ANNUAL REGISTRATION & NOTIFICATION OF SUPERVISED TRAINING 2025

ESSENTIAL INFORMATION - PLEASE READ

Please note, the closing date to submit Annual Registrations is:

28 February 2025 for Single Discipline trainees and

30 April 2025 for Joint trainees

Should the deadline not be met your RCPA record will be marked as “withdrawn” and a fee will be required for reinstatement.

Incomplete applications will not be processed.

Trainees should ensure that their training laboratory is accredited by the College (please see https://www.rcpa.edu.au/Fellows/Laboratory-Accreditation-for-Training for further details).

Further information can be found here: https://www.rcpa.edu.au/Trainees/Training-with-the-RCPA/Annual-Registrations.

PERSONAL DETAILS

RCPA ID *

First Name *

Middle Name

Last Name *

Preferred NameIf applicable

Preferred Mailing Address *

Street address *Street address line 2

City *

State

Postcode

Country *

Mobile Phone *

Home Phone

Email Address *

DEFERMENT OF TRAINING OR EXTENDED LEAVE

Do you intend to defer training or take extended leave at any time during the next 12 months? *

YesNo

Reason for deferment of training or extended leave *Please provide details

Date from *

Date to *

Interruption of training will attract a Deferment Fee (please find more details on our fees here and the Application for Interruption of Training here ).

Joint trainees are required to complete an interruption of training form with both Colleges.

This will ensure your continued access to C ollege mailings and web access and ensure you can re-enrol for training without additional fees.

TRAINING INFORMATION FOR 2025

Did you undertake 12 months of approved training last year (2024) *

YesNo

If no, please provide details *

TRAINING LIMITATION

Have you completed the colleges requirement for 12 months of aggregate employment in a totally separate organisation yet (i.e. completed a total of 12 months of rotations to other labs) *

YesNo

For full details, and to ensure you are complying with RCPA Policy requirements, please see here Training Limitations.

INTENDED TRAINING IN 2025

What is your training pathway *

Please select the specific discipline training for this year *

Anatomical PathologyChemical PathologyHaematologyMicrobiology

Intended primary training discipline *

ROTATIONS

How many rotation sites will you rotate at this year? *

1234

Rotation 1

Site/Institution Name *

Please provide details

Site/Institution Address *

Street address *

City *

State

Postcode

Country *

Public / Private *

PublicPrivate

Work Email *

Full time / Part time *

Full timePart time

Hours per week *

Rotation 1 Commencement Date *

Rotation 1 Completion Date *

How many supervisors would you like to link to this rotation? *

Supervisor Name *

Supervisor Email *

Supervisor Phone *

Supervisor for Entire Rotation? *

Yes, entire rotationNo, part of the rotation

Date Supervised From: *

Date Supervised To: *

Supervisor 2 Name *

Supervisor 2 Email *

Supervisor 2 Phone *

Supervisor for Entire Rotation? *

Yes, entire rotationNo, part of the rotation

Date Supervised From: *

Date Supervised To: *

Rotation 2

Site/Institution Name *

Please provide details

Site/Institution Address *

Street address *

City *

State

Postcode

Country *

Public / Private *

PublicPrivate

Work Email

Full time / Part time *

Full timePart time

Hours per week *

Rotation 2 Commencement Date *

Rotation 2 Completion Date *

How many supervisors would you like to link to this rotation? *

Supervisor Name *

Supervisor Email *

Supervisor Phone *

Supervisor for Entire Rotation? *

Yes, entire rotationNo, part of the rotation

Date Supervised From: *

Date Supervised To: *

Supervisor 2 Name *

Supervisor 2 Email *

Supervisor 2 Phone *

Supervisor for Entire Rotation? *

Yes, entire rotationNo, part of the rotation

Date Supervised From: *

Date Supervised To: *

Rotation 3

Site/Institution Name: *

Please provide details

Site/Institution Address *

Street address *

City *

State

Postcode

Country *

Public / Private: *

PublicPrivate

Work Email:

