Gippsland Health Alliance
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Gippsland: The Prevocational Situation Gippsland Medical Workforce Partnership Gippsland Medical Workforce Partnership 155 Guthridge Parade Sale, Victoria 3850 ( 0 3 ) 5 1 4 3 8 1 2 1 PROJECT OFFICER CONTACT DETAILS Name: Ms Sarah Churchill Address: 155 Guthridge Parade, SALE VIC 3850 Phone: 5143 8121 Mobile: 0429 671 937 Email: [email protected] Paper prepared by Sarah Churchill, Project Officer, Gippsland Medical Workforce Partnership Published by the Gippsland Medical Workforce Partnership, Gippsland, Victoria © September 2010 2 Acronyms and Definitions Acronyms AHPRA Australian Health Practitioner Regulation Agency EFT Equivalent Full Time GRIT Gippsland Rural Intern Training HMO Hospital Medical Officer IMG International Medical Graduate PGPPP Postgraduate Practice Placement Program PGY Post Graduate Year PGY1 Post Graduate Year One PGY2 Post Graduate Year Two PGY3 Post Graduate Year Three PMCV Postgraduate Medical Council of Victoria Definitions Core Term Standardised, compulsory training term conducted during an intern year Domestic Student An Australian resident studying at an Australian University Full Fee Paying An international student who is studying at an Australian University International Student General Registration Registration granted to allow medical practitioners to practice independently in Victoria within the limits of their training and competence Intern Doctor An intern is a practitioner, usually PGY1, who has completed a Board approved, accredited qualification in the profession, and is undertaking a period of supervised practice or internship to be eligible for general registration Intern Year A one year internship, made up of four or five terms, of supervised training undertaken in health services International Medical An International Medical Graduate is someone who has gained their Graduate primary medical qualification outside of Australia or New Zealand Non-Core Term Accredited training term conducted during an intern year Prevocational Before vocational Provisional Registration Registration granted to intern doctors for the duration of an internship year. Supervisory requirements apply Vocational Training towards a speciality medical field 3 Table of Contents Acronyms and Definitions ......................................................................................................... 3 The History................................................................................................................................. 5 The Current Capacity Report .................................................................................................... 6 Intern Numbers ...................................................................................................................... 7 Postgraduate Year 2 and 3 Numbers ..................................................................................... 9 Intern and PGY2 and PGY3 Feeder Points ............................................................................ 11 International Medical Graduates ......................................................................................... 14 Core Rotations and Noncore Rotations ............................................................................... 16 Accommodation ................................................................................................................... 19 Supervision ........................................................................................................................... 20 Funding and Resources ........................................................................................................ 23 The Influencing Factors ........................................................................................................... 24 Accreditation ........................................................................................................................ 25 Supervision ........................................................................................................................... 26 Funding and Resources ........................................................................................................ 27 Infrastructure ....................................................................................................................... 28 The Conclusion ........................................................................................................................ 29 4 The History In May 2009, the Department of Health released guidelines on the establishment of Medical Workforce Partnerships to facilitate prevocational education and training of Australian medical graduates and the assessment, up-skilling and support of international medical graduates. Chief Executive Officers and Directors of Medical Services from across a number of Gippsland health services identified the need for and the opportunity to expand and enhance the opportunities and pathways for medical training within the region. The region was successful in the receipt of a Department of Health grant and the Gippsland Medical Workforce Partnership was formed in November 2009. After the employment of a Project Officer the partnership identified the need to gain a regional perspective of what currently happens across Gippsland in relation to prevocational medical training for interns and postgraduate year 2 and 3 doctors. The partnership has recently concluded a two month consultation phase resulting in the publication of this report. 5 The Current Capacity Report The Current Capacity Report has been produced to provide a comprehensive overview of what currently happens across Gippsland in relation to prevocational medical training. This data has been collected through stakeholder interview sessions and questionnaires. Interview sessions were conducted from 3 May 2010 – 30 July 2010 with at least one representative from each participating organisation. Stakeholders were identified based on their current involvement in prevocational medical training across Gippsland through the placement of interns and/or postgraduate year 2 and postgraduate year 3 doctors. Furthermore stakeholders having an involvement in specialist medical training were interviewed as were organisations involved in medical student education and those involved with the accreditation and placement of junior doctors in the region. It was agreed that all Gippsland hospitals be interviewed regardless of being recipients of interns and/or postgraduate year 2 and postgraduate year 3 doctors. The organisations consulted are listed as follows: ORGANISATION REPRESENTATIVE Bairnsdale Regional Health Service Medical Education Officer Bairnsdale Regional Health Service Director Medical Services Bass Coast Regional Health Chief Executive Officer Central Gippsland Health Service HR / HMO Manager Central Gippsland Health Service Director Medical Services Kooweerup Regional Health Service Chief Executive Officer Latrobe Regional Hospital HMO Manager Gippsland Southern Health Service Medical Education Officer Omeo District Health Chief Executive Officer Orbost Regional Health Chief Executive Officer Yarram and District Health Service Chief Executive Officer West Gippsland Healthcare Group Chief Executive Officer West Gippsland Healthcare Group Executive Assistant South Gippsland Hospital Chief Executive Officer Foster and Toora Medical Centre Practice Manager Cunningham Arm Medical Centre Practice Manager Trafalgar Medical Centre Lead General Practitioner Heyfield Medical Centre Lead General Practitioner getGP Chief Executive Officer Rural Medical Workforce Australia Gippsland Workforce Manager Monash University Dean, Gippsland Medical School Monash University Director, School of Rural Health Monash University Director, School of Rural Health Wonthaggi Medical Group Practice Manager Korumburra Medical Centre Practice Manager Postgraduate Practice Placement Program Program Coordinator Postgraduate Medical Council of Victoria Accreditation Coordinator 6 Intern Numbers An Intern Doctor is a post graduate year one doctor. Medical graduates are required to complete a compulsory internship comprising twelve months of supervised training in order to be eligible for general registration. An intern year is made up of three core terms; At least ten weeks in Medicine; At least ten weeks in Surgery; and At least eight weeks in Emergency Medicine A further 20 weeks of non-core placement completes the intern year. All intern terms are conducted at accredited intern posts assessed and certified by the Post Graduate Medical Council of Victoria. Intern allocation is a state based process. In Victoria intern places are guaranteed to all Australian citizens and permanent residents graduating from a Victorian medical school. Intern positions in Victoria are populated by international full-fee paying graduates, Australian trained permanent residents, Australian domestic graduates and New Zealand medical school graduates, both permanent resident and international full-fee paying. Interns are placed across Gippsland in six hospitals and four general practice centres. Interns spend time completing a core rotation on a Hospital ward or a noncore rotation in either a hospital or a community setting. The total number of Equivalent Full Time (EFT) intern positions in Gippsland is 37. Table 1 illustrates where these intern positions are held. Currently a total of 164 junior doctors completing their intern program spend time in Gippsland each year. Of this number, five (5) interns are employed