1. No category

2009/10
Annual Report
Acknowledgements:
Thank you to everyone in the WAGPET community who contributed photographs for this annual report.
Published by:
Western Australian General Practice Education and Training (WAGPET) Ltd.
Suite 12, 16 Brodie Hall Drive Technology Park, Bentley WA 6102
PO Box 1233 Bentley DC WA 6983 ABN 88 097 914 219
Telephone: (08) 9473 8200
Facsimile: (08) 9472 4686
Email: [email protected]
Website: www.wagpet.com.au
S u pp o r t e d b y :
Page 2
Contents
Governance............................................................................................. Page 4
Chair Report. .......................................................................... Page 5
The Board............................................................................ Page 6-7
Chief Executive Officer’s Report............................................ Page 8-9
WAGPET Regions................................................................................. Page 10
Kimberley. ............................................................................ Page 11
Pilbara.................................................................................. Page 12
Mid West. ............................................................................. Page 13
Perth & Outer Metropolitan - North. ........................................ Page 14
Perth & Outer Metropolitan - East & Wheatbelt........................ Page 15
Perth & Outer Metropolitan - South......................................... Page 16
Peel...................................................................................... Page 17
South West........................................................................... Page 18
Great Southern. .................................................................... Page 19
Goldfields/Esperance............................................................. Page 20
WAGPET in the Media........................................................................... Page 21
Strategic Plan................................................................................... Page 22-23
Collaboration......................................................................................... Page 24
Innovation......................................................................................... Page 25-26
Quality.............................................................................................. Page 27-33
Workforce......................................................................................... Page 34-37
Governance...................................................................................... Page 38-39
Page 3
G o v e r n a n c e
The western australian general practice education and training Board
WAGPET is a company limited by guarantee, registered with the Australian Securities & Investment Commission.
A Board of Directors, elected from WAGPET’s members, governs the company.
As at 30 June 2010 WAGPET had 77 Primary Members and 10 Associate Members.
The composition of the Board reflects the whole-of-state training program in WA and comprises a cross-section of expertise in medical, regional,
academic, education and training, and business arenas.
Page 4
G o v e r n a n c e
Peter Wallace graduated from Edinburgh University in 1973.
His early working days were in Plymouth (UK), Perth and Port
Hedland. He has been practising in the Murray district for
over 30 years as a procedural GP and has administered some
20,000 anaesthetics, delivered over 1,000 babies as well as
servicing a sometimes chaotic casualty department.
Chair report
Adjunct Professor Peter Wallace
Peter has supervised GP registrars and medical students
continuously since 1979 and in recent years has become
interested in representing the rural viewpoint in the State arena.
He is a member of the Medical Board of WA, WAGPET Board,
the reference group for Workcover and the Australian Medical
Association National Rural Reference Group. Peter is an
Adjunct Professor of Clinical Medicine at the University of Notre
Dame.
OAM
Chair Appointed 2006
Rural Director Appointed 2005
I can confidently state that WAGPET has entered the new decade as a
strong and growing organisation. Indeed there is so much good news
that the drafting of this report has been an exercise in trying to collate
the myriad of advances under manageable headings.
Committees felt about the present level of Indigenous health training,
its good sides and its limitations. There was widespread consultation
involving some 120 stakeholders. The main points of the report that
emerged were:
Recent recruitment studies on students and junior doctors have
indicated a strong move to General Practice as a career. This has now
been translated into an unprecedented number of vocational applicants.
There are in excess of 120 doctors vying for the 83 positions for 2011.
The rural stream has become ever more popular. WAGPET considers
that it has the capacity to manage this and future increases, but has
to be mindful of maintaining high quality placements in the training
program.
•
The prevocational programs are also stronger. There will be nearly 100
placements next year in the Prevocational General Practice Placement
Program (PGPPP) and community residency program. History suggests
a very high proportion of those doctors who experience General Practice
at an early stage of their careers take up General Practice as a vocation.
Government has prudently increased both the supervisor teaching and
the practice allowance payments and these should be flowing through
at this time. WAGPET engaged the team from Adelaide to Outback to
report on practice capacity and sustainability in training. There was a
very high participation rate by practices. The board really appreciates
this cooperation and that of the supervisory group who should soon be
privy to the results.
At a national level our CEO has been hugely instrumental in revising
the fundamental tenets of the educational, quality and standards which
underpin all the educational activity. This has required working with both
colleges, GPET and the Regional Training Providers (RTPs) to gain a
manageable set of outcomes. It has been difficult to establish a dialogue
between these bodies in the past. Welding the current strong spirit of
co-operation is not only remarkable but bodes well for the future of the
profession.
In line with overall government thinking there is a move to greatly
increase the level of Indigenous health training. To this end WAGPET
commissioned a study of what its constituent Regional Advisory
•
Each region has significant Indigenous health problems and
agreed that improving Indigenous health training was important
Each region felt very strongly that any change should be driven
by that particular region and that the imposition of some ‘common’
model would fail.
Regions have been funded to produce an Indigenous Health Training
plan. This is very much work in progress but for most regions the
process is well underway.
Improvements in the IT system are ongoing particularly with remote
teaching and also at the user interface. The introduction of virtual
classrooms has proved popular. This project is much influenced by the
views of the supervisors and registrars advisory groups. The Board
notes that more issues are dealt with at the regional or advisory group
level. WAGPET has a large number of crucial stakeholders and their
commitment and enthusiasm through these channels drives it forward.
Once again I must congratulate the WAGPET team on the excellent
job they are doing. Dr Janice Bell as CEO, has again worked tirelessly.
Her talent and experience has been widely recognised. She has been a
leading light at many national and state committees and meetings. She
leads a very capable and confident team. The overall body of knowledge
and expertise just keeps growing.
I thank the members of the Board for the time and commitment they
have shown throughout the year. The Vice Chair, Damien Zilm, has
done a huge job and has travelled far and wide on the Board’s behalf.
Others have put in a lot of time in governance training and on the sub
committees.
Dr Peter F Wallace OAM
Chair
Page 5
G o v e r n a n c e
The Board
as at 30 June 2010
Dr Damien Zilm
Dr Andrew Png
MBBS FRACGP
MBBS FRACGP
Rural Director, Vice Chair &
GP Supervisor Representative Appointed 2008
Urban Director Appointed 2005
Finance & Risk Management Committee Member
Nominations & Governance Committee Chair
Damien Zilm is a rural General Practitioner. He graduated from the
University of Western Australia in 1998 and became a Fellow of
the Royal Australian College of General Practitioners in 2005. He
has spent most of the past ten years living in Kalgoorlie, working
in the local hospital, including the emergency department, and
at several local practices. He is now the medical coordinator of a
corporate practice. Damien is a procedural GP with special interests
in occupational, palliative, geriatric and chronic disease medicine.
Damien is the Board representative on the Supervisors Advisory
Group (SAG) which comprises GP Supervisor representatives from
all regions in Western Australia. He is also the Finance Director for
the Goldfields/Esperance GP Network.
Dr Timothy Leahy
MBBS MFM FRACGP
Urban Director Appointed 2009
Nominations & Governance Committee Member
Tim Leahy is a General Practitioner in Perth and has worked
for seven years in Aboriginal Community Controlled Health
Services, including Derbarl Yerrigan Health Service in Perth and
Mawarnkarra Health Service in the Pilbara. He has worked as
Public Health Medical Officer for the Aboriginal Health Council of
WA for the last eight years.
He is interested in improving Aboriginal health training and is
co-author of the Cultural Safety Training modules Working Better
in Aboriginal and Torres Strait Islander Health. He has attended
AICD company director training and has completed his Masters
in Family Medicine. Current research interests include clinical
governance and health service improvement in Aboriginal health
services.
As well as the WAGPET Board he also sits on the Heart
Foundation (WA) Board and was previously on the Rural Health
West Board.
Page 6
Andrew Png was a GP registrar in the previous training program in
WA and has worked as a GP in Kwinana for the last ten years. He
has supervised registrars since 2003. More recently with the desire
to trial a vertical training model with WAGPET he has taken on
supervision of resident doctors through the Community Residency
Program and medical students through the Rockingham Outer
Urban Clinical School.
Andrew has been on the Board of WAGPET since 2004 and
involved in the divisional network since 2002 as a Board member,
and more recently, as Chair of the Rockingham Kwinana Division
of General Practice.
Professor Thomas Brett
BA MA MB BChBAO DCH D.Obsts MRCGP
MICGP FRACGP
Urban Director Appointed 2008
Nominations & Governance Committee Member
Tom Brett is a Professor and Director of the General Practice and Primary
Health Care Research Unit, School of Medicine, University of Notre Dame
Australia, Fremantle. For the past 20 years, Tom has been the Senior
Principal of the Mosman Park Medical Group. Prior to moving to Western
Australia in 1998, Tom worked as a solo GP in North Central Victoria for
four years. He is a graduate of the National University of Ireland and
undertook his post-graduate training in Ireland prior to completing the
MRCGP at University of Manchester training practice.
A fervent supporter of general practice research, Tom completed his
MD thesis on a prospective study of prostate cancer among older men
attending his medical practice. As Director of the General Practice
Research Program at Notre Dame, Tom has sought to develop and support
research capacity building among GPs and other health professionals
in the area. Current research interests include risk-factor modification
for cardio-vascular disease, men’s health, workforce issues in general
practice and career choice aspirations of graduate-entry medical students.
G o v e r n a n c e
The Board
Ms June Foulds
Dr Ingeborg Shea
MHSM
MBChB (Edinburgh) FRACGP DTMH
Rural Director, Finance Appointed 2007
Rural Director & GP Registrar Representative
Finance & Risk Management Committee Chair
June Foulds has a long history in education and training in the
health field, with experience in working with the RACGP and
more recently in a regional Division of General Practice. June
is Chair of the local South West Regional Advisory Committee
and appreciates the opportunity to work with the team of health
professionals who organise the training program for South West
registrars. The future medical workforce is a priority for June in her
work both at WAGPET and the Division of General Practice and
includes working with a myriad of agencies including Rural Clinical
School, Rural Health West and associated medical colleges.
Appointed 2008
Nominations & Governance Committee Member
Ingeborg Shea graduated from Edinburgh University in 1996. After
her Houseman’s year in Scotland she moved to Australia and
initially practised Emergency Medicine in Perth before entering the
GP Training Program in 2006. She undertook her GP training in
the Kimberley at the Aboriginal Medical Services. She wishes to
continue to work at Aboriginal Medical Services and Street Doctor
in Perth. Ingeborg is also the Board GP Registrar Representative
on the Registrars Advisory Group.
June has a Masters Degree in Health Services Management, a
qualification in Training and Assessing and has several additional
Board portfolios including Board of Edith Cowan University in
Bunbury and Bunbury Pathways Mental Health Organisation.
Dr Janice Bell
MBBS BA B.Ed(Hons) Grad Dip Integ Med
Grad Cert CHM GAICD FRACGP
Chief Executive Officer Appointed 2004
Finance & Risk Management Committee Member
Nominations & Governance Committee Member
Janice Bell is a University of Western Australia graduate and has been
a GP since 1996, completing her Fellow of the Royal Australian College
of General Practitioners in 1998. Post training Janice worked with the
Royal Australian College of General Practitioners as National Manager
for Continuing Professional Development, Australian Medical Council
Examinations and Innovation. Janice was the State Director for Royal
Australian College of General Practitioners vocational training during the
handover to WAGPET.
Janice is a member of the Royal Australian College of General
Practitioners National Rural Faculty, State Faculty, the National Standing
Committee on Education, Rural Health West, Perth Primary Care Network
and the Australian Institute of Company Directors. She is Chair of the
Royal Australian College of General Practitioners Vocational Education
Committee, an Australian Medical Association Councillor and Board
member of ACHSM (WA).
Ms Trina Turbett
B.Com GAICD
Company Secretary Appointed 2009
Finance & Risk Management Committee Member
Nominations & Governance Committee Member
Trina Turbett has worked for WAGPET since 2004 and has been
Corporate Services Manager since the beginning of 2006. Trina has
an Accounting degree from Curtin University, is a graduate member
of the Australian Institute of Company Directors, an affiliate member
of Chartered Secretaries Australia Ltd and is currently undertaking
studies in Applied Corporate Governance.
Trina has had experience in both not for profit and for profit
organisations in a wide range of industries including health, finance,
publishing and sales both in Western Australia and abroad.
Page 7
G o v e r n a n c e
“For 2011 we have 127 applications for the AGPT
and 97 applications for the prevocational programs.”
Dr Janice Bell
Chief Executive Officer
Chief Executive Officer’s report
WAGPET began life on the promise of a new approach to general
practitioner training. It was to be regionalised and to address the
overwhelming demand for high quality community medical care
throughout Western Australia. Like all things revolutionary, the early
times were often a struggle as we found our way in this new world.
Eight years on I am delighted to report the faith and patience our
members have kept has been rewarded.
