Q. Can ADF Registrars Train with GMT?
A. Yes, GMT accepts Registrars contracted to the Australian Defence Force (ADF). The RAAF, Army and Navy all have bases within GMT’s training region.
Q. As a ADF Doctor, am I treated the same as other Registrars?
A. Yes, ADF Registrars are required to meet the same general training requirements as other Registrars enrolled in the AGPT program. Due to the service demands on ADF Registrars, it is recommended that a 13 week full-time civilian General Practice training term (GPT1) be undertaken during the final term of PGY2 training or straight after. ADF Registrars are also permitted to transfer between RTOs as a result of ADF Postings.
Applicants from the ADF should advise GMT of their circumstances during the National Selection Process.
Q. What do I need to be aware of as an ADF Registrar?
A. Training time/deployment
Q. As an ADF Registrar, do I complete any part of my training in a civilian GP practice?
A. Yes, ADF Registrars are given the opportunity to undertake some of their training in civilian GP practises.
Q. If I am posted to another region, am I able to transfer to that region’s RTO either permanently or temporarily?
A. Yes. AGPT policy allows for easy transfer of ADF Registrars. If you are in this position, discuss your circumstances as early as possible with your local GMT Office or medical educator.
Q. Once I am accepted onto the GP training program, am I required to commence training in General Practice, or can I undertake a placement in a hospital?
A. No, in fact, the normal expectation is to commence training in the hospital setting as both colleges require minimum hospital based experience. If a new entrant is eligible for Recognition of Prior Learning (RPL) then they may request to commence active training in a General Practice setting. If you think that you are eligible for this, please contact GMT as soon as possible in order for your eligibility to commence in GP Training Posts to be assessed. You can contact GMT using the details on the website https://www.gmt.edu.au/contact.
Q. I have an interest in Aboriginal and Torres Strait Islander Health. What opportunities are available to me in GP Training?
A. The AGPT program across Australia is committed to increasing supported exposure of Registrars to Aboriginal and Torres Strait Islander Health. There are compulsory education activities for Registrars in all RTOs.
GMT has many training options available for Registrars interested in developing expertise in Aboriginal and Torres Strait Islander settings. Please indicate your interest in your placement survey or contact GMT to discuss this further. Contact information is available at https://www.gmt.edu.au/contact
Q. Can I defer my AGPT Training?
A. Generally deferral of the commencement of training on the AGPT program is not permitted. Deferral will only be considered in extenuating and unforeseen circumstances, consistent with legislated requirements (Category 1 Leave), or to meet ADF service requirements. All deferral requests must be submitted to GMT in writing with supporting evidence attached before the commencement of the AGPT program training year. Deferral approval by GMT is not guaranteed.
Q. How will I be remunerated while on the AGPT Program?
A. Registrars will be employed directly through their allocated Training Post. If you are employed in a private General Practice, you will be remunerated in accordance with the National Terms and Conditions for the Employment of Registrars (NTCER) developed by the General Practice Registrars Australia (GPRA), the General Practice Supervisors’ Association (GPSA), and the Australian Medical Association (AMA). For more information, review the NTCER on the GPRA website.
Q. Can I take leave from the training program?
A. There are provisions in place for Registrars to take leave during their training with GMT. These provisions are set by AGPT and vary depending on the type of leave taken.
- Category 1 leave is legislated and includes parental, sick, and carer’s leave. All types of category 1 leave require valid certificates and approval by GMT.
- Category 2 leave is personal leave, and is capped at a maximum of 6 months (26 weeks). Registrars must apply in advance of the leave term they are requesting and it must be approved by GMT.
- Category 3 leave applies to Registrars who are full-time members of the Australian Defence Force (ADF). Leave can be taken under this category to meet ADF service requirements.
If a Registrar requires leave prior to commencing their training on the AGPT program, this would be considered a deferral of training (see below).
For more information, please review AGPT’s Program Leave Policy 2017.
Note that this refers to leave from the AGPT training program, not to annual leave as per a Training Post employment agreement. For information on the updated national terms and conditions for employment agreements for Registrars training in General Practice posts, refer to the GPRA website .
