registrar handbook 2015

2015

Registrar HANDBOOK

Registrar Handbook 2015

BOGONG GP TRAINING

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BOGONG REGIONAL TRAINING NETWORK OFFICE

This Handbook will be updated annually to reflect any policy, funding or educational based changes.

Document Control

Created November 2010 D. Sweetland Updated November 2011 D. Sweetland Updated November 2013 D. Sweetland Updated November 2014 D. Sweetland

Head Office

Address: Level 4, 111-113 Hume St, Wodonga VIC 3689 Postal: PO Box 165 Wodonga VIC 3689 Email: [email protected] Phone: 02 6057 8600 Fax: 02 6024 7817 Hours of operation: 9am to 5pm, Monday to Friday Website: http://www.bogong.org.au

https://www.facebook.com/pages/Bogong-GP-Training


BOGONG GP TRAINING 3

Table of Contents

BOGONG REGIONAL TRAINING NETWORK OFFICE ...............................................................................................................2Table of Contents ..................................................................................................................................................................3CEO WELCOME MESSAGE ......................................................................................................................................................5STAFF AT BOGONG REGIONAL TRAINING NETWORK ............................................................................................................6

Chief Executive Officer ............................................................................................................................................6Medical Education Team .........................................................................................................................................6Administration Team ...............................................................................................................................................7Communications Skills Tutors ..................................................................................................................................8

BOARD MEMBERS ..................................................................................................................................................................9LEARNING ............................................................................................................................................................................10CHOOSING A PATHWAY .......................................................................................................................................................11

Training towards Fellowship of Royal Australian College of General Practitioners (RACGP) ................................11Training towards Fellowship of Australian College of Rural and Remote Medicine (ACRRM) ..............................11Training towards Fellowship in Advanced Rural GP (FARGP) ................................................................................11Timelines for the three (3) pathways ....................................................................................................................12FRACGP and ACRRM Vocational Training a comparative table ..........................................................................13

UNITS OF TRAINING .............................................................................................................................................................14TERMS ..................................................................................................................................................................................14

Hospital-based Registrars (RACGP or ACRRM) ......................................................................................................14GPT1/ GPT2 (RACGP) or PRR1/ PRR2 (ACRRM) Registrars ....................................................................................15Practice-based learning .........................................................................................................................................15Workshop-based learning .....................................................................................................................................15Bogong Learning Tasks ..........................................................................................................................................15Self-directed learning ............................................................................................................................................15

AVAILABLE POSTS ................................................................................................................................................................16Hospital terms (H Units) ........................................................................................................................................16Mandatory Hospital rotations ...............................................................................................................................16GPT1 - 4 and PRR1 4 (General Practice or Rural Training) ..................................................................................17Extended Skills Posts (ES Units) .............................................................................................................................17Advanced Rural Skills Training (ARST) ...................................................................................................................17Academic General Practice posts ..........................................................................................................................17Training Time Calculations .....................................................................................................................................17

BOGONG MANDATORY REQUIREMENTS ............................................................................................................................18EXAMS/ASSESSMENTS .........................................................................................................................................................19

Formative Assessment RTP level ........................................................................................................................19ACRRM Summative Assessment ............................................................................................................................19RACGP Summative Assessment .............................................................................................................................19

EXTENSION OF TRAINING TIME ...........................................................................................................................................20GPRIME (Bogongs On-Line Learning Platform) .................................................................................................................20OVERSEAS TRAINED DOCTORS (OTDs) ................................................................................................................................21

What is a 10 year moratorium? .............................................................................................................................21Exemption to the 10 year moratorium? ................................................................................................................21Moratorium scaling ...............................................................................................................................................21New Zealand Doctors ............................................................................................................................................21

WHAT TO DO PRIOR TO COMMENCING A GP TERM ...........................................................................................................22Registrar to provide to Practice .............................................................................................................................22


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How to acquire provider and prescriber numbers ................................................................................................22Application for Recognition as a General Practitioner Form .................................................................................23Application for Medicare Provider Number ..........................................................................................................23Application for Medicare Prescriber Number .......................................................................................................23Provider Numbers after Award of Fellowship .......................................................................................................23Other tasks prior to commencing term .................................................................................................................24

EMERGENCY MEDICINE COURSE .........................................................................................................................................24RECOGNITION OF PRIOR LEARNING ....................................................................................................................................25

Recognition of prior learning with time credit (RPL) .............................................................................................25Recognition of prior learning without time credit (RC) .........................................................................................25RENTAL/RELOCATION (2015) ASSISTANCE POLICY .....................................................................................................26OTHER GRANTS AND SUBSIDIES .....................................................................................................................................27General Practice Rural Incentive Program (GPRIP) ................................................................................................27Rural Procedural Grants Program ..........................................................................................................................27HECS Reimbursement Scheme ..............................................................................................................................27Department of Human Services (DHS) Continuing Professional Development (CPD) for Rural GPs Subsidy Program .................................................................................................................................................................27

EMPLOYMENT INFORMATION .............................................................................................................................................28Guidelines for Leave ..............................................................................................................................................28Parental Leave .......................................................................................................................................................28Employment arrangements ...................................................................................................................................28

SUPPORT STAFF ...................................................................................................................................................................29Registrar Liaison Officer (RLO) ...............................................................................................................................29Registrar Board Member .......................................................................................................................................29Training Advisor (TA) .............................................................................................................................................29Medical Educators (ME) ........................................................................................................................................29External Clinical Teaching Visitors (ECTV) ..............................................................................................................29Direct Observations (or video) ..............................................................................................................................30GP Supervisors .......................................................................................................................................................30GP Supervisor Liaison Officer (SLO) .......................................................................................................................30Registrar Assistance Program ................................................................................................................................30

COMPLAINTS AND GRIEVANCES ..........................................................................................................................................31USEFUL RESOURCES .............................................................................................................................................................32

Recommended texts for General Practice .............................................................................................................32Registrar Practice Pack ..........................................................................................................................................33

WHOM TO RING AT BOGONG REGIONAL TRAINING NETWORK .........................................................................................34APPENDICES .........................................................................................................................................................................35

Acronyms ...............................................................................................................................................................36Things to do in the Region .....................................................................................................................................37Organisations Regional .......................................................................................................................................39GPRIP Fact Sheet ...................................................................................................................................................40Privacy Policy Bogong Regional Training Network .............................................................................................43Bogong Learning Task (BLT) ...................................................................................................................................45Registrar Handbook Sign off sheet .....................................................................................................................48



CEO WELCOME MESSAGE

Dear Registrar,

Congratulations on choosing a career in General Practice and welcome to Bogong Regional Training Network home to Mt Bogong, Victorias highest mountain, and, we like to consider; the pinnacle of GP training!

We are one of the 17 Australian training providers and the Bogong region covers the North East of Victoria, the Border region of NSW/Victoria and the Goulburn Valley. This region is noted for its natural beauty, thriving regional centres and prosperous small rural townships; consequently our 45 accredited teaching practices offer our registrars diversity of experience in General Practice and primary health care, including many opportunities to learn and practice procedural and extended skills.

One of our great strengths is the high quality of our education and training program for registrars. This is based on two key facets: the in-practice teaching curriculum whereby your primary and secondary supervisors are committed to both formal and informal teaching opportunities; and the structured Peer Learning Workshops (PLW) delivered by our experienced team of medical educators. These PLWs have evolved to be a keystone of Bogongs success as a registrar you are learning with a constant cohort of peers, enabling you to share your learnings, support each other and develop collegiate networks which will remain throughout your career. Each of you will be individually supported by a training advisor, one of our GP medical education team, who is there to give you individual support, coaching and mentoring during your entire training time with Bogong. In addition our Registrar Liaison Officer is able to assist in ensuring that any problems you encounter can be aired and resolved, and that registrar voices can be heard as we continuously improve our training provision.

As a Bogong registrar you will also be well supported by a skilled administrative team in our head office in Wodonga. Here you will find information about the delivery, evaluation and administration of the Program and details of our teaching practices.

