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Doctor Supervision


So I recently got this email about supervising international medical graduates. Uh, and even though I’m not actually a current supervisor of international medical graduates, I thought it’d be interesting to go through what’s the requirement for supervisors of IMGs here in Australia. hello there. I’m Anthony I’m the Career D octor. I’m a real doctor. I’m here to help you manage your career right here on YouTube. So today we are having a look at the requirements for supervisors of international medical graduates here in Australia. Uh, and as I said, even though I’m not a current supervisor for IMGs, certainly have supervised many in the past. I’ve got this, uh, email the other day from the medical board Australia. I’ll read out to you, dear Dr. Anthony Llewellyn. Uh, what do you answer You know, the medical board of Australia supervision of IMG soul compliance have been engaged by the medical board of Australia. The board and operated provided the board’s online education assessment module for medical practitioners who is supervised international medical graduates. Your email has been provided, uh, to take the online mdule. A copy of t he agreement is available on the board’s website along with the guidelines here, which came into effect on 4th of January, 2016, uh, the board across all principal supervisors or co-supervisors and term co-supervisors to satisfactorily complete the online education and assessment module on the guidelines. Uh, as a current supervisor at one of our IMGs, you’ve been enrolled for module supervision of our [email protected] with a username and a password. Sorry, you don’t get them from me. Uh, your quality collate this module. Within one month there was a lesson and a 10 question quiz. Now listen is optional. You must get 90% or above to satisfactorily complete quiz should take up to 15 minutes to complete. Please do not use Firefox a, that’s from opera. So, uh, what I’ll do is, uh, I’m going to firstly, uh, provided a, a handy link there in the, in the email about the requirements for supervision. So let’s just have a quick look through here. So this is the medical board of Australia website, just under the Australian health practitioners regulation agency. There’s a lot of information on this site, a lot of information about various types of registrations requirements. Uh, you’ll see here there’s a kind of a subheading under registration for international medical graduates with a lot of information there as well, and here’s the guide for supervision, so the board’s guidelines are listed here. That will change on the 4th of June of 2016 so these changes really aren’t that new anymore. The key changes then were changes the requirements for supervisors to do online education and assessment. That’s what we’re going to do right now. Changes to the number of IMGs permitted per supervisor. I think this was one of the key changes because what was happening prior to this was particularly in general practice, there were too many doctors being supervised, so we were requiring supervision under the remit of one particular supervisor and there was obviously a little bit unsafe. There are descriptions of the four levels of supervision and it’s probably worth us going through that a little
bit. A revised supervision arrangements for IMGs, working after hours on call. These are local services. These are times when there’s generally a little bit less supervision available so that make sense. Prices for appointing temporary supervisors in a new audit, review them and stuff about the transitional arrangements, the online education, et cetera, et cetera. Let’s have a look at these guidelines just to check them out a little bit. So Hey, I got lines for a supervised practice for international medical graduates dated 4th of January, 2016 this will be informative to a narrow view is coming through the standard pathway competent authority pathway, a specialist path by really because once you get a job and get registered this, these are the rules under which you’re supposed to be working, particularly in relation to your supervisor. So these guidelines apply to all international medical graduates who are granted limited registration or provisional registration. All IMGs are granted limited registration or provisional registration must be supervised and it is your personal professional responsibility to make sure this occurs. Yes, your supervisor has certain responsibilities and obligations, but at the end of the day, if you don’t comply, if, if things don’t occur in alignment with these rules, then it is your responsibility to make sure that it happens. They don’t apply to Australia, New Zealand graduates with provisional registration interns who have their own rules for supervision there. So the purpose is to set out the assurance that the medical board of Australia provides to the community about the practice of medical practitioners and monitor and support IMG throughout the period of a limited or provisional registration. Mainly with the aim to get you to general or specialist registration. You talk about what formal supervision should constitute, including feedback about strengths and areas for development and strategies to improve performance
