House of Representatives Committees

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Footnotes

Chapter 1 Conduct and context of the inquiry

[1] Various terms have been applied to describe internationally trained medical practitioners. Although the terms of reference refer to overseas trained doctors (OTD), this appears to have been superseded by the term international medical graduate (IMG). Other terms that have appeared in evidence to the inquiry include overseas trained specialist (OTS) and international medical specialist (IMS).

[2] The Hon Mr Bruce Scott, Member for Maranoa, House of Representatives Official Hansard, 28 September 2010, p 68.

[4] The regulated health professions presently include medicine, nursing and midwifery, pharmacy, physiotherapy, psychology, osteopathy, chiropractic, optometry, dental and podiatry. From 1 July 2012, Aboriginal and Torres Strait Islander health practice, Chinese medicine, medical radiation practice and occupation therapy will also be included.

[5] Australian Government Department of Health and Ageing (DoHA), Submission No 84, pp 4-5.

[6] See for example: Australian Medical Council (AMC), Submission No 42, p 20; Medical Board of Australia (MBA), Submission No 51, p 3; Government of Western Australia (WA), Department of Health, Submission No 82, pp 6-8; Australian College of Rural and Remote Medicine (ACCRM), Submission No 103, p 9-11; Western District Health Service, Submission No 184, p 2.

[7] See for example: NSW Rural Doctors Network, Submission No 172, p 3.

[8] Ms Claire Austin, Rural Workforce Agency, Victoria, Official Committee Hansard, Melbourne, 18 March 2011, p 28.

[9] Mrs Martina Stanley, Alecto Australia, Official Committee Hansard, Melbourne, 18 March 2011, p 30.

[10] DoHA, Submission No 84, p 5.

[11] Productivity Commission, Australia’s Health Workforce, Research Report, 2005.

[12] Productivity Commission, Australia’s Health Workforce, Research Report, 2005, p xv.

[13] Productivity Commission, Australia’s Health Workforce, Research Report, 2005, p xix.

[14] Refer to footnote 4.

[15] Council of Australian Governments (COAG) Communiqué, 14 July 2006, p 4.

[16] COAG Communiqué, 26 March 2008, p 5.

[17] Legislation comprises: Health Practitioner Regulation National Law Act 2009 (Qld); Health Practitioner Regulation Act 2009 (NSW); Health Practitioner Regulation National Law Act 2009 (Vic); Health Practitioner Regulation National Law Act 2010 (ACT); Health Practitioner Regulation (National Uniform Legislation) Act 2010 (NT); Health Practitioner Regulation National Law Act 2010 (Tas); Health Practitioner Regulation National Law Act 2010 (SA); Health Practitioner Regulation National Law Act 2010 (WA). For a detailed explanation of the Scheme including Commonwealth and state and territory legislation changes that enacted the Scheme see the Health Practitioner Regulation (Consequential Amendments) Bill 2010, Bills Digest.

[18] The Hon Ms Nicola Roxon, Minister for Health and Ageing, House of Representatives Official Hansard, 24 February 2010, p 1643.

[19] See Health Practitioner Regulation National Law Act 2009 (Qld), ss 43, 44, 59, pp 66, 77.

[20] MBA, Submission No 42.1, p 3.

[21] Australian Competition and Consumer Commission (ACCC) and Australian Health Workforce Officials Committee (AHWOC), Review of Australian specialist medical colleges, 2005, p vi.

[22] ACCC and AHWOC, Review of Australian specialist medical colleges, 2005, pp 33-34.

[23] Parliament of Australia, Senate Finance and Public Administration References Committee, The administration of health practitioner registration by the Australian Health Practitioner Regulation Agency (AHPRA), June 2011.

[24] The term ‘overseas trained health practitioners’ here includes all health practitioners as would be registered with AHPRA, including medicine, nursing and midwifery, pharmacy, physiotherapy, psychology, osteopathy, chiropractic, optometry, dental and podiatry.

[25] Namely the Pre-Employment Structured Clinical Interview (PESCI).

[26] Parliament of Australia, Senate Finance and Public Administration References Committee, The administration of health practitioner registration by the Australian Health Practitioner Regulation Agency (AHPRA), June 2011.

[27] Parliament of Australia, Senate Finance and Public Administration References Committee, The administration of health practitioner registration by the Australian Health Practitioner Regulation Agency (AHPRA), June 2011, p 137.

Chapter 2 Australia’s medical workforce

[1] Australian Medical Council (AMC), Submission No 42, p 19.

[2] Parliament of Australia, Parliamentary Library, ‘Medical practitioners: education and training in Australia’, Background Note, July 2009, <http://www.aph.gov.au/Library/pubs/BN/2009-10/MedicalPractitioners.pdf> viewed 25 January 2012.

[3] A Kamalakanthan & S Jackson, The Supply of Doctors in Australia: Is There A Shortage? Discussion Paper No 341, School of Economics, The University of Queensland, May 2006; Professor B Birrell, Australia’s New Health Crisis – Too Many Doctors, Centre for Population and Urban Research, Monash University, September 2011, <http://arts.monash.edu.au/cpur/--downloads/australias-new-health-crisis.pdf> viewed 25 January 2012.

[4] Australian Government Department of Health and Ageing (DoHA), Report on the Audit of Health Workforce in Rural and Regional Australia, April 2008, p 35. See also: Australian and New Zealand College of Anaesthetists (ANZCA), Submission No 87, p 20; Rural Workforce Agency, Victoria, Submission No 91, p 10; Government of South Australia, Submission No 96, p 3.

[5] Productivity Commission, Australia’s Health Workforce, Research Report, 2005, pp xvi-xvii, <http://www.pc.gov.au/_data/assets/pdf_file/0003/9480/healthworkforce.pdf> viewed 25 January 2012.

[6] DoHA, Report on the Audit of Health Workforce in Rural and Regional Australia, April 2008, p 35.

[7] Australian Institute of Health and Welfare (AIHW), Medical labour force 2009, Bulletin 89, August 2011, p 5, <http://aihw.gov.au/publication-detail/?id=10737419680&tab=2> viewed 25 January 2012.

[8] Overseas Trained Specialist Anaesthetists Network, Submission No 38, p 1.

[9] See for example: DoHA, Report on the Audit of Health Workforce in Rural and Regional Australia, 2008, p 3; Productivity Commission, Australia’s Health Workforce, Research Report, 2005, p 11.

[10] DoHA, Submission No 84, p 4.

[11] Rural Health West, Submission No 75, p 1.

[12] World Health Organisation (WHO), The WHO Global Code of Practice on the International Recruitment of Health Personnel, para 5.4, p 7, <http://www.who.int/hrh/migration/code/code_en.pdf> viewed 25 January 2012.

[13] Dr Jonathan Levy, Official Committee Hansard, Canberra, 25 February 2011, p 47. See also: Rural Doctors Association of Australia, Submission No 80, p 6; Dr Andrew Pesce, Australian Medical Association (AMA), Official Committee Hansard, Canberra, 25 February 2011, p 29; Dr Alasdair MacDonald, Official Committee Hansard, Launceston, 14 November 2011, p 17.

[14] Rural Doctors Association of Australia, Submission No 80, p 2. See also: AMA, Submission No 55, p 3.

[15] Ms Kerry Flanagan, DoHA, Official Committee Hansard, Canberra, 25 February 2011, p 2.

[16] Dr Rajendra Moodley, Official Committee Hansard, Brisbane, 10 March 2011, p 29.

[17] Dr Andrew Pesce, AMA, Official Committee Hansard, Canberra, 25 February 2011, p 29.

[18] Associate Professor Michael Steyn, Official Committee Hansard, 10 March 2011, p 41.

[19] DoHA, Submission No 84, p 3; Parliament of Australia, Parliamentary Library, ‘Medical practitioners: education and training in Australia’, Background Note, July 2009, pp 2–3, <http://www.aph.gov.au/Library/pubs/BN/2009-10/MedicalPractitioners.pdf> viewed 25 January 2012.

[20] DoHA, Submission No 84, p 3.

[21] More information on the programs available under DoHA’s Rural Health Workforce Strategy is available on the DoctorConnect website <http://www.doctorconnect.gov.au/internet/otd/publishing.nsf/content/RHWS> viewed 25 January 2012.

[22] DoHA, Submission No 84, p 3.

[23] Restriction on access to Medicare provider numbers is legislated under the Health Insurance Act 1973. More information on the legislative basis of the restricted access is outlined in Chapter 3 of the report, and issues of concern with these restrictions are considered in Chapter 5.

[24] DoHA, Submission No 84, p 13.

[25] DoHA, Submission No 84, pp 11-14.

[26] Health Workforce Queensland, Submission No 44, p 5.