At Bogong we like to think that our GP Registrars view their training as the start of an exciting journey building a successful and rewarding career as a General Practitioner and serving the needs of the Australian community. It is our role and our privilege to help you acquire new skills, help you question and help you develop your own learning style in this journey of lifelong learning.

Enjoy the journey!


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STAFF AT BOGONG REGIONAL TRAINING NETWORK

Chief Executive Officer

Ms Linda Moon [email protected]

Medical Education Team Dr Kate Davey Director of Training [email protected]

Dr Peter Keppel [email protected]

Dr Mark Burgemeister [email protected]

Dr Ursula Read [email protected]

Dr Carolyn DePoi [email protected]

Dr Hubert van Doorn [email protected]

Dr Wendy Connor [email protected]

Jenny Vibert [email protected]



Administration Team

Deanne Sweetland

Operations & Training Manager

[email protected]

Robyn Matthews

Finance & Business Manager

[email protected]. au

Jo Hamilton

Skills Training & Accreditation Administrator

[email protected]

Isabelle Swanson

Education Program Coordinator

[email protected]

Jenna Peerman

Administration Assistant

[email protected]

Sue Porter

Executive Assistant

[email protected]

Robyn Bottrell

Finance Officer

[email protected]

Jane Delaney

Training Administration

[email protected]

Mary-Anne Scully

Marketing & Communications Officer

[email protected]

Karen Dixon

Program Development

Manager

[email protected]

Dr Felicity Brettig

Registrar Liaison Officer

[email protected]


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Communications Skills Tutors

Bogong has a professional cohort of Language, Communication and Consultation Skills Tutors who provide support and assist our Registrars within the AGPT program. This tailored support is also provided to our overseas trained doctors that are employed in practice but are not connected to the AGPT program.

The Communication Skills Tutors will assist individuals to adapt and gain competency in the consultation skills process vital to the practice of medicine in Australia. Written, spoken and comprehension language problems are also addressed and Dr Terri McNally, a retired GP, leads the Tutor Group with a focus on Language and the Patient Centred Approach.

Our Tutors attend key workshops held throughout the year taking part in role plays and communication assessments. The Tutors also undertake personal tutorials with individual doctors and contribute to individual learning plans.

There are processes relating to the entry and exit of the Communications Skill Program. Initial entry for AGPT registrars is normally identified post the Orientation & Consultation Skills Workshop held at the beginning of the year.

Individual Registrars and IMGs are encouraged to contact Bogong GP Training if they require further information with regard to this program.

Terri McNally Team Leader & Retired GP Covering Albury/Wodonga/Wangaratta and surrounding areas

Robyn Reynolds Jann Stewart Joy Phillips

Covering Shepparton/Seymour/Benalla and surrounding areas



Susan Jerie Judy Beaumaris Barb Trainor

BOARD MEMBERS

Dr Graeme Jones (Chair) Dr Joanne Mountford Lister House Central Medical Group

Shepparton Wodonga

(03) 5831 2333 (02) 6024 3233

Dr David Kelly Dr Tess Goodwin

Euroa Medical Family Practice Central Medical Group

Euroa Wodonga

(03) 5795 2011 (02) 6024 3233

Dr Graham Slaney Dr Matt Byrne

Mansfield Medical Clinic Ovens Medical Group

Mansfield Wangaratta

(03) 5775 2166 (03) 5721 2176

Dr Angela Stratton Dr Alison Green

Mt Beauty Medical Centre Central Medical Group

Mt Beauty Wodonga

(03) 5754 4003 (02) 6024 3233

Dr Michael Bartram Dr John Elcock

The Doctors of Lavington North East Health

Albury Wangaratta

(02) 6057 7100 (03) 5722 0260

Ms Georgia von Guttner

University of Melbourne Rural Clinical School

Shepparton

(03) 5823 4500


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Bogong Regional Training Network (Bogong) provides vocational education and training for general practice in North Eastern Victoria and Southern New South Wales. It incorporates areas serviced by the Hume and Goulburn Valley Medicare Locals. It incorporates 45 general practice based training sites, three (3) regional hospitals and several small district hospitals.

THE REGION

A full list of training sites can be found on the Bogong website: http://www.bogong.org.au.

All listed training posts in the Bogong regions are accredited against the current RACGP and ACRRM Standards for Trainers and Training posts.

LEARNING Bogongs Vision is a community of competent and confident GPs who at all stages of learning, are well-supported, satisfied and leading high quality general practice for improved community health.

Bogong is committed to providing best practice General Practice education and training experience, delivered locally by well-supported rural and regional general practitioners. Learning within our training program is locally-based, regionally responsive and adaptable to individual needs. We are able to provide a variety of learning resources in a number of formats at different stages of training. (see page 15)

Our registrars are now able to enrol in both the RACGP (Royal Australian College General Practitioners) and ACRRM (Australian College of Rural and Remote Medicine) curriculum. These curricula cover several Domains of academic content, details of which will be made available to each new program participant.



CHOOSING A PATHWAY

Training towards Fellowship of Royal Australian College of General Practitioners (RACGP) Bogong provides a comprehensive high quality training program compliant with the requirements of the RACGP curriculum.

The RACGP pathway is a three (3) year program which includes an initial hospital year and two (2) years of community based general practice. Six (6) months of this training could be undertaken as an extended skills term in an area of interest. During this period, Bogong will run peer learning workshops as well as work closely with GP Supervisors to ensure all GP registrars receive appropriate experience, adequate teaching and mentoring.

Training towards Fellowship of Australian College of Rural and Remote Medicine (ACRRM) Bogong is fortunate to be able to provide high quality training in rural and remote medicine. Many of our supervisors and medical educators have a high-level of experience in providing extended generalist care in relatively isolated settings. Many provide procedural services particularly in the fields of anaesthetics, obstetrics and emergency medicine, often the domain of specialists in urban settings. Bogong is able to offer registrars unique training opportunities in these fields and other areas relevant to rural practice.

Training for a fellowship in ACRRM includes a four (4) year program. In some circumstances, this time period can be reduced through the recognition of prior learning (RPL) which must be formally approved. Extra mandatory modules and activities will be required in addition to the standard workshops provided when undertaking this pathway. Registrars wishing to undertake this pathway will need to make their decision early in their first year of the training program. For more information, please phone ACRRM on freecall 1800 223 226 or go to the ACRRM website at www.acrrm.org.au. Please speak to your training advisor early if you are interested in this pathway.

Training towards Fellowship in Advanced Rural GP (FARGP) The FARGP pathway is an additional non vocational qualification that can be added to the three (3) year RACGP pathway. It involves an additional year of training undertaking an Advanced Rural Skills Training post (ARST) including mandatory learning modules and educational activities.

Registrars interested in training towards the FARGP are advised to discuss this with their training advisor at the earliest opportunity.

You must decide by 31 July in your first year of general practice, which training pathway you will undertake

FRACGP ACRRM RACGP/ACRRM (dual pathway)

You must decide by 31 July of your second year of general practice, if you wish to train towards a FARGP


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Timelines for the three (3) pathways RACGP FARGP ACRRM

YEAR 1 52 weeks

Hospital Training

(RPL available)

Hospital Training

(RPL available)

Core Clinical Training

(RPL available)

YEAR 2

26 weeks

26 weeks

GPT 1 (Semester 1)

GPT 2 (Semester 2)

GPT 1 (Semester 1)

GPT 2 (Semester 2)

Primary Rural and Remote training

PRR1 to 4

(RPL available)

YEAR 3

26 weeks GPT 3 (Semester 3)

GPT 3 (Semester 3)

26 weeks

GPT 4 (Semester 4) Extended Skills

GPT 4 (Semester 4)

Extended Skills

ASSESSMENT

EXAMS:

- AKT - KFP - OSCE

FRACGP completed

FRACGP attained

YEAR 4 52 weeks

Advanced Rural Skills

Training post

Advanced Specialised

Training

ASSESSMENT

Skills Post Learning

Portfolio Completed and submitted

Four RRMEO modules Anaesthesia rotation

O&G rotation Exams (MSF, Mini CEX,

MCQ, StAMPS)