and what good supervision looks like. They also talk about how they decide the level of supervision that is necessary. Uh, and I take in effect a number of factors including the position that you’ve been offered and the level of risk. So, you know, a specialist role would be more significant and potentially more risky than PSI resident role, the context of the practice. And that’s usually about who else is around the support. You’re not just doctors, but others, um, supports available and qualify should the qualifications, training experience. So generally speaking, the more work and training you’ve done, the more likely you are to be appointed to a higher level of supervision in terms of not needing so much direct supervision. And I say here during the period of supervision, the board approves a principal supervisor as well as co-supervisors. And that’s big chain because I think one of the problems was often you had supervisors swapping all the time. So they’re doing courage when you get registered initially that there’s an number of supervisors. So there’s like a fallback out at the end of the period of registration, uh, after considering all the work performance reports, the board determines whether you are suitable for ongoing registration. Now hopefully you’ve got to the point of getting general specialists, but if you need an extension, uh, that also can apply principles to supervision. Let’s just pick through these cause I don’t want to spend, well it’s only nine pages. So obviously you can’t just read it verbatim to you, but all I’m, jeez, we’ll have a principal supervisor. The principal supervisor is approved by the board, is the oversee of supervision, should nominate one or more. Co-supervisors is responsible for ensuring adequate supervision, delegate supervision, so that can be to co-supervisors or to other doctors like registrars, et cetera. If you say in a hospital, must agree in
writing to provide supervision as prescribed by the board and provides reports to the boards about your performance as an IMG. Then there’s sort of a duties of co-supervisors and then there’s also term co-supervisors. So when I said one of the changes was to sort of limit the number of people who can be supervised, particularly under some of the more direct levels of supervision that created a problem for hospitals where often you would have, I’m disappointed in like resident jobs where there is quite a lot of support but people are changing a lot and it wasn’t uncommon. It isn’t uncommon and it wasn’t uncommon for one person to be the suit nominated supervisor for a number of people. So you can see here that something like the director of medical services or director of training, maybe actually you pointed as a principal supervisor for a number of doctors and then like an Alec type term co-supervisors to look after them. Three to rotation requirements for all supervisors here. Lee’s include not having conditioned to post on their registration and must not be in a relationship with the IMG. Uh, must not be employed by the IMG or make sense in terms of a conflict of interest perspective and they can, the board cannot grant approval revoke if they receive a notification about increments for principal supervisors co-supervisors in terms supervisors should have specialist registration. Now this is where I struggled a little bit to be honest. I think certain doctors are on the pathway to becoming specialists in this countryside advanced trainees, even basic trainees really can be taught the principles of feedback and professionalism in terms of oversight of a doctors at more junior levels in the hospital. But anyway, the assignment you have to have specialist registration. I think the other problem there is that we end up with this pyramid effect where the, the specialist as the supervisor for advanced training, basic training, these fellows, residents, senior residents, interns, et cetera, et cetera, they really do have to delegate some of that responsibility out in order to be actually ensure good supervision occurs. Particularly again in a hospital setting. Uh, there is an out cause though if you have general registration as to why you can be considered. So that might be a case for someone who’s like an education fellow or registrar or something like that. And again, you’d probably need to have done some training and medical education or maybe management, that sort of thing. So great example would be someone who’s a training on the medical administration trace. There must be appropriate, qualified, preferably in the same field of medicine. Well that again would be a bit of an issue if it’s a rotating, uh, a doctor should have the minimum three years full time equivalent practice, uh, masking people, the young mind complete the online education. And here we get down to the number of RMGs for minutes. So their board would not normally allow any practitioner to have direct supervisory responsibility for more than four IMGs. And that’s actually quite a lot. And so that can create a bit of a headache in terms of monitoring it. But I think that’s a generally decent principal. There are some exemptions here for DMS and directors of clinical training about how they provide explanation to more than four doctors. Otherwise you do have to provide explanation. There’s arrangements for appointing temporary co-supervisors and then there’s some description of what supervision looks in a formal and informal setting. I’m not going to go through that in too much detail at all. A it’s probably easily understood. What I’d like to do though before we go onto the training module, uh, and we’ll keep this open cause it’s probably going to be helpful in filling in the quiz is the just go through the four levels of supervision. So just so you understand that, so these are, I guess again determine on a number of things, your qualifications, your previous experience, your recency of practice and the scope of that practice, their position requirements and the level of risk. And the location, the seniority of the position for hospital positions. Any recommendations from say a pesky or pre employment structured clinical interview or a college The, some more about supervision