CPD Handbook

CPD Handbook

Message from the Chair

Dear Fellows

The 2022 RANZCO CPD Framework now aligns to the requirements of the Medical Board of Australia (MBA) and the Medical Council of New Zealand (MCNZ). You can be assured that meeting the requirements of the RANZCO CPD Framework means you are meeting your compliance requirements set out by the MBA and MCNZ. This involves strengthening CPD with the requirement of a professional development plan, active assurance of safe practice, strengthening assessment of complaints, providing support for practitioners and fostering a positive culture of medicine.

This Handbook has been extensively revised to reflect the updated CPD Framework.

The CPD Diary is used for documentation and uploading of CPD activities. This is accessed by logging into the RANZCO website and selecting the CPD Diary button or via the RANZCO CPD Diary App. You are encouraged to log your activities as you do them, and add reflection elements to increase learning outcomes.

The CPD Home https://lms.ranzco.edu/course/view.php?id=166 is your central repository of information about CPD, as well as links to resources to help you meet your CPD needs.

The main changes to CPD are:
  1. The Professional Development Plan (PDP), used for planning the CPD activities for the year ahead, with final reflection on goals achieved and changes implemented at the end of the CPD year. Information is available on the CPD Home, as well as links to the PDP: https://lms.ranzco.edu/mod/quiz/view.php?id=5166 
  2. A new framework comprising 50 hours of CPD: 
    1. Performance review: To provide increased engagement, reflective processes, and feedback to practitioners.
    2. Outcome measurement:  Audit processes.
    3. Education: Active and passive learning and research.
As always, RANZCO encourages you to go beyond the required hours of learning. 

A RANZCO CPD Certificate of Completion is required as a registration standard and can be printed directly from the RANZCO CPD Diary. 

A/Prof Lawrence Lee

Chair, Continuing Professional Development Committee

CPD Committee
(as of June 2022)

A/PROF LAWRENCE LEE
Chair

DR JOHN MCCOOMBES
State CPD Representative, Queensland
DR NIGEL MORLET
State CPD Representative, Western Australia
DR JESSE GALE
State CPD Representative, New Zealand
DR NATHAN NIELSEN
State CPD Representative, Tasmania
DR SUSIE LUU
State CPD Representative, South Australia
DR ANDREW CRAWFORD
Board, CPD Representative
MR JOUMAN TABBOUCHE
Education Coordinator

CONTACT
The Royal Australian and New Zealand College of Ophthalmologists
94 - 98 Chalmers Street, Surry Hills, NSW 2010
Telephone: +61 2 9690 1001
Email: cpd@ranzco.edu


CPD IS A REQUIREMENT OF FELLOWSHIP

Overseas Fellows who are registered with AHPRA or the MCNZ and live and work overseas (outside Australia and New Zealand) or are a newly appointed Fellow of RANZCO and are undertaking Fellowship overseas are required to participate in the RANZCO CPD program.
A Fellow who believes that their scope of practice is more aligned to another College in which they have dual Fellowship may apply to the College for special consideration to participate in the other College's CPD program to meet the RANZCO’s CPD requirement. Approved Fellows must provide documentation evidence of meeting the requirements of the approved CPD program by January 31 each year. 

RECORDING CPD POINTS

CPD points must be logged via the RANZCO CPD Diary. This is available online (select the CPD Diary button after logging into www.ranzco.edu or via the RANZCO CPD Diary App (available from the Apple App store and Google Play store). If you do not have internet access, contact cpd@ranzco.edu for support.

COMPLIANCE

If you anticipate difficulty in meeting your annual requirement contact cpd@ranzco.edu as early as practicable before the end of the calendar year.
A Fellow who fails to comply with the College's CPD requirement will ultimately be referred to the RANZCO Council. A copy of the College's policy relating to Fellows who fail to meet the College's CPD requirement, as well as all policies pertaining to CPD, are available from the “Policies” section of the College's website.