FARGP

completed

FACRRM

completed



FRACGP and ACRRM Vocational Training a comparative table

AGPT Statement RACGP vocational training

ACRRM vocational training

Training can commence Post PGY2 (after intern year plus one additional hospital year, which can be undertaken before or after enrolment in AGPT)

During or post PGY2

AGPT Selection Required to commence training Required to commence training

Status of qualification FRACGP recognised vocational training qualification

FACRRM recognised vocational training qualification

Endpoint of training Vocational recognition (VR) Vocational recognition (VR) Membership requirements Required for examination purposes Required to commence training Education framework College-based curriculum and standards College-based curriculum and standards Training model Apprenticeship training model Apprenticeship training model Training delivery and support RTP/supervisor delivered training and

support, with specific additional support from college offered to Registrars

RTP/supervisor/college (via RRMEO) training and support offered to Registrars

Length of training Three year training program of which 18 months must be in an approved general practice setting

Four year training program occurring predominately in rural and remote settings

Core training GPT1 + GPT2 + GPT3 Primary rural and remote training Core training 18 months completed over 3 semesters

each of 6 months 24 months completed over 4 semesters each of 6 months

Focus skills training term Extended skills training (focus: general practice)

Advanced specialist training (AST) (focus-rural generalist)

Requirements skills training term 6 months can be done in either an approved community based general practice or in an approved hospital training post

12 months can be done in either an approved community based general practice or an approved hospital training post

Equivalence in skills training Advanced specialised training may be recognised for extended skills training purposes in some circumstances

Extended skills training may be recognised for advanced specialised training purposes in some circumstances

- Training flexibility order of completion -

Some flexibility

-

Extended skills (hospital) before/during/after core training Extended skills (community) after GPT1-3 completed.

Fully flexible no required order (core hospital training must be completed first)

Training locations RRMAs 1 7 subject to moratorium requirements

RRMAs 4-7. Components of training e.g. core and AST may be done in RRMAs 1-3 depending upon specialised skills chosen

Assessment College examinations Formative and summative assessment tasks throughout training

Part-time training Part-time available (minimum 3 sessions per week for time to count towards training).

Part-time training available (minimum 3 sessions per week for time to count towards training).

RPL Limited RPL for recognition of equivalent hospital training time and extended skills

RPL available for all stages of training

Additional training options Registrars can undertake an additional fourth year of rural-orientated training to gain the FARGP qualification

There are no additional options. FACRRM is a four-year inclusive program


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UNITS OF TRAINING

A Unit is defined as a block of 13 weeks of full-time training.

A Term is defined as 26 weeks (six months) of full-time training.

Completion of training for FRACGP requires 12 units which are made up of:

Hospital training H units 4 units

GPT1 Term 2 units

GPT2 Term 2 units

GPT3 Term 2 units

Extended Skills training ES

or GPT4 term 2 units

TERMS

A Registrar may undertake a further year of training an Advanced Rural Skills Training post (ARST)

Hospital-based Registrars (RACGP or ACRRM) GP Registrars may be working in the hospital setting at a variety of stages throughout training. New registrars will be undergoing H units; while more experienced registrars may be in ES Units or ARST (Advanced Rural Skills Training) posts, detailed later in this handbook. All hospital-based registrars will take part in regular meetings via teleconference with the BRTN appointed medical educator, providing an opportunity to discuss both educational and personal support issues.

See pg 16 for mandatory hospital rotations

Education sessions specifically for hospital-based registrars are arranged via teleconference, to allow for distance registrars and difficult rosters. These are facilitated by Bogong Medical Educators and GP Supervisors and reflect topics relevant to general practice.



GPT1/ GPT2 (RACGP) or PRR1/ PRR2 (ACRRM) Registrars

Practice-based learning

In the GPT1/PRR1 and GPT2/PRR2 terms of the training program, participants will be assisted in developing learning plans. Learning will occur via four major activities during this time. This includes practice based learning, workshop based learning, Bogong Learning Tasks (BLTs) and self-directed learning.

Workshop-based learning

As GP Training in Australia is based on an apprenticeship model, most of the learning happens within the teaching practice, with the assistance and direction of the GP Supervisor. Registrars will have the opportunity to have their patient consultations observed and critically appraised and will undertake practice-based learning, guided by their nominated supervisors and/or senior colleagues. Teaching practices have documented teaching plans, outlining the styles and methods of teaching and learning commonly used in the practice. GP Supervisors form part of an active network and continue to learn skills of teaching in their practices. It is mandatory during first and second terms to satisfactorily engage in practice based learning, undergo direct observation or video by your supervisor and have external clinical teaching visits (ECTV) from experienced GPs from outside of your practice.

Medical Educators will provide the core of the workshop-based education according to our established educational plan. Ten workshops are planned, spreading across the GPT1/PRR1 and GPT2/PRR2 terms. These workshops, conducted in various locations around the region, involve a series of education sessions based around a broad topic. The program is flexible however, and registrar feedback and input is actively sought. Far from being a series of lectures, these sessions are based on adult-learning principles and focus on case discussion and small-group activities. Time is set aside for debriefing and discussing any current concerns or problems. There is also an opportunity for registrars to present topics to their colleagues, particularly with the Bogong Learning Tasks.

Bogong Learning Tasks

A useful educational skill for GPs is to be able to research a topic and present to a group of colleagues. The Bogong Learning Task (BLT) requires GP Registrars to research and present a topic allocated early in the term. The focus should be on experiential learning and reporting back to peers. Topics will link with themes of the education workshops. GP supervisors will assist with resources and suggestions for the presentation. The report should demonstrate the use of the acquired presentation skills using visual aids. Reporting should include things that were learnt and how they will affect their work in General Practice. (see Appendix pg 45)

Self-directed learning Self-directed learning is an important part of ongoing learning in general practice. Registrars are expected to read widely, and seek further learning using a variety of learning resources. Medical Educators and GP Supervisors can assist with directing to appropriate resources.

Attendance at all workshops is mandatory and if missed must be made up.

This is a mandatory activity within BRTN


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AVAILABLE POSTS

Hospital terms (H Units)

Hospital terms are negotiated directly with the employing hospital. However, as there are some requirements for these terms for GP Registrars, please discuss your proposed terms with your training advisor.

Hospital terms within the region are available at:

Northeast Health - Wangaratta

Goulburn Valley Health Shepparton

Albury/Wodonga Health Albury and Wodonga campuses

Mandatory Hospital rotations

All hospital terms require you to get your hospital supervisor to complete a report for each 13 week rotation on your progress during the term.

These include:

Paediatrics General Medicine

Emergency General Surgery

Plus at least three of the following (or similar):

Accident and Emergency Anaesthetics

Dermatology Ear, Nose & Throat

Geriatrics Infectious Diseases

Oncology & Gynaecology Opthalmology

PGPPP Psychiatry

Rehabilitation Urology

ACRRM Candidates must also include:

Anaesthetics Obstetrics & Gynaecology



GPT1 - 4 and PRR1 4 (General Practice or Rural Training)

Extended Skills Posts (ES Units)

These terms must be completed in RACGP/ACRRM accredited teaching practices. A current list of practices can be found on the Bogong website.

A range of Extended Skills Posts are on offer including:

Aboriginal Health

Alpine Sports Medicine

Obstetrics & Gynaecology (Basic)

Advanced Rural Skills Training (ARST)

Emergency

The following Advanced Rural Skills Training posts are offered through BRTN:

Aboriginal Health

Anaesthetics

Mental Health

Obstetrics & Gynaecology (DRANZCOG Advanced)

Small Town General Practice

Emergency

Academic General Practice posts

Opportunities exist to become an Academic Registrar within the training program. If you have an interest in this area, please contact the Bogong office or speak to your Training Advisor. Further information can be located on the GPET website

Bogong is associated with 2 local University campuses. Advanced Academic Rural GP posts are available at both the University of Melbournes Department of Rural Health based in Shepparton and the UNSW School of Rural Health In Albury.

www.gpet.com.au.