in general practice and there should be some provisioning in hospital settings as well. Okay. So we often apply this level one to four in the hospital as well. But you can see these are the criteria determined for general practice. So level one supervision. Basically the supervisor has to basically be there the whole time, uh, must be for is physically present at the workplace or times when the RMG is providing clinical care and you have to consult supervisors about management of all patients. So you couldn’t be in another room. But after you see every patient you have to talk to your supervisor so you can see how this would have been a bit difficult for supervisor had like more than one person on level one at a time. I guess they can be hopping between rooms but you know, it was probably leading to issues where the IMG wasn’t able to check in on each and every patient and he cannot have supervision via telephone contact or other sort of electronic mechanisms. So again this would be limited as well in terms of let’s imagine a your doing after hours or how are you going to do the after hours unless you’re just tagging along with your actual GP supervisor. If we’re going to apply this, the hospital setting, this is kind of equivalent to what an intern does. They would always basically be checking on the each and every patient with someone more senior. It’s probably not as strictly applied as that but uh, in terms of everything they do during the day. But anything significant, certainly generally, for example, the rule in the emergency department for interns working the emergency department is that they talk to the registrar or the
consultant, uh, about each patient that they’ve seen. You can see how that would take up time and a slow down the efficiency of set intern residents get a little bit more latitude as to registrars. So a resident would be at this sort of level two supervision. Uh, and from a general practice perspective, let’s say your supervision must be primarily in person, uh, 80% of the time, uh, but where the not I would be present. The must always be accessible by telephone or video links. So it’s a little bit more indirect and they have to check in on a daily basis. So then I have to talk about every patient. So there’s a little bit responsible and responsibility and in trustability given to the IMG to know when to get advice. So you can see in that circumstance there also might be a little bit more limited opportunities to do after hours though again, you’d have to be at least available to phone in, although we might just go here and have a look here
in terms of the specific requirements about after hours on call, off site to track. So that would be equivalent to a resident in a hospital. Then we’ve got level three where the IMG is permitted to work alone, provided the supervisor’s contactable. That’s kind of at the level of what I’m trainee, maybe even a senior resident might do in a hospital and level. And that also might be what you might get appointed to if you were a specialist on the partial comparability. And then the level four, which is the most relaxed I guess, uh, they take full responsibility for each individual patient. And really the supervisor just provides oversight is available. Uh, I must periodically conduct a review. So that would be equivalent in the hospital to, well there’s not really much prevalent in the hospital to that possibly or like a senior fellow from a specialist IMG perspective. Actually. The other one will be Korean medical officer and from a specialist IMG perspective, that would be equivalent as say someone on substantial compatibility. And then they talk about how you can use this as a guide for hospital-based position. And then there’s some information about after hours. Uh, so for example, in an IMG in a hospital based position on level one, maybe rosters for after hours services in the hospital if their supervisor is also physically present at the workplace and is available to consult about the management or patients, uh, at all times when the OMG is providing clinical care. Now that’s interesting because that wouldn’t happen with interns that we, unless the registrars are being pointed and we get back to this issue about, you know, having specialists responsible for everything. They wouldn’t necessarily be the actual supervisor for the intern, uh, in the hospital every time that they’re doing after hours. Uh, so that the, you know, I am sometimes that creates headaches for hospitals when they’ve got an IMG and the level one and often what they’ll be trying to do is move
them to level two so that they can do a bit of a bit more after hours within the normal roster pattern. Cause they hear about the reporting requirements. There’s an initial three month report. Then they talk about after the first report at three months, there must be your rapport provider at the time or an application made for renewal, for registration. And then annually they are often lists otherwise directed. And that’s usually, you know, working towards getting off this registration. And then the specific requirements with Andres with provisional registration, they may, as it says, there may be, you might be eligible for general in the 12 months ago was practice. So they look at that and they do audit supervision requirements. So I look, let’s just a brief snapshot overview of all the supervision requirements. I’ll show what I’m going to title this video, but I think it’s might be coming around to a bit of an explanation. The supervision requirements for IMGs in Australia. By the way, if you’re liking this content, I’ll leave you like, or comment below so that I can know if I should make some more. You might have some questions about the supervision