Chapter 1 - Introduction

[1]        See, for example: Victorian Auditor-General, Bullying and Harassment in the Health Sector, March 2016, p. x, http://www.audit.vic.gov.au/reports_and_publications/latest_reports/2015-16/20160323-bullying.aspx (accessed 9 November 2016);        Askew, D.A. et. al., 'Bullying in the Australian medical workforce: cross sectional data from an Australian e-Cohort study', Australian Health Review, vol. 36, no. 2, May 2012, pp 197–204, http://search.proquest.com/docview/1022629267?pq-origsite=summon&http://search.proquest.com

[2]        Available on the inquiry's Terms of Reference webpage, https://www.aph.gov.au/Parliamentary_Business/Committees/Senate/Community_Affairs/Medical_Complaints/Terms_of_Reference.

[3]        Available on the inquiry's Terms of Reference webpage, https://www.aph.gov.au/Parliamentary_Business/Committees/Senate/Community_Affairs/Medical_Complaints/Terms_of_Reference.

[4]        'Sexual harassment rife in medical profession, warns surgeon', ABC Radio AM, 7 March 2015, http://www.abc.net.au/am/content/2015/s4193059.htm (accessed 16 November 2016).

[5]        'Top Doc calls for royal commission into medical bullying, Ten News, 16 February 2016, https://tenplay.com.au/news/national/february/top-doc-calls-for-royal-commission-into-medical-bullying (accessed 16 November 2016).

[6]        House of Representatives Standing Committee on Education and Employment, Workplace Bullying: We just want it to stop, October 2012, pp 8–10, https://www.aph.gov.au/Parliamentary_Business/Committees/House_of_Representatives_Committees?url=ee/bullying/report.htm (accessed 15 November 2016).

[7]        Expert Advisory Group on discrimination, bullying and sexual harassment, Report to the Royal Australasian College of Surgeons, 28 September 2015, p. 4, http://www.surgeons.org/about-respect/what-we-have-done/building-respect,-improving-patient-safety/expert-advisory-group/ (accessed 9 November 2016).

[8]        Australian Medical Association, Submission 9, p. 2.

[9]        Beyondblue, Submission 11, p. 2.

[10]      Productivity Commission, Australia's Health Workforce, Research Report, January 2006.

[11]      COAG Communique, 13 April 2007, http://webarchive.nla.gov.au/gov/20070830052604/ http://www.coag.gov.au/meetings/130407/index.htm (accessed 10 March 2016).

[12]      Australian Health Practitioner Regulation Agency, Submission 70, p. 7, in Senate Finance and Public Administration References Committee, Inquiry into the administration of health practitioner registration by the Australian Health Practitioner Regulation Agency (AHPRA), https://www.aph.gov.au/Parliamentary_Business/Committees/Senate/Finance_and_Public_Administration/Completed_inquiries/2010-13/healthpractitionerregistration/index  (accessed
3 March 2016).

[13]      Department of Health, Submission 13, p. 9.

[14]      Australian Health Workforce Ministerial Council, Submission 70, p. 7, in Senate Finance and Public Administration References Committee, Inquiry into the administration of health practitioner registration by the Australian Health Practitioner Regulation Agency (AHPRA).

[15]      Productivity Commission, Australia's Health Workforce, Research Report, January 2006.

[16]      COAG Communique, 13 April 2007, http://webarchive.nla.gov.au/gov/20070830052604/ http://www.coag.gov.au/meetings/130407/index.htm (accessed 10 March 2016).

[17]      Department of Health, Submission 13, p. 6.

[18]      Medical Board of Australia, Nursing and Midwifery Board of Australia and AHPRA, Submission 21, p. 8.

[19]      AHPRA website, http://www.ahpra.gov.au/National-Boards.aspx (accessed 19 October 2016).

[20]      Intergovernmental Agreement for a National Registration and Accreditation Scheme for the Health Professions, pp 12–13, https://www.ahpra.gov.au/About-AHPRA/Ministerial-Directives-and-Communiques.aspx (accessed 19 October 2016).

[21]      Senate Finance and Public Administration References Committee, Inquiry into the administration of health practitioner registration by the Australian Health Practitioner Regulation Agency, June 2011, p. 111.

