Training and Assessment Reform

RANZCR regularly reviews its education and training programs to ensure that the College is a model of best practice, is prepared for the future, and has fair, transparent processes.

In 2014, the College commissioned a review of its assessment and examination processes for Fellowship training.

The review was conducted jointly by David Prideaux, Emeritus Professor of Medical Education at Flinders University, and by the Australian Council for Educational Research (ACER). The review’s purpose was to evaluate the quality and sustainability of RANZCR’s assessment and examination program and to recommend strategies for improvement.

After presenting the review to the College Board, Faculty Councils, and key stakeholders, a number of key challenges in training and assessment were identified, and strategies to implement changes were proposed and developed into a work plan for implementation.

A task force reporting to the RANZCR Board has been established to oversee the implementation of the review and, in order to progress the recommendations for governance and programmatic assessment, steering committees have been established in each Faculty.

The Training and Assessment Reform project is expected to take two to three years to implement, with many recommendations already completed to date.

Information relating to the progress of the programmatic reform is available here:

Clinical Radiology

Under the guidance of the Faculty of Clinical Radiology Steering Committee, eight program working groups have been formed to undertake the education and assessment reforms for programmatic assessment. Work on designing the various programs commenced in late 2016. The program groups operate in parallel but with differing commencement times, and are therefore at various stages of completion.

The program groups have been tasked with reviewing the current curriculum to bring it up to date with current practice, determine learning outcomes for the program, evaluate existing assessments aligned to the program and determine and develop the most appropriate assessment tools to measure the learning outcomes. Work has progressed, with draft updated sections of the curriculum and draft assessment tools being developed and being made available for information or piloting in some areas.

Over the next 12 – 18 months material will become available for review, piloting or implementation and provided below.

Curriculum Updates (DRAFTS)

  • Patient Safety has been reviewed and remains unchanged.
  • Minor updates have been made to Report Writing, to reflect likely changes in the assessment and clarify some content.
  • The list of Key Conditions has been reviewed and updated for clarity and completeness. Examples from each category have been identified to be developed as examples. Advice to Training sites has been updated to reflect the new expectations.

Program Groups

Competencies for Early Training

Key Conditions Assessment (DRAFT)

  • Each trainee will be assessed on a minimum of 16 cases from the list of Key Conditions. Details of the assessment are provided to trainees and supervisors in the Key Conditions Assessment Instructions.
  • Each case will be evaluated using the Key Conditions Assessment Case Evaluation form.
  • Following this, the supervisor will make an assessment of overall competency using the Key Conditions Assessment of Competency form, which will be submitted to the College.

Key Conditions Assessment Instructions and Evaluation Forms 

Image Reading and Analysis / Clinical Decision-Making
• Commenced

Research
• Commenced

Foundation Sciences: Anatomy
• Commenced

Foundation Sciences: AIT
• Commenced

Pathology
• Commenced

Procedures
• Commencing 2018

Non-Medical Expert
• Commencing 2018

Clinical Radiology Steering Committee Members: Chief Censor, A/Prof Dinesh Varma, Dr Meredith Thomas (CAC Chair), Dr Barry Soans (CRERP Chair), Dr Alexandria Taylor, Dr Graeme Anderson, Prof David Prideaux and Head of Specialty Training Mrs Pamela Spoors.

For information regarding the Education and Assessment Report, please contact the Manager Special Projects, Specialty Training.

Radiation Oncology

Under the guidance of the Faculty of Radiation Oncology Steering Committee, seven program working groups have been formed to undertake the education and assessment reforms for programmatic assessment. Work on designing the various programs commenced in late 2016. The program groups operate in parallel but with differing commencement times, and are therefore at various stages of completion.

The program groups have been tasked with reviewing the current curriculum to bring it up to date with current practice, determine learning outcomes for the program, evaluate existing assessments aligned to the program and determine and develop the most appropriate assessment tools to measure the learning outcomes. Work has progressed, with draft updated sections of the curriculum and draft assessment tools being developed and being made available for information or piloting in some areas.

Over the next 12 – 18 months material will become available for review, piloting or implementation. Training sites, clinical supervisors and trainees would be directly notified prior to any changes to the training program being implemented that related to them.

Program Groups

Oncology Sciences

The Basic Oncology Sciences Curriculum has been reviewed and updated:

  • Each trainee will be required to participate in workshops aimed at supporting the understanding and application of Oncology Sciences knowledge. Workshops will be facilitated through the training networks.
  • The Pilot Oncology Sciences Learning Workshop was hosted by NZ and NSW training networks in early March 2018 and was well received by trainees as a great interactive learning opportunity.

Oncology Sciences Workshop 2 Resource Pack

  • Pilot of some Phase 1 Special Case Reports is underway among the trainees who participated in the pilot workshops.

Anatomy / Contouring and Plan Evaluation

  • The curriculum for Anatomy has been reviewed and is undergoing approval.
  • A new Contouring and Plan Evaluation (CPE) Assessment Tool is being piloted at a number of training sites.

Contouring and Plan Evaluation (CPE) Assessment Tool - Draft

Tumour Site-specific Knowledge, Patient Assessment and Clinical decision making

  • The curriculum is being reviewed (ROCKSS and Medical Expert Supplements)
  • A new Clinical Evaluation Assessment Tool is in development

General Oncology and Palliative / Supportive Care

  • The curriculum is being reviewed (ROCKSS and Clinical Oncology)
  • A Supportive and Palliative Care syllabus is in development
  • Assessment tools and learning opportunities are under consideration

Communicator/Collaborator

  • The curriculum is being reviewed
  • Assessment tools and learning opportunities are under consideration

Scholar (SMART)

  • The curriculum is being reviewed
  • The SMART program is under review

Leader/Professional/Health Advocate

  • The curriculum is being reviewed
  • Assessment tools and learning opportunities are under consideration
Radiation Oncology Steering Committee Members: A/Prof Margot Lehman (Chief Censor), Dr Matthew Seel, A/Prof Sandra Turner, Dr Yaw Chin, Prof David Prideaux, and Mrs Pamela Spoors (Head of Specialty Training)

For information regarding the Education and Assessment Report, please contact the Manager Special Projects, Specialty Training.