Q. What is Medicare and what is a Medicare Provider Number?
A. Medicare is Australia's health care system. Medicare ensures that all Australians have access to free or low-cost medical, optometrist and hospital care while being free to choose private health services and in special circumstances, allied health services.
Medicare provides access to:
- free treatment as a public (Medicare) patient in a public hospital; and
- free or subsidised treatment by practitioners such as doctors, including specialists, participating optometrists or dentists (specified services only).
For full details visit Medicare - Department of Human Services.
A Provider number is a unique number issued by Medicare Australia to registered health professionals. Medicare Australia uses provider numbers to identify health professionals and the location from which the health professional renders services.
A provider number consists of:
- six numbers referred to as the provider stem (e.g. 123456);
- an alpha or numeric character that identifies the practice location (e.g. 7); and an alpha check digit (e.g. A).
Q. Why do I Need a Medicare Provider Number?
A. To work as a doctor in Australia, you may need to have a Medicare provider number. This number allows your patients to claim Medicare rebates for the services you provide. A Medicare provider number may allow you to:
- Raise referrals for specialist services; and
- Make requests for pathology or diagnostic imaging services.
If you satisfy the legislative requirements, a provider number may also be used to attract Medicare rebates for professional services rendered (i.e. treat private patients). A Medicare provider number does not automatically allow you to attract Medicare rebates for your services. You should ask your employer which level of Medicare access for a provider number you need.
A Medicare provider number uniquely identifies both you and the place you work.
For more details visit DoctorConnect - Department of Health.
Q. Can I commence working without a Medicare Provider Number?
A. Registrars should first check with their allocated Training Post whether a Medicare provider number is required. If so, Registrars must ensure that a provider number has been issued prior to undertaking consultations. Failure to do so may result in the following implications:
- Patients not receiving reimbursement from Medicare
- Registrars may be committing an offence by providing services for Medicare Benefits if they are not recognised as a General Practitioner and have not advised their patients (applicable to all doctors first registered after 1 January 1996)
- Registrars should not commence seeing patients whose consultations are to be billed to Medicare Australia unless they have received written confirmation from Medicare Australia that they have an approved provider number that has access to the GP Items on the Medicare Benefits Schedule.
Q. Do I need to complete a provider number application for every location I am placed at?
A. Yes. Medicare provider numbers are location specific. Every location you work at will require a new provider number.
Q. How will I know when my provider number has been processed?
A. You will receive written correspondence directly from Medicare (in the mail) advising you of your new Medicare provider number(s). Please read the letter carefully as you may be requested to provide additional information/documentation before your number is accessible. If you wish to check the progress of your application, please contact Medicare directly on 1300 302 122. Please note that Medicare does not inform GMT as to the progress of your provider number.
Q. Can I submit my forms directly to Medicare?
A. No. As an enrolled AGPT Registrar you require the endorsement from both GMT and the Department of Health.
Q. Where do I submit my applications for a Medicare provider number?
A. Your applications should be submitted to your local GMT node office. For a list of node office contacts, please visit https://www.gmt.edu.au/contact.
Q. What is the ten year moratorium and how do I know if I am on the ten year moratorium?
A. Section 19AB (3) of the Health Insurance Act 1973 prescribes a 10-year moratorium for some doctors seeking to practice in Australia. This is an Australian Government policy which restricts access to Medicare benefits and requires OTDs and FGAMS to work in a district of workforce shortage for 10 years in order to access Medicare arrangements. Section 19AB (3) applies for a period of 10 years (and may be scaled to five years depending on remoteness) starting from the date a doctor first gains medical registration in Australia, which includes provisional or limited registration. AGPT Registrars subject to the 10-year moratorium.
The Department of Health and Ageing can be contacted at 19AB@health.gov.au to assist you in regards to issues on the Ten Year Moratorium. This information is available in the Section 19AB of the Health Insurance Act 1973 Fact sheet.
Q. What is the difference between an International Medical Graduate (IMG) and an Overseas Trained Doctor?
A. An IMG has studied and graduated from medicine in a country other than Australia. Once this has been verified, an IMG can then go through one of three assessment pathways in Australia to determine whether they can become a registered doctor in their respective field. Once this is complete, they will become an ‘overseas trained doctor’.