Training Time Calculations Registrars are required to work 9 sessions per week to equate to full-time training.

The Bogong Training Time policy on GPRime explains how to calculate training time and after hours work.

Bogong Regional training Network requires Expressions of Interest in the above positions by June of the year preceding the year that you wish to undertake the post.


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BOGONG MANDATORY REQUIREMENTS

Creation and continued use of learning plan on GPRime electronic platform (see pg 20)

General Practice Term 1 & 2 (GPT1/PRR1 & GPT2/PRR2)

100 % attendance at Peer Learning Workshops (PLW)

Bogong Learning Task (BLT)

Direct Observation/video by your Supervisor (2 per term)

Training Advisor meetings (1 per term)

External Clinical Teaching Visit (ECTV) by visiting GP (2 per term)

Procedural Log Book to be used for any off-site procedures sign off (ACRRM only)

Registrar Semester Feedback Report on Practice-end of term

Attendance at 2 registrar workshops

General Practice Term 3 & 4 (GPT3/PRR3 & GPT4/PRR4)

Training Advisor meetings (1 per term)

External Clinical Teaching Visit by visiting GP (1 in term 3)

Procedural Log Book to be used for any off-site procedures sign off for ACRRM Registrars

Diversity of Practice placement and reflection essay

GP term 3 Registrars are expected to undertake a clinical audit to comply with requirements as outlined

in both College curricula. Further information about this activity and completion dates will be forwarded

at the end of GP term 2.

All Registrars must have experience in more than one Practice during their training time. This can be achieved by working 26 FTE days in another practice, preferably in a block form. Many practices already have agreements in place to swap GP Registrars to fulfil this requirement. There will be an expectation that you complete a short reflection essay of your experience and how it relates to the domains of general practice. This will need to be submitted at the end of your diversity. A form is available for completion on GPRIME.

Diversity of Practice Experience (RACGP Ruling)

All GPT1-2 and PRR1-2 placements are made through the Bogong Practice Match policy and procedure. Registrars then sign a 12 month contract as an employee with a Practice.

Practice Placement Rulings



EXAMS/ASSESSMENTS Eligibility to sit the appropriate College exams is not an automatic process. Each College has specific requirements about time and core content completion that must be undertaken prior to enrolling for the exams. The information about these requirements can be found on the respective College websites. http://www.racgp.org.au/education/fellowship/exams/exam-enrolments/ http://www.acrrm.org.au/operational-policies Please discuss with your Training Advisor your readiness to sit exams. Registrars will be expected to sit their FRACGP exams in their GPT3 term.

.

Formative Assessment RTP level Regular monitoring throughout training Registrar self identification of learning needs e.g. Communication Support Supervisor feedback and review (ECT & Direct observations) Medical Educator monitoring, feedback and review Identify learning needs early and implement targeted support to assist as necessary Extra training support can only occur prior to completion of mandatory training time not during

extension of time

The AIM competent, successful and self sustaining GPs

ACRRM Summative Assessment Clinical Skills Logbook progressively completed Summative MSF Anytime after 24 months of completed training Summative MiniCEX Anytime after 24 months of completed training MCQ Anytime after 12 months of completed training StAMPS normally undertaken when all the above have been completed Learning Portfolio

RACGP Summative Assessment Completed 3 years of accredited training Completed 3 years of Bogong mandatory requirements Successfully complete the three (3) part exam which includes:

AKT Applied Knowledge Test KFP Key Features Problems OSCE Clinical Exam

Exams can be undertaken sequentially but must pass AKT before being able to sit the OSCE


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EXTENSION OF TRAINING TIME Australian General Practice Training (AGPT) has a policy for Extension of Training Time.

A GP Registrar has a limited number of extensions available to them under the program.

They consist of:

6 months extension for administration purposes (exams passed and paperwork lodged)

6 months extension to undertake exams

6 months extension for additional/related training (over and above the set program)

Please ensure you read the policy, which can be found on the AGPT website as not all options are available in all instances.

The GP Registrar should make every effort to complete their training within the three RACGP or four ACRRM years allotted.

GPRIME (Bogongs On-Line Learning Platform)

Bogong can only provide Registrars extra assistance to attain success in exams within the set 3 or 4 year training period, and not within an extension period. Therefore, Bogong encourages all Registrars to sit their exams early in GPT3 to allow time for extra assistance if required.

BRTN have introduced an online registrar information management system GPRime has tools to assist you in developing a learning plan, links to resources and provides information to you, your supervisor and your training advisor.

A login tab is available to access GPRime from the Bogong website www.bogong.org.au. You can login to the registrar area with a username and password. To change your password, click on My contact details and enter your password and click on Update details.

Under the Forms and Documents section you will find some Cheat Sheets which will guide you through the program.

GPRime is also the place where all information, material and dates on workshops and other activities can be found.

It is a mandatory requirement of the BRTN training program to create and continue to update a Learning Plan on GPRime. Contact the Bogong office if you experience difficulties with GPRime or forget your login details.

All contact and correspondence from Bogong to GP Registrars is performed through this platform. Please ensure you maintain the currency of your address, phone and email on GPRime.



OVERSEAS TRAINED DOCTORS (OTDs)

The term Overseas Trained Doctor (OTD) is interchangeable with International Medical Graduate (IMG). The term OTD will be used for the remainder of this section and for better understanding of, and in compliance with, the Health Insurance Act 1973 (Cth).

What is a 10 year moratorium? To work in Australia, The Health Insurance Act 1973 (Cth) states that OTDs and foreign graduates of an accredited medical school (FGAMS) will only be issues with a Medicare provider number if they work in areas deemed by the government to be a district of workforce shortage (DWS) for a maximum of up to 10 years the moratorium period. In the Bogong GP Training region, most locations are classified Remoteness Area 2 (RA2) (Inner Regional) with a 9 year moratorium; with some locations classified RA 3 (Outer Regional) eligible for a 7 year moratorium. Registrars subject to Section 19AB of the Health Insurance Act 1973 (Cth) are required to train in the rural pathway.

Exemption to the 10 year moratorium? Section 19AB of the Health Insurance Act 1973 (Cth), commonly known as the 10-year moratorium, provides exemption through amendments in 2010 and further amendments which took effect from February 2012. The 10-year moratorium does not apply where:

The person was first recognised as a medical practitioner in Australia or New Zealand before 1997; The person was an OTD or FGARM prior to January 1997 and before that date had applied to

undertake examinations to become a medical practitioner; or The relevant medical service is provided more than 10 years after the person first became a medical

practitioner, and the person either first became a medical practitioner before 18 October 2001, was a permanent resident or citizen of Australia or New Zealand at the time of becoming a medical practitioner, or became a permanent Australian or New Zealander after first becoming a medical practitioner.

Moratorium scaling From 1 July 2010 the concept of scaling was introduced as an exemption under Section 19AB of the Health Insurance Act 1973 (Cth) providing opportunity to reduce the moratorium period (from 10 years) by up to five years, depending on the Remoteness Area of the location where they practice. Bogong only has RA 2 & 3 locations, ie 9 years/7 years. New Zealand Doctors From 1 April 2010, doctors who were New Zealand citizens or New Zealand permanent residents at the time of commencement of a primary medical qualification gained in an accredited Australian or New Zealand university will no longer be subject to Section 19AB of the Health Insurance Act 1973 (the 10-year moratorium). Further information is available from the Department of Health and Ageing Workforce Regulation Section: [email protected].


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WHAT TO DO PRIOR TO COMMENCING A GP TERM

Contact the practice manager and supervisor at least two months before term begins. Ideally, meet face-to-face prior to commencing at Clinic. Discuss employment terms and conditions including accommodation.