[22]      Senate Finance and Public Administration References Committee, Inquiry into the administration of health practitioner registration by the Australian Health Practitioner Regulation Agency, June 2011, p. 81.

[23]      Senate Finance and Public Administration References Committee, Inquiry into the administration of health practitioner registration by the Australian Health Practitioner Regulation Agency, June 2011, p. xi.

[24]      Department of Health, Submission 13, p. 3; see also COAG Health Council, meeting as the Australian Health Workforce Ministerial Council, The Independent Review of the National Registration and Accreditation Scheme for Health Professionals, Communique, 7 August 2015, http://www.coaghealthcouncil.gov.au/Announcements/ArtMID/527/ArticleID/71/Reissued-Communique-Final-Report-of-the-Independent-Review-on-the-National-Accreditation-Scheme-for-health-professionals (accessed 2 November 2016).

[25]      COAG Health Council, meeting as the Australian Health Workforce Ministerial Council, The Independent Review of the National Registration and Accreditation Scheme for Health Professionals, Communique, 7 August 2015, p. 4.

[26]      COAG Health Council, meeting as the Australian Health Workforce Ministerial Council, The Independent Review of the National Registration and Accreditation Scheme for Health Professionals, Communique, 7 August 2015, p. 6.

[27]      COAG Health Council, meeting as the Australian Health Workforce Ministerial Council, The Independent Review of the National Registration and Accreditation Scheme for Health Professionals, Communique, 7 August 2015, p. 6.

[28]      Medical Board of Australia, Nursing and Midwifery Board of Australia and AHPRA, Submission 21, p. 7.

[29]      Medical Board of Australia, Nursing and Midwifery Board of Australia and AHPRA, Submission 21, p. 7.

[30]      Journals of the Senate, No. 135–2 February 2016, pp 3661–3662.

[31]      Journals of the Senate, No. 7–15 September 2016, pp 224–225.

[32]      Journals of the Senate, No. 15–10 November 2016, p. 451.

Chapter 2 - The complaints process as a tool of harassment

[1]        Medical Board of Australia, Nursing and Midwifery Board of Australia and AHPRA, Submission 21, p. 4.

[2]        Medical Board of Australia, Nursing and Midwifery Board of Australia and AHPRA, Submission 21, p. 4

[3]        Department of Health, Submission 13, p. 3. See: http://www.hccc.nsw.gov.au/

[4]        Department of Health, Submission 13, p. 3. See: http://www.oho.qld.gov.au/

[5]        Department of Health, Submission 13, p. 3.

[6]        Health complaints entities (HCE)s are state and territory-based bodies whose role is to investigate concerns about health service providers or systems. Regarding individual practitioners, HCEs can investigate specific concerns, primarily around fees and charges; they do not deal with issues relating to patient safety or practitioner registration. AHPRA and HCEs share information regarding complaints more relevant to the other, and sometimes will run a joint investigation. See: http://www.ahpra.gov.au/Notifications/Further-information/Health-complaints-organisations.aspx

[7]        Medical Board of Australia, Nursing and Midwifery Board of Australia and AHPRA, Submission 21, p. 16.

[8]        Examples of conditions that may be imposed include the completion of additional training, undertaking a period of supervised practice, managing their practice in a specified way or reporting at regular times on their practice. Undertakings are voluntary and relate to limitations on the practitioner's practice. Both conditions and undertakings are noted on the national register. See: http://www.ahpra.gov.au/Support/Glossary.aspx

[9]        Medical Board of Australia, Nursing and Midwifery Board of Australia and AHPRA, Submission 21, p. 17.

[10]      Medical Board of Australia, Nursing and Midwifery Board of Australia and AHPRA, Submission 21, pp 18–19.

[11]      Medical Board of Australia, Nursing and Midwifery Board of Australia and AHPRA, Submission 21, p. 19.

[12]      Medical Board of Australia, Nursing and Midwifery Board of Australia and AHPRA, Submission 21, p. 20.

[13]      Medical Board of Australia, Nursing and Midwifery Board of Australia and AHPRA, Submission 21, p. 20.