For 2010 we accepted 68 GP registrars and 36 prevocational doctors
into the Australian General Practice Training (AGPT) program,
community residencies program and Prevocational General Practice
Placement Program (PGPPP). This was an increase on 2009 when
we accepted 56 GP registrars. For 2011 we have 127 applications
for the AGPT and 97 applications for the prevocational programs. 53
of the AGPT applications were for the rural pathway. We will take on
83 GP registrars for 2011 and arguably we have capacity and interest
to increase to 100 for 2012 and similarly for the prevocational doctor
programs. Fortunately both Federal and State governments have
recognised the need to grow the general practice sector and have
responded with additional places and funding, previously sorely
missed but now gratefully received.
WAGPET is not surprised by the demand for general practice
training posts. Our medical student surveys with the AMA (WA)
over the past three years have shown an increasing level of interest
Page 8
in general practice, and a strong procedural and rural interest. Our
First Wave scholarships for medical students in the early years are
nationally recognised and we have twice the applicants as places.
We are developing with our general practice stakeholders another
scholarship, the Indigenous health training scholarship for medical
students in their later years.
Over the past five years, our Regional Advisory Committees have
very consistently delivered high quality general practice training
and education. As a result doctors in training know they will receive
excellent professional leadership and support wherever they choose
to work. Our doctors in training report satisfaction levels well in
excess of the national average. The work of the Western Australian
Rural Clinical School, Western Australian Country Health Services,
Rural Health West, AMA (WA) and the General Practice Networks is
without doubt important in this success. One might argue the drought
is broken, but the land is still parched and there is much yet to do to
restore sound general practice services throughout Western Australia.
While WAGPET has always led in Indigenous health training, largely
thanks to our Kimberley Aboriginal Medical Services Council (KAMSC)
partnership, Indigenous health training has been a major focus for
WAGPET this year. WAGPET is particularly grateful for the long-term
support that Kimberley practices and doctors in training receive from
Dr David Atkinson. This year also, KAMSC Chief Executive Officer,
G o v e r n a n c e
Mr Tony Lee, significantly reinvigorated our WAGPET KAMSC
partnership, setting it on a solid path for the future. We also wanted
to see other regions learn from the Kimberley success and develop in
their own way their Indigenous health training capacity further.
We undertook a very comprehensive review of Indigenous health
training in Western Australia, and subsequently offered all other
Regional Advisory Committees the opportunity to build their own
regional Indigenous health training plan.
This year WAGPET piloted the quality practice criteria project. Interest
was extraordinary and I thank all who participated. We collect so much
data about our training posts and now can provide that to the posts
in order to support quality improvement. WAGPET also undertook
a general practice sustainability project under the guidance of our
general practice supervisors advisory group and facilitated by the
Adelaide to Outback GP Training Program (AOGP). This project
identifies those vertical and horizontal training models that are
effective for practices both financially and professionally.
Nationally WAGPET has been represented in various forums aimed
at streamlining the program, enabling remote supervision, setting
outcomes based standards, supporting general practices to take
doctors in training, interdisciplinary training, capability based training
and assessment, performance management of regional training
providers and AGPT policies. This gives Western Australia an
opportunity to be part of the solution to many vexing issues, rather
than being the recipient of solutions unfriendly to our State. Real
progress has been made but 2011 will be the year of implementation,
when results on the ground should be evident.
“Our medical student surveys with
the AMA (WA) over the past three
years have shown an increasing level
of interest in general practice, and a
strong procedural and rural interest.”
It goes without saying that WAGPET is a team effort. From our
members, stakeholders, Board and staff, commitment, goodwill and
plain hard work have been the sunshine, the water and the fertiliser
that has seen the seeds of WAGPET flourish. I wish to thank my very
patient and professional Board, my visionary and enthusiastic staff,
and especially the supervisors, trainers, educators, practice managers
and the doctors in training. I am sure the result is a safer, fairer, high
quality general practice service to our Western Australian community.
Dr Janice Bell
MBBS BA B.Ed(Hons) Grad Dip Integ Med Grad Cert CHM GAICD FRACGP
Chief Executive Officer
Page 9
w a g p e t
r e g i o n s
Strength in Diversity
WAGPET has developed a truly state wide training program which delivers significant benefits to rural, remote and metropolitan Western Australia.
Our regionalised structure enables WAGPET to take advantage of the skills and expertise in each region and to provide training that is relevant
and appropriate for the diversity of clinical practice experienced across the State.
We have a total of 11 well-established and highly functional training regions; eight rural and three metropolitan. These are guided by a committee
of dedicated health industry experts in each region and supported by local administration.
The members of these Regional Advisory Committees undertake the organisation, delivery and evaluation of the regional education program for
doctors in training and provide invaluable feedback to inform the shape of WAGPET’s programs across the State.
Kimberley
Pilbara
Mid West
Goldfields/Esperance
Metropolitan & Peel
South West
Wheatbelt
Great Southern
Abbreviations used: AO - Administration Officer; EC - Education Consultant; M - Member; RLO - Registrar Liaison Officer; RPM - Regional Program Manager; RTA - Regional Training Adviser; SLO - Supervisor Liaison Officer.
Page 10
K i m b e r l e y
Dr Jonty Rothstein has again been responsible for organising regional
registrar workshops and has continued to organise a variety of interesting
and stimulating activities for GPT 1 and 2 registrars as well as for resident
medical officers, more senior registrars and occasional international medical
graduates. This year Jonty and Cherie also made a personal contribution to
our long term recruitment strategy and we expect baby Mia to be enrolling in
around 2035 for GP registrar training. Mia’s arrival led to Jonty being unable
to attend the first workshop in 2010 but we managed to follow his plan.
Broome Medical Clinic | Derby Aboriginal Health Service | Ord Valley
Aboriginal Health Service | Broome Regional Aboriginal Medical Service
| Kimberley Aboriginal Medical Services Council | Yura Yungi Aboriginal
Medical Service
Regional Advisory Committee
Dr David Atkinson (RTA)
Drs Peter Maguire 2009.2 &
Denise Findlay 2010.1 (EC)
Dr Alice Tippetts (SLO)
Ms Carlinka Mackay (AO)
Drs Lisa Lloyd 2009.2 &
Kate Beales 2010.1 (RLO)
Ms Tina Donovan 2009.2 &
Mr Hugh Fiddy 2010.1 (RPM)
Dr Harps Singh (M)
Dr Jonty Rothstein (KAMSC)
Mr Matt Burrows (CEO,
Kimberley Division of General
Practice)
Dr Iain Hague (MD Kimberley
WA Country Health Services)
Dr Siew-Lee Thoo (M)
Dr Jane Talbot (M)
Regional Education Program 2009.2
Dr Jaye Martin
Chronic Disease
Dr Anne Kleinitz, Dr Jonty
Rothstein & Kate Mathews
Complex Cases
Janet Knox
Sexual Health
Dr Anne Kleinitz, Dr Jonty
Rothstein & Dr Denise Findlay
Renal Health and Wound
Management
Dr Jonty Rothstein, Dr David
Atkinson & Wendy Cavilla
Chronic Lung Disease
Kristine Churchman & Dr Jonty
Rothstein
Eyes, Cancer and
Dermatology
Dr Pallavi Dean
Pap Smear and Others
Dr Inga Shea & Dr Siva Bala
Psychosis, Child Abuse and
Neglect
Regional Education Program 2010.1
Dr David Atkinson, Wendy
Cavilla & Casey Parker
Protocols, Paediatrics,
Obstetrics and Gynaecology
Louise McKenna
Cultural Session
Dr David Atkinson & Andrew
Thompson
Child Health and
Gastroenterology
Dr David Atkinson & Lisa Moore
Network Orientation, COPD,
Paediatric Nutrition
Wendy Cavilla & Dr Jonty
Rothstien
Implantation Insertion/Joint
Injections
Dr Jonty Rothstien, Dr David
Atkinson & Sarah Moore
Medicare Updates/Exam
Preparation
Broome Hospital
Palliative Care
Dr Jonty Rothstien, Dr David
Atkinson, Sarah Moore &
Marijke Creemers
Psych Emergency/Depression
and Exam Preparation
“The Kimberley has had PGPPP doctors
linking hospitals and Aboriginal health
services in Broome and Derby...
We hope more of this will be possible
in future years.”
WAGPET provided supervisor training in the region again this year,
an excellent session but because of the tyranny of distance only three
supervisors were able to attend. Other supervisors took advantage of
training opportunities in Perth. A number of new supervisors have been
recruited in Aboriginal health posts and two new private practices may be
taking registrars in 2011 hence supervisor training will be very important
again in the coming year.
With fully District Medical Officer (DMO) staffed hospitals in the region,
getting community based registrars working in hospitals can be challenging.
The Kimberley has had PGPPP doctors linking hospitals and Aboriginal
health services in Broome and Derby for a number of years and in 2010
WAGPET was able to assist us to add a shared procedural registrar in
Broome and Derby, working 0.5 FTE in primary care and 0.5 FTE in the
hospital. We hope more of this will be possible in future years.
Kimberley registrars and former registrars continue to make a great
contribution both within the region and elsewhere. Many continue to work
in the region, others act as unpaid recruitment agents and, when winter
bites, return as enthusiastic locums. Former registrars also often work in
Aboriginal health services elsewhere, for example Dr Jay-Mien Phang in
Roebourne is now supervising registrars, putting his Kimberley training to
good use!
Dr David Atkinson, Regional Training Adviser and Medical Educator
Dr Jonty Rothstein, Medical Educator, Kimberley Aboriginal Medical Services Council
Page 11
P i l b ara
It was an exciting year for the Pilbara with the return of GP registrars to
the region. The ever-present issues of accommodation, staff turn-over and
remote area medicine were temporarily overcome so that Dr Joel Zheng,
Dr Danielle Gitsham, Dr Rebecca Hunt-Davies, Dr Nicholas Harrington
and Dr Ann Sophie Rowcroft were able to complete terms in their Core
Clinical Training, Primary Rural and Remote Training, GP terms (Basic and
Advanced) and Advanced Specialised Training for general practice.
Nickol Bay Hospital | Wirraka Maya Health Service | Onslow GP Clinic
| Mawarnkarra Health Service
Prevocational Training
Onslow GP Clinic
Nickol Bay Hospital
Specialty Areas
Acute Rural Medicine
Regional Advisory Committee
Drs Scott Teasdale (RTA 2009.2)
& Jay-Mien Phang (RTA 2010.1)
Dr Colleen Bradford (EC)
Drs Peter Smith (SLO 2009.2)
& Alistair Frame (SLO 2010.1)
Ms Kim Williamson & Ms
Karen Kershaw (AO)
Drs Jay-Mien Phang (RLO 2009.2)
& Rebecca Hunt-Davies
(RLO 2010.1)
Ms Maryanne Coombs (RPM)
Dr Francois de Salve-Willediou
(SMO, Nickol Bay Hospital
2009.2)
Dr Mehesh Reddy (SMO,
Nickol Bay Hospital, 2010.1)
The RAC worked hard to coordinate and deliver the registrar’s regional
training program in different areas of the Pilbara. Although there were
challenges involved with hosting the training at different venues and catering
to the diverse needs of the registrars, the regional education sessions were
highly appreciated and enjoyed by all. Plans have been made to include
other areas of the Pilbara for regional education such as the Karijini National
Park. Coordination and early practical planning of the sessions is a must.
The Bush Tucker/Bush Medicine Innovations project facilitated in conjunction
with Mawarnkarra Health Service and Pilbara Health Network provided
scholarships for ten GP registrars and prevocational doctors to visit the
region for a locally developed cultural awareness package and orientation.
http://wagpet.com.au/news-events/news/innovations-in-the-pilbara-2010
“The Bush Tucker/Bush Medicine
Innovations project...provided
scholarships for ten GP registrars
and prevocational doctors to visit the
region for a locally developed cultural
awareness package and orientation.”
The weekend provided participants with a better understanding of the
importance of Indigenous history, culture and medicine. Feedback provided
was very positive and this project served as a strategic initiative to encourage
recruitment to the region.
Mr Chris Pickett (CEO Pilbara
Division General Practice)
Regional Education Program 2010.1
Dr Gareth Taverner
Regional Anaesthesia/Rapid
Sequence Induction
Dr Nick Harrington
Ear, Nose and Throat
Problems
Dr Mike Eaton
Mental Health Issues
Dr Rebecca Hunt-Davies
Child Health Issues
Dr Mike Eaton
Palliative Care/End of Life
Issues
The Community Residency Program continues as a prevocational avenue
to practice in the Pilbara. Dr Melissa Sandelin-McCann completed two
terms in the region despite being confronted with varied placement and
accommodation issues. The strength of this program is vindicated by Dr
Sandelin-McCann’s application into the GP registrar training program.
We have been fortunate to have Port Hedland hospital accredited by
ACRRM for a number of training positions in addition to Wirraka Maya
Health Service being accredited to offer a position in Advanced Specialised
Training in Indigenous Health. The region is pleased to be able to offer new
posts to incoming prevocational and registrar doctors.
