Many of our supervised GPs will be starting their first General Practice job in Australia in 2019. For this reason, we have put together an overview regarding AHPRA’s supervision requirements for General Practice under each level of supervision.
DO I NEED SUPERVISION?
Are you an International Medical Graduate (IMG)?
Yes – If you have been granted Limited or Provisional Registration with AHPRA, you’ll be required to complete a minimum of 12 months supervised practice in Australia.
No – So long as have been granted Provisional Registration and you have already undertaken a period of supervised practice in Australia or New Zealand- i.e. an accredited Internship, these requirements are not applicable.
WHO CAN PROVIDE SUPERVISION?
In our experience, AHPRA can be very strict with regards to their Supervision Guidelines. As a general rule, supervisors should be Vocationally Registered and have held their Specialist AHPRA Registration in the field of General Practice for a minimum of 3 years.
Let’s get technical! Principle Supervisors & Co-Supervisors must not:
- have conditions imposed on their AHPRA registration or undertakings accepted by the Board as a result of health, performance or conduct issues.
- be a relative or domestic partner of the IMG, and
- be an employee of the IMG.
If your either supervisors have been grandfathered – i.e. Weren’t required to sit for GP Fellowship before being granted Specialist Registration with AHPRA, this will need to be noted in the SPPA-30 Supervision Plan. It’s also recommended to provide evidence of the grandfathering by way of an advice letter or email confirmation if possible.
DO I NEED TO NOMINATE TWO SUPERVISORS?
AHPRA requires two supervisors, both a Principle and Co-Supervisor, to be nominated to ensure the appropriate level of supervision and support is provided to enable safe practice.
We have found that it is unlikely AHPRA will approve a supervision arrangement with only one supervisor nominated, especially for level one supervision.
ARE THERE LIMITS TO HOW MANY GPS CAN BE SUPERVISED AT ANY ONE TIME?
Yes, supervisors who do not consult with their own patients can provide supervision to a maximum of 4 GPs including more than one on level one supervision.
Supervisors who do consult with their own patients can provide supervision to a maximum of 1 GP on level one supervision, in addition to 3 GPS on levels two, three or four but no more than 4 GPs in total.
SO, WHAT’S REQUIRED UNDER EACH LEVEL OF SUPERVISION?
Level One Supervision
In our experience, IMG’s gaining registration for the first time are likely to get level one supervision.
Under level one supervision the Principle Supervisor and Co-Supervisor are directly responsible for each individual patient the Supervised GP consults with.
- A supervisor must be physically present in the practice at all times while the supervised GP practices (Supervision via phone or any other telecommunication is not acceptable).
- The supervised GP must consult with their supervisor about the management of each patient before concluding the consultation and before the patient leaves the practice.
Level Two Supervision
Under level two supervision both the supervised GP and supervisors share the responsibility of each individual patient. For this reason, the supervisors are to ensure the level of patient management undertaken by the supervised GP is based on their knowledge and level of competency.
- Supervision via phone or any other telecommunication is acceptable, however a supervisor must be physically present in the practice for a minimum 80% of the time the supervised GP practices.
- The supervised GP must consult with their supervisor daily about the management of individual patients.
Level Three Supervision
Under level three supervision the supervised GP is directly responsible for each individual patient.
- A supervisor must ensure that there are measures in place that enable the monitoring of the supervised GP and safe practice.
- The supervised GP is permitted to work alone, so long as a supervisor is contactable via phone or video link.
Level Four Supervision
Under level four supervision the supervised GP is directly responsible for each individual patient.
- A supervisor must oversee the supervised GP’s practice and must be available for consultation should it be required.
- A supervisor must periodically conduct reviews of the supervised GPs practice.
DO I NEED SUPERVISION WHEN WORKING IN AFTER-HOURS, ON-CALL, HOME VISITS OR LOCUM SERVICES?
Supervision requirements apply at all times, regardless of the type of clinical work being undertaken by a supervised GP. The appropriate level of supervision requirements must be followed even if working in after-hours, on-call, home visits or on a locum.
HOW PEOPLE MEDICAL CONSULTING CAN HELP YOU:
Contact us directly on [email protected].
Information for this blog has been taken directly from:
People Medical Consulting are a team of professionals with a passion for guiding those specialising in the Medical industry to find their career pathway and settle into Australia. Working with both Australian trained and Overseas trained professionals, we have extensive experience in Recruitment of General Practitioners and Document Assistance for those requiring support with RACGP, AHPRA, 19AA and 19AB Medicare Exemptions.