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Paediatric requirement

Meeting your paediatric requirement for RACGP

Paediatric rotations are competitive, and it can be challenging to secure a place. You may need to accumulate paediatric experience through other relevant experience.

Here are some of the ways you can meet your paediatric requirement for RACGP:

  • A full term in paediatrics or paediatrics ED.
  • A half term of 5-6 weeks in paediatrics combined with a full term in emergency where children represent at least 20 per cent of the presentations and you are the first doctor assessing them.
  • Two full terms in emergency, as long as only one is in your intern year and the other (or both) is in your second postgraduate year or later.
  • Completion of a relevant course that’s been approved by RACGP, such as the Sydney Child Health Program from the Children’s Hospital at Westmead, in combination with some experience as above.

View the RACGP’s paediatric term requirements guidance document.

Meeting your paediatric requirement for ACRRM

For ACRRM, registrars who have not undertaken a 10-week paediatrics term must complete:

  • two educational activities in child health (an online module or workshop provided by an RTO or other provider).
  • and one of the following:
    • An integrated rural hospital term (e.g. PIERCE term), which includes paediatrics, under supervision (on or offsite) of a specialist paediatrician or a GP with advanced skills in paediatrics.
    • Work in an Emergency Department for a minimum of six months where paediatric cases represent at least 25 per cent of the presentations.
    • A 25-week term assisting a paediatrician (or paediatric team) providing outreach paediatric services.
    • Community primary care post of no less than six months
    • The Sydney Child Health Program (SCHP) from the Children’s Hospital at Westmead
    • Undertake Advanced Specialised Training in Paediatrics
    • Combinations of above, approved by ACRRM.

Registrars undertaking the six-month terms (or options 1-4 above) are required to provide a supervisor report and a log of (minimum 50) paediatric cases seen. Registrars undertaking the SCHP or AST are only required to provide a certificate of successful completion. For additional information, please look up the Core Generalist Training section of ACRRM’s Fellowship Training Handbook.

Frequently asked questions

Can I start GP placements without meeting the paediatric requirement?

Generally speaking, this is not possible if you are training towards a FRACGP. On the other hand, it may be possible if you are pursuing a FACRRM, if you can demonstrate safe practice in the paediatric discipline. At GPTQ, you will need approval from your GPTQ medical educator. Please contact GPTQ to discuss.

I have not been able to get a 10-week paediatric rotation. How can I meet the paediatric requirement for GP training?

There are alternative ways to meet your paediatric requirement as detailed on the page above. If you are a current GP registrar, please discuss with your GPTQ medical educator.

What is the paediatric requirement for GP training?

You need to meet the paediatric requirement before starting your GP placements. The requirement differs for each college, so will depend on which fellowship you’re completing. For further information, please view the page above.

Is there any other way I can meet the paediatric requirement? Can general practice experience count?

There are other ways to meet the paediatric requirement besides completing a paediatric rotation. However, general practice experience does not count towards the requirement. To find out more please refer to the ACRRM fellowship handbook or the RACGP paediatric term requirements guidance document.

Why is there a mandatory paediatric requirement for GP registrars?

As a practising GP, you’re likely to treat babies, kids and teenagers. Children can go from being well to sick and seriously ill in a couple of hours. The paediatric requirement ensures you develop competence in the detection and management of serious or potentially serious illness in children – from birth to middle childhood and beyond. It is important you gain this vital clinical experience before you start your first GP training placement.

What are the best rotations to do during my hospital year for meeting the paediatric requirement?

The best hospital rotations to prepare you for GP training are in the paediatric ward, paediatric emergency or general emergency with a good presentation of paediatric cases (>20%) and where the RMO is the first to see them. This gives you experience in diagnosing and treating seriously ill children. A sub-specialty paediatric term (neurology or neonatal intensive care for example), whilst valuable in itself, does not give the same opportunity for initial diagnosis. However, these sub-specialty terms will still meet the requirement if completed in conjunction with sufficient paediatric emergency or mixed emergency time.

I have completed 10 weeks of emergency medicine where I saw children first (at least 20 per cent of the case load) and five weeks of a paediatric rotation. Have I met my mandatory paediatric requirement?

This combination of experience meets the paediatric rotation requirements for fellowship of The RACGP. For further information, you can also refer to the RACGP paediatric term requirements guidance document. ACRRM, on the other hand, has different requirements. You can find out more about these on the page above or in the ACRRM fellowship training handbook (page 10).

When do I need to complete the paediatric requirement?

To meet the requirements of The Royal Australian College of General Practitioners (RACGP) you will typically need to complete your paediatric requirement before starting your first general practice term. To meet the requirements of the Australian College of Rural and Remote Medicine (ACRRM) you will typically need to complete your prerequisite training before starting your first primary rural and remote training placement.

For more information on meeting the paediatric requirements please refer to the ACRRM fellowship training handbook or RACGP paediatric term requirements guidance document.

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