Dr Jay-Mien Phang, Regional Training Adviser
Dr Rebecca Hunt-Davies, Registrar Liaison Officer
Page 12
M i d
w e s t
The Mid West has continued its fine tradition of providing quality mentoring
and teaching. Each semester we actively seek the registrars’ areas of
knowledge deficiency and tailor our teaching program to suit. Registrars
are canvassed for their preferred ‘teaching top up’ topics and source local
experts to deliver the program. Admittedly we can only address learning
deficiencies that are present in registrars’ consciousness. It is our philosophy
to push, challenge and test registrars to try and minimise how much they
don’t know!
In the last year we have conducted seminars in:
•
Batavia Health | Geraldton Medical Group | Mid West Aero Medical
| Dongara Medical Centre | Geraldton Regional Aboriginal Medical
Service | University Medical Practice
Prevocational Training
Specialty Areas
Geraldton Medical Group
GP/Emergency; GP/Mental
Health
Geraldton Regional Hospital
“Registrars are canvassed for their
preferred ‘teaching top up’ topics and
source local experts to deliver the
program.”
Regional Advisory Committee
Dr Stuart Adamson (RTA)
Dr Denise Findlay (EC)
Drs Melissa Morison 2009.2 &
Ian Taylor 2010.1 (SLO)
Mr Fred Block (AO)
Drs Nikee Msuo 2009.2 &
Bethany Beckett 2010.1 (RLO)
Ms Stephanie Walker (RPM)
Regional Education Program 2010.1
Dr Stuart Adamson
Dermatology
Dr Stuart Adamson
Dermatology part 2
Dr Theodore Garnder
Mental Health
Ms Lara Reynolds
Podiatry
Dr CH Khong
Ophthalmology
Dr Theodore Garnder
Mental Health part 2
Dr Marissa Gilles
STI
Dermatology potpourri – an interactive session addressing registrars’
perceived difficulties in this field. Interestingly the session was
conducted on a whiteboard and was not a powerpoint slide show of
rashes ad infinitum!!! We demonstrated that 90+% of dermatological
conditions presenting to GP can be narrowed down to a short list of
usually only one or two possibilities based on a good solid history
taking!
•
Brief psychological interventions in GP – a popular seminar providing
tools that can be used daily to produce behavioural change and
improved outcomes for our patients and included tips on how to
access the new MBS mental health incentives
•
Common foot conditions – although often dismissed – it is surprising
the number of presentations in GP surround the humble foot. This
session provided some useful advice, streamlined management
options and reduced unnecessary investigations!
•
Ophthalmology – presented by our resident specialist Dr CH Khong,
this seminar dispelled some of the mystique and aura around the topic
of eyes and provided simple streamlined management principles for
numerous common conditions.
•
STIs – always popular, always common and with us forever – this
seminar is a recurring favourite amongst registrars to Geraldton.
Delivered by our public health doctor – Marissa Gilles – this session
reinforced priority management for the obvious and not so obvious
maladies affecting many of our patients.
Further to these seminar sessions has been the longstanding open door
opportunity to work in consultation with any of our resident or visiting
specialists. Our registrars have appreciated the program and we trust are
the wiser for it. Our philosophy here in the Mid West is to deliver a teaching
program that the registrars want – we bring the learning to you, the way
you like it!
Dr Stuart Adamson, Regional Training Adviser
Page 13
P e r t h
&
O u t e r
M e t r o p o l i t a n - n o r t h
The 2009/10 year has been a busy period for the North Metro RAC.
Key activities have included:
1.
Regional registrar education program
2.Mock exam innovation
3.
Recruitment of a new RLO
4.Design of Indigenous cultural awareness program
5.
Preparation for Indigenous health training program
6.Ongoing registrar and supervisor support.
Alexander Heights Family Practice | Belridge Medical Group | Beaumaris
Family Practice | Coolibah Medical Centre | Joondalup Drive Medical Centre
| Kinross Medical Centre | Mindarie Medical Centre | Ocean Keys Family
Practice | Padbury Family Practice | Prendiville Avenue Medical Centre |
Seacrest Medical Centre | Stirling Central Medical Group | Whitfords Avenue
Medical Group | Woodvale Park Medical Centre
Prevocational Training
Specialty Areas
Ocean Keys Family Practice
Joondalup Health Campus
Belridge Medical Centre
GP/Emergency; Prevocational
General Practice Placement
Program; Palliative Care
Silver Chain Hospice
Regional Advisory Committee
Dr Tim Koh (RTA)
Drs Colleen Bradford 2009.2 &
Murray Nixon 2010.1 (EC)
Dr Derrick Kuan (SLO)
Ms Susie Gaunt 2009.2 &
Ms Jennifer Hughes 2010.1 (AO)
Drs Carly Taylor 2009.2 &
Heather Brand 2010.1 (RLO)
Ms Jodi Holland 2009.2 &
Ms Kim Tait 2010.1 (RPM)
Regional Education Program 2009.2
Dr Tim Koh
Common GP Problems
Drs Tim Koh and Derrick Kuan
Practical GP Skills
Dr Gary Couanis
Musculoskeletal
Dr Keat Wong
Acute Lower Back Pain
Management
Dr Carly Taylor
Antenatal
Dr Keith Ananda
Ear, Nose and Throat
Dr Dev Segarajasingam
Gastroenterology
Dr Deborah Gardner
General Practice Psychology
Regional Education Program 2010.1
Dr Tim Koh
Common GP Cases
Dr Craig Burg
Aged Care
Dr Jo Richards
Ophthalmology
Dr Derrick Kuan
Diabetes Management
Dr Dan Fick
Orthopaedics
Dr Keith Ananda
Ear, Nose and Throat
1. Regional registrar education program
The 2009/10 program continued to build on the solid foundation of education
units that were completed in the previous year. New sessions were designed
around areas of education need, including visits to local aged care facilities
and palliative care training. The RAC has also focused on increasing the
number of sessions delivered by GPs. Feedback from both registrars and
session speakers has been positive.
“The broad goal of this regional project
will be to identify local Indigenous health
care leaders with a view to developing a
mentoring support network.”
2. Mock exam innovation
The mock exam innovation was delivered twice during the 2009/10 year.
During this time the innovation was expanded to include more cases. Eight
registrars participated in this innovation and all provided positive feedback
indicating that it provided valuable education and exam preparation. This
innovation is scheduled to continue in the year ahead.
3. Recruitment of a new RLO
The RAC was pleased to welcome Dr Heather Brand to our team. Dr Brand
brought a fresh perspective to the team having experienced general practice
through the Community Residency Program before joining the GP training
program.
4. Design of Indigenous cultural awareness program
The RAC was asked to design and deliver an Indigenous cultural awareness
program in 2010. This was designed with the intent of annual review and
replication. After a process of consultation and analysis of local resources
we are pleased to be in the position to deliver this program using resources
within our community.
5. Preparation for Indigenous health training program
The RAC met and initiated the planning process for the IHT program. The
broad goal of this regional project will be to identify local Indigenous health
care leaders with a view to developing a mentoring support network.
6. Ongoing registrar and supervisor support
Drs Brand, Kuan and Koh all participated in providing ongoing liaison and
support for local registrars and supervisors. The RAC continues to work
closely with WAGPET and the Osborne GP Network to provide a high
standard of education and support for registrars and supervisors.
Dr Tim Koh, Regional Training Adviser
Page 14
P e r t h & O u t e r M e t r o p o l i t a n - Ea s t & W h e a t b e l t
Bayswater Medical Centre | Central City Medical Centre | Chelsea Village
Family Practice | Drs Dyson and Gay | GP on Beaufort | Health Services
Flight | Illawarra Medical Centre | Lindisfarne Medical Group | Lockridge
Medical Centre | Mead Medical Group | Mundaring Medical Group | North
Street Medical Centre | Stirk Medical Group - WHEATBELT - Lancelin
Medical Centre | Moora Health Centre | Toodyay Medical Centre
Prevocational Training
Specialty Areas
Stirk Medical Group
Prevocational General
Practice Placement Program;
Palliative Care
Silver Chain Hospice
Regional Advisory Committee
Dr Nadine Perlen (RTA)
Drs Denise Findlay 2009.2 &
Will Thornton 2010.1 (EC)
Drs Murray Nixon 2009.2 &
Mike Civil 2010.1 (SLO)
Ms Deena Chalmers (AO)
Drs Catherine Collins 2009.2
& Carly Taylor 2010.1 (RLO)
Mr Adam Scott & Ms Tina
Donovan 2009.2 &
Ms Kim Tait 2010.1 (RPM)
Mr Chris Carter (M)
Regional Education Program 2009.2
Drs Nadine Perlen &
Catherine Collins
Orientation
Dr Nadine Perlen
Complimentary Medicine
Dr Christine McMenamin
Aged Care: Geriatrics,
Psycho-geriatrics CAT
Regional Education Program 2010.1
Drs Nadine Perlen & Denise
Findlay
Orientation/Wound
Management
Dr Genevieve Sadler
Dermatology
Work Cover
Workers Compensation
Dr Aesen Thambiran
Refugee Health
Dr Nadine Perlen
Chronic Disease
Dr Eugene Ang
Rheumatology
Dr Deborah Wearne &
Ms Kathy Willis
Mental Health
Dr Gary Couanis
Musculoskeletal
We have continued to develop our regional program utilising the experience
of our RAC members with support from the Perth Primary Care Network
program and resources. Our programs over the last two semesters have
continued to consist of a combination of RAC selected and registrar
selected topics utilising our RAC members, divisional program staff,
local medical and allied health providers and government agencies. We
covered the broader topics of aged care, chronic disease, mental health
and medicolegal medicine and also more specific areas of dermatology,
musculoskeletal medicine, wound management and refugee health.
“Registrars were also encouraged to
consider developing their teaching skill by
presenting to the group and utilising this
as their project.”
We tried wherever possible to utilise local presenters. Registrars were also
encouraged to consider developing their teaching skill by presenting to the
group and utilising this as their project.
Our regional innovation offered registrars and supervisors to participate in
funded sessions of in-practice direct observation (supervisor of registrar)
and reverse direct observation (registrar of supervisor). Unfortunately
despite considerable promotion and encouragement this was not taken up
by many registrar/supervisor pairs. We are in the process of analysing the
feedback.
We have had some movement of personnel over the year with the departure
of Adam Scott and then Tina Donovan as program manager and whose
input to the RAC and program were much appreciated. We welcome Kim
Tait to the role and look forward to working with her in the coming year.
We also farewelled Dr Denise Findlay, as educational consultant. Denise
has provided invaluable support, guidance and educational input to our
committee and programs over the years for this we are very grateful. We
welcome Dr Will Thornton and look forward to working with Will in the future.
Dr Murray Nixon has concluded his time as regional SLO. We thank him for
his contributions to the RAC and hope to continue to call on his expertise in
Men’s Health when the topic is requested. Dr Mike Civil will be returning to
the RAC as new SLO. Dr Carly Taylor took over from Dr Catherine Collins at
the start of 2010 and her input and feedback from registrars is important in
keeping the RAC responsive to registrar needs. We are particularly grateful
to Ms Deena Chalmers, our RAC program administrator at PPCN, who
despite dealing with serious family illness keeps the program running, keeps
everyone informed and has provided valuable assistance to the RAC and
myself over the year in coordinating speakers and registrars.
Dr Nadine Perlen, Regional Training Adviser
Page 15
P e r t h
&
O u t e r
M e t r o p o l i t a n - s o u t h
2010 saw our team enjoy a good working relationship with the GP registrars.
Our Regional Educational Program was developed from feedback and
based at the Canning Division of General Practice and benefited from a full
attendance from both registrars and prevocational doctors despite being
non compulsory for some attendees!
Armitage Road Medical Centre | Bayside Medical Centre | Byford Medical
Centre | Canning Medical Centre | East Fremantle Medical Centre | Fleet
Base West Health Centre | Forest Lakes Medical Centre | Fremantle
Family Doctors | Hospital General Practice | Kelvale Medical Group |
Kwinana Medical Centre | Melville Family Health Centre | Parkwood
Medical Centre | Parmelia Medical Practice | Ranford Medical Centre |
Woodbridge Medical Centre
Prevocational Training
Specialty Areas
Kelvale Medical Group
Armadale Hospital
Kwinana Medical Centre
GP/Obstetrics; GP/Emergency;
Palliative Care
Rockingham Kwinana Hospital
Themes requested by our new GPs covered challenges from the cradle
to the grave including paediatrics, men’s and women’s health and aged
care. The program included practical sessions on plastering, practising on
prostate models to the benefit of future doctors and patients alike, updates
on immunisation, workers compensation and medical and legal obligations.
“Our Regional Educational Program...
benefited from a full attendance from
both registrars and prevocational doctors
despite being non compulsory for all
attendees!”