[14]      The Tribunal is the relevant administrative review tribunal in the state or territory. See: http://www.ahpra.gov.au/Notifications/Find-out-about-the-complaints-process/Tribunal-hearing.aspx

[15]      Medical Board of Australia, Nursing and Midwifery Board of Australia and AHPRA, Submission 21, p. 21.

[16]      Medical Board of Australia, Nursing and Midwifery Board of Australia and AHPRA, Submission 21, p. 14. Note: In Western Australia there is no legal requirement for treating practitioners to make mandatory notifications about patients (or clients) who are practitioners in one of the regulated health professions.

[17]      See: http://www.ahpra.gov.au/Notifications/Who-can-make-a-notification/Mandatory-notifications.aspx

[18]      Medical Board of Australia, Nursing and Midwifery Board of Australia and AHPRA, Submission 21, p. 6.

[19]      Medical Board of Australia, Nursing and Midwifery Board of Australia and AHPRA, Submission 21, p. 4.

[20]      Medical Board of Australia, Nursing and Midwifery Board of Australia and AHPRA, Submission 21, p. 5.

[21]      Medical Board of Australia, Nursing and Midwifery Board of Australia and AHPRA, Submission 21, p. 21.

[22]      National Health Practitioner Ombudsman and Privacy Commissioner, Submission 12, p. 5.

[23]      National Health Practitioner Ombudsman and Privacy Commissioner, Submission 12, pp 6–7.

[24]      Ms Samantha Gavel, National Health Practitioner Ombudsman and Privacy Commissioner, Committee Hansard, 1 November 2016, p. 2.

[25]      National Health Practitioner Ombudsman and Privacy Commissioner, Submission 12, p. 7.

[26]      National Health Practitioner Ombudsman and Privacy Commissioner, Submission 12, p. 7.

[27]      National Health Practitioner Ombudsman and Privacy Commissioner, Submission 12, p. 8.

[28]      National Health Practitioner Ombudsman and Privacy Commissioner, Submission 12, p. 9.

[29]      Ms Samantha Gavel, National Health Practitioner Ombudsman and Privacy Commissioner, Committee Hansard, 1 November 2016, p. 2.

[30]      Department of Health, Submission 13, p. 3.

[31]      Medical Board of Australia, Nursing and Midwifery Board of Australia and AHPRA, Submission 21, p. 6.

[32]      National Health Practitioner Ombudsman and Privacy Commissioner, Submission 12, p. 13.

[33]      Mr Martin Fletcher, Chief Executive Officer, Australian Health Practitioner Regulation Agency, Committee Hansard, 1 November 2016, p. 3.

[34]      Ms Samantha Gavel, National Health Practitioner Ombudsman and Privacy Commissioner, Committee Hansard, 1 November 2016, p. 2.

[35]      National Health Practitioner Ombudsman and Privacy Commissioner, Submission 12, p. 13.

[36]      Medical Board of Australia, Nursing and Midwifery Board of Australia and AHPRA, Submission 21, p. 10.

[37]      Medical Board of Australia, Nursing and Midwifery Board of Australia and AHPRA, Submission 21, p. 10.

[38]      Mr Martin Fletcher, Chief Executive Officer, Australian Health Practitioner Regulation Agency, Committee Hansard, 1 November 2016, pp 1–2.

[39]      Mr Martin Fletcher, Chief Executive Officer, Australian Health Practitioner Regulation Agency, Committee Hansard, 1 November 2016, p. 2.

[40]      Dr Don Kane, Chair, Health Practitioners Australia Reform Association, Committee Hansard,   1 November 2016, p. 39.

[41]      Dr Joanna Flynn, Chair, Medical Board of Australia, Committee Hansard, 1 November 2016, p. 54.

[42]      Senate Finance and Public Administration References Committee, Inquiry into the administration of health practitioner registration by the Australian Health Practitioner Regulation Agency, June 2011, p. 93.

[43]      Senate Finance and Public Administration References Committee, Inquiry into the administration of health practitioner registration by the Australian Health Practitioner Regulation Agency, June 2011, p. xi.

