AHPRA Proposal to Refuse Registration- What do I do?

Here at People Medical Consulting we like spreading what we know and giving you a clear pathway to your career. We’re answering a different question each week based on queries raised via our Facebook Instagram profiles.


This Week’s Question…?


AHPRA has given me a proposal to refuse my application- what are my options?


When you apply for AHPRA Registration, your application with all the supporting documents goes to the Medical Board for review. That is why it is so important to have your Position Description and Supervision Plan completed correctly and with as much supporting information as possible.


The board will consider all these documents, plus your PESCI result. They will then make a decision based on the evidence they have, your experience and your performance in the PESCI.


We are seeing a lot of proposal’s to refuse recently through from AHPRA. The key reasons applications are getting refused are due to:

  • PESCI results- how many times you have been unsuccessful in passing your PESCI? What are the time frames between your PESCI attempts? They will also look at your overall PESCI results and improvements or additional requirements that are commented on in PESCI provider’s recommendations.
  • Supervision- whether there is the availability of two supervisors who are able to meet AHPRA’s supervision guidelines. It’s really important to remember that a doctor working in Australia for the first time will have either Level 1 or Level 2 supervision (most likely- there are always some exceptions!). This level of supervision requires two VR doctors with 3+ years of General Practice experience to be available onsite at least 80% of the time (Level 2) or 100% of the time (Level 1). There is no guarantees of getting Level 2 supervision so your supervisors should be prepared to offer Level 1 before you proceed. Read the guidelines here: http://www.medicalboard.gov.au/Registration/International-Medical-Graduates/Supervision.aspx
  • Experience- Your total experience in your field of medicine (Hospital or General Practice) and whether it relates to the type of job you’re seeking registration for. Be aware, they will look for discrepancies in information provided (for example, the AHPRA CV you provide compared to your certificate of good standing).
  • Recency of practice – AHPRA will look at how recently you practiced, whether it meet the standard and other gaps in your clinical practice. Read the standard for this here: https://www.ahpra.gov.au/Registration/Registration-Standards/Recency-of-practice.aspx


AHPRA’s key goal is to ensure patient safety, so while it appears unfair the aim is to ensure everyone who has registration is practicing safely.

If you get a refusal proposal, AHPRA will make it clear why they are considering refusing you which gives you an insight to their concerns and the opportunity to demonstrate how you intend to practice safely specifically addressing their concerns.


The key things you will need to remember are-

  • You will have a maximum of 30 days to provide a response that challenges AHPRA’s proposal to refuse your registration.
  • If a response is not received, or the response received does not address the specific concerns AHPRA have for the basis of their refusal then your application will formally be rejected.
  • If your application is rejected, then any future applications for registration will need to be made in full from this time onwards (i.e. fresh application, full process). You will also need to identify that you have had a prior refusal.
  • Once you have provided AHPRA with a response, your application will be sent back to the Medical Board for review at the next available meeting date.


Our team have been spending time reviewing proposals for refusals and suggesting plans of action for doctors which range from withdrawing their application and undergoing further training, observing or experience all the way through to helping fight AHPRA’s decision and putting together a strong case for approval.


If there is something we can do to help, please let us know.


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,   Migration for all with a special emphasis on Medical and   Document Assistance for those requiring support with RACGP, AHPRA, 19AA and 19AB Medicare Exemption

Related Articles