Q. What happens if I have been unable to secure a 10 week paediatric rotation?
A. Further information can be found on our website here: https://www.gmt.edu.au/registrars/college-requirements.
Q. Can I commence GP training without having satisfied the paediatric requirement?
A. Registrars training towards FRACGP cannot commence GP training until they have satisfied the paediatric requirement. This may mean that you have to return to hospital to undertake sufficient paediatrics or equivalent.
It is essential that Registrars have adequate exposure to the discipline of paediatrics in a hospital environment (in addition to medicine, surgery and emergency medicine), sufficient to demonstrate safe practice in this area prior to commencing work as a GP under supervision. Please visit the RACGP website and review the requirements outlined in:
Should exceptional circumstances result in a Registrar not achieving hospital training in paediatrics, requirements may be achieved through RACGP approved alternative means.
Registrars training towards FACRRM are able to commence PRRT without completing 10 week terms in paediatrics, O&G and anaesthetics. All Registrars must gain equivalent experience in these areas prior to Fellowship. Alternatives to paediatrics are listed in the ACRRM Fellowship Training Handbook.
Further information can be found on our website here: https://www.gmt.edu.au/registrars/college-requirements.
Q. Can I train part-time?
A. While AGPT Registrars are expected to undertake their training on a full-time equivalent basis (38 hours per week), those with special circumstances that leave them unable to meet the full-time requirement may apply to GMT to undertake their training part-time.
GMT requires Registrars to work a minimum 0.5 FTE (19 hours per week or 5 sessions). All part-time training approvals will be on a temporary, fixed-term basis, and require a Training Advisor meeting prior to any extensions. Part-time training can only commence following written approval from GMT.
Part-time training can be applied for at any stage of training, although the core Hospital and Advanced Skills Training terms are normally undertaken full-time.
For more information on part-time training, please review GMT’s Part-time Training Policy and Procedure and AGPT’s Training Obligations Policy 2017.
Q. How do I apply for part-time training?
A. Registrars interested in training part-time must first contact their local Medical Educator to discuss their reasons for wishing to train part-time. You must complete a part-time training application form to be signed by their local Medical Educator and submitted to their local GMT node office for processing.
The local node office will advise you of approval or decline of part-time training applications and how this will impact their overall training time on the AGPT program. If approved, you will be contacted close to the end of their approved part-time term to set up a Training Advisor meeting.
Q. Am I able to return to full-time training after working part-time?
A. Yes. A Registrar can return to full-time training status from part-time at any time providing that their Training Post can accommodate this. You must first contact your local node office to discuss the return to full time training
Q. What is GMT’s placement process?
A. Registrars entering GMT are asked to preference the regions within GMT where they would like to undertake their training. When they are ready to be placed in community General Practice training posts, Registrars are matched with appropriate available training posts and offered interviews at those posts. If necessary, this process is repeated until a suitable training post is found.
Registrars are encouraged to train for at least 12 months in a GP Training Post. This gives you the opportunity to build up a patient base and provide continuity of care for that community.
Q. How do I find out what practices are available in each GMT region?
A. GMT operates a distributed model, with offices located in each training node. If you are interested in training in a particular node, making contact with the relevant GMT office to find out more information is the first step. The GMT website also contains useful information including links to the General Practice training posts available in each node https://www.gmt.edu.au/training-region
Q. Can I do all my General Practice Training in the one Training Post?
A. if you are following the RACGP pathway, you are required to experience diversity of practice by training in at least two (2) different training posts for their General Practice Terms (GPT)Registrars following the ACRRM pathway are able to work in certain accredited Training Posts for all their Primary Rural and Remote Terms (PRRT).
Q. Can I do all my Training in a Hospital setting?
A. No, all GMT Registrars (including Qld Health Rural Generalist Trainees and Scholarship Holders) must complete at least six (6) months full-time equivalent in community General Practice (may include Aboriginal Medical Services) during the first 12 months of GP Terms.
