postgraduate medical council of western ......the australian defence force academy, she completed...

POSTGRADUATE MEDICAL COUNCIL OF WESTERN AUSTRALIAANNUAL REPORT

2015–2016

CONTENTS>

CONTENTS ><

This report is available online at www.pmcwa.health.wa.gov.au

For further information please contact: Postgraduate Medical Council of Western Australia 189 Royal Street, EAST PERTH WA 6004 PO Box 8172, Perth Business Centre WA 6849 Tel: +61 (08) 9222 2125 | Fax: +61 (08) 9222 2130 | Email: [email protected]

ISSN: 2205-0868

www.pmcwa.health.wa.gov.au

mailto:www.pmcwa.health.wa.gov.au?subject=

POSTGRADUATE MEDICAL COUNCIL OF WESTERN AUSTRALIAANNUAL REPORT 2015 - 2016

1

CONTENTS ><

1 CONTENTS

1 CoNteNtS 1

Letter to Minister from PMCWA Chair 2

2 exeCutIve Summary 5

3 our vISIoN 8

4 operatIoNal StruCture 9

Purpose of the Council 10

5 memberShIp 11

Council Members 2015–16 12

6 performaNCe maNagemeNt framework 20

Roles and Responsibilities of PMCWA 20

Responsibilities of Council 21

Strategic Management Framework 22

7 ageNCy performaNCe 24

PMCWA 2015–16 Activities 24

Achievement Against Strategic Goals 25

8 aCCredItatIoN program 32

Site Surveys and Reports 32

PMCWA Accreditation 32

Accreditation and Standards Committee 33

Australian Medical Council Accreditation 33

Community Residency Program 34

9 eduCatIoN program 36

Professional Development Programs 36

Education Committee and Network Groups 37

Project Funding 38

Western Australian Clinical Educator and Junior Doctor Award Winners 39

Medical Careers Expo 40

Medical Education Symposium 41

10 JuNIor medICal offICer forum report 42

11 CeNtralISed reCruItmeNt proCeSS 45

Interns 45

ResidentMedicalOfficers 45

12 data maNagemeNt proJeCt 46

13 SIgNIfICaNt ISSueS ImpaCtINg pmCwa 47

14 dISCloSureS aNd legal ComplIaNCe 47

Financial Statement Year 2015–16 47

15 appeNdICeS 48

Appendix 1: Accreditation Surveys 48

Appendix 2: Health Site Internal Reviews 49

Appendix 3: Committees and Memberships 2015–16 50

Full Council 2015–16 50

Accreditation and Standards Committee 2015–16 51

Education Committee 2015–16 52

Executive Committee 2015–16 53

Medical Education Network Group 2015–16 54

JuniorMedicalOfficer Forum 2015–16 55

16 lISt of abbrevIatIoNS 56


2

CONTENTS ><

The Honourable John Day BSc BDSc MLA 11th Floor Dumas House 2 Havelock Street WEST PERTH WA 6005

Dear Minister,

It gives me great pleasure to forward the report of the Postgraduate Medical Council of Western Australia (PMCWA), for your information and for presentation to Parliament.

ThishasbeenthefirstfullfinancialyearsincePMCWAwasestablishedasaMinisterialCouncil.

I highlight recent developments in education of doctors after they graduate and before they begin vocational training in their specialty of choice.

On graduation from medical school, the new doctors are only part way through the medical training pipeline. They may have to train for a further 5-10 years to complete trainingintheirchosenareaofmedicalpractice.PMCWAoverseesthefirstportionofthetrainingpathway,beforedoctorsenterupontheirfinalcareerpathwhichmaybeGeneral Practice or a hospital specialty. More supervision is needed by doctors in their early prevocational years than in the later years of their training. Looking forward, there are four major issues facing PMCWA to ensure appropriate training and education of prevocational trainees is maintained.

Increasing graduate NumbersAt the end of 2016, there will be 367 Western Australian (WA) medical graduates, comprising 331 domestic students and 36 non-domestic WA medical graduates. This number has more than tripled since 2004, when there were 107 graduates from the single medical school at the University of Western Australia.

The announcement of a new medical school at Curtin University will add a further 60 medical graduates in 2022, growing to 110 by 2028. At that point, the three universities graduating doctors in WA may produce in excess of 450 new doctors per year, (1 per 5000 population) in comparison to New South Wales in 2016 supporting 952 interns (1 per 8000).

Postgraduate Medical Council of Western Australia 189 Royal Street, East Perth WA 6004

PO Box 8172, Perth Business Centre WA 6849 Tel (08) 9222 2125 Fax (08) 9222 2130

Email: [email protected]


3

CONTENTS ><

Finding worthwhile clinical exposure for the large number of prevocational doctors represents a major challenge, which PMCWA will be focussing on for the next four years as there is already extensive use of hospital and community, metropolitan and rural positions in WA. This includes privately funded hospitals, General Practices, outreach such as Silver Chain, rural training sites and Aboriginal Medical Services. Meaningful clinical exposure is important not only for training, but to ensure that these doctors have the skills to provide safe and high quality patient care.

pressure on SupervisorsPMCWA acknowledges the major contribution of the supervisors of prevocational doctors, to the training of our future senior medical workforce in WA. Supervision is important for prevocational training, but also crucial for safe and optimal patient care.

At a time when the number of experienced specialist supervisors has little changed, further increases in the number of prevocational trainees presents a challenge in providing adequate training and supervision. The marked increase in graduates has stretchedthecapacityofqualifiedsupervisorsinWA.Thisloadwillworsenasgraduatenumbers increase.

appropriate Clinical training SitesPMCWA is conscious that increased numbers of trainees may threaten dilution of training for our future senior medical workforce. Appropriate clinical training places to prepare young doctors for clinical care have been broadened extensively into community, rural and privately run sites across WA. Access to appropriate sites for training, and to time of supervisors, will continue to be the focus of PMCWA as further broadening may lead to reduced appropriate clinical exposure.

patient Care and SafetyGood supervision and training of early prevocational doctors is essential for patient care and safety. Large numbers of inexperienced trainees, paucity of experienced supervision and reduced access to adequate clinical experience, responsibility and workload are the major issues PMCWA addresses to protect patient care and safety; together with ensuring adequate training and supervision of prevocational trainees. The establishment of PMCWA as a Ministerial Council has provided much needed support and warrant to address and provide solutions in the future.





4

CONTENTS ><

Support from Council, Committee members and volunteer SurveyorsI would like to express my appreciation for the contributions from all who serve on Council, on the committees of PMCWA, and the many volunteer surveyors who give of their time and expertise. Surveyors come from varied backgrounds, spanning hospital medicine, General Practice, hospital administration, and trainee doctors.

Each gives of their time and expertise willingly to ensure all prevocational doctors work in safe terms and patients continue to receive optimal patient care.

I also thank the very many trainee doctors who have supported the work of PMCWA in the past, and who continue to do so.

WeenjoyexcellentsupportfromandcollaborationwiththeOfficeofChiefMedicalOfficer,WADepartmentofHealth.

IthankthesecretariatatPMCWAwhohaveprovidedmagnificentsupporttotheworkof Council, and have enabled continuing improvement in training our future senior medical workforce in WA. They have unstintingly, cheerfully and professionally coped with a very large increase in the accreditation workload this year.

Finally, I thank you as Minister for supporting PMCWA as a Ministerial Council.

Professor Richard Tarala BSc, MBChB, FRCP, FRCPE, FRACP, DMedEd

Chair, Postgraduate Medical Council of Western Australia





5

CONTENTS ><

2 EXECUTIVE SUMMARY

the postgraduate medical Council of western australia (pmCwa) provides leadership and support for early postgraduate medical education and training in western australia (wa). founded in 2003, pmCwa was formalised as a ministerial Council (Council) on 4 may 2015 and is accountable to the minister for health via the director general.

The strategic goals for PMCWA are divided into four key areas:

1. Leadership and Governance

2. Development and Accreditation of Training Posts

3. Education, Supervision and Assessment

4. Career Transition and Support

PMCWA works at national, state and local levels on issues relating to postgraduate medical education and training. This includes participation in the Confederation of Postgraduate Medical Education Councils (CPMEC), the National Medical Intern Data Management Working Group (NMIDMWG), WA Health Clinical Training Network, International Medical Graduate Advisory Group and Medical and Dental Workforce Council. PMCWA also provides advice and input to bodies such as the Australian Health Ministers’ Advisory Council (AHMAC). PMCWA supports a Junior MedicalOfficer(JMO)Forumthatprovidesa platform for prevocational trainees (PVTs) to discuss and action issues relevant to prevocational supervision, education and training, recruitment, accreditation, workforce, allocation and welfare.

PMCWA’s accreditation program provides assurance that high standards of prevocational training are achieved for all internandresidentmedicalofficer(RMO)training placements in WA Health and many RMO positions in private hospitals. In addition, PMCWA accredits all community residencies in General Practice, outreach services such as Silver Chain, rural training sites and Aboriginal Medical Services.

In 2015-16 formal reviews of 154 units and health sites were carried out through 30 PMCWA accreditation surveys. The accreditation of the new St John of God Midland Public Hospital (SJOGMPH) was undertaken and a full accreditation site survey of Royal Perth Hospital (RPH) was successfully completed. The achievement of this program would not be possible without a dedicated team of largely voluntary surveyors working to ensure clinical education and training meets or exceeds approved accreditation standards and criteria. PMCWA has also overseen the accreditation of the WA Country Health Service (WACHS) as a Primary Employing Health Service (PEHS), a huge piece of work of which the outcome was that interns may be employed by WACHS for the 2017 clinical year.


6

CONTENTS ><

From 11–13 August 2015 PMCWA hosted a team of Australian Medical Council (AMC) accreditors, who observed accreditation activities and interviewed PMCWA stakeholders in order to authorise PMCWA as an intern accrediting authority. Following the visit, the AMC awarded PMCWA accreditation for the maximum periodoffiveyears,withfeedbackpraisingPMCWA’s effective leadership, stakeholder engagement and accreditation processes.

The AMC team recognised PMCWA’s effortsinmanagingconflictsofinterestandindependence despite the small medical community in which PMCWA operates. The report also included commendations inrespectofeachofthefivedomainsassessed by AMC – governance, independence, operational management, accreditation processes, and stakeholder collaboration.

PMCWA provided educational events and professional development programs for junior doctors and those involved in prevocational medical education and training. Events included a Medical Careers Expo, attended by 358 medical students and prevocational doctors, and a Medical Education Symposium, attended by 60 delegates. PMCWA also supports a Medical EducationOfficers’(MEO)NetworkGroup,the JMO Forum and coordinates WA Clinical Educator and Junior Doctor Awards on behalf of CPMEC.

PMCWA has overseen the distribution ofspecificprojectgrantfundingtoPostgraduate Medical Education Units (PGMEUs) in WA public hospitals throughout the course of 2015-16. PMCWA received applications for 12 projects. Of these, seven were endorsed; projects supported by PMCWA in 2015-16 included:

> Teaching on the Run program

> RMO to registrar transition workshops – Step Up

> JMO leadership program

> RMO communication skills training

PMCWA coordinated the centralised recruitment of 316 interns for intern positions in 2016. A total of 551 valid intern applications were received. For the centralised RMO recruitment, 877 RMOs were recruited for RMO positions in 2016. 1481 RMO applications were received of which 1165 (78.6% of applicants) were selected to the suitable pool.

Anothersignificantachievementforthe2015-16financialyearhasbeenPMCWA’sestablishment of a software system that captures and manages all data on the prevocational medical workforce. Since July 2015, application and allocation data for interns, RMOs, service medical, and service surgical registrars has been collected centrally in the primary recruitment system MedJobsWA, managed by PMCWA.