requirements or the processes you found some oddities or issues around the various levels. If you’re currently working, uh, as an IMG under provisional limited registration, say, leave me a comment or question below. Uh, and uh, as always, if you feel like subscribing, if you’re enjoying these videos, do so and turn on notifications so you can know when the next video goes out. So now let’s hop into the training. Now. I’ve taken the Liberty of signing in already and so we’ll just have a look at this. Uh, I might just blow that up for you guys so you can sit a little bit better. Thank you for agreeing to what, sorry. Personalized. Hello Anthony. Thank you for agreeing to be a supervisor of international medical graduates. Please view the video message from dr Joanna Flynn, chair of the medical board of Australia. The video is not visible. Please click medical board Australia appreciates the commitment of medical practitioners to give their time to
supervise. IMGs uh, provides assurance to the board and the community of the practice of IMTS is safe and is not putting the public at risk. And the link to the guidelines. A bit about the education module. Some help and I need to complete this within one month. Uh, please select my training to convince some models. So let’s have a listen to what Dr. Flynn has to say. chair of the medical board of Australia. On behalf of the medical board, I want to thank you for taking on the role of supervisor for an international medical graduate. In this context, we’re talking about doctors who trained overseas and who are working in Australia in areas of need or postgraduate training positions and have not yet met the requirements for for registration in Australia. Supervision is critical in assuring the board and the community that these IMGs are working safely without medical practitioners who were willing to take on the role of supervisors, IMGs wouldn’t be able to work in Australia and communities would miss out on these much needed services. The board supervision guidelines outline the principles of supervision and the board’s expectations of IMGs and their supervisors. The guidelines were first developed in 2012 and the medical board has recently revised them and made a number of changes. It’s important that supervisors understand their role and responsibilities. This module won’t take long. And we hope that you’ll find it useful. We’re not trying to teach you how to supervise. Many of you are very experienced supervisors and have had good training in your role. We do want to make sure that you and the IMGs are clear about your responsibilities to the board and to the community. The board appreciates your commitment to IMG supervision and to ensuring the safety of the public. Thank you. Okay. Thank you Joanna. So, uh, let’s hit into the training. Shall we Alright. The courses I need to complete, ah, the following. Supervision of international medical regulates incomplete complete certificate. Let’s click on that. Uh, no, I mean Chrome. Okay. So
I say don’t do it in Firefox 432
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and I guess model. So I guess that
not quite clear there, but it is not started and you get a hyperlink when you click on this. So, um, I guess we click on the lists and then, so maybe you don’t have international integrators. Purpose of the module is to ensure that supervisors understand their roles and responsibilities. The guidelines available on the my training page. Yep. Got him open here. I’m going to make up the top there. Maybe page two. Okay. Um, to review the guidelines and to complete the lesson, like I said, it should take up to 30 minutes to complete. A supervisors must complete the quiz and get 90% or above. Click on a click quick, fast. Click on the quick facts as a bit of a tongue twister menu button about to view a summary of the lesson. Uh, click on exit. Duh. Okay, so we’ve got quick facts, great effects sheet. Okay. Supervision requires, provides assurance or laundries. Have a principal, supervisor, and coast of advisors and they may be temporary. Everyone has most of All supervisors should have specialists. Registration a, you may supervise up to four IMGs. Oh, I’m just should have both formal and informal supervision. I need to be satisfied that are developing competencies in clinical areas. What about nonclinical competencies, by the way Uh, the level of supervision, um, is depending on the position. Uh, I’m using my work after hours, et cetera. Restrictions applies to like a position size. I think I said on a previous video or a blog, it’s very unlikely that you’ll be able to gotta be out of work as a locum other than a few sort of, um, Beshore schemes in general practice that have been set up. Um, but otherwise
you need to have your general specialists registration to be low levels of supervision. It might change the level of supervision. Um, supervisor must provide orientation work performance reports and there is an audit process. Okay, great. Quick fact sheet, quick fact sheet, almost the table of contents. Is that going to tell me what I’m going to learn about Nope, but blank on the home page. Yup. Okay. Well let’s, okay, no, it does say I should, can select a topic. Doesn’t seem to be anything there. Let’s click through the medical board of Australia has developed guidelines which we’ve read through these guidelines, applied international medical graduates under the law and there granted limited opposite provisional registration under that law. Understood. so provides assurance to the board and in the community supervision also monitors and supports IMGs. Uh, and then the formal supervision processes, monitor and assess IMG performance within a structured framework. Uh, yep. We’ve talked about what good supervision should be. So yeah, this is basically, uh, really repeating the content here, isn’t it trust. Um, now in terms of, uh, some critique of the Elaine approach here, by the way, um, we haven’t got a table of contents as far I can see I’m on Chrome, uh, sole combines and there’s no indication as to how far I am into the train. That really tends to irritate
