!"#$% '()*+% !

! ueLalled lnformaLlon over page age 1 of 2 (),(-.( %/+0 *1(+)

2'34566 7323 3!!6!!8' 7323
2+-#0(( 9#+.% 5-:(;

3..(..*+ 9#+.% 5-:(;

2+-#0(( <-.% 5-:(;

3..(..*+ <-.% 5-:(;

2+-#0(( 3=6> 47;

3..(..*+ 3=6> 47;

?*.)#%-,;

7-%( *$ 3..(..:(0%;

<(1(,;
rovlslonal 1ralnee
new lellow (lACLM <2yrs)

Advanced 1ralnee wlLh:
0 Lo <6 monLhs Lu Llme compleLed.
6 Lo <12 monLhs Lu Llme compleLed.
12 Lo <18 monLhs Lu Llme compleLed.


18 Lo <24 monLhs Lu Llme compleLed.
24 Lo <30 monLhs Lu Llme compleLed.
30+ monLhs Lu Llme compleLed.

=8>@85652 3!!6!!>652 A-.(B *0 :C *D.(+1-%#*0 *$ %"#. %+-#0((E %* )(+$*+: %"#. F*:)*0(0% #0 - .#:#,-+ ."#$%E 4 %"#0G %"( %+-#0(( 0((B.H
SelecL Lhe CnL 8LS1 opLlon for each componenL











uld noL
observe
enough Lo
make a
[udgmenL.

@,(-.( +-%( -. :-0C *$ %"( $*,,*I#0J F*:)*0(0%. -. *D.(+1(BK 32 <63!2 2?'66 F*:)*0(0%. :/.% D( +-%(BK
!
>(B#F-,
6L)(+%#.(




=*::(0%.;

!
@+#*+#%#.-%#*0 -0B
7(F#.#*0 >-G#0J




=*::(0%.;

!
=*::/0#F-%#*0




=*::(0%.;

!
2(-:I*+G -0B
=*,,-D*+-%#*0




=*::(0%.;

!
<(-B(+."#) -0B
>-0-J(:(0%




=*::(0%.;

!
!F"*,-+."#) -0B
2(-F"#0J




=*::(0%.;

!
?(-,%" 3B1*F-FC




=*::(0%.;

!
@+*$(..#*0-,#.:







=*::(0%.;

M<8A3< 3!!6!!>652 A-.(B *0 :C *D.(+1-%#*0 *$ %"#. %+-#0((E %* :-0-J( - .#:#,-+ ."#$%E 4 %"#0G %"( %+-#0(( 0((B.H
SelecL Lhe CnL 8LS1 opLlon
!
7#+(F% ./)(+1#.*+
*D.(+1-%#*0 N #01*,1(:(0%E
-D,( %* )+*1#B( #::(B#-%(
B#+(F%#*0 N -..#.%-0F(K

!
!/)(+1#.*+ O*0 %"( $,**+P #0
67 :*0#%*+#0J -% +(J/,-+
#0%(+1-,.E -D,( %* )+*1#B(
B#+(F%#*0 N -..#.%-0F(K

!
!/)(+1#.*+ I#%"#0 "*.)#%-,
$*+ Q/(+#(.E -D,( %* )+*1#B(
B(,-C(B B#+(F%#*0 N
-..#.%-0F(K

!
!/)(+1#.*+ O*0 F-,,P $+*:
"*:( $*+ Q/(+#(.E -D,( %*
)+*1#B( B#+(F%#*0 1#-
)"*0(K

!
5* ./)(+1#.*+
#01*,1(:(0%K





!?492 76234<!
SelecL Lhe CnL 8LS1 opLlon
As applles Lo local conLexL
!
Average ComplexlLy


!
Above Average ComplexlLy

!
Plgh ComplexlLy

!
ulrecL
supervlsor
observaLlon/
lnvolvemenL.
!
Supervlsor
'on Lhe floor'
ln Lu
monlLorlng aL
regular
lnLervals.
!
Supervlsor
wlLhln
hosplLal for
querles.
!
Supervlsor
'on call' from
home for
querles.
!
no supervlsor
lnvolvemenL.