7

CONTENTS ><

This has allowed visibility of movement of prevocational doctors through the medical training pathway. The data collected provides a central repository of information for WA which collates information on all prevocational doctors and vocational training registrars across all colleges. The availability and quality of the collected data and the subsequent understanding of the prevocational medical workforce within WA public hospitals, has assisted PMCWAandOfficeoftheChiefMedicalOfficertoalignwiththeWADepartmentof Health’s (the Department) strategic workforceplanningpriorities.Thefinalaimof the MedJobsWA project is to achieve a centralised process for recruitment of the whole medical workforce.

During 2016 PMCWA administered the Community Residency Program (CRP) with WACHS and Silver Chain. The CRP is an opportunity available to RMOs to undertake a metropolitan placement with Silver Chain or a rural placement with WACHS. At Silver Chain, RMOs may work in either Hospital in the Home or Palliative Care. With WACHS, the RMOs may go on secondment from a Perth tertiary hospital to Derby, Karratha or Kalgoorlie, or be employed by WACHS in Geraldton or Broome. In the 2016 clinical year, there are 75 RMOs enrolled on the CRP.

The principal challenges for PMCWA will be to continue to seek worthwhile clinical exposure for an increasing number of prevocational doctors, ensure access to appropriate clinical training sites and monitor the stretched capacity of JMO supervisors. There will be great pressure in future years to identify additional siteswhichhavebothsufficientclinicalexperience and appropriate supervisors, without dilution of training for our future WA senior medical workforce.

PMCWA’s activities of accreditation, education, centralised recruitment and data management supported by the ongoing commitment of Council members are essential to achieving PMCWA’s vision for prevocational doctors to be skilled and supported in their work today and well prepared for the future.


8

CONTENTS ><

3 OUR VISION

pmCwa’s vision is for ‘prevocational doctors, skilled and supported in their work today and well prepared for the future’.

prINCIpleS

the principles that underpin the way the Council works and makes decisions are:

leadershipThe Council will be well informed and able to provide well considered advice and recommendations on all matters related to postgraduate medical education.

professionalismThe Council will operate in an ethical and professional manner and demonstrate integrity in all its dealing.

CollaborationThe Council will be inclusive, consultative and constructive in working with members, partners and stakeholders.

InnovationThe Council will encourage and embrace innovation and be open to new ideas.

proactivityThe Council will be forward thinking, respond to issues promptly and show initiative.

valueS

the values on which the Council will base its business are:

trustThe Council will be reliable, impartial andfairandwillmaintainconfidentialityof information that should remain confidential.

respectThe Council will acknowledge and be considerate of people and their contributions.

CommitmentThe Council will be dedicated and enthusiastic in achieving its goals.

opennessThe Council will demonstrate responsibility and accountability in its operations and activities.


9

CONTENTS ><

4 OPERATIONAL STRUCTURE

minister for health

Chief Medical Officer

postgraduate medical Council of western australia

executive Committee

accreditation Committee Senior data analyst

Position 00010228 PSGA Level 7

Program Officer (edu)


administration Officer


Senior Development Officer


Program Officer Position 00011108

PSGA Level 5

Program Officer (aCCr)


administration Officer


education Committee

Jmo forum

meo Network group

medical education registrar (mer) Network group

Chair Ministerial appointment

manager Position 00001548

PSGA Level 8


10

CONTENTS ><

PURPOSE OF THE COUNCIL

the purpose of the Council is to monitor performance and to assist pmCwa to perform to its best potential.

Strategy and policy

> Approve the four-yearly strategic plan and ensure that it is embedded into PMCWA operations

accountability

> Overall performance of PMCWA

> Council evaluation, succession planning

> Report outcomes of operations to PMCWA stakeholders

public relations

> Represent and participate

> Keep stakeholders informed

> Promote the strategic goals and vision

> Protect the interests of the stakeholders

> Speak as a united voice regarding Council decisions

risk management

> Ensure there is an up-to-date risk management strategy

> Monitor risks


11

CONTENTS ><

positions on Council are representative, however in making appointments to Council consideration is given to ensuring appointees have an appropriate balance of skills, qualifications and experience as appropriate to the functions of the Council.

Recommendations for appointment of Chair and Ministerial delegate are made by the Minister for Health.

Nominations for representation from other representative groups as described in the members list are requested by the Chair of Council.

MEMBERSChair of Council

ChiefMedicalOfficer,WADepartmentofHealth(DeputyChair)

Representative of WA Country Health Service (WACHS)

Representative of Medical School Deans

Representative of WA Clinical Training and Evaluation Centre (CTEC)

Representative of Medical Directors, Teaching Hospitals

Representative of Royal Australasian College of Physicians (RACP)

Representative of the Registration Committee, WA State Committee Medical Board of Australia (MBA)

Representative of Directors of Postgraduate Medical Education (DPGME)

Representative of Royal Australian College of General Practitioners (RACGP)

Representative of Private Hospitals

Representative of the Australian Medical Association (AMA), Doctors in Training (DiT) Committee

Representative of PMCWA JMO Forum

EX-OFFICIOExecutiveOfficer,PMCWA

Chair, PMCWA Accreditation and Standards Committee

Chair, PMCWA Education Committee

5 MEMBERSHIP


12

CONTENTS ><

COUNCIL MEMBERS 2015–16

prof richard tarala Chair, Postgraduate Medical Council of Western Australia

Professor Richard Tarala graduated in medicine and in science from Edinburgh University in Scotland, and worked clinically in the United Kingdom and United States of America before migrating to Australia. He trained in respiratory medicine in the UnitedKingdom,andhasqualificationsasaphysicianandinmedicaleducation.

Following an appointment at the University of Western Australia and as a physician at Fremantle Hospital, he moved to Royal Perth Hospital (RPH), where he was inaugural Head of Respiratory Medicine. He subsequently became Director of Postgraduate Medical Education at RPH. He has a long interest in medical education particularly prevocational education of doctors, and was a member of the bodies that preceded PMCWA. He has undertaken accreditation reviews interstate, and has been Convenor of the Prevocational Medical Accreditation Network covering Australia and New Zealand since its establishment in 2005. He has chaired the PMCWA Accreditation and Standards Committee since 2003 and has been Chair of Council since 2013. In 2010, Professor Tarala was awarded the National Clinical Educator of the Year by Confederation of Postgraduate Medical Education Councils (CPMEC). He is a member of two committees of the Australian Medical Concil namely the Prevocational Standards Committee and the Medical School Accreditation Committee; and is Chair of the CPMEC of Australia and New Zealand.


13

CONTENTS ><

prof gary geelhoed ChiefMedicalOfficer;AssistantDirectorGeneral–ClinicalServices&Research– WA Department of Health

Professor Gary Geelhoed is a Paediatric Emergency Physician who received his qualificationslocallyattheUniversityofWesternAustralia.PriortocommencingasChiefMedicalOfficer,ProfessorGeelhoedworkedasDirectoroftheEmergencyDepartment at Princess Margaret Hospital for Children for 21 years.

He is a past President of the Australian Medical Association, WA [AMA (WA)], and current Federal and AMA (WA) Councillor. Professor Geelhoed’s main research interest lies in acute respiratory illness in children.

prof brian andrews Associate Dean, University of Notre Dame, Fremantle

Professor Brian Andrews graduated with a Bachelor of Science (Med) (Hons), Bachelor of Medicine, Bachelor of Surgery (Hons) from the University of Sydney in 1969. He completed his internship and internal medicine training at Sydney Hospital. After completing his Doctor of Medicine in Immunology he moved to the United States of America in 1976 for further postgraduate research training.

Professor Andrews returned to Australia in 2009 after spending time as a research fellow (Immunopathology) at the Scripps Clinic and Research Foundation, Assistant Professor (Rheumatology) at the University of Virginia, Associate Professor (Rheumatology) and later Professor of Medicine and Chief of Rheumatology at the University of California. His research interests have involved immune complexes, dengue virus and endothelial cells, macrophage function in human disease, scleroderma and tissue factor.

Professor Andrews is the Associate Dean (Clinical) at the University of Notre Dame Australia, Fremantle. He was promoted to Professor of Medicine in 1986 and assumed the role of Chief of Rheumatology in 1994.

He is currently an active Fellow of the Royal Australasian College of Physicians, American College of Physicians, American College of Rheumatology and the American College of Asthma, Allergy and Immunology.


14

CONTENTS ><

dr melita Cirillo Haematology Advanced Trainee, PathWest at Fiona Stanley Hospital

Dr Melita Cirillo is currently working as a Haematology Advanced Trainee for PathWest at Fiona Stanley Hospital (FSH). After training in WA, Dr Cirillo interned at Royal Perth Hospital (RPH) in 2008. She later moved to King Edward Memorial Hospital in residency. A sea change took her to work in Hawkes Bay, New Zealand as a medical registrar in 2010. Returning to RPH in 2011, she completed basic physician training and then started Haematology advanced training which is ongoing. Currently, she also works part-time as the Senior Medical Education Registrar at FSH coordinating physician training at this site. In addition to clinical duties, Dr Cirillo has maintained a strong interest in junior doctor advocacy and training issues. She has been a committee member with the Australian Medical Association WA Doctors in Training (DiT) since 2008, chairing that committee in 2013 and 2014. She joined the PMCWA Executive Committee in 2013.

She has regularly represented WA junior doctors at national conference such as the AMA Council of DiTs and AMA national conferences. She has a passion to motivate junior doctors towards research and education and enjoys mentoring and teaching.

dr elise brigden JMO Co-Chair, PMCWA

Dr Elise Brigden joined the Royal Australian Navy (the Navy) in 1999 and studied electrical engineering at the University of New South Wales. After graduating from the Australian Defence Force Academy, she completed training as an electrical engineeringofficerandenjoyedseveralyearsofserviceincludingdeploymentsaround Australia and across the world. In 2010 Dr Brigden left the Navy to study medicine at the University of Notre Dame Australia, Fremantle. Following graduation in 2013 she commenced work as a doctor, completing internship at Fremantle Hospital and subsequently working from commissioning at Fiona Stanley Hospital.


15

CONTENTS ><

prof Jeffrey hamdorf Professor of Surgical Education, University of Western Australia School of Surgery Director, Clinical Training and Evaluation Centre

Professor Jeffrey Hamdorf is Professor of Surgical Education within the University of Western Australia (UWA) School of Surgery and Director of the Clinical Training andEvaluationCentrewhichhasadefinedfocusontheteachingofmedicalandsurgical skills in the workshop and simulation modalities. He has had a sustained interest in and commitment to medical and surgical education. Over an extended period of time he has been an active participant or Chair of UWA Faculty committees relating to teaching and learning, curriculum development, summative assessment and student progress. At the medical postgraduate level he has been involved with the education of surgical trainees through various roles in the Royal Australasian College of Surgeons (RACS).

Professor Hamdorf is an Upper Gastrointestinal surgeon with a particular interest in weight management surgery supported by a multi-disciplinary team. He has been invited to participate in professional surgical fellowships at several prestigious institutions in the United States of America and to represent RACS on the international working party on metrics for surgical simulation. Professor Hamdorf has previously served a term as Head of the School of Surgery at UWA and was inaugural Professor of Medical Education in the faculty.

dr Nat lenzo Consultant Nuclear Medicine

Dr Nat Lenzo is an Acute/General Medicine Physician and Nuclear Medicine Specialist with interests in Molecular Imaging and Radionuclide Therapy. He practices Acute Medicine and Nuclear Medicine at Fiona Stanley Hospital, General Medicine at St John of God Murdoch Hospital and Molecular Imaging/Radionuclide Therapy of Cancer at Hollywood Private Hospital.

Trained at the University of Western Australia (UWA), Dr Lenzo undertook specialty training in Internal Medicine, Nuclear Medicine and Molecular Imaging in Perth, Melbourne, Sydney and the United States of America (University of Michigan). As a Clinical Associate Professor in Medicine, he teaches medical students (UWA and University of Notre Dame, Fremantle) and basic and advanced trainees in Medicine and Nuclear Medicine.