Q. Who should I contact if I have questions about my 2017 application or post?
A. If you are new to GMT and do not yet have access to myGMT, please contact GMT via https://www.gmt.edu.au/contact
If you are already a GMT Registrar, please contact your local GMT office.
Q. Who can apply for Recognition of Prior Learning (RPL)?
A. Registrars accepted into the AGPT Program having already completed a minimum of two (2) years hospital-based training (ie PGY1 and PGY2) in an approved Hospital.
Q. When do I submit my RPL Application?
A. For RACGP, RPL must be submitted within the first six months of training. For ACRRM, Core Clinical Training (CCT) RPL must be submitted prior to enrolling in exams, and any other RPL must be submitted prior to completion of training.
Q. What documentation do I need in support of my RPL Application?
A. The following supporting documentation will need to be provided to GMT together with your completed RPL Application:
- Evidence of when full, unconditional general medical registration was gained
- Curriculum Vitae
- Statements of Service from the relevant Hospital/s confirming each rotation completed and when (including all four mandatory disciplines i.e. General Medicine, General Surgery, Paediatrics and Emergency Medicine)
- Intern and RMO Assessments for all rotations completed
- Compulsory Paediatric Experience Feedback (required when no Paediatrics rotation was undertaken)
- Certified copies of formal educational qualifications
- Curriculum Vitae
- Statements of Service from the relevant Hospital/s confirming each rotation completed and when (including all six mandatory disciplines i.e. General Internal Medicine, General Surgery, Paediatrics, Emergency Medicine, Obstetrics & Gynaecology and Anaesthetics)
- Intern and RMO Assessments for all rotations completed
Q. To whom do I submit my RPL Application?
A. All completed RPL Applications are to be emailed to your local GMT node office.
Q. Who approves my RPL Application?
A. RPL Applications are initially assessed by GMT before being referred to and assessed by the relevant College Censor. The final decision on whether RPL is granted or not rests with the College Censor.
Q. What experience can I use to apply for RPL?
A. The eligibility requirements for RACGP and ACRRM differ as do their policies, applications and assessment processes. Please refer to the individual College websites for more information:
- RACGP - http://www.racgp.org.au/becomingagp/students/vocational-training-pathway
- ACRRM - https://www.acrrm.org.au/operational-policies
Q. If I need assistance with my RPL Application who can I call at GMT?
A. Please contact your local GMT node office for assistance with your RPL application.
Q. Can the rotations I did as an intern count as my mandatory hospital experience?
A. Yes, they can. Hospital experience gained prior to receiving your general registration can be counted. However all participants on the AGPT must have completed at least PGY1 and PGY2. Intern training cannot be counted towards recognition of prior learning time credit.
Q. Are the two workshops in a Registrar’s first year the same – so I only need to go to one?
A. No. The GPT/PRRT 1 and 2 workshops cover different material and are structured to complement each other. Registrars in their first year of community based practice must attend both workshops. GMT covers the costs associated with registrars attending these workshops.
Q. Are the two workshops in the second year mandatory?
A. No. However a Registrar needs to obtain 125 hours of GMT provided or approved education with a minimum of 100 hours being obtained during your GPT/PRRT 1+ 2 year. If you have accrued enough hours during your training then optional educational activities can be chosen after discussion with your local Medical Educator. You are strongly encouraged to attend at least one of the Senior Registrar workshops as these are structured to help prepare you for College assessments and unsupervised practice.
Q. What are the minimum practice teaching requirements for Registrars and supervisors?
A. The ‘in practice’ supervision requirements are set by the AGPT and the Colleges and do not vary between regional training organisations. The requirements for protected and incidental teaching time per week are as follows:
- RACGP: GPT1 – 3 hours, GPT2 – 1.5 hours, GPT3 – 1 hour.
- ACRRM: PRRT1 – 3 hours, PRRT2 – 1.5 hours, PRRT3 – 1 hour.