Silver Chain Hospice
Regional Advisory Committee
Dr Jonathon Dalitz (RTA)
Drs Peter Maguire 2009.2 &
Denise Findlay 2010.1 (EC)
Dr Peggy Leung (SLO)
Ms Noelleen Gardner 2009.2
& Ms Jenny Wells 2010.1 (AO)
Ms Wendy Rose (M)
Ms Stephanie Walker (RPM)
Dr Michelle McNamara (RLO)
Regional Education Program 2009.2
Dr Jo Richards
Ophthalmology
Dr Alison Creagh
Women’s Health
Dr Nick Bretland
Aged Care
Dr Laura Carija
Asthma COPD
Dr Thinh Nguyen
Perinatal
Dr Thinh Nguyen
Eating Disorders
Dr Murray Nixon
Men’s Health
Regional Education Program 2010.1
Ms Anneke Tripp
Plastering Demonstration
Ms Shelly Howe &
Ms Saloni Shah
Immunisation Update/
Therapeutic Choices for
Menopause Symptoms
Dr Rob Will
Connective Tissue Disorders
Dr Barry Fatovich
Workers Compensation and
Legal Obligations
Dr Kularni
Chronic Kidney Disease
Dr Nick Bretland
Aged Care
Ms Lidia Genovese
Treating Depression and
Anxiety in Young People
Page 16
Our Innovations efforts produced a much appreciated seminar on ‘Business
Skills’ required ‘Beyond the Fellowship’ where participants enjoyed input
from a number of experienced GPs and financial experts. The ongoing
feedback from registrars of all levels of experience means we shall continue
this program in the future in a sustainable way.
Advanced Mental Health Training was also considered highly amongst our
GPs and this year’s innovation is to establish a formal course which fulfils
the criteria of Mental Health level two training where candidates are able to
subsequently provide their own style of Focused Psychological Therapies
through their training and future General Practice.
Finally within our region we were proud to contribute to the development of
Indigenous health training by accessing Aboriginal consultants and experts
some of whom we have dealt with in areas of Cultural Awareness Training
over the years.
In closing we would like to acknowledge and thank very much the
contribution from our own registrars as well as the presenters and helpers
that have made the preceding year such a success and enjoyment.
Dr Jonathon Dalitz, Regional Training Adviser
P e e l
As another year draws to a close, we have a new group of WAGPET trained
medicos joining the ranks of General Practice. It is nice to know that we at
Peel, like other RACs, have played our part in their training.
Falcon Grove Medical Centre | Mandurah Station Medical | Murray Medical
Centre | Forrest Medical Group | Modern Medical Centre | Peel Connolly
Medical Centre
Prevocational Training
Specialty Areas
Pinjarra/Waroona
GP/Palliative Care
Regional Advisory Committee
Dr Hugh Connolly (RTA)
Drs Mike Eaton 2009.2 &
Murray Nixon 2010.1 (EC)
Dr Frank Jones (SLO)
Ms Anne Walsh (AO)
Drs Yulia Wilken 2009.2 &
Kiran Ramagowda 2010.1
(RLO)
Ms Jodi Holland 2009.2 & Ms
Kim Tait 2010.1 (RPM)
Regional Education Program 2009.2
Dr Peter Wallace
Short of Breath
Dr Carolyn Richards
GP Psychiatry
Dr Joe Buters
Practice Management
Dr Kathy Mallory
Illicit Drugs
Dr Hannah Vorster
COPD
Dr Stephen Bingham
Men’s Health
Dr Frank Jones
Travel Medicine and Infectious
Disease
Dr Eileen Bristol
Women’s Health
Regional Education Program 2010.1
Dr Frank Jones
Neck and Back
Dr Steve Bingham
Skin
Dr Hugh Connolly
Clinical Exam Cases
Dr Thys Van de Merwe
Soft Tissue Injuries
Dr Steve Brabazon
Grandmas and Grandpas
Dr Reg Bullen
Practice Management
Dr Rupert Backhouse
Difficult Patients, Drug and
Alcohol Issues
Dr Peter Wallace
End of Life Issues
At Peel, we have seen a number of changes over the year and it first started
with the semi retirement of Jodi Holland from WAGPET, whom we wish well
and whom has always been a great source of knowledge and support for us
at Peel. Nothwithstanding the retirement of Jodi, we were ably supported by
Stephanie Walker who took over her role and now welcome Kim Tait whom
is now our full time adviser replacing Stephanie.
“We ran Thursday afternoon teaching
sessions at division headquarters,
with a wide range of topics presented
by local GPs.”
The Peel RAC Innovations program was modelled on a similar program
run last year. We offered registrars the opportunity to visit other practices
in the region for a half day. Although uptake of the innovative intra-practice
placement program was not taken up by all registrars in the region, those
who participated said they enjoyed seeing how other practices worked on
a day to day basis, learning from different styles and systems and talking
to other GP supervisors. We ran Thursday afternoon teaching sessions
at division headquarters, with a wide range of topics presented by local
GPs ranging from practice management through to illicit drugs to end of life
issues, but semester after semester, Practice Management continues to be
the most popular!
As we entered the year, we also welcomed Dr Stephen Bingham to our
committee. We co-opted Stephen onto our committee, with a view to
succession planning, and it is to be hoped that when Dr Frank Jones and
myself retire after nearly five years on the RAC, that Stephen will be the
ideal replacement, though we are continuing to look for a partner for him.
We also saw the retirement of Dr Yulia Wilken and the resignation of Latha
Kumar, both of whom we thank for their involvement as Registrar Liaison
Officers to the RAC.
We would also again like to thank Anne Walsh, our local representative
at GP Down South, who has organised meetings, refreshments, venues
and supplied her unlimited expertise, in making sure that the Peel RAC
continues to run as smoothly as it has done in the past. Finally, it would be
remiss of me not to thank Dr Frank Jones, who is to shortly chair the WA
branch of the RACGP, for all his support over the years, and we wish him all
the very best for the future.
General Practice training has evolved and continues to evolve at Peel, and I
would personally like to thank everyone at WAGPET, both seen and unseen,
for their unwavering support throughout the year.
We look forward to another successful year at Peel.
Dr Hugh Connolly, Regional Training Adviser
Page 17
S o u t h
w e s t
This marks the end of another successful year for registrars and supervisors
alike in the South West. Registrar numbers were again strong and we have
been fortunate to welcome community residents to the formal education
programs and social events.
Australind Medical Centre | Dr Foster and Associates | Leschenault Medical
Centre | Synergy Sports Medicine | Duchess Medical Practice | Margaret River
Surgery | Busselton Medical Practice | Forrest Family Practice | Naturaliste
Medical Group | Collie River Valley Medical Centre | Kent Street Surgery
Prevocational Training
Leschenault Medical Centre
Bunbury Regional Hospital
Specialty Areas
GP/Paediatrics
The RAC has been happy with the quality of the regional education
sessions; Topics covered included Emergency Management in GP Rooms,
Men’s Health, Heart Sink Patients, Palliative Care and Anaesthetics. We
have blooded a few new presenters and hope they will go on to be regulars
in our rotation.
“Registrar numbers were again strong
and we have been fortunate to welcome
community residents to the formal
education programs and social events.”
Regional Advisory Committee
Ms June Foulds (Chair) (CEO Greater Bunbury Division of
General Practice)
Dr Peter Wutchak (RTA)
Drs Peter Maguire 2009.2 &
Murray Nixon 2010.1 (EC)
Dr Stephen Cohen (SLO)
Ms Nicky Smith (AO)
Drs Gill Cowen 2009.2 &
George Marshall 2010.1 (RLO)
Ms Maryanne Coombs (RPM)
Regional Education Program 2009.2
Dr Peter Wutchak
Emergency Management in
GP Rooms
Dr Andre Kozlowski
Cardiology
Dr Chris Plint
Men’s Health
Dr Mike Munroe
Workers Compensation
Dr Alan Cryer
Business Aspects of GP
Dr Clyde Jumeaux
Heart Sink Patients
Dr Peter Heyworth
Eyes
Regional Education Program 2010.1
Dr Mike Eaton
Skins
Dr Peter Wutchak
Respiratory Conditions
Dr Gavan White
Written Exam Revision
Workshop (Innovations)
Dr Annie Marshall
Antenatal
Dr John Gliddon
Palliative Care
Dr Gavan White
Clinical Exam Revision
Workshop (Innovations)
Dr Brian Mullins
Gynaecology in GP
Dr Stephen Adams
Paediatrics in GP
Dr Charley Nadin
Anaesthetic (BRH)
Musculoskeletal Traps and
Drs Gavan White & Gill Cowen
Pitfalls
Dr Pam Burgar (& Waratah)
Page 18
Sexual Assault
The RAC was very pleased with the positive feedback received from our
innovation event held in October 2009. A hypothetical was held with Dr
Ronnie Yuen facilitating the attendees around the topic of breast cancer
controversies. It was so well attended and received that this style of
presentation is likely to be revisited again this year.
Back by popular request, we arranged exam revision workshops in early
2010 for both clinical and written; a special thank you to Dr Gavan White for
facilitating. We also have another tradition in the making at the request of
last year’s attendees for a repeat of the wintery registrars and supervisors
networking dinner. Not a difficult task when our region is home to some of
the best wining and dining in the State.
On behalf of the RAC, I would like to thank Dr Gill Cowen who has left
her role as Registrar Liaison Officer. Her energy and enthusiasm was of
great value. Dr Peter Maguire, Educational Consultant, has left us for the
greener pastures in Narrogin, he will be missed and we wish him well with
his new endeavour. We are pleased to welcome Dr George Marshall as the
new Registrar Liaison Officer and Dr Murray Nixon as the new Education
Consultant. To the rest of our team, thanks for a wonderful effort this year
and we are eagerly looking forward to 2010/11.
Dr Peter Wutchak, Regional Training Adviser
Gr e a t
S o u t h e r n
Earl Street Surgery | Pioneer Health Albany | St Luke’s Family Practice |
Hillside Family Practice | Southern Regional Medical Group | The Surgery |
Boddington Medical Centre
Prevocational Training
Pioneer Health
Albany Regional Hospital
Specialty Areas
GP/Surgery
Regional Advisory Committee
Dr James Turner (RTA)
Dr Colleen Bradford (EC)
Dr Andrew Knight (SLO)
Ms Noelene Robinson (AO)
Drs Sarah Booker 2009.2 &
Liz Onley 2010.1 (RLO)
Ms Maryanne Coombs (RPM)
Ms Suzanne Leavesley (CEO,
Great Southern GP Network)
Regional Education Program 2009.2
Dr Airell Hodgkinson
Travel and Tropical Medicine
Dr David Tadj
Business of General Practice
Dr Andrew Knight
Sports Medicine
Dr Andrew Knight
GPR Presentations, Medicare,
Billings, Wrap Up
Dr David Ward
Common Paediatric
Presentations
Dr Darcy Smith
Men’s Health
Dr Christine Archer
Management of Acute and
Chronic Back Pain
Dr Richard Turner
Dermatology
Dr James Turner
Chronic Disease Management
in GP Overview/EPC
Regional Education Program 2009.1
Dr Andrew Knight
Introduction to Medicare,
Billing and Planning
Dr Airell Hodgkinson
Hypertension
Dr Darcy Smith
Mental Health
Dr David Tadj
Obstetrics, Antenatal
Dr Jim Leighton
Chronic Pain Management
and Drug Addiction
Dr David Mildenhall
Colonoscopy and Endoscopy
Dr Richard Turner
Ear, Nose and Throat
Dr James Turner
Skin Cancer and Wrap Up
Perhaps one of the most exciting changes to report has been the evolution
of the Great Southern Region as a seamless location for training of rural
generalists. This has been developing over some time but has leapt forward
with increased training positions for interns, residents and prevocational
doctors in the region. Simone Forward is a wonderful example and advocate
of the new opportunities. She completed her schooling in Narrogin,
completed her rural clinical school year in Geraldton, did three of her
intern rotations in Albany, has done two separate PGPPP rotations and an
emergency department term in Albany and now has joined WAGPET as a
GP registrar. We are hopeful of Simone joining the GP workforce in a region
she has grown to love!
The influx of junior doctors and registrars in specialist training within Albany
hospital, adding to the GP registrars in the region has added an energy
and enthusiasm, and enhanced the culture of medical education both within
the hospital and in the community practices. The social dimension I’m sure
has also contributed to the location being in high demand. At the other end
of training it was exciting to see Liz Tompkins complete the first advanced
obstetrics diploma in Albany and has continued to have a busy obstetric
practice in the region.
“The evolution of the Great Southern
Region as a seamless location for
training of rural generalists...has leapt
forward with increased training positions
for interns, residents and prevocational
doctors in the region.”
The formal educational program has been appreciated by registrars and
prevocational doctors and has been tailored to the usual favourites with
dermatology, musculoskeletal medicine and EPC billing being regularly
requested. Andrew Knight organised a fascinating clinical hypnotherapy
weekend presented by Jules Leeb through the region’s innovations program
in March. Attendees have requested a follow-up education session to further
develop their skills.