[27] DoHA, Submission No 84, pp 11-14.

[28] Rural Health Workforce Australia (RHWA), Submission No 107, p 2.

[29] The seven Rural Workforce Agencies are: General Practice Network NT Ltd; Health Workforce Queensland; NSW Rural Doctors Network Australia; Rural Workforce Agency, Victoria; Health Recruitment Plus Tasmania; Rural Doctors Workforce Agency; and Rural Health West.

[30] RHWA, Submission No 107, p 6.

[31] RHWA, Rural Locum Relief Program, <http://www.rhwa.org.au/site/index.cfm?display=163785> viewed 25 January 2012.

[32] For a complete list of programs see: General Practice Education and Training, Training Providers, <http://www.gpet.com.au/TrainingProviders/TrainingProviderLinks/> viewed 2 February 2012.

[33] General Practice Education and Training Limited, Submission No 119, p 2.

[34] DoHA, General Practitioners, Prevocational General Practice Placements Program, <http://www.health.gov.au/internet/main/publishing.nsf/Content/work-pr-pgppp> viewed 25 January 2012.

[35] Dr Paul Mara, Rural Doctors Association of Australia, Official Committee Hansard, Canberra, 31 May 2011, p 2.

[36] Productivity Commission, Australia’s Health Workforce, Research Report, 2005, pp10-11.

[37] National Rural Health Alliance (NRHA), Submission No 113, p 6.

[38] Mrs Martina Stanley, Alecto Australia, Official Committee Hansard, Melbourne, 18 March 2011, p 34.

[39] Australian Health Ministers’ Conference, National Health Workforce Strategic Framework, April 2004, <http://www.ahwo.gov.au/documents/National%20Health%20Workforce%20 Strategic%20Framework/AHMC%20National%20Workforce%20Strategic%20Framework%202004.pdf> viewed 25 January 2012.

[40] Australian Health Ministers’ Conference (AHMC), National Health Workforce Strategic Framework, April 2004, p 14. See also: Tropical Medical Training, Submission No 114, p 6.

[41] Australia’s Health Workforce Online, National Health Workforce Taskforce, <http://www.ahwo.gov.au/nhwt.asp> viewed 25 January 2012.

[42] Health Workforce Australia (HWA), <http://www.hwa.gov.au/> viewed 25 January 2012.

[43] See Health Workforce Australia Act 2009.

[44] HWA, <https://www.hwa.gov.au/about/mission-statement> viewed 25 January 2012.

[45] Australia’s Health Workforce Online, Recent COAG Reforms, <http://www.ahwo.gov.au/coag.asp> viewed 25 January 2012.

[46] HWA, Annual Report 2010-11, pp 20-32.

[47] HWA, National Health Workforce Innovation and Reform Strategic Framework for Action 2011–2015, p 1.

[48] HWA, National Health Workforce Innovation and Reform Strategic Framework for Action 2011–2015, p 14.

[49] HWA, Annual Report 2010-11, p 27.

Chapter 3 Accreditation, registration and other processes

[1] National Rural Health Alliance Inc (NRHA), Submission No 113, p 12.

[2] Australian Medical Council (AMC), Submission No 42, p 2.

[3] AMC, <http://www.amc.org.au/index.php/about> viewed 25 January 2012.

[4] AMC, Submission No 42, p 9.

[5] AMC, Proof of identity, <http://www.amc.org.au/index.php/ass/apps/id-proof> viewed 25 January 2012.

[6] AMC, Proof of identity, <http://www.amc.org.au/index.php/ass/apps/id-proof> viewed 25 January 2012.

[7] AMC, Submission No 42, p 8.

[8] Provisional and Limited Registration are two distinct registration categories which allow IMGs to practise within parameters and under supervision as specified by the Medical Board of Australia (MBA)/Australian Health Practitioner Regulation Agency (AHPRA). More information on registration categories is provided later in this Chapter.

[9] AMC, Submission No 42, p 10.

[10] AMC, Competent Authority Pathway, <http://www.amc.org.au/index.php/ass/apo/cap> viewed on 26 January 2011.

[11] AMC, Submission No 42, p 10.

[12] AMC, Submission No 42, p 10.

[13] AMC, Submission No 42, p 8.

[14] AMC, Submission No 42, pp 10–14.

[15] AMC, Submission No 42, p 10.

[16] AMC, Submission No 42, p 10.

[17] The Structured Clinical Examination is distinct from the Pre-Employment Structured Clinical Interview (the PESCI). The PESCI is not run by the AMC. How the PESCI is used differs between jurisdictions. The PESCI is explained further in Chapter 5.

[18] AMC, Submission No 42, p 10.

[19] New South Wales Government Department of Health, Submission No 124, p 6. See also: MBA, Granting general registration to medical practitioners in the standard pathway who hold an AMC certificate, <http://www.medicalboard.gov.au/documents/default.aspx?record=WD11%2f4691&dbid=AP&chksum=kgA7KRs4HJI1ugAz%2bjIcFg%3d%3d> viewed 26 January 2012.

[20] MBA, Granting general registration to medical practitioners in the standard pathway who hold an AMC certificate, <http://www.medicalboard.gov.au/documents/default.aspx?record=WD11%2f4691&dbid=AP&chksum=kgA7KRs4HJI1ugAz%2bjIcFg%3d%3d> viewed 26 January 2012.

[21] AMC, Workplace-based assessment (Standard Pathway) FAQs, <http://www.amc.org.au/index.php/ass/ass-faqs/wba-faqs> viewed 26 January 2012.

[22] AMC, Submission No 42, pp 12–13.

[23] MBA, Standard Pathway (AMC Examination), <http://www.medicalboard.gov.au/Registration/International-Medical-Graduates/Standard-Pathway.aspx> viewed 26 January 2012.

[24] Royal College of Pathologists of Australasia (RCPA), Submission No 72, p 2.

[25] AMC, Submission No 42, p 18.

[26] Committee of Presidents of Medical Colleges, Submission No 28, p 2.

[27] Form SC is the application for assessment by Specialist Medical College. These forms are available at AMC offices or the website, <http://www.amc.org.au/index.php/ass/forms>.

[28] AMC Report 1 is the initial assessment report completed by a Specialist Medical College advising the applicant’s level of comparability to an Australian trained specialist. If Report 1 indicates that training and experience is not comparable to an Australian Specialist, the college will set out the necessary steps an IMG must complete to gain Fellowship to the specialist college and therefore gain unrestricted Specialist Registration. Report 1 is completed by the specialist college and sent to the AMC (the AMC will send a copy to the applicant).

[29] AMC Report 2 is a report indicating that a specialist IMG has obtained Fellowship to the College. The specialist college completes AMC Report 2 and sends it to AMC who in turn informs the medical board. This means that the specialist IMG may be registered to have unrestricted practice as a specialist in Australia.

[30] Australian Government Department of Health and Ageing (DoHA), DoctorConnect, Restrictions, <http://www.doctorconnect.gov.au/internet/otd/publishing.nsf/Content/restrictions> viewed 26 January 2012.

[31] AMC, Assessment as an Area of Need Specialist, <http://www.amc.org.au/index.php?option=com_content&task=view&id=141&Itemid=160> viewed 26 January 2012.

[32] Committee of Presidents of Medical Colleges, Submission No 28, p 2.

[33] AMC, Submission No 42, p 8.

[34] AMC, Submission No 42.1, p 1.

[35] MBA, General Registration, <http://www.medicalboard.gov.au/Registration/Types/ General-Registration.aspx> viewed 26 January 2012.

[36] MBA, Types of Medical Registration, <http://www.medicalboard.gov.au/Registration/Types.aspx> viewed 26 January 2012.

[37] DoHA, Submission No 84, p 7.

[38] DoHA, Submission No 84, p 7.

[39] MBA, Limited Registration, <http://www.medicalboard.gov.au/Medical-Registration/Limited-Registration.aspx> viewed 26 January 2012.

[40] AMC, Submission No 42.1, p 1.

[41] Dr Joanna Flynn, MBA, Official Committee Hansard, Canberra, 25 February 2011, p 14.

[42] MBA, Submission No 51, p 2.

[43] MBA, Area of Need, <http://www.medicalboard.gov.au/Medical-Registration/Limited-Registration/Area-of-Need.aspx> viewed 26 January 2012.

[44] MBA, Postgraduate Training or Supervised Practice, <http://www.medicalboard.gov.au/Medical-Registration/Limited-Registration/Postgrad-Training.aspx> viewed 26 January 2012.

[45] MBA, Submission No 51, p 38. See also: MBA, Area of Need, <http://www.medicalboard.gov.au/Medical-Registration/Limited-Registration/Area-of-Need.aspx> viewed 26 January 2012.

[46] AMC, Submission No 42.1, p 1.

