international medical graduates in australia
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ROLES AND RESPONSIBILITIES
OF PROFESSIONAL
REGULATORS
KATIE ELKIN
International Medical Graduates in
Australia
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Medicine: A regulated profession
Protection
of thepublic
Protection
of theprofession
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Balancing the interests
The stateThe publicThe profession
Interests may coexist but public protection(or public interest?) must be
paramount
Registration and training requirements must be set at the levelrequired to ensure public safety, and not at a higher level thatprovides more economic benefits to the health professions than iswarranted
NZ Ministry of Health, 2012
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Public protection
Public interest
Public protection vs public interest (cont.)
Four interrelated and essential elements of the rightto health : UNESCO
Quality
Acceptability
Availability
Accessibility
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It appears that in times of perceived workforceshortage, considerations of workforce supply
may take precedence over issues of standardswith potentially adverse outcomes for patientsafety.
AMC submission, 2011:
Lost in the Labyrinth, 2012
Public protection vs public interest (cont.)
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Responsibilities of Medical Boards and Councils
Regulatory functions as per relevant legislation
Mandate comes from that legislation
Functions to be exercised in accordance with thatlegislation
Australia: pre-2010
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Responsibilities of the Medical Boards and Councils
Australia: National Laws Act
Objectives (Pt 1, s 3) include:
to provide for the protection of the publicby ensuringthat only health practitioners who are suitably trainedand qualified to practise in a competent and ethicalmanner are registered
to facilitate access to services provided by healthpractitioners in accordance with the public interest
to facilitate the rigorous and responsive assessment ofoverseas-trained health practitioners
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Responsibilities of the Medical Boards and Councils
Australia: National Laws Act (cont.)
Guiding principles (Pt 1, s 3) include that:
restrictions on the practice of a health profession are tobe imposed under the scheme only if it is necessary toensure health services are provided safely and are of anappropriate quality.
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Responsibilities of Medical Boards and Councils
New Zealand: since 2004
Health Practitioners Competence Assurance Act
2003 In practice too, a more conservative approach to
IMG registration than in Australia
Despite even greater reliance on IMGs (43% cf37%)
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Balancing protection and supply
Have we got the balance
right?
How do we measure it?Research
High profile scandals
Comments by regulators
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Balancing protection and supply
Lost in the Labyrinth, 2012
Submissions
Recommendations
objective guidelines
workplace assessments
time in hospitals
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Final word
it is my sincere hope that the reportsrecommendations will help ensure that
those wishing to practice medicine andcall Australia home in future may do sowith certainty and clarity of what isexpected of them
Forward to Lost in the Labyrinth, 2012
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