Changes to Accreditation of Training Settings

The RACP is aligning its accreditation processes with new AMC Model Standards — creating a more consistent, transparent and fair approach for all training settings across Australia and New Zealand.

 

Why accreditation is changing

In 2023, the National Health Practitioner Ombudsman (NHPO) released Processes for Progress — a roadmap for greater transparency and accountability in specialist medical training site accreditation. The report made a series of recommendations to improve how training settings are accredited across all 16 specialist medical colleges.

 

The NHPO report aimed to increase consistency in accreditation, improve transparency for health services, build confidence in the system, foster collaboration between colleges and health services, and improve data and reporting about accreditation.

In response, Australian Health Ministers endorsed the AMC Model Standards, which all Medical Colleges — including the RACP — are required to adopt. The RACP is implementing these for both Basic and Advanced Training Programs.

The new standards —What's changing

The AMC Model Standards were developed to address variations in how specialist medical colleges operationalise accreditation standards, and to set clear expectations for accreditation assessment processes. The RACP is implementing these standards across both its Basic and Advanced Training Programs.

These standards support a uniform framework for accreditation decisions while allowing colleges to incorporate College Specific Requirements (CSRs) to reflect the unique program needs of each specialty.

Domains

The current 9 standards, previously classified under 4 themes, have been condensed into 4 streamlined domains.

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Trainee health

Training takes place in a learning environment that supports trainee health and welfare.

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Supervision, management and support structures

  • Clear governance structures support the delivery of effective education and training
  • Trainees receive appropriate and effective supervision
  • Trainees are supported in delivering quality patient care, including culturally safe care
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Educational and clinical training opportunities

  • Trainees are provided with the appropriate depth, volume and variety of clinical and other learning experiences
  • Learning opportunities are transparent, equitable and appropriate for the level of training
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Educational resources, facilities and equipment

  • Trainees have access to appropriate educational resources and facilities
  • Trainees have access to appropriate clinical equipment


When the new standards apply

Implementation is being phased across Basic Training and Advanced Training programs. The standards that apply to your setting depend on when your accreditation renewal falls.

2026

Current Standards

Settings undergoing Accreditation Renewal in 2026 will continue to be assessed under the existing RACP Training Provider Standards.

View standards (PDF)

2027

New AMC Model Standards

Settings undergoing Accreditation Renewal from 2027 onwards will be assessed under the new AMC Model Standards (supplemented by RACP College Specific Requirements).

View standards (PDF)


What this means for training settings

The shift to AMC Model Standards introduces several important changes to how accreditation decisions are made and communicated.

Key changes


Stage 1 

Settings will be assessed against a common set of model standards, supplemented by college-specific requirements where needed.

Stage 2 

Procedural fairness is embedded in the process — health services will have the right to respond to draft accreditation findings before a final decision is made.

Stage 3 

A risk-based framework will be used for accreditation decision-making, ensuring decisions are proportionate and based on risk.

Stage 4 

Common terminology across colleges for accreditation decisions and outcomes, providing clarity for health services on what their accreditation status means.

Further information on implementation, including updated guidance materials and an Evidence Guide for training sites, will be published here as it becomes available.


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