Previously he was the Director of the Acute Medical Unit at Fremantle Hospital (2013-2014) and Head of General Medicine at Fremantle Hospital (2011-2013). Before that he held positions as Head of Nuclear Medicine at Royal Perth Hospital (2001-2006) and Head of the WA PET Cyclotron Service at Sir Charles Gairdner Hospital (2002-2006).


16

CONTENTS ><

dr tim koh Chair, Royal Australian College of General Practitioners WA Faculty Board

Dr Tim Koh has been the WA Faculty Chair of the Royal Australian College of General Practitioners (RACGP) since 2014.

Dr Koh has been involved in teaching with the RACGP WA Faculty and regional training provider WA General Practice Education and Training Ltd since 2002. He has served the RACGP WA Faculty as Assessment Panel Chair for six years and Education Committee Chair for four years. Dr Koh became WA Faculty Deputy Chair in 2010 and was subsequently nominated WA Faculty Chair in 2014.

Dr Koh is a full-time practicing General Practitioner (GP) and practice principal at a family practice in Perth. He is a GP supervisor and continues to supervise and mentor GP registrars and medical students. Dr Koh’s interests include medical education, immunisation and innovation in practices.

prof Constantine michael Chair, WA Board of the Medical Board of Australia

Professor Constantine Michael is the Chair of the WA Board of the Medical Board of Australia and a member of the Australian Health Practitioner Regulation Agency Management Committee. Professor Michael is Emeritus Professor of Obstetrics and Gynaecology at the University of Western Australia and adjunct Professor of Medical Education at Curtin University. He is also a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists. In 2001, Professor Michael was namedanOfficeroftheOrderofAustraliaandwasarecipientoftheCentenaryofFederation medal in 2003.


17

CONTENTS ><

dr david oldham Director of Clinical Training, the Fiona Stanley Fremantle Hospitals Group

Dr David Oldham is currently the Director of Clinical Training at Fiona Stanley Fremantle Hospitals Group, Hospital Liaison General Practitioner (GP) at Sir Charles Gairdner Hospital (since 2003), and a part-time GP in Wembley Downs. He has previously held positions as Medical Director of DonateWest (2003-2004) and Medical Educator with the Royal Australian College of General Practitioners Training Program (1993-2001).

Dr Oldham has been on the PMCWA Accreditation Committee since 2005 and Deputy Chair of that committee since 2013. He has been on PMCWA Executive Committee and Council since February 2013.

dr tony robins Executive Director Medical Services, WA Country Health Service

Dr Tony Robins graduated from the University of Western Australia (UWA), completing his Bachelor of Medicine, Bachelor of Surgery in 1990. He obtained Fellowship of the Royal Australian College of General Practitioners in 1996 and completed a Master of Business Administration from the UWA Business School in 2007. He obtained Fellowship of the Royal Australasian College of Medical Administrators in 2014, having been admitted to membership in 2002.

Dr Robins has been awarded the Australian Active Service Medal, the Australian Defence Medal and the United Nations Medal (Somalia).

DrRobins’careerhasincludedserviceasaflightsurgeonintheRoyalAustralianNavy and an active service deployment with the United Nations to Somalia. Other career highlights include service with the Royal Flying Doctor Service, working in the United Arab Emirates, Papua New Guinea and Antarctica.

Prior to commencing at the WA Country Health Service, Dr Robins’ experience in medical education has included private practice, Fremantle and Royal Hobart Hospitals, and most recently seven years as Director of Medical Services at St John of God Murdoch and Subiaco Hospitals.

Dr Robins has a special interest in the development of innovative medical education systems for prevocational medical practitioners. His research interest is focused on the applicability of developed world models of health systems management to emerging health contexts.


18

CONTENTS ><

dr mark Salmon Executive Director Medical Services, Child and Adolescent Health Service

Dr Mark Salmon, Bachelor of Medicine, Bachelor of Surgery (1982), Masters Health Administration (1992), Fellow of the Royal Australasian College of Medical Administrators(1992)isaseniormanagerwithspecialistqualificationsinhealthadministration. Dr Salmon has worked in public hospitals for nearly 30 years. Dr Salmon is currently Executive Director Medical Services at Child and Adolescent Health Service (which includes Princess Margaret Hospital). In the role Dr Salmon chairs a range of committees in relation to governance, medical staff appointment, credentialing and record management. Dr Salmon is also an experienced surveyor inthefieldsofhealthcarestandardsandpostgraduatemedicaleducation.

dr margaret Sturdy ChiefExecutiveOfficer,PeelHealthCampus(RamsayHealthCare)

Dr Margaret Sturdy is a medical manager with 22 years of experience.

Dr Sturdy was involved in the privatisation of the then Repatriation General Hospital Hollywood,whenin1994RamsayHealthCaretookoveroperationasthefirstlargeprivate teaching hospital in Australia.

In her role as Medical Administrator and later the Director of Medical Services at Hollywood, it was crucial to ensure the roles, responsibilities and accountabilities of the medical staff, both at the consultant level and the junior staff level through this important transition. These roles, responsibilities and accountabilities were clearly articulated to ensure the establishment and maintenance of meaningful and manageable staff attachments, which support education and training as well as clinical risk management.

Dr Sturdy was involved with the Intern Training and Accreditation Committee, she was an inaugural executive member of the Prevocational Training and Accreditation Committee and has been a member of the PMCWA since it was established. Dr Sturdy was involved in the drafting of the accreditation standards, and is an active accreditation surveyor.


19

CONTENTS ><

dr greg Sweetman Director Medical Education, Fiona Stanley Hospital

After graduation, Dr Greg Sweetman spent several years as a solo rural General Practitioner in the Wheatbelt of WA. Dr Sweetman had a career as a specialist inEmergencyMedicineformorethan20years,withpostgraduatequalificationsin anaesthesia, obstetrics, medical education, ultrasound and health services management. In addition to long standing teaching of junior medical staff, Dr Sweetman has had an interest in medical curriculum design and assessment methods. In recent years his published research has included the use of ultrasound to teach clinical anatomy and models for training in ultrasound. Clinical manager roles have included several periods as a head of service in emergency departments and Director of Clinical Training.

The current position Dr Sweetman holds involves overseeing the educational needs of medical students, 125 interns, 250 RMOs and approximately 400 registrars in training. This role is assisted by a team of specialist educators in medicine, and simulation training.

prof alistair vickery Professor, Faculty of Medicine, Dental and Health Sciences, University of Western Australia Chair, PMCWA Education Committee

Professor Alistair Vickery is a General Practitioner (GP) who has had an active involvement in medical education and research. His clinical interest is in the management of obesity and chronic disease. He has focused on lifestyle management, medical therapy and surgical treatment for obesity. His research is in health service design and determinants of health. He is Chair of Black Swan Health, a primary health service company with a focus on mental health.

In medical education his experience is across the continuum from undergraduate, prevocationaltovocationaltraining.HewasthefirstDirectorofClinicalTrainingforPrimaryCareinatertiaryhospitalandwasinstrumentalinbeginningthefirstprevocational placements in rural GP settings.

Professor Vickery assisted in the development of Teaching on the Run for specialty and primary care teaching skills. He established and is Director of the Joondalup Community Clinical School, created for inter-professional and multidisciplinary teaching and training of medical students in an outer-urban setting. Professor Vickery has chaired the education committees in vocational training, prevocational training and specialty continuing professional development.


20

CONTENTS ><

6 PERFORMANCE MANAGEMENT FRAMEWORK

pmCwa is established under section 11 of the health legislation administration act 1984 and operates within the principles of the public Sector management act 1994 and the department Codes of Conduct.

ROLES AND RESPONSIBILITIES OF PMCWAestablishmentPMCWA was founded in 2003 to facilitate the training and education of prevocational doctors. On 4 May 2015 PMCWA was formally established as a Ministerial Council and is accountable to the Minister for Health via the Director General.

functionsThe Council’s function is to act in accordance with the Health Practitioner Regulation National Law, as in force in each state and territory, introduced in 2010.

Day-to-day management of the Council is undertaken by the PMCWA secretariat.

The secretariat reports administratively to the Department, however all matters related to the strategic objectives of the Council are reported to the Chair.

InfulfillingtheroleofCouncil,PMCWAoperatesconsistentlywiththestrategicobjectivesof the Department and does not adversely affect the interests of the Government of WA.


21

CONTENTS ><

RESPONSIBILITIES OF COUNCILThe responsibilities of the Council include:

1To provide a leadership role in prevocational medical education and training in WA.

2To provide expert advice to the Minister for Health and the Department on prevocational

medical education and training, accreditation of medical training positions and prevocational medical workforce issues.

3 To identify, evaluate, monitor and promote medical education and training programs, and resources

forprevocationalmedicalofficersand other non-vocational doctors in collaboration with relevant stakeholders.

4 To undertake the accreditation and monitoring of medical prevocational training positions, the

medical training/units and facilities that support prevocational training positions to ensure they meet national and state standards.

5 To notify the WA Board of the MBA of the Council’s recommendations for accredited postgraduate year

one training positions.

6 To establish and maintain linkages to promote communication with education providers ranging from

medical undergraduate to vocational training and continuing medical education, to foster greater sharing of expertise, information and a continuum of medical training.

7 To establish, maintain and promote partnerships with the WA Committee of the MBA, other state/territory

postgraduate councils, CPMEC, the Medical Training Review Panel, AMC, the WA JMO Forum and other relevant organisations, associations and committees.

8 To monitor and advise on the supply, distribution and demand for prevocationalmedicalofficersand

other non-vocational doctors in WA.

9 To promote, undertake and/or contribute to health services research regarding prevocational

medicalofficersandothernon-vocational doctors’ education and training, accreditation and workforce issues.

10 To advocate on behalf of PVTs on matters that impact on health and welfare of prevocational

medicalofficers,includingmattersrelevant to safety and quality.


22

CONTENTS ><

STRATEGIC MANAGEMENT FRAMEWORK

WA

HEA

LTH

STR

ATEG

IC IN

TEN

T 20

15-2

020

KEY

ENAB

LER

- WOR

KFOR

CE

WA Health Strategic Intent

2015-2020 Workforce Enablers

Activities PMCWA Key Priorities

PMCWA Key Strategies

Strive to be employer of choice

with greater attraction, induction

and retention strategies.

Accreditation

Education

Data Management

Project Intern and RMO Centralised

Recruitment

Development and Accreditation of Training Posts

> Support the establishment of new accredited training positions to meet increasing demand.

> Maintain comprehensive, efficient and effective accreditation processes.

Career Transition and Support

> Assist PVTs to identify and navigate through their chosen career path.

> Ensure PVTs are well informed about issues and opportunities.

> Align PMCWA accreditation projects for new hospitals and accreditation standards with national MBA and AMC standards.

> Ongoing accreditation of intern and RMO positions.

> Accreditation review table available online.

> Recruit, train and support surveyors.

> Liaise with health services to address teaching and training issues as they arise.

> Multidimensional targeted communication for employers, surveyors and prevocational doctors.

> JMO Forum and representation. > Review centralised intern and

RMO recruitment.

Improve workforce plans and strategies

to appropriately manage

workforce across the system and into the future.

Advocacy and Representation

Education

Data Management Project

Leadership and Governance

> Influence future developments in postgraduate medical education and training.

> Advocate for resources to support effective postgraduate medical education.

> Promote best practice in prevocational medical education as a key component of clinical governance.

> Advise and advocate on medical workforce development.

> Participate in national and state committees and working parties.

> Plan for increase in medical graduates.

> Engage with UWA to integrate final medical school year with intern year.

> Review Council membership, roles and responsibilities.