[47] DoHA, Submission No 84, p 7.

[48] DoHA, Submission No 84, p 4.

[49] MBA, Submission No 51, p 47.

[50] For a full list of registration standards see MBA, Registration Standards, <http://www.medicalboard.gov.au/Registration-Standards.aspx> viewed 2 February 2012.

[51] AHPRA, Proof of Identity Requirements, pp 2-3, <http://www.ahpra.gov.au/documents/default.aspx?record=WD10%2f1973&dbid=AP&chksum=H7xVC2W%2bm57CqcCbJbUQrg%3d%3d> viewed 26 January 2012.

[52] AHPRA, Proof of Identity Requirements, p 3, <http://www.ahpra.gov.au/documents/default.aspx?record=WD10%2f1973&dbid=AP&chksum=H7xVC2W%2bm57CqcCbJbUQrg%3d%3d> viewed 26 January 2012.

[53] AHPRA, Certifying Documents, <http://www.ahpra.gov.au/Registration/Registration-Process/Certifying-Documents.aspx> viewed 26 January 2012.

[54] AHPRA, Standard Format for Curriculum Vitae, <http://www.ahpra.gov.au/Registration/Registration-Process/Standard-Format-for-Curriculum-Vitae.aspx> viewed 26 January 2012.

[55] MBA, Registration Standards, <http://www.medicalboard.gov.au/Registration-Standards.aspx> viewed 26 January 2012.

[56] MBA, English language skills registration standard, p 1, <http://www.medicalboard.gov.au/documents/default.aspx?record=WD10%2f103&dbid=AP&chksum=nrU04kzBXoRQUWoQD7jP2A%3d%3d> viewed 26 January 2012.

[57] MBA, Criminal history registration standard, p 1, <http://www.medicalboard.gov.au/documents/default.aspx?record=WD10%2f102&dbid=AP&chksum=2Udhuw6cqfGw%2boDhSqpoHQ%3d%3d> viewed 26 January 2012.

[58] MBA, Recency of practice registration standards, p 1, http://www.medicalboard.gov.au/documents/default.aspx?record=WD10%2f108&dbid=AP&chksum=ePw%2fM61E57VzMD27KPKV0w%3d%3d viewed 26 January 2012.

[59] MBA, Continuing professional developmental registration standards, p 1, <http://www.medicalboard.gov.au/documents/default.aspx?record=WD10%2f101&dbid=AP&chksum=Nx18OyXfwajDAfAm%2fQQNNQ%3d%3d> viewed 26 January 2012.

[60] MBA, Submission No 51, p 2. See also: MBA, Professional Indemnity insurance registration standards, p 1, <http://www.medicalboard.gov.au/documents/default.aspx?record=WD10%2f107&dbid=AP&chksum=oD3TxQ2nxbPyCEFwz4EL8Q%3d%3d> viewed 26 January 2012.

[61] MBA, Limited registration for area of need registration standard, p 2, <http://www.medicalboard.gov.au/documents/default.aspx?record=WD10%2f104&dbid=AP&chksum=SA4kRfNqUsUoPJ040ocw1w%3d%3d> viewed 26 January 2012.

[62] For General Registration see: s 56 of the Health Practitioner Regulation National Law Act 2009 (Qld) (the Act); for Specialist Registration see: s 61 of the Act; and for Limited Registration see: s 72 of the Act.

[63] MBA, Submission No 51, p 6.

[64] See s 72, Health Practitioner Regulation National Law Act 2009 (Qld).

[65] Australian Government Department of Immigration and Citizenship (DIAC), <http://www.immi.gov.au/about/department/who-we-are.htm> viewed 26 January 2012.

[66] DIAC, Submission No 138, p 1. See also: DIAC, <http://www.immi.gov.au> viewed 26 January 2012.

[67] DIAC, Permanent Visa Options for Doctors, <http://www.immi.gov.au/skilled/medical-practitioners/permanent-visas.htm> viewed 26 January 2012.

[68] DIAC, Temporary Visa Options for Doctors, <http://www.immi.gov.au/skilled/medical-practitioners/temporary-visas.htm> viewed 26 January 2012.

[69] DIAC, Employer Sponsored Workers, <http://www.immi.gov.au/skilled/skilled-workers/sbs/eligibility-employee.htm> viewed 26 January 2012.

[70] Mr Kruno Kukoc, DIAC, Official Committee Hansard, Canberra, 11 October 2011, p 4.

[71] DIAC, Employer Sponsored Workers, <http://www.immi.gov.au/skilled/skilled-workers/sbs/obligations-employee.htm> viewed 26 January 2012.

[72] DoHA, DoctorsConnect, Restrictions, <http://www.doctorconnect.gov.au/internet/otd/publishing.nsf/Content/restrictions> viewed 26 January 2012. Medicare provider number does not automatically allow you to attract Medicare rebates for your services. You should ask your Australian employer which level of Medicare access for a provider number you need.

[73] DoHA, DoctorConnect, Section 19AB of the Health Insurance Act 1973: Factsheet, <http://www.doctorconnect.gov.au/internet/otd/publishing.nsf/content/section19AA> viewed 26 January 2012.

[74] Districts of Workforce Shortage re determined by the DoHA, and should not be confused with Areas of Need, which are determined by state and territory governments. DWS relate specifically to the Section 19AB provisions while the AoN system has been implemented to fill vacant medical positions.

[75] DoHA, Health Practitioners, District of Workforce Shortage Factsheet, http://www.health.gov.au/internet/main/publishing.nsf/Content/work-pr-dws-fact> viewed 26 January 2012.

[76] DoHA, Submission No 84, p 11.

[77] DoHA, Submission No 84.1, p 1.

[78] DoHA, DoctorsConnect, Factsheet: District of workforce shortage, <http://www.doctorconnect.gov.au/internet/otd/publishing.nsf/Content/dwsFactsheet> viewed 26 January 2012.

[79] Ms Sheila Bird, Australian Government Department of Human Services (DHS), Official Committee Hansard, Canberra, 1 November 2011, p 6.

[80] Ms Bird, DHS, Official Committee Hansard, Canberra, 1 November 2011, p 6.

[81] DoHA, Submission No 84.1, p 5.

[82] DoHA, Health Practitioners, Section 19AA of the Health Insurance Act 1973, p 1, <http://www.health.gov.au/internet/main/publishing.nsf/Content/C8CE54F77A1B9763CA25744000057C9F/$File/19aa.pdf> viewed 26 January 2012.

[83] DoHA, Health Practitioners, Section 19AA of the Health Insurance Act 1973, p 1, <http://www.health.gov.au/internet/main/publishing.nsf/Content/C8CE54F77A1B9763CA25744000057C9F/$File/19aa.pdf> viewed 26 January 2012.

[84] DoHA, Health Practitioners, Section 19AA of the Health Insurance Act 1973, p 1, <http://www.health.gov.au/internet/main/publishing.nsf/Content/C8CE54F77A1B9763CA25744000057C9F/$File/19aa.pdf> viewed 26 January 2012.

[85] DoHA, DoctorConnect , Finding a job, <http://www.doctorconnect.gov.au/internet/otd/publishing.nsf/Content/findingAJob> viewed 26 January 2012.

Chapter 4 Issues with accreditation and assessment

[1] Australian Medical Council (AMC), Submission No 42, p 2. The Health Practitioner Regulation National Law Act 2009, originally enacted in Queensland, implemented an agreement reached by COAG to construct a national accreditation scheme for medical practitioners. Similar legislation has been enacted in all states and territories of Australia, under varying names.

[2] AMC, Submission No 42, p 2. For further information on the AMC assessment process, see Chapter 3 of this report.

[3] Section 80(1)(ii), Health Practitioner Regulation National Law Act 2009 (Qld).

[4] Mr Ian Frank, Australian Medical C, Official Committee Hansard, Canberra, 19 August 2011, p 2.

[5] Dr Elwin Upton, Submission No 2, p 2; Dr Ponraja Thuryrajah, Submission No 102, p 2; Dr Susan Douglas, Submission No 111, p 8.

[6] AMC, Quick Guide to Applying to the Australian Medical Council, p 22, <http://www.amc.org.au/images/publications/applying-to-the-amc.pdf> viewed 26 January 2012.

[7] Dr Elwin Upton, Submission No 2, p 2.

[8] Dr Ponraja Thuryrajah, Submission No 102, p 2.

[9] Dr Ponraja Thuryrajah, Submission No 102, p 3.

[10] Dr Ponraja Thuryrajah, Submission No 102, p 3.

[11] AMC, Submission No 42, p 9.

[12] AMC, Submission No 42.2, p 4.

