All International Medical Graduates (IMGs) who accept a
recommended pathway to Fellowship will be required to undertake a
period of up to 24 months (full-time equivalent) of clinical
assessment of their surgical practice under supervision and in
accordance to Medical Board of Australia (MBA) Guidelines:
Supervised Practice for IMGs. This is referred to the clinical
The purpose of the clinical assessment period is:
- to familiarise the IMG with surgical practice in Australia
- facilitate assessment of practice performance
- address any deficiencies
- to confirm that the IMG has the skills and attributes to an
Australian or New Zealand trained surgeon
- to confirm the recommendations of the assessment
The duration of the clinical assessment period will be
determined following the face-to-face interview with RACS.
To commence your clinical assessment period, you must submit a
IMG Post Description Form (IPDF) for consideration. The IPDF
must be submitted in the RACS format and be signed by the IMG and
their nominated clinical assessors. You must also submit a signed
copy of the IMG Agreement policy. Please ensure you
have read the RACS IMG Assessment Post Accreditation policy prior
to completing the IPDF.
The specialty board overseeing your assessment will undertake a
review of the hospital position and confirm the suitability of the
clinical assessors to undertake your clinical assessment.
Once the College has approved the hospital position, the clinical
assessment period will formally commence (subject to the College's
standardised three monthly reporting periods) and you have four
years to complete the requirements for Fellowship. Please be
aware that in some instances the proposed position may only be
approved for part of the clinical assessment period.
For the duration of your clinical assessment you will be
required to meet quarterly with your clinical assessors for a
performance review. Your clinical assessors are there to provide
meaningful feedback on your clinical performance and your progress
towards being ready to sit the Fellowship Examination (if
applicable). Therefore, it is important that you are honest in your
reflections on performance and deal openly with identified issues
so that you can improve your performance.
You will need to organise a meeting with each of your clinical
assessors, separately. You and the clinical assessor will review
your logbook data via MALT (Morbidity Audit and Logbooks Tool) and
each clinical assessor will complete the progress report. You are
both required to sign the reports.
In addition to undertaking quarterly (3-monthly) performance
reviews, you will be required to undertake the following online
assessment tools during your period of clinical assessment:
- 6 monthly Multi-Source Feedback (eMSF)
- 3 monthly Direct Observation of Procedural Skills (DOPS)
- 3 monthly Mini Clinical Examinations (Mini-Cex)
All the relevant forms pertaining to your clinical assessment
can be found at this link.
Throughout your clinical assessment period you will be required
to comply with the College's requirements as outlined in the
Professional Development Opportunities for IMGs policy.
If you have completed your designated period of clinical
assessment but have not yet attained fellowship, you must register
for Maintenance of Professional Standards (MOPS) program in January of the
year following completion of your clinical assessment. You
must remain in this program until Fellowship is attained or your
pathway to Fellowship ceases.
For further information on the clinical assessment period please
read the following policy and guidelines
- Assessment of Clinical Practice of IMGs in Australia
- A Guide for Partially Comparable IMG surgeons undergoing
- A Guide for Substantially Comparable IMG surgeons undergoing
Asked Questions or email firstname.lastname@example.org
Information on fees associated with clinical assessment
period can be found at this link.