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Neuropsychology, ; 25 4 Identifying post-traumatic amnesia in individuals with a Glasgow Coma Scale of 15 following mild traumatic brain injury. Factors influencing outcome following mild traumatic brain injury in adults. The diagnostic accuracy of the Revised Westmead PTA Scale as an adjunct to the Glasgow Coma Scale in the early identification of cognitive impairment in patients with mild traumatic brain injury. Journal of Neurology, Neurosurgery and Psychiatry, ; 79 10 Shores EA, Fitzgerald Z.

Sydney: Macquarie University, Nocebo effects and mild traumatic brain injury: Legal implications. Neuroscience, ; 7 Classification of primary progressive aphasia and its variants.

Neurology, ; 76 11 Neuropsychologia, ; 38 5 Psychiatry Neurol. The Dementias. Washington: American Psychological Association. Neuropsychological Assessment of Dementia. The progression of cognition, psychiatric symptoms, and functional abilities in dementia with lewy bodies and Alzheimer disease. The early neuropsychological and behavioural characteristics of frontotemporal dementia. Neuropsychology Rev. Outline the various neuropsychological presentations of frontotemporal dementia FTD and the types of cognitive measures that may be useful in differentiating between FTD variants.

Behavioural-variant frontotemporal dementia: diagnosis, clinical staging, and management. Lancet Neurol. Vandenberghe R.

Classification of the primary progressive aphasias: principles and review of progress since Alzheimer's Res. Describe the various apraxic, agnostic and visuoperceptual disorders that may emerge following brain damage. De Renzi E. Visuospatial and constructional disorders. Behavioural Neurology and Neuropsychology. New York: McGraw Hill, ; pp Visual object agnosia. Manly T, Mattingley JB. Visuospatial and attentional disorders. Clinical neuropsychology: A practical guide to assessment and management for clinicians.

Chichester, UK: Wiley, ; pp. Manning L. Assessment and treatment of disorders of visuospatial, imaginal, and constructional processes. Handbook of clinical neuropsychology. New York: Oxford University Press, ; pp. The Health Services Administration and Evaluation module will provide you with the necessary knowledge and skills to attain competency in administration, leadership and quality management.

Refer to Theme 1. No prior knowledge is required for this module. A reading list is provided to you for your assignments, which may be useful pre-reading for the clinician readership workshops. Your progress through this requirement will be monitored through specific activities conducted during training. A standardised marking system is used to assess and mark assignments. Each assignment receives a mark between 1 and It's important to meet the submission deadlines to allow adequate time for marking and the possibility of needing to resubmit an assessment.

Failing to complete this module can see the certification of your Advanced Training Program delayed. Academic Integrity in Training Policy Rehabilitation medicine curricula. The written assignments are designed to cover the course outline and reference these components. The option guides should be considered in preparation and finalisation of the assignments. It's important for your learning experience to discuss your assignment with your current supervisor, and potentially other health service staff, to maximise your success in completing the module.

Each option has specific formatting needs, refer to the options that are relevant to you for more information. Submit your assignments, along with an assessment cover sheet PDF to rehab racp. Scenario: Your Director of Medical Services requests a meeting with you a couple of days after the Quality Management meeting in early August.

They tell you that the Hospital Executive has been told to urgently reduce spending. Your usual 5-week closure over the New Year period has been extended. Your ward will close for 5 months from 1 September this year until 31 January next year. Outline what you will do to ensure that your rehabilitation ward is re-opened in 5 months and that the patients receive a high-quality rehabilitation service in the meantime. This assignment option is intended to help you develop an understanding of the application of financial reporting in the context of the organisation or structure of the workplace.

It is not a simple accounting exercise. It is an exercise in management accounting, which attempts to bring financial information into the decision making of managers. A list of suggested references to assist you in this assignment are provided.

Also, go and discover the organisational structure of your own workplace as well as the financial reporting lines, and to reflect on how well your local systems promote effective, cost sensitive patient care. When answering the question, try to focus on the relevance of the terms to managing budgets within a healthcare setting. Appendix 1 is a report from a typical hospital-based rehabilitation service. The question assumes information that is further discussed in the next part of the assignment.

The provided organisational charts appendices 2 and 3 relate to the service for which this budget report was prepared. The routine budget report appendix 1 has been provided to the budget holder Nursing Unit Manager of the rehabilitation service and cost centre. The report was printed in May and details expenditure for the first 10 months of the financial year ends 30 June. Scenario: Assume appendix 2 is the organisational chart of the hospital in which you work.

