology, trainees will be permitted to apply to sit the Part 1 Anatomy Examination and AIT Examination independent of each other. For the Part 2 exams, trainees and IMGs will be able to sit the pathology and radiodiagnosis written exams independent of each other and will be required to pass the written exams before presenting for the viva examination. For borderline candidates, the programmatic assessment model allows concessional passes to be granted in some situations if the candidate has performed well in other WBAs and examinations. 

  1. Will all exams be changed in 2021?

The changes to the Clinical Radiology Part 1 exams commence in 2021. The timing of the changes to the Part 2 examinations has not yet been finalised, but we will inform trainees and IMGs as this decision is made. It is anticipated that these exams will change no sooner than Series 1 2022.

  1. With the introduction of Phase 3, does that mean I have to spend more than 5 years in the training program?

It is anticipated that most trainees will complete training in 5 years as is currently the case. Flexibility in training time allows trainees who progress at a slower rate to spend up to 6 years in training if longer is required to complete Phase 1 or 2. 

  1. What will happen during the Phase 3 consolidation stage?

Phase 3 is 12 months in duration and is commenced when the trainee has completed all Part 2 examinations. Trainees will undertake subspecialty rotations of 3-4 months duration within their training network in areas of interest, such as neuro, body, women's imaging, interventional radiology etc. Facilities at the training sites within the network will determine the rotations available to trainees.

During these rotations, trainees will undertake reporting and procedural activities in a subspecialty area, in addition to participating in relevant administrative duties, clinical and multidisciplinary meetings and/or other training activities.  Trainees are expected to maintain general skills and knowledge by participating in after hours and on call activities on an equitable basis.

  1. How would we transition IMGs who were previously assessed/ started sitting the Part 2 exams?

We are still considering the various scenarios for both trainees and IMGs who have commenced but not successfully completed the Part 2 exams. Decisions about this will be communicated as soon as possible, but as far as is possible the aim is to avoid disadvantaging trainees and IMGs, and to allow some flexibility.

  1. What will happen to System Focused Rotation?

There is no SFR in 4th year anymore, but trainees will have subspecialty rotation in 5 years. However the current 60/40 rule does not apply anymore.