Recognition of Prior Learning and Experience (RPLE) | RACMA | Royal Australasian College of Medical Administrators

1. PURPOSE

The RPLE process enables applicants for the Fellowship Training Program (FTP) the opportunity to receive advanced standing as a result of prior learning and/or experience.

2. OBJECTIVES

The objective of this policy is to provide information for applicants demonstrating equity, transparency and evidence-based decision making.

3. INTENT

The Fellowship Training Program (FTP) has four learning and assessment domains:

Health System Science (HSS)
Medical Management Practice (MMP)
Research Training (RT)
Personal and Professional Leadership Development (PPLD)

Candidates must perform to a satisfactory level in each domain and within identified timeframes in order to be eligible for a Fellowship and membership of the College in the category of Fellow (FRACMA).

4. SCOPE

Applicants are able to apply for acknowledgement of competency development in their practice of medical management that has occurred prior to entry into the Fellowship Training Program.

The outcomes of applications for RPLE may be exemptions from summative tasks and modified timeframes for workplace learning with respect to those domain-based activities which are required to be satisfactorily completed prior to eligibility for Fellowship.

Applicants wishing to apply for credit/exemption from University coursework in the HSS domain and/or exemption from assignments in the RT domain alone, may apply separately, or indicate these requests in their fuller application for the RPLE interview. Further information can be found on the RACMA website

5. DEFINITIONS

A list of definitions of key words that the applicants must understand includes:

KEYWORD	DEFINITION
Advanced Standing	Acknowledgement of knowledge acquisition and/or skill development based on prior study or work experience. If advanced standing is awarded the requirements for the applicant’s FTP may be reduced.
Credit	FTP Training requirement for which the applicant receives recognition of prior learning and/or experience.
Exemption	Those parts of the FTP for which applicants have received credit, which will not need to be repeated or completed in the applicants’ FTPs if they are accepted as Candidates.

6. BODY OF POLICY

6.1 Equity

All applications for RPLE for credit in the HSS and RT domains and for reduced time in supervised medical management practice in the MMP domain will be assessed on their merit against the competencies outlined in the RACMA Medical Leadership and Management Curriculum. The curriculum is briefly outlined in the following table:


Domains - role competencies	Training goals	Scope of Topics	Workplace learning activities	Summative assessments
Health system science	Acquisition of specialist knowledge	Systems thinking	Self-directed and University determined	Attainment of Master’s degree
		Corporate planning and governance
Medical expert		Clinical governance and patient safety	University assignments
		Financial management
Medical management practice		Human resource management with reference to medical officers	Supervisor- and self-directed in workplace	Satisfactory In-Training Learning Reports
Communicator	Practice of workplace skills		Log of learning activities	Three-four FTE years practice in accredited sites
Medical manager		Operational systems – public, private, non-government,	Learning sets (distance tutorials)	MMPD Oral Examination
		critical care, acute care, sub-acute care, health promotion and prevention, General Practice,	Assessed management tasks
		investigations, non-procedural care, procedural medicine, surgery	Case -based discussions
		Digital health	College Trial Oral Examination
		Medical education
		Critical evidence-based decision-making
		Health services research
Research training	Practice of evidence-based decision-making		Supervisor-and self-directed critical evidence-based analysis and management reasoning	Oral presentation of research progress
Scholar - researcher				Written presentation of research outcomes
			Supervisor- and self-directed conduct of health service research

Personal and professional leadership development	Development of personal attributes	Ethical decision-making	Supervisor- and self-directed guided reflection discussions	Satisfactory In-Training Learning Reports
			Log of learning activities
Scholar - educator		Indigenous health advocacy
Advocate		Cultural diversity awareness
Collaborator		Cultural safety
Professional
Leader		Teaching
		Supervising

6.2 Transparency

Applicants will be provided with advice about the assessment process and the nature and standard of the evidence required by the College to consider in assessing the application for RPLE.

6.3 Evidence-Based Assessment

Assessment will be based on evidence provided by the applicant and should be:

Valid – relate to the competency being assessed
Current – generally consider the previous five years
Sufficient – meet the standards specific in the RACMA Curriculum
Authentic – verifiable as the applicant’s own work

6.4 Assessors

Assessment will be undertaken by senior RACMA Fellows who have been identified by the Board of Censors, to evaluate the evidence of experience, training and qualifications provided by the applicant.

6.5 Assessment Process Quality

The assessment process for RPLE will be valid, reliable, fair and flexible and moderation (if required) will be undertaken by authorised College Officers such as Censor-in-Chief or the Dean.

6.6 Application for MMP RPLE Interviews

Applications for RPLE interviews will be accepted throughout the year. Interviews will take place during specified time blocks throughout the year with outcomes being applicable to the following academic enrolment period into the Fellowship Training Program.

Once applications have been reviewed and deemed to:

have met the minimum requirements for training in the RACMA training program i.e.
active or potential general or specialist registration with the Medical Board of Australia or the Medical Council of New Zealand; and
at least three years in clinical practice.
to have outlined roles in health system management or leadership.

The application details will be forwarded for awareness to:

the Jurisdictional Coordinator of Training for the relevant jurisdiction for advice regarding the appropriateness of training positions and supervision within the State jurisdiction; and
to two RPLE assessors for their views on the appropriateness of the application and whether there may be more information required.

If deemed eligible, the applicant will be contacted to schedule a face to face interview and the applicant’s referee’s will be contacted to complete a competency-based online reference form.

6.6.1 Interview for RPLE in MMP domain

The duration of the interview is two hours with the first hour dedicated to discussion of the applicant’s experience, confirmation of information provided in the application (including the referee reports) and exploring competencies in the specialty of Medical Administration.

In the second hour the applicant will be required to prepare a response for a medical management scenario that will be provided at the time of interview. The applicant is allowed 20 minutes to review and prepare and 20 minutes to present to the panel. The final 20 minutes are for the panel to provide feedback on the presentation and address any questions and feedback on the interview process from the applicant.

At the conclusion of the interview, the assessment panel members will reach a consensus regarding the recommendation they will make to the Education and Training Committee. The applicant will not be advised of the outcome at the time of interview. If the panel cannot reach consensus on the recommendation, the interview documentation will be forwarded for review and moderation by the Censor-in-Chief or the Dean.

6.6.2 Outcome

If applicants are to be granted recognition of satisfactory performance in supervised medical management practice, the outcome will outline:

The minimum number of satisfactory six-monthly In-Training-Performance Reports that are to be completed in order to be eligible for Fellowship;
The gaps identified during the interview process that will need to be addressed;
The earliest date the applicant will be eligible to sit the College Triall Examination; and
The earliest date the applicant will be eligible to sit the MMPD Oral Exam.

6.6.3 Reconsideration and appeals

The applicant may seek reconsideration of the outcome of the RPLE MMP interview and should refer to the policy for Reconsideration, Review and Appeal of Decisions of the College Committees and Officers.

Approval Date – June 2020

Review Date – June 2023

Review By – Education and Training Committee