> Participate in the Credentialing WA Business Users Group (CredWA BUG) project to develop intern/RMO data synergies.

> Develop and implement improved recruitment software solutions for improved analysis of the prevocational workforce.

> Engage with JMO Forum and provide action and feedback on issues identified at health services.


23

CONTENTS ><

WA

HEA

LTH

STR

ATEG

IC IN

TEN

T 20

15-2

020

KEY

ENAB

LER

- WOR

KFOR

CE

WA Health Strategic Intent

2015-2020 Workforce Enablers

Activities PMCWA Key Priorities

PMCWA Key Strategies

Provide more opportunities

for professional development

through teaching and training to achieve a more

engaged, skilled and satisfied workforce.

Accreditation

Education

Education, Supervision and Assessment

> Provide education programs for prevocational doctors that complement training provided by health services.

> Help ensure high standards of supervision.

> Ensure the competence of prevocational doctors is comprehensively assessed.

> Promote education and teaching as critical to the provision of quality health service delivery.

> Manage current CRP contract. > Develop a CRP beyond 2016. > Improve teaching and training

programs through targeted project funding.

> Professional development for those involved in postgraduate medical education.

> Annual Education Symposium for junior doctors and medical educators.

> Annual Medical Careers Expo for junior doctors and final year medical students.

> Promote professional development opportunities.


24

CONTENTS ><

PMCWA 2015-16 ACTIvITIES AT A GLANCE

7 AGENCY PERFORMANCE

316 interns and

815 RMOs placed via the

2016 centralised recruitment process

358 JMOs and

medical students attended the 2016 Medical Careers Expo

154 units/health sites were accredited

following site surveys or review reports

646 applicants

applied for the 2017 centralised

intern recruitment process

87 surveyors are

signed on to the accreditation

program

1654 applicants applied

for the 2017 centralised RMO

recruitment process

49 vacancies

advertised in MedJobsWA

database in 2015-16.


25

CONTENTS ><

ACHIEvEMENT AGAINST STRATEGIC GOALSKEY AREA 1: LEADERSHIP AND GOVERNANCE

Priority 1: Influence future developments in postgraduate medical education and training.Strategy Achievements 2015-16

1.1.1 Build partnerships and collaborations at national, state and local levels to allow input on relevant issues.

> Representation at the WA Medical Education and Training Committee. > Representation on NMIDMWG and participation in National Audit for 2015 and 2016

intern selections. > PMCWA Chair, elected as Chair of the National representative body, CPMEC for

2016. > Representation at the Department Clinical Training Network and the Department

International Medical Graduate Advisory Group meetings. > Input provided on AHMAC and Health Workforce Principal Committee (HWPC)

agenda items regarding intern training and placement. > JMO Forum support for 2015-16. > Chair and Manager attendance at quarterly MBA (WA Board) Registration

Committee meetings. > Engagement with UWA and Edith Cowan University who are exploring improving

work readiness of final year medical students for their intern year. > Working with the WA medical consultant CredWA BUG and the WA Workforce

Management Steering Committee to develop intern/RMO data synergies. > PMCWA Facebook presence and promotion of PMCWA activities through this

medium. > Regular website updates including information as provided to PMCWA from external

sources. > Attendance by Chair at annual Australasian Prevocational Medical Education Forum

in October 2015.

1.1.2 Maintain a high profile as the peak body for postgraduate medical education.

> Chair PMCWA is currently: > Board member CPMEC (Chair 2016). > Chair of Prevocational Medical Accreditation Network (CPMEC). > Member of the Prevocational Accreditation Committee and the Medical School

Accreditation Committee of the AMC. > PMCWA provides advice to JMO societies as well as the AMA (WA) DiT over issues of

concern on a regular basis (via the JMO Forum as well as ad hoc direct approaches). > A log of requests is maintained.

1.1.3 Provide expert comment and advice on relevant issues.

> Accreditation recommendations are accepted or managed (including revoking accreditation where necessary).

> Ongoing participation in the NMIDMWG. > Advice is provided to the Department on issues related to AHMAC/HWPC. > A log of advice is maintained.


26

CONTENTS ><

KEY AREA 1: LEADERSHIP AND GOVERNANCEPriority 2: Advocate for resources to support effective postgraduate medical education.

Strategy Achievements 2015-161.2.1 Advocate for the inclusion of teaching/training time in clinical positions.

> Ensure PMCWA accreditation standards are met at each site. > Provide comment on issues of teaching and training within clinical placements

referred to PMCWA by the Department and other stakeholders. > Responded to issues arising from the JMO Forum or AMA (WA) DiT committee

related to teaching/training.1.2.2 Advocate for the inclusion of teaching and training in Activity Based Funding models.

> Attendance at weekly Medical Workforce meetings with the Department and provision of input and advocacy on issues such as Activity Based Funding.

> Provision of advice to the Department via the Chief Medical Officer regarding the teaching and training component of the Activity Based Funding model.

KEY AREA 1: LEADERSHIP AND GOVERNANCEPriority 3: Promote best practice in prevocational medical education as a key component

of clinical governance.1.3.1 Develop, monitor, advise and benchmark keyperformance indicators for postgraduate medical education.

> PMCWA standards are aligned to the AMC National Intern Training Accreditation Framework.

> Further work is being progressed towards this.

KEY AREA 1: LEADERSHIP AND GOVERNANCEPriority 4: Ensure strong governance and sustainable resourcing of the Council.

1.4.1 Review governance arrangements of the Council to maintain independence and influence and facilitate good operational management andensure business continuity.

> Full AMC accreditation maintained. > Full staffing of PMCWA secretariat. > Council Charter developed and a Code of Conduct developed. > PMCWA maintains independence from WA Health in its accreditation decisions.

KEY AREA 1: LEADERSHIP AND GOVERNANCEPriority 4: Ensure strong governance and sustainable resourcing of the Council.

Strategy Achievements 2015-161.4.2 Develop and maintain a strong policy framework for the work of the Council.

> Policy framework has been developed and policies have been updated according to schedule.

1.4.3 Secure sufficient and sustainable resources for thework of the Council.

> PMCWA 2015-16 budget allocation included extra staffing to ensure accreditation of all sites affected by new hospital infrastructure.

> Conducted PMCWA activities and work of the Council within agreed budget.


27

CONTENTS ><

KEY AREA 1: LEADERSHIP AND GOVERNANCEPriority 5: Advise and advocate on medical workforce development.

1.5.1 Monitor medical workforce projections.

> A database (MedJobsWA) for the prevocational workforce has enabled accurate data on the composition of the JMO workforce. Some longitudinal tracking of JMO workforce will be possible over time with these data.

> Weekly meeting with the Medical Workforce Branch (chaired by the Chief Medical Officer) to provide input into matters related to the prevocational medical workforce.

1.5.2 Provide input to workforce planning.

> Weekly meetings with the Chief Medical Officer and Medical Workforce at the Department.

> Developed the 2016 CRP with WACHS to offer rural terms to JMOs. > Planning for accreditation of 60-110 new intern places required in 2022 when the

first cohort of Curtin Medical graduates complete studies in 2021.

1.5.3 Advocate for and advise on PVT education and training needs in different health service settings.

> Implemented community placements in rural and remote areas, exposing participating RMOs in community settings which include Aboriginal Medical Services, the Royal Flying Doctor Service and community outreach clinics.

> Placements with Silver Chain services has exposed RMOs to Palliative Care and Hospital in the Home services.

> Provided Ministerial advice regarding recommendations from the 2015 National Intern Training Review.

> Medical Education Calculator in place for accredited sites ensuring sufficient training, supervision and support is in place for JMOs.

KEY AREA 2: DEVELOPMENT AND ACCREDITATION OF TRAINING POSTSPriority1: Support the establishment of new accredited training positions to meet increasing demand.

Strategy Achievements 2015-162.1.1 Proactively identify where training placements are needed in the context of future workforce projections and advocate for these to be established.

> Working closely with health services in planning for increase in medical graduates – a broad range of training positions are being considered.

2.1.2 Work with stakeholders to explore opportunities for new training positions including rural, community and private sector settings and combinations of settings.

> Chair represented on the Rural Practice Pathway Steering Group. > Worked with Office of the Chief Medical Officer and WACHS to develop CRP. > Liaise with private hospitals seeking to accredit additional positions.

2.1.3 Ensure training positions are appropriate and include education responsibilities and clinical experience/ workload.

> Interviews with MEOs now formally included as part of accreditation surveys. > Ongoing program of accreditation for all intern and RMO terms. Where necessary,

JMOs placed elsewhere and withdrawn from positions where insufficient education/ supervision or appropriate workload has been found to be an issue.

> Continued monitoring of all sites including those affected by transitions associated with the opening of new hospitals.


28

CONTENTS ><

KEY AREA 2: DEVELOPMENT AND ACCREDITATION OF TRAINING POSTSPriority 2: Maintain comprehensive, efficient and effective accreditation processes.

2.2.1 Strengthen the current accreditation process.

> PMCWA granted full accreditation by the AMC. Plans and implementation of conditions and recommendation in progress.

> After-hours policy developed and circulated to all accredited health services and included in the PMCWA Accreditation Standards Guide.

> 152 surveyors’ accreditation reports tabled at the Accreditation and Standards Committee meeting. 63.8% were awarded full accreditation.

> PMCWA continue to respond to concerns and/or requests outside of the site survey process.

> ‘New Training Positions’ accreditation request form developed to assist with formal applications of new JMO positions.

2.2.2 Review the scope and sustainability of accreditationprocesses.

> Explored monitoring options to incorporate into the current accreditation process for a four year accreditation cycle.

> Total of 30 site visits completed. Expected reduction in the next financial year. > Post-survey evaluation results – 66.7% of responses are from Medical Education

Unit staff, 33.3% from surveyors. Feedback highly positive regarding PMCWA communication and organisation of survey. Limited areas for improvement raised mainly focused on annual survey schedule for surveyors and notification of when to expect final outcome/endorsed reports.

> Contentious reports/issues prioritised for discussion and consideration by Committee.

> Health Service Internal Review templates now include comments from previous reports to identify progress/issues, assisting Committee decisions.

> Creation of shared folders completed. Implementation of sharing of information for accreditation process, reviews and outcomes via the Department successful.

KEY AREA 2: DEVELOPMENT AND ACCREDITATION OF TRAINING POSTSPriority 2: Maintain comprehensive, efficient and effective accreditation processes.

Strategy Achievements 2015-162.2.3 Promote, acknowledge and reward the role ofsurveyors.

> Total of 16 new surveyors recruited. > Post survey feedback – though limited continue to be very positive about surveyor

conduct and advice. > PGMEU appreciated their flexibility, and their skills and recommendations are

well regarded. > Surveyor feedback reported good support by PMCWA and team members.

> Fast-tracking surveyor progress in 2015 was successful in advancing senior medical officers to support and lead surveyor status.

> Surveyor contracts are in development to formalise the process of appointment and payment of accreditation surveyors eligible for remuneration.

> Development of peer surveyor evaluations in progress.

2.2.4 Promote supportive, healthy work environmentsand conditions for prevocational doctors.

> Continued support and advocacy of PVTs in all PMCWA activities. > All significant issues raised by the JMO Forum were investigated and resolved. > Professional development workshops provided for final year medical students,

JMOs and PGMEU staff. All professional development sessions were well evaluated. > Areas for surveyor focus in 2015–16 identified and included in the Surveyor

Handbook. > Continued coordination of centralised recruitment processes for interns and RMOs.


29

CONTENTS ><

KEY AREA 3: EDUCATION, SUPERVISION AND ASSESSMENTPriority 1: Provide education programs for prevocational doctors that complement

training provided by hospitals.3.1.1 Map and measure the training content and outcomes in the final year of undergraduate training and the first post graduate year to ensure vertical integrationand avoid duplication.

