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29/05/2012Congratulations!Obtaining aPrevocational Trainingplace in NSW 2013NSW Universities & RuralClinical Schools April 2012• You have nearly completed years of study• You are very close to getting your first job• The day you will start work as a new Doctor is almosthere• Just a few more steps to take to achieve your goals• HETI is here to help and advise at this final stageHEALTH EDUCATION &TRAINING INSTITUTEHEALTH EDUCATION &TRAINING INSTITUTEWhat will we discuss today?What will we not discuss today?• The background• Not all the details of allocation policy or procedures• Postgraduate training in NSW: it’s in big demand• Other jurisdictions have different processes• Prevocational Training Application Program (PTAP):you have to apply online• Thinking about being a doctor in the country? Andother pathways that may be of interest• You will want to do your own research• There is more supporting information available...HEALTH EDUCATION &TRAINING INSTITUTEHEALTH EDUCATION &TRAINING INSTITUTEInformation is easily found…The BackgroundVisit HETI’s website: www.heti.nsw.gov.au• Go to Medical/Intern Allocation• Follow the links to the Prevocational Training &Application Directory• Screen shots of PTAP• Attend the RPR Expo evening on 26 April 2012 or hearthe recording• Employment matters, pay and employment conditionsrefer to the Ministry of Health www.health.nsw.gov.au• The Health Education and Training Institute(HETI) is a Statutory Health Corporation and thecompetent authority for the NSW Ministry ofHealth and the Medical Board of Australia (MBA)• HETI is responsible for setting and monitoringstandards for internship & postgraduate trainingin New South Wales and the Australian CapitalTerritoryHEALTH EDUCATION &TRAINING INSTITUTEHEALTH EDUCATION &TRAINING INSTITUTE1

29/05/2012The BackgroundRoles and Responsibilities• HETI recruits new medical graduates to trainingpositions and manages training programs in keymedical specialties to support health workforceneeds in NSW.• One of HETI’s specific responsibilities is to trainthe medical workforce required to meet thehealthcare needs of the people of NSW.• Ministry of Health• HETI• Local Health Districts• Australian Health PractitionerRegulation Agency AHPRA/MBAHEALTH EDUCATION &TRAINING INSTITUTEHEALTH EDUCATION &TRAINING INSTITUTEPrevocational training in NSWNSW HealthMinistry of Health15 Local HealthDistrictsOther organisations:Ambulance ServiceNSW, HETI , ACI, CECand BHIWhat is it?• The first 2 years of on-the-job training followinggraduation (Internship is PGY1)• There are 15 training networks...• Trainees are offered a two year contractHEALTH EDUCATION &TRAINING INSTITUTEHEALTH EDUCATION &TRAINING INSTITUTEHospital Classifications• Three term home hospital Up to 3 terms per clinical year Rotate to another rural/regional/metropolitansite in the network for 2 terms of the yearNSW metro, regional or rural hospitals areall a great choice for your training, but tryto get a combination of experiences…• Five term home hospital Up to 5 terms per clinical year You can expect one rural/regional/metropolitanrotation in the network every yearHEALTH EDUCATION &TRAINING INSTITUTEHEALTH EDUCATION &TRAINING INSTITUTE2

29/05/2012Supply v. Demand• Supply - the positions• Demand – the graduates• Eligibility criteria used to order the offer• Policy and verification• National perspective• National auditNSW Health Priority List for Intern Allocation 2013Category 1 Australian Citizens and Permanent Residents1.1 Guaranteed Commonwealth Supported Place (CSP) and domestic full fee payinggraduates who graduated from a NSW university1.2 Commonwealth Supported Place (CSP) and domestic full fee payinggraduates from an interstate or New Zealand university who completed Year12 studies in NSW1.3 CSP graduates and domestic full fee medical graduates of interstate or NewZealand universitiesCategory 2 New Zealand Citizens2.1 Graduates of New Zealand universities resident in New ZealandCategory 3 Non-Permanent Residents3.1 Graduates of NSW universities3.23.3Graduates of interstate and New Zealand universitiesGraduates of university campuses accredited by the AMC outside of Australia& New ZealandHEALTH EDUCATION &TRAINING INSTITUTEHEALTH EDUCATION &TRAINING INSTITUTEYour Intern Year – PGY1• Generalist training year• Successful completion of 5 clinical terms• Including 3 core terms:• Medicine• Surgery• Emergency medicine• Full registration with AHPRA/MBAHEALTH EDUCATION &TRAINING INSTITUTEHEALTH EDUCATION &TRAINING INSTITUTENational Audit of InternshipAcceptances Clinical Year 2013• Applicants can apply for internship in different States aslong as they meet the relevant eligibility criteria• Applicants can accept offers for an internship from morethan one State• Applicants holding multiple acceptances that do not giveStates adequate notice that they are not planning ontaking up a position can create problems• A National audit will be taking place again this year andStates will be sharing information on applicants’acceptances to identify how many have acceptedmultiple offers.National Audit of InternshipAcceptances Clinical Year 2013• This information may be shared with the MBA to verifyapplicant details• Applicants with multiple acceptances will be asked toreach a final decision on the position they wish to takeup in a timely manner• NSW reserve the right to rescind an offer• If needed, a vacancy support service will be initiated inNovember• All information will be confidential and only used for thepurposes described aboveHEALTH EDUCATION &TRAINING INSTITUTEHEALTH EDUCATION &TRAINING INSTITUTE3

29/05/2012Recruitment ProcessHEALTH EDUCATION &TRAINING INSTITUTEHEALTH EDUCATION &TRAINING INSTITUTEAllocationPathwaysKEYAll applicantsGuaranteed applicantsPriority Groups 1.1 & 1.2RegionalPreferentialAllocationAboriginalBuildingCapacityProgramRuralPreferentialRecruitmentHEALTH EDUCATION &TRAINING INSTITUTEHEALTH