[13] AMC, Primary source verification, Overseas institutions with a high percentage of outstanding EICS requests, <http://www.amc.org.au/images/info/institutions-with-high-percentage-of-outstanding-EICS-requests.pdf> viewed 3 February 2013.

[14] AMC, Submission No 42.2, pp 4-5.

[15] AMC, Submission No 42.2, pp 4-5.

[16] Mr Ian Frank, AMC, Official Committee Hansard, Canberra, 19 August 2011, pp 4-5.

[17] See also: AMC, Submission No 42, pp 9-10.

[18] AMC, Submission No 42, p 9.

[19] Mr Frank, AMC, Official Committee Hansard, Melbourne, 18 March 2011, p 7.

[20] Western NSW Local Health Network, Submission No 49, p 7.

[21] See for example: Dr Jonathan Levy, Submission No 34, p 7.

[22] Dr Dennis Gonzaga, Submission No 35, p 2.

[23] Dr Johannes Wenzel, Submission No 68, p 7.

[24] AMC, Submission No 42, p 17.

[25] AMC, Submission No 42, p 21.

[26] AMC, Submission No 42, pp 33-34.

[27] AMC, Submission No 42, p 21.

[28] AMC, Submission No 42, p 11.

[29] AMC, Submission No 42, p 11.

[30] AMC, Submission No 42, pp 11-12.

[31] AMC, Submission No 42, p 12.

[32] Dr Johannes Wenzel, Submission No 68, p 2.

[33] Government of Western Australia (WA) Department of Health, Submission No 82, p 7.

[34] See for example: Dr Sunayana Das, Official Committee Hansard, 10 March 2011, pp 23-24; Mr Kevin Gillespie, Submission No 157, p 2; Government of WA Department of Health, Submission No 82, p 4.

[35] Dr Chaitanya Kotapati, Submission No 21, p 2.

[36] Mr Frank, AMC, Official Committee Hansard, Melbourne, 18 March 2011, p 9.

[37] Mr Frank, AMC, Official Committee Hansard, Melbourne, 18 March 2011, p 17.

[38] AMC, Clinical examination scheduling process, <http://www.amc.org.au/index.php/ass/clinex/clinex-sched> viewed 3 February 2012.

[39] Mr Frank, AMC, Official Committee Hansard, Melbourne, 18 March 2011, p 15.

[40] Mr Frank, AMC, Official Committee Hansard, Melbourne, 18 March 2011, p 15.

[41] Mr Frank, AMC, Official Committee Hansard, Melbourne, 18 March 2011, p 13.

[42] Dr Paramban Rateesh, Official Committee Hansard, Brisbane, 10 March 2011, p 39.

[43] AMC, Clinical examination performance requirements, <http://www.amc.org.au/index.php/ass/clinex/clinex-perform> viewed 3 February 2012.

[44] Dr Johannes Wenzel, Submission No 68, p 2.

[45] Dr Paramban Rateesh, Official Committee Hansard, Brisbane, 10 March 2011, p 39.

[46] AMC, AMC examinations (Standard Pathway), http://www.amc.org.au/index.php/ass/apo/sp/exams, viewed 3 February 2012.

[47] Dr Michael Cleary, Queensland Health, Official Committee Hansard, Brisbane, 10 March 2011, p 8.

[48] Dr Michael Cleary, Queensland Health, Official Committee Hansard, Brisbane, 10 March 2011, p 8.

[49] Dr Susan Douglas, Official Committee Hansard, Canberra, 25 February 2011, p 48.

[50] Dr Viney Joshi, Official Committee Hansard, Brisbane, 10 March 2011, pp 15-16.

[51] AMC, Submission No 42, p 6.

[52] AMC, Submission No 42, p 13.

[53] Mr Frank, AMC, Official Committee Hansard, Melbourne, 18 March 2011, p 8.

[54] Mr Frank, AMC, Official Committee Hansard, Melbourne, 18 March 2011, p 8.

[55] AMC, Submission No 42, p 28.

[56] See for example: Dr Chaitanya Kotapati, Official Committee Hansard, Brisbane, 10 March 2011, p 21; Professor Kichu Nair, Submission No 162, p 2; Dr David Thurley, General Practice Network Northern Territory, Official Committee Hansard, Darwin, 30 January 2012, p 8; Dr Helmut Schoengen, Submission No 150, p 2.

[57] ACCRM, Submission No 103, p 14; Ms Marita Cowie, Australian College of Rural and Remote Medicine, Official Committee Hansard, Brisbane, 10 March 2011, p 55. See also: DoHA, Submission No 84, p 15.

[58] See for example: AMC, Submission No 42, p 28; Government of WA Department of Health, Submission No 82, p 5, 11; Dr Alasdair MacDonald, Official Committee Hansard, Launceston, 14 November 2011, p 18.

[59] Hunter New England Health received the following awards for its workplace-based assessment program: 2011 Premier’s Public Sector Award for 'Innovation in front-line delivery'; 2011 Ministry of Health Award; 2011 NSW Ministry of Health Director Generals Innovation Award; 2011 Hunter New England Health Quality Award for 'Building the HealthWorkforce'.

[60] Mrs Julie Wein, Official Committee Hansard, 27 September 2011, Newcastle, p 3.

[61] Dr Beth Mulligan, Director of Clinical Training; Chair IMG Subcommittee, Department of Health and Human Services, Official Committee Hansard, 14 November 2011, Launceston, p 12.

[62] AMC, Submission No 42, pp 12–13.

[63] See for example: Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG), Submission No 45, p 3.

[64] Royal Australian and New Zealand College of Radiologists (RANZCR), Submission No 43, p 5.

[65] NSW Department of Health, Submission No 124, p 3.

[66] NSW Department of Health, Submission No 124, p 2.

[67] Alecto Australia, Submission No 85, p 4. See also: South Eastern Local Health Network, Submission No 16, p 1.

[68] Queensland Health, Submission No 126, p 9.

[69] Western NSW Local Health Network, Submission No 49, p 7.

[70] AMC, Submission No 42, p 26.

[71] Dr David Wood and Dr David Levitt, Submission No 78, p 1.

[72] Dr Paramban Rateesh, Official Committee Hansard, Brisbane, 10 March 2011, p 26.

[73] Royal Australian College of Physicians (RACP), Submission No 65, p 22.

[74] AMC, Submission No 42, Appendix K: Joint AMC/CPMC Standing Committee on Overseas Trained Specialists - Assessment of Overseas Trained Specialists Guidance for Colleges, p 65.

[75] AMC, Submission No 42, Appendix K: Joint AMC/CPMC Standing Committee on Overseas Trained Specialists - Assessment of Overseas Trained Specialists Guidance for Colleges, p 68.

[76] Western NSW Local Health Network, Submission No 49, p 7.

[77] NSW Department of Health, Submission No 124, p 4.

[78] For further information on Joint Standing Committee on Overseas Trained Specialists (JSCOTS), see AMC, Submission No 42, pp 24-25.

[79] AMC, Submission No 42, p 26.

[80] See for example: RANZCR, Submission No 43, p 6; Royal Australian College of Surgeons (RACS), Submission No 74, p 3.

[81] Dr Christoph Ahrens, Submission No 66, p 2; Dr Michael Galak, Submission No 31.1, p 2.

[82] Associate Professor Michael Steyn and Associate Professor Kersi Taraporewalla, Submission No 54, p 10.

[83] Associate Professor Michael Steyn, Official Committee Hansard, Brisbane, 10 March 2011, p 42.

[84] Dr Christoph Ahrens, Submission No 66, pp 2-3.

[85] Name withheld, Submission No 39, p 4.

[86] South Australian Government Department of Health, Submission No 96, p 5. See also: Overseas Trained Specialists Anaesthetists Network (OTSAN), Submission No 38, p 2; Dr Frank Quigley, Submission No 14, p 1.

[87] IMG Inquiry Recommendation Working Group, Submission No 168, p 6.

[88] See for example: Royal Australasian College of Physicians (RACP), Submission No 65, p 23; Royal Australian College of General Practitioners, <http://www.racgp.org.au/Content/NavigationMenu/educationandtraining/Assessment/Assessmentpolicies/AppealsPolicy.pdf> viewed 3 February 2012.

[89] RACS, Policy, <http://www.surgeons.org/media/55600/pol_2011-06-02_appeals_mechanism_v3.pdf> viewed 3 February 2012.

[90] RACP, Submission No 65, p 23.

[91] Australian and New Zealand College of Anaesthetists (ANZCA), Submission No 87, p 11.

[92] ANZCA, Submission No 87, p 11.

[93] RANZCOG, Submission No 45, p 7.

[94] RACP, Submission No 65.1, p 1.

[95] Dr Chaitanya Kotapati, Submission No 21.1, p 4.

[96] Dr Anatole Kotlovsky, Submission No 47, p 3.

