EV GP Training is committed to the Health and Safety of our staff, stakeholders and the broader community. For this reason, we have temporarily moved all workshops to online learning. We have also closed our offices, so staff will now be working from the comfort of their own homes. If you need to contact us, please visit the Key Program Contacts page.

This is a rapidly changing situation. Please check here regularly for updates on EV’s training program.

Important Quick Links:

EV COVID-19 FAQ

The information provided here is accurate at the date of publication.

What are the key tasks to be done and documented when doing a Telehealth consult? (as at 18 May 2020)

At the start of the consultation

  • Confirm patient identity
  • Confirm if any other people are present (at either end)
  • Method of telehealth (phone or video)
  • Discuss billing approach and get consent to proceed
  • Discuss the limits of telehealth (such as for certain problems or if needing physical examination) and potential need for a face to face consultation, and that the patient is consents to proceed

At the end of the consultation

  • Discuss the logistics of any prescriptions, investigations, certificates or referrals, and patient agreement to that plan and discuss any risks involved
  • Confirm at the end what the service you will be billing is (if bulk billing can be indicated in the file as “agreement to assign their benefit as full payment for the service”) [and be aware of the requirements to bulk bill vulnerable patients if using telehealth item numbers].

And it is still a GP consult, so remember the things a GP does:

  • Are there any other things from previous consultations to follow up?
  • Are there are any outstanding recalls or preventive health actions due?
  • Is the management of any chronic disease optimised?

Where can I find the list of EV contacts? (as at 30 April 2020)

EV staff are here to assist you in any way we can with questions about GP Training. If you are seeking specific advice about training and your practice, then please contact your usual EV staff contacts. Any practices that are looking at a change of registrar circumstances should speak with either Bianca Vardanega, Manager General Pathway or Val Treneman, Manager Rural Pathway, to discuss issues before any major decisions are made.

A reminder for registrars to contact the EV RLOs for peer support and to raise specific issues by email. Supervisors may wish to contact the EV SLOs in your sub-region

Are registrars able to work extra shifts in emergency departments to help hospitals during the COVID-19 pandemic? (as at 7 April 2020)

EV registrars working full-time in general practice training must be mindful of their fatigue management outlined in clause 16.2 in the National Terms and Conditions for the Employment of Registrars (NTCER).

Due to current circumstances, registrars who wish to provide additional support to hospitals may do so, keeping in mind fatigue management and burn out. Registrars are expected to adhere to their current employment contract with their practice prior to committing to additional work. Registrars should also contact their Registrar Support Officer if planning to to do some additional work. Please note, additional hours in a hospital will not count towards a registrars training time. 

For ACRRM registrars, alternative work such as in emergency departments may count towards training but will need an alternative training plan and approval from ACRRM.

How does a training practice that is setting up a COVID-19 fever clinic onsite impact on a registrars training, teaching and supervision time? (as at 7 April 2020)

It depends on how it is set up. If a registrar is working at their training practice’s fever clinic and all other GPs are working in the fever clinic e.g. the work is no more onerous for the registrar, then this time will count as training. Teaching and supervision must be met for the level and FTE of each registrar. 

If the fever clinic were set up offsite from the training practice as separate entity with separate provider numbers, at this stage, this time will not count towards a registrar’s training time as EV are unable to approve provider numbers for unaccredited clinics.

Will telehealth consults count towards training? (as at 9 April 2020)

Both GP Colleges considers teleconsultations during the COVID-19 health crisis an appropriate clinical activity for GP trainees, provided that supervision arrangements commensurate with the normal supervision requirements are in place.

What are the requirements for registrars doing Telehealth consultations onsite at the training practice? (as at 7 April 2020)

For registrars working onsite at the training practice undertaking Telehealth consultations, there is no change to the teaching, supervision or training requirements. Accredited supervisors should ensure they are still available for debriefing, mentoring and pastoral care. Registrars can use Telehealth consultations to complete ReCEnT. If registrars are unable to complete ReCEnT, please contact Lucrezia Tuccitto.

What are the requirements for registrars doing Telehealth consultations offsite from the training practice? What will this mean for my teaching time and supervision? (as at 30 April 2020)

Practices that will be moving Telehealth consultations offsite must contact EV and complete a Remote Telehealth Supervision Application. This application outlines how a practice will be supporting registrars remotely with their teaching, supervision and accessibility to a supervisor should the registrar require.

All training practices are encouraged to contact their Practice and Supervisor Support Officer (Pauline Gunn in metro and Belinda Giles in rural) for all enquiries.

Requirements for teaching and supervision remain the same. It is the delivery method that changes. Please refer to the EV webinar on supervision of registrars undertaking teleconsultations during COVID-19 here or by logging into EVe.