The RAC has been putting much effort into the formation of a regional
Indigenous health training package over the past six months. After feeling
slightly daunted by the broad brief, progress has been made in consultation
with many of the local Nyoongar community members. Our first regional
cultural awareness training day and evening is planned for October as an
opportunity to meet the local community, hear their stories and learn about
their culture. New Aboriginal health clinics have also been established in
Albany, Mount Barker and Gnowangerup and are planned to be used as a
setting for further hands on registrar training in Indigenous health.
Dr James Turner, Regional Training Adviser
Page 19
G o l d f i e l d s / E s p e ra n c e
2009/10 has seen three GP registrars training in the region, each staying
for at least 12 months, and some promising developments for the future of
training in the region.
Bega Garnbirringu Health Service | Collins Street Surgery | Plaza
Medical Group | Boulder Medical Clinic | Lamington Medical Group
| Genpar Medical Service
Prevocational Training
Specialty Areas
Lamington Medical Group
GP/Paediatrics and GP/Public
Health
Kalgoorlie Regional Hospital
Regional Advisory Committee
Drs Clare Willix 2009.2 &
Juliette Frost 2010.1 (RTA)
Drs Peter Maguire 2009.2 &
Colleen Bradford 2010.1 (EC)
Dr Damien Zilm (SLO)
Ms Estè Maree (AO)
Drs Kylie Sterry 2009.2 &
Carolyn Haeusler 2010.1
(RLO)
Ms Jodi Holland 2009.2 & Ms
Trina Turbett 2010.1 (RPM)
Regional Education Program 2010.1
Drs Juliette Frost & Damien
Zilm
Welcome, Orientation and
Tour
Dr Damien Zilm
Musculoskeletal
Dr Damien Zilm
Occupational Health
Dr Rachel Hammond
Depression and Anxiety
Ms Amy Keys
Palliative Care
Dr Murali Narayanan
Paediatrics
Dr Steve Wright
Nephrology
Dr Phil Reid
Dermatology
Dr Charles Douglas
Local Public Health Issues
Dr Kylie Sterry
Gynaecology
Dr Sean George
Diabetes
Dr Harry Clarke
Dr Shopping
Page 20
The well-established regional education program has continued to be
delivered by local GPs and specialists, taking place on eight three-hour
afternoon sessions each semester. Topics are chosen at the start of each
semester with the input of the RAC and the current GP registrars. Plans
have been made to alter this schedule to accommodate registrars training
in Esperance by holding full one or two day workshops and including
Esperance doctors in the delivery of education.
“The well-established regional education
program has continued to be delivered
by local GPs and specialists.”
After the success of last year’s event, the RAC decided to use the
Innovations funding to hold a similar four-day educational workshop for
prospective registrars aimed at showcasing the training opportunities in
the region. This year’s event was popular with seven doctors attending.
Industrial health issues were addressed on a superpit mine tour; the group
had an overnight stay at an Aboriginal community, providing a unique insight
into local Aboriginal culture. They then had the opportunity to tour general
practices in Kalgoorlie-Boulder and the Kalgoorlie Regional Hospital and
then went on to visit Esperance and meet the supervisors there. We hope to
welcome some of these doctors back to train here in the near future.
The RAC now has Indigenous health training firmly on the agenda, and is
planning a regional cultural awareness workshop for basic and advanced
term registrars, as well as developing more opportunities to undertake
training placements in Aboriginal health in the region.
Special acknowledgement is due to Dr Clare Willix for her tireless work as
the RTA over several years and many changes on the RAC until January
2010 when Clare left the region.
Dr Juliette Frost, Regional Training Adviser
w a g p e t
i n
t h e
m e d i a
A measure of the increasing profile and success of WAGPET is how positively the organisation has been represented in the media.
Page 21
s t ra t e g i c
P l a n
To achieve our vision and mission we have developed a strategic plan built on five key pillars:
collaboration; innovation; quality; workforce and governance. Together, these guide and shape
the future of our business.
kEY AREAs OF
FOCUS
OUTCOMES
COLLABORATION
INNOVATION
Investing in ideas, projects
and activities where
collaboration has a clear,
value-added outcome
The adoption of new practices,
processes or thinking by
WAGPET to add value to
current ways of doing business
and/or generate business
growth in new areas
WAGPET achieves economies
of scale by contributing
to projects of mutual
interest with other parties
WAGPET is identified by others
as a collaborative partner
Page 22
WAGPET initiates / develops /
responds to innovative
business opportunities
WAGPET implements / monitors /
reviews approved opportunities
S t ra t e g i c
P l a n
The following pages provide a report on the achievements of WAGPET against the Strategic
Plan.
QUALITY
WORKFORCE
GOVERNANCE
Quality processes and practices
are implemented and monitored
WAGPET educates and
trains the health workforce
to meet community and
population needs
Robust and accountable
financial, administrative and
communication systems
support the business
The urban and rural distribution
of trainees affirmatively
supports areas of workforce
need during and post-training
Successfully negotiated
contracts and funding
processes reflect industry best
practice
Practices, posts and
supervisors provide
high quality training
Information management
systems are integrated and
deliver business efficiencies
Quality project management
processes result in effective
and efficient service delivery
Regionalisation delivers an
efficient, effective and locally
responsive training service
The quality of education is
maintained and enhanced as
delivery methods evolve
Trainees choose to undertake
procedural and extended
skills opportunities
Continuity of trainees
is facilitated for high
quality practices
WAGPET provides sufficient
quality practices for all trainees
WAGPET provides sufficient
quality trainees for all practices
WAGPET provides sufficient
quality medical educators
Internal processes enable
effective and efficient service
delivery
Decision making is evidence
based, reported and enhances
our effort and reputation
Accountability measures are
embedded in all processes
WAGPET engages and informs
relevant parties on all aspects
of its work
The administration of
training is uncomplicated,
responsive and efficient
Page 23
c o l l a b o ra t i o n
Investing in ideas, projects and activities where collaboration has a clear,
value-added outcome
GP Stakeholders Group
The WA GP Stakeholders Group continues to grow from strength
to strength. In its second year of collaboration, all agencies remain
committed to the common goal of recruiting junior doctors into the
‘foyer’ of General Practice.
The initial focus of the group, to ensure General Practice is consistently
and professionally profiled to prospective practitioners, has been
achieved through its work in three areas: cohesive marketing materials
and messages; collective sponsorship of events with an education
and training focus; and, a common, Western Australian website:
www.careergp.com.au
Excellent feedback on the intent and work of the group and WAGPET’s
role in helping develop this initiative has been received from several
organisations including GP Students Network, General Practice
Education and Training, the national Australian College of Rural and
Remote Medicine Office and participants at marketing events.
The group comprises the following organisations:
•
•
•
•
•
•
•
Australian College of Rural and Remote Medicine
Australian Medical Association (WA)
Royal Australian College of General Practice WA
Rural Health West
WA General Practice Education and Training
WA General Practice Network
WA Country Health Service.
WAGPET - AMA (WA) Partnership
WAGPET and the AMA (WA) continue to enjoy a healthy collegial
relationship through a long-term partnership around marketing and
recruitment.
As well as expediting the organisation and communication of
recruitment events, the partnership this year produced the third annual
study undertaken on attitudes towards, and perceptions of, General
Practice by medical students and junior doctors. The survey involved
260 medical students from the Universities of WA and Notre Dame
and 62 Interns.
Of those surveyed 21.7% saw general practice as their preferred
profession, putting GP ahead of being a surgeon (12.5%). Becoming
a GP is seen as an intellectually stimulating, challenging and diverse
career choice. Moreover, the research clearly confirmed that students
are more likely to choose general practice if they have positive
mentors and experiences in their GP placements.
Page 24
The research also supported national and international research that
students primarily from rural areas are more likely to take up a career
in rural general practice as their first choice (40.4%) compared with
those from metropolitan backgrounds (16.7%).
WAGPET - GPRA Partnerships
WAGPET and General Practice Registrars Association (GPRA)
continued to work productively together to implement the First Wave
Scholarship Program this year. Success in the pilot of the program in
2008/09 with an initial ten places saw the expansion of the program this
year with 49 strong applications for 20 places in the scheme. A GPRA
evaluation of the program has reinforced the success of the scheme
in providing quality, early experiences in General Practice for students
with 96% of students agreeing they have a better understanding of
the role of general practice in Australia’s health system and continuity
of care concept that make GP unique amongst specialties as a result
of the program. Ninety-eight percent agreed that they had exposure
to the diverse range of medicine practised in GP and 90% agreed
that the program helped them with their decision-making around future
career choices.
The majority of GP supervisors (92%) were of the opinion that
the Program will benefit GP in the long-term. WAGPET has been
congratulated by GPRA on the quality of experience provided to
students by WA practices.
WAGPET was also appointed by GPRA to pilot GP Compass, a
national peer to peer marketing program aiming to bridge the gap
between the university studies and vocational training by providing an
active and visible profile of general practice in our tertiary hospitals.
The two GP Ambassadors and Interns, Drs Paul Pittorino and Rohan
Carter, worked tirelessly to participate in existing marketing and
recruitment initiatives and to develop more targeted approaches suited
to the tertiary hospitals context. Both Ambassadors share a passion
for rural practice and intend to work as General Practitioners in the
future. The GP Compass Program has proved to be a success as one
of WAGPET’s short term marketing and recruitment initiatives with an
increase of 60% in expressions of interest in the 2011 prevocational
and AGPT programs.
“The demands of being a junior doctor can cause you to think only of
what you are doing now and not on your career plan. The GP Compass
program provides support and information for doctors considering
General Practice and for those who are not considering GP the program
provides a reminder that General Practice is ‘still around’.” Dr Rohan Carter
GP Compass Ambassador.
i n n o v a t i o n
The adoption of new practices, processes or thinking by WAGPET to add value to
current ways of doing business and/or generate business growth in new areas
Video Projects
WAGPET was successful in obtaining funding from the Prevocational
Medical Council of WA to produce two DVDs about the Community
Residency Program for junior doctors. These DVDs are used in
marketing, recruitment and clinical teaching sessions.
Following the success of these videos, further projects were
undertaken by WAGPET to promote the GP Training Program:
•
•
•
•
•
A Day in the Life of a Community Resident
General Practice Consultation in the Community Residency
Program
A Day in the Life of a Rural GP Registrar
A Day in the Life of a Metro GP Registrar
Supervising Prevocational Doctors.
All videos can be viewed on the WAGPET website:
www.wagpet.com.au
Vertically Integrated Training
To improve understanding about what constitutes vertically integrated
training in general practice, WAGPET commissioned a research
project on the topic and a report was delivered in late 2009. This
broad-based consultation project was based on a literature search,
feedback from the Supervisors Advisory Group, interviews with
supervisors, registrars and prevocational doctors and input from
Regional Advisory Committees.
The content of the report will be considered in conjunction with
the results of WAGPET’s study in sustainable teaching in general
practices and other initiatives, in the coming year.
GP Sustainability Survey
To obtain an accurate and relevant picture for Western Australia,
the WAGPET Board, supported by the Supervisors Advisory Group,
commissioned a study into the ongoing sustainability of training GP
registrars and prevocational doctors in our practices.
With the increased number of students, prevocational doctors
and registrars coming through our systems, WAGPET recognises
that the impost on practices in staff time, rooms and reporting are
significant, increasing and may not be fully recompensed. Undertaken
by Adelaide to Outback using a pre-tested program contextualised
for WA, the results will provide a local perspective on the costs and
benefits to practices taking trainees as the shape of future General
Practice training is debated nationally.
Greater than 75% of our supervisors responded to the survey, a
record response for any research project undertaken by WAGPET
and surpassing the response rate Adelaide to Outback achieved from
its South Australian study. Results of the survey will be published by
the end of 2010.
The Steering Committee for this research included Drs Alan Leeb,
Peggy Leung, Andrew Png, Willie Walker and Damien Zilm.
The report provides a definition, characteristics of vertical integrated
practice and case studies of three practices adopting a vertically
integrated approach to training in WA: Pioneer Health in Albany, Ocean
Keys Family Practice in Clarkson and Lockridge Medical Centre.
Page 25
i n n o v a t i o n
Prospectus
To support interest and expectations in being involved in an increasing
number of new business opportunities, WAGPET has developed a
prospectus to provide information about its business strengths and
experience.
GP Super Clinics
In the past year, WAGPET has written letters of support for the
Midland, Wanneroo and Cockburn Super Clinic developments, at the
same time asserting its impartiality in relation to these developments.
WAGPET expects to be included in the consultation processes around
the development of training and education delivery by the Clinics.
the review, interviews with representatives of major stakeholder
organisations and a literature study.
Following the delivery of the final report to the Board, it was
distributed widely and an action plan developed to address the review
recommendations.
