AMC Requirements for Prevocational Doctors (PGY1&2) 

 The AMC Framework requires all Prevocational Doctors in the Framework to complete certain assessments and tasks in order to successfully complete each term and achieve certification at the end of the clinical year. 
The requirements are:
  • Complete a Beginning of Term Discussion every term
  • Complete a Mid Term assessment every term
  • Complete an End of Term assessment every term
  • Complete at least 10 EPA's per year with a minimum of two per term. This includes at least one EPA1 per term, and at least one EPA2/3 or 4 per term. 
Further information about these requirements and who can complete these assessments with you can be found here. 
The only exception to this is when you are in your Relieving Term where no assessments are required. Although we HIGHLY recommend you continue to complete EPA's to ensure the load is not excessive in your other three terms. 

 

Beginning of Term Discussion

Under the National Framework for Prevocational Medical Training:

  • PGY1s & 2s are required to meet with their term supervisor at the beginning of each term
  •  To review the term description (find here) and agree on learning objectives and assessments
  • Discuss learning outcomes to focus on during the term. 
  • Complete the Beginning of Term Discussion on your CLA Portfolio.

 

  • Term Descriptions can help guide the discussion, these are located on the NH Medical Education channel Teams channel here. To join the Teams channel click. 

Term Supervisor list is available here. . If you don't meet your Term Supervisor, you can meet with another consultant/Fellow in the unit. Any concerns email: Northern Doctors Education.

The 'Beginning of term discussion' is a mutual obligation between you and the Supervisor. You are expected to approach the supervisor for this discussion and the supervisor is expected to provide the conditions for the discussion to be completed.

Is the beginning of term discussion compulsory? Yes, the BOTD is part of the AMC Framework requirements. The only exemption is when you are in your relieving term (non-service term)

Note:

  • PGY2s in a specific training program e.g. BPT / Psychiatry etc are EXEMPT from the Framework
  • PGY3s and above have the OPTION to participate in the AMC framework but are not mandated to do soEntrustable Professional Activities – EPAs
 

Entrustable Professional Activities

 What are EPAs? 

EPAs are routine clinical tasks that an Intern or PGY2 carries out under supervision. EPAs provide opportunities for regular, constructive feedback, supporting the ongoing development of clinical knowledge and skills.  There are four EPAs in the AMC Framework:

EPA 1 Clinical Assessment EPA 2 Recognition and care of the acutely unwell patient EPA 3 Prescribing EPA 4: Team Communication
Conduct a clinical assessment of a patient incorporating history, examination and formulation of a differential diagnosis and a management plan including appropriate investigations Learn about EPA 1

 

 

 Recognise, assess, escalate appropriately and provide immediate management to deteriorating and acutely unwell patient Learn about EPA 2

 

 

 

 Appropriately prescribe therapies (drugs, fluids, blood products, inhalational therapies including oxygen) tailored to patients’ needs and conditions, either in response to a request by the treating team or self-initialised.Learn about EPA 3 Communicate about patient care, including accurate documentation and written and verbal information to facilitate high-quality care at transition points and referral.Learn about EPA 4

 

 

 

 

From 2026 it is compulsory for all Interns and PGY2+s in the Framework to complete at least 10 EPAs a year using the CLA ePortfolio.

Information for JMS
  1. EPA assessment process outlined here. Read carefully.
  2. It is highly recommended that you watch this short PMCV video to strengthen your understanding of EPAs and how they are incorporated into your training journey.
  3. Examples of clinical scenarios to use during surgical terms here.
  4. The EPA assessment involves an observer directly supervising you while completing an activity.
  5. You are required to complete one EPA1 per rotation plus one EPA2/3 or 4
  6. EPAs are in addition to Mid and End of term Assessments.
Information for EPA Assessors / Supervisors
  1. EPA assessment process outlined here.
  2. Training video here. – EPA Assessors /Supervisors are required to complete training prior to assessing an EPA. AMC  advised that completion of other EPA training is not recognised as prior learning due to the unique nature and requirements of EPAs. Video is designed to support your understanding of EPAs and the assessment process to enable you to complete an EPA assessment. Once you have watched the training video email Northern Doctors Education to update your record on the LMS.
  3. Tips for giving effective feedback here.
  4. For more information – PMCV EPA webpage
  5. To view the EPA presentation from PMCV ACE meeting on YouTube click.

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