You are supported by 1 rehabilitation registrar and 1 junior medical officer. Nursing and allied health staff are also allocated to the rehabilitation service. Appendix 3 gives the managerial reporting arrangements for the staff working in the rehabilitation service.

The rehabilitation ward and associated staff are classified as a cost centre within the hospital accounting system. The Nursing Unit Manager is the person nominated as accountable for the budget of the rehabilitation cost centre. Because of the anticipated overrun, the Nursing Unit Manager has been told she is required to reduce costs and to attempt to finish the financial year within allocated budget.

At the same time, the Nursing Unit Manager was advised that extra revenue generation would not be accepted as a response to the problem of budget overrun. You have been asked by the Nursing Unit Manager for advice. What suggestions would you make to the Nursing Unit Manager? In your answer, remember to calculate the actual dollar reductions needed to achieve budget and identify where savings could be made.

In order to form an opinion on the feasibility of each of the identified options, you will need to identify the:. Atkinson, A. Management Accounting.

Berry, L. McGraw Hill. Brooks, A. Contemporary Management Accounting. Finkler, S. Accounting Fundamentals for Health Care Management. Jones and Bartlett. Hankins, R. Jones, M. Smith, J. Handbook of Management Accounting. Young, D. Management Accounting in Health Care Organisations second ed.

However, there is a limited understanding of how the concepts of quality can be applied in the clinical setting. Managers need to beware of excessive focus on 'the System', such that the function of the System diverts attention from real improvement while creating a 'Shield of Honour' which might be used to deflect criticism of performance 2.

Simmons F, Stevermuer T. Wolff A, Taylor S. Enhancing Patient Care — A practical guide to improving quality and safety in hospitals. MJA Books, Evaluating and implementing new services. Building measurement and data collection into medical practice. Plsek PE, Greenhalgh T. The challenge of complexity in healthcare. Measurement of the safety and quality of healthcare. Scott IA, Ward M. Public Reporting of hospital outcomes based on administrative data: risks and opportunities.

Australasian Rehabilitation Outcomes Centre. Institute for Healthcare Improvement. Australian Health Review. Quality and Safety in Health Care. The service planning assignment is designed to introduce you to the challenges of planning health services, to teach you a little about the wider system in which you plan to work and to test your report writing skills. Specifically, this option focuses on program planning since this is the level at which you will most likely be involved in as a rehabilitation physician.

You have the freedom to customise your report for the title you have chosen and change section headings in your report, but all sections are to appear in your final report. As a new Fellow, you may be involved in hospital or regional program-specific issues and unlikely to be asked to develop a state plan for rehabilitation services.

However, we encourage you to take the time to read some state and regional plans for rehabilitation services, to appreciate the place that rehabilitation medicine holds in the wider health system. The suggested reading material and existing program plans your supervisor may be able to provide will help you to familiarise yourself with the elements of programs and program evaluation techniques.

Make time to talk with your supervisor about the logistics of data availability in your current working situation and discuss your progress regularly with your supervisor. You cannot write this report in a weekend. Writing a plan for a new program usually takes at least a few months.

You may find that you will need this amount of time to put your submission together. Your assignment is to prepare the Clinical Service Plan component suitable for inclusion in the submission to the Board. Your plan needs to be practical enough for a manager to cost, or an architect to design if it involves a facility.

For example, paediatrics, occupational health or country setting. Take into consideration what you have written at this stage and discuss with your supervisor if necessary. Have someone proof your report, reviewing its formatting, spelling and grammar before you submit it. Health planning: Australian perspectives. Goucke CR. The management of persistent pain.

Submit your reflective essay, certificate of attendance and an assessment cover sheet PDF to rehab racp. In Module 6 — Behavioural Sciences, you will gain understanding of psychological and sociological theories and research relevant to the understanding of how people experience disability.

The module gives you an opportunity to relate concepts and processes in rehabilitation medicine to psychological, behavioural and social sciences literature, theories and research, and to develop an understanding of theories and research in behavioural sciences relevant to:. Marking is completed by an assessor from an appointed panel with expertise in behavioural sciences in relation to rehabilitation. A mark of less than 4 means that your assignment is required to be revised and resubmitted.

