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AGPT for GP supervisors

Supporting GP supervisors

GP supervisors are key to registrar learning. We want them involved and informed about the move to college-led training.

GP supervisor updates

We’re here to support you with changes to the AGPT program. Know what to expect.

A GP supervisor is the backbone of GP training. Most of a GP registrar’s education occurs in their training practice with their supervisor and supervisory team. RACGP recognises that the high quality of GP training is largely based on the current commitment and skilled training provided by supervisors.

In 2023 the training of GP Registrars towards Fellowship of the RACGP will no longer involve Regional Training Organisations (RTOs) but will instead be directly managed by RACGP. The current RTO-led programs have been well-run and have consistently been highly rated by registrars. So, while shifting from nine different RTO-led programs to a single College-led program inevitably involves some change, RACGP’s approach is to try and minimise the change and build on the sound programs that already exist.

RACGP is working with RTOs and General Practice Supervisors Australia and Australian College of Rural and Remote Medicine to be ready to deliver training from February 2023. Some decisions have not been finalised, and local context will result in variation in the programs delivered throughout the country. This means it is not currently possible to definitively outline the program that supervisors will be asked to deliver at the start of 2023 but as negotiations progress it is becoming clearer.  This page will outline the current ‘state of play’ and will be updated as decisions are made so supervisors and practices can be kept informed and to allow the opportunity for feedback about issues concerning supervisors and training practices.

Accreditation of existing supervisors and practices

All existing training practices and supervisors will continue to be accredited by RACGP. Where reaccreditation for a practice falls due in early 2023 the current plan is to automatically extend accreditation for a further 6 months. 

Accreditation of new practices and supervisors

Accreditation of new practices and supervisors will continue to be managed by the RTOs for the remainder of 2022. In 2023 the RACGP will assume responsibility. Where practices wish to be accredited by both RACGP and ACRRM this will be managed collaboratively with ACRRM to avoid unnecessary duplication.

Around the country, GP supervisors have been given different titles by Regional Training Organisations.

Supervisors who have full responsibility for a registrar and the practice supervisory team have been variously called lead supervisor, principal supervisor, educational supervisor, or primary supervisor. The RACGP has decided to use the term ‘primary supervisor’ for supervisors fulfilling this role.

Supervisors who assist primary supervisors in some tasks or act as deputies when the primary supervisor is absent have been called additional supervisor, clinical supervisor, or assistant supervisor. The RACGP has decided to use the term ‘secondary supervisor’ for supervisors fulfilling this role.

The positions of primary and secondary supervisor are not hierarchical. The concept is that there is choice in the level of responsibility taken by a supervisor for a hosted registrar. Primary supervisors have overall responsibility for a registrar and for ensuring patient safety and that educational requirements for a registrar are met. Secondary supervisors do not have this degree of responsibility.

Supervisor professional development curriculum

Through an education research grant in 2020 and 2021 the RACGP supported the development of a national curriculum for GP supervisors. It was recognised that the core knowledge and skills of GP supervisors is similar across all training and workforce programs. Supervisors should be supported to undertake professional development for whenever they are asked to supervise a doctor who does not have Fellowship of either RACGP or ACRRM. This includes programs managed by the Medical Board of Australia.

A task-based syllabus was established as the basis for the curriculum. A foundations of supervision course based on this syllabus has been developed and will commence for new supervisors in the Australian General Practice Training Program (AGPT), in 2023.

Professional development requirements for current supervisors

All currently accredited GP supervisors will have their previous professional development (PD) recognised by RACGP.

The College intends to develop education resources to assist supervisors to fulfil tasks that are likely to be slightly different in RACGP’s training program. Examples of likely topics to be included in the ‘on-boarding’ education include the tasks associated with the assessment program, reporting requirements, and accessing the registrar’s training management system. Completion of this targeted education will be the focus of PD for supervisors in 2023.

A principle accepted by the RACGP is that any mandated supervisor professional development should be paid. Until the budget for supervisor professional development is finalised, the mandatory requirements for professional development of supervisors and the supervisory team cannot be set.  Whatever the mandatory requirement is, a supervisor may still elect to complete more education than the minimum required to maintain accreditation.

The current intention is for professional development payments to be made to the practice according to the number of registrars in the practice, the training level of the registrars, and the location of the practice. The practice will then be able to determine how it wishes to fund the professional development of the supervisory team in their practice and what activities it plans to undertake.

RACGP will offer and support a blend of supervisor PD opportunities. In addition to online modules and webinars RACGP intends to conduct regional workshops and convene local ‘communities of practice’. In recognition of the value of peer-learning, there will also be support for in-practice supervisor professional development. 

