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Transcript of viewIn 2014 there were 3,437 medical graduates, over double the 1,400 graduates in 1999 (Figure 3)....

MTRP 19th Report 268

Medical Training Review Panel

Nineteenth Report

May 2016

Medical Training Review Panel 19th Report

ISBN: 978-1-76007-243-8

Online ISBN: 978-1-76007-244-5

Publications approval number: 11435

Copyright

2016 Commonwealth of Australia as represented by the Department of Health

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Medical Training Review Panel

GPO Box 9848, Canberra ACT 2601

Telephone: (02) 6289 9175

MTRP@health.gov.au

The Hon Sussan Ley MP

Minister for Health and Aged Care

Minister for Sport

Parliament House

Canberra ACT 2600

Dear Minister

In accordance with the requirements of subsection 3GC(4) of the Health Insurance Act 1973, I am pleased to submit to you the nineteenth report of the Medical Training Review Panel (MTRP).

The report covers the three levels of medical training in Australia, providing data on all trainees in undergraduate, postgraduate and vocational training programs in 2015. It also provides information on graduates and college fellows for 2014. Additional information on doctors who were trained overseas, their education level and the countries in which they undertook their studies is also included.

Data were provided by the Medical Deans Australia and New Zealand Inc., state and territory health departments through their postgraduate medical councils, specialist medical colleges and the Australian Medical Council. Selected administrative data from the Australian Government Department of Health and the Australian Government Department of Immigration and Border Protection are also documented in the report.

Australians have access to a world-class health care system that is the envy of many other countries. One of the keys to this success is that patients have access to a highly motivated and skilled medical workforce working in hospital and community settings, and general practice.

The MTRP 19th report presents a comprehensive picture of medical education and training in our country and the supply of medical practitioners from overseas.

Medical workforce training in Australia follows independently set standards that require students, postgraduate and vocational trainees to work in accredited, fully supervised training positions that enable them to get the experience they need to provide high quality care to the community.

In 2015, there were 16,959 medical students studying in Australian universities. Over three-quarters of all places were Commonwealth-supported.

Of the total medical students, 3,777 were in the first year of their medical studies and 3,210 or 85% of these were domestic students. Domestic students with a rural background comprised just over a quarter of all commencing domestic students.

Overall international students occupied 2,535 or 14.9% of places. These students were studying onshore in Australia as private or sponsored students and were not Australian citizens, permanent residents or New Zealand citizens.

In 2014, a total of 3,437 students graduated from Australian medical schools. Of these, 2,968 or 86.4% were domestic students.

There were also 3,305 trainees commencing their postgraduate year 1 training in 2015. This was a slight increase of 18 (0.5%) from 2014.

The number of vocational medical trainees (20,069) in 2015 was almost three times the number reported in 2000.

There were 2,993 new college fellows in 2014, of these nearly half (46.7%) were females.

In 2014, a total of 53,098 medical practitioners were fellows of medical colleges, over one-third of all fellows were females.

In 2014-15, there were 2,820 visas granted to medical practitioners across the two main subclasses 457 and 442/402. Over one-third of visas under the main classes were granted to applicants from the United Kingdom.

The data within the report highlight the continued increase in medical education and training that has occurred during the last fifteen years.

The production of the MTRP annual report was managed with involvement of representatives from the key stakeholders in medical workforce training, with oversight by the National Medical Training Advisory Network (NMTAN). These representatives bring different insights into the way medical education and training can deal with the challenges of increasing student and trainee numbers, produce a workforce with the skills that match the future needs of the Australian community and ensure that Australian doctors are held in the highest regard throughout the world.

