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This form is designed to assist the ACSEP Training Committee in considering your practice’s application to become a registered ACSEP training practice.

The form also serves to raise relevant issues for your consideration prior to making the commitment to become involved in registrar training.

Please contact the State Training Co-ordinator in your State if there are any points you wish to have clarified.

Part A: Day to Day Training & Quality Control

Which of the following is your practice willing to offer?

Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No

Will your practice be able to offer

Yes
No
Yes
No
Yes
No
Yes
No
Yes
No

Identification and Remediation of Clinical Skills and Medical Knowledge Deficiencies

General medical knowledge
Clinical Skills
Sports medicine knowledge
Diagnostic skills
Ability to effectively formulate a management plan
Interpersonal skills
Communication Skills

Part B: SupervisedTraining

Yes
No
Yes
No
Yes
No
The supervisor will be available if the registrar has a problem/patient they wish to discuss
The supervisor will review the case histories of each patient seen by the registrar at the end of the consulting session
The supervisor will discuss each patient seen with the registrar during or at the end of the consulting session
Yes
No

Part C: AdministrativeRequirements

Annual leave entitlements
Study leave entitlements
Conference attendances
Pay terms and conditions
Working hours
Weekend work requirements
Dress and behaviour code
Availability of secretarial/typing/reception support
Obligations that the registrar has to the practice
Obligations that you have to the registrar
Yes
No
Yes
No
Yes
No
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