Can a training practice complete our weekly teaching session’s offsite, even if we are working onsite in the clinic? (as at 7 April 2020)

Yes, if the required onsite supervision is met, teaching can occur offsite e.g. via telephone or video. This should be discussed and agreed with the practice and registrar prior to arrangements being put in place.

What are the options for a training practice that does not have sufficient patients to fulfil registrar training requirements? (as at 7 April 2020)

Please contact your RSO / PSSO or EV program support to discuss the situation. The current situation is evolving quickly and it is likely that during this period, patient numbers will be variable also.  EV seeks to work with practices and registrars to ensure that where possible, current placements remain as originally matched and understands that this may mean periods where numbers are lower or higher than the usual guidelines.

Is a registrar able to work less than 38 hours per week? (as at 9 April 2020)

Current requirements are that a full-time registrar continues to work 38 hours per week over the course of a month (measured in an RCTI). Should a registrar wish to reduce the fraction of their placement to work less hours, and this desire is supported by the practice, an application to train part-time can be requested from the registrars Registrar Support Officer.

Is a practice able to reduce the registrar working hours/end the registrar placement if required? (as at 7 April 2020)

Registrars should discuss with EV the option to reduce working hours by changing their fraction to a 0.5 or 0.75 placement by completing an EV Part-Time Application. This can be implemented if required and agreed by both the registrar and practice.  

During the health crisis the practice may request the registrar to work less than 0.5 FTE and, if all parties agree, the work must be no less than the minimum RACGP part-time training requirements for their training time to be counted. The registrar is to submit an EV Part-Time Application to their RSO.

If a registrar is not seeing sufficient patients/getting sufficient consulting in their current practice, can they seek additional training hours at an alternate accredited practice? (as at 7 April 2020)

Yes, if there are other accredited practices with capacity to take an additional registrar. Registrars should contact their RSO to discuss what options might be available. Please note that for their training time to be counted, they must be working more than 3 hours over no less than 4 weeks in another practice.

Practices should also be advised of the consequences if they reduce their registrar’s hours and seek alternative employment elsewhere. The registrars may not return to their previous fraction or at all once the clinic returns to normal practice.

Are registrars still required to attend the practice now that the workshops have been cancelled? (as at 7 April 2020)

Practices must still provide the paid educational release day for registrars in order for them to complete their catch-up modules.  In some instances workshops may be postponed to a later date in which case the registrar is expected to attend the clinic. The registrars and practices will be contacted by their Workshop Administrator regarding details for specific workshops.

What is happening with ECTVs, MiniCEX and Training Advisor contacts? (as at 18 May 2020)

All face-to-face ECT visits for registrars have been suspended and replaced with video-link ECTVs. If this is agreeable between the ECT visitor, the registrar and the practice, the visit can proceed via videoconferencing. All visits from 1st June will be scheduled by EV using a Pro Zoom licence. EV does not permit the audio-visual recording of ECTV observations.

EV has sent out communique via email to all ECT Visitors and registrars on the process along with a revised patient consent form and key tips. For more information, contact program support (Sian McDowell in metro or Carol Grassens in rural).

For ACCRM registrars, miniCEX can still be undertaken at the clinic by the registrar’s supervisor if they are an ACRRM Fellow or an accredited ACRRM supervisor as outlined in ACRRM’s Fellowship Assessment Handbook

Training advisor or medical educator contacts will continue via phone or other non-face-to-face means

There are no ALS or BLS courses available. What does this mean for registrars about to fellow or commence GP terms in 2020.2? (as at 16 April 2020

For RACGP registrars, ALS and BLS requirements are:

  1. A Basic Life Support (BLS) course completed within the 12 months prior to commencing General Practice Term 1 (GPT1) that meets the RACGP requirements.
  2. A Basic Life Support (BLS) course completed within the 12 months prior to applying for Fellowship that meets the RACGP requirements.
  3. Training in advanced life support (ALS) completed within the four years prior to apply for Fellowship that meets the requirements in RACGP’s Basic Life Support and Advanced Life Support Guidance Document.

Registrars who are unable to meet the above requirements are encouraged to make contact with their Registrar Support Officer as soon as possible to discuss the next steps.

 

For ACRRM registrars who are nearing the end of training are not able to complete their emergency course requirements:

  1. Most registrars should not be disadvantaged by the postponement of courses. The delivery of emergency courses will resume once it is safe to do so.
  2. If an emergency course is the only outstanding requirement for Fellowship, this would be considered on a case-by-case basis.

Where can I find reliable clinical advice? (as at 30 April 2020)

Stakeholder Communiques

In amongst this rapidly changing environment, EV has been in regular contact with our stakeholders about the impact the COVID-19 virus has had on GP Training. We encourage all stakeholders to check their emails regularly to ensure they are keeping up to date with our communiques.

 

Important: If you are a registrar, supervisor or practice manager with an accredited EV training practice and you are concerned that you may have COVID-19, please seek medical advice and contact EV.