All assignments are to be written in formal academic style, including a comprehensive list of references. The Australian Bureau of Statistics Survey of Disability, Ageing and Carers , and the implications of this study for the provision of medical and rehabilitation services.

Disability: A guide to health professionals. Melbourne, Nelson This a brief reading list relevant to the requirement. Australian Institute of Health and Welfare. Australian Bureau of Statistics. Available at: Athanasou JA. Rotterdam, Sense Publishers, Canberra, Engel GL. The need for a new medical model: a challenge for biomedicine. Science, ; The clinical application of the biopsychosocial model. Psychiatry, ; 5 From biomedical to biopsychosocial.

Being scientific in the human domain. Psychosomatics, ; 38 6 Social consequences of long-term impairments and disabilities: Conceptual approach and assessment of handicap. Fougeyrollas P, Beauregard L. Handbook of Disability Studies.

Thousand Oaks: Sage Publications, Inc. Cultural respect strategies in Australian Aboriginal primary health care services: beyond education and training of practitioners. Public Health, ; 38 4 Hung TN. Patient centred care. Cultural safety in indigenous health. Physician, ; 37 12 World Health Organisation, Kennedy P Ed. The Oxford Handbook of Rehabilitation Psychology. New York, Oxford University Press, Mpofu E Ed.

Community oriented health services: Practices across disciplines. NY: Springer, Mpofu E, Oakland T Eds. Rehabilitation and health assessment: Applying ICF guidelines. Oliver M. Theories of disability in health practice and research. Stroke patients' views on their admission to hospital.

Working at the interface in Aboriginal and Torres Strait Islander health: focussing on the individual health professional and their organisation as a means to address health equity. International Journal for Equity in Health, ; 15 1 Archives of General Psychiatry. International Journal of Rehabilitation Research. Journal of Psychosomatic Research. Psychological Medicine. Psychosomatic Medicine. Rehabilitation Psychology.

Compare and critically contrast the traditional medical model of care with the biopsychosocial approach presented by the International Classification of Functioning, Disability and Health. Use case examples from your own practice to illustrate the way that either personal or environmental contextual factors influence the participation outcomes achieved with particular patients.

Task: In relation to the provision of rehabilitation services, discuss each of these issues in the context of your chosen population and health condition:. Final certification of your training can be delayed if the AFRM Education Committee is unsatisfied that the requirement has been achieved. This assessment evaluates you in real life settings and assesses your professional expertise and judgement exercised in clinical cases.

Cases for consultations and discussion are chosen by your assessor with each encounter representing a different clinical problem. You should have had no previous contact with the patient. You can complete your 2 FLCAs separately with different assessors or in sequence on the same day if necessary. Each assessment should represent a different clinical problem addressed in the Advanced Training Curriculum.

An In-training Long Case Assessment ITLCA is an assessment that evaluates you in real life settings and assesses your level of professional expertise and judgement exercised in clinical cases. At least 1 encounter per year, from your second year onwards, must be directly observed by an assessor.

Your training supervisor if not your assessor can also view your completed assessment forms via the portal. A minimum of 12 assessments, including at least 3 observed 1 per year across Years 2 to 4 , must be completed prior to your final 6-month training rotation.

Trainees undertaking part-time training are required to complete the same number of ITLCAs pro-rated to the amount of training that they have been approved for. You need to complete a specified number of LNAs each year, per rotation. Refer to the training program requirements for the required number. Video tutorial. A Professional Qualities Reflection PQR allows a trainee to reflect on an event, or series of events, that is medically or professionally significant to them. Reflecting on your professional qualities can cause you to question your beliefs, attitudes and behaviours, and develop new ideas and insights to inform your future practice.

The event can be positive or negative but doesn't have to be dramatic or life threatening. The event should relate to a variety of different encounters you might experience in a healthcare setting. The Minister of Health can authorise disclosure for investigation purposes if they are satisfied that the material relates to a serious offence.

A Supervisor's Report provides a comprehensive overview of your progress and achievement during the training year.

It provides you with structured feedback on your performance from your supervisor and will inform the decision on the certification of your training. We are extending our pilot, which commenced last year, through into We ask that trainees and supervisors give the online report a go, save time by completing it online and share your feedback with us.

Learn more about the online Supervisor's Report pilot. You can also submit a letter of explanation to support your application. Education policies Multi-factor authentication Online Supervisor's Report. In your final training year, you must submit a report covering the entire second half of that year by 15 October. The requirement encourages you to reflect on your training rotations, embedding reflection and review into your practice.

