Fellowship: TPD under Institutional Accreditation

Step 1 of 13

Training Program Document under Institutional Accreditation

Please complete and submit form to the Examinations Team.

Candidate Name

First Name Last Name

Fellowship subject

Address

Street Address City State / Province / Region ZIP / Postal Code Country

Candidate email address

Contact Number

Signature

Enter full name

Date

Day

Month

Year

1st Instalment - Payment Amount (AUD)

PAYMENT METHODS

BANK TRANSFER

Bank Name: Westpac Banking Corporation

BSB: 034093

Account no.: 219081

SWIFT No.: WPACAU2S (for overseas transfers only)

Payment Reference: Use your full name and Subject.

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CARD PAYMENTS

Please call the ANZCVS College Office on (+61) 7 3423 2016 to arrange payment using Mastercard/Visa*.

*Please note: Card payments incur a 1.5% card processing fee. American Express cards not accepted.

INDEX CHECKLIST

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Cover Page for Training Program Document (TPD) stating type of training program for your duration of residency.

Full-Time (Standard Training Program): 2-3 years continuous Directly Supervised Training (DST) for at least 38 hours per calendar week.

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Program Overview

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Summary of important events

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Objectives

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Description

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Weekly Activities Table

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Week-by-Week Timetable and Summary of Dates

Template available on the College website.

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Supplementary Training

Template available on the College website.

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Activity Log (only if applicable to your subject. See relevant Subject Guidelines for more information.)

Template available on the College website.

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Cumulative Activity Log Summary

Template available on the College website.

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Curriculum Vitae

Candidate Name

First Name Last Name

Fellowship Subject

Approved Facility (Practice name and address details )

Primary Supervisor Details

First Name

Last Name

Secondary Supervisor Name(s) - Use + icon to add additional Secondary Supervisors

First Name

Last Name

Auxiliary Supervisor Name(s) - Use + icon to add additional Auxiliary Supervisors

First Name

Last Name

PROGRAM OVERVIEW

Click here to download the Program Overview template.

Upload completed Program Overview

Max. file size: 128 MB.

SUMMARY OF IMPORTANT EVENTS

DATE

Program commencement date

DD slash MM slash YYYY

Anticipated date to sit membership examinations (if not already completed)

Anticipated date to sit membership examinations

DD slash MM slash YYYY

First year Annual Supervisor meeting + Submission of Fellowship Annual Supervisor Report and Fellowship Annual Candidate Report (deadline 31 July)

Date of first ASR

DD slash MM slash YYYY

Second year Annual Supervisor meeting + Submission of Fellowship Annual Supervisor Report and Fellowship Annual Candidate Report (deadline 31 July)

Date of second ASR

DD slash MM slash YYYY

Third year Annual Supervisor meeting + Submission of Fellowship Annual Supervisor Report and Fellowship Annual Candidate Report (deadline 31 July)

Date of third ASR

DD slash MM slash YYYY

Anticipated program completion date

DD slash MM slash YYYY

Email College / Submit Intention to Sit Fellowship Examination (deadline 30 June year preceding intended Examination year)

Date to email College / Submit Intention to Sit Fellowship Examination

DD slash MM slash YYYY

Credential submission (deadline 31 October)

Credential submission Date

DD slash MM slash YYYY

Fellowship Examination Year

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OBJECTIVES

I acknowledge that the main objective of the training program is to demonstrate that I have attained sufficient knowledge, training experience and accomplishment to meet criteria of the Australian and New Zealand College of Veterinary Scientists as a pre-requisite for sitting Fellowship examinations in the nominated subject and subsequently register as a specialist in this field. This will be achieved by reference to the objectives as outlined in the nominated subject guidelines.

Signed

Insert full name

DESCRIPTION

A description of all aspects of the Training Program under the following categories:

Clinical (clinical disciplines) or technical (non-clinical disciplines) activity
Research activity (including the proposed allocation of time for research and when this will occur during the training)
Commitment to publications (with reference to the Fellowship Candidate Handbook and Subject Guidelines)
Commitment to presentation at a national or international conference
Planned conference attendance
Participation in rounds, seminars, and journal club meetings (including who may be in attendance)

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I acknowledge and commit to:

the requirements for training in my subject (including the program length).

undertake a minimum of one research project (with appropriate ethics approval) or to participate in a research activity during the training program, and publish a first-author scientific paper in peer-reviewed literature from this research.

the requirements regarding conference attendance and conference presentations (please specify).