Professional development requirements for new supervisors

From 2023 GPs wishing to become a GP supervisor will be required to complete a Foundations of Supervision course before being accredited as a supervisor. Completion of the course will also be acknowledged and accepted by ACRRM for supervisors of ACRRM registrars.

The Foundations of Supervision course consists of eight modules. While they can be completed entirely online, most new supervisors will complete the course by a combination of online and face-to-face workshops. Depending on the pathway taken, the course will take one to two days to complete.

New primary supervisors must complete the first seven modules before their registrar commences. The final module is designed to reinforce learning in the earlier modules and is completed 6-12 months after the registrar commences. New secondary supervisors will be required to complete the three modules most relevant to their role prior to commencement with the remaining five modules, to be completed over a three-year period.

All new supervisors will be required to have recently completed cultural awareness training such as that available through GP learning.

A nationally consistent payment program has been developed through negotiations with the Department of Health, GP Supervisor Australia, AMA, RDAA, ACRRM and the RTOs.

For details, see GPSA subsidies and allowances: link

AGPT Accredited Training Practices and Supervisors who have a registrar training in their practice in 2023 will be supported by the following Nationally Consistent Payments administered by Services Australia from 1 February 2023. 

To receive these payments your practice must: 

  • be an accredited AGPT Training Practice
  • have a GP registrar employed in your training practice
  • have a PRODA organisation account set-up

Payment amounts are set by the Department of Health and paid according to the MMM classification of the accredited training practice as set out below. 

Practice payments will be paid to the practice quarterly in advance per registrar, per term as follows from 1 February 2023:

Teaching payments from Term 1 2023

Term MMM 1-2 MMM 3-4 MMM 5 MMM 6-7
GPT1/CGT1 $11,700 $13,700 $14,700 $15,700
GPT2/CGT2 $6,750 $8,750 $9,750 $10,750
GPT3/CGT3 $2,800 $4,800 $5,800 $6,800

* conditions apply

Teaching payments will be paid monthly (in-arrears)* per registrar, per term as follows from 1 February 2023: 

Practice payments from Term 1 2023

Term MMM 1-2 MMM 3-4 MMM 5 MMM 6-7
GPT1/CGT1 $15,000 $17,000 $18,000 $20,000
GPT2/CGT2 $7,500 $9,500 $10,500 $12,500

*typically paid to the practice and then distributed to supervisor(s), unless alternate arrangements are identified. 

NB: Conditions apply


MMM = Modified Monash Model. Payments increase on the basis of rurality
Teaching and Practice Subsidy Payments will be made via Services Australia


Information about the new nationally consistent payments:

The registrar’s primary supervisor is responsible for ensuring that the registrar receives their mandated teaching time. Some of this may be allocated to other members of the supervisory team.

The mandated teaching time for each level of registrar is:

  • 3 hours a week for GPT1 registrars of which at least one hour must be scheduled uninterrupted time
  • 3 hours a fortnight for GPT2 registrars of which at least one hour must be scheduled uninterrupted time
  • 1 hour a fortnight for GPT3

The mandated teaching time for part-time registrars is pro-rata.

Activities in addition to the scheduled uninterrupted teaching that make up the balance of the mandated teaching time include:

  • opportunistic and planned case discussions during and at the end of the day
  • group teaching sessions with other registrars and students
  • orientation to the practice
  • procedural skills education
  • cultural education
  • provision of feedback
  • completion of assessments
  • evaluation of teaching

Although many activities are accepted as contributing towards teaching time, there must be one hour per week during GPT1 and per fortnight during GPT2 preserved for scheduled, uninterrupted teaching with your registrar. Some of the scheduled sessions should be one-on-one teaching. One-on-one teaching is required to address your registrar's individual learning needs. It is during these sessions that consultations are observed, and medical records reviewed. Feedback, assessment, or critical incident review are similarly best conducted individually during these sessions.

To register an organisation in PRODA, log in to your individual PRODA account. Select Organisations, then select Register New Organisation.

To register the organisation you'll need to enter the following details:

  1. name of the organisation.
  2. ABN of the organisation.
  3. organisation contact email address.

Our new remote supervision guidelines will enable GP training in locations previously not possible.

The remote supervision guidelines have been developed with the objective of ensuring the safety of the GP in training, their patients, the supervisor, and the training site, while providing a foundation for a high-quality learning experience.
 
We are piloting the guidelines in two locations this year. Then they will be evaluated and refined before publication and wider implementation.
 
Remote supervision is a growing area of interest to help address the challenges of the rural and remote workforce. We have received expressions of interest from a number of other medical colleges to discuss our model of remote supervision and support.
 
If you would like more information or would like to preview the guidelines, please contact Stacey Cotter.

 

RACGP is meeting regularly with ACRRM to align supervisor professional development and accreditation, with the intent to reduce the burden on dual accredited supervisors and practices.

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