Further regional consultation visits by the WAGPET Chair of the Board
and CEO were held across the State to discuss WAGPET’s intentions
to enact these recommendations and the following work has ensued:
•
•
ARC Linkage Project
Regional Advisory Committees are overseeing the development
of regional Indigenous health training plans and financial support
for this process has been forwarded to regions
Additional support was provided with the delivery of a Masterclass
by Professor Ken Wyatt on local planning, leadership and
legitimate partnerships as the keys to helping close the gap
through training as part of service delivery
All Regional Advisory Committees have agreed to pilot Cultural
Awareness education and training workshops in their regions in
the second half of this year
Work has commenced on the development of a Cultural Safety
Framework for WAGPET.
WAGPET has joined a consortium of organisations including the
University of Queensland and Adelaide to Outback GP Training to
undertake research across the three States profiling the characteristics
that make doctors in training suitable for rural practice.
•
Indigenous Health Training Review
WAGPET remains committed to implementing the recommendations
from the review to continue improving how our prevocational doctors
and registrars are engaged in Indigenous health.
In the second half of 2009, the WAGPET Board commissioned
a comprehensive review of its training in Indigenous health for
prevocational doctors and registrars. The review was undertaken
by an independent company, PDT Consultancy, and included 10
consultation forums statewide, a mechanism for submissions to
Page 26
•
Ms Maryanne Coombs
Senior Manager Development
q u a l i t y
Quality processes and practices are implemented and monitored
Excellence in Education
WAGPET strives to find innovative ways of developing and delivering
a high quality, education program that is built on an evidence base,
that supports the various teaching modalities and that is responsive to
the needs of our existing doctors in training and GP supervisors. This
year has been no exception.
The challenge in this last year has been to develop a program that will
be sustainable in future years to allow for vast increases in trainees on
the prevocational and vocational training programs, whilst continuing
to meet the curriculum requirements for RACGP and ACRRM. We did
this by undertaking a review of the existing blueprint for the education
program and by commencing pilot programs using new delivery
methods and assessment techniques.
Education Framework
As part of the regular cycle of quality improvement, the Education
Framework was reviewed. The following criteria were considered in
the development of a new Framework:
•
•
•
•
The financial and logistical impact of increased doctor in training
and supervisor numbers
The changing demographic of doctors in training, for example
increased post graduate applicants
Effective integration of online technologies into the delivery of
the program and;
Response to changes in primary health care delivery with
consideration given to recommendations from the National
Health & Hospitals Reform Commission.
The key principles of WAGPET education remain unchanged:
•
•
•
•
•
•
•
Excellence and innovation
Experiential learning
Regionalisation
Vertical and horizontal integration
Adult learning principles
Reflective practice
Lifelong learning.
Doctor in Training Education Program
With increasing numbers of doctors in training in our two prevocational
programs WAGPET continues to be committed to providing a quality
experience for all. As with previous years, participants attended
a two day orientation session before placements commenced
and the participants had ongoing access to the wide range of
regional face to face workshops and online resources. Exposure to
WAGPET’s education program gave prevocational doctors a taste
of the comprehensive package of resources available to support GP
registrars who are undertaking AGPT with WAGPET.
As with previous years, WAGPET continued to provide hospital based
GP registrars an opportunity to attend monthly evening education
sessions at WAGPET. This year saw the trial of virtual classrooms at
these sessions. Participants were able to use a web based application
to ‘virtually’ attend the session rather than driving to the WAGPET
office to attend in person. Virtual classrooms allow the participant to
see and hear the presentation and participants can interact by asking
questions just as though they were in the room. To date the use of
virtual classroom technology has been successful and numbers of
participants have increased.
The core component of GP registrar education continued to be
delivered in two ways; via small-group regional education sessions
and through centrally held workshops. To enhance the registrars’
regional training experience and to provide greater continuity in ‘on the
job’ training, this year we trialled reducing the number of face to face
compulsory workshops held in Perth. The content delivered has been
reviewed and consolidated to ensure that when registrars leave their
regions to come to Perth their education sessions are streamlined and
focused.
Central education
The beginning of 2010 has seen a number of changes to Perth based
education. There has been a reduction in the number of face to face
workshops with integration of online activities before and after the
workshops. The Key Feature Problem review and feedback sessions
for GPT 3 registrars planning to sit the RACGP exam are now conducted
via virtual classroom as part of the trial in 2010. There has also been
changes in content with the introduction of Balint groups, and plans
for interprofessional teamwork and chronic disease management in
collaboration with Curtin University. Balint groups are a structured
small group process for reflecting on the doctor-patient relationship by
discussing difficult or intriguing cases in a safe environment.
It was also pleasing to see that our registrars were not caught by the
recent changes in Mental Health training as WAGPET has always
included this as part of core training in the GPT 1 central workshops.
Registrars continue to undertake a wide range of projects during their
GPT 3 term and in this last year we have seen an increase in teaching
as an option. Registrars have focused on teaching medical students
in practice or in problem based learning (PBL) at the University;
involvement in the First Wave Scholarship; teaching peers during
regional education and teaching in the community. Some other project
topics have included:
•
•
•
Near miss analysis
Article written for Medicine Today
Literature reviews – DVT, Traditional Chinese herbal therapies,
lateral epicondylitis, oral sucrose for analgesia
Page 27
q u a l i t y
•
•
•
•
Home medication review
NPS clinical audits
Reflection on two practice experiences – Indigenous and non
Indigenous
A practice website review.
Regional education
One recommendation from the Education Framework review was to
pilot suitable education topics that could be successfully delivered
in the regional settings around WA. Indigenous Cultural Awareness
Training was one such topic and this year, all Regional Advisory
Committees have been busy planning for the roll out of cultural
awareness training for registrars in their region. This pilot will see
registrars participating on a program of education and training that
emphasises raising awareness of the culture and health needs of
people indigenous to the region.
Regional education continues to be valued highly by the registrars
with a variety of topics delivered across the regions during the past
year. The regions continue to develop exciting and varied innovations
and the last year is no exception. Some innovation programs have
included:
•
•
Inpractice consultation review and feedback - direct and reverse
(POM East)
Structured exam preparation (POM North)
Page 28
•
•
•
•
•
Scholarship visit program (Pilbara and Goldfields)
Understanding the business of general practice (POM South)
Understanding the business side of general practice (Mid West)
Creative writing workshop weekend with Dr Hilton Koppe (Great
Southern)
GP controversies event and exam preparation (South West).
GP Supervisor Education Program
The GP Supervisor Education Conference was held in early 2009
and this constituted the full supervisor education program for the
calendar year. Supervisor feedback from the Balint sessions during
the conference provided the impetus to consider continuing Balint
groups for supervisors and also introducing registrars to this process.
Thus in February this year the Medical Educators and a number of
supervisors chose to undertake 4 days of Balint leadership training.
This was a challenging and rewarding workshop for all involved, and
most trained supervisors have now made themselves available to lead
registrar or supervisor Balint groups during 2010 and beyond.
During 2010, supervisors again have a choice of topics and delivery
modes to meet their annual education requirements. Four virtual
classroom sessions have been planned as part of the virtual classroom
pilot. The very first session focused on how to use the technology
and what it offered. The second session focused on understanding
the requirements for ACRRM training. The last two topics will be
q u a l i t y
video debriefing and teaching evidence based prescribing and
investigations.
In the first part of 2010 the regional supervisor program has been
conducted by Ms Joe Klap. Using concepts from solution oriented
counselling and coaching, Joe has taken supervisors through a
structured approach to providing mentoring and supervision to
registrars. Feedback from these sessions has been very positive with
supervisors commenting that it made them reassess their teaching
style and provided a specific strategy to incorporate into everyday
teaching. When asked what they might do differently supervisors
identified that they would:
•
•
•
•
Teach in a less didactic way
Use the scaling technique
Plan more protected time for the registrars
Use the IGROW* strategy to get registrars (and patients) to find
their own answers to issues.
Last year it was possible to provide all ECT visitors with an aggregated
report of registrar feedback about their performance as ECT visitors.
The visitors found the feedback valuable, and were also able to
compare their performance with the aggregated mean from all ECT
visit feedback from mid 2008/09. This feedback will now be provided
annually.
A total of 234 external clinical visits were conducted in the 2009/10
period for GP registrars. 64% of these were conducted by GPs local
to the region. WAGPET would like to thank the GPs who provided
these ECT visits throughout the year. See the table below for a list of
supervisors who participated throughout the year.
Name
Region Visited
Name
Region Visited
Airell
Hodgkinson
Great Southern
Martin Gadd
South West
Carmel Reynolds
Michel Mel
South West
As always supervisors also had the opportunity to complete
independent options. Over the year there have been a range of
activities that have been approved:
Metro East, Mid
West
Colleen Bradford
Metro East
Mike Civil
Metro South,
Peel, Pilbara
•
Darcy Smith
Great Southern
Mike Eaton
South West,
Pilbara, Great
Southern
David Atkinson
Kimberley
Mostyn Hamdorf
South West
David Tadj
Great Southern
Nadine Perlen
Metro East
Edna Sun
Metro South
Nicolette de
Zoete
Kimberley
Geoff Bovell
Metro East, Peel,
Mid West
Pat Garratt
Metro North,
Metro South
Glynn Hughes
Metro South
Peter Maguire
Mid West, Metro
South
Hamza Amira
Metro South
Peter Wutchak
South West
Hany Ishak
Metro North
Richard Turner
Great Southern
Hugh Connolly
Peel
Ritthy Sovann
Metro South
Janet Theobold
Metro North
Rohan Gay
Metro East,
Metro North
Jenny Smith
Metro South
Sally Stokes
Kimberley
Jonty Rothstein
Metro North,
Metro South
Scott Teasdale
Metro South,
Metro East
Juliette
Buchanan
Metro East
Steve Jarvis
Metro South,
Metro North
Kathy Mallory
Peel
Wence Vahala
Metro East,
Metro North
Keith Howe
South West
Steve Cohen
South West
Kim Yeoh
Metro South,
Metro North
Stuart Prosser
Peel
•
•
•
•
•
•
Procedural upskilling that resulted in development to a vertically
integrated model of inpractice teaching
Undertaking the Graduate Certificate in Tertiary Teaching at
Notre Dame
Involvement in the GP Sustainability Advisory Group
Undertaking the UWA Remote and Regional Medicine Certificate
Teaching at examiner training workshop
Attending a teaching psychiatry session in the undifferentiated
ambulatory setting.
Attending the GPET conference.
Also in this year we conducted our annual supervisor orientation. Nine
practice managers attended with ten new supervisors.
Quality Assessment and Monitoring
In training assessment continues within the practice in the form of
supervisor assessments and External Clinical Teaching (ECT) visits,
as well as in the central workshops. Registrars with additional needs
continue to be identified early, usually in their GPT 1 term or part way
through their GPT 2 term. Focused learning plans have ranged from
short to extensive processes and registrars have been successfully
supported within the practice and with WAGPET Medical Educators.
The second yearly ECT visitor workshop was a great success with
visitors again role playing and receiving feedback. A number of
registrars offered to role play the scenarios. WAGPET is delighted that
there are now six new ex-registrar ECT visitors.
*IGROW - Issue; Goal; Root Cause; Options; What’s next
Page 29
q u a l i t y
There were 276 registrar feedback reports received over the year.
Apart from the qualitative comments received, the quantitative data
revealed that registrars really do find these visits extremely valuable.
Overall 85% of registrars rated the ECT visits as valuable or very
valuable.
The registrars also rated the ECT visitors skills highly (% given were
rated good/very good).
•
•
•
•
•
•
•
Setting the registrar at ease
Communicating effectively
Giving constructive feedback
Encouraging discussion
Facilitating learning
Facilitating reflection on the consultation
Clinical expertise/clinical reasoning skills
91%
93%
91%
92%
90%
91%
95%.
The current members of ECG are: Dr Denise Findlay, Dr Colleen
Bradford, Dr Murray Nixon, Dr Will Thornton, Dr David Atkinson, Dr
Mike Eaton, Ms Stephanie Walker (Senior Training and Education
Manager).
Over the year ECG has focused on a number of activities related to
policy and quality education. ECG has:
•
•
•
•
WAGPET elearning
WAGPET elearning continues to be an important component of
education delivery and management within the 2010-2013 Education
Framework. This year WAGPET has focused on dramatically
increasing the number of self paced independent online modules
available in 2010 and integrating online material as pre and post
workshop activities to increase learning and reduce face-to-face
teaching requirements.
Ms Stephanie Walker
BSc PG Cert Hlth Mgt
Senior Training and Education Manager
•
Developed a model for external supervision which WAGPET
plans to trial with the approval of the RACGP
Reviewed the past and looked to the future to identify the future
needs of doctors in training and significantly revised the Registrar
Education Framework. Over the course of 2010/11 there will be
changes in the content and delivery of WAGPET education
Revised policies on training time, part time training and placement
Reviewed the gp-start program. A number of practices and
registrars agreed to trial the gp-start program developed by Sturt
Fleurieu. The final report identified the value of such a program
for remediation registrars or where supervision and teaching was
less consistent. This project also identified the need to consider
the development of a syllabus or guide for inpractice teaching.