[97] Name withheld, Submission No 39, p 3.

[98] IMG Inquiry Working Group, Submission No 168, p 6.

[99] Dr Viney Joshi, Official Committee Hansard, Brisbane, 10 March 2011, p 13.

[100] Dr Christopher Hughes, RANZCOG, Official Committee Hansard, Melbourne, 18 March 2011, p 58.

[101] Dr Jennie Kendrick, RACGP, Official Committee Hansard, Melbourne, 18 March 2011, p 59.

[102] See for example: Mr Ivan Thompson, RACS, Official Committee Hansard, Melbourne, 18 March 2011, p 59; Dr Jennifer Alexander, RACP, Official Committee Hansard, Canberra, 25 February 2011, p 54; Dr Richard Willis, Australian and New Zealand College of Anaesthetists, Official Committee Hansard, Melbourne, 18 March 2011, p 57.

[103] Dr Viney Joshi, Official Committee Hansard, Brisbane, 10 March 2011, p 15. See also: Dr Michael Galak, Submission No 31, p 1.

[104] Dr Michael Galak, Submission No 31, p 2.

[105] Dr Jonathan Levy, Official Committee Hansard, Canberra, 25 February 2011, p 44.

[106] Royal Australian and New Zealand College of Ophthalmologists (RANZCO), Submission No 73, p 3.

[107] RANZCO, Submission No 73, p 3.

[108] Dr Joanna Flynn, Medical Board of Australia, Official Committee Hansard, Canberra, 25 February 2011, p 22. See also: Dr Andrew Pesce, Australian Medical Association, Official Committee Hansard, Canberra, 25 February 2011, pp 33-34; and RANZCOG, Submission No 45, p 6.

[109] Mr Scott Gregson, Australian Competition and Consumer Commission, Official Committee Hansard, Canberra, 20 September 2011, p 2.

Chapter 5 Issues with registration and associated processes

[1] As noted in Chapter 1 where there is reference to provisions of the National Law, these references have been extracted from the Queensland legislation, as it was the first state to enact the legislation.

[2] Direct supervision: the clinical supervisor is present, observes, works with and directs the person who is being supervised. Indirect supervision: the clinical supervisor is readily contactable but does not directly observe the activities.

[3] See for example: Australian and New Zealand College of Anaesthetists, Submission No 87, p 17; Rural Workforce Agency, Victoria, Submission No 91, p 10; Confederation of Postgraduate Medical Education Councils (CPMEC), Submission No 93, pp 1-3.

[4] Australian Government Department of Health and Ageing (DoHA), Submission No 84, p 10.

[5] Rural Doctors Workforce Agency (RDWA), Submission No 83, p 5.

[6] Mr Ian Shaw, Submission No 56, p 2.

[7] Associate Professor Michael Steyn and Associate Professor Kersi Taraporewalla, Submission No 54, p 7.

[8] Royal Australasian College of Surgeons (RACS), Submission No 74, p 4.

[9] Royal Australasian College of Pathologists (RACP), Submission No 72, p 5.

[10] National Rural Health Alliance Inc (NRHA), Submission No 113, p 29.

[11] Name withheld, Submission No 158, p 1.

[12] Dr Diane Mohen, Submission No 79, p 1.

[13] RACS, Submission No 74, p 4.

[14] Australian Orthopaedic Association (AOA), Submission No 69, p 3.

[15] Dr Joanna Flynn, Medical Board of Australia (MBA), Official Committee Hansard, Canberra, 19 August 2011, p 20.

[16] Council of Australian Governments (COAG), <http://www.ahwo.gov.au/documents/COAG/National%20Partnership%20Agreement%20on%20Hospital%20and%20Health%20Workforce%20Reform.pdf> viewed 3 February 2012.

[17] See for example: CPMEC, Submission No 93, p 2; Australian General Practice Network, Submission No 61, p 6.

[18] Australian College of Rural and Remote Medicine (ACRRM), Submission No 103, p 17.

[19] See for example: Dr Johannes Wenzell, Submission No 68, p 6; Rural Doctors Workforce Agency, Submission No 83, p 6.

[20] Dr Johannes Wenzell, Submission No 68, p 6.

[21] Associate Professor Michael Steyn and Associate Professor Kersi Taraporewalla, Submission No 54, p 16.

[22] Health Workforce Australia (HWA), Annual Report 2010-11, p 24.

[23] MBA, Recruitment Standards, <http://www.medicalboard.gov.au/Registration-Standards.aspx> viewed 16 January 2012.

[24] MBA, Limited Registration for Area of Need Registration Standard, <http://www.medicalboard.gov.au/Registration-Standards.aspx> viewed 3 February 2012.

[25] Australian Medical Council (AMC), Submission No 42.2, p 3; See also: MBA, Communiqué, Meeting of the MBA, 24 August 2011, pp 2-3.

[26] Australian Doctors Trained Overseas Association (ADTOA), Submission No 101, p 8. See also: Name withheld, Submission No 15, p 2; IMG Inquiry Working Group, Submission No 168, p 7.

[27] See for example: NSW Rural Doctors Network, Submission No 37, p 10; Victorian Medical Postgraduate Foundation Inc, Submission No 105, p 8; Mayo Private Hospital, Submission No 106, p 2; Friendly Society Private Hospital, Submission No 115, p 2; Australian Locum Medical Service Pty Ltd, Submission No 117, p 1.

[28] See for example: Dr David Thurley, General Practice Network Northern Territory, Official Committee Hansard, Darwin, 30 January 2012, p 1.

[29] See for example: Dr Chaitanya Kotapati, Submission No 21, p 3; Australian Medical Association (AMA), Submission No 55, p 10; Dr Sudheer Duggirala, Official Committee Hansard, Brisbane, 10 March 2011, p 24.

[30] AMA, Submission No 55, p 10.

[31] Dr Paramban Rateesh, Official Committee Hansard, Brisbane, 10 March 2011, p 27.

[32] Dr Rajendra Moodley, Submission No 100, p 2.

[33] Dr Emil Penev, Submission No 3, p 1.

[34] Ms Dianne Wyatt, Official Committee Hansard, Brisbane, 10 March 2011, p 58.

[35] Rural Doctors Workforce Agency South Australia, Submission No 83, p 2.

[36] General Practice Network Northern Territory, Submission No 81, p 1. See also: Dr David Thurley, General Practice Network Northern Territory, Official Committee Hansard, Darwin, 30 January 2012, pp 1-2.

[37] Rural Health Workforce Australia (RHWA), Submission No 107, p 3.

[38] AMC, Submission No 42.2, p 3.

[39] AMC, Submission No 42.2, p 3.

[40] Dr Andrew Pesce, AMA, Official Committee Hansard, Canberra, 25 February 2011, p 31.

[41] MBA, Communiqué, Meeting of the MBA, 24 August 2011, pp 2-3

[42] MBA, Submission No 51, p 28.

[43] MBA, English Language Skills Registration Standard <http://www.medicalboard.gov.au/Registration-Standards.aspx> viewed 3 February 2012.

[44] IDP Australia Pty Ltd, Submission No 155, p 7.

[45] See for example: Dr Nasir Baig, Submission No 10, p 1; Dr Mohammed Anarwala, Submission No 18, p 2; Dr Azhar Ahmad, Submission No 140, p 1.

[46] See for example: Name withheld, Submission No 89, p 1; Association of Medical Recruiters Australia & New Zealand, Submission No 139, p 4; Mr Chris Johnson, Submission 170, p 1.

[47] Dr Viney Joshi, Official Committee Hansard, Brisbane, 10 March 2011, p 16.

[48] Mr Christopher Butt, Submission No 50, p 1.

[49] Dr Mohammed Anarwala, Submission No 18, p 2.

[50] Dr Nasir Baig, Submission No 10, p 2.

[51] Mr David Lamb, Submission No 64.1, p 1.

[52] Australian Doctors Trained Overseas Association (ADTOA), Submission No 101, p 5; Mr Michael Suss, Submission No 101, pp 64-66.

[53] Royal Australian College of Surgeons (RACS), Submission No 74, p 5.

[54] Peninsula Health, Submission No 27, p 5.

[55] Associate Professor Kersi Taraporewalla, Official Committee Hansard, Brisbane, 10 March 2011, p 45.

[56] Associate Professor Kersi Taraporewalla, Official Committee Hansard, Brisbane, 10 March 2011, p 46.

[57] See for example: Mr Michael Suss, Submission No 110, p 51; Dr Susan Douglas, Official Committee Hansard, Canberra, 25 February 2011, p 45.

[58] See for example: Professor Timothy MacNamara, Official Committee Hansard, Melbourne, 31 August 2011.