As soon as you are advised of your placement the following paperwork must be attended to:

Recognition as a General Practitioner Provision of Provider Number Provision of Prescriber Number

Current certificate of medical registration from Medical Practitioners Board

Registrar to provide to Practice

Proof of adequate current Medical Indemnity Insurance (including procedural if required) Prescriber number see below Provider number see below Copy of HIC letters confirming: ROMPS (Rural Other Medical Practitioners Program) approval, 19AB

Exemption, entitlement to Medicare benefits if appropriate Tax File Number declaration form Details of nominated superannuation fund and fund membership number Password for billing and clinical software inclusion Letter from hospital confirming VMO appointment (if applicable) On commencement of your term the practice manager will have an employment pack containing

other forms for signing, e.g. on-line Medicare claiming, Workcover etc. Prior to your first placement in general practice it is vital that you have a provider number (a specific number for each site in which you will practice). This gives you access to Medicare payments. Without it you cannot be paid. Medicare cannot and will not backdate applications received after you have commenced work.

How to acquire provider and prescriber numbers

The documents described in the following paragraphs must be lodged with the HIC at least 21 working days before your commencement date at a practice. It is your responsibility to lodge the documentation that defines your placement within an approved general practice. In particular, the dates of placements must be recorded correctly. Your practice manager is able to assist you with this.

These forms can take up to 5 weeks to process, so lodge them as soon as possible. Without these, you will not be able to commence work at the practice, or be paid by Medicare. See below for how to obtain these.



There are two forms required for your provider number application:

This form is required along with the provider number application form. Application for Recognition as a General Practitioner Form

Go to GPRime Forms & Documents tab and download the form Complete the sections on Registrar Details and Approved Training Practice Details Practice manager then completes 'Approved Placement section Supervisor completes the Supervisor/Mentor Details section and signs it Practice Manager to fax the form to Bogong Office - 02 6024 7817

Bogong signs it and forwards it to GPET who further process the form and they send it to the HIC. The HIC will then match it with your Medicare Provider Application and will then finalise your provider number and prescriber number application. This process can take up to four weeks.

Go to: Application for Medicare Provider Number

www.medicareaustralia.gov.au

download the Application for a Provider Number for a Medical Practitioner form most people use the apply for additional number form Remember you need a site-specific provider number for each workplace Complete registrar sections Your Practice manager or supervisor completes the practice section Post or fax directly to HIC (must be received at least 4 weeks before start of term)

Your Provider and prescriber number will be posted to you Go to: Application for Medicare Prescriber Number

www.medicareaustralia.gov.au

Download the Application for Prescriber Number for Registered Medical Practitioner form.

NOTE: Before a Prescriber Number can be issued, you are required to attend a short educational course (about three hours) on issues such as claims, accounts, the Australian Medicare Benefits Schedule and Pharmaceutical Benefits Scheme (if not already done for another prescriber number application).

Provider Numbers after Award of Fellowship On award of Fellowship registrars must send the following to HIC:

Letter from the RACGP/ ACRRM confirming they are listed on the Fellowship Register RACGP/ ACRRM "Application for Recognition as a Fellow"

HIC will then activate their provider number application within

7 days from the date it is received.


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24

Meet/call your designated Training Advisor (the Bogong office can advise you who this is)

Other tasks prior to commencing term

Explore the GPRime on-line learning platform which can be found on the BRTN website on www.bogong.org.au

Purchase stethoscope, ophthalmoscope, otoscope if not provided by practice Organise your doctors bag and, if required, prescription pads (PBS and Authority). To do this phone

HIC (132 290) AFTER obtaining Provider Number and Prescriber number (discuss with GP Supervisor

or Practice Manager)

Organise emergency medications (check with your GP Supervisor)

EMERGENCY MEDICINE COURSE

As part of its workshop program, Bogong registrars undertake a Rural Emergency Skills Training (REST) course. This is a two-day workshop covering resuscitation BLS, ALS, and emergency procedures such as thoracocentesis and is funded by Bogong.

Other emergency courses available are listed below. These courses are not funded by Bogong Regional Training Network.

Emergency Life Support

Ph: 02 6766 9119

Fax: 02 6766 9117

Email: [email protected]

http://www.elscourse.com.au/ELS/Course/Introduction.asp

Advanced Paediatric Life Support

Ph: 03 9412 9222

Fax: 03 9415 9622

email: [email protected]

http://www.apls.org.au/

Early Management of Severe Trauma

Ph: 03 9249 1277

Fax: 03 9249 1298

email: [email protected]

http://www.surgeons.org



RECOGNITION OF PRIOR LEARNING

Recognition of prior learning with time credit (RPL)

In order for RPL to be granted the following criteria must be met:

GP Registrars may apply for recognition of prior learning with time credit (RPL) for their post-intern hospital training experience. For registrars granted RPL of their hospital training, they are eligible for up to a maximum of 52 weeks exemption from the time requirements of training.

The experience must have taken place in hospital posts accredited by the RACGP

The rotations are approved by a Bogong medical educator as appropriate training fulfilling the requirements of the core disciplines of hospital training

The applicant provides satisfactory documentation from the employing hospital of his/her hospital experience relating to the period for which RPL is being sought

The applicant was unconditionally medically registered in Australia for the entire period

Applications for RPL are made on the appropriate form, available for download on GPRime.

RPL with time credit is only applicable after full registration

Registrars who feel they may be eligible must apply within the first 2 months of beginning training in the AGPT program. RPL applications should be discussed with your training advisor. Applications are assessed by Bogong medical educators according to GPET, ACRRM & RACGP guidelines.

RPL applications must include a portfolio of documentation to provide evidence of the relevance of their prior learning to the learning objectives of training.

RPL can also be used for Advanced Rural Skills Posts

Approval of RPL applications is the responsibility of a Bogong senior medical educator and the RACGP State Censor.

Registrars who feel they may be eligible must apply within the first 2 months of beginning training in the AGPT Program.

RPL should be discussed with your Training Advisor, who can assist with the application.

RPL for ACRRM candidates can be applied for also. Please contact Dr Peter Keppel to discuss this further or via the ACRRM website.

Registrars may apply for Recognition of Prior Learning without time credit (RC) for their post-intern hospital training experience for either hospital or special skills or both. The same criteria must be met as for RPL. The difference to RPL is that applicants successful in gaining RC must complete a minimum of three (3) years of training. The purpose of obtaining RC is to ensure recognition is recorded of mandatory hospital rotations.

Recognition of prior learning without time credit (RC)


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RENTAL/RELOCATION (2015) ASSISTANCE POLICY Bogong is in a position to provide some financial assistance for Registrars relocating their household due to GP training requirements. Claims will be assessed individually and approval based on the following eligibility criteria outlined for relocation expense and rental assistance support.

1. Relocation expense reimbursement is offered up to maximum of $1,000 per household for registrars relocating for training purposes.

Criteria for eligibility: Relocation expense can only be claimed once per household. Reimbursement will be paid directly to the Registrar on lodgement of claim form (refer GPRime)

including tax receipt as evidence of expense incurred. Claim covers expense items only. Assets such as trailers or luggage racks do not qualify for

reimbursement. Claims are requested to be lodged by 30 June of the relevant training year.

2. Rental assistance is available at the current rate of $130 + GST per week per household for

GPT1 and GPT2 training terms. Funding will be paid directly to the training practice.

Criteria for eligibility: Support is available (only) to registrars maintaining their primary residence in another

location during their GPT1 and GPT2 training period. Rental assistance will be paid directly to the Practice once each term on lodgement of tax

invoice raised by the Practice and signed declaration by the Registrar and Practice delegate (Refer Appendix R)

Rental or mortgage documents are required plus a current utility invoice pertaining to the other property to confirm it is the registrars primary residence.

Download the appropriate declaration form from GPRime



OTHER GRANTS AND SUBSIDIES

General Practice Rural Incentive Program (GPRIP) See information sheet at back of Handbook.

Rural Procedural Grants Program Both RACGP and ACRRM have been contracted by the Department of Health and Ageing to administer the Rural Procedural Grants Program (RPGP). It provides funding to assist GP proceduralists in rural and remote areas to maintain and upgrade their skills. Please see the ACRRM website www.acrrm.org.au or RACGP website www.racgp.org.au/rural/traininggrants

HECS Reimbursement Scheme The HECS Reimbursement Scheme aims to promote careers in rural medicine and increase the number of doctors in rural and regional Australia in the longer term.