the learners. You need to give us some feedback. Um, you know, if it’s going to be long, let us know. Um, we want to gauge how are we going. Um, also, you know, this is one where you can do the dreaded right quick. Can’t you just basically click Yep. So, um, you know, there’s various approaches to that. I’m not saying you should hide this button elsewhere, but sometimes you might have things here on some pages that stop you from clicking forward to make sure you’re actually paying attention. What’s often useful is a quick video that you have to watch all the way through before we can forward and not say people can do that and then do something else, but it just helps a little bit. So in terms of your approach to learning, you know, this is what I would do anyway. The board will consider a range of factors. Yes. Uh, we’ll approve a principal supervisor as it was a co-supervisor and determine whether the OMG is civil for ongoing registration at the end of the period. Okay. So quick facts, the same thing Yup. Okay. Okay. Click 538
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okay. Exactly. I can go past this. Yeah. Anyway, I would probably make this one the first stop kind of pass without, um, clicking on everything just to make sure we were watching and reading supervision arrangements had been approved. Must be in place at all times. Uh, click on the buttons to below for definitions. So I’ve read through this. What a principal supervisor is that the chief supervisor responsibility for the overall performance sitting place, the plans for the orangy and the coast. If it was a help out enough formerly there, um, they may have active supervision roles or they may also just feeling when the principal supervisor is not there or they might find themselves, play their reports. And then there’s term co-supervisors as well. Uh, I click on the button below for definitions of the cultural. Um, kind of have supervision, must be granted approval, uh, and kind have a relationship with the IMG principal, supervisors, coach supervisors, supervisors, and may have generally a distraction in the circumstance. Supervisors
may supervise up to four mgs supervisory concurrently consults with their own patients. We’ll see if it wasn’t the OMGs may supervise up to one arm. Do you only ones This is what I’m doing, but you can’t have one in one room when the other, you’ve gotta be providing the direct oversight. But I’m the first on level one needs and then up to three mgs on other levels. However, if you don’t consult with their own patients while supervising, so you’re a specialist in the hospital, then you can have more than one. And if you want more than four, you have to submit a proposal. Unless you’re in your DMS or do director of clinical training, a principal, supervisors may demo, delegate. Um, they can appoint two or temporary supervisors can be appointed in like donated be approved by the board. So this is about those practical solutions so that then you’re not constantly filling in forms. Going back to the board and IMTS had been caught on technicalities. There are limits on how long you can be a temporary soon was it There’s a maximum three non-consecutive four week periods per calendar year. So three months. Basically if you’re absent for more than four weeks, you have to have a co-supervisor. So that’s wise. Good idea to have them already. Definition of the formal supervision, a review and feedback observation with practical skills. Discussion of difficult or unusual cases, cultural management issues, medical record, nothing about teamwork. Um, hospitals, systems, healthcare systems, communication. Interestingly, Oh this is just like in, you know, day to day advice. Um, so I, you know, formal is like scheduled and regular and informal is daily. Usually I need to be satisfied. The army is developing. I can assess the patient accurately. Recognize a sick patient, no into refer, comes prescribed safely, can order our tests and interpret the results. Can screen Katrina, manage effectively, communicate while it’s good, understand relevant legislation. That’s good. Again, nothing about teamwork in the hospital setting or how health systems work or anything practical. Uh, that’s, you know, practical to your development and our service. All right. Oh, checklist. Oh, so this is your responsibility. Um, the IMG must schedule regular meetings with their supervisors and get supervision and development goals together with the supervisor. Contact early, recognize their limits, obtain approval from the board for changes to supervision arrangements, and inform the board if supervision is not occurring as per the requirements. So as I said, at the end of the day, this is your responsibility. Yes, the supervisors have a responsibility in this, but it’s your registration. It’s your ultimate responsibility as supervisor is to make sure the idea is practicing safely. Observe the OMG, provide feedback and address problems that are identified and notify the voter immediately if there’s concerns. A notify of noncompliance. A and verify the OGs practicing correlates with um, the working rates. Oh, there’s a continuum. Let’s say I didn’t wanna miss that. Um, sure. Approval of the board has been obtained for proposed changes informed the board if he can’t provide supervision, provide orientation, provide work, promote Florence reports