VERIFICATION REQUIREMENT

The College does not routinely require Fellows to submit evidence to the CPD Secretariat to support their claims. Fellows are, however, expected to maintain documentary evidence of their CPD activities. At the end of each year, the College will conduct a random CPD verification audit of five percent of its Fellows. The audit usually occurs in February. If you are selected for audit you will be notified in writing and asked to provide documentation to support your claims. The documentation requirements for the CPD verification audit can be found under 'Verification Documentation Requirement' at the end of this Handbook.

AHPRA also conducts independent yearly audits and can call upon you to verify your CPD claims. AHPRA requirements state that records must be kept for 3 years.

CERTIFICATE OF CPD COMPLIANCE     

Meeting CPD requirements means you are eligible to receive a certificate. After the close of the CPD diary the CPD certificate be downloaded directly from the CPD diary.
Fellows who are CPD compliant and have paid all membership dues are able to download a letter of good standing confirming their Fellowship with the College.

RANZCO's CPD Framework

RANZCO's CPD Framework reflects the requirements for CPD Homes established by the Medical Board of Australia (MBA) and the Medical Council of New Zealand (MCNZ). All full-time and part-time Fellows are required to complete a minimum of 50 hours. 

As a CPD user, you can be assured you are accessing a program that complies with the regulators requirements, including:

  1. A CPD Dairy to track your CPD activities, and store evidence of these.
  2. A Professional Development Plan (PDP) that allows you to capture your learning intentions and reflect on these.

RANZCO's CPD Home (https://lms.ranzco.edu/course/view.php?id=166) is accessed via RANZCO Learning.  It includes information on the CPD Framework and requirements, links to the PDP and other CPD-related resources.

The RANZCO CPD programme requires a minimum of 50 hours of activities across the following 3 categories:

Reviewing Performance 5 hours (minimum) Reviewing Performance and Measuring Outcomes must achieve 25 hours across both categories
Measuring Outcomes 5 hours (minimum)
Education 12.5 hours
Any combination of the above 12.5 hours

You must complete a Professional Development Plan (PDP). Setting your intentions for the year ahead gains 1 hour under Reviewing Performance. Reflecting and evaluating your learning at the end of the CPD year gains 1-2 hours under Reviewing Performance (based on how long you spent reflecting).

These are all minimal requirements per category and certainly more can be performed and recorded.  

Professional Development Plan

The PDP must be completed at the end of each year; reflect and evaluate the CPD carried out during the year and set goals for the year to come.  A form has been created to assist with the completion of the PDP and can be located in the CPD Home: https://lms.ranzco.edu/course/view.php?id=166.
 
Identify Learning Needs
‧  What knowledge, skills or attributes do I need to develop to meet the demands of my current work and career aspirations? 
Plan Activity
‧  Which activities would help me to meet the identified development needs?

‧  How does an identified development need align with the College's CPD categories and levels?
Reflect on Learning achieved and Impact
‧  What did I learn?

‧  How did this learning change my practice?

‧  How did this learning improve patient?

CPD Categories and Activities

For the purposes of increasing diversity of activities for a broad CPD learning experience, the hours allocated for activities are maximum claimable hours (highlighted with an *) that can be used towards the CPD requirement. You may perform additional hours in these activities though only the maximum claimable hours will be used in the calculation of the CPD requirement.

The tables below lists approved activities and their maximum claimable* hour allocations. When entering CPD hours, for other approved activities that do not fit into the general activity titles listed below, you can select ‘other activities not listed’.

Category 1: Education - 12.5 hours

This involves individual and group activities, ranging from direct journal reading, webinars and RANZCO Learning online modules through to conference attendance, research, publications, higher education, teaching and participation in examinations.

At this stage, the RANZCO CPD Diary can only track whole numbers, so 13 hours is required.