Yours sincerely

David Hallinan

Chair

Medical Training Review Panel

30 March 2016

ContentsLIST OF TABLESixLIST OF FIGURESxviACRONYMSxviiSymbols and other usagesxixExecutive Summary1University Medical Training1Prevocational Medical Training5Vocational Medical Training7Fellowship9Female Medical Education and Training10International Supply of Medical Practitioners11CHAPTER 1: INTRODUCTION13Medical Training Review Panel Structure and Responsibilities13Transfer to the National Medical Training Advisory Network14Report Structure15University Medical Education15Prevocational Medical Training15Vocational Medical Training15International Supply15Special Purpose Training Programs15Appendices15Notes on the Data and its Preparation16Data Sources16Data Quality Issues16Reporting Periods17Examination of Trends17Medical College Acronyms and Specialties17Chapter 2: University Medical Education and Training19Medical Students19Current Data20Types of Student Places23Student Characteristics26Aboriginal and/or Torres Strait Islander Students29Rural Exposure30Attrition Rates32Trends37Medical Graduates39Current data39Trends40Projected Numbers of Graduates42CHAPTER 3: PREVOCATIONAL MEDICAL TRAINING45Background45Modified Monash Model46Postgraduate Year 147Current Data47Internship in Rural Location49Trends50Postgraduate Year 251Current Data51Trends53Chapter 4: VOCATIONAL MEDICAL TRAINING54Vocational Medical Training in Australia54General Practice Training55Changes to College Training in Australia57Accredited Training57Vocational Training Data60Basic Training61Trends in Basic Vocational Training64Advanced Training67Subspecialty Training74Trends in Advanced Training80General Practice86Medical College Examinations88Current Data88Trends91New College Fellows94Current Data94Trends97New Fellows by Subspecialty Selected Colleges101College Fellows104Fellows by Subspecialty Selected Colleges107

Chapter 5: International Supply111Australian Government Department of Immigration and Border Protection Entry Processes111Temporary Work (Skilled) visa (subclass 457)112Medical Practitioner (Temporary) visa (subclass 422)112Occupational Trainee visa (subclass 442)113Training and Research visa (subclass 402)113Current Data114Requirements for Practicing Medicine in Australia115Common Assessment Requirements116Competent Authority Pathway117Standard Pathway119Assessment of Overseas Trained Specialists123Standard Specialist Assessment123Medicare Provider Number Restrictions128Restrictions of Practice128Current Distribution of Overseas Trained Doctors129Chapter 6: Special Purpose Training Programs132Background1323GA Programs Providers133Section 3GA Programs139Approved Medical Deputising Services Program139Approved Private Emergency Department Program139Approved Placements for Sport Physicians Program139Sports Physician Trainees Program139Australian General Practice Training Program140Prevocational General Practice Placements Program140Queensland Country Relieving Doctors Program140Rural Locum Relief Program140Special Approved Placements Program141Temporary Resident Other Medical Practitioners Program141Remote Vocational Training Scheme142Appendices143Appendix A:ROLE AND MEMBERSHIP OF THE NATIONAL MEDICAL TRAINING ADVISORY NETWORK144Appendix B:MEDICAL COLLEGE TRAINING REQUIREMENTS146Appendix C:GLOSSARY OF TERMS208Appendix D:EXTENDED DATA TREND TABLES213Appendix E:DATA SPECIFICATIONS256Appendix F:TRAINING PROGRAM TERMINOLOGY265

List of tables

TABLEDESCRIPTIONPAGE

CHAPTER 1: INTRODUCTION

Table 1.1:Medical colleges: Acronyms, names and specialties18

CHAPTER 2: UNIVERSITY MEDICAL EDUCATION AND TRAINING

Table 2.1:Medical students in Australian universities, 201520

Table 2.2:Domestic medical students in Australian universities, 201521

Table 2.3:International medical students in Australian universities, 201522

Table 2.4:International students studying in Australian offshore programs, 201523

Table 2.5:Medical students by type of student place and university, 201524

Table 2.6:Commencing medical students by type of student place and university, 201525

Table 2.7:Medical students by type of student place: Number and proportion of places, 2011-201526

Table 2.8:Commencing medical students by sex and age, 201427

Table 2.9: Preferred type of medical practice in