to the board, agreed to provide some vision at the level determined and be clear about how they can be contacted. This probably shouldn’t be the first thing listed actually by the Andrea when the army is practicing during working hours and after hours. And let’s just go back to the other one to see if I missed anything. No, I should probably be clear about animate contact as well, but there’s nothing missing there. Sorry, you gotta wait for this to scroll through here. Now this one, you’re not allowed to move past until you’ve, well, is that the end of the module No. Okay. There is more interesting. So at this point I’m actually made to read. I would’ve probably put a stop before going there a little bit earlier on. Oh, the employer must ensure supervision. So the employers have responsibility here as well. Facilitate protected time, ensure the army is adequately oriented to pop organizational policies and procedures and advise the board of any concerns. Right. Um, level supervision required depends on a number of factors. Now I’m probably gonna edit some of this out because it’s starting to seem like a fairly boring video. Well, if patients, previous experience where the other recently practiced in the scope requirements and
position position itself, the seniority of the position for hospital positions, uh, premium appointments, uh, or pesky results and college results, uh, here’s the four levels of sufficiently went through those in detail. So I’m not going to just go with them too much. Again, you can see them there, as you said, live. One of the most tightly supervised level four is the least to talk them as one, two, three, four. Okay. Uh, and then we can apply this levels of supervision in the hospital about other supervisor vision structures, uh, can be applied as well. Um, supervision of IMGs more info IMG may provide after hours services at their prior workplace. If supervision is provided by inappropriate principal supervisor. Uh, for example, an IMG and hospital position on level one maybe rusted for after hours if the supervisor is also physically present, present. As I said, that’s not usually the case. Um, an IMG may work over time, um, at their approved workplace provided they comply with supervision arrangements provided approved by the board, um, 687
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and
onto your level one or two supervision cannot be approved for a position which consists solely of Encore home visits. So let’s just stop you being sort of, um, like one of those doctor to your door. Um, arrangements where you all less, much less likely to get supervision. Basically. Let’s be honest, those, um, programs don’t work. If you have to have a supervisor tag along with you the whole time, IMG may provide on call or off site visits as an adjunct to the approved hospital general practice position provided that comply with the requirements. Uh, for example, an IMG Kango on home visit. If they go with this supervisor, um, and an IMG on level one or two is not permitted to provide like, um, services. So as I say, the options for IMGs without well January to for specialist registration to do like him, he is pretty limited in Australia. The board may change, uh, subdivision arrangements at any time. And then information about the reporting requirements written in three months renewal. Um, you mean you do have to check in more regularly and this, this, this is just the amount of dollars you have to go back to the medical board. Um, and I do have templates for completing these and there is an audit process. I’m pretty sure we might be close to the end of this module because it follows the structure of the guidelines. End of listen, click the exit button to exit the lesson. You can access the quiz from the course then boat. I will do that now. Okay. So I’ve completed my Oh, in progress with my listen. Okay. Uh, the why I didn’t give me a completed interestingly, well let’s do the grades and see what happens. We should take up to 15 minutes to complete. I reckon it work to this 10 multiple choice questions. Once a level of supervision is approved by the one thing you can, now we’re going to show whether it, how good I am at an understanding all these prices and how much of an expert I am as a way of working as a doctor in Australia. So hopefully I do pretty well. Okay. Question one to 10, what are we working once the level of supervision is approved by the board or principal or co-supervisor can change the approved level supervision following assessment of the IMGs work performance No, that is not true. You have to go back to the medical board. Let’s see. Oh, they’re not going to tell me until we get to the end. Um, the principal supervisors are responsible for overseeing the supervision, ensuring adequate supervision, ensuring the co-supervisors meet requirements, providing reports to the board about the only is work performance. This is one of those, all of the above ones. All of the Andres in a
who current currently consults their own patient is approved to supervise goodness or poorly would wear to sentence. The maximum number of minutes to be on level one is one 753
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you really got to practice with two practice locations, then you work at both locations half time today you can employ, you plan to employ an IMG who needs level two supervision. They will work at one of these clinics full time and you’ll be the supervisor. Will this arrangement meet the requirements as outlined in the supervision guidelines Well, unless there’s a co supervisor at the clinic the rest of the time. So they didn’t clarify that that wouldn’t be because it has the 80% of the time. So that’s a no, because you’ll be awake half the time. Which of the following is a topic that must be included in the orientation to the Australian health care system Hmm. What did they say there Let’s just, 770
