A guide to Registrar Remediation


1. Introduction

This guidance document provides further information on registrar remediation as detailed in the Registrar Remediation Policy.

2. Context

Training Organisations may apply for financial assistance and/or advisory/consultative services from the RACGP to support a registrar enrolled in the Australian General Practice Training Program (AGPT) identified as requiring remediation.

The RACGP recommends Training Organisations follow the remediation principles detailed in the RACGP’s A guide to managing performance concerns in general practice registrars.

3. Remediation Application process

3.1 When a Training Organisation identifies a registrar for prospective remediation, as per clause 3.1 of the Registrar Remediation Policy:

  1. If the Training Organisation) wishes to suspend the registrar’s training time prior to the approval of remediation, this must be discussed with the National Clinical Lead - Educational Enhancement and Remediation (NCL-EER) prior to suspension.
  2. The Training Organisation must submit an application for remediation to the RACGP. This application must include:
    1. The reasons why remediation support is required,
    2. Evidence supporting the Training Organisation’s belief that a remedial term will enable the registrar for prospective remediation to reach an appropriate standard,
    3. The proposed remediation plan agreed between the Training Organisation and the registrar that specifies the registrar’s clinical skills deficiencies and the steps to be taken to rectify those deficiencies and the expected outcomes,
    4. A proposed budget, as applicable, that identifies the resources required to support the remediation plan, and
    5. A proposed timeframe for the remediation plan (the remediation period should be no longer than 6 months).
  3. For any enquiries about remediation terms, please contact registrar.remediation@racgp.org.au

4. Receipt of remediation application

4.1 The Training Organisation submits a remediation application to the NCL-EER, at registrar.remediation@racgp.org.au.

4.2 The NCL-EER confirms receipt of the application by email, outlining the process.

5. Assessment of the remediation application

5.1 The NCL-EER reviews and assesses the remediation application.

5.2 Where the NCL-EER determines that the remediation application is not appropriate, the NCL-EER will notify the Training Organisation by email with an explanation as to why the application is not appropriate.

5.3 Where the NCL-EER requires further information and/or changes to the application, the NCL-EER will contact the Training Organisation to discuss further and advise. This may entail resubmission of the application by the Training Organisation.

5.4 The NCL-EER will make a decision with respect to the application within 20 business days of receipt of that application. The RACGP will notify the Training Organisation within 5 business days of the decision having been made.

5.5 Upon notification of an application’s approval, the Training Organisation must suspend the registrar’s training time.

6. Transfer of funds

6.1 When the application for remediation funding is approved:

  1. The NCL-EER notifies the finance department to transfer funds to the Training Organisation.
  2. The finance department notifies the NCL-EER that the payment is being processed and funds will be transferred.
  3. The NCL-EER notifies the Training Organisation that the funding has been approved and outlines the reporting requirements.
  4. Funds will be transferred to the Training Organisation in four instalments.
    1. The first instalment will be paid upon approval of the application and will comprise 65% of the total funding allocation.
    2. The second instalment, % of the total funding allocation, will be paid upon commencement of the remediation program.
    3. The third instalment, 25% of the total funding allocation, will be paid upon receipt of the first progress report and is subject to the registrar having made sufficient progress.
    4. The final instalment, 10% of the total funding allocation, will be paid upon receipt of the final report.

7. Remediation reports

7.1 Training Organisations will provide a report to the RACGP detailing the registrar’s progress midway through the remediation term.

7.2 At the completion of the remediation, the Training Organisation will provide the RACGP with a report on the outcomes of the remediation and the actions that will be taken based on those outcomes.

7.3 The RACGP determines whether a remediation term is complete in consultation with the Training Organisation and the relevant Censor/s.

7.4 If the Training Organisation does not submit a report within 20 business days of the end of the remediation period, the RACGP may recommend to the Department of Health that the registrar is removed from training.

8. Outcome of remediation

8.1 Registrars will be required to have commenced the remediation program within one month of the time that the application for remediation funding is approved by the RACGP.

8.2 Registrars approved for funding support under this policy who fail or refuse to complete the plan agreed with the Training Organisation may be withdrawn from the Program, as outlined in the The Department of Heath AGPT Withdrawal Policy (Clause 5.4 Category 4 – Withdrawal based on Compliance with Education and Training Requirements).

8.3 The decision to withdraw the registrar from the AGPT Program rests with the Training Organisation; however, the RACGP may provide advice prior to the decision being made.

9. Appealing a remediation outcome

9.1 Registrars who are dissatisfied with a Training Organisation's decision following a program of remediation may appeal.

9.2 To appeal a decision, the requirements of both the Department of Health AGPT Program Appeals Policy 2020 and the RACGP AGPT Program Appeals Policy must be complied with.

10. Glossary

Advisory/ consultative services

Any discussion with the appointed RACGP Medical Educator relating to any concerns that RTOs may have with respect to registrar remediation

AGPT registrar

A registrar registered under Section 3GA of the Health Insurance Act 1973 in the Australian General Practice Training Program

Remediation

The process by which a registrar receives additional support requiring suspension of training time in order to address clinical skills deficiencies. Registrars undertaking a remediation term are not eligible to sit Fellowship exams.

a. Registrars undertaking a remediation term are still able to provisionally enrol in Fellowship exams scheduled after the term is due to finish. Ability to sit the exam/s is on the condition the Registrar completes their remediation term to a satisfactory standard, as determined by the relevant Training Organisation.

Registrar remediation activities

Activities including, but not limited to, additional teaching time, which may entail: addressing knowledge deficits, case discussion, direct observation of consultation, and review of video-recorded consultations

Registrar for prospective remediation

A registrar who has been identified by the RTO as being in need of additional training and support and where suspension of training time may be required

11. References


Enquiries

 1800 626 901

 racgpeducation@racgp.org.au

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