[44]      Australian Government, Response to the Inquiry into the administration of health practitioner registration by the Australian Health Practitioner Regulation Agency, https://www.aph.gov.au/~/media/wopapub/senate/committee/fapa_ctte/completed_inquiries/2010-13/health_practitioner_registration/government_response/gov_response.ashx (tabled
7 February 2012).

[45]      Ms Samantha Gavel, National Health Practitioner Ombudsman and Privacy Commissioner, Committee Hansard, 1 November 2016, p. 4.

[46]      Ms Kym Ayscough, Acting Chief Executive Officer; Executive Director, Regulatory Operations, Australian Health Practitioner Regulation Agency, Committee Hansard,                  1 November 2016, p. 55.

[47]      Australian and New Zealand College of Anaesthetists, Submission 5, p. [3].

[48]      Royal Australian and New Zealand College of Psychiatrists, Submission 19, p. 2.

[49]      Royal Australian and New Zealand College of Psychiatrists, Submission 19, p. 2.

[50]      Australian Dental Association, Submission 6, [p. 3].

[51]      Dr Gary Fettke, Committee Hansard, 1 November 2016, pp 14–15.

[52]      Medical Board of Australia, Nursing and Midwifery Board of Australia and AHPRA, Submission 21, p. 7.

[53]      Dr Joanna Flynn, Chair, Medical Board of Australia, Committee Hansard, 1 November 2016,  p. 56.

[54]      Australasian College of Emergency Medicine, Submission 4, p. 3.

[55]      Australian and New Zealand College of Anaesthetists, Submission 5, p. [3].

[56]      Dr Michael Mansfield, Committee Hansard, 1 November 2016, p. 12.

[57]      Health Care Consumers' Association, Submission 16, p. 9.

[58]      Health Care Consumers' Association, Submission 16, p. 14.

[59]      Health Care Consumers' Association, Submission 16, p. 16.

[60]      Ms Kym Ayscough, Acting Chief Executive Officer; Executive Director, Regulatory Operations, Australian Health Practitioner Regulation Agency, Committee Hansard,                  1 November 2016, p. 67.

[61]      Professor Paddy Dewan, Submission 3, p. [2].

[62]      Mr Martin Fletcher, Chief Executive Officer, Australian Health Practitioner Regulation Agency, Committee Hansard, 22 November 2016, p. 10.

[63]      Dr Michael Mansfield, Committee Hansard, 1 November 2016, p. 12.

[64]      Dr Gary Fettke, Committee Hansard, 1 November 2016, p. 14.

[65]      Dr Gary Fettke, Committee Hansard, 1 November 2016, p. 16.

[66]      Dr Don Kane, Chair, Health Professionals Australia Reform Association, Committee Hansard, 1 November 2016, p. 37.

[67]      Ms Kym Ayscough, Acting Chief Executive Officer; Executive Director, Regulatory Operations, Australian Health Practitioner Regulation Agency, Committee Hansard,                  1 November 2016, p. 54.

[68]      Ms Kym Ayscough, Acting Chief Executive Officer; Executive Director, Regulatory Operations, Australian Health Practitioner Regulation Agency, Committee Hansard,                  1 November 2016, p. 55.

[69]      AHPRA website, 'Possible outcomes', http://www.ahpra.gov.au/Notifications/Find-out-about-the-complaints-process/Possible-outcomes.aspx, accessed 15 November 2016.

[70]      Ms Samantha Gavel, National Health Practitioner Ombudsman and Privacy Commissioner, Committee Hansard, 1 November 2016, p. 10.

[71]      Ms Kym Ayscough, Acting Chief Executive Officer; Executive Director, Regulatory Operations, Australian Health Practitioner Regulation Agency, Committee Hansard,                  1 November 2016, p. 64.

[72]      Ms Kym Ayscough, Acting Chief Executive Officer; Executive Director, Regulatory Operations, Australian Health Practitioner Regulation Agency, Committee Hansard,                  1 November 2016, p. 64.

[73]      Dr Joanna Flynn, Chair, Medical Board of Australia, Committee Hansard, 1 November 2016,   p. 65.

[74]      Dr Kerry Breen, Submission 103, p. 3.

[75]      Mr John Ilott, Chief Executive Officer, Australian and New Zealand College of Anaesthetists, Committee Hansard, 1 November 2016, p. 46.

