Maintenance of Professional Standards (MoPS) Print E-mail


The Royal Australasian College of Medical Administrators offers a Maintenance of Professional Standards (MoPS) program to enable doctors in management positions an opportunity to enhance their professional development in medical leadership and management through access to the College CEP program. Doctors, who are not Fellows or Associate Fellows of the College, but occupy a position with management responsibility, may register to participate in the program.

This is of particular relevance to Doctors who are not Fellows or Associate Fellows of the College and who require an Australian Health Practitioner Regulation Authority (AHPRA) or New Zealand Medical Council approved mechanism to comply with the AHPRA /Medical Board of Australia Continuing Professional Development Registration Standard or the New Zealand Recertification and Continuing Professional Development Requirements.

Pre requisites

A participant must:
  • Have a medical degree from a recognized Australian or New Zealand University
  • Be a registered medical practitioner in Australia or New Zealand
  • Have an interest in medical management

Duration and fees

Enrolment in the RACMA MoPS program is on an annual calendar cycle. There is a fee associated with membership of the MoPs program. To access the list of fees click here.


The RACMA MoPS program is governed by the RACMA Continuing Education Program Standard which has been developed in association with the RACMA Continuing Education Program Committee and endorsed by the RACMA Board. The Continuing Education Program Manual outlines the program including the standards, requirements, activities and audits.

Standard 1 - Peer Review and Self Audit Standard

RACMA Fellows and MOPS participants are expected to engage in reflective performance improvement activities. At least one annual audit, peer review or performance development activity must be completed each year. Below is an indicative list of activities RACMA Fellows and MOPS participants may undertake:
  • a 360-degree audit of effectiveness in the practice of medical management using the RACMA 360 degree tool or other recognised multisource feedback tool. (suggested frequency once every 3 years). Documentation of outcomes such as change to medical management practice to be logged on the RACMA website. OR
  • (under development) audit according to RACMA protocols of the RACMA Fellow’s practice in Medical Management (ie a practice visit) OR
  • presentation of a personal medical management case at a peer-reviewed quality improvement meeting or teleconference with documentation of the outcome eg changes to medical management practice following this review to be logged in the RACMA eCEP website OR
  • Participation in the employer's organisational annual performance development review and completion of the learning and development requirements required by such plans. Evidence of completion and outcomes to be logged on the RACMA eCEP website OR
  • Inclusion of at least one reflective performance development activity in the RACMA Fellow's eCEP learning plan, with documentation of outcomes e.g. changes to medical management practice on the Fellow’s learning plan.

Standard 2 - CEP Activity Standard
RACMA Fellows and MoPS participants must undertake and document at least 50 points of CEP per annum in activities related to the RACMA competencies. Associate Fellows must undertake and document at least 25 points of CEP per annum. Activities can be separated into the following categories:

2a. Clinical Governance, Quality improvement, Clinical Risk Management
2b. Maintenance of Knowledge and Skills (College competencies)
2c. Teaching and Examination
2d. Research and Publication
2e. RACMA Training Programs

Click on the following link to see a list of suggested activities. CEP Activity Options and Points Weighting

Click on the following link to download the CEP Manual. RACMA Continuing Education Program Manual

Annual certificate of participation

An annual certificate of participation will be issued to all participants that satisfy the 50 point requirement. All activities for a calendar year must be logged by the 31st of March in the following year, in order for certificates to be issued in May. These certificates may be presented to the medical registration board such as the Australian Health Practitioner Regulation Authority, Medical Board of Australia or Medical Council of New Zealand, District Health Boards, hospitals or other organisations as evidence of participation in a professional development program.

Inclusions RACMA Affiliate membership
  • Use of the eCEP tool
  • Continuing Education Program manual
  • Access to the RACMA online education programs and presentations
  • Access to the RACMA website and resources
  • The College’s monthly scientific publication The Quarterly
  • All College communiqués including job advertisements, Board updates and notifications etc

Registration standard specifications - Medical Board of Australia

Continuing professional development registration standard (excerpt).

Medical practitioners who are engaged in any form of medical practice are required to participate regularly in continuing professional development (CPD) that is relevant to their scope of practice in order to maintain, develop, update and enhance their knowledge, skills and performance to ensure that they deliver appropriate and safe care.

CPD must include a range of activities to meet individual learning needs including practice-based reflective elements, such as clinical audit, peer-review or performance appraisal, as well as participation in activities to enhance knowledge such as courses, conferences and online learning. CPD programs of medical colleges accredited by the Australian Medical Council (AMC) meet these requirements.

All medical practitioners will be asked to declare annually on renewal of registration that they have met the CPD standard set by the Board. This declaration will be subject to audit.

Registrants must fulfil the requirements set out in one of the following categories:
  • Medical specialists and general practitioners who are not College members or fellows but are on the specialist register - by meeting the standards for CPD set by the relevant AMC accredited college.
  • Medical practitioners who are not on the specialist register and do not fit into categories 4(c), (d), and (e) or (f) must complete a minimum of 50 hours of CPD per year, and may choose a self-directed program. Self-directed programs must include practice-based reflective elements such as clinical audit, peer review or performance appraisal, as well as participation in activities to enhance knowledge such as courses, conferences and online learning.

Registration standard specifications - Medical Council of New Zealand

Recertification and continuing professional development (excerpt).

The principal purpose of the Health Practitioners Competence Assurance Act 2003 (HPCAA) is to protect the health and safety of members of the public by providing for mechanisms to ensure that health practitioners are competent and fit to practise their professions. One of these mechanisms is a requirement that all practising doctors participate in continuing professional development so that they can be recertified (issued with a practising certificate) each year.

Scope of practice
A College or Branch Advisory Body recertification programme.
If you are registered in a vocational scope and are no longer working in clinical practice, you are able to retain your vocational scope.

You may meet Council's recertification requirements by completing CPD through your own BAB or through RACMA. Your BAB may exempt doctors working in non-clinical practice from clinical peer review, but CPD activities must cover your non-clinical practice. The Council will propose to limit your scope of practice to ‘non-clinical practice’. If you wish to return to clinical practice, you must retrain with your BAB.

Further information

To register for the RACMA MoPS program download the following registration form and fax it through to +61 3 9824 6806 or email This e-mail address is being protected from spambots. You need JavaScript enabled to view it

RACMA MoPS Registration Formview pdf file

For further information on the program contact Dino DeFazio on +61 3 9824 4699 or via email on This e-mail address is being protected from spambots. You need JavaScript enabled to view it

Last Updated on Friday, 06 June 2014 16:48