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.
Accepted temporary Australian visa A visa accepted by the RACGP, as determined by the relevant application handbook.
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.
AHPRA medical registration Registration with the Australian Health Practitioner Regulation Agency (AHPRA), which allows the registrant to practise medicine. Refer to the AHPRA websiteAHPRA’s website for more information.
Remediation term An additional term of program time in which the registrar receives additional support in order to address performance concerns.
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
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.
Conflict of interest/th>
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.
Core emergency medicine training A mandatory component (minimum of 6 months) of the rural generalist training 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 The mandatory components of the AGPT program: three terms of general practice placements (GPT 1,2,3) and an extended skills training term.
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.
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 of time during which all three Fellowship exams are delivered.
Extended skills training A 26-calendar week (FTE) term that gives a registrar the opportunity to extend their skills in community general practice or pursue an area of interest relevant to general practice.
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.
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.
Fellowship

Admittance to either:

1. Fellowship of the RACGP (FRACGP), or
2. 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 equivalent (FTE) For the AGPT program, 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 AGPT program, referred to as GPT1, GPT2 and GPT3. The extended skills term is sometimes referred to as GPT4.
Hospital rotations The time medical practitioners spend working in different medical disciplines in 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 A Fellow, Member, Associate, GP in training, Affiliate, Honorary Fellow or Honorary Member of the RACGP. Refer to the RACGP Constitution for more information.
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 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 Refer to the definition in the AHPRA 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
The combined time spent in practice and undertaking out-of-practice education.
  • Time in practice is calculated as a proportion of full-time training.
  • Part-time training must comprise a working week of at least 14.5 hours over a minimum of two days, of which at least 10.5 hours is face-to-face, rostered, patient consultation time, undertaking general practice activities.
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 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.
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.
Significant family relation  Anyone with whom the registrar has close familial relations, for example, a parent, sibling, spouse/partner/de facto/fiancé(e), child, grandparent, or community member.
Special circumstances for international medical graduates These are circumstances determined on a case-by-case basis by the RACGP and may include providing additional learning support or the opportunity to develop communication skills.
Special training environment (STE) A placement that offers a training opportunity with a limited case mix and different operational arrangements, for example, at an ADF base, for ADF registrars.
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.
Suspension of candidacy
An exam semester during which the candidate is neither required nor permitted to attempt Fellowship exams. There are two types of suspension:
  • Standard – A single suspension granted automatically and available to any candidate once during their candidacy.
  • Non-standard – A suspension granted 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.
Training site A health service accredited by the RACGP where the registrar may undertake their general practice training.
Training stream Subdivisions of the AGPT program: the general stream and the rural stream.
Unsanctioned withdrawal Withdrawal from an exam that isn’t approved by the RACGP in writing.
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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