[76]      Health Care Consumers' Association, Submission 16, p. 11.

[77]      Medical Board of Australia, Nursing and Midwifery Board of Australia and AHPRA, Submission 21, p. 25.

[78]      Australian Nursing and Midwifery Federation, Submission 99, p. 5.

[79]      National Health Practitioner Ombudsman and Privacy Commissioner, Submission 12, p. 4.

[80]      Australian Medical Association, Submission 9, p. 5.            

[81]      Australian Medical Association, Submission 9, p. 6.

[82]      Royal Australian and New Zealand College of Psychiatrists, Submission 19, p. 5.

[83]      Health Care Consumers' Association, Submission 16, p. 18.

[84]      Australasian College of Emergency Medicine, Submission 4, p. 4.

[85]      Australian Dental Association, Submission 6, p. [5].

[86]      Professor John Stokes, Committee Hansard, 1 November 2016, p. 13.

[87]      See: Medical Board of Australia, Nursing and Midwifery Board of Australia and AHPRA, Submission 21, p. 10.

[88]      Medical Board of Australia, Nursing and Midwifery Board of Australia and AHPRA, Submission 21, p. 10.

[89]      Health Care Consumers' Association, Submission 16, p. 17.

[90]      Australasian College of Emergency Medicine, Submission 4, p. 4.

[91]      Australian Medical Association, Submission 9, p. 5.

[92]      Australian and New Zealand College of Anaesthetists, Submission 5, pp [4–5].

[93]      Australian Dental Association, Submission 6, p. [4].

[94]      Professor John Stokes, Committee Hansard, 1 November 2016, p. 13.

[95]      Dr Gary Fettke, Committee Hansard, 1 November 2016, p. 21.

Chapter 3 - Bullying and harassment in the medical profession

[1]        See, for example: Australasian College for Emergency Medicine, Submission 4, p. 1; Australian and New Zealand College of Anaesthetists, Submission 5, p. 2; Royal Australasian College of Medical Administrators, Submission 18, pp 1–2; Royal Australian and New Zealand College of Psychiatrists, Submission 19, p. 1; Royal Australian and New Zealand College of Radiologists, Submission 20, p. 1.

[2]        Australian Medical Association (AMA), Submission 9, p. 1.

[3]        Mr John Biviano, Director, Fellowship and Standards, Royal Australasian College of Surgeons, Committee Hansard, 1 November 2016, p. 41.

[4]        Dr Catherine Yelland, President, Royal Australasian College of Physicians, Committee Hansard, 1 November 2016, p. 42, 43.

[5]        Professor Gavin Frost, Dean of Fellowship Education, Royal Australasian College of Medical Administrators, Committee Hansard, 1 November 2016, p. 43.

[6]        Australian Medical Association (AMA), Submission 9, p. 1.

[7]        Australian Nursing and Midwifery Federation, Submission 99, p. 2.

[8]        These definitions are also used by the AMA in its position statement on bullying and harassment. See: Australian Medical Association, Position Statement – Workplace Bullying and Harassment, 3 December 2015, https://ama.com.au/position-statement/workplace-bullying-and-harassment (accessed 9 November 2016).

[9]        Australian Medical Students' Association (AMSA), Submission 10, p. 2.

[10]      Scott K, Caldwell P, Barnes E, Barrett J, '"Teaching by humiliation" and mistreatment of medical students in clinical rotations: a pilot study', Medical Journal of Australia, vol. 203, no. 4, 17 August 2016. See: AMSA, Submission 10, p. 3.

[11]      Miss Elise Buisson, President, Australian Medical Students' Association, Committee Hansard, 1 November 2016, pp 25–26.

[12]      See: Australia Medical Association WA, 'Shattering the silence', Medicus, 18 April 2016, p. 22, http://www.amawa.com.au/wp-content/uploads/2016/04/Cover-18-April-2016.pdf (accessed
9 November 2016).

[13]      Dr Benjamin Armstrong, Board Director, Australian Indigenous Doctors' Association (AIDA), Committee Hansard, 1 November 2016, p. 31.

[14]      AIDA, Submission 8, p. 3.

[15]      AIDA, Submission 8, p. 1.

