Medical Training Review Panel 19th Report

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• Total 2,540 290
• Table 5.3: Primary visa holders where the occupation is medical practitioner by visa subclass (a) , 2013-14 and 2014-15
• Visa type Visa holders at 30/06/2014 Visa holders at 30/06/2015
• Total 4,320 4,330

Citizenship country	Visa subclass		Total
Proportion of total (%)
	457	442/402
United Kingdom	930	30	970	34.3
Malaysia	220	30	240	8.6
India	200	20	220	7.7
Ireland, Republic of	160	10	170	6.0
Canada	140	10	150	5.2
Sri Lanka	120	10	130	4.7
Singapore	80	20	110	3.7
Iran	70	<5	70	2.3
Pakistan	60	10	70	2.3
United States of America	70	0	70	2.3
Other countries	500	150	640	22.8
Total__2,540__290'>Total	2,540	290	2,820	100.0

1. 
   Figures are rounded to the nearest 10.
   
2. 
   For Subclass 457 and 442/402 visas nominated occupations include Australian Standard Classification of Occupations 231 Medical Practitioners.
   

Source: The Australian Government Department of Immigration and Border Protection administrative data, 2015

Table 5.3 shows the total number of medical practitioners who held each of the main subclasses of visa at the end of the 2013-14 and 2014-15 program years, with 4,330 medical practitioners holding visas in Australia in these subclasses at 30 June 2015. There was an increase of 0.3% on the 4,320 primary visa holders in Australia compared with

30 June 2014. This suggests a modest reversal of the downward trend in migration in recent years.

Table 5.3: Primary visa holders where the occupation is medical practitioner by visa subclass^(a), 2013-14 and 2014-15

Visa type	Visa holders at 30/06/2014	Visa holders at 30/06/2015	Change 2013-14 to 2014-15 (%)
457	4,140	4,100	-1.4
422	<5	0	-100.0
442/402	160	230	48.1
Total	4,320	4,330	0.3

1. 
   Figures are rounded to the nearest 10.
   

Source: The Australian Government Department of Immigration and Border Protection administrative data, 2015

Requirements for Practicing Medicine in Australia

Although national examinations for non-specialist international medical graduates have existed in Australia since 1978, state and territory governments have adopted different approaches to assessing some categories of Area of Need practitioners and specialists.

In July 2006, the Council of Australian Governments (COAG) agreed to the introduction of a nationally consistent assessment process for international medical graduates and overseas trained specialists. COAG gave Health Ministers the responsibility for implementing this decision, and a model for a national process was developed and submitted to Health Ministers on 12 December 2006. The final report on the agreed pathways was presented to the Australian Health Ministers’ Advisory Committee (AHMAC) in October 2008.

This model outlines three main assessment pathways:

• 
  Competent Authority Pathway;
  
• 
  Standard Pathway (including the current Australian Medical Council examination and a workplace-based assessment pathway); and
  
• 
  Specialist pathways for all specialties, including general practice:
  

• 
  Standard specialist assessment;
  
• 
  Area of Need assessment; and
  
• 
  Overseas trained specialist in specified training position.
  

The Competent Authority Pathway was implemented from 1 July 2007 and the first stage of the Standard Pathway (workplace-based assessment) for general practitioners and non-specialist hospital doctors was implemented the following year, from 1 July 2008.

The Australian Medical Council (AMC) is an independent national standards body which is responsible for processing all initial inquiries regarding assessment of international medical graduates and overseas trained specialists. It was established by Australian Health Ministers as a legal entity in 1985 and became a Company Limited by Guarantee in 2008.

With implementation of the National Registration and Accreditation Scheme (NRAS) in
July 2010, the AMC responsibilities were expanded to cover the following:

• 
  acting as an external accreditation entity for the purposes of the Health Practitioner Regulation National Law;
  
• 
  developing accreditation standards, policies and procedures for medical programs of study based predominantly in Australia and New Zealand and for assessment of international medical graduates for registration in Australia;
  
• 
  assessing, using the approved accreditation standards, medical programs and the institutions that provide them – both those leading to general registration and those leading to specialist registration of graduates to practice medicine in Australia;
  
• 
  assessing other countries’ examining and accrediting authorities to decide whether persons who successfully complete the examinations or programs of study conducted or accredited by those authorities have the knowledge, clinical skills and professional attributes to practice medicine in Australia;
  
• 
  assessing the knowledge, clinical skills and professional attributes of overseas qualified medical practitioners seeking registration to practice medicine in Australia; and
  
• 
  assessing the case of recognition of medical specialties.
  

Further details on assessment requirements that are common to each of the pathways and the specific requirements of each are provided below.

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