Form

Variation to RACGP Diversity of Training Requirement

RACGP has mandatory diversity of training requirement, which requires a registrar to undertake a six (6) month term (full-time) in a second practice. If a registrar is unable to meet this requirement, they may apply using this form for a variation to the College’s requirements.

MCCC may only support or reject a registrar’s application. The final decision to endorse an application rests with the RACGP’s Victorian Censor. Please refer to the Diversity of Training Experience Policy and Procedure before completing this form.

Registrar Name:
Practice Name:
Current Training Term: / GPT1 / PRRT1 / GPT2 / PRRT2
GPT3 / PRRT3 / GPT4 / PRRT4 / ES
Region: / Metro-West / North East / North West / South West
Date:
List other experiences in a general practice
Number of hours spent consulting per day
Number of days per week
Number of weeks in total in the post
Outline the teaching and supervision you received
What is the type of variation you are applying for?
Please refer to the Diversity of Training Experience Policy and Procedure for more detailed descriptions
Variation A: Composite post
Variation B: Recognition of prior General Practice work
e.g. Pre-Vocational General Practice Placement Program (PGPPP)
Variation C: Attendance at an alternate practice for a specified number of sessions per week over a specified period.
(you must attach evidence that you have been accepted into a position)
Please provide a detailed explanation as to why you believe a variation to the diversity requirement in your training is appropriate.
Please refer to the Diversity of Training Experience Policy and Procedure for more information.
Provide specific details of the proposed placement (variation A&C only)
Dates / Practice Name / Number of hours per week / Length of placement (weeks) / FTE (F/T or P/T)
Describe how this placement is diverse from your current practice.
Practice Comparison Project
This project consists of a minimum of 1000-word reflective report which must be of an acceptable level to be considered with the application. The report should be structured to respond to relevant heading areas indicated in Appendix 1. Your report will be assessed against the given criteria in Appendix 2.
If applying for Variation B
Practice Comparison Project to be submitted with this application
If applying for Variation A or C
Practice Comparison Project to be submitted after the placement
If the placement is approved, I understand I need to complete the Practice Comparison Project to an acceptable level to fulfil this requirement.
I understand that undertaking the placement will not count for diversity until the Practice Comparison Project is submitted, accepted and approved by MCCC.
Registrar Signature:
The completed documents should be submitted to your region for consideration:
Metro West: North West:
North East: South West:

Appendix 1: Practice Comparison Project – Suggested areas for comparison

An examination of the similarities and differences between two practices.
Demographics / ·  Patient numbers (ATSI/ Migrant/Australian)
·  Number of doctors (full time equivalents)
·  Number of practices (satellite clinics)
Description of Premises / ·  Building (owned or rented)
·  Hospital-based consulting
·  Combination of both
·  Facilities in each practice (e.g. pathology, treatment/procedure rooms, procedure equipment and how this alters your practice)
Management / ·  Staff
·  Visiting specialists
·  Allied health / psychologists
·  Other (complementary health)
IT/IM / ·  Back up
·  In-house/outsourced
·  Software type
·  Facility for transportation in home visits /access from home
Appointment structure / ·  Length of time – your ability to provide input with regard to nominating number of patients seen per hour.
·  Extra patient policy
·  On call/duty doctor arrangements
·  Home visits
·  Nursing home visits
·  How are after-hours calls triaged?
·  How are patients handed over after hours?
Hospital service / ·  Admission rights
·  Private and public hospital patients
Administration / ·  Practice manager
·  Staff
·  Clinic meetings
·  Partner meetings
·  IT/IM management
·  Roles and responsibilities of practice manager
·  New staff
·  Conflict resolution
·  Security of employees/doctors
·  Acquisitions
Results notification & Recall systems / ·  Is this manually or electronically recorded / mixture of both
·  Who is responsible for tracking recalls?
Practice Nurse / ·  Roles & responsibilities
·  Input into care plans i.e. preparation of paperwork
Billing / ·  In-hours and after-hours
·  Debt recovery
·  Policies regarding concession card holders / children
·  Policies regarding new patients
Repeat scripts policy / ·  Charge versus no charge
·  Limited quantity/repeats
Structure of Doctors financial relationship / ·  Practice partner
·  Associate
·  Registrar income
·  Student income
·  PIP / SIP
·  Leave – annual leave, study leave, conference leave, maternity leave
·  Decision making
Drug Representatives Policy / ·  Frequency of visits
·  Do all doctors see representatives or is there a nominated doctor for each visit who is responsible for reporting back information at meetings?
·  Acceptance of sample medications, distribution and governance of these.
Family support / ·  Doctors
·  Staff
Ethos & Culture / ·  Sub-specialies and how these differ amongst different practitioners
·  Procedural Practice
·  Support with regard to further education (e.g. diplomas in areas of interest)

Appendix 2: Assessment Criteria – Practice Comparison Project

The registrar will:

·  Demonstrate the ability to evaluate alternative models and organisation of general practice.

·  Demonstrate sound skills in obtaining appropriate information.

·  Appropriately appraise information and draw conclusions on the basis its meaning, validity and reliability.

·  Demonstrate the ability to write a competent report as a mean of communicating with other health professionals.

Assessment criteria:

Criteria / Maximum mark
Structure and organisation of the report
·  Sequence of sections
·  Links between sections
·  Sequence and links within sections
·  Organising themes / 10
Information gathering
·  Range and depth of information / 30
Use of information
·  Evaluates the information gathered
·  Provides a clear comparison of the two practices
·  Provides a concise summary of the major similarities/differences and discusses the implications of these
·  Shows knowledge and understanding of different patient presentations, practice styles, cultures and practice-management models / 50
Presentation
·  Quality of written English
·  Use of headings and sub-headings
·  Referencing of information sources / 10
OFFICE USE ONLY
Date received:
Approval: / Approved by MCCC / Not approved by MCCC
Reason, if not approved:
RHE signature: / Date:
DMET signature: / Date:
Date sent to Censor:
Censor decision: / Approved / Not approved
Date registrar notified of outcome:

Variation to RACGP Diversity of Training Requirement Form v2.0 25.01.2017.docx

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