An approach endorsed by the Supervisor and Registrar Advisory
Groups
Undertaken the Quality Practice Criteria (QPC) pilot.
ECG took up the challenge to consider whether it was possible to
develop a process for identifying high quality practices, i.e. those
delivering beyond that required for accreditation and reaccreditation.
The QPC pilot included development of:
•
•
A draft document outlining quality practice criteria with descriptors
and indicators
Benchmarks for performance against many of the quality practice
criteria
An assessment template.
Education Consultants Group Report
•
Over the last year there have been some significant changes. We
farewelled Dr Peter Maguire, a most experienced and valuable
educator with a long history in vocational training. We were sad to
see him go, he will be greatly missed, but we wish him well in his
new endeavours as he returns to rural general practice. On the other
hand we welcomed two new medical educators – Dr Murray Nixon, an
experienced GP and supervisor, and Dr Will Thornton, WA born and
trained, but who undertook his GP training in the UK. We were also
delighted to have Dr David Atkinson, who has supported training in the
Kimberley region for many years, formally join ECG.
Nineteen practices have been involved in the QPC pilot. ECG is
currently in the process of reviewing all the data and feedback from
the practices and will be presenting this to the WAGPET Board in
November 2010. Whatever the outcome of the QPC pilot, WAGPET
plans to provide all practices with their individualised, aggregated data
during 2010/11 as part of a quality improvement process.
Page 30
Dr Denise Findlay
MBBS MEd FRACGP
Director of Education
q u a l i t y
Congratulations
WAGPET Training Practice of the Year:
Pioneer Health
With exceptional teaching programs,
committed staff and generous support
of both the prevocational and vocational
training programs, Pioneer Health
prides itself on providing rewarding experiences for registrars and
prevocational placements alike.
RACGP WA Practice of the Year:
Moora Health Centre
Dr Bernard Chapman and the team at
Moora Health’s commitment to training
future generations of GPs is exemplary.
As the sole primary medical facility in
the Shire of Moora, registrars are guaranteed to experience a varied
caseload. This, combined with the centre’s dedicated support, fosters
the development of highly adaptable GPs.
GPET Supervisor of the Year:
Dr David Atkinson
WAGPET GP Registrar of the Year:
Dr Juliette Frost
Juliette’s ongoing commitment to culturally
sensitive care at Bega Garnbirringu
Health Service in Kalgoorlie made a big
impression on her supervisor Dr Clare
Willix. As well as maintaining an active role within the community,
Juliette has also given time to sit on the Board of the local GP
Network and the Regional Advisory Committee establishing links with
outside health services.
WAGPET Prevocational Community
Medicine Award:
Dr Heather Brand
WAGPET could not have asked for a
better unofficial ambassador for the
Prevocational Programs this past year
than Dr Heather Brand. Her positive attitude and boundless passion
and enthusiasm for General Practice contributed to the success of
recruitment into the prevocational programs.
RACGP Supervisor of the Year Award:
Dr Nadine Perlen
Dr Perlen is a GP supervisor working at
Lockridge Medical Centre who is highly
regarded as a Regional Training Adviser
and Regional Medical Educator and is
passionately committed to training and mentoring the next generation
of general practitioners. Dr Perlen is highly regarded for the easy
rapport she has with registrars and the encouragement and the
assistance she gives.
The supervision and mentoring provided
by Dr Atkinson to registrars placed in the
Kimberley is appreciated by more than
just those in the region. The dedication
Dr Atkinson shows for improving Indigenous health in the community
makes him a highly sought after educator in the Kimberley.
ACRRM Rural Registrar of the Year:
Dr Kylie Sterry
Trailblazing her pathway as a rural
registrar, Kylie’s achievements show
the impact just one registrar can have.
As a WAGPET Registrar Liaison Officer
in the Goldfields/Esperance region, Kylie’s enthusiasm for training
rurally in obstetrics has paved the way for other registrars keen to
follow a similar path in the Goldfields.
Fellowship
Congratulations to all the WAGPET registrars who were awarded
their fellowship in the past year.
Awarded
2009.2
Awarded
2010.1
TOTAL
Fellowship of the Royal Australian
College of General Practitioners
11
24
35
Fellowship of the Australian College of
Rural and Remote Medicine
-
1
1
Fellowship of Advanced Rural
General Practice
1
1
2
College / Faculty
Page 31
Q u a l i t y
Supervisors Advisory Group
The GP Supervisors Liaison Officer forum decided to change its name
to the Supervisors Advisory Group (SAG) in 2010. The change was
made to more accurately reflect its role in the WAGPET management
structure as a direct advisory voice to the CEO.
Continuous Quality Improvement (CQI) is the name of the game and
as the Chair of the Supervisors Advisory Group I would like to thank
my fellow colleagues, Dr Janice Bell, Maryanne Coombs and the
admin team at WAGPET for their support.
Dr Willie Walker
Chair, Supervisors Advisory Group
This year we advised on multiple projects and initiatives by aligning
our efforts with WAGPET’s 2010 Strategic Plan by ensuring our
discussions focused on areas of Collaboration, Innovation, Quality,
Workforce and Governance:
Supervisors Advisory Group Members
•
Dr Stephen Bingham (Peel 2010.1)
Sustainable Teaching in Community General Practice in WA
This project required representative participation on a steering
committee providing local knowledge and assistance in the analysis of
the costs and benefits of education and training for regional practices.
We hope the outcome of the study will result in more locally relevant
costing models and has already yielded some surprises.
•
‘gp-start’ Pilot
This initiative focused on the need for additional teaching resources
for supervisors. Consultative feedback was provided to the central
education team surrounding the possibility of developing a structured
course syllabus. Advice provided resulted in the pilot of ‘gp-start’, a
computer based basic term teaching and learning program. We look
forward to further collaboration with the education team on continued
evaluation and new innovations that will further support supervisors
with their teaching.
•
WAGPET Website
The SAG have discussed the elearning module at length and will
continue to provide advice on areas needing further improvements to
ensure the site is more user friendly.
Dr Willie Walker (Chair/National Representative)
Dr Mike Civil (Perth and Outer Metropolitan East 2010.1)
Dr Stephen Cohen (South West)
Dr Alistair Frame (Pilbara 2010.1)
Dr Frank Jones (Peel)
Dr Andrew Knight (Great Southern)
Dr Derrick Kuan (Perth and Outer Metropolitan North)
Dr Peggy Leung (Perth and Outer Metropolitan South)
Dr Melissa Morison (Mid West 2009.2)
Dr Murray Nixon (Perth and Outer Metropolitan East 2009.2)
Dr Peter Smith (Pilbara 2009.2)
Dr Ian Taylor (Mid West 2010.1)
Dr Alice Tippets (Kimberley)
Dr Damien Zilm (Goldfields/Board Representative)
While the nature of WAGPET, covering the whole State with diverse
training practices, means new ideas may take time to filter through,
colleagues can be assured that their ideas and views are welcome
and will result in improvements.
“...colleagues can be assured that their ideas and views are welcome and will
result in improvements.”
Page 32
Q u a l i t y
Registrars advisory Group
In 2010 the Registrars Advisory Group (RAG) has been an important
avenue for registrars to channel feedback to WAGPET. The group
consists of nine Registrar Liaison Officers (RLOs) representing
each region, an AMA Doctors in Training representative as well as
the registrar Board representative. The Registrars Advisory Group
met three times each semester and maintained regular email
correspondence throughout the year.
Issues and innovations that were discussed this year include:
•
•
•
•
•
•
•
•
•
•
Provided recommendations that will assist in continued quality
improvements of the elearning module on WAGPET’s website
Established a WAGPET Registrar’s Handbook, which has
been developed by RLOs in collaboration with WAGPET staff
(particular thanks to Dr Rebecca Hunt-Davies)
Implemented better feedback mechanisms for registrars, i.e. the
RAG conducted an online survey of all registrars to determine
important topics in order to ensure their issues and ideas
were represented (particular thanks to Dr George Marshall for
arranging)
Developed a WA GP registrars website supplemented with
additional information (Dr Carly Taylor and Dr George Marshall)
Assisted in maintaining standards of training for registrar
colleagues, particularly in areas where they felt teaching has not
met their learning needs
Reviewed and considered the implementation of a structured
syllabus framework for registrars to support their learning (eg
online resources)
Supported better communication between registrars in the
regions, particularly at change of terms to ensure continuity
Facilitated feedback and suggestions on central education
workshops and content
Discussed the importance of subsequent term teaching and
advocated for the provision of additional resources to support
registrars during this period
Ensured representation at the GPET conference and national
RLO meeting (particularly thanks to Dr Heather Brand for her
attendance).
The RLOs have been an enthusiastic team and we have been able to
take advantage of our various strengths and areas of interest. It is a
fine reward to see our hard work being translated into real changes for
the benefit of registrars.
Dr Carly Taylor
Chair, Registrars Advisory Group
Registrars advisory Group Members
Dr Carly Taylor (Chair/Perth and Outer Metropolitan North 2009.2/East
2010.1)
Dr Kate Beales (Kimberley 2010.1)
Dr Bethany Beckett (Mid West 2010.1)
Dr Sarah Booker (Great Southern 2009.2)
Dr Heather Brand (Perth and Outer Metropolitan North 2010.1)
Dr Catherine Collins (Perth and Outer Metropolitan East 2009.2)
Dr Gill Cowen (South West 2009.2)
Dr Carolyn Haeusler (Goldfields 2010.1)
Dr Rebecca Hunt-Davies (Pilbara 2010.1)
Dr Latha Kumar (Peel 2010.1)
Dr Lisa Lloyd (Kimberley 2009.2)
Dr Boey-Leng Loy (National Representative 2009.2)
Dr George Marshall (South West 2010.1)
Dr Michelle McNamara (Perth and Outer Metropolitan South)
Dr Nikee Msuo (Mid West 2009.2)
Dr Liz Only (Great Southern 2010.1)
Dr Jay-Mien Phang (Pilbara 2009.2)
Dr Bonita Ryan (AMA WA Doctor-in-Training Representative 2010.1)
Dr Ingeborg Shea (Board Representative)
Dr Kylie Sterry (Goldfields 2009.2)
Dr Yulia Wilken (Peel 2009.2)
Page 33
W o r k f o r c e
WAGPET educates and trains the health workforce to meet community and
population needs
PREPARING FOR THE TSUNAMI
During 2009/10 WAGPET continued to streamline the natural
synergies that exist between our two core programs; Prevocational
Placements and the AGPT. This work enabled WAGPET to improve
efficiencies in the recruitment and selection of doctors in training;
in the coordination of training placements; and in the recruitment of
training posts. In particular, the focus in 2009/10 was to develop new
training posts that would continue to offer residents and registrars
the opportunity to immerse themselves in interesting and challenging
medicine in a variety of settings throughout Western Australia.
Marketing and Recruitment Framework
WAGPET was oversubscribed with applications to our training
programs, which can be attributed in good part to the implementation
of WAGPET’s Marketing and Recruitment Framework.
We revised the WAGPET marketing and recruitment strategies
to respond to ongoing medical student research on the perceived
thoughts about general practice and these changes reflected the
strong presence general practice has as a career of choice amongst
medical students. The aim of the framework is to ultimately recruit
high quality candidates into the profession of general practice. All
marketing activities undertaken by WAGPET are designed to meet
the following objectives:
•
•
•
•
•
•
Strongly brand WAGPET as a leader in the field of quality
education and training
Raise awareness of general practice as a profession
Position general practice as a profession of choice for doctors
in training
Inform and educate
Reach the identified target audience, primarily doctors in
training and medical students
Represent value for money and effort.
WAGPET delivered on these objectives through marketing activities
over the last year, stamping a positive reputation as a quality training
provider amongst our target audience. This is evident with over a
40% increase in attendance at the hospital information sessions held
at Joondalup Health Campus and the three major teaching hospitals
during 2009/10.
The program this year also included a range of activities including:
•
•
•
Engaging speakers and experienced personnel to provide
advice at events such as the Postgraduate Medical Council of
Western Australia Medical Careers Expo
Sponsoring medical student organisation events that have a
defined educational focus
Sponsoring and raising awareness of general practice at the
Australian Medical Association (WA) Intern Welcome Functions
Page 34
In addition we also revised our marketing collateral, developing a
new edition of the WAGPET Information Booklet to promote AGPT,
prevocational programs and the First Wave scholarship.
Prevocational Placement Program
WAGPET offers two programs to prevocational doctors; the
Prevocational General Practice Placement Program and the
Community Residency Program. These programs are the cornerstone
to the successful recruitment of doctors into the AGPT program.
Doctors in training have the opportunity to immerse themselves in
a dedicated general practice rotation, or experience a combined
general practice and hospital specialty placement.
In 2009/10 21 doctors in training undertook a total of 29 rotations
in community medicine placements around Western Australia. As a
testament to the success of the program, 52% of participants are now
in the AGPT program and the remainder have all applied for AGPT
with WAGPET for 2011.