[59] International English Language Testing System (IELTS), <http://www.ielts.org/test_takers_information/getting_my_results/my_test_score.aspx> viewed 20 February 2012 and Occupational English Test Centre (OET), <http://www.occupationalenglishtest.org/Display.aspx?tabid=2571> viewed 20 February 2012.

[60] MBA, English Language Skills Registration Standard, <http://www.medicalboard.gov.au/Registration-Standards.aspx> viewed 3 February 2012.

[61] MBA, English Language Skills Registration Standard, <http://www.medicalboard.gov.au/Registration-Standards.aspx> viewed 3 February 2012.

[62] Dr Joanna Flynn, Medical Board of Australia (MBA), Official Committee Hansard, Canberra, 25 February 2011, p 25.

[63] Dr Mohammed Anarwala, Submission No 18, p 2.

[64] Dr Sayed Hashemi, Submission No 104, p 1.

[65] Dr Salahuddin Chowdhury, Official Committee Hansard, Darwin, 30 January 2011, p 16.

[66] Name withheld, Submission No 11, p 2.

[67] Mr David Lamb, Submission No 64.1, p 1.

[68] Mr Gerrard Neve, The OET Centre, Official Committee Hansard, Melbourne, 31 August 2011, p 2.

[69] Mr Neve, The OET Centre, Official Committee Hansard, Melbourne, 31 August 2011, p 2.

[70] Mr Kruno Kukoc, Australian Government Department of Immigration and Citizenship, (DIAC), Official Committee Hansard, Canberra, 11 October 2011, p 2.

[71] DIAC, Submission No 138, p 3.

[72] Mr Kukoc, DIAC, Official Committee Hansard, Canberra, 11 October 2011, p 2.

[73] Mr Michael Willard, DIAC, Official Committee Hansard, Canberra, 11 October 2011, p 3.

[74] See for example: Dr Emil Penev, Submission No 3, p 2; Name withheld, Submission No 39, p 3; Dr Rajendra Moodley, Official Committee Hansard, Brisbane, 10 March 2011, p 27.

[75] Dr Sudheer Duggirala, Official Committee Hansard, Brisbane, 10 March 2011, p 74. See also: Dr Emil Penev, Submission No 3, p 2.

[76] Mr Willard, DIAC, Official Committee Hansard, Canberra, 11 October 2011, p 3.

[77] Mr Kukoc, DIAC, Official Committee Hansard, Canberra, 11 October 2011, p 4.

[78] DIAC, Booklet 9, Temporary Business (Long Stay) (Subclass 457) Visa, <http://www.immi.gov.au/allforms/booklets/books9.htm> viewed 3 February 2012.

[79] DoHA, Submission No 84, p 4.

[80] DoHA, Submission No 84.1, p 3.

[81] National Rural Health Alliance Inc (NHRA), Submission No 113, pp 35-42.

[82] NHRA, Submission No 113, pp 36.

[83] NHRA, Submission No 113, p 42. See also: Ms Martina Stanley, Alecto Australia, Official Committee Hansard, Melbourne, 18 March 2011, p 40.

[84] Associate Professor Michael Steyn and Associate Professor Kersi Tararewalla, Submission No 54, p 7. See also: Australia and New Zealand College of Anaesthetists, Submission No 87, p 9.

[85] Name withheld, Submission No 39, p 1.

[86] Dr Diane Mohen, Submission No 79, p 5.

[87] Associate Professor Michael Steyn and Associate Professor Kersi Tararewalla, Submission No 54, p 3; Dr Carlos Zubaran, Submission No 86, p 9.

[88] NRHA, Submission No 113, p 15.

[89] DoHA, Submission 84.1, p 3.

[90] Association of Medical Recruiters of Australia and New Zealand, Submission No 139, p 6.

[91] Mr Kevin Gillespie, Submission No 157, p 2.

[92] See for example: Australian Medical Association (AMA), Submission No 55, p 3; Rural Doctors Association of Australia (RDAA), Submission No 80, p 10; Mr Hugh Ford, Submission No 116, p 2; Dr Ayman Shenouda, Submission No 132, p 2; Dr Jonathan Levy, Australian Doctors Trained Overseas Association, Official Committee Hansard, Canberra, 25 February 2011, p 43.

[93] RDAA, Submission No 80, p 6.

[94] headspace, Submission No 36, p 5.

[95] Dr Andrew Pesce, AMA, Official Committee Hansard, Canberra, 25 February 2011, p 29.

[96] AMA, Submission No 55, p 3.

[97] Melbourne Medical Deputising Service, Submission No 121, p 11.

[98] See for example: Rural Doctors Network (RDN), Submission No 37, p 18; RHWA, Submission No 107, p 5.

[99] Tropical Medical Training, Submission No 114, p 8.

[100] RDN, Submission No 37, p 18.

[101] RHWA, Submission No 17.1, p 4.

[102] See for example: AMA, Submission No 55, p 4; Dr Susan Douglas, Submission No 111, p 15. Approved postgraduate training or workforce placements are specified by s 3GA of the Health Insurance Act 1973.

[103] Dr Susan Douglas, Submission No 111, p 15.

[104] Mr Hugh Ford, Submission No 116, pp 1-2.

[105] NHRA, Submission No 113, p 30.

[106] See DoHA, Submission No 84.1, pp 7-8; Bonded Medical Places (BMPs) are available to first year medical students who are Australian citizens or permanent residents of Australia. Following attainment of Fellowship of a specialist college, BMP graduates are required to work in a DWS for a period equal to their medical degree, referred to as the return of service obligation. Approximately 25% of Commonwealth Supported Places for medical students are BMPs.

[107] Health Workforce Australia, <http://www.hwa.gov.au/work-programs/workforce-innovation-and-reform/rural-and-remote-health-workforce> viewed on 24 January 2012.

Chapter 6 Improving administrative efficiency

[1] Government of Western Australia (WA) Department of Health, Submission No 82, p 3; NSW Rural Doctors Network, Submission No 37, p 10.

[2] Association of Medical Recruiters of Australia and New Zealand (AMRANZ), Submission No 139, p 3.

[3] Government of WA Department of Health, Submission No 82, p 3.

[4] NSW Rural Doctors Network, Submission No 37, p 10.

[5] Queensland Health, Submission No 126, p 4.

[6] Mater Hospital Rockhampton, Submission No 92, p 1.

[7] Medical Board of Australia (MBA), FAQ and Fact Sheets, Limited Registration - Information on how IMGs can demonstrate satisfactory progress towards gaining general or specialist registration, <http://www.medicalboard.gov.au/documents/default.aspx?record=WD11%2f4987&dbid=AP&chksum=lXhzMQ8%2baH95CmOzL4aYjQ%3d%3d> viewed 1 February 2012.

[8] Health Practitioner National Law Act 2009 (Qld) s 72 (note).

[9] Dr Chaitanya Kotapati, Official Committee Hansard, Brisbane, 10 March 2011, p 20.

[10] Dr Sunayana Das, Official Committee Hansard, Brisbane, 10 March 2011, pp 21-22.

[11] Western District Health Service, Submission No 184, p 2.

[12] See for example: Dr Piotr Lemieszek, Submission No 118, pp 4-5; Dr Salahuddin Chowdhury, Submission No 178, p 1.

[13] Dr Chaitanya Kotapati, Submission No 21, p 3.

[14] Australian College of Rural and Remote Medicine (ACRRM), Submission No 103, p 9.

[15] ACCRM, Submission No 103, p 9.

[16] Parliament of Australia, Senate Finance and Public Administration References Committee, The administration of health practitioner registration by the Australian Health Practitioner Regulation Agency (AHPRA), June 2011.

[17] Australian Medical Association (AMA), Submission No 55, p 7.

[18] Alecto Australia, Submission No 85, p 5. See also: Western NSW Local Health Network, Submission No 49, p 4-5.

[19] Melbourne Medical Deputising Service, Submission No 15, p 15.

[20] Challis Recruitment, Submission No 88, p 11. See also: Government of South Australia Department of Health, Submission No 96, p 3.

[21] Challis Recruitment, Submission No 88, p 8.

[22] Australian Medical Council (AMC), Submission No 42, p 25.

[23] Ms Charlie Duncan, Health Workforce Queensland, Official Committee Hansard, Brisbane, 10 March 2011, p 67.

[24] Dr Susan Douglas, Submission No 111, p 17.

[25] Dr Chellam Kirubakaran, Submission No 122, p 2.

[26] AMC, Submission No 42, p 25.

[27] AMC, Assessment and Examinations, Document standards (Proof of identity), <http://www.amc.org.au/index.php/ass/apps/id-proof> viewed 1 February 2012.