The HECS Reimbursement Scheme reimburses HECS debts of medical students should they choose to train and work in rural and remote communities. Communities gain improved access to health services as more doctors move to work in these areas.

Under the Scheme, doctors are able to reduce the period for reimbursement of the cost of their medical studies from five years to two years depending on the classification of their training or practice location according to the Australian Standard Geographical Classification Remoteness Area (ASGC-RA).

Further information including guidelines can be obtained at www.doctorconnect.gov.au or by contacting Medicare Australia on 1800 010 550.

Department of Human Services (DHS) Continuing Professional Development (CPD) for Rural GPs Subsidy Program The program enables GPs working in rural general practice in Victoria to claim up to $3,000 per financial year for CPD activities. Please contact RWAV direct o confirm what subsidies are currently available.

For more information contact RWAV on (03) 9349 7800 or www.rwav.com.au.


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EMPLOYMENT INFORMATION

Guidelines for Leave A registrar is entitled to 4 weeks paid (by the employing practice) annual recreational leave per annum (pro-rata for part time).

Any registrar seeking leave in excess of 6 weeks of annual recreational leave must apply for leave from the program, in advance, to Bogong Regional Training Network.

Leave of absence may only be approved for up to one year.

Leave of absence from the program is not approved for unsupervised work in general practice.

Leave of absence from the program is not normally available in the first year of enrolment with the Training Program

Registrars cannot commence training with leave of absence from the Program. Please refer to the AGPT Policy on www.gpet.com.au.

Parental Leave Female GP registrars are eligible for parental leave of up to 12 months following the birth of each child. Male GP registrars are eligible for parental leave for up to 12 months per child/children where the GP registrar is to be the primary caregiver of the newborn child/children.

Parental leave is similarly available to registrars who become legal guardians or adoptive parents.

There is no limit on the number of periods of parental leave available for an enrolled registrar, provided the registrar continues to fulfil any requirements of the Training Program for a GP registrar on leave.

Parental leave is in addition to the entitlement for elective time/leave of absence.

Where both parents are GP registrars, either parent is eligible for parental leave but not both concurrently. At the completion of parental leave the GP registrar is normally expected to return to active training.

Employment arrangements Registrars in GPT1 and GPT2 GP Terms are employed by practices in accordance with the National Minimum Terms and Conditions (NMTC). Individual employment agreements are negotiated with your GP Supervisors and should be finalised prior to starting your GP Term. You should take the time to read through any proposed contract and compare it with the NMTC. A copy of the NMTC can be found on GPRime. You should retain a copy of your signed contract once appropriately negotiated. The GPRA also have a list of Distinguishing features of employees/independent contractors available on their website www.gpra.org.au.



SUPPORT STAFF

Registrar Liaison Officer (RLO) The role of the RLO is to maintain regular contact with registrars and facilitate their input into future development, implementation and evaluation of the training program. The RLO can be a point of contact for Registrars with questions or concerns regarding their training. They are also able to represent local registrars on the GPRA.

Registrar Board Member

Our current Registrar Liaison Officer is Dr Felicity Brettig. Her contact details are available on pg 7.

Training Advisor (TA)

A BRTN registrar will be nominated for election as a Director of the Board of BRTN. If you have an interest in this position please contact the Executive Assistant to the CEO.

Each registrar is allocated a Training Advisor prior to the commencement of their training. The role of the training advisor is to:

Provide mentorship / career guidance

Help the registrar to develop a whole of training career plan which addresses both clinical development and personal well being when career choices are being made.

o Assist the Registrar in completing applications for Recognition of prior learning

( RPL ) or Retrospective credit ( RC )

Oversee the development and review the evolution of Registrars individual and specific learning plans and recording of those on GPRime.

Medical Educators (ME)

Meet at least twice per year it is up to you to arrange these meetings.

Medical Educators are experienced local GPs with an interest in education. They have responsibility for various educational roles within Bogong RTN, and coordinate the Education Workshops. They are available to assist with learning plans and education resources.

External Clinical Teaching Visitors (ECTV)

Medical Educators may also be an active Training Advisor and Supervisor within a Practice.

ECT visitors conduct teaching visits to registrars within their current post. Visitors are experienced GP Supervisors based in the region. ECTVs provide a valuable learning opportunity and important feedback on your skills. The ECT visitor will sit with you for one session at an agreed time. The visitor will complete a feedback report on GPRime after the visit which you will have access to.


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Direct Observations (or video) Direct observation is the observing and giving feedback by your Supervisor on clinical skills in the practice environment. It is one of the most valuable ways for GP Registrars to learn clinical skills and it is also the only way to really assess how a GP Registrar is performing with patients.

These sessions will occur in addition to the required practice based teaching time for your GP term and your two (2) clinical teaching visits.

It is useful when discussing these sessions with your GP Supervisor that you think about some of the barriers to direct observation and how you might try and minimise these during your direct observation sessions. If you have any concerns or issues regarding direct observation it is important to discuss these with your GP Supervisor.

Your GP Supervisor will complete a feedback form on GPRime following each session and this will be available to you to help plan your ongoing learning during the term. It is highly recommended that you undertake your own video to reflect and learn from your consultations. Please speak to your practice manager about gaining patient consent, and access to video equipment.

GP Supervisors

GP Supervisor Liaison Officer (SLO)

The programs principle teaching resource is our committed and enthusiastic group of GP Supervisors based in accredited private practices in the region. Practices are all accredited teaching practices in accordance with the current RACGP or ACRRM Standards for Training Posts. Supervisors meet regularly to share teaching and learning skills.

Registrar Assistance Program

The GP Supervisor Liaison Officer provides a point of contact between GP Supervisors and Bogong RTN. They also represent local GP Supervisors on the National GP Supervisors Association.

Should a registrar have difficulty meeting the requirements of training, Bogong may initiate some learning assistance. As Bogong is committed to training GPs to achieve vocational registration, it is important to know if a registrar is having difficulties. An assistance plan enables Bogong to provide extra supervision and tuition as required to ensure a registrar achieves their goals of FRACGP or FACRRM qualification for unsupervised general practice.

Areas of assistance include:

Extra teaching time

Communication and Language Support (CLS)

Study Group Extra ECT visits and direct observations.

Most of this assistance can only be given during the core training years and not during extension of time.



COMPLAINTS AND GRIEVANCES

In the event of a dispute arising involving a GP Registrar, trainer or member of the Bogong staff the disagreement will be discussed and a resolution attempted. Four stages have been developed for this purpose:

Stage One

The complainant, their supervisor and an independent party shall discuss the issue and develop a solution. Resolution is by consensus agreement. This group may meet face to face or by teleconference.

The resolution of any dispute requiring the involvement of the above group must be reported in writing by an employee of Bogong to the CEO of Bogong and must be acceptable to him/herself and the Board of Bogong.

Stage Two

If the issue cannot be resolved at Stage One a group consisting of the parties to the complainant, with representatives, and the CEO will be convened. The CEO will chair the meeting. This group may meet face-to-face or by teleconference. Resolution will be by consensus agreement.

Stage Three

If the dispute is not settled through the Stage Two mechanism the disagreement shall be brought before the Board of Bogong. Both parties to the dispute must be present and may be represented by a nominee of his or her choice. This meeting may be face-to-face or by video or teleconference. After hearing submissions from both parties to the dispute, the Board shall meet in private and the Board shall make a decision on the matter by majority vote.

Stage Four

Further avenues for appeal depend on the parties in dispute.

If one of the parties is a GP Registrar arbitration by the GPET Appeals Panel is the appropriate course of action. If one party is a trainer/ supervisor arbitration by an appropriate body can be called upon.

While the dispute and the dispute resolution mechanism remains contained within the processes of Bogong, costs other than any costs associated with the complainant obtaining legal advice or service, will be borne by Bogong. At no stage will any legal or associated costs be borne by Bogong on behalf of the complainant. A copy of the Bogong Policy is available on GPrime.