Your feedback is de-identified and added to a training settings database that is used in the accreditation review cycle for training settings. Trainee Term Evaluation Form. If you have outstanding training fees, you're ineligible to sit the exam.

See College Fees Terms and Conditions. You cannot continue Advanced Training if you exceed the examination attempt limit, which is based on when you commenced training. See Progression Through Training Policy for more information about examination attempts. You must perform a competent clinical examination, and analyse and interpret findings to manage patient outcomes. The examination will test your clinical knowledge and skills in rehabilitation medicine in a hospital setting.

You must perform a competent clinical examination and analyse and interpret findings to manage patient outcomes. The logbook DOC is an optional tool to assist you in gaining broader experience in the field of general rehabilitation medicine.

Broad exposure during training to case-mix and complexity is important for your overall quality of training but experiences can vary from trainee to trainee. Trainee support is available through the Training Support Pathway, assisting you in navigating the progression through training process and reporting on your progress to your training committee. AFRM training resources feature the latest lecture series webinars and presentations on rehabilitation medicine made for the training program and assessments.

RACP Online learning resources is home to all online learning opportunities for trainees, with its range of online learning courses, resources and interactive learning content. It also hosts:. Pomegranate Health podcast is a monthly medical podcast created by physicians, for physicians. Evolve is a physician-led initiative to ensure the highest quality patient care through the identification and reduction of low-value practices and interventions.

We acknowledge and pay respect to the Traditional Custodians and Elders — past, present and emerging — of the lands and waters on which RACP members and staff live, learn and work.

Training pathways Apply for Physician training. Make an enquiry. Training portals AT registration BT registration. In this section: Specialist assessment Area of Need assessment. Short-term specialist training. Vocational registration. Log in. Download Current tab Entire handbook. Interim changes to program requirements Interim requirements for all trainees are listed under Program requirements. Entry requirements Prospective trainees must: hold a current medical registration have completed 2 full years of postgraduate supervised training in general medical and surgical areas have been appointed to an appropriate Advanced Training position.

All trainees need to apply for Advanced Training each year. Fellowship Once you've completed all requirements of your training and the AFRM Education Committee has recommended you for admission, the College will invite you to apply for Fellowship of the Australasian Faculty of Rehabilitation Medicine. Current trainees Current trainees need to apply for prospective approval every year. Application deadlines Application for entry Due at least 3 months before commencing training as entry decisions can take up to 8 weeks.

See program key dates for trainees and supervisors. Late applications Late applications will be considered up to 1 month after the deadline. Late applications incur a fee.

Fees The standard annual membership fees apply. About your training position Core training must be undertaken at accredited settings. A minimum of 12 assessments, including at least 3 observed, must be completed prior to your final 6-month training rotation.

Time-based requirements The Advanced Training Program in General Rehabilitation Medicine allows adequate time for you to gain the necessary learning experiences across a range of relevant rotations during your 4-year total training period 48 months FTE. Training rotations Your 48 months of certified training time consists of: 36 months minimum of core training, spent in RACP-accredited settings 12 months maximum of non-core training in other clinical training disciplines or in research The AFRM Training Committee prospectively approves non-core training rotations on a case-by-case basis.

Interim requirements Time-based requirements Training time Current requirement Interim change requirement 48 months of certified training No change 36 months minimum of core training 33 months minimum of core training 12 months maximum of non-core training 15 months of non-core training allowed Eligibility All trainees in The Faculty Training Committee FTC will take into account these documents when considering your certification of training.

Training time in Australasia Current requirement Interim change requirement 36 months minimum 33 months minimum Eligibility All trainees in The FTC will take into account these documents when considering your certification of training. Work-based learning and assessment requirements Formal Long Case Assessment Current requirement Interim change requirement 2 x Formal Long Case Assessments over the course of training usually during the final 6-month rotation.

No change. Eligibility Final year trainees in External Training Module 4 — Clinical Neuropsychology Current requirement Interim change requirement 5 x essay-type answers completed once over course of training No change Submission required 6 months prior to your completion of training Requirement can be submitted after the Fellowship exams Eligibility Final year trainees in External Training Module 5 — Health Services Administration and Evaluation Current requirement Interim change requirement Complete one of these options over course of training: 2 x Written assignments 1 x Workshop and reflective essay No change Submission required 6 months prior to your completion of training Requirement can be submitted after the Fellowship exams Eligibility Final year trainees in External Training Module 6 — Behavioural Sciences Current requirement Interim change requirement 4 x Written assignments over the course of your Advanced Training No change Submission required 6 months prior to your completion of training Requirement can be submitted after the Fellowship exams Eligibility Final year trainees in Work-based learning and assessment requirements A work-based learning and assessment tool requirement stipulates what you must achieve as part of your training program.