Full time / Part time *

Full timePart time

Hours per week *

Rotation 3 Commencement Date *

Rotation 3 Completion Date *

How many supervisors would you like to link to this rotation? *

Supervisor Name *

Supervisor Email *

Supervisor Phone *

Supervisor for Entire Rotation? *

Yes, entire rotationNo, part of the rotation

Date Supervised From: *

Date Supervised To: *

Supervisor 2 Name *

Supervisor 2 Email *

Supervisor 2 Phone *

Supervisor for Entire Rotation? *

Yes, entire rotationNo, part of the rotation

Date Supervised From: *

Date Supervised To: *

Rotation 4

Site/Institution Name: *

Please provide details

Site/Institution Address *

Street address *

City *

State

Postcode

Country *

Public / Private *

PublicPrivate

Work Email

Full time / Part time *

Full timePart time

Hours per week *

Rotation 4 Commencement Date *

Rotation 4 Completion Date *

How many supervisors would you like to link to this rotation? *

Supervisor Name *

Supervisor Email *

Supervisor Phone *

Supervisor for Entire Rotation? *

Yes, entire rotationNo, part of the rotation

Date Supervised From: *

Date Supervised To: *

Supervisor 2 Name *

Supervisor 2 Email *

Supervisor 2 Phone *

Supervisor for Entire Rotation? *

Yes, entire rotationNo, part of the rotation

Date Supervised From: *

Date Supervised To: *

PROSPECTIVE TRAINING (OR RESEARCH) PROGRAM

Please upload your Prospective Training (or Research) program for the year. The Program should be devised by the Supervisor in conjunction with the Trainee and should include the specific objectives for the year, taking into account any special needs (e.g. exam preparation, remediation or rotation for experience not provided by the laboratory). Trainees should refer to the discipline checklist in the curriculum / trainee handbook and discuss any specific issues with their Supervisor.

The Prospective Training (or Research) Program should include the items listed below. The program should be a concise summary of activities developed specifically for the applicant. It should be accompanied by a weekly or monthly timetable of activities.

1. Brief overview of the laboratory and its networks .

2. Planned exposure to relevant experience: Including major aspects of the discipline, or test groups, to be covered in the ensuing year; any standard rotations to other laboratories within a group. If previous difficulties, what specific outcomes or achievements have been determined, eg goals for the development of a specific skill set.

3. Specific responsibilities relevant to level of skill and experience: Eg: Checking laboratory reports; liaising with clinicians; quality control of assays; trialling of new methods.

4. Additional external experiences: Eg: arrangements to receive specific experience in services which are not provided by the laboratory.

5. Intended participation in projects or research .

6. Educational program: List regular activities, eg weekly journal club, departmental administrative or patient care meetings, as well as planned attendance at conferences or seminars. Please attach a weekly or monthly timetable of activities.

7. Teaching and presentation activities: Responsibilities for, eg. tutorials to medical students, conference papers and departmental presentations.

If you are unable to provide a Prospective Training (or Research) Program please email bea@rcpa.edu.au .

Please note you will not be able to complete this form without a Prospective Training (or Research) Program, however you are able to save and complete later using the link at the end of this page.

Please ensure your supervisor has signed and dated your Prospective Training (or Research) Program before uploading it

I confirm my Supervisor has signed and dated my attached Prospective Training (or Research) program *

YesNo

Your annual registration will not be processed with an unsigned copy of your prospective training or research program. Please email a signed copy to bea@rcpa.edu.au at your earliest convenience.

Please upload your Prospective Training (or Research) Program *

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Your Prospective Training (or Research) Program should be designed with your supervisor, outlining the content and form of your proposed training program during the year. The Prospective Training (or Research) Program must be submitted with your Initial Registration and then annually or on change of employment. Further details of the training position or the Prospective Program may be requested.

TRAINING PERIOD

From: *

To: *

FINAL CHECKLIST AND SIGN-OFF

Have you checked that your site is accredited for training in your discipline *

YesNo

Please find details here

My supervisor's report for 2024 has been sent *

YesNo

Please upload your 2024 supervisor's report

Browse

Signature of Trainee *

Draw signature|Type signatureClear

Date of Signature *

PRIVACY AND CONFIDENTIALITY

The College is collecting your personal information (including your name, contact details and qualifications) in connection with providing you with training and further education. Any information you provide will be treated as strictly confidential by the College. However, in the course of your training it may be necessary for the College to provide your name, contact details and information about your progress or examination performance to College committees and Fellows of the College who are involved with supervision and training. The College may also disclose your personal information to your employer, any medical or regulatory body including disclosure overseas, if this is specifically required to be disclosed. If the personal information is not provided to the College, the College may be unable to process your application, or to review and assess your training progress and examination performance. The College will manage your personal information in accordance with its Privacy Policy, which sets out how you can access and correct personal information that we hold about you, as well as our complaints handling process. To obtain a copy of our Privacy Policy please contact our Privacy Officer on + 61 2 8356 5858 or visit our website: https://www.rcpa.edu.au/Library/College-Policies/Policies/Privacy-Policy.

Please notify the College in writing of any change to your contact details, training position or supervisor during the year.

An email to bea@rcpa.edu.au is acceptable.

Alternatively, as an RCPA Member you can log on to the College website and update your contact details here.

This application and the Prospective Training (or Research) Program must be submitted to the College by 28 February 2025 for single discipline trainees or 30 April 2025 for joint trainees.

All annual fees must be paid by 1 March 2025.

Trainees facing financial hardship can refer to the Fees for Training and Examination for General Fellowship and Fellowship of Faculties policy ( https://www.rcpa.edu.au/Library/College-Policies/Policies/Fees-for-Training-and-Examination-for-General-Fell - see Point 9 ).

Please ensure you have completed all relevant information required before pressing submit

Incomplete Applications will not be processed

Posted, faxed or emailed Applications will not be accepted

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