Abstract
Objectives: The aim of this paper is to foster discussion about how best to design a new assessment system for the first three years of RANZCP Fellowship training, under the new regulations for training and assessment to be implemented in 2004.
Conclusions: An integrated, flexible, reliable and valid system of formative and summative assessment is required. It should include a variety of assessment tools, measuring a range of domains on a number of occasions during basic training, and it should actively involve trainees, supervisors, patients and other consumers.