The requirement to respect autonomy - The Royal New Zealand ...

ORIGINAL SCIENTIFIC PAPERSquantitative researchthe only country stating that discretion wasavailable in terms of time required for satisfactorycompletion of the residency programme(stated for three of nine regions): this related tothe entire residency rather than specifically thecore training period.Excluding Canada, the time allowed for extendedprovisional registration period ranged from twoto four years. Some regions required the provisionalregistration period to be completed withintwo years (5: 45%). Two regions allowed thisperiod to be extended over three years. In SouthAustralia the provisional registration periodcould be extended over four years, but an emailstated that the internship must be completedwithin three years following registration. Threeregions did not state this information.Additional restrictions to registrationAdditional restrictions to registration were notedparticularly in reference to extending the provisionalregistration period, or working part-time.These additional restrictions had some commonthemes (Table 2).Part-time options in the provisional registrationperiod were available in 75% of the regions,not available in 10%, and possibly available inthe two regions whose registration bodies havedelegated this approval to another postgraduateTable 1. Pre-registration regulationsTable 1a. Pre-registration regulations for New Zealand, the UK, and the Republic of IrelandNew Zealand UK IrelandTime to completeprovisional registrationExtended provisionalregistration periodallowed (for maternityleave etc.)1 year 1 year 1 year2 years Yes; equivalent to full-time 1 year At discretion of dean of graduate’smedical schoolAdditional restrictionsto registrationNeed to complete four 10-weekrotations. Need to complete threeconsecutive 3/12 runs satisfactorilyprior to application for generalregistrationMust complete requirements forFoundation Year One Programme.Flexible trainees must work at leasthalf-timeUnder Statutory Instrument No. 285(2003) an internship should consist of12 consecutive months and must becompleted satisfactorily before theintern may be awarded a certificate ofexperiencePart-time/job shareoptionYes Yes No; at discretion of medical school deanRequired disciplinesduring registrationperiod1 category A medical run, 1category A surgical run, and 2 others(A or B)Medicine and surgeryMedicine and surgeryOptional disciplinesduring registrationperiodSee textVaries depending on post orprogrammeO&G, paeds, psych, emergency, GP,perioperative medicineApproved practicesettingYes Yes YesUniversity-basedpostgraduateprogrammeNoFoundation Programme (first2 years following graduation)overseen by a postgraduate dean,who heads each postgraduatedeanery. Undergraduate deanshead the medical schools. They arenot governed by, nor do they haveany formal relationship with, thepostgraduate deaneriesMedical school dean provides acertificate of experience276 VOLUME 2 • NUMBER 4 • DECEMBER 2010 J OURNAL OF PRIMARY HEALTH CARE