AGPT registrar training handbook

Supplementary material

Glossary

      1. Glossary

Glossary

Academic post A 0.5 FTE research and medical education term undertaken as part of the AGPT program over 52 calendar weeks.
Accredited Australian or New Zealand hospital Either:
Accepted temporary Australian visa A visa accepted by the RACGP, as determined by the relevant application handbook.
Addenda Includes, but is not limited to restrictions, conditions, limitations, reprimands, supervision requirements, tribunal outcomes, suspensions, undertakings, and/or any other remarks or changes on a registrar’s medical registration.

See AHPRA's website for more information.
Additional rural skills training (ARST) 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.
AHPRA medical registration Registration with the Australian Health Practitioner Regulation Agency (AHPRA), which allows the registrant to practise medicine. Refer to the AHPRA website for more information.
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.
Clinical competence Demonstrated ability to consistently perform relevant clinical tasks to the standard prescribed in the Progressive capability profile of the general practitioner.
Commencement of training The day on which the registrar begins the AGPT program.
Completion of training The formal end point of the AGPT program, as assessed by an exit interview and completion of training report.
Comprehensive Australian general practice
Conflict of interest
A situation in which it is reasonable to conclude that an individual’s or group of individuals’ personal interests’ directly conflict with the best interests of the GPiT or where individuals’ actions may be influenced by their personal interests rather than education and training outcomes. A Conflict of Interest includes, but is not limited to, when:
  1. close personal friends or family members are involved,
  2. an individual or their close friends or family members may make financial gain or gain some other form of advantage, and
  3. an individual is bound by prior agreements or allegiances to other individuals or agencies that require them to act in the interests of that person or agency or to take a particular position on an issue.
Core emergency medicine training A mandatory component (minimum of 6 months) of the Rural Generalist Fellowship that is designed to strengthen rural general practice training by providing Registrars with the skills and confidence to manage emergency situations in rural and remote environments.
Core vocational training General practice term (GPT)1, GPT2, GPT3 and Extended Skills Training term of the AGPT program.
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.
Designated 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 designated supervisor provides formal and informal teaching, feedback and assessment.
Dual Fellowship Fellowship with both the RACGP and the Australian College of Rural and Remote Medicine (ACRRM).
Education and training requirements  The mandatory components of the AGPT.
Exam semester A period during which all three Fellowship exams are delivered.
Extended skills training A 26-calendar week (FTE) term undertaken to extend the depth and breadth of the Registrar’s skill base in an area relevant to general practice.
Extenuating and unforeseen circumstances A circumstance that is outside of the registrar’s control, can reasonably be considered to have been unforeseen, and can be shown to have a direct and significant impact on them. The RACGP considers extenuating and unforeseen circumstances on a case-by-case basis.
Extenuating circumstances Circumstances outside the registrar’s control that can be shown to have a direct and significant impact on their ability to sit an assessment the RACGP considers on a case-by-case basis, which are and/or their performance in an assessment.
Fellowship

Admittance to either:

  • Fellowship of the RACGP (FRACGP), or
  • FRACGP and 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).
Financial RACGP member
An RACGP member who has:
  • met the membership category requirements
  • had their complete membership application form accepted
  • paid their current membership fee in full.
Full-time training A 38-hour working week, over a minimum of four days per week. A minimum of 27 hours must be in face-to-face, rostered, patient consultation time undertaking general practice activities. Work periods of less than three consecutive hours, or less than 4 calendar weeks in any one practice, will not be considered. Hours worked beyond this definition of full time will not be considered.
Full-time equivalent (FTE) Where a Registrar undertakes part-time training is the number of hours worked as a proportion of the full-time training.
General practice training terms In the AGPT program, referred to as GPT1, GPT2 and GPT3.
Hospital rotations The time medical practitioners spend working in different medical disciplines in the jurisdiction of an accredited Australian or New Zealand hospital.
In-practice education Education that takes place in community general practice under supervision.
Local team RACGP staff with local knowledge and relationships who support registrars from the time they enter the AGPT program through to Fellowship. The team includes a training coordinator, medical educator, cultural mentor and an administrator.
Member Has the meaning given per clause 110.a.xxii of the RACGP Constitution.
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 and Aged Care website.
National team RACGP staff with oversight of the overall AGPT program, 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.
Notifiable conduct Notifiable Conduct holds the same definition as in the Medical Board of Australia’s Guidelines for mandatory notifications about registered health practitioners.
Original decision A decision that is the subject of a dispute, reconsideration or appeal.
Out-of-practice education Education that occurs outside of regular clinical practice, including workshops, self-directed learning, peer learning and exam preparation.
Part-time training
At least 14.5 hours over a minimum of two days per week, of which at least 10.5 hours is face-to-face, rostered, patient consultation time, undertaking general practice activities. Work periods of less than three consecutive hours, or of less than 4 calendar weeks in any one practice will not be considered.
Program team The training coordinator and medical educator assigned to a registrar.
Program time The length of time required to complete the AGPT.
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 ADF team The RACGP Australian Defence Force (ADF) team provides tailored support to ADF registrars in the AGPT program.
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 the local team with specialised resources and expertise. Includes a registrar liaison officer and cultural educator. They may be involved in accreditation of training sites and educational workshops.
Registrar A medical practitioner enrolled in the AGPT program.
Registrar liaison officer (RLO) A registrar who is available to other registrars in their region to provide confidential advice, information and support.
Remediation The process by which a registrar receives additional support in order to address performance concerns.
Remediation term An additional term of program time in which the 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.
Significant family relation  Anyone with whom the Registrar has close familial relations. This may include, but is not limited to, a parent, sibling, spouse/partner/de facto/fiancé(e), child, grandparent and community member.
Special circumstances for international medical graduates These circumstances are determined on a case-by-case basis by the RACGP and include, but are not limited to:
  • communication skills development, and
  • supported learning
Special training environment (STE) A placement offering a training opportunity with a limited case mix and different operational arrangements. Therefore, STEs do not meet accreditation standards for Australian Comprehensive General Practice. Registrars can be placed at an RACGP-approved STE for a maximum of six months.
Supervisor An accredited general practitioner who is both a clinician and role model who takes responsibility for the education and training needs of the Registrar while in the practice.
Suspension of Candidacy

An Exam Semester during the Candidacy in which the Candidate is not required or permitted to attempt Fellowship Exams. The two types are:

  • Standard suspension: A single suspension of an Exam Semester available to any Candidate, for any reason, once during their Candidacy.
  • Non-standard suspension: A suspension of an Exam Semester granted by the RACGP to the Candidate on the provision of evidence of Extenuating and Unforeseen Circumstances.
Training region An area in which the RACGP delivers general practice training as defined by the relevant Training Program.
Training site A health service accredited by the RACGP where the Registrar may undertake their general practice training. For AGPT Registrars, this excludes the mandatory hospital training time.
Training stream Subdivisions of the AGPT program. These are:
  • the general stream, and
  • the rural stream.
Unsanctioned withdrawal Withdrawal from an RACGP Assessment that is not approved in writing by the RACGP.
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
  • clinical audit
  • external clinical teaching visit
  • mid and end-term appraisals.

 

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