Registrar Remediation


Policy

Please note

This policy is currently under review. Until we publish the new policy, this version remains valid and applicable.

1. Purpose

1.1 This policy describes how Training Organisations may apply to the RACGP for financial assistance and/or advisory/consultative services to aid in registrar remediation.

2. Scope

2.1 The policy applies to all registrars enrolled on the Australian General Practice Training (AGPT) Program in both the RACGP general and rural pathways.

2.2 This policy replaces the previous Registrar Remediation Policy and will come into effect as of 11 October 2021. For the avoidance of doubt, to the extent that there is any inconsistency between the previous policy and this policy, the terms of this policy apply.

3. General Principles

3.1 Remediation is available to enable Training Organisations 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.

3.2 Training Organisations 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.

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

3.3 When a Training Organisation identifies a registrar for prospective remediation in accordance with clause 3.1 of this document, the Training Organisation must:

  1. Submit an application to the RACGP for remediation support. This application must include:
    1. The reasons why the registrar requires remediation support,
    2. Evidence supporting the Training Organisation’s belief that a remedial term will enable the registrar 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 for the proposed remediation plan that identifies the resources required to support and implement the remediation plan and which complies with clause 3.4, and
    5. A proposed timeframe of up to six months for the remediation plan.
  2. If the RACGP accepts the application for remediation, the RACGP will grant Training Organisations the authority to suspend the registrar’s training time and the Training Organisation will record the suspension in the registrar’s training record.

3.4 Applications for remediation funding under this policy are made by the Training Organisation to the RACGP by completing the prescribed Application for Registrar Remediation Funding form and submitting it to the RACGP.

3.5 Funding under this policy is only available from the date of approval of the application for funding.

3.6 The RACGP will make a decision with respect to the application within 30 days of receipt of the application. The RACGP will notify Training Organisations within 5 days of that decision having been made.

3.7 Training Organisations must notify the Department of Health when a registrar is undertaking RACGP approved remediation.

3.8 Registrars approved for funding support under this policy who fail or refuse to complete the agreed plan (as required by their Training Organisation) may be subject to the AGPT Withdrawal Policy (Clause 5.4 Category 4 – Withdrawal based on Compliance with Education and Training Requirements). The Training Organisation will determine whether to withdraw the registrar from the AGPT Program. However, the RACGP may (at its discretion) provide input prior to the decision being made.

3.9 Please refer to the Registrar Remediation Guidance Document for further information on the registrar remediation process.

4. Appealing a remediation outcome

4.1 Registrars who are dissatisfied with a Training Organisation’s decision following a program of remediation may appeal that decision.

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

5. Amendment of this Policy

5.1 The CIC may, at its discretion and without the consent of the Board, make Minor Amendments to this policy at any time.

5.2 If the CIC makes Minor Amendments, they must advise the Board of those amendments as soon as practicable.

5.3 The Board may make amendments to this policy at any time.

6. Responsibilities

RACGP Board

Responsible for approval of policy and Major Amendments.

Censor-in-Chief

Responsible for approval of Minor or Extenuating Amendments to the policy by delegation of the RACGP Board.

Registrars

Responsible for:

  1. Undertaking the prescribed remediation term, and
  2. Appealing a Training Organisation’s decision following a program of remediation should they be dissatisfied.

Training Organisations

Responsible for:

  1. Having documented processed for early detection of a registrar’s need for remediation,
  2. Submitting an application for remediation support, and
  3. Notifying the Department of Health when a registrar is on a remediation term.

RACGP

Responsible for assessing the Application for Registrar Remediation Funding form and providing a determination with 35 days to the Training Organisation.

7. Glossaries

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.

  1. Registrars undertaking a remediation term are still able to provisionally enrol in Fellowship exams scheduled after the remediation term is due to finish. Ability to sit the exam/s is conditional upon the Registrar completing their remediation term to the standard 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

8. Related Documents, Legislation and Policies

Compliance

8.1 The Department of Health’s AGPT Program Appeals Policy 2020

8.2 RACGP’s AGPT Program Appeals Policy

Guidance

8.3 RACGP’s Registrar Remediation Guidance Document

8.4 RACGP’s A guide to managing performance concerns in general practice registrars

9. Policy Review and Currency

This policy will be reviewed every three years from the last approval date, or when there is a significant change in the intent of the policy. This policy remains valid and applicable notwithstanding if it is overdue for review.

Version

Date of effect

Amended by

2

11/10/2021

Policy Advisor, Strategy and Development

Amendment details

  • Clarified registrars undertaking a remediation term are not eligible to sit Fellowship exams in clause 7.3
  • Clarified responsibilities throughout
  • Nomenclature review

Policy owner:

Board

Approved by:

Council of Censors

Approved on:

17/09/21

Next Review Due:

10/24

   

Enquiries

 1800 626 901

 racgpeducation@racgp.org.au


Related guidance document

Registrar remediation

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