House of Representatives Committees

| House of Representatives Standing Committee on Health and Ageing

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Lost in the labyrinth: Report on the inquiry into registration processes and support for overseas trained doctors

19 March 2012

View the report as a single document - (PDF 2800KB)

View the report as separate downloadable parts:

Preliminary Pages	(PDF 208KB)

Chapter 1 Conduct and context of the inquiry	(PDF 118KB)
Referral Conduct of the inquiry Scope of the inquiry Context of the inquiry A complex system The National Registration and Accreditation Scheme Previous inquiries Structure of the report

Chapter 2 Australia’s medical workforce	(PDF 167KB)
Medical practitioner supply International medical graduates or self sufficiency Committee comment Australia’s medical workforce policy Targeted programs Non-targeted programs Other initiatives State and territory governments Medical Workforce Planning COAG and medical workforce planning Health Workforce Australia Committee comment

Chapter 3 Accreditation, registration and other processes	(PDF 275KB)
Overview Accreditation Primary source verification of qualifications and proof of identity AMC pathways to registration The Competent Authority Pathway The Standard Pathway (2-part assessment) The Standard Pathway (Workplace-based Assessment) Specialist assessment The Specialist Pathway (Full Recognition) The Specialist Pathway (Area of Need) Registration Categories of registration General Registration Provisional Registration Limited Registration Specialist Registration Registration requirements Proof of identity Evidence of qualifications Registration and work history Employment information Other registration requirements Pathway specific requirements Registration renewal Registration renewal for Limited Registration Other processes Obtaining a visa Visa options Permanent residency options Temporary residency options Accessing Medicare practitioner benefits Section 19AB of the Health Insurance Act 1973 Finding employment

Chapter 4 Issues with accreditation and assessment	(PDF 285KB)
AMC accreditation and assessment Primary source verification Committee comment Competent Authority Pathway Competent Authority recognition Committee comment Standard Pathway (2-part assessment) Part 1 – Multiple Choice Question examination Part 2 – Structured Clinical Examination (SCE) Committee comment Committee comment Targeted level of AMC examinations Committee comment Standard Pathway (Workplace-based assessment) Committee comment Specialist medical college processes Assessing level of comparability Distinctions between levels of comparability Recognition of prior training and experience Peer review Committee comment Specialist medical college examinations Competence level of college examinations Committee comment Reconsideration, review and appeal of college decisions Committee comment Perceptions of assessment and accreditation authorities Committee comment

Chapter 5 Issues with registration and associated processes	(PDF 306KB)
Demonstrating clinical competency Peer review and clinical supervision Availability of clinical supervisors Committee comment Skills and training of clinical supervisors Committee comment Pre-Employment Structured Clinical Interview (PESCI) Committee comment English language skills Difficulty in achieving the English Standard Academic focus of the English Standard Committee comment Two year validity of test results Committee comment Processes adjacent to registration Immigration and registration Provision of data for immigration decision making Committee comment Deregistration of temporary resident international medical graduates Committee comment Classifying areas of workforce shortage Districts of Workforce Shortage (DWS) and Areas of Need (AoN) Committee comment Utility of the 10 year moratorium Committee comment

Chapter 6 Improving administrative efficiency	(PDF 311KB)
Recruitment timeframes Committee comment Maintaining Limited Registration Committee comment Administration of the National Registration and Accreditation Scheme Transition to the National Registration and Accreditation Scheme Committee comment Responding to inquiries Committee comment Documentation requirements and processing Duplication Committee comment Consistency Committee comment Document validity Committee comment Application and assessment fees Committee comment Grievances, complaints and appeals Administrative complaints Committee comment Dealing with allegations bullying and harassment Committee comment

Chapter 7 Support for International Medical Graduates and their families	(PDF 252KB)
Stages of support Clinical and professional orientation Cultural awareness training Committee comment Ongoing support Educational support and professional development Examination preparation Peer support and mentoring Committee comment Access to educational and training support Committee comment Personal and family support Committee comment Navigating the system One-stop shop and case management Committee comment Accessing information Committee comment


Appendix A – List of submissions	(PDF 54KB)

Appendix B – List of exhibits	(PDF 70KB)

Appendix C – Other documentary evidence	(PDF 62KB)

Appendix D – List of public hearings	(PDF 70KB)