Many of our supervised GPs will be starting their first General Practice job in Australia in 2019. For this reason, we have put together an overview regarding AHPRA’s supervision requirements for General Practice under each level of supervision.
Are you an International Medical Graduate (IMG)?
Yes – If you have been granted Limited or Provisional Registration with AHPRA, you’ll be required to complete a minimum of 12 months supervised practice in Australia.
No – So long as have been granted Provisional Registration and you have already undertaken a period of supervised practice in Australia or New Zealand- i.e. an accredited Internship, these requirements are not applicable.
In our experience, AHPRA can be very strict with regards to their Supervision Guidelines. As a general rule, supervisors should be Vocationally Registered and have held their Specialist AHPRA Registration in the field of General Practice for a minimum of 3 years.
Let’s get technical! Principle Supervisors & Co-Supervisors must not:
If your either supervisors have been grandfathered – i.e. Weren’t required to sit for GP Fellowship before being granted Specialist Registration with AHPRA, this will need to be noted in the SPPA-30 Supervision Plan. It’s also recommended to provide evidence of the grandfathering by way of an advice letter or email confirmation if possible.
AHPRA requires two supervisors, both a Principle and Co-Supervisor, to be nominated to ensure the appropriate level of supervision and support is provided to enable safe practice.
We have found that it is unlikely AHPRA will approve a supervision arrangement with only one supervisor nominated, especially for level one supervision.
Yes, supervisors who do not consult with their own patients can provide supervision to a maximum of 4 GPs including more than one on level one supervision.
Supervisors who do consult with their own patients can provide supervision to a maximum of 1 GP on level one supervision, in addition to 3 GPS on levels two, three or four but no more than 4 GPs in total.
Level One Supervision
In our experience, IMG’s gaining registration for the first time are likely to get level one supervision.
Under level one supervision the Principle Supervisor and Co-Supervisor are directly responsible for each individual patient the Supervised GP consults with.
Level Two Supervision
Under level two supervision both the supervised GP and supervisors share the responsibility of each individual patient. For this reason, the supervisors are to ensure the level of patient management undertaken by the supervised GP is based on their knowledge and level of competency.
Level Three Supervision
Under level three supervision the supervised GP is directly responsible for each individual patient.
Level Four Supervision
Under level four supervision the supervised GP is directly responsible for each individual patient.
Supervision requirements apply at all times, regardless of the type of clinical work being undertaken by a supervised GP. The appropriate level of supervision requirements must be followed even if working in after-hours, on-call, home visits or on a locum.
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People Medical Consulting are a team of professionals with a passion for guiding those specialising in the Medical industry to find their career pathway and settle into Australia. Working with both Australian trained and Overseas trained professionals, we have extensive experience in Recruitment of General Practitioners and Document Assistance for those requiring support with RACGP, AHPRA, 19AA and 19AB Medicare Exemptions.