R

S

T

U

V

W

X

Y

Z


R

S

T

U

V

W

X

Y

Z


R

S

T

U

V

W

X

Y

Z


R

S

T

U

V

W

X

Y

Z


R

S

T

U

V

W

X

Y

Z


R

S

T

U

V

W

X

Y

Z


R

S

T

U

V

W

X

Y

Z


R

S

T

U

V

W

X

Y

Z

!"#$% '()*+% !
2014 1rlal lorm: LnLer daLa onllne aL www.acem.org.au age 2 of 2 [(0B *$ $*+:\

3+(-. *$ .%+(0J%";

3+(-. $*+ B(1(,*):(0%;

3J+((B ,(-+0#0J J*-,. $*+ 0(L% (0F*/0%(+;

7* C*/ -B1#.( %"( F*:),(%#*0 *$ -0*%"(+ !"#$% '()*+% #0 %"#. %(+: $*+ %"#. %+-#0((] ?es no
4$ C(.E I"C]


6^3<_32485 89 !?492 '6@8'2
2#:( %-G(0 $*+ *D.(+1-%#*0 [:#0.\;

3..(..*+ %#:( /%#,#.(B $*+ *D.(+1-%#*0;

Cllnlcal 1lme

Cllnlcal SupporL 1lme

Mlxed
2#:( %-G(0 $*+ $((BD-FG [:#0.\;

3..(..*+ %#:( /%#,#.(B $*+ $((BD-FG;

Cllnlcal 1lme

Cllnlcal SupporL 1lme

Mlxed
40%(+1-, D(%I((0 *D.(+1-%#*0 -0B $((BD-FG [:#0.\;

2+-#0(( .-%#.$-F%#*0 I#%" !"#$% '()*+%;

1 2 3 4 3 6 7 8 9
(noL aL all)

(Plghly)
3..(..*+ .-%#.$-F%#*0 I#%" !"#$% '()*+%;

1 2 3 4 3 6 7 8 9
(noL aL all)

(Plghly)
[(0B *$ -..(..:(0%\
! 4598'>32485
!"#$% '()*+%
A ShlfL 8eporL lnvolves a Lralnee belng dlrecLly observed aL mulLlple polnLs LhroughouL Lhe duraLlon of a cllnlcal shlfL. 1he assessor raLes and provldes sLrucLured feedback on Lhe Lralnee's
performance durlng Lhe speclflc shlfL. 1he Lralnee may or may noL be ln charge of Lhe floor for Lhe ShlfL 8eporL assessmenL. 1he assessor ls Lo advlse Lhe Lralnee aL leasL one day prlor Lo Lhe
shlfL LhaL assessmenL wlll occur. 1owards Lhe end of Lhe shlfL a feedback sesslon of 3-10 mlnuLes should be provlded.
'-%#0J !F-,(.


