{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T11:11:01Z","timestamp":1788779461009,"version":"build-2803163510"},"reference-count":19,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T00:00:00Z","timestamp":1778803200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T00:00:00Z","timestamp":1778803200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Selection into vocational medical specialty programmes such as Advanced Training in Rheumatology in Australia is fraught with complexity. Selection panels must identify suitable trainees while navigating eligibility standards set by the Royal Australasian College of Physicians (RACP), complying with state\u2010based employment legislation and responding to broader social and political expectations. While functional, this federated system exhibits variation in selection strategy, methodology, governance, transparency and panel composition. Evidence for selection into vocational medical training is limited, and practice is mainly derived from medical student selection research, with no published studies evaluating the predictive validity of Rheumatology Advanced Training selection methods in Australia. The recent shift towards programmatic assessment across the RACP has prompted a major revision of the rheumatology curriculum in 2026. This transition presents an opportunity to evaluate current selection strategies and their alignment with key competencies. Drawing on national workshops convened by the Australian Rheumatology Association and contemporary validity theory, this article proposes a theory\u2010informed framework for selection into Advanced Training in Rheumatology. Rheumatology is therefore well positioned to develop a defensible, evidence\u2010informed and socially accountable approach to specialty selection within the RACP.<\/jats:p>","DOI":"10.1111\/imj.70479","type":"journal-article","created":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T07:05:36Z","timestamp":1778828736000},"page":"1654-1659","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Selection into Advanced Training in Rheumatology in Australia: towards a programmatic and theory\u2010informed model"],"prefix":"10.1111","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6006-903X","authenticated-orcid":false,"given":"Narainraj","family":"Kamalaraj","sequence":"first","affiliation":[{"name":"The Arthritis Rheum  Sydney New South Wales Australia"},{"name":"School of Medicine Western Sydney University  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Lim","sequence":"additional","affiliation":[{"name":"Department of Rheumatology Fiona Stanley Hospital  Perth Western Australia Australia"},{"name":"Medical School University of Western Australia  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5067-9483","authenticated-orcid":false,"given":"Arvin","family":"Damodaran","sequence":"additional","affiliation":[{"name":"Rheumatology Department Prince of Wales Hospital  Sydney New South Wales Australia"},{"name":"School of Clinical Medicine University of New South Wales  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6072-907X","authenticated-orcid":false,"given":"Louise","family":"Ward","sequence":"additional","affiliation":[{"name":"North Coast Rheumatology  Pottsville New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E. Michael","family":"Shanahan","sequence":"additional","affiliation":[{"name":"Department of Rheumatology Southern Adelaide Local Health Network  Adelaide South Australia Australia"},{"name":"College of Medicine and Public Health Flinders University  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,15]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/imj.70123"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/medu.12817"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/0142159X.2017.1367375"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/imj.16083"},{"key":"e_1_2_12_6_1","volume-title":"Selection into Training Quality Assurance and Improvement Initiative: Advanced Training Discovery Report","author":"Royal Australasian College of Physicians","year":"2025"},{"key":"e_1_2_12_7_1","unstructured":"Australian Rheumatology Association.Selection into training workshops ARA ASM 2023\u20132025 2025."},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.7861\/clinmedicine.16-4-339"},{"key":"e_1_2_12_9_1","volume-title":"Rheumatology Advanced Training Curriculum","author":"Royal Australasian College of Physicians","year":"2025"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/jedm.12000"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/medu.12678"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.124.2.262"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.3109\/0142159X.2012.652239"},{"key":"e_1_2_12_14_1","volume-title":"Trainee Selection in Australian Medical Colleges: Best Practice Framework","author":"Brennan P","year":"1998"},{"key":"e_1_2_12_15_1","volume-title":"Selection into Training Policy","author":"Royal Australasian College of Physicians","year":"2023"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/0142159X.2023.2298763"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/peps.12052"},{"key":"e_1_2_12_18_1","volume-title":"Noise: A Flaw in Human Judgment","author":"Kahneman D","year":"2021"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.5334\/pme.1643"},{"key":"e_1_2_12_20_1","volume-title":"Selection into Vocational Medical Training","author":"Sypek S","year":"2019"}],"container-title":["Internal Medicine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/imj.70479","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/imj.70479","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/imj.70479","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T10:34:39Z","timestamp":1788777279000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/imj.70479"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,15]]},"references-count":19,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1111\/imj.70479"],"URL":"https:\/\/doi.org\/10.1111\/imj.70479","archive":["Portico"],"relation":{},"ISSN":["1444-0903","1445-5994"],"issn-type":[{"value":"1444-0903","type":"print"},{"value":"1445-5994","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,15]]},"assertion":[{"value":"2026-03-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-29","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}