Practice News (June 2019)

By June 14, 2019 July 17th, 2019 Newsletter

New Base Rates of Pay for Registrars

GPSA have announced important information about the increases to GP registrar base rates

  1. Increases are linked to MBS item 23 increases, which on 1 July 2019 increase by 1.6%.
  2. Increase in registrar base rate comes into effect on Monday, 5 August, 2019, or Semester 2.

For full details visit the GPSA website.

Supervisor PD News

Supervisor Curriculum review
Over the years the core workshops have changed and evolved and indeed this process is continuing. We are currently embarking on a process of supervisor curriculum review ahead of the new triennium. This encompasses examining and evaluating our existing offerings and integrating others that are necessary. The current core modules are:

  • Teaching tips; teaching procedural skills
  • Clinical supervision & random case analysis
  • Observing your registrar
  • Stress and the GP registrar
  • When things go wrong
  • Managing critical Incidents and providing difficult feedback

The review also encompasses taking on board supervisor feedback requesting the addition of flexible provision through the development of some online modules, and considering the various suggestions from you about topics for extension modules. Of course, with this process, decisions will have to be made about changes to the current curriculum.

One example of a new module that is to be integrated into the new curriculum is cultural safety. It will become part of the supervisor PD modules, relating to Aboriginal Health. Why is this as you may say – “we never see any Aboriginal patients in our practice”? However, EV is committed to trying to get all supervisors (as we do with all registrars) familiar with some relevant Aboriginal Health issues.

 

Reclassification of Supervisors
As discussed over the past year, EV is moving to the concept of two classes of supervisors.

  1. Educational supervisors who are heavily involved in registrar teaching and education support, mentorship, monitoring, feedback, assessment, reporting and overall professional development
  2. Clinical supervisors who take a less intense role mainly just providing support and advice in clinic when the educational supervisor is not available.

This is a bit different from the old concept of primary and secondary supervisors. It aims to reflect the reality of what GP supervisors do. Individual supervisors can decide which type of supervisor they wish to be. However, there would be a requirement for at least to be one educational supervisor in any practice that accepts registrars.

PD expectation will be augmented a bit for educational supervisors and relaxed for the clinical supervisors. Core workshops were developed by VMA, one of the pre cursor organisations to EV. The idea was that all new supervisors would undertake particular PD activities that were judged to be essential elements of the supervisor repertoire. As we progress to this plan for educational and clinical supervisors, there is a need to modify these core workshops. Clearly the needs of clinical supervisors are different to those of educational supervisor.

It is envisaged that there will be a core workshop especially for clinical supervisors which will mainly relate to how to interact with your registrar when you are called into their room to give advice, either with or without the patient present.

Another plan under discussion is the concept that would involve all new educational supervisors receiving a visit from an experienced supervisor or medical educator during their first few years as a supervisor. The visit would take a form similar to the old VMA peer practice visits. So the new supervisor would write a reflection of their experience so far before they host a visit. The visitor would have some discussions with the supervisor and registrar and then would then sit in on a practice teaching session and after this offer the supervisor some feedback on this. Further details on this proposal will be forthcoming soon with a view to the classification change in 2020.

 

Supervisor Network Meetings Pilot
A pilot of supervisor network meetings is under way in South Gippsland. We will keep you informed about this.

 

Welcome New Staff Member
We welcome Emily Jepson as the new Supervisor Professional Development Support Officer, who commenced with EV in mid-March. Emily’s role includes seeking supervisor PD accreditation for college points. She is located at the Churchill office, and her usual days are Mondays, Tuesdays and Wednesdays.

 

Contact Us
We would really value any feedback from supervisors on these ideas and more. Feel free to contact us.

Patrick Kinsella, Professional Development Coordinator – Supervisors and Medical Educators
Julie Willems, Manager Supervisor CPD
Emily Jepson, Evaluation & Supervisor Professional Development Support Officer

 

Supervisor News

New SLOs
EV now has an SLO for each region. They are Peter Stevens (Rural), Gerard Connors (SE Metro), Carolyn Royse (NE Metro) and Damian Flanagan (Peninsula). We welcome Peter as a very experienced and highly respected Supervisor and thank Fred Edwards who has retired from his SLO role, for his body of work. SLO contact details can be obtained from EV Program Support teams. Any industrial matters should initially be discussed with GPSA.

 

SLO Network Meeting
The SLO network meeting was held in Brisbane on 3 May and had a very rural focus. We had presentations from Associate Professor Ewen McPhee of the Australian College of Rural and Remote Medicine (ACRRM) and Professor Paul Worley, National Rural Health Commissioner. They discussed the National Rural Generalist Program, which aims to attract, develop and retain more students and trainees to rural medical training pathways and Rural General Practice. We also heard from Associate Professor Susan Wearne from the Department of Health who highlighted the oversupply of Doctors in some areas and the need for more in others (eg: rural and remote). She also noted the changing illness profile in the community with more aged and chronic care and a tendency in all specialties to sub specialise, rather than be a generalist.

 

AMA Conference
At the recent AMA conference a motion was passed that our AMA recommends the Government develop a single employer model as an alternative to fee for service arrangements to deliver equitable remuneration and employment conditions for GP registrars and between GP and non-GP registrars, while at the same time meeting the needs of supervising practices. As a supervisor who owns a General Practice, as many of you do, that last line is critical. I note the AMA also passed a motion supporting increasing funding to all of General Practice to 16% of total health spending. So far the Government has shown no interest in doing that or giving registrars Hospital like conditions. In the mean-time the NTCER remains in place. I shall keep you informed of any changes and will advocate strongly (in my GPSA Chair role) to ensure training practices remain viable.

 

GP Supervisors Required for Research Project
Can you help a colleague? Hubert Van Doorn, who has been a GP Supervisor and Medical Educator for many years, is researching “The nature of tacit knowing experienced by GP Supervisors as they teach GP registrars.” He would like to interview experienced GP Supervisors on this topic. If interested please contact him here.

 

GPTEC2019
Finally the GPTEC conference program is now out. There may still be a few places left. I encourage you to attend, it’s always stimulating and inspiring.

Gerard Connors
Supervisor Liaison Officer

 

Interview Tips

Interview tips for practices to ensure that you and your registrar are on the same page.

Tip one: Prepare for the interview before hand to ensure that you are getting the best candidate for your clinic.

Tip two: Be clear on what your clinics values and expectations are. Each practice is different and there is often a good reason why certain policies, rostering and bookings are in place.

Tip three: Don’t interview alone- have another member of the team with you. This will help you to determine if the candidate and the practice are a good fit.

Tip four: Follow up with all the registrars you have interviewed as one of them might want to work at your practice in the future.

Tip five: Read the ‘EV Practice Manager Quick Guideand the EV Training Practice Handbook for additional information.

For more useful information, read the article ‘Headaches arise when expectations don’t match’ co-authored by Glen Wallace, CEO GPSA and Heather Grusauskas.


Heather Grusauskas,
Accreditation and Practice Support Coordinator

 

ACRRM Open House

The Australian College of Rural and Remote Medicine hosted an exclusive event in Brisbane. This event was attended by Neil Spike, Val Treneman and Julianne McLuckie. To read more about this event, click here.

 

RMA Excellence Awards

Hosted by the Australian College of Rural and Remote Medicine (ACRRM) and the Rural Doctors Association of Australia (RDAA), Rural Medicine Australia 2019 (RMA19) is the peak national event for rural and remote doctors of Australia. If you know of a registrar, GP or student who you believe is making a significant difference in rural and remote medicine nominate them today.