List of Conference Presentation details (Use + icon to add)

List of Conference Presentation details (Use + icon to add)

the publication requirements (with reference to the Fellowship Candidate Handbook and Subject Guidelines).

the requirements for submission of annual supervisor report forms prior to 31 July.

the requirement to keep a cumulative activity log summary and activity log if applicable as per the Subject Guidelines.

active participation in rounds, seminars, and journal club meetings which will be attended by the supervisors, as well as other staff (including specialists, residents and interns).

the externship requirements.

the requirements for Training in Related Disciplines (TRD).

any other requirements of the Fellowship training program as outlined in the Fellowship Subject Guidelines (please specify)

List of any other requirements (Use + icon to add)

List of any other requirements (Use + icon to add)

WEEKLY ACTIVITIES TABLE

A table of a typical week, broken down into days, with an indication of activities taking place during the week. Please indicate which activities are conducted with your Supervisor present and working with you.

Click here to download the Weekly Activities Table template.

Upload your Weekly Activities Table here

Max. file size: 128 MB.

WEEK-BY-WEEK TIMETABLE

A complete, cumulative week-by-week chronological description of the training program scheduled, including:

Cumulative enumeration of weeks of training, with specification of whether or not each week’s training is directly or indirectly supervised, and by whom. The required minimum number of weeks of training must be shown. Annual leave must not be included in the weeks of training.
Anticipated date of beginning training and the weeks allocated to training, annual leave, annual supervisor meetings, Externship/Immersive Training, Training in Related Discipline (TRD), research and conferences.
Anticipated date of completion of training, anticipated year of intention to sit (by 30 June year preceding exam), anticipated credential date and examination year.
Anticipated date of yearly meeting with the Primary and Secondary Supervisor to evaluate progress of the Candidate and subsequent submission of Fellowship Annual Supervisor Report (ASR), 31 July annually.

Click here to view an example timetable.

Click here to download a Week-by-Week timetable template.

Once your Week-by-Week Timetable template is completed - Upload the document here.

Max. file size: 128 MB.

SUPPLEMENTARY TRAINING

Where arrangements for supplementary training have not been finalised when the training program is submitted, a clear statement to this effect and a commitment to provide the information when it is available will be sufficient. Externship/Immersive and Training in Related Discipline (TRD) proposals MUST be received by the College.

Externships (and Immersive Training, if relevant to discipline):

Detail all proposed externships (Section 2.4.1.) including names and qualification of supervisors and externship location.
Include an Externship Proposal from the Externship Supervisor agreeing to their role as an Externship Supervisor. (Click here to download template)

Details (Externships / Immersive Training)

Duration

Discipline

Facility Location

Supervisor (incl. qualifications)

Use + icon for each additional week/externship

Upload your Externship Proposal here

Max. file size: 128 MB.

Training in Related Disciplines:

Detail all proposed TRDs (Section 2.4.2.) including names and qualifications of supervisors and training location.
Include all TRD Proposals from TRD Supervisors agreeing to their role as TRD Supervisor (Click here to download template)

Details (Training in Related Disciplines)

Duration

Discipline

Facility Location

Supervisor (incl. qualifications)

Use + icon for each additional week/externship

Upload your Training in Related Disciplines Proposals here

Max. file size: 128 MB.

Statement confirming commitment to providing Supplementary Training arrangements:

At the time of submission, specific details relating to supplementary training including externships and training in related disciplines have not been confirmed.

However, I am committed to providing the relevant information and confirmation as soon as possible.

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Agree

SUPERVISORS' LETTERS

Letter from Primary Training Supervisor template

Click here to download the Letter from Primary Training Supervisor template.

Letter from Secondary Training Supervisor template

Click here to download the Letter from Secondary Training Supervisor template.

Upload your signed Primary and Secondary Supervisor Letters here

Max. file size: 128 MB.

ACTIVITY LOG

Only for:

Animal Welfare Science, Ethics and Law
Avian Medicine and Surgery
Equine Surgery
Feline Medicine
Veterinary Anaesthesia and Analgesia

See Subject Guidelines for specific Activity Log information and required statements.

If activity log is not applicable to subject - type 'Not Applicable' in this section.

Activity Log text field

Upload your Activity Log here

Max. file size: 128 MB.

CUMULATIVE ACTIVITY LOG SUMMARY

See Subject Guidelines for specific Cumulative Activity Log Summary information and required statements.

Click here to download Cumulative Activity Log Summary template.

Upload your completed Cumulative Log Summary here.

Max. file size: 128 MB.

CURRICULUM VITAE

Upload your CV using the button below or input your CV details in the field below.

Upload your CV here

Max. file size: 128 MB.

Curriculum Vitae field

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Date form submitted by candidate

MM slash DD slash YYYY

If ready to submit, insert name below and press submit.

Name

First Last