Medical Training Review Panel 19th Report



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Medical specialty(a)

Initial processing

College processing

Substantially comparable

Partially comparable

Not comparable

Withdrawn

Total

Proportion of total
(%)


Adult medicine

75

23

36

7

5

53

199

11.7

Anaesthesia

21

22

23

22

4

13

105

6.1

Dermatology

4

6

5

9

1

3

28

1.6

Emergency medicine

8

8

8

9

5

12

50

2.9

General practice

132

48

410

16

4

20

630

36.9

Intensive care medicine

7

0

0

3

0

8

18

1.1

Medical administration

1

0

0

0

1

0

2

0.1

Obstetrics and gynaecology

36

4

20

7

6

18

91

5.3

Occupational and environmental medicine

1

0

0

1

0

0

2

0.1

Ophthalmology

17

10

4

3

7

6

47

2.8

Paediatrics and child health

29

13

22

15

0

24

103

6.0

Pain medicine

0

1

0

1

1

1

4

0.2

Palliative medicine

1

0

0

0

0

1

2

0.1

Pathology

29

3

0

10

3

10

55

3.2

Psychiatry

19

6

14

24

2

7

72

4.2

Public health medicine

3

0

1

0

0

6

10

0.6

Radiology

20

8

13

17

0

11

69

4.0

Rehabilitation medicine

0

0

0

1

0

2

3

0.2

Sexual health medicine

1

0

4

0

0

0

5

0.3

Sport and exercise medicine

0

0

0

1

1

0

2

0.1

Surgery

94

21

11

16

21

48

211

12.4

Total

498

173

571

162

61

243

1,708

100.0

  1. Data in this table covers the period from 1 January 2014 to 30 June 2014 when the specialist assessment process was administered through the AMC. From 1 July 2014 the assessment process was administered directly by the individual specialist colleges and reported to the MBA/AHPRA.

Source: The Australian Medical Council administrative data, 2015
Table 5.7b: Specialist assessment process by medical specialty, 1 July 2014 – 31 December 2014

Medical specialty

Number of applications to college

Substantially comparable

Partially comparable

Not comparable

Withdrawn

Number of applications

Proportion of total
(%)


Adult medicine

54

30

7

9

9

54

8.5

Anaesthesia

35

8

10

4

0

35

5.5

Dermatology

10

1

4

3

0

10

1.6

Emergency medicine

16

0

6

3

2

16

2.5

General practice

186

114

31

6

63

186

29.2

Intensive care medicine

5

0

0

1

6

5

0.8

Medical administration

1

0

0

1

0

1

0.2

Obstetrics and gynaecology

33

4

2

4

4

33

5.2

Occupational and environmental medicine

2

1

0

0

0

2

0.3

Ophthalmology

9

1

4

4

0

9

1.4

Paediatrics and child health

16

3

5

8

10

16

2.5

Palliative medicine

3

4

0

0

0

3

0.5

Pathology

10

1

8

3

0

10

1.6

Psychiatry

118

40

35

6

0

118

18.5

Public health medicine

2

1

0

0

1

2

0.3

Radiology

81

3

46

6

2

81

12.7

Rehabilitation medicine

0

0

0

0

1

0

0.0

Sexual health medicine

1

2

0

0

0

1

0.2

Sport and exercise medicine

2

0

2

0

0

2

0.3

Surgery

53

6

12

24

6

53

8.3

Total

637

219

172

82

104

637

100.0

Source: The Australian Health Practitioner Regulation Agency administrative data, 2015

Table 5.8 presents data on the countries in which approved applicants were trained.


Three-quarters of all overseas trained specialists came from the United Kingdom and Ireland (436 or 76.4%). The next largest group was from New Zealand (40 or 7%). Two other cohorts of overseas trained specialists with qualifications substantially comparable to Australia came from India (24) and Canada (14).

Table 5.8: Substantially comparable specialist applications by country of training and medical speciality, 2014



Medical specialty(a)

Canada

India

New Zealand

South Africa

United Kingdom and Ireland

United States of America

Other(b)

Total

Proportion of total
(%)


Adult medicine

0

7

0

1

16

0

12

36

6.3

Anaesthesia

0

5

0

1

11

0

6

23

4.0

Dermatology

0

2

0

1

0

0

2

5

0.9

Emergency medicine

1

0

0

0

5

2

0

8

1.4

General practice

9

0

40

0

360

0

1

410

71.8

Obstetrics and gynaecology

1

2

0

0

9

0

8

20

3.5

Ophthalmology

0

0

0

1

3

0

0

4

0.7

Paediatrics and child health

0

1

0

2

14

3

2

22

3.9

Psychiatry

0

4

0

0

3

0

7

14

2.5

Public health medicine

0

0

0

0

1

0

0

1

0.2

Radiology

1

1

0

1

8

0

2

13

2.3

Sexual health medicine

0

0

0

0

4

0

0

4

0.7

Surgery

2

2

0

0

2

0

5

11

1.9

Total

14

24

40

7

436

5

45

571

100.0

  1. Data in this table covers the period 1 January 2014 to 30 June 2014 when the specialist assessment process was administered through the AMC. From 1 July 2014, the assessment process was administered directly by the individual specialist colleges and reported to the MBA/AHPRA.

  2. Other includes: Argentina, Bangladesh, Belgium, Brazil, Bulgaria, Egypt, Germany, Hungary, India, Iran, Israel, Italy, Japan, Malaysia, Netherlands, Nigeria, Pakistan, Philippines, Romania, Russia, Sri Lanka and Sweden.

Source: The Australian Medical Council administrative data, 2015

Area of Need Specialist Assessment


Overseas trained specialists applying for an Area of Need assessment must also have completed all training requirements and be recognised as a specialist in their country of training. When assessing applicants for suitability for Area of Need positions, if the IMG requests, medical colleges will determine at the same time (or soon thereafter) what is required to meet standards for fellowship.

An Area of Need applicant is always assessed against a position description. This allows an overseas trained specialist to work in a designated specialty position, provided conditions imposed by the Medical Board of Australia are met. The position description together with the qualifications, training and experience of the applicant will determine the level of risk and the level of supervision or further assessment required.


Specified Specialist Training


Applicants who wish to enter Australia for specified specialist training will require registration by the Medical Board of Australia (through the medical boards in each state and territory) following advice from the relevant specialist medical college. This limited registration allows applicants to undertake training or to obtain experience in Australia not available in their country of training for a short period (normally up to two years), but can in exceptional circumstances be extended to three years. The MBA refers to this as short term training (specialists-in-training).

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