[28] Australian Health Practitioner Regulatory Authority (AHPRA), Proof of Identity Requirements, <http://www.ahpra.gov.au/documents/default.aspx?record=WD10%2f1973&dbid=AP&chksum=H7xVC2W%2bm57CqcCbJbUQrg%3d%3d> viewed 1 February 2012.

[29] Association of Medical Recruiters Australia & New Zealand, Submission No 139, p 4.

[30] AMC, Assessment & Examinations, Specialist Pathway (Specialist recognition), <http://www.amc.org.au/index.php/ass/apo/spp/spfr> viewed 1 February 2012.

[31] AHPRA, Standard Format for Curriculum Vitae, <http://www.ahpra.gov.au/Registration/Registration-Process/Standard-Format-for-Curriculum-Vitae.aspx> viewed 1 February 2012.

[32] AMC, Submission No 42, p 25.

[33] National Rural Health Alliance, Submission No 113, pp. 13 -14.

[34] Medical Board of Australia (MBA), Registration Standards, <http://www.medicalboard.gov.au/Registration-Standards.aspx> viewed 1 February 2012.

[35] MBA, Registration Forms, Application for limited registration for an area of need, p 5, <http://www.medicalboard.gov.au/documents/default.aspx?record=WD10%2f1330&dbid=AP&chksum=n0YXjs4TPKZ8PWVFJRNffQ%3d%3d> viewed 1 February 2012.

[36] Dr Joanna Flynn, MBA, Official Committee Hansard, Canberra, 25 February 2011, p 18.

[37] Western NSW Local Health Network, Submission No 49, p 10.

[38] AMA, Submission No 55, p 7.

[39] Alecto Australia, Submission No 85, p 4.

[40] For breakdown of the estimate of fees for each pathway, see AMA, Submission No 55, Attachment A, p 14.

[41] Dr Sunayana Das, Submission No 99, p 3.

[42] South Eastern Sydney Local Health Network, Submission No 16, p 2. See also: Illawarra Shoalhaven Local Health Network, Submission No 17, p 2.

[43] Associate Professor Michael Steyn and Associate Professor Kersi Taraporewalla, Submission No 54, p 7.

[44] Overseas Trained Specialists Anaesthetists Network (OTSAN), Submission No 38, p 2. See also: Queensland Health, Submission No 126, p 5.

[45] Ms Dianne Wyatt, Australian College of Rural and Remote Medicine (ACRRM), Official Committee Hansard, Brisbane, 10 March 2011, p 59.

[46] Ms Wyatt, ACCRM, Official Committee Hansard, Brisbane, 10 March 2011, p 59.

[47] Dr Richard Willis, Australian and New Zealand College of Anaesthetists, Official Committee Hansard, Melbourne, 18 March 2011, p 56.

[48] See for example: Dr Emil Penev, Submission No 3, p 2.

[49] DoHA, Submission No 84, p 9.

[50] AMC, Accreditation and Recognition, Complaints about Training Organisations accredited by AMC, <http://www.amc.org.au/index.php/ar/complaints> viewed 26 January 2012.

[51] AHPRA, Complaints, <http://www.ahpra.gov.au/About-AHPRA/Complaints.aspx> viewed 26 January 2012.

[52] AHPRA, Complaints, Complaint Handling Policy and Procedure, p 3, <http://www.ahpra.gov.au/documents/default.aspx?record=WD10%2f3427&dbid=AP&chksum=0dQv25jGCXJ4NLQpe532Kw%3d%3d> viewed 26 January 2012.

[53] AHPRA, Complaints, Complaint Handling Policy and Procedure, p 4, <http://www.ahpra.gov.au/documents/default.aspx?record=WD10%2f3427&dbid=AP&chksum=0dQv25jGCXJ4NLQpe532Kw%3d%3d> viewed 26 January 2012.

[54] AHPRA, Complaints, Complaint Handling Policy and Procedure, p 5, <http://www.ahpra.gov.au/documents/default.aspx?record=WD10%2f3427&dbid=AP&chksum=0dQv25jGCXJ4NLQpe532Kw%3d%3d> viewed 26 January 2012.

[55] AHPRA, Complaints, Complaint Handling Policy and Procedure, p 5, <http://www.ahpra.gov.au/documents/default.aspx?record=WD10%2f3427&dbid=AP&chksum=0dQv25jGCXJ4NLQpe532Kw%3d%3d> viewed 26 January 2012.

[56] AHPRA, Complaints, Complaint Handling Policy and Procedure, p 5, <http://www.ahpra.gov.au/documents/default.aspx?record=WD10%2f3427&dbid=AP&chksum=0dQv25jGCXJ4NLQpe532Kw%3d%3d> viewed 26 January 2012.

[57] Australian Government Department of Health and Ageing (DoHA), Submission No 84, p 9.

[58] National Health Practitioner Ombudsman, <http://www.nhpopc.gov.au/docs/Complaint-Handing-Process.pdf> viewed 30 January 2011.

[59] National Health Practitioner Ombudsman, <http://www.nhpopc.gov.au/what-we-do/office-of-the-nhp-ombudsman.aspx> viewed 30 January 2012.

[60] National Health Practitioner Ombudsman, http://www.nhpopc.gov.au/what-we-do/office-of-the-nhp-ombudsman.aspx

[61] Dr Joanna Flynn, Medical Board of Australia, Official Committee Hansard, Canberra, 25 February 2011, p 22.

[62] Rural Health Workforce Australia (RHWA), Submission No 107, p 4.

[63] ACCRM, Submission No 103, p 13.

[64] Dr Bo Jin, Submission No 26, p 3.

[65] Dr Piotr Lemieszek, Submission No 118, p 2.

[66] Dr Piotr Lemieszek, Submission No 118, p 2.

[67] Mr Michael Damp, Submission No 6, p 2.

[68] Mr Michael Damp, Submission No 6, p 3.

[69] Dr Jonathan Levy, Submission No 34, p 1.

[70] Dr Jonathan Levy, Submission No 34, p 11.

[71] Rutherford A and Rissel C, ‘A survey of workplace bullying in a health sector organisation’, Australian Health Review, September 2004, Vol 28, No 1, pp 65-72.

[72] Name withheld, Submission No 158, p 2.

[73] AMA, Position Statements, Workplace Bullying and Harassment, June 2009, <http://ama.com.au/node/4788> viewed 30 January 2012. See also: 2010 AMA Specialist Trainee Survey: Report of findings, October 2011, p 20, <http://ama.com.au/specialist-trainees-survey> viewed 30 January 2012.

[74] AMA, Position Statement, Workplace Bullying and Harassment, June 2009, <http://ama.com.au/node/4788> viewed 30 January 2012. See also: 2010 AMA Specialist Trainee Survey: Report of findings, October 2011, p 20, <http://ama.com.au/specialist-trainees-survey> viewed 30 January 2012.

[75] AMA, Position Statement, Workplace Bullying and Harassment, June 2009, p 3, <http://ama.com.au/node/4788> viewed 1 February 2012.

[76] AMA, Position Statement, Workplace Bullying and Harassment, June 2009, p 2, <http://ama.com.au/node/4788> viewed 1 February 2012.

[77] MBA, Guidelines – Supervised practice for limited registration, June 2011, <http://www.medicalboard.gov.au/documents/default.aspx?record=WD11%2f5394&dbid=AP&chksum=iOgwjgGW%2f8qVcdN0yTaPxg%3d%3d> viewed on 1 February 2012.

Chapter 7 Support for International Medical Graduates and their families

[1] See for example: Health Recruitment Plus Tasmania, Submission No 32, p 5; Overseas Trained Specialist Anaesthetists Network Inc (OTSAN), Submission No 38, p 3; Australian General Practice Network, Submission No 61, pp 2-3; Royal Australian and New Zealand College of Ophthalmologists, Submission No 73, p 4; Government of South Australia, Submission No 96, p 4.

[2] See for example: Dr Sunayana Das, Submission No 99.1, p 2; Rural Doctors Workforce Agency, South Australia, Submission No 83, p 4; Eyre Peninsula Division of General Practice, Submission No 136, p. 2; Dr Rodney Nan Tie, Official Committee Hansard, 12 August 2011, p 16.

[3] Dr Ian Cameron, NSW Rural Doctors Network, Official Committee Hansard, Sydney, 31 March 2011, p 8.

[4] Dr Alasdair MacDonald, Official Committee Hansard, Launceston, 14 November 2011, pp 19-20. For further comment relating to the importance of orientation, see Rural Doctors Workforce Agency Inc, Submission No 83, pp 4-5.

[5] Dr Sudheer Duggirala, Submission No 12, p 1.

[6] Associate Professor Kersi Taraporewalla, Official Committee Hansard, Brisbane, 10 March 2011, p 51.

[7] Australian Medical Council (AMC), Submission No 42, p 28.