ACTIVITY

HOURS

ACTIVITY
HOURS

Higher degree/Postgraduate studies/Research activities
per hour, maximum claimable 20hr per year

Meetings, congress, conference, workshops and webinars**
per hour, maximum claimable 5hr per day

Attending or presenting at Journal Club, Grand Rounds, Departmental teaching

per hour, maximum claimable 10hr per year

Participating in "Train the trainer" workshops
per hour, maximum claimable 5hr per year

Completing Journal and online based assessment tests

per hour, maximum claimable 5hr per year


Participating in Diversity and Inclusion meetings/workshops
per hour, maximum claimable 5hr per year

Directed Journal Reading

per hour, maximum claimable 10hr per year

Author of a book chapter/book, editor of a book
per hour, maximum claimable 15hr per book
Completing RANZCO Learning

per hour, maximum claimable 10hr per year

Presenting Poster or Paper at scientific meeting
per hour, maximum claimable 5hr per presentation

Teaching/Lecturing/Participation in Forums/Panels (includes developing educational resources)

per hour, maximum claimable 25hr  per year

Reviewer of manuscript, journal article, book, thesis
per hour, maximum claimable 15hr per year
Publications: Author of a paper published in a refereed scientific journalper hour, maximum claimable 10hr per project
Reviewing ethics and grant proposals
per hour, maximum claimable 10hr per year
RANZCO trainees/SIMGs: Mentoring, Supervising, Surgical Coaching
per hour, maximum claimable 10hr per year
Other educational activity not covered aboveper hour, maximum claimable 5hr per activity

 * maximum amount of hours that can be claimed for each activity

** a list of conferences and meetings are available from the College's event calendar, via the website. 

Category 2: Reviewing Performance - minimum of 5 hours

This involves reflective practice, which includes the professional development plan, peer review activities, patient and practice surveys, quality assurance, risk management and participation in RANZCO committees. This also includes cultural competency, medicolegal peer reviews and reporting activities. You must complete a minimum of 5 hours of Reviewing Performance. 25 hours must be achieved and this can include hours combined with Measuring Outcomes.

Peer Review Practice Visit: A peer review practice visit is an alternative to a formal audit of surgical or medical care. You can claim 12.5* hours as either a host or a visitor. Visit https://lms.ranzco.edu/course/view.php?id=165 for more information.

Medico-Legal Reports: Those who specialize in medico-legal services may submit and/or peer review medico-legal reports to fulfil the requirement and can claim 5* hours per report. These reports should be de-identified due to confidentiality.

Audit/Peer Review Meeting: A formal meeting or webinar should have a Chair and a written record. Data and results analysis should be available for discussion. Self-reflection of one’s performance in comparison to peer data can also be performed. Recommendations for implementing practice changes should be recorded. Suggestions for an effective meeting are detailed in the ‘Guide to Surgical Audit and Peer Review’: https://lms.ranzco.edu/pluginfile.php/10128/mod_resource/content/4/surgical_audit_guide_copy.pdf. You can claim up to 5* hours for participating in a Peer Review Meeting.

Health and Wellbeing Activities: Participation in RANZCO approved Health and Wellbeing activities, involving performance review and risk management pertaining to the scope of practice as an ophthalmologist. These RANZCO approved activities involve reflection, review, implementation of strategies to reduce risk and enhance performance, and does not include the actual time involved doing the physical activity that was recommended.


ACTIVITY


HOURS
ACTIVITY
HOURS

Professional Development Plan Part A 
https://lms.ranzco.edu/course/view.php?id=166

1hr compulsory
RANZCO examiner (incl. chair, development, preparation, examination, reflections)per hour, maximum claimable 25hr per year
Professional Development Plan Part B

min 1hr, max 2hr
RANZCO trainer reflection
per hour, maximum claimable 10hr year

Peer review practice visit (host or visitor)


per hour, maximum claimable 12.5hr year
Hospital/Practice/Training Post accreditation
per hour, maximum claimable 10hr year

Patient/Practice/College Survey^


per hour, maximum claimable 5hr year
Medicolegal (report or peer review of expert witness)
per hour, maximum claimable 5hr per report

Simulator training (self-training)


per hour, maximum claimable 10hr year
Clinical Governance/Participation in QA Activities: (Board/Council/Committee) relevant to: Hospitals, Practices, Medical Advisory, Risk Management, Clinical Research and Technology, Medical Associations and Societies
per hour, maximum claimable 25hr year

