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FSP Training Site and Supervisor Handbook

Glossary

Last revised: 04 Aug 2023

Glossary

 
Term Definition
Addenda Addenda on a registrar’s medical registration may include restrictions, conditions, limitations, reprimands, supervision requirements, tribunal outcomes, suspensions, undertakings and/or any other remarks or changes. Refer to the AHPRA website for more information.
Additional rural skills training (ARST) A training term of 52 calendar weeks (FTE) in an accredited training post that provides the appropriate depth and breadth of experience necessary to meet the requirements of the particular ARST curriculum.
Candidacy The three-year period, separate to training program time, during which a registrar can attempt Fellowship exams.
Candidate The medical practitioner eligible to sit RACGP Fellowship exams.
Completion of training The end point of the education and training component of the FSP. Supervision will be available until the registrar is awarded Fellowship.
Comprehensive Australian general practice Comprehensive Australian general practice:
  • prioritises holistic clinical person-centred healthcare
  • is founded on ethical and socially responsible practice addresses the health needs of all people living in Australia in an equitable way
  • meets the particular needs of underserved populations, including those living in rural and remote regions and Aboriginal and Torres Strait Islander peoples.
Refer to the Comprehensive Australian general practice guidance document for more information.
Conflict of interest A conflict of interest may arise in a situation where it could reasonably be concluded that a person’s capacity to make a decision on a matter is influenced by the fact that they hold other interests. A conflict of interest may include:
  • an actual conflict of interest
  • a potential conflict of interest
  • a perceived conflict of interest.
Refer to the Conflict of Interest Policy for more information.
Cultural safety Cultural safety is determined by Aboriginal and Torres Strait Islander individuals, families and communities. Culturally safe practice is the delivery of safe, accessible and responsive healthcare free of racism through a health practitioner’s ongoing critical reflection about knowledge, skills, attitudes, practising behaviours and power differentials.
Education and training requirements  The mandatory components of the FSP.
Fellowship Fellowship of the RACGP denotes a practitioner who provides safe, specialised and high-quality general practice care. It demonstrates to governments, the general practice profession and the community that a doctor is competent to practise safely and unsupervised in any Australian general practice setting – metropolitan, rural, remote and very remote communities. It also allows access to specialist medical registration and A1 Medicare rebates. The RACGP awards two Fellowships:
  • Fellowship of the RACGP (FRACGP)
  • RACGP Rural Generalist Fellowship (FRACGP-RG).
Fellowship exams The exams run by the RACGP that assess competency for unsupervised general practice anywhere in Australia. They include:
  • Applied Knowledge Test (AKT)
  • Key Feature Problem (KFP) test
  • Clinical Competency Exam (CCE).
Full-time equivalent (FTE) For the FSP, the RACGP determines FTE to mean 38 hours per week spent in training, which includes all practice time, and education and training program activities.
General practice training terms In the FSP, referred to as GPT1, GPT2, GPT3, and GPT4.
In-practice education Education that takes place in community general practice under supervision.
Modified Monash Model  The Modified Monash Model (MMM) defines whether a location is a city, rural, remote or very remote. MMM 1 is a major city and MMM 7 is very remote. Overseas doctors (international medical graduates and foreign graduates of an accredited medical school) who are subject to section 19AB of the Health Insurance Act 1973 (Cwlth) must train on the rural pathway in MMM 2–7 areas. More information on MMM areas can be found on the Department of Health website.
National team RACGP staff with oversight of the overall FSP, providing high-level educational leadership. They may provide guidance and decision-making in particular circumstances, such as educational support and remediation, application for extended leave and managing critical incidents.
Out-of-practice education Education that occurs outside of regular clinical practice, including workshops, self-directed learning, peer learning and exam preparation.
Primary supervisor The medical practitioner who has ultimate responsibility for a registrar and manages their supervision by the supervisory team to ensure safe patient care. A primary supervisor provides formal and informal teaching, feedback and assessment.
Program team The training coordinator and medical educator assigned to a registrar.
Program time The length of time required to complete the FSP.
Provider number A Medicare provider number is given to eligible health professionals who are recognised for Medicare services, and allows them to claim, bill, refer or request Medicare services. A registrar must apply for a unique provider number prior to starting in a general practice placement.
RACGP Rural Generalist Fellowship The award of Rural Generalist Fellowship (FRACGP-RG).
Regional team The team that manages a training region and provides support to registrars from the time they enter the FSP through to Fellowship. The team includes a training coordinator, medical educator, administrator and supervisor liaison officer. They may be involved in accreditation of training sites and educational workshops.
Registrar A medical practitioner enrolled in the FSP or AGPT programs.
Remediation The process by which a registrar receives additional support in order to address performance concerns.
Safety The condition of being protected from or unlikely to cause danger, risk or injury. Educational safety is defined as a learning environment that values support, respectful communication, bidirectional feedback, reflection and the acquisition of new skills. It meets the learner’s current level of competency and learning needs and facilitates growth and learning.
Secondary supervisor The medical practitioner contributing to a registrar’s supervision and education under the guidance of the primary supervisor. They may temporarily take on the duties and responsibilities of the primary supervisor when they are absent.
Supervisor An accredited GP who works in an accredited training practice and takes responsibility for the education and training needs of the registrar while in the practice.
Supervisor liaison officer An FSP administrator who assists supervisors with queries and tasks.
Training region An area in which the RACGP delivers general practice training.
Training site A health service accredited by the RACGP where the registrar may undertake their general practice training.
Wellbeing The state of being comfortable, healthy or happy. Educational wellbeing is ensured when the registrar feels engaged, safe and supported in the learning environment.
Workplace-based assessments Observation and assessment of a registrar’s practice to track progression through training. Types of assessment include:
  • early assessment for safety and learning (EASL)
  • clinical case analysis
  • multi-source feedback
  • mini-clinical evaluation exercise
  • mid and end-term appraisals.

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