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8Table 1 – Medical practitioners by type of practitioner by Indigenous status 1996,2001, 2006 Census1996 2001 2006number per cent number per cent number per centGeneral Medical PractitionersIndigenous 41 0.1 54 0.2 82 0.2non‐Indigenous 28,914 99.5 31,839 99.5 35,169 99.3Specialist Medical PractitionersIndigenous 20 0.1 34 0.2 24 0.1non‐Indigenous 14,859 99.4 15,767 99.3 19,261 99.4Source: AIHW 2009, p. 13AIDA’s own data from their Fellows Position Paper (2009, see appendix) suggests avery different picture, claiming only 14 Fellows currently exist (although it appearsthat Fellows of the Royal Australian College of Physicians have been overlooked in thiscounting, adding another three known physicians).Source: Internal AIDA paperThe more specific and clear the data is on the make‐up of the Australian healthworkforce, the more targeted initiatives such as support and recruitment, andresource allocation can be. Achievements in recruitment and retention can also beaccurately reported and celebrated.In developing a plan of action for recruitment into specialist Colleges, considerationneeds to be given to the ‘pipeline’ effect and realities of relatively small numbers ofIndigenous medical graduates. The immediate increase in the number of Indigenousmedical graduates is between 10 and 20 a year for the three years from 2010, withnearly double that in the following years (possibly up to 40). This provides anopportunity for Colleges to address needs on an individual basis in the short term,whilst putting in place a systemic approach for the future.An area of discussion with the Indigenous medical specialists was about which factorshad influenced their choice of specialty. The typical response was that their interest topursue a specialty was spurred by community needs; an awareness that the poor stateof Aboriginal health within their own families and communities could be improved bytheir specialty skills. For example, for one Indigenous physician, the reason for
9specialising in sexual health was the increasing rate of HIV in the Indigenouspopulation, which surpasses that of the non‐indigenous population. The breadth ofimpact on Aboriginal Health in a community context for general practice was anotheremergent theme. These themes are not to obscure the issue of individual agency forgraduates, but to highlight the tension for specialists between community needs andpersonal choice.The strength of this influence in choice of career differs from the situation in whichmentors have a significant influence in the career direction of their mentees,particularly in Surgery (see McCord et al. 2009). The role of mentors will be discussedlater, but one finding from the interviews with Indigenous specialists or specialists‐intrainingwas that community is a much more significant motivator in the pursuit of aspecialisation than the influence of a mentor.Lifestyle factors were also raised, and the compatibility of family and communitycommitments were described as more suited to the professional demands of aGeneral Practitioner.PathwaysAustralian General Practice Training (AGPT) has links for prospective applicants,including information specific to both junior doctors and medical students. AnIndigenous portal, developed and supported by the AIDA and CPMC collaboration,could provide a supported pathway wherein Indigenous junior doctors or medicalstudents interested in pursuing a particular specialisation can register their interest.Implementation of such a resource requires a funded project officer who can ensureappropriate links and contacts are facilitated, and a tailored ‘development andmentoring’ plan is established. (Again, note that, for the foreseeable future, numbersof potential candidates are very low, allowing time for a system such as this to betrialed, evaluated, and changes made to accommodate the growing number ofpotential applicants.)This portal could also provide an avenue for online support, in terms of developing alearning community of scholars. The Royal Australasian College of Physicians (RACP)Trainee’s Café website (http://traineescafe.racp.edu.au) is an example of an existingonline community of scholars, targeting a particular group of training fellows. Thisprovides a model for further consideration for Indigenous trainees, perhaps across thespectrum of college activity.Another example is the Te Hononga Mātauranga Māori Doctoral Resource Portal(http://akoaotearoa.ac.nz/communities/te‐hononga‐m%C4%81taurangam%C4%81ori‐doctoral‐resource‐portal)that statesthis Doctoral Resource Portal provides support and information for MāoriDoctoral students. The Portal contains a suit of audiovisual information onMāori research, ethics, administration, writing, and the effective use of supporttechnology.It’s managed by the staff of Te Mata o Te Tau, The Academy for MāoriResearch and Scholarship, at Massey University in Wellington.
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Page 5 and 6: 1Executive SummaryThe framework was
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Page 23: SummaryThe commissioning of this re
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59Appendix 5Aboriginal Health Curri
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4Aboriginal HealthCurriculum Statem
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71Appendix 6Heads of AgreementNatio
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PrinciplesThe RACP and NACCHO will:
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