Q. What are the AGPT term dates for 2017?
A. Term dates are set by AGPT, and for 2017 are as follows:
Full year: 23/1/17 to 21/1/18
Term 1: 23/1/17 to 23/7/17 (26 weeks)
Term 2: 24/7/17 to 21/1/18 (26 weeks)
Registrars are expected to commence their training on 23/1/2017. If you are unable to commence your placement on 23 January, 2017, there are leave entitlements set by AGPT that could be accessed to cover off any gap in your training time (for example, if you are on a hospital contract that runs until the end of January). These leave entitlements are not automatic and require an application to AGPT for an exception to policy as AGPT Registrars are not permitted to commence the training program on a period of leave. If you are going to be in this position, you must apply to GMT as soon as possible for leave approval in advance of the leave period and your leave must also be approved by your employer. For more information about program leave, please review AGPT’s Program Leave Policy 2017.
Q. When do I need to select my fellowship pathway on the AGPT program?
A. When accepting a position to train on the AGPT program Registrars must enrol in their chosen fellowship program and become financial members with the chosen College prior to commencing their first day of training in the AGPT.
Q. What if I forget to become a financial member of my chosen College?
A. Both Colleges have advised that only training undertaken while being a financial member will be recognised as counting towards fellowship. Therefore it is essential that Registrars become financial members of their chosen college/s prior to the commencement of training on the AGPT program. If you fail to do so, your training time will not be counted. Proof of financial membership is required by GMT.
Q. Can I change fellowship pathway after I have commenced training on the AGPT program?
A. No. AGPT’s Training Obligations Policy no longer allows Registrars to change fellowship pathway once they have commenced training. Once Registrars have selected and enrolled in their chosen fellowship program(s) they may not change to another fellowship program during their training on the AGPT Program.
Q. Where can I find out more information on AGPT’s fellowship pathways?
A. The AGPT position on changing fellowships is listed in Clause 7.2 of the AGPT Training Obligations Policy. For further information on financial memberships, please contact the relevant College.
Q. What are the differences between the General and Rural pathway?
A. This is an Department of Health and AGPT policy. General pathway Registrars are able to complete their GP training at any location in Australia. Rural pathway Registrars must train in RA 2-5 locations.
Q. I want to follow the ACRRM fellowship pathway. Can I select either the Rural or General training pathway?
A. No. If your chosen college is ACRRM, you must select the Rural pathway.
Q. If I am on the General pathway, do I need to undertake any part of my training in a rural location?
A. GMT matches Registrars to training posts throughout the GMT region. The majority of these posts are classified by the Australian Government as being RA2 or above. The majority of Registrars training with GMT will therefore automatically be training in rural and regional locations.
Q. I am a Rural Generalist, does this mean I can only select the Rural pathway?
A. No. General pathway Registrars can train as part of the Queensland Rural Generalist Program but must meet the additional requirements of that program.
Q. Where can I find out more information?
A. Training pathway information is available on pages 9-10 of the AGPT Handbook, available on the AGPT website.
Q. After accepting a placement with GMT, am I able to transfer to another RTO?
A. In general, Registrars are expected to remain with their allocated RTO or Training Region for the duration of their training. AGPT has very strict guidelines on what circumstances constitute a reason to transfer RTOs. Information on the policy and process pertaining to transferring pathways is located at AGPT Transfer Policy 2017.
Q. If I want to temporarily work in a different region, am I able to temporarily transfer to another RTO?
A. In general, Registrars are expected to remain with their allocated RTO or Training Region for the duration of their training. AGPT has very strict guidelines on what circumstances constitute a reason to transfer RTOs. A temporary transfer may be considered where the Registrar’s training needs cannot be met within the allocated RTO. You may be directed to take Category 2 leave in order to train for 6/12 in another RTO.
Q. I am able to transfer from the rural pathway to the general pathway, or vice versa?
A. Information on transferring pathways is included in AGPT’s transfer policy, located at AGTP Transfer Policy 2017
Q. Can I work for after-hours providers?
A. Supervisors and Registrars often ask about GMT’s position on Registrars working for independent after-hours providers. After-hours care is part of good General Practice experience if it is part of a teaching placement and supervised as for any other clinical work. Provider numbers are only available for use within an accredited training post and all clinical work, whether in or after hours, must be under the supervision of an accredited Supervisor.
GMT will approve of after-hours work only if the after- hours work is part of a scheduled roster within the training post and you are supervised by your usual supervisory team.