[16]      Expert Advisory Group on discrimination, bullying and sexual harassment, Report to the Royal Australasian College of Surgeons, 28 September 2015, p. 4, https://www.surgeons.org/about-respect/what-we-have-done/building-respect,-improving-patient-safety/expert-advisory-group/ (accessed 7 November 2016).

[17]      House of Representatives Standing Committee on Health and Ageing, Lost in the Labyrinth: Report on the inquiry into registration processes and support for overseas trained doctors, March 2012, p. 189.

[18]      House of Representatives Standing Committee on Health and Ageing, Lost in the Labyrinth: Report on the inquiry into registration processes and support for overseas trained doctors, March 2012, p. 194.

[19]      Notice Paper, 21 November 2016, House of Representatives, p. 60.

[20]      Dr Gary Fettke, Committee Hansard, 1 November 2016, p. 19.

[21]      Health Care Consumers Association, Submission 16, p. 12.

[22]      AMA, Submission 9, p. 2.

[23]      See: Expert Advisory Group on discrimination, bullying and sexual harassment, Report to the Royal Australasian College of Surgeons, 28 September 2015, p. 11, https://www.surgeons.org/about-respect/what-we-have-done/building-respect,-improving-patient-safety/expert-advisory-group/ (accessed 7 November 2016).

[24]      Mr John Biviano, Director, Fellowship and Standards, Royal Australasian College of Surgeons, Committee Hansard, 1 November 2016, p. 42.

[25]      Australian Indigenous Doctors' Association, Submission 8, p. 3.

[26]      Australasian College of Emergency Medicine, Submission 4, p. 1.

[27]      RANCP, Submission 19, pp 1–2.

[28]      Expert Advisory Group on discrimination, bullying and sexual harassment, Report to the Royal Australasian College of Surgeons, 28 September 2015, p. 5, http://www.surgeons.org/about-respect/what-we-have-done/building-respect,-improving-patient-safety/expert-advisory-group/  (accessed 9 November 2016).

[29]      Beyondblue, Submission 11, p. 17.

[30]      Expert Advisory Group on discrimination, bullying and sexual harassment, Report to the Royal Australasian College of Surgeons, 28 September 2015, p. 7.

[31]      Scott K, Caldwell P, Barnes E, Barrett J, '"Teaching by humiliation" and mistreatment of medical students in clinical rotations: a pilot study', Medical Journal of Australia, vol. 203, no. 4, 17 August 2016. See: AMSA, Submission 10, p. 3.

[32]      Victorian Auditor-General, Bullying and Harassment in the Health Sector, March 2016, p. 19, http://www.audit.vic.gov.au/reports_and_publications/latest_reports/2015-16/20160323-bullying.aspx (accessed 9 November 2016).

[33]      Dr Artiene Tatian, Board Director, AIDA, Committee Hansard, 1 November 2016, p. 33.

[34]      Dr Benjamin Armstrong, Board Director, AIDA, Committee Hansard, 1 November 2016, p. 33.

[35]      Miss Elise Buisson, President, AMSA, Committee Hansard, 1 November 2016, p. 27.

[36]      Royal Australasian College of Medical Administrators, Submission 18, p. 2.

[37]      AMA, Submission 9, p. 3.

[38]      Expert Advisory Group on discrimination, bullying and sexual harassment, Report to the Royal Australasian College of Surgeons, 28 September 2015, p. 8.

[39]      AMA, Submission 9, p. 4.

[40]      Expert Advisory Group on discrimination, bullying and sexual harassment, Report to the Royal Australasian College of Surgeons, 28 September 2015, p. 8.

[41]      MBA, NMBA and AHPRA, Submission 21, p. 1.

[42]      MBA, NMBA and AHPRA, Submission 21, p. 4.

[43]      Dr Joanna Flynn, Chair, Medical Board of Australia, Committee Hansard, 1 November 2016, p. 61.

[44]      Dr Joanna Flynn, Chair, Medical Board of Australia, Committee Hansard, 1 November 2016, p. 53.

[45]      ANMF, Submission 99, p. 3.

[46]      MBA, NMBA and AHPRA, Submission 21, p. 3.

