Australian Medical Association

The AMA has warned patient access to medical care could become increasingly difficult unless urgent action is taken to address a looming shortfall of training places for medical graduates.

The AMA says a report released by the nation’s Health Ministers today shows there is a desperate need for Governments to fund extra pre-vocational and specialist training places in order to keep pace with the number of graduates emerging from medical schools.

The AMA has provided a submission to the Royal Australasian College of Physicians (RACP) in response to their discussion paper Linked Dual-Trained Physician Care in Rural Communities. The AMA supports efforts to improve patient access to to medical care in regional and rural Australia and the RACP model has merit for further development. It needs more detail and refinement to ensure such a model is attractive for potential trainees, effective in delivering care and sustainable in the long term for rural communities.

The AMA this week brought together trainee doctors from across Australia for a Forum on training pathways for the future, with a strong emphasis on improving access to a well-trained medical workforce for all Australians, no matter where they live.

Forum delegates represented major medical trainee organisations across most specialties including general practice, surgery, medicine, emergency medicine, psychiatry, pathology, radiology, and obstetrics.

The theme for the 2012 AMACDT Trainee Forum was ‘Training pathways for the future’ and was held in Sydney on 3 March 2012.

The Agenda included expanding vocational training capacity, teaching and research opportunities for trainees, and global health training.

We encourage you to use the Forum Summary and Outcomes as an advocacy tool.

The AMA submission to the National Prescribing Service (NPS) Prescribing Competencies Project highlights the need for greater emphasis on:

• adequate level of training to meet competency requirements to prescribe; 
• practitioners prescribing within their scope of practice;
• being competent in using knowledge and making judgments on when not to prescribe;
• referring a person to another health professional when that person’s clinical condition is outside scope of practice; 
• referring a person to a medical practitioner if they fail to improve within a specified period of time;
• keeping prescribing and dispensing separate; and   
• effectively communicating in English.

Did you know that the RACGP Vocational Training Standards are changing? The new draft standards involve significant change and a move to an outcomes based approach. Supervisors and doctors-in-training have expressed concern about some elements of the draft standards. Find out what the changes to the Vocational Training Standards could mean for you by reading our submission.

This submission responds to the HWA draft background paper - Rural and Remote Health Workforce Innovation and Reform Strategy released in July 2011 as part of the consultation process.

The AMA believes it is important that the Government gets it right to ensure that the health workforce in rural and remote areas is sustainable and that people in rural communities can access affordable, appropriate health care services when needed.

This statement outlines the AMA’s position on the scope and structure of prevocational medical education, which encompasses the period between graduation and the commencement of vocational training. In the case of most trainees, it includes postgraduate year 1 (PGY1), also known as internship, and postgraduate year 2 (PGY2). Doctors at this stage of their training are collectively referred to as junior medical officers (JMOs). The statement provides a position on contemporary as well as emerging issues related to prevocational medical education and training, taking into account concerns raised by junior doctors regarding quality, streaming, competencies and vocational pathways.

AMA FAMILY DOCTOR WEEK 2011: AMA President, Dr Steve Hambleton, said today that greater Government support is needed for GP supervisors to train the record number of medical students and junior doctors that are training in general practice.

Dr Hambleton said the recent increases in general practice training places have meant that more medical students and junior doctors are being trained in general practice than ever before.

“The AMA has welcomed the investment by the Government into increasing general practice training places, but this investment must be backed by greater support for those GPs who are training the record numbers of medical students in general practice,” Dr Hambleton said.

The AMA has made an additional submission to the Department of Health and Ageing to raise concerns identified by AMA member junior doctors. This submission:

• emphasises the need to ensure that time-based targets do not impact on the ability of public hospitals to provide quality clinical education and training;
• calls for ongoing resources to support the ability of emergency departments, the hospital and community providers to fulfil education and training obligations; and
• recommends that the monitoring and evaluation of the impact of targets also includes the impact on education, training and junior doctor experiences.

This submission supplements the submission lodged by the AMA on 25 May 2011.