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USEFUL RESOURCES

GPET Handbook

In addition to this handbook, it is recommended that registrars embarking on vocational training through BRTN read over the following important documents.

: The Australian General Practice Training Guide for GP Registrars is the key reference on current policies, requirements and features of vocational training for general practice. It provides information on the Training Program, details of eligibility and arrangements for teaching and supervision in training posts. This handbook can be found on the AGPT website www.agpt.com.au and on GPRime.

RACGP Curriculum: The curriculum document outlines the knowledge base to be covered toward attainment of the FRACGP. A copy of the curriculum document can be found on the RACGP website.

See http://www.racgp.org.au/curriculum

ACRRM Primary Curriculum:

This is intended for those who may wish to pursue attainment of the FACRRM. The document covers the knowledge base for the FACRRM, which provides recognition of specialist skills in Rural and Remote Medicine as a distinct specialty area. This encompasses some more advanced specifically rural skills.

See http://www.acrrm.org.au for the curriculum.

Recommended texts for General Practice

Murtaghs General Practice 4th

Practice Tips Murtagh 3 Edition, 2007, and Companion Handbook

rd

Royal Childrens Hospital Paediatric Handbook (Melbourne) Paxton edition/2000 surgical techniques, other procedures

Clinical Sports Medicine Brukner & Khan

Therapeutic Guidelines practice should have copy on computer, or online password

Australian Medicines Handbook yearly updates. Usually receive this free with RACGP membership

From RACGP (once you have financial registrar membership) www.racgp.org.au:

Australian Medicines Handbook Australian Family Physician (AFP) journal of general practice. Has clinical challenge questions at

rear of journal Check program exam-style practice questions with answers and clinical info sent out each month.

Sent out in plastic package monthly with the AFP journal



Other useful resources:

Medical Observer youll automatically be sent these newspaper style medical news updates Australian Doctor the How to treat sections are very useful GP Learning www.gplearning.com.au - good website with multiple choice style questions Audio Pod casts on RACGP website www.racgp.org.au see pod casts section on left-side menu. Good

for learning on car trips! Others on GPRA website www.gpra.org.au ; also drive time CDs sent out regularly

www.dermnet.nz good dermatology site Up to Date Bogong provides each clinic with this online resource; ask you Practice Manager for the

password. A useful resource for most topics. Fitzpatricks Dermatology Atlas Ophthalmology texts multiple available Clinical Cases for GP Exams, Susan Wearne has history and patient instructions so you can practice

for the clinical exam. A copy of this book should be in your Practice. Rural Health Education Foundation (RHEF) Satellite Broadcasts and CDs; www.rhef.com.au/upcoming-

programs/ Palliative Care The Nitty Gritty Handbook

Registrar Practice Pack

BRTN have been fortunate enough to supply all our Accredited Practices who have a GPT1/GPT2 Registrar training with them a Registrar Resource Pack. The pack is to be available for use by the Registrar and includes the following items:

ThermoScan

Lumi-View Vorothscope Headlamp

Dermatoscope

Diagnostic Set with Otoscope and Coaxial Ophth

Family Multi Cuff Kit

Hi-Bebe Foetal Ultrasound Doppler

Thermoscan & Finger Tip Pulse Oximeter

Murtaghs General Practice 4Text Books: Harrisons Principles of Internal Medicine and Oxford Textbook of Medicine

th

Edition, 2007, and Companion Handbook

Up to date (online resource)

Therapeutic Guidelines (online)

The pack remains the property of BRTN and must remain at the practice at all times.


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WHOM TO RING AT BOGONG REGIONAL TRAINING NETWORK Linda Moon CEO Governance

Board matters Complaints/Grievances Registrar Remediation

Sue Porter Executive Assistant Executive support to CEO & Board Admin support to Business Manager Governance Diary coordination and Promotional Activities

Deanne Sweetland Operations and Training Manager Training Time Calculations Registrar Practice Match and Placement GPRIME Registrar remediation Registrar Recruitment Operations Management Transfers

Robyn Matthews Finance and Business Manager Budgets / Funding Karen Dixon Program Development Manager OTDNet

ACCRM WBA IMG Program

Mary-Anne Scully Marketing and Communications Officer

Press Releases Newsletter/Media material

Isabelle Swanson Education Program Co-ordinator Registrar enquiries Registrar Workshop Co-ordinator

Jo Hamilton Training Administrator ARST / Extended Skill posts / AST Registrar enquiries New Registrar Intake Practice and Supervisor Accreditation GPRIME Practice Managers Workshop Supervisor Workshops

Jane Delaney Administration and Records Assistant Registrar Recruitment RPL and ESL queries, GPRIME Training Time Calculations Provider No. Forms Registrar enquiries REST course ECT Visits

Robyn Bottrell Finance Officer Registrar accounts Subsidy + relocation queries Practice Invoices

Jenna Peerman Administration Assistant General Queries GPRIME login + passwords Registrar Enrolment Practice Profile on website Direct Observations Completion of Training submission



APPENDICES

Acronyms

Things to do in the region

Organisations State and National

GPRIP Fact Sheet

Distinguishing features of employees/independent contractors

Bogong Regional Training Networks Privacy Policy

Bogong Learning Task (BLT)

Sign off sheet


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Acronyms ACRRM Australian College of Rural and Remote Medicine AGPT Australian General Practice Training AMA Australian Medical Association ARST Advanced Rural Skills Training post ASGC-RA Australia Standard Geographical Classification Remote Areas AWRGPN Albury Wodonga Regional General Practice Network (Formerly Border Division of General Practice) BLT Bogong Learning Task BRTN Bogong Regional Training Network CPD Continuing Professional Development CME Continuing Medical Education ECTV External Clinical Teaching Visit ES Extended Skills post FACRRM Fellowship of ACRRM qualification FARGP Fellowship of Advanced Rural General practice qualification FRACGP Fellowship of RACGP qualification GP General Practitioner GPET General Practice Education and Training Ltd GPR General Practice Registrar GPRIP General Practice Rural Inc Program GPRime GP Registrar Information Management and Education GPRA General Practice Registrars Australia GPS General Practice Supervisor GPSLO General Practice Supervisor Liaison Officer IMG International Medical Graduate ME Medical Educator OTD Overseas Trained Doctor PLW Peer Learning Workshop RACGP Royal Australian College of General Practitioners RC Retrospective Credit RDAA Rural Doctors Association of Australia RDANSW Rural Doctors Association of New South Wales RDAV Rural Doctors Association of Victoria REST Rural Emergency Skills Training course RPL Recognition of Prior Learning RLO Registrar Liaison Officer RMFN Rural Medical Family Network RRIPS Registrar Rural Incentive Payment Scheme RRMEO Rural and Remote Medical Education Online RTP Regional Training Provider RWAV Rural Workforce Agency Victoria TA Training Advisor VR Vocational Registration



Things to do in the Region ACTIVITIES Canoe along the Murray River..Albury Backpackers Wine tasting..Rutherglen, Milawa, King Valley, Alpine Valleys, Nagambie, Seymour, Downhill skiing, Cross-country skiing, snowboarding..Mt Buller, Falls Creek, Mt Hotham - see local ski shops for reduced price locals tickets Water-skiing on Lake Mulwala and Lake Hume Bushwalking Road cycling or mountain biking

Visit our historic towns such as Beechworth, Chiltern, and Yackandandah Ride along the rail-trails

Fishing Gliding and Paragliding Ballooning Play golf Horse riding Many nice restaurants/cafes

FESTIVALS Opera in the Alps January Dederang Picnic Races January Thredbo Blues Festival January Myrtleford Festival March Tastes of Rutherglen March Yackandandah Folk Festival March Bright Autumn Festival April - May Beechworth Harvest Festival May Thredbo Jazz Festival May Rutherglen Winery Walkabout Queens birthday weekend June Ski season opening Queens birthday weekend June Beechworth Celtic Festival November Brown Brothers Wine & Food Festival November La Dolce Vita Festival November Wangaratta Jazz Festival November Carols in the Alps December