The Quality and Safety Framework of the Prevocational Program
ensures that the doctors who participate in a community placement
are placed in accredited training practices with quality supervisors.
The Prevocational Program draws on the comprehensive experience
WAGPET has with managing the AGPT program and thus, WAGPET
is able to provide an extensive two-day orientation, ongoing
assessment and support, external clinical teaching visits, access
to self-paced online learning modules and regional workshops, and
finally, ongoing support through WAGPET medical educators and
operational staff. This model exposes doctors in training to the quality
training program they would experience as AGPT registrars with
WAGPET
2009/10 Prevocational Placements by
Location
Location
Placement
Doctors
in
Training
Weeks
Albany
GP / Surgery
2
20
Armadale
GP / Obstetrics
2
52
Belridge
PGPPP
2
20
Bunbury
GP / Paediatrics
2
33
Clarkson
GP / Emergency
4
52
Clarkson
PGPPP
1
11
Kalamunda
PGPPP
1
22
Karratha
Rural Acute Medicine
3
41
Rockingham-Kwinana
GP / Emergency
3
31
Silver Chain (Metro)
Palliative Care
2
21
Some junior doctors undertook more than one placement.
W o r k f o r c e
AGPT Registrar Selection
For the second consecutive year WAGPET was oversubscribed
with applications in 2009 for entry into the 2010 AGPT program.
Over 80 applicants applied for AGPT to start in 2010, with WAGPET
nominated as the preferred training provider.
With the success of the Multiple Mini Interview pilot in 2008 and 2009
we will continue with this interview method to ensure that high quality
candidates continue to be selected for the program. GP supervisors
were once again invited to participate in selection interviews and this
year we had excellent representation from supervisors from rural
areas.
Of the 80 applicants in 2009, 68 high quality candidates were selected
to join AGPT with WAGPET. The program had 39 general pathway
and 27 rural pathway registrars.
GP Registrar Placements
WAGPET continued to encourage GP registrars and training
practices to negotiate their general practice placements and to log
their preferences via WAGPET elearning. For the third consecutive
year over 80% of GP registrars were allocated their first preference
for a general practice placement, with the remainder allocated to their
second preference. WAGPET will continue to support GP registrars
to self select their general practice placements as it gives registrars
the flexibility to choose how and where they will train whilst meeting
their individual personal circumstances and training plans.
During 2009/10 a total of 235 GP registrars undertook placements
in general practices, a 12% increase in general practice placements
from 2008/09. A further 143 registrars chose to undertake hospital
terms, non-general practice extended skills placements or took leave,
reflecting the flexible nature of the AGPT program.
From 1 January 2010 general pathway GP registrars were granted
greater flexibility in how they train. The previous compulsory six
months of rural training was abolished and GP registrars can now
choose to undertake either 12 months rural, 12 months outer metro
or six months of each.
2009/10 GP Registrar Placements by Location
Region
Semester 2
2009
Semester 1
2010
Total
Goldfields
1
3
4
Great Southern
9
9
18
Kimberley
13
11
24
Mid West
6
6
12
Metro East
22
30
52
Metro North
15
27
42
Metro South
18
16
34
Peel
9
10
19
Pilbara
0
4
4
South West
8
12
20
Wheatbelt
3
3
6
Total GP Terms
104
131
235
Hospital Terms
29
54
83
25
21
46
4
10
14
162
216
378
Leave and other
non-training
Extended skills
(non-GP)
Total Registrar
Placements
Of the total 131 GP registrars undertaking general practice
placements in 2010.1, 20% of general pathway registrars still chose
to complete a rural term, despite it no longer being compulsory. Many
GP registrars on the general pathway tell WAGPET that they value
the experience that a rural placement affords and that the exposure
to community medicine further develops knowledge and skills that
are transferable to urban practice. For 2009/10, 45% of GP registrars
chose to practice in a rural area and 32% in an outer metropolitan
area; a district of workforce shortage.
Page 35
W o r k f o r c e
GP Registrar Rural Training
GP Training Facilities
In addition to training towards the Fellowship of the Royal Australian
College of General Practitioners (FRACGP), GP registrars with a
penchant for rural medicine can also choose to train towards the
RACGP Fellowship of Advanced Rural General Practice (FARGP) or
the Fellowship of the Australian College of Rural and Remote Medicine
(FACRRM). This additional training option requires registrars to
undertake 12 months of specialised training, which can be completed
before or after general practice terms.
WAGPET had 92 accredited training practices hosting GP registrars
during 2009/2010. Over 50% of these sites are located in rural areas.
Of the total accredited training practices 24 are located in the Perth
Outer Metropolitan area and 18 in the Perth Metropolitan area.
WAGPET actively promotes rural and procedural training to GP
registrars and potential applicants for GP training. This enables
the registrar to explore opportunities early in their training to aid in
planning their training program and commence work on the Fellowship
modules. The majority of these registrars choose to train towards
credentialing in Obstetrics or Anaesthetics and there has been an
increase in the number of registrars choosing Aboriginal Health as
their specialised training option in 2009/10.
There has been a 20% increase from 2008/09 of registrars enrolled
in the Fellowship of Australian College of Rural and Remote Medicine
(FACRRM) and a 17% increase from 2008/09 in the number of GP
registrars enrolled in the Fellowship of Advanced Rural General
Practice (FARGP). Consistent with this enrolment increase is the
uptake of rural GP placements in the Goldfields, Mid West and South
West regions with a 17% increase of GP registrar placements during
the 2009/10 placement period.
GP Registrars Enrolled in Rural Fellowships
2008/09
2009/10
Fellowship in Advanced Rural General Practice
(Royal Australian College of General Practitioners
National Rural Faculty)
29
34
Fellowship of Australian College of Rural and Remote
Medicine (Australian College of Rural and Remote
Medicine)
20
24
Page 36
2009/10 Accredited Training Facilities by Region
RA
Training
Facilities
Goldfields
3-4
5
Great Southern
3-4
7
Kimberley
4-5
7
Midwest
3
6
Peel
2
6
Region
Perth Metropolitan North
1
14
Perth Metropolitan East
1
13
Perth Metropolitan South
1
16
Pilbara
4
3
South West
2-3
12
Wheatbelt
2
3
Ms Stephanie Walker
BSc PG Cert Hlth Mgt
Senior Training and Education Manager
W o r k f o r c e
Rural Outreach Vocational Education
(ROVE) Project
Following the development of a comprehensive paper outlining a
whole-of-state model for the support of overseas trained doctors to
achieve an Australian fellowship, the Federal government withdrew
funding for ROVE and changes have occurred to the recruitment and
accreditation of Overseas Trained Doctors (OTDs).
Despite these changes, the WA ROVE Steering Committee has
continued to lobby for education and training support for those OTDs
currently living and working in our rural communities. The direction of
the ROVE Steering Committee is currently the identification of, and
support plan for, all OTDs currently working in rural Western Australia
and the development of a future strategic focus on the supply of a quality
workforce for Western Australia, especially in the areas of need.
Members of the ROVE Steering Committee continue to include:
•
•
•
•
•
•
•
Department of Health and Ageing
Medical Workforce Branch, Department of Health WA
Royal Flying Doctor Service
Rural Health West
WA Country Health Service
WA General Practice Education and Training
WA General Practice Network.
Rural Generalist Pathway
In addition to the unprecedented number of applications from junior
doctors for rotations in WAGPET’s prevocational and vocational training
programs, there has been a significant increase in the number of
students applying for 2011 Intern rotations in rural hospitals as part of
the Rural Generalist Pathway.
WAGPET has a strong interest in a seamless pathway from medical
studentship to general practice in a rural setting. The Rural Generalist
Pathway Intern cohort will migrate to PGY2+ from 2011. For the past
five years, WAGPET has managed two programs giving PGY2+ doctors
an opportunity to experience community medicine through the WA
Community Residency Program and the national Prevocational General
Practice Placement Program. Many of these junior doctors are expected
to join the AGPT program.
During the past year, WAGPET and the WA Country Health Service laid
the groundwork for considering the best model of providing rural training
positions for doctors in training. There is a strong recognition of the
capacity and core business of each organisation and clear agreement
between the WA Country Health Service and WAGPET around the intent
to employ and train more Australian medical graduates for rural practice.
Ms Maryanne Coombs
Senior Manager Development
Page 37
G o v e r n a n c e
Robust and accountable financial, administrative and communication systems
support the business
WAGPET continues to maintain an ongoing cycle of quality improvement for all activities incorporating strategic alignment, budget management
and delivery improvement. This ensures that operational review and improvement occurs in all areas of business and opportunities for efficiencies
are identified and implemented.
WAGPET is currently developing integrated information management systems to deliver one point of entry for all data capture (reliability and
efficiency), to enhance reporting and analysis and increase operational efficiency and capacity.
WAGPET is committed to its mission and values, ensuring quality governance and quality assurance drive and support all activities.
Financial Report
The financial year ending 30 June 2010 marked the end of WAGPET’s eighth full financial year of operation. Income for the year under review
totalled $8,240,656 and was derived from several sources, the predominant being our core funding agreement with General Practice Education
and Training Limited (GPET) which totalled net $6,588,312.
During 2009/10 WAGPET received additional funds from the following sources:
•
•
•
•
•
•
Department of Health Western Australia for the Community Residency Program for postgraduate doctors
Royal Australian College of General Practitioners (under the Prevocational General Practice Placement Program) as part of the Community
Residency Program for postgraduate doctors
Royal Australian College of General Practitioners for the Prevocational General Practice Placement Program for postgraduate doctors (to
31 December 2009)
General Practice Education and Training Limited for the Prevocational General Practice Placement Program for postgraduate doctors (from
1 January 2010)
General Practice Education and Training Limited for direct salary reimbursements for GP registrars undertaking a placement in an Aboriginal
Medical Service (pilot from 1 January 2010)
General Practice Registrars Association to pilot GP Compass Program.
Income Statement for the year ended 30 June 2010
(extracted from WAGPET’s Audited Financial Statements for the period)
2009/10
2008/09
Revenues from ordinary activities
$8,240,656
$7,243,216
Governance & Compliance
( $256,301 )
( $230,770 )
Overheads & Administration
( $1,548,557 )
( $1,234,678 )
Promotion & Marketing
( $104,555 )
( $159,524 )
Core Program Delivery
( $1,685,125 )
( $1,934,144 )
Doctors In Training Placement Costs and Subsidies
( $2,656,361 )
( $2,763,510 )
GP Registrar Salaries for Aboriginal Medical Service placements
Regional Program Delivery
Surplus/(Loss) attributable to members of the entity
Page 38
( $715,189 )
$0
( $1,051,256 )
( $982,657 )
$223,313
( $62,067 )
g o v e r n a n c e
Expenditure attributable to regional areas totalled $3,468,002. This includes regional program delivery, costs associated with the Regional Advisory
Committees and expenditure related to the placement of GP registrars and prevocational doctors (including practice payments, teaching allowances,
GP registrar travel, relocation and rental subsidies) and GP supervisor professional development and education.
GP Registrar Placements: by Region; by Financial Year
2009/10
GP Registrar
Placements
Prevocational
Placements
2008/09
GP Registrar
Placements
Prevocational
Placements
Central Wheatbelt
$37,973
6
Goldfields
$120,216
4
0
$30,741
5
0
0
$168,569
5
1
Great Southern
$366,606
Kimberley
$567,577
18
2
$323,751
14
2
24
0
$578,904
21
Mid West
0
$152,452
12
0
$263,955
14
1
Peel
$151,509
19
0
$176,982
17
0
Pilbara
$175,293
4
4
$74,693
2
2
South West
$344,944
20
3
$408,918
23
2
Perth & Outer Metropolitan - East
$411,942
52
4
$259,720
Perth & Outer Metropolitan - North
$650,648
42
8
$313,472
110
22
Perth & Outer Metropolitan - South
$488,842
34
8
$332,589
$3,468,002
235
29
$2,932,294
211
30
Region
TOTAL
Expenditure
by Region
Expenditure by Region
Total expenditure
$0
Central Wheatbelt
Goldfields
$100,000
$200,000
$300,000
$400,000
$500,000
$600,000
$168,569
$120,216
$323,751
$366,606
Great Southern
$578,904
$567,577
Kimberley
Region
Mid West
$152,452
$263,955
2008/09
$176,982
$151,509
Peel
Pilbara
$74,693
2009/10
$175,293
$408,918
$344,944
South West
Perth & Outer Metro - East
Perth & Outer Metro - North
Perth & Outer Metro - South
$700,000
$30,741
$37,973
$259,720
$411,942
$313,472
$332,589
$650,648
$488,842
WAGPET continues to exercise judicious management over all funds provided for general practice education and training.
Auditors Acrru Page Kirk and Jennings provided an unqualified audit report for the financial year. Copies of the audited financial report are
available to members on request.
Ms Trina Turbett
B Com GAICD
Corporate Services Manager
Page 39
Cap e
La m b e
r t
W A
2 0 1 0
N o t e s
Page 42
2009/10
Annual Report