1. Registrar Remediation Policy
1.1 Policy number: CO-E-0029.0
1.2 Category: Education
1.3 Approval date: February 2017
1.4 Revision due date: February 2020
1.5 Unit responsible: Education Services
2. Policy declaration
Regional Training Organisations (RTOs) may apply for financial assistance and/or advisory/consultative services from the RACGP to support a registrar identified as requiring remediation.
3.1.1 RTOs are required to have documented processes in place that allow for early identification and management of registrars with deficiencies in their clinical knowledge and skills, rate of progress within training, and clinical competence and/or performance, and who are therefore in need of additional training and support.
3.1.2 Remediation is available to enable RTOs to support registrars who have not shown sufficient improvement with focused learning interventions (FLIs) and where it is believed that a remedial term will enable the registrar to reach an appropriate standard.
3.1.3 This policy replaces the previous AGPT Remediation Policy 2017 and will come into effect as of 1 May 2017
This policy describes how RTOs may apply to the RACGP for financial assistance and/or advisory/consultative services to aid in registrar remediation.
The policy applies to all registrars enrolled on the Australian General Practice Training (AGPT) Program in both the RACGP general and rural pathways.
For the purposes of this policy:
- Remediation means the process by which a registrar receives additional support requiring suspension of training time in order to address clinical skills deficiencies
- Registrar remediation activities means 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
- AGPT Program means the Australian General Practice Training Program
- AGPT registrar means a registrar registered under Section 3GA of the Health Insurance Act 1973 in the Australian General Practice Training Program
- Registrar for prospective remediation means 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
- Advisory/consultative services means any discussion with the RACGP’s Senior Medical Advisor, Education Progression relating to any concerns that RTOs may have with respect to registrar remediation
5. General principles
5.1 When a registrar for prospective remediation is identified, as per clause 3.1 of this document, the RTO must:
5.1.1 Submit to the RACGP an application for remediation support. This application must include:
i. the reasons why remediation support is required
ii. evidence supporting the RTO’s belief that a remedial term will enable the registrar for prospective remediation to reach an appropriate standard
iii. the proposed remediation plan that addresses the registrar’s clinical skills deficiencies (the remediation plan must also have been agreed to by the registrar)
iv. a proposed budget, as applicable, that identifies the resources required to support the remediation plan
v. a proposed timeframe for the remediation plan (the remediation period should be no longer than 6 months)
vi. the expected outcomes of the remediation
5.1.2 In the event that the application for remediation is accepted, authority to suspend the registrar’s training time will be granted and RTOs will be required to record the suspension in the registrar’s training record.
5.2 Applications for remediation funding under this policy are made to the RACGP by completing the prescribed Application for Registrar Remediation Funding form and submitting it to the RACGP.
5.3 Funding under this policy is only available from the date of approval of the application for funding.
5.4 A decision with respect to the application will be made within 30 days of receipt of the application. RTOs will be notified within 5 days of that decision having been made.
5.5 RTOs must notify the Department of Health when a registrar is undertaking RACGP approved remediation.
5.6 Registrars approved for funding support under this policy who fail or refuse to complete the agreed plan (as required by their RTO) may be subject to the AGPT Withdrawal Policy (Clause 5.4 Category 4 – Withdrawal based on Compliance with Education and Training Requirements). The decision to withdraw the registrar from the AGPT Program rests with the RTO; however, the RACGP may provide advice in this instance.
6. Appealing a remediation outcome
6.1 Registrars who are dissatisfied with an RTO's decision following a program of remediation may appeal that decision.
6.2 The process for appealing a remediation outcome is detailed in the Department of Health’s AGPT Program Appeals Policy 2020 and the RACGP AGPT Program Appeals Policy. These policies are to be read in conjunction.
7. Related policies, documents and legislation
All related policies are available here.
All related guidance documents are available here.
All Department of Health policies relating to the AGPT Program are available here.
8. Administrative procedures
8.1 Access to published policy
This policy will be available via the RACGP website as detailed in clause 8.
8.2 Promulgation of published policy
Relevant staff members, including RTO CEOs, directors of training, and remediation officers, will be provided communications explaining the function and role of this policy.
8.3 Review of this policy
This policy will have a review cycle of three years.