For detailed information on local attractions and facilities access:

www.alburywodongaaustralia.com.au www.murrayriver.com.au www.greatershepparton.com.au www.visitvictoria.com www.visitwangaratta.com.au www.riverinatourism.com.au


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Organisations State and National

ACRRM Head Office Australian College of Rural and Remote Medicine GPO Box 2507 Brisbane, QLD 4001 Ph (07) 3105 8200 Freecall 1800223266 Fax (07) 3105 8299 [email protected] www.acrrm.org.au

AMA Victoria Australian Medical Association VIC 293 Royal Parade Parkville, VIC 3052 Ph 1800 810 451 Fax (03) 9280 8786 [email protected] www.amavic.com.au

RACGP National HQ Royal Australian College of General Practitioners RACGP College House 1 Palmerston Crescent South Melbourne, VIC 3205 Ph (03) 8699 0414 Fax (03) 8699 0400 [email protected]

AMA NSW

www.racgp.org.au

Australian Medical Association NSW PO Box 121 St Leonards, NSW 2065 Tel: (02) 9439 8822 Tollfree: 1800 813 423 Fax: (02) 9438 3760 Tollfree: 1300 889017 www.nswama.com.au

General Practice Registrars Australia GPO Box 78 Canberra, ACT 2601 Ph 1300 131 198 Fax 1300 650 223 [email protected] www.gpra.com.au

RDAV Rural Doctors Association of Victoria PO Box 75 Mount Beauty, VIC 3699 Ph: Kathy 0408 278 052 [email protected] www.rdav.com.au

RWAV Rural Workforce Agency of Victoria Level 2.20 Queen Rd Melbourne, VIC 3001 Ph: (03) 9349 7800 Fax (03) 9320 0401 www.rwav.com.au

RMFN Rural Medical Family Network 458 Swanston Street Carlton, VIC 3053 Ph (03) 9349 7800 Fax (03) 9349 4211 [email protected] www.rwav.com.au/rmfn



Organisations Regional

North East Health Wangaratta Green St Wangaratta, VIC 3677 Contact: Ellen Hudson

Goulburn Valley Health

Ph: (03) 5722 0260

Graham St Shepparton, VIC 3630 Contact: Amy Dainton

Ph: (03) 5832 2739

Albury/Wodonga Regional Health Service Wodonga Campus Vermont St Wodonga, VIC 3690

Albury/Wodonga Regional Health Service

Ph:(02) 60517543

Albury Campus Borella Rd Albury, NSW 2640

Ph: (02) 60517543

University of Melbourne Department of Rural Health PO Box 6500 Shepparton, VIC 3630 Ph: (03) 5823 4500

Fax: (03) 5823 4555

University of New South Wales Department of Rural Health P O Box 3004 Albury, NSW 2640 Contact: Dr Peter Vine Ph (02) 6058 4615 Fax (02) 6042 1300

Hume Medicare Local 594 Hovell St PO Box 651 Albury, NSW 2640 Contact: David Dart Ph: (02) 6041 0000 Fax:

(02) 6041 0041

Goulburn Valley Medicare Local 226 Wyndham St PO Box 1074 Shepparton, VIC 3632 Contact: Phillip Bain Ph: (03) 5831 5399 Fax: (03) 5831 5398


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GPRIP Fact Sheet

Retention Component Q1.1 What is the new General Practice Rural Incentives Program?

The new General Practice Rural Incentives Program (GPRIP) will replace the Registrars Rural Incentive Payments Scheme (RRIPS), which applied to GP Registrars on the AGPT program, and the Rural Retention Program, which applied to GPs. GPRIP will also include a Relocation Incentive Grant component.

The new incentives program will provide a consistent set of incentive payments that applies on an equivalent basis for GPs and Registrars practicing in rural locations. Under RRIPS, GP Registrars were eligible for higher grant payments. This new program will streamline the administration of incentive payments and provide parity between GPs and GP Registrars.

The level of incentives will now be based on the Australian Standard Geographical Classification Remoteness Areas (ASGC-RA) classification system.

Q1.2 When will the General Practice Rural Incentives Program start?

GPRIP will start from 1 July 2010. For GPs, this means payments falling due form the September quarter onwards will be calculated according to the new rules.

Q1.3 How will GPRIP work for GPs?

The retention component will work in a similar way to the current Rural Retention Program. However, the payment rates and qualifying periods will change. Incentives will be paid according to a sliding scale based on the ASGC-RA category and the length of time in a rural location outlined below.

ASGC-RA Classification

Period of time (years) in a rural location

0.5 1 2 3-4 5+

RA2 - $2,500 $4,500 $7,500 $12,000

RA3 $4,000 $6,000 $8,000 $13,000 $18,000

RA4 $5,500 $8,000 $13,000 $18,000 $27,000

RA5 $8,000 $13,000 $18,000 $27,000 $47,000

Under GPRIP, doctors will become eligible for an initial payment earlier and will be able to receive much higher retention payments than were previously available to GPs.



Q1.4 Which payment rate will I receive if I have already been receiving payments under the current Rural Retention Program?

The payment rate will be determined based on the number of years (measured in active quarters) of service the doctor has completed in one or more ASGC-RA 2-5 locations.

Q1.5 What will happen if the new payment rate is lower than it would have been under the Rural Retention Program?

Receiving RRP payments Doctors that become eligible for an RRP payment before 1 July 2010 (payments falling on or before the June quarter 2010) and have maintained their continuous service requirements will receive whichever is the greater of the new payment rate or the payment they would have received had the Rural Retention Program continued. Completing RRP qualifying period Doctors that, at 1 July 2010, are completing a qualifying period under the Rural Retention Program and have maintained their continuous service requirements will receive whichever is greater of the new payment rate or the payment they would have received had the Rural Retention Program continued. New to rural areas from 1 July 2010 Doctors that move to a rural area after 1 July 2010 will be subject to the GPRIP payment rates and rules. Q1.6 Are Specialists eligible for GPRIP?

GPRIP is aimed at retaining general practitioners. The services eligible for GPs will be the same as those currently eligible under the Rural Retention Program. These are clinical services that are equivalent to the General Medical Services Section of the Medicare Benefits Schedule book. This includes: Category 1 Professional attendances Category 2 Diagnostic procedures and investigations Category 3 Therapeutic services Eligible services do not include diagnostic imaging, pathology services, dentistry or optometry. Q1.7 What is the ASGC-RA category of my practice location? How can I find out which ASGC-RA category a location is in?

A web site has been established for people to determine the ASGC-RA category of any location. This can be accessed by visiting www.doctorconnect.gov.au and clicking the link on the homepage called Remoteness Area Locator. Q1.8 Will there continue to be a Flexible Payments System under GPRIP?

Yes. The Flexible Payments System will continue but assessment will transfer to the new rules for the Program. Q1.9 Will my eligibility accrued as a Registrar continue when I become a GP?

Eligibility gained by Registrars can be retained on becoming a GP. For this to happen the period from the last Registrar payment to the first GP payment must satisfy the continuous service requirements under the rules for GPs (this means maintaining four active quarters in every eight).


BOGONG GP TRAINING

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Distinguishing features of employees/independent contractors

*Extract from GPRA website 2011

Features of relationship Employee (contract or services) Contractor (contract for services)

Lawful authority to command

Employer has the right to direct the way in which work is done

Contract is for a given result. Contractor works on his/her own

How is the work performed?

At the request of the employer Contract for a specific task/series of tasks. Contractor has high level of discretion and flexibility as to how to perform the tasks. Contract may, however, specify precise terms such as methods of performance

Risk Employee bears little or no risk which is borne by the employer. The employer is generally responsible for any loss resulting from poor work

Independent contractor bears the commercial risk and responsibility for poor work in performing the task

Place of performance Generally at the employers

registrar handbook 2015

Documents

bogong gp training

acrrm vocational training

sweetland head office

wodonga vic

advanced rural gp fargp

comparative table

education team

remote medicine acrrm