[47]      MBA, NMBA and AHPRA, Submission 21, p. 3.

[48]      The NMBA notes that its analysis of notifications made between 2010 and 2015 identified that 'aggression' and 'bullying' were two of the largest categories of notifications. A focus of the review process is 'ensuring that the revised codes address these issues and set clear requirements for expected behaviours'. See: MBA, NMBA and AHPRA, Submission 21, p. 3.

[49]      Australian Dental Association, Submission 6, p. 2.

[50]      Beyondblue, Submission 11, p. 3.

[51]      Australian Indigenous Doctors' Association, Submission 8, p. 4.

[52]      Committee of Presidents of Medical Colleges, Submission 14, p. 1.

[53]      See: Building Respect, Improving Patient Safety, RACS Action Plan on Discrimination, Bullying and Sexual Harassment in the Practice of Surgery, tabled by Royal Australasian College of Surgeons, at Sydney public hearing 1 November 2016,  https://www.aph.gov.au/Parliamentary_Business/Committees/Senate/Community_Affairs/MedicalComplaints45/Additional_Documents (accessed 14 November 2016).

[54]      RACS provided the committee with a draft MOU as part of its submission. See: RACS, Submission 113, Attachment 1.

[55]      Mr John Biviano, Director, Fellowship and Standards, Royal Australasian College of Surgeons, Committee Hansard, 1 November 2016, p. 44.

[56]      Committee of Presidents of Medical Colleges, Submission 14, p. 2.

[57]      Mr John Ilott, Committee Hansard, 1 November 2016, p. 44.

[58]      Dr Catherine Yelland, Committee Hansard, 1 November 2016, p. 42.

[59]      Mrs Linda Smith, Committee Hansard, 1 November 2016, pp 44–45.

[60]      Miss Elise Buisson, President, AMSA, Committee Hansard, 1 November 2016, pp 26–27.

[61]      Dr Michael Mansfield, Committee Hansard, 1 November 2016, p. 12.

[62]      Australian Dental Association, Submission 6, p. 2.

[63]      Beyondblue, Submission 11, p. 2.

[64]      Australasian College of Emergency Medicine, Submission 4, p. 2.

[65]      Committee of Presidents of Medical Colleges, Submission 14, p. 1.

[66]      Mr John Biviano, Director, Fellowship and Standards, Royal Australasian College of Surgeons, Committee Hansard, 1 November 2016, p. 42.

[67]      Mr John Ilott, Chief Executive Officer, Australian and New Zealand College of Anaesthetists, Committee Hansard, 1 November 2016, p. 43.

[68]      AMA, Submission 9, p. 3.

[69]      RANZCP, Submission 19, p. 2.

[70]      ANMF, Submission 99, p. 3.

[71]      Victorian Auditor-General, Bullying and Harassment in the Health Sector, March 2016, p. x, http://www.audit.vic.gov.au/reports_and_publications/latest_reports/2015-16/20160323-bullying.aspx (accessed 9 November 2016).

[72]      Victorian Auditor-General, Bullying and Harassment in the Health Sector, March 2016,
p. xiii–xv, http://www.audit.vic.gov.au/reports_and_publications/latest_reports/2015-16/20160323-bullying.aspx (accessed 9 November 2016).

Chapter 4 - Responses and recommendations

[1]        Senate Finance and Public Administration References Committee, Inquiry into the administration of health practitioner registration by the Australian Health Practitioner Regulation Agency (AHPRA), 3 June 2011, p. 93, https://www.aph.gov.au/parliamentary_business/committees/senate/finance_and_public_administration/Completed%20inquiries/2010-13/healthpractitionerregistration/index (accessed
24 November 2016).

[2]        See: COAG Health Council, Independent Review of the National Registration and Accreditation Scheme for health professionals, 2015, http://www.coaghealthcouncil.gov.au/Projects/Independent-Review-of-NRAS-finalised (accessed 24 November 2016).

[3]        Miss Elise Buisson, President, Australian Medical Students' Association, Committee Hansard, 1 November 2016, p. 27.

[4]        Mr John Biviano, Director, Fellowship and Standards, Royal Australasian College of Surgeons, Committee Hansard, 1 November 2016, p. 45.