1ralnee conducLs Lhe Lask.
Supervlsor dlrecLly observes
Lhe Lask.
1he supervlsor deLermlnes
lf/when supervlsor dlrecLlon or
lnvolvemenL ls needed.
1ralnee conducLs Lhe Lask.
Supervlsor ls wlLhln Lhe Lu and
checks-ln aL regular lnLervals.
LlLher supervlsor or Lralnee
deLermlnes lf/when supervlsor
dlrecLlon or lnvolvemenL ls needed.
1ralnee conducLs Lhe Lask.
Supervlsor may be ln Lu or elsewhere
ln hosplLal and ls only able Lo provlde
delayed asslsLance.
1he Lralnee deLermlnes lf/when Lo call
upon Lhe supervlsor for dlrecLlon or
lnvolvemenL.
1ralnee conducLs Lhe Lask.
Supervlsor ls avallable vla phone
from home.
1he Lralnee deLermlnes lf/when Lo
call upon Lhe supervlsor for
dlrecLlon.
1ralnee conducLs Lhe Lask.
Supervlsor does noL need Lo be
avallable.
=*:)*0(0%.
"#$%&$ '%($ %& )%*+ ,- (.$ -,##,/0*1 2,)3,*$*(& %& ,4&$'5$67 89 :;8<9 9=>;; 2,)3,*$*(& )?&( 4$ '%($67
Medlcal LxperLlse uemonsLraLes focussed and sLrucLured paLlenL assessmenL and safe paLlenL managemenL.
rlorlLlsaLlon and ueclslon Maklng uemonsLraLes clear cllnlcal reasonlng and efflclenL developmenL and lmplemenLaLlon of managemenL plans. uemonsLraLes slLuaLlonal awareness.
CommunlcaLlon
uemonsLraLes clear communlcaLlon ln all requlred formaLs (e.g. verbal, non-verbal, wrlLLen) LhaL ls adapLed for Lhe needs of Lhe audlence (e.g. paLlenLs / carers, oLher
healLhcare professlonals) and Lask (e.g. consulLaLlon, handovers).
1eamwork and CollaboraLlon uemonsLraLes a Leam-based approach Lo care, confllcL resoluLlon, expllclL allocaLlon of roles and responslblllLles, paLlenL safeLy.
Leadershlp and ManagemenL uemonsLraLes slLuaLlonal awareness across deparLmenL/area, paLlenL flow, Llme managemenL, and maLchlng deparLmenL resources Lo paLlenL needs.
Scholarshlp and 1eachlng LffecLlvely uLlllses Leachlng and learnlng opporLunlLles ln Lhe workplace. uemonsLraLes use of evldence-based pracLlce and cllnlcal declslon supporL Lools ln cllnlcal care.
PealLh Advocacy LffecLlvely uLlllses opporLunlLles Lo advocaLe for Lhelr paLlenL/s, lncludlng screenlng, lnLervenLlon and /or healLh promoLlon Lo proLecL and enhance paLlenL wellbelng.
rofesslonallsm uemonsLraLes respecL for oLhers, paLlenL-cenLred care, and puncLuallLy. ro[ecLs self as a compeLenL, carlng and honesL docLor.
!"#$% =*:),(L#%C
3^6'3M6 complexlLy shlfLs lnclude one or more of Lhe followlng:
! Average (or below average) number of paLlenL presenLaLlons.
! lew cases of hlgh complexlLy.
! Mlnlmal hosplLal/deparLmenLal lssues
(e.g. sLafflng, resources, bed avallablllLy).
3A8^6 3^6'3M6 complexlLy shlfLs lnclude one or more of Lhe followlng:
! Above average number of paLlenL presenLaLlons.
! Some cases of hlgh complexlLy.
! Some hosplLal/deparLmenLal lssues
(e.g. sLafflng, resources, bed avallablllLy).
?4M? complexlLy shlfLs lnclude one or more of Lhe followlng:
! Plgh number of paLlenL presenLaLlons (lncl. surge/dlsasLer).
! Many cases of hlgh complexlLy.
! SlgnlflcanL hosplLal/deparLmenLal lssues
(e.g. sLafflng, resources, bed avallablllLy).

ulrecL supervlsor
observaLlon / lnvolvemenL,
able Lo provlde lmmedlaLe
dlrecLlon / asslsLance.
Supervlsor 'on Lhe floor' ln Lu
monlLorlng aL regular lnLervals,
able Lo provlde
dlrecLlon / asslsLance.
Supervlsor wlLhln hosplLal for
querles, able Lo provlde delayed
dlrecLlon / asslsLance.
Supervlsor 'on call' from home
for querles, able Lo provlde
dlrecLlon vla phone.
no supervlsor lnvolvemenL.