RANZCO Clinical Governance/Participation in QA activities (Board/Council/Committee)


per hour, maximum claimable 25hr year
Cultural Competency Activities: RANZCO, LMS
per hour, maximum claimable 12.5hr year

Medical Defence peer review meeting and implementing practice changes


per hour, maximum claimable 5hr year
Peer review meeting & implementing practice changes
per hour, maximum claimable 5hr year
RANZCO Professional Development Activities
per hour, maximum claimable 5hr day
RANZCO Selection Process and  Development
per hour, maximum claimable 5hr day
Participating in risk management/clinical governance/professional values meetings
per hour, maximum claimable 5hr per day
Other Reviewing performance activity not covered above
per hour, maximum claimable 5hr activity

 * maximum amount of hours that can be claimed for each activity

^ Patient/Practice/College Survey includes participation in, or conducting a survey of, patients, or practice or College-related surveys. College surveys include RANZCO's Workforce survey or those related to the training program. All surveys should be of sufficient length to cover at least one CPD Reviewing Performance hour, which would also include reflection and analysis. Marker research surveys do not qualify. 

Category 3: Measuring Outcomes - minimum of 5 hours

Measuring outcomes involves audits relevant to your scope of practice which can include clinical, morbidity and mortality, education and training, and medical defence activities. Office record reviews (ORR) using prospective or retrospective data, can also be performed. You must complete a minimum of 5 hours of Measuring Outcomes. 25 hours must be achieved and this can include hours combined with Reviewing Performance.

Surgical audits and peer reviews: These are important strategies in improving standards in medical and surgical care. For participation and process of the audit there are 12.5* hours under Measuring Outcomes, which can be linked to the peer review of the audit and implementing practice changes under reviewing performance for a further 5* hours. More information is available: https://lms.ranzco.edu/course/view.php?id=162

Office Record Review (ORR): An ORR is a retrospective audit of a patient's medical records pertaining to history, examination, investigation, diagnosis and management of a specific condition. It is a form of documentation audit introduced by the CPD Committee to assist Fellows who are not operating to fulfil their CPD requirements. You can claim 5* hours for each ORR. There is a list of 27 excel templates that can be downloaded: https://lms.ranzco.edu/course/view.php?id=164. Each template pertains to an ophthalmic diagnosis with a specific definition and time frame requirement.

Medical defence audits: These are allocated at 5* hours for the audit process, under Measuring Outcomes.  A further 5* hours under Reviewing Performance can be claimed for the associated peer review meeting and implementation of practice changes. 

You may undertake audit activity as a group provided:

  • Individual results are available as part of the group results
  • There is an audit meeting for discussion of results, feedback, so each Fellow can formulate a plan for improvements.


ACTIVITY

HOURS


ACTIVITY
HOURS

RANZCO External audit: e.g. ANZSRS, FRB, FGB, FCB, FTB, ACGR (claim for peer review and implementing practice changes in Review Performance)

per hour, maximum claimable 12.5hr per audit


Clinical/Educational/Training Audit (claim for peer review and implementing practice changes in Review Performance)
per hour, maximum claimable 12.5hr per audit

RANZCO clinical audit tool - RCAT - (claim for peer review and implementing practice changes in Review Performance)


per hour, maximum claimable 12.5hr per audit


Morbidity & Mortality/Case conference meetings
per hour, maximum claimable 5hr per day

Completing Office Record Review (ORR)


per hour, max 5hr per ORR


Medical defence audit
per hour, maximum claimable 5hr per year

Healthcare reports^^


per hour, maximum claimable 5hr per report


International Development (a quality improvement project):e.g. education and measuring outcomes (if audited)
per hour, maximum claimable 12.5hr per year

Other measuring outcomes/audit activities not covered above

per hour, maximum claimable 5hr per activity

*  maximum amount of hours that can be claimed for each activity

^^ Healthcare reports are a report regarding any aspect of healthcare pertaining to the scope of practice for ophthalmology. They must have sufficient detail and substance to quality for a Measuring Outcomes activity. Examples include a Chair's Report, Committee Report, writing for RANZCO's Annual Report, a Workforce Review Report or Business Case Plans. 