> Work is being undertaken at a national level on this, following the 2015 National Intern Training Review. PMCWA is represented at the workshops.

3.1.2 Develop programs and events tailored for the needs of:> Postgraduate

years 1 to 4> International

Medical Graduates (IMGs)

> Career Medical Officers

> Doctors in rural areas.

> Provided project funding for Teaching on the Run, RMO to registrar transition, leadership and communication programs run by the Department services (including WACHS for rural PVTs).

> Annual Medical Education Symposium provided discussion on bullying, barriers/access to medical education, the future of intern training and other initiatives to empower junior doctors – attended by 60 participants.

> Annual Medical Careers Expo aimed at final year medical students and postgraduate year 1–4 practitioners – attended by over 350 delegates. Presentations at the Expo on three popular training programs were videoed and made available online – enabling rural JMOs access.

> Program of JMO professional development including mindfulness and well-being and job application sessions which were recorded and made online.

> Opportunity for rural PVTs to participate in JMO Forum meetings via video conference.

KEY AREA 3: EDUCATION, SUPERVISION AND ASSESSMENTPriority 1: Provide education programs for prevocational doctors that complement training

provided by hospitals.Strategy Achievements 2015-16

3.1.3 Explore possible joint initiatives or collaborations with other providers of postgraduate medical education to improve PVT access to education events and promote multidisciplinary team based training.

> Professional development (National Training and Development Program) for Director of Clinical Training (DCTs) run by CPMEC offered to DCTs.

> Two job application professional development sessions offered to interns and RMOs, in collaboration with the AMA (WA), sessions were attended by over 200 JMOs.

> Annual Medical Careers Expo coordinated in conjunction with the AMA(WA).

3.1.4 Provide opportunities for prevocational doctors to have input to postgraduate medical education planning and decision making.

> Active JMO representation on all PMCWA Committees. > Active JMO representation at accreditation surveys as trainee and support surveyors. > Queries on accreditation of access to relevant education in some terms forwarded

from the JMO Forum.


30

CONTENTS ><

KEY AREA 3: EDUCATION, SUPERVISION AND ASSESSMENTPriority 2: Help ensure high standards of supervision.

3.2.1 Provide training and support to assist supervisors in:> Teaching> Mentoring> Giving feedback> Supporting IMGs> Managing

the learning environment

> Assessing competence.

> Two half-day professional development workshops for MEOs and DPGME stakeholders (including MERs, DCTs and DPGMEs) facilitated, as follows:

> MEO session on utilising social media to more successful interactions with the JMO audience, attended by 12 delegates.

> DPGME stakeholder session on ‘Accidental Counselling’ providing participants with skills and knowledge in general workplace counselling skills, attended by 13 delegates.

> Supported DCT attendance at National DCT training program. > Continued secretariat support of the MEO Network Group. > Establishment of a MER Network Group.

3.2.2 Acknowledge and reward innovation and excellence in postgraduate medical education.

> Coordinated WA Clinical Educator of the Year and Junior Doctor of the Year Awards – winners entered to national competition coordinated by CPMEC.

> JMOs selected to present at the Medical Education Symposium. > Research bursaries awarded to the Department staff presenting worthy initiatives at

recognised national conferences.

3.2.3 Explore different models of supervision to meet the needs of new training post settings, including shared supervision, Telehealth and eHealth and peer observed feedback models.

> Graduate Officer allocated in September 2015. > Literature review and research conducted into alternative models of supervision. > Scope document and project plan developed. > Project is to be progressed further in the 2016–17 year.

KEY AREA 3: EDUCATION, SUPERVISION AND ASSESSMENTPriority 3: Ensure the competence of prevocational doctors is comprehensively assessed.

3.3.1 Explore different assessment models to address the increasing number and range of PVTs and training settings.

> Graduate Officer researched different assessment models nationally and internationally.

> Project is to be progressed further in the 2016–17 year.

KEY AREA 3: EDUCATION, SUPERVISION AND ASSESSMENTPriority 4: Promote education and teaching as critical to the provision of quality health service delivery.

3.4.1 Support PVTs in developing teaching skills.

> Support to hospitals for Teaching on the Run training and resident to registrar programs.

3.4.2 Develop innovative ways to deliver education to facilitate participation.

> JMO Forum surveyed over 130 JMOs to gather information about JMOs access and barriers to education sessions at primary employing health services. Findings presented at Medical Education Symposium, discussed in detail with the MEO Network Group and disseminated to relevant stakeholders.

> Local and international professional development opportunities forwarded on to relevant stakeholders.

> MEO Network Group invited a guest speaker to each meeting to deliver an innovative topic for discussion.


31

CONTENTS ><

KEY AREA 4: CAREER TRANSITION AND SUPPORTPriority 1: Assist PVTs to identify and navigate through their chosen career path.

Strategy Achievements 2015-164.1.1 Ensure PVTs are aware of career options and pathways, including rural career opportunities.

> Medical Careers Expo held April 2016. The Expo hosted 30 exhibition booths (including specialty colleges, primary employing health services and sponsors), 3 specialty career presentations (recorded and made available online post-event) and was attended by over 350 JMOs and medical students. Career summary booklets were updated and distributed at the event (and online).

> Career summary sheets developed by Medical Workforce presented and promoted at the Medical Careers Expo, put on the PMCWA website and promoted through the PMCWA Facebook page.

> WACHS presented at JMO job application information sessions, detailing the benefits and logistics of applying for a rural career.

4.1.2 Explore a mentoring program to assist PVTs withcareer planning.

> Career mentoring programs underway at all PEHS.

KEY AREA 4: CAREER TRANSITION AND SUPPORTPriority 2: Ensure PVTs are well informed about issues and opportunities.

4.2.1 Facilitate and coordinate communication with PVTs to ensure:> Doctors are aware

of issues and opportunities

> Stakeholder organisations have meaningful access to PVTs.

> Good attendance by PVTs at PMCWA meetings. JMO Forum is attended by approximately 20 regular members. Each PMCWA committee includes a JMO Forum representative.

> JMO Forum Co-Chairs attended the National Forum in October 2015 and June 2016 – representing WA PVTs.

> PMCWA distributes news to PVTs via hospital newsletters coordinated by MEOs. > PMCWA utilises PVT mailing lists to distribute essential information.

4.2.2 Develop innovative ways to communicate with PVTs.

> PMCWA Facebook page has over 700 subscribers. This presence has enabled PMCWA to share important information such as news and upcoming events, opening and closing dates of application periods and share photos from events and workshops.

> New PMCWA subpage on the Department website that PMCWA staff can edit directly. > ‘Slack’ group created for communicating with JMO Forum members. Slack is a

messaging communication app for teams > Education and professional development sessions recorded and made available

online to JMOs who were unable to attend.

8 |


32

CONTENTS ><

8 ACCREDITATION PROGRAM

pmCwa supports the training experience for all prevocational doctors and continues to monitor standards and to accredit prevocational medical positions in wa. there are currently 36 pmCwa accredited health sites/services.

SITE SURvEYS AND REPORTSOver the last year, a total of 30 accreditation site surveys were conducted with 154 units/sites formally reviewed and accredited. This includes an accreditation visit to the new SJOGMPH following its commissioning at the end of 2015 to review all of its departments. A full accreditation site survey of RPH, requiring four survey teams, was also successfully conducted.

WACHS was also awarded accreditation by PMCWA as a new PEHS, offering further opportunities and support for JMOs in rural placements.

Besides site surveys, a number of units and positions were also re/accredited following Health Site Internal Review reports and formal applications for accreditation to PMCWA.

PMCWA will continue to oversee accreditation for a number of health sites in the next year. This will include reaccreditation of prevocational positions in the Kimberley region as well as pre-accreditation of the new Perth Children’s Hospital, opening in late 2016.

PMCWA ACCREDITATION: 2015-16 AT A GLANCE

16 surveyors signed

up to the accreditation

program

63.8%

of survey units / sites were awarded

full accreditation by the committee

30 accreditation

site surveys conducted 12

new accredited

units

Total of

1235 accredited

prevocational positions in WA

53 Health Site Internal

Reviews considered and endorsed by

committee

Total of

75RMOs participating

in CRP placements


32


33

CONTENTS ><

ACCREDITATION AND STANDARDS COMMITTEEThe Accreditation and Standards Committee (Accreditation Committee) is responsible for the development of standards and accreditation of prevocational training positions and of health sites in respect of the sites’ role in supporting trainees.

The membership of the Accreditation Committee comprises representatives of all participants in the accreditation process.

The Accreditation Committee continues to monitor and advise on the training and education of prevocational doctors. This year, the Accreditation Committee has overseen developments and improvements for the accreditation program including accrediting WACHS as a PEHS, the review of current processes, development of the after-hours policy, and surveyor progress. In addition, the Accreditation Committee has monitored accredited units at the new SJOGMPH as well as those sites impacted by the reconfigurationoftheSouthMetropolitanHealthService.

The Accreditation Committee is also exploring viable monitoring mechanisms for the planned move from a three year to a four year accreditation cycle.

AUSTRALIAN MEDICAL COUNCIL ACCREDITATIONIn 2015, PMCWA underwent a full assessment by the AMC on behalf of the MBA. The AMC survey team attended the Fiona Stanley Hospital (FSH) survey in August 2015 to observe and evaluate PMCWA’s accreditation processes. The assessment also included a two and ahalfdaysurveyconsistingofinterviewswiththePMCWAteam,ChiefMedicalOfficer,committee members, and a number of stakeholder groups.

In early 2016, the AMC granted PMCWA full accreditation as an intern training accreditation authority until March 2020.


34

CONTENTS ><

COMMUNITY RESIDENCY PROGRAM

PMCWA has been administrating the 2016 CRP with WACHS and Silver Chain on behalf oftheOfficeoftheChiefMedicalOfficer.TheCRPprovidedanopportunityavailabletoRMOs to participate in short term, well supervised training placements involving primary health exposure.

In 2016, RMOs could undertake a metropolitan placement with Silver Chain or a rural placement with WACHS. At Silver Chain, RMOs worked in either Hospital in the Home or Palliative Care. With WACHS, the RMOs were seconded from a Perth tertiary hospital to Derby, Karratha or Kalgoorlie, or be employed by WACHS in Geraldton or Broome.

Recruitment for the CRP occurred in mid-November 2015 with the Term 1 CRP RMOs taking up their rural placements at the commencement of the 2016 clinical year. PMCWA was responsible for the recruitment, coordination and evaluation of the CRP throughout 2015 and 2016.

For the 2016 clinical year, 75 RMOs were enrolled on the CRP:

> 47RMOsfilled49metropolitanplacements(outofapotential60placements)withSilver Chain.

> 33RMOsfilled40ruralplacements(outofapotential41placements)withWACHS.

> 5 RMOs participated in both a rural and a metropolitan Silver Chain placement.

RMOs undertaking rural placements had the opportunity to work in Aboriginal Medical Services, the Royal Flying Doctor Service, community outreach and various specialist clinics. Some placements had a Paediatrics focus which was highly valued by the RMOs. Within an allocated term, participating RMOs spent a minimum of 20% of their time in a community setting.

The 2016 CRP has been regularly evaluated throughout the clinical year. Both the metropolitan and rural placements have been well received. In 2017, The rural CRP will continue to provide great exposure and experience to participating RMOs.

CRP RMO Dr Sandy Braiuka (middle row, left) with the Silver Chain multidisciplinary team.Bega Garnbirringu.