Advanced Training Research Project Open all. Overview The Advanced Training Research Project ATRP is a report on a project that you have had significant involvement in designing, conducting of research and analysis of data. It enables you to gain experience in: research methods interpretation of research literature participation in research at some stage of your career developing quality improvement skills ATRPs are not required to be specialty-specific but must be broadly relevant to your area of specialty.

An ATRP submission provides evidence of the skills of: considering and defining research problems the systematic acquisition, analysis, synthesis and interpretation of data effective written communication Review your training program requirements to confirm whether there are any additional research requirements beyond completing your ATRP.

This can include: research doctoral degree, like MD or PhD Masters by research major project completed through a Masters by coursework An ATRP completed through Masters by coursework must meet project type requirements and be submitted for marking according to the marking process.

In the case where your PhD is in progress or incomplete, you can: submit your PhD upon completion for RPL consideration, or partially submit your PhD for RPL consideration if it meets one of the acceptable research project types, such as systematic review Again, in this instance you need to apply within 3 months of commencing your rotation.

Accepted project formats Three research project types are accepted: research in: human subjects, populations and communities and laboratory research epidemiology field research medical education audit systematic review Additional project formats may be considered provided they meet the Advanced Training Research Project ATRP guidelines and marking criteria. Research in human subjects, populations and communities or laboratory research This project type also includes epidemiology, field research and medical education research.

Step-by-step: Research in human subjects, populations and communities or laboratory research 1. Develop skills in scientific writing to apply for grant support, publish scientific and medical papers. Identify the problem and formulate research questions Consider and define a health-related problem. Review, analyse and synthesise evidence related to the existing literature, or your current practice, to identify research gaps and formulate research questions or hypotheses.

Develop the research design Convert information needs into answerable questions and clearly identify the specific aims of a study designed to address the question. Identify an appropriate research method and techniques. Identify the ethical issues arising from conduct of the study. Obtain ethics approval from the appropriate body, if required. Collect or identify data to achieve the study objectives Apply quantitative or qualitative methods.

Write up research Appraise and synthesise the research findings in consideration of the research objectives and hypotheses. Set findings within the context of the wider literature on the topic. Apply the results of the study to practice. Demonstrate effective and succinct written communication. Outline how research should and could contribute to the practice of evidence-based medicine.

Assess strengths, weaknesses and limitations of the research project. Reference using a consistent style. Self-reflection Evaluate your performance. Discuss your performance with your supervisor — consider any issues that arose during the research project and how the findings might change your practice.

Identify a topic that is important to audit. Develop audit criteria that will measure performance against the agreed standard.

Collect and analyse data and report results. Reflect on results and develop improvement plan. Implement improvement plan. Repeat data collection to measure improvement. Step-by-step: Systematic review 1. Define the review question and rationale behind question. Assess study quality. Select studies and collect data. Assess risk of bias of included studies. Analyse data. Interpret results and draw conclusions. Presentation guidelines You're encouraged to present your Advanced Training Research Project ATRP orally at hospital, state or national meetings and submit your work for publication in an appropriate peer-reviewed journal.

The ATRP word limit should be appropriate to the study type: quantitative research up to words qualitative research up to words You must comply with the Academic Integrity in Training Policy.

Your ATRP presentation should contain: 1. Introduction discussion and placement of the research in context of published literature critique of literature if there are alternative views 3.

Aims define the research aim, questions and hypotheses 4. Methodology describe the methods used in enough detail to allow it to be replicated 5. Statistical analysis perform appropriate statistical analysis of the data 6. Results present the results in figure and tabular format to the standard of published literature include figure and table legends with a brief description of your data and statistical analysis 7.

Discussion discuss and interpret the results discuss the results in context of published literature - for example, do your results support or disagree with published literature and do they enhance what is already published? Reference list.

Project supervisor's role Your research project supervisor guides you with your project choice, method, data analysis and interpretation, and quality of written and oral presentation.

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