[8] AMC, Submission No 42, p 28.

[9] Queensland Health, Queensland Health Systems Review – Final Report, September 2005, <http://www.health.qld.gov.au/health_sys_review/final/default.asp> viewed 1 February 2012.

[10] Queensland Health, Submission No 126, p 30.

[11] Dr Michael Cleary, Queensland Health, Official Committee Hansard, Brisbane, 10 March 2011, p 5.

[12] Dr Cleary, Queensland Health, Official Committee Hansard, Brisbane, 10 March 2011, p 5.

[13] Queensland Health, Submission No 126, p 12.

[15] Dr David Little, Official Committee Hansard, Gosford, 28 September 2011, p 2.

[16] Dr Joanna Flynn, Medical Board of Australia (MBA), Official Committee Hansard, Canberra, 25 February 2011, p 24.

[17] See for example: Ms Linda Black, Official Committee Hansard, Adelaide, 9 September 2011, p 9; Mr Chips Mackinolty, Official Committee Hansard, Darwin, 30 January 2012, p 12.

[18] Mr Lou Andreatta, Australian Government Department of Health and Ageing (DoHA), Official Committee Hansard, Canberra, 25 February 2011, p 8.

[19] Dr Peter Setchell, Royal Flying Doctor Service (RFDS), Official Committee Hansard, Adelaide, 9 September 2011, pp 15-16.

[20] Dr MacDonald, Official Committee Hansard, Launceston, 14 November 2011, p 20.

[21] OTSAN, Submission No 38, p 2.

[22] OTSAN, Submission No 38, p 2.

[23] Government of South Australia, Submission No 96, p 3.

[24] Government of South Australia, Submission No 96, p 4.

[25] Royal Australian College of General Practitioners (RACGP), Submission No 67, pp 4-5.

[26] RACGP, Submission No 67, p 5.

[27] See for example: Mr Robert Hale, General Practice Education and Training Ltd, Official Committee Hansard, Canberra, 5 July 2011, p 3.

[28] Committee of Presidents of Medical Colleges, Submission No 28, p 3.

[29] Dr Cleary, Queensland Health, Official Committee Hansard, Canberra, 10 March 2011, p 6.

[30] Dr Karen Douglas, Official Committee Hansard, Gosford, 28 September 2011, p 6.

[31] Dr MacDonald, Official Committee Hansard, Launceston, 14 November 2011, p 16.

[32] ANZCA, Submission No 87, p 19.

[33] ANZCA, Submission No 87, p 19.

[34] RACGP, Submission No 67, p 5.

[35] RACGP, Submission No 67, p 5.

[36] Mr Gordon Gregory, National Rural Health Alliance, Official Committee Hansard, Canberra, 24 May 2011, p 5.

[37] See Chapter 2 for more information.

[38] Australian Government Department of Health and Ageing (DoHA), Submission No 84, p 4.

[39] DoHA, Report on the Audit of Health Workforce in Rural and Regional Australia, April 2008, Canberra, p 37.

[40] See for example: Government of Western Australia (WA) Department of Health, Submission No 82, p 5; Dr Shakuntala Shanmugam, Official Committee Hansard, Cairns, 12 August 2011 p 15.

[41] Dr Andrew Pesce, Australian Medical Association (AMA), Official Committee Hansard, Canberra, 25 February 2011, p 30.

[42] Rural Doctors Association of Australia, Submission No 80, p 9.

[43] Dr MacDonald, Official Committee Hansard, Launceston, 14 November 2011, p 16.

[44] Dr MacDonald, Official Committee Hansard, Launceston, 14 November 2011, p 16.

[45] See for example: Dr Felicity Jefferies, Official Committee Hansard, Perth, p. 2; Dr Shanmugam, Official Committee Hansard, Cairns, 12 August 2011, p 15.

[46] Queensland Health, Submission No 12, p 12; Mr Chris Mitchell, Health Workforce Queensland (HWQ), Official Committee Hansard, Brisbane, 10 March 2011, p 64; Dr Ian Cameron, NSW Rural Doctors Network (NSWRDN), Official Committee Hansard, Sydney, 31 March 2011, p 10; Dr Felicity Jefferies, WA Country Health Service (WACHS), Official Committee Hansard, Perth, 28 June 2011, p 4; Mr Robert Hale, General Practice Education and Training, Official Committee Hansard, Canberra, 5 July 2011, p 2.

[47] Health Workforce Queensland, Submission No 44, p 5.

[48] Health Recruitment Plus Tasmania, Submission No 32, p 4.

[49] Rural Health Workforce Australia, Submission No 107, p 5.

[50] Mr Mitchell, HWQ, Official Committee Hansard, Brisbane, 10 March 2011, p 63.

[51] See for example: Dr Cameron, NSWRDN, Official Committee Hansard, Sydney, 31 March 2011, p 10; Dr Jefferies, WACHS, Official Committee Hansard, Perth, 28 June 2011, p 4.

[52] See for example: Australian General Practice Network, Submission No 61, p 3.

[53] Dr Jefferies, WACHS, Official Committee Hansard, Perth, 28 June 2011, p 4.

[54] Ms Belinda Bailey, Rural Health West (RHW), Official Committee Hansard, Perth, 28 June 2011, p 14.

[55] Mr Peter Barns, Health Recruitment Plus Tasmania, Official Committee Hansard, Launceston, 14 November 2011, pp 22-23.

[56] Dr Cameron, NSWRDN, Official Committee Hansard, Sydney, 31 March 2011, pp 16-17.

[57] Mr Ian Frank, AMC, Official Committee Hansard, Melbourne, 18 March 2011, p 17.

[58] Dr Ilian Kamenoff, Submission No 5, p 3.

[59] Dr Jefferies, WACHS, Official Committee Hansard, Perth, 28 June 2011, p 9.

[60] National Rural Health Alliance Inc, Submission No 113, p 25. See also: Mr Gordon Gregory, National Rural Health Alliance Inc, Official Committee Hansard, Canberra, 24 May 2011, p 1.

[61] NSW Rural Doctors Network, Submission No 37, p 20.

[62] Mr Kruno Kukoc, Australian Government Department of Immigration and Citizenship (DIAC), Official Committee Hansard, Canberra, 11 October 2011, p 4.

[63] Mr Kukoc, DIAC, Official Committee Hansard, Canberra, 11 October 2011, p 8.

[64] Mr Kukoc, DIAC, Official Committee Hansard, Canberra, 11 October 2011, p 8.

[65] Mr Kukoc, DIAC, Official Committee Hansard, Canberra, 11 October 2011, pp 7-8.

[66] Mr Kukoc, DIAC, Official Committee Hansard, Canberra, 11 October 2011, p 8.

[67] RANZCOG, Submission No 45, p 8.

[68] Dr Jennifer Alexander, Royal Australasian College of Physicians, Official Committee Hansard, Canberra, 25 February 2011, p 57.

[69] Professor John Svigos, Submission No 165, pp 1-2.

[70] Ms Bailey, RHW, Official Committee Hansard, Perth, 28 June 2011, p 15.

[71] Mr Frank, AMC, Official Committee Hansard, Canberra, 19 August 2011, pp 13-14.

[72] Dr John Keenan, Swan Kalamunda Health Service, Official Committee Hansard, Perth, 28 June 2011, pp 24-25. See also: Dr Jennie Kendrick, Royal Australian College of General Practitioners, Official Committee Hansard, Melbourne, 18 March 2011, p 69.

[73] Dr Beth Mulligan, Official Committee Hansard, Launceston, 14 November 2011, p 14.

[74] Dr Michiel Mel, Submission No 77, p 4.

[75] See for example: Ms Bailey, RHW, Official Committee Hansard, Perth, 28 June 2012, p 13; Mr Barns, Health Recruitment Plus, Official Committee Hansard, Launceston, 14 November 2011, p 22.

[76] Rural Workforce Agency, Victoria (RWAV), Submission No 91, p 9.

[77] RWAV, Submission No 91, p 11.

[78] RDWA, Submission No 83, p 4.

[79] RDWA, Submission No 83, p 4.

[80] DoHA, Submission No 84, p 16.

[81] See for example: Dr Jonathan Levy, Submission No 34, p 4; Royal College of Pathologists of Australasia (RCPA), Submission No 72, p 4.

[82] Australian College of Rural and Remote Medicine (ACRRM), Submission No 103, p 12.

[83] Tropical Medical Training, Submission No 114, p 11.

[84] See for example: Alecto Australia, Submission No 85, p 4; ACRRM, Submission No 103, p 12; National Rural Health Alliance Inc, Submission No 113, p 19.

[85] Alecto Australia, Submission No 85, p 4.

[86] Health Recruitment Plus Tasmania, Submission No 32, p 2.