General Audit Guide

The Medical Board of Australia (MBA) and the Medical Council of New Zealand (MCNZ) requirements include quality assurance and reflective activities. To meet these requirements, you may choose to conduct an audit on a specific aspect of your practice or patient care. This can include the structure of care, process of care or the outcome of care.  

There are 5 stages when conducting an audit:



Stage 1: Determine the Scope/Topic - Prepare your audit.
You will need to select a topic, preferably one that you may deem a high priority for your practice or patients. This could involve areas where there is a high volume of work, high costs or high risk of care, or an area that has been identified as a priority by patients. In stage one you will also need to identify your available resources. For example, there may be existing guidelines that define desired standards for the topic you have chosen. 

Stage 2: Select Standards
Define the standards and criteria of your audit that are in line with current practice. When developing or selecting these standards, it should be expressed as a clear evidence-based statement. You should refer to literature that is in line with current practices and guidelines. There are three options to pick from when selection standards:
  1. Ideal Standard: the standard of care that should be given under ideal conditions with no constraints.
  2. Minimum Standard: the lowest acceptable standard of performance. Primarily used when distinguishing between acceptable and unacceptable practice.
  3. Optimum Standard: the standard lying between ideal and minimum and represents the standard achievable under normal conditions. 

Stage 3: Collecting and Analysing Data
Identify the type of data that needs to be collected, how it will be collected and in what form. Data can be obtained via electronic records, manually, or by both means. Collected data should be analysed and compared with the selected standards from stage two. Determine if your data has met the standards, and if not, determine the potential reasons why or how these standards were not met. To help you collect quality data, consider the following:
What information do you need to answer your topic question?
From who, where and how will you collect this data?
Should you collect this data prospectively or retrospectively?
Is data collected absolutely essential and relevant?
Stage 4: Present and Interpret Results with Peer Review
After you have collected and compared your data against your chosen standards, present and interpret your audit results with peers and discuss your outcomes. Peer review is an integral component of audit. Peers are other ophthalmologists with comparable training and experience. It is also helpful to include other members of the team during the review, for example, a trainee or nursing staff. The review should be conducted in an atmosphere of trust, confidentiality and taken as an opportunity for growth and improvement. Peer review is not an opportunity to blame or brag. 

Stage 5: Make Changes and Monitor Progress
This involves the implementation of the required changes that were discovered during stages three and four. To complete the audit cycle in its entirety, follow up is required to determine if the actions that have been taken have been effective or to uncover if further improvements are required.

Audit Verification Documentation Requirement

As part of the CPD Program RANZCO conducts an audit of 5% of its members CPD each year. Members should upload documentation to the CPD Home or retain the following documentation and submit, if required to verify:

1. A photocopy of your diary entry, receipt, confirmation or an equivalent notice of meetings or conferences that you attended showing:

  • date, time, location and duration
  • name of organization
  • name/purpose of meeting

2. Recording journal readings:

  • photocopy the table of contents and tick those read in detail
3. Audit activities. 
  • audit topic, scope, summary and conclusions
  • duration and date of completion of audit
  • peer review - name of peers or committee and date of review

Note: All patient identifiers must be removed when supplying documented evidence.

4. Teaching, training and examination

Fellows should retain the following documentation and submit, if required to verify:

  • brief description of teaching topics
  • dates, location, duration and participants involved
  • details of examinations attended, brief description of topics, participants and dates
  • copies of certificates of attendance, letters of invitation or letters of appreciation etc.
  • presentations - copy of the presentation or program, notes, date, time and location of presentation

5. Research and publication

  • publications - provide details of the published work, e.g. photocopy of article reference etc.
  • research - details of projects and organisations conducting the research

Contact cpd@ranzco.edu for any enquiries.




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