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okay, so there’s a specific um, guideline for the orientation report, which, uh, I’m gonna show him. It’s probably one of all of the above. It should be. Um, because these are all things that are not well understood when you’re coming as a doctor from overseas and Australia. The very specifics of that context. Let’s just look it up, see whether we can find it. Let me go. There’s a document that we can read. So I’m going to learn something here. Possibly. Sorry. This is the report that you feeling when you oriented your IMG doctor. Uh, it’s the origin 30 and Australian orientation, Australian health care system structure and funding and the system. Uh, state department health, medical board of Australia. I am my specialist colleges, postgraduate medical colleges, councils. I don’t know that the, I am interesting. The IMI is, they’re not industrial organizations. Uh, but anyway, um, provider and prescribing numbers. PBS game. Doctor’s bag. Okay. Hospital practice, mental health legislation, professional development. Um, you would think that there was something about interpreters some way. Uh, can we talk about interpreter systems I see interpreter service tried some poisons,
so I think that’s pretty much covered everything. Let’s just go back. Yep. PBS. Yep. All of the above. I thought as much all principals, supervisors must be pretty bad about it. True. You’re the principal supervisor and the coach supervisor has serious concerns about the IMTS practice. What must you do Ask the coast supervisor to manage it and I don’t think so. Discuss the concerns with the coast advisors and make arrangements to manage it, including reporting the board if necessary. Reduced the number of IMGs shifts sessions. That’s pretty obvious as well, isn’t it Temporary co-supervisor must have specialist registration can only supervise IMD for a maximum of four weeks at a time. Can be appointed by the principal supervisor if the situation is urgent but must be approved by the board within four weeks. It must complete the online education assessment module. So we remember we talked about it’s a maximum four weeks at a time, so
it’s going to be this, um, this option here, the, as I said, there are getting out causes for why you don’t have to have specialist registration and um, this is one of those instances where, uh, you don’t need one or see it, you’ll be able to find that in the guidelines here. Um, 833
00:36:34,970 –>00:36:35,240
Oh, sorry. Here we go. Requirements for principals who was in term of co-supervisors. So these are the ones that have all have to have specials registration so the temporary supervisors don’t. So that can be like an advanced trainee. Um, again that’s a kind of a practical thing so it can see here temporary supervisors don’t require board approval. Um, don’t have to have specialist registration, don’t have to be in the same field of medicine and don’t have to even have three years full time and practice. So you can be like I’m resident and apparently a and you don’t have to complete the online education module. So that’s kind of having someone to fill in at the last minute just to make sure the IMG is looked after but not let go for too long. You are the principal supervisor and there are two coasts supervisors who provide the day to day supervision. You don’t need to, Oh, negative question. How it’s not about, that’s not a good quiz design either. You don’t need to meet with the OMG. If the IMG is having regular meetings, who’s one of the coasts supervisors. You don’t need to complete the work performance report. This can be done by the co supervisors. Tell the board when you take annual leave, tell the board if you are unable to continue as a principal supervisor. If while the coast supervisors can take on the principal supervisor role, well that’s incorrect. You don’t need to tell the board when you take annual leave. They’re providing day to day subdivision but you do need to complete the worker performance report. Um, and you do need to meet with the RMG as well. So there’ll be annual leave. I am assuming visor of I’m Daisy interns. I should refer to the board’s guidelines. Supervised practice. Ron GS for the supervision of IMGs interns. Both Andre’s intense or there
are only 400 GS. Okay. Moment of truth. Let’s see how I went. Okay. Oh, not my military. Submit answers. I can review or change moment of truth waiting, waiting, waiting for salt compliance and I roll. It wasn’t a bad module, but I do think that could make a few improvements. Oh, okay. You have now completed your quiz. Well done. You’ve passed the supervision of international medical graduates quizzes. The past Mark is 20% and you scored 100% where, who to view your quiz results Click quiz summary report. I wonder if I give you some, um, comments. No, I don’t tell you why the right answer is the right answer either. Okay. Well, okay, so let’s go back to my training. I appreciate him. I get a little certificate completed. The quiz past. Why is that in progress still Well, click here to view your certificate of completion. A, I’m not going to print that and soak Hublot’s. There you go. So I can now successfully supervise international medical regimens again. Okay. Well, so once again, I hope you’ve learned something. Uh, as always, uh, if
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One Comment

  1. Career Doctor
    Career Doctor October 10, 2019

    Does the Level 1 to 4 Supervision system make sense to you? Leave me a comment below.

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