CONTENTS ><

2016 metro Crp

12 FTE, 60 PLACEMENTS

3 FTE HOSPITAL IN THE HOME

9 FTE PALLIATIVE CARE

2016 rural Crp

9 FTE, 41 PLACEMENTS

1 FTE PILBARA

SECONDMENT

1 FTE MIDWEST

WACHS EMPLOYED 2 FTE GOLDFIELDS,

SECONDMENT

5 FTE KIMBERLEY,

SECONDMENT AND WACHS EMPLOYED

KIMBERLEY

KIMBERLEY

PILBARA

PILBARA

MIDWEST

MIDWEST

GOLDFIELDS

GOLDFIELDS

GREAT SOUTHERN

GREAT SOUTHERN

SOUTH WEST

SOUTH WEST

WHEATBELT

WHEATBELT


35


36

CONTENTS ><

9 EDUCATION PROGRAM

pmCwa continued to support and improve education and training initiatives and opportunities for doctors in their prevocational years throughout the 2015–16 financial year.

PROFESSIONAL DEvELOPMENT PROGRAMSThroughout2015–16,PMCWAhostedfiveprofessionaldevelopmentsessionsforprevocational doctors and for those who support their education and training.

prevocational doctorsPMCWA facilitated a half day Mindfulness and Well-being Workshop on 26 February 2016 at the University Club of WA. The workshop was presented by the Emotional Intelligence Institute and was attended by 15 delegates. The topic for this workshop was selected in consultation with the PMCWA JMO Forum and Education Committee and the session was tailored for the JMO audience.

PMCWA, in conjunction with the AMA (WA), hosted two sessions at the FJ Clark lecture theatreon‘GettingtheEdge’for2017WAInternandRMOjobapplications.Thefirstsession was held in the evening of 16 May 2016 and was attended by approximately 140finalyearmedicalstudents.Thesecondsessionwasheldintheeveningof24May2016 and was attended by approximately 70 prospective 2017 RMOs. Attendees were guided through how to address selection criteria and what to include in their curriculum vitae. Hospital workforce and employment services provided information on what hospitals are looking for in applications. The sessions also offered an opportunity for questions and answers. The sessions were recorded and made available online for those who were unable to attend.

Medical Education Officers A half day professional development workshop ‘Social Media’ for MEOs was held on 26 February 2016 at the University Club of WA. The workshop was presented by Bang Digital and was attended by 12 MEOs. The workshop provided the MEOs with knowledge and skills to better engage with their JMO audience using social media. The session was requestedbytheMEONetworkGroupandwastailoredspecificallytoaddresstheirneeds.

other medical education StaffA half day professional development session ‘The Accidental Counsellor’ was facilitated for MERs, DCTs and DPGMEs. The session was held on 26 February 2016 at the University Club of WA and was facilitated by Converge International. The session provided the 13 attendees with skills and knowledge in general workplace counselling skills and the workshop was well received by the group.


37

CONTENTS ><

EDUCATION COMMITTEE AND NETWORK GROUPSpmCwa education CommitteeTheEducationCommitteeisresponsiblefortheidentification,evaluationandmonitoringof education and training programs for JMOs. Members of the Education Committee include DPGME, DCT, AMA (WA) DiT, MER, MEO and JMO representatives.

The Education Committee continued to support professional development through a number of education providers in 2015-16. This included sessions for prevocational doctors such as mindfulness and well-being, Teaching on the Run, transition from resident to registrar, leadership and communication skills and preparing a job application.

The Education Committee oversaw the coordination of the annual education seminar, the Medical Education Symposium held on 26 February 2016, and the annual Medical Careers Expo held on 12 April 2016. The education of service registrars was a topic of keen discussion amongst the Education Committee in 2015-16.

Medical Education Officer Network GroupPMCWA continues to support MEOs by facilitating the MEO Network Group. All MEOs in WA are invited to participate and members meet quarterly. The network meetings provide an opportunity for MEOs to share ideas, discuss concerns, and to assist each other in their MEO roles. The MEO Network Group meetings are attended by both metropolitan MEOs and regional MEOs who participate using video conference.

There are MEO representatives from the network group on all PMCWA committees. These delegates represent the MEO voice at PMCWA committee meetings and report back to the MEO Network Group regarding the activities of the various committees.

medical education registrar Network groupThisfinancialyearPMCWAhasseentheformationofanewnetworkgroupforMERsthatreports in to the Education Committee. The group is in its infancy and has provided the metropolitan based MERs with an opportunity to meet their counterparts at other hospitals and to identify common themes, to discuss issues and share resources.


38

CONTENTS ><

PROJECT FUNDINGPMCWAhasoverseenthedistributionofspecificprojectgrantfundingtoPGMEUsinWApublichospitalsthroughoutthecourseofthe2015-16financialyear.Theprojectsthataregranted funding through this process support the education, training and supervision of prevocational doctors and their supervisors.

Applications for project funding are assessed and approved by a review committee based on demonstrable value to postgraduate medical education for prevocational doctors, supervisors and staff providing non-clinical support. A formal report, outlining the projectstatus,includingabudgetsummaryisrequiredattheendofthefinancialyear.

PMCWA received applications for 12 projects in 2015-16. Of these, seven were endorsed; projects supported by PMCWA in 2015-16 included:

> Teaching on the Run program

> RMO to registrar transition workshops – Step Up

> JMO leadership program

> RMO communication skills training

research bursariesPMCWA is committed to support developing researchers in undertaking and presenting researchinthefieldofprevocationalmedicaleducationandtraining,atarecognisedAustralianconference.Assuch,thisfinancialyearPMCWAestablishedasmallresearchbursary program to;

> identifyfieldsofenquiryintoprevocationalmedicaleducationandtraininginordertoprogressthisfieldbothinWAandnationally;and

> support the development of research and presentation skills within the WA prevocational medical education community.

Thirteenresearchbursariesweredisseminatedthroughoutthecourseofthefinancialyear to worthy projects that were presented at the 2015 National Prevocational Medical Education and Training Forum and the 2016 OTTAWA and Australian and New Zealand Association for Health Professional Educators conference.


39

CONTENTS ><

WESTERN AUSTRALIAN CLINICAL EDUCATOR AND JUNIOR DOCTOR AWARD WINNERSCpmeC awardSThe WA winners of the 2015 CPMEC awards were Dr Nicholas Gilbert and Dr Ricky Arenson.

western australian Junior doctor of the yearThe 2015 WA CPMEC Junior Doctor of the Year was awarded to Dr Nicholas Gilbert. Dr Gilbert, an RMO at Broome Hospital, was presented the award in recognition of hissignificantandvaluablecontributiontoeducationandlearningforprevocationaldoctors in rural WA. Dr Gilbert demonstrates a strong interest in Aboriginal health and rural medicine and is involved in a range of hospital and community teaching programs and audits in these areas, including developing a Men’s Health program for a local community organisation and the Aboriginal Health Service.

western australian Clinical educator of the yearDr Ricky Arenson was awarded the 2015 WA CPMEC Clinical Educator of the Year Award. Dr Arenson is a consultant Endocrinologist, Geriatrician and Head of Orthogeriatrics at RPH. He was presented the award in recognition of his contribution to teaching, supervision, mentoring, guiding and promoting junior doctor well-being. Dr Arenson is a pivotalfigureformanyJMOsatRPH.Hegivesofhistimefreelytomentorandsupportjunior doctors, and creates engaging and stimulating teaching opportunities to develop JMOs clinical skills, knowledge and judgement.


40

CONTENTS ><

MEDICAL CAREERS EXPOThe annual Medical Careers Expo was hosted by PMCWA in conjunction with the AMA (WA) in the evening of Tuesday 12 April 2016 at Burswood on Swan Function Centre. The Medical Careers Expo provided an opportunity for prevocational doctors and graduating medical students to ask questions regarding their future careers and to discover career options.

The Medical Careers Expo featured 30 exhibition booths, which included 13 sponsors, 12 specialty colleges and 5 PEHSs. The event was attended by 358 medical students and prevocational doctors.

In addition to the exhibition booths, there were three presentations on the following topics:

> General Practice Training

> A Career in Surgery – is it for me and how do I get there?

> Basic Physician Training

These sessions were videoed and made available on the PMCWA website for those who were unable to attend the event.

Anupdated‘MedicalCareersWayfinding’guideforprevocationaldoctorswaspresentedand promoted. This document was made available online and supports prevocational doctors to make informed career decisions.


41

CONTENTS ><

MEDICAL EDUCATION SYMPOSIUMThe 2016 Medical Education Symposium was held in the afternoon of Friday 26 February 2016 at the University Club of WA and was attended by approximately 60 delegates.

The PMCWA Medical Education Symposium is an annual event that provides a forum for delegates who are interested and or involved in the medical education and training of prevocational medical practitioners to discuss important and relevant topics and to explore policy and strategic changes to prevocational training.

The Symposium featured the following presentations:

> Shape of the 2016 RMO Cohort

> Junior Doctors: Pen pushers or Clinicians?

> The Dr SEUSS Project: Streamlining Emergency Unit Short Stay

> Too Tired to Learn

> X-RAYTED: (Improving) X-Ray Times in the Emergency Department

> Medical Education Access and Barriers

> Bullying and Harassment

> Open Discussion: The Future of Intern Training


42

CONTENTS ><

10 JUNIOR MEDICAL OFFICER FORUM REPORT

with major projects underway across wa health, 2016 was a year of growth and change. the Jmo forum has been actively engaged in resolving issues that have arisen to date, whilst also pursuing new avenues and developing projects to improve our public platform, create greater awareness and increase collaboration with other regulatory bodies in an effort to advance the education and training of prevocational doctors.

our CommitteeThe year began with elections of our new committee members which included the formation of two new positions aimed at improving relations and communication with members and corresponding bodies including PGMEUs, hospital MERs and the AMA (WA).

> Co-chairs: Dr Dani Bachmann and Dr Elise Brigden

> Accreditation: Dr Rikki Priest and Education: Dr Jasmine Korbl

> Andournewpositions:Secretary:DrJustinBuiandAMA(WA)LiaisonOfficer: Dr Mariana Dorkham

Our intention is to accommodate a senior and junior role in each portfolio with a proposed twoyearcommitment,suchthatthejuniorofficermayassumetheseniorrolethefollowingyear to create continuity in projects.

Successful ScenariosWe have acclaimed some very positive resolutions in our year-to-date which have motivatedusinourcauseandcreatedmomentumfromwithinthathasfilteredtothewider JMO (and future) workforce.

> WACHS attained status as a PEHS, increasing the number of intern placements as well as service provision to remote, regional and rural areas.

> Ramsay Health Care secured an additional position for Commonwealth Supported Place interns.

> Adoptionofaresolutiontoincorporateoversightroleunaffiliatedserviceregistrars.

> Accreditation of a new out-of-hours model at RPH, set to be adopted across other sites.

> Facilitation of resident provisions from tertiary sites to peripheral sites on terms, amenable to both parties and protecting the education of the trainees.

> The JMO Forum events calendar has been increasingly busy. Events including the Medical Education Symposium and the acclaimed Medical Careers Expo, attracted the largest ever number of contributors, specialities and attendees.


43

CONTENTS ><

major developments to monitorThe opening of a state-of-the-art tertiary facility last year, FSH, a large peripheral hospital this year, SJOGMPH, and the scheduled relocation of Princess Margaret Hospital (PMH) to the new purpose-built Perth Children’s Hospital facility on the QEII campus as well as the reconfigurationofRPHandtheEasternMetropolitanHealthServicehavehadsignificantimpacts for the Department leading into 2016.

Recruitment, employment numbers, resignations and leave cover remain a pressing issue at all hospital sites. PMCWA have been collating data to better grasp an understanding of the current workforce and their career aspirations to better predict workforce patterns and in so doing, advise medical administration on recruitment numbers to accommodate for leave entitlements. The JMO Forum will continue to proactively advocate for doctors and engage with executive to facilitate better conditions and opportunities.

AnotherissueofsignificanceisthetermstructureforRMOs.TheJMOForumhasstronglyadvocatedforconsultationwithallstakeholdersontheissueoffourorfivetermmodelsprior to any proposed changes. Should these changes transpire, the JMO Forum advises them to occur uniformly so as not to impede secondments and rotations to peripheral sites.

Current projectsOur focus at the JMO Forum has been on advocacy, protection of JMO education, buildingagreaterpublicprofileandenhancingcollaborationsaswellasthepromotionofJMO wellbeing and welfare.

> Jmo Survival guide > Our coveted annual survival guide is being reworked to have a wider appeal withmorecontactsandsitespecificinformation.Itisbeingreformattedwithinputfrom site MERs and will include information for specialties including Obstetrics and Gynaecology and Paediatrics as well as a section dedicated to well-being and welfare. This will be made available to all JMOs and not exclusively to interns.

> educational resourcing and provision > The JMO Forum evaluated education and library resources (via hospital intranets)

and their value in the daily clinical management of patients by constructing and surveying JMOs, attracting greater than 350 responses with over 80% of JMOs accessing sites on multiple occasions throughout the day and almost 100% at least once daily.

> We have also examined the effects of fatigue on education in the hope of outlining the importance of appropriately timed education and the upkeep of award hours which was presented at the Medical Education Symposium. This remains an ongoing project with an audit currently under development that aims to assess barriers and incentives to educational attendance and the optimal timing and format of teaching sessions to identify the method that allows maximal information extraction andhenceoffersthegreatestbenefittoJMOs.Wewillbepresentingthisdataatthe 21st National Prevocational Medical Education Forum and hope to utilise this to publish guidelines in constructing educational programs for JMOs.


44

CONTENTS ><

> Collaboration, Communication and public perception > TherecentlyconvenedAustralasianJuniorMedicalOfficerCommittee(AJMOC)

meeting found great sentiment for state collaboration across an array of projects with the formation of a ‘Slack’ communication group and a ‘Google Docs’ drive to allow each state to contribute and communicate.

> Pathway to Training study: information of college requirements, curriculum vitae highlights and expected costs involved for each discipline.

> National Curriculum Guideline: a proposal for all PMCs to formulate a national guideline of topics to be covered over prevocational years including the recommendation of protected teaching time for residents.

> Welfare Provision: This is a program that WA is already ahead in but we will be further developing this with the other states as well as the AMA who have taken lead on this project.

> AJMOCResolutions:Wehaveredefinedthisdocumentandhaveplansforwidercirculation to include the JMOs, hospitals and state authorities such that it has a stronger recommendation basis with greater scope.

> PMCWA JMO Forum has joined social media with a Facebook account to reach more members and provide a forum of feedback.

> We have committed to the development of a smartphone application that will contain educational resources, the survival guide and have plans in the future to incorporate a QR scanner to document continuing professional development. This will be an ongoing project and is in the early stages of design.

> The JMO Forum has established relations with AMA (WA) and intends to harness a greater interaction.

Dr Dani Bachmann and Dr Elise Brigden 2016 JMO Forum Co-Chairs


45

CONTENTS ><

11 CENTRALISED RECRUITMENT PROCESS

In 2015-16 pmCwa coordinated the annual centralised recruitments of interns and rmos in accredited training positions within wa. participating health services include all major public employing hospitals and ramsay health Care’s Joondalup health Campus. a total of 316 interns and 877 rmos were recruited for 2016.

The recruitment processes for interns and RMOs were managed electronically using the e-RecruitsystemMedJobsWAwhichwasintroducedtoaddressissuesandinefficiencieswith the previous system. A streamlined application process and information and training sessions for system users all helped to make the process run as smoothly as possible for applicants and medical administration teams.

INTERNSA total of 551 valid applications were received for intern positions in 2016. Of the interns commencing internships in WA in 2016 91% have attended WA medical schools and 68% have completed secondary studies in WA. Intern recruitment has been coordinated nationally and data provided to the National Intern Data Audit process.

RESIDENT MEDICAL OFFICERSIn 2015 there were 1481 applications received for RMO positions in 2016 of which 1165 (78.6% of applicants) were selected to the suitable pool. By the closure of the pool, 1040 offers had been made with 815 offers accepted in MedJobsWA. However, following theclosureofthepool,anextra62offersweremade,resultingin877finalacceptancesfor positions in 2016.

The application process has provided extensive information about candidates including demographics, prevocational training and employment history and intentions. This has enabledaprofileofapplicantsandappointmentstobedevelopedwhichallowsforan analysis of recruitment outcomes including issues such as the uptake of part-time employment, contract durations, career breaks and recency of practice as well as retention and employment transitions. Commencement data is provided to the Medical Training Review Panel to support national data collection and analysis for workforce planning.

Recruitment for 2017 positions is underway. A total number of 634 applications for intern positions and 1654 applications for RMO positions have been received through MedJobsWA.


46

CONTENTS ><

12 DATA MANAGEMENT PROJECT

In 2015, pmCwa introduced a new electronic recruitment system, medJobswa, to manage the recruitment of interns, rmos, service medical registrars and service surgical registrars. the system provides a comprehensive employment and training data profile for doctors applying for positions at the Department.

MedJobsWA is an integrated recruitment system developed by Mercury that has allowed:

> Streamlined advertising of vacancies.

> Better targeting of application questions and data capture.

> Flexibility in selecting which questions need to be asked depending on position requirements.

> Integrated selection panel, assessment and interview management functionality.

> Improved management of applications, including management of communication with applicants, offer generation and acceptance, contract management.

> Ability to instantly know the status of all applications and their progress.

> Development of a central portal that allows junior doctors to manage all their applications and related documents.

TheintroductionofMedJobsWAhasprovidedimmediatebenefits,including:

> Ability to capture accurate and reliable data.

> Greater transparency across all positions, including the ability to see applicants that are holding multiple offers thus being able to better manage the demand.

> GreaterunderstandingoftheinflowandoutflowofDiTfrominterstateaswellasIMGs.

> Improved understanding of the demographic composition of new entrants to the medical workforce (interns).

In 2016, MedJobsWA was enhanced to enable advertising and the processing of all DiT positions at WA. In the 2015-16 year, 46 positions were advertised and over 5400 applications received. From 2017 all DiT positions will be included. MedJobsWA also manages the selection to training process for the Basic Training in Psychiatry, the Basic Physician Training and the Medical Service Improvement Program.

Theavailabilityofaccuraterecruitmentdataisthefirststepinbeingabletodevelopalongitudinal dataset to map training pathways and transitions through prevocational and vocational training. This is critical in understanding training pathways and managing the future supply of medical practitioners including consultants and specialists in WA. The inclusion of all DiT will provide the Department with a comprehensive picture of the trainingworkforceforthefirsttime.

In 2017, PMCWA will further expand the data management and analysis by seeking to link other available data sources that will allow for the monitoring of the current activity in the Department. This is designed to further enhance our understanding of the DiT pathways through the system and to position the Department in its ability to address supply and demand pressures.

CONTENTS ><

13 SIGNIFICANT ISSUES IMPACTING PMCWA

the number of medical graduates continues to increase and requires the establishment of increased positions for training. all such doctors are required to see sufficient patients for their training and also they must be supervised for patient safety. pmCwa has been actively exploring additional sites for training including rural, community and non-governmental locations. we also continue to plan for this growth and advocate for resources (including allocation of sufficient time) for supervisors of these doctors.

14 DISCLOSURES AND LEGAL COMPLIANCEpmCwa is funded by the department (with additional funding from the australian Health Practitioner Regulation Agency) and is included in the formal financial reporting for the department. Council members are not remunerated.

FINANCIAL STATEMENT YEAR 2015-16

PMCWA’s Financial Statement, as at 30 June 2016. Figures do not include GST.

$ Credit $ Debit

IncomeDepartment of Health Budget Allocation 1,397,637Department of Health Community Residency Program* 3,053,869 Australian Health Practitioner Regulation Agency funding for intern accreditation

82,110

Other income 1650Total income 4,535,266

ExpensesSalaries,superannuationandemployeebenefits 1,055,723 Secretariat administration 10,690 National representation 12,058Project grants 42,525Accreditation:

Strategic and project 21,476Travel and accommodation 7839

Education and Committee programs 14,612ResidentMedicalOfficercentralisedrecruitment:

MedJobsWA project costs 109,000Department of Health Community Residency Program* 2,013,178Total expenses 3,287,101

*The Community Residency Program July to December 2015 was administered by WAGPET. From January 2016 the program was administered internally. Funding covered the 2016 clinical year with remaining funds allocated to the 2016-17 financial year as planned.


47


48

CONTENTS ><

15 APPENDICES

APPENDIX 1: ACCREDITATION SURvEYSInthe2015-16financialyear,30accreditationsurveyswereundertakenandatotalof 154 units/sites were accredited.

2015 ACCREDITATION SURVEYSJuly 2015 Royal Perth Hospital 28 units

Peel Health Campus 2 unitsFiona Stanley Hospital 1 unit

august 2015 Fremantle Hospital 11 unitsNickol Bay Hospital (Joint Survey) 1 unitHollywood Private Hospital 8 unitsFiona Stanley Hospital 19 units

october 2015 Albany Health Campus 2 unitsGeraldton Regional Hospital 7 unitsBunbury Regional Hospital 4 unitsSt John of God Mt Lawley Hospital 2 unitsHollywood Private Hospital 1 unit

december 2015 Fiona Stanley Hospital 10 unitsBentley Health Campus/Royal Perth Hospital 2 unitsFremantle Hospital 1 unitSt John of God Murdoch Hospital 8 unitsArmadale Health Service 7 unitsKing Edward Memorial Hospital 1 unit

2016 ACCREDITATION SURVEYSfebruary 2016 Rockingham General Hospital 2 unitsmarch 2016 Mount Hospital 2 units

St John of God Midland Public Hospital 2 unitsSilver Chain Hospital 3 unitsRoyal Perth Hospital 3 units

may 2016 Armadale Health Service 4 unitsWA Country Health Service 1 unitFremantle Hospital 1 unit

may 2016 St John of God Midland Public Hospital 10 unitsFiona Stanley Hospital 10 units

June 2016 St John of God Subiaco Hospital 1 unit


49

CONTENTS ><

APPENDIX 2: HEALTH SITE INTERNAL REvIEWSNumber of Health Internal Review reports received in 2015-16.

2015 HEATH SITE INTERNAL REVIEWSaugust 2015 Royal Perth Hospital 1 unitSeptember 2015 Sir Charles Gairdner Hospital 1 unit

St John of God Midland Public Hospital 9 unitsFiona Stanley Hospital 1 unit

october 2015 Royal Perth Hospital 10 unitsNovember 2015 Royal Perth Hospital 1 unit

Fremantle Hospital 1 unitFiona Stanley Hospital 3 units

december 2015 Hollywood Private Hospital 2 units

2016 HEATH SITE INTERNAL REVIEWSJanuary 2016 Bunbury Regional Hospital 1 unitfebruary 2016 St John of God Mt Lawley Hospital 2 unitsmarch 2016 Fiona Stanley Hospital 3 units

Bunbury Regional Hospital 2 unitsapril 2016 Hollywood Private Hospital 2 units

Royal Perth Hospital 6 unitsmay 2016 Fiona Stanley Hospital 2 unitsJune 2016 Fiona Stanley Hospital 1 unit

Hollywood Private Hospital 5 unitsJoondalup Health Campus 1 unit


50

CONTENTS ><

APPENDIX 3: COMMITTEES AND MEMBERSHIPS 2015-16

FULL COUNCIL 2015-16

Member Role OrganisationProf Richard Tarala (Chair) Chair PMCWAProf Gary Geelhoed (Deputy Chair) ChiefMedicalOfficer WA Department of HealthProf Brian Andrews Representative Medical School DeansDr Melita Cirillo Representative AMA (WA) DiT CommitteeDr Elise Brigden Representative PMCWA JMO ForumW/Prof Jeffrey Hamdorf Representative CTECDr Nat Lenzo Representative RACPDr Tim Koh Representative RACGPProf Constantine Michael Representative Registration Committee, MBA WADr David Oldham Representative PMCWA Accreditation and

Standards CommitteeDr Tony Robins Representative WA Country Health ServiceDr Mark Salmon Representative Medical DirectorsDr Margaret Sturdy Representative Private HospitalsDr Greg Sweetman Representative DPGMEsProf Alistair Vickery Representative PMCWA Education Committee

MEMBERS IN 2015Member Role OrganisationProf David Kandiah Representative RACPDr Lee Fairhead JMO Forum Co-Chair 2015 PMCWADr Sarah Strathie-Page JMO Forum Co-Chair 2015 PMCWAMs Marija Rizmanoska MedicalEducationOfficer Royal Perth Hospital


51

CONTENTS ><

ACCREDITATION AND STANDARDS COMMITTEE 2015-16

Member Role OrganisationProf Richard Tarala (Chair) Chair PMCWADr David Oldham (Deputy Chair)

Representative DPGMEs

W/Prof Jeff Hamdorf Representative Accreditation SurveyorsDr Elise Brigden JMO Forum Co-Chair 2016 PMCWADr Greg Sweetman Director of Medical Education Fiona Stanley HospitalA/Prof Hadley Markus DPGME Sir Charles Gairdner HospitalDr Paul Myhill A/DPGME Royal Perth HospitalDr Brad Power Representative Private HospitalsDr Margaret Sturdy Representative Ramsay Health CareProf Alistair Vickery Representative DCTsDr Murray Nixon Representative WAGPETDr Monica Gope Representative WA Country Health ServiceE/Prof Lou Landau Principal Medical Advisor Medical Workforce,

WA Department of Health

MEMBERS UNTIL DECEMBER 2015Member Role OrganisationDr Lee Fairhead JMO Forum Co-Chair 2015 PMCWADr Patrick Hertnon Representative Accreditation surveyorsDr Paul Myhill A/DPGME Royal Perth HospitalDr Sayanta Jana Representative Accreditation surveyorsE/Prof Louis Landau Principal Medical Advisor Medical Workforce,

WA Department of HealthDr Michael Levitt Representative St John of God HealthcareDr Maya Calvert Representative AMA (WA) DiT CommitteeDr Sarah Strathie Page JMO Forum Co-Chair 2015 PMCWA

MEMBERS FROM JANUARY 2016 ONWARDSMember Role OrganisationDr Dani Bachmann JMO Forum Co-Chair 2016 PMCWADr Rikki Priest JMO Forum Representative PMCWADr Allison Johns Representative Medical Directors /

AdministratorsMs Trish Li Representative MedicalEducationOfficers


52

CONTENTS ><

EDUCATION COMMITTEE 2015–16

Member Role OrganisationProf Alistair Vickery (Chair) Chair PMCWA Education CommitteeA/Prof Hadley Markus (Deputy Chair)

DPGME Sir Charles Gairdner Hospital

Prof Richard Tarala Chair PMCWADr Greg Sweetman Director Medical Education Fiona Stanley HospitalDr Janet Zint Director of Clinical Training Armadale Health ServiceMs Nicole Barbarich Representative WA Country Health ServiceMs Helen Borrington MedicalEducationOfficer Rockingham General HospitalDr James Triplett Representative AMA (WA) DiT Committee

MEMBERS UNTIL DECEMBER 2015Member Role OrganisationDr Carmel Sheridan DPGME St John of God Murdoch

HospitalDr Ellen Knight Medical Education Registrar Fremantle HospitalDr Nicola Benwell Medical Education Registrar Fiona Stanley HospitalDr Lee Fairhead JMO Forum Representative PMCWADr Sarah Strathie Page JMO Forum Representative PMCWADr Perdita Gregory JMO Forum Representative PMCWA

MEMBERS FROM JANUARY 2016 ONWARDSMember Role OrganisationDr Paul Myhill DPGME WA Country Health ServiceDr Elise Brigden Co-Chair PMCWA JMO ForumDr Dani Bachmann Co-Chair PMCWA JMO ForumDr Jasmin Korbl Representative PMCWA JMO Forum


53

CONTENTS ><

EXECUTIvE COMMITTEE 2015-16

Member Role OrganisationProf Richard Tarala Chair PMCWAProf Gary Geelhoed ChiefMedicalOfficer Department of HealthE/Prof Louis Landau Principal Medical Advisor Medical Workforce,

WA Department of HealthProf Alistair Vickery Education Committee Chair PMCWADr David Oldham Accreditation&Standards

Committee Deputy ChairPMCWA

Dr Elise Brigden JMO Forum Co-Chair 2016 PMCWAMs Erin Furness MedicalEducationOfficer Fiona Stanley HospitalDr Melita Cirillo Representative AMA (WA) DiT CommitteeMs Katrina Lynn SeniorDevelopmentOfficer Medical Workforce,

WA Department of Health

MEMBERS UNTIL DECEMBER 2015Member Role OrganisationDr Sarah Strathie Page JMO Forum Co-Chair 2015 PMCWADr Lee Fairhead JMO Forum Co-Chair 2015 PMCWAMs Trish Li MedicalEducationOfficer Sir Charles Gairdner HospitalMs Marija Rizmanoska MedicalEducationOfficer Royal Perth Hospital

MEMBERS FROM JANUARY 2016Member Role OrganisationDr Elise Brigden JMO Forum Co-Chair 2016 PMCWADr Dani Bachmann JMO Forum Co-Chair 2016 PMCWAMs Erin Furness MedicalEducationOfficer Fiona Stanley Hospital


54

CONTENTS ><

MEDICAL EDUCATION NETWORK GROUP 2015-16

Member OrganisationMs Trudi Franklin Albany Health CampusMs Veronica Reid Armadale HospitalMs Trenna Wadge Broome Regional HospitalMs Judi Gibbs Bunbury Regional HospitalMr Jury Raneses Child and Adolescent Mental Health ServicesMs Nerinda Bradshaw Fiona Stanley HospitalMs Erin Furness Fiona Stanley HospitalMs Zoe Moran Fiona Stanley HospitalMs Kylie Reed Fiona Stanley HospitalMs Christine Golding Geraldton Regional HospitalMs Crystel Coffrey Hedland Health CampusMs Kelly Owen Hollywood Private HospitalMs Maylee Mumford Joondalup Health CampusMs Kiri Moses Kalgoorlie HospitalMs Anett Nyaradi King Edward Memorial HospitalMs Cally Smith Osborne Park HospitalMs Sam Larmour Peel Health CampusMr Robert Evans Princess Margaret HospitalMs Helen Borrington Rockingham General HospitalMs Patti Fritz Royal Perth HospitalMs Stephanie Ho Royal Perth HospitalMs Marija Rizmanoska Royal Perth HospitalMs Trish Li Sir Charles Gairdner HospitalMs Ranj Jagadish St John of God Midland Public HospitalMs Kelly Mitchell St John of God Murdoch HospitalMs Meg Smith St John of God Subiaco HospitalMs Rael Rivers WA Country Health ServiceMs Suzanne Wood WA Country Health Service

MEMBERS IN 2015 (ONLY)

Member OrganisationMs Sarah Artmanni Fiona Stanley HospitalMs Joanne Illich Fiona Stanley HospitalMs Donna Mason Fremantle HospitalMs Jaime Van Delft Hedland Health CampusMs Lorna Davin King Edward Memorial HospitalMs Michelle Harvey King Edward Memorial HospitalMs Helen Chalson Swan Kalamunda Health ServiceMs Lynn Merigan Swan Kalamunda Health Service


55

CONTENTS ><

JMO FORUM 2015-16PleasenoteallmembersoftheJMOForumareJuniorMedicalOfficers.

Members until December 2015Dr Lee Fairhead (Co-chair) Sir Charles Gairdner HospitalDr Sarah Strathie-Page (Co-chair) Princess Margaret HospitalDr Elise Brigden Fiona Stanley HospitalDr Shehab Abdalla Fiona Stanley HospitalDr Justin Bui Fiona Stanley Hospital Dr Irene Tan Fiona Stanley HospitalDr Rikki Warren King Edward Memorial HospitalDr Simeon Ngweso Royal Perth HospitalDr Dani Bachmann Sir Charles Gairdner HospitalDr Mariana Dorkham Sir Charles Gairdner HospitalDr Perdita Gregory Sir Charles Gairdner HospitalDr Lee Jervis Sir Charles Gairdner HospitalDr Glenn Parham Sir Charles Gairdner Hospital

Members from January 2016Dr Dani Bachmann (Co-chair) Princess Margaret Hospital Dr Elise Brigden (Co-chair) Fiona Stanley HospitalDr Justin Bui Fiona Stanley HospitalDr Rachael Stokes Fiona Stanley HospitalDr Samuel Ognenis Fiona Stanley HospitalDr Mariana Dorkham King Edward Memorial HospitalDr Rikki Priest King Edward Memorial HospitalMs Kenia Lotter Medical Students’ Association of Notre DameDr Chui Chong Princess Margaret HospitalDr Emma Dudman Princess Margaret HospitalDr Lee Fairhead Princess Margaret HospitalDr Kate Freeman Princess Margaret HospitalDr Megge Beacroft Royal Perth HospitalDr Bonita Duan Sir Charles Gairdner HospitalDr Jasmin Korbl Sir Charles Gairdner HospitalDr Lee Jervis Sir Charles Gairdner HospitalDr Rebecca Wood Sir Charles Gairdner HospitalMr Daniel Dorevitch WA Medical Students’ Society


56

CONTENTS ><

16 LIST OF ABBREVIATIONS

Acronym DefinitionAHMAC Australian Health Ministers' Advisory CouncilAJMOC AustralasianJuniorMedicalOfficerCommitteeAMA Australian Medical AssociationAMC Australian Medical CouncilAccreditation Committee Accreditation and Standards CommitteeCouncil Ministerial CouncilCPMEC Confederation of Postgraduate Medical Education CouncilsCredWA BUG Credentialing WA Business Users GroupCRP Community Residency ProgramCTEC Clinical Training and Evaluation CentreDCT Director of Clinical Trainingthe Department Western Australian Department of HealthDiT Doctors in TrainingDPGME Director of Postgraduate Medical EducationFSH Fiona Stanley HospitalFTE Full Time EquivalentGP General PractitionerHWPC Health Workforce Principal CommitteeIMG International Medical Graduate JMO JuniorMedicalOfficerMBA Medical Board of AustraliaMEO MedicalEducationOfficerMER Medical Education RegistrarNMIDMWG National Medical Intern Data Management Working GroupOTTAWA The Ottawa Conferences on the Assessment of Competence in

Medicine and the Healthcare ProfessionsPEHS Primary Employing Health ServicePET Positron Emission TomographyPGMEU Postgraduate Medical Education UnitPMCWA Postgraduate Medical Council of Western AustraliaPMH Princess Margaret HospitalPVT Prevocational TraineeQR Quick Response CodeRACGP Royal Australian College of General PractitionersRACP Royal Australasian College of PhysiciansRACS Royal Australasian College of SurgeonsRMO ResidentMedicalOfficerRPH Royal Perth HospitalSJOGMPH St John of God Midland Public HospitalUWA University of Western AustraliaWA Western AustraliaWACHS WA Country Health Service

POSTGRADUATE MEDICAL COUNCIL OF WESTERN AUSTRALIA

Level 2, C Block, 189 Royal Street, EAST PERTH WA 6004P.O. Box 8172, Perth BC WA 6849www.pmcwa.health.wa.gov.au

CONTENTS>

www.pmcwa.health.wa.gov.au

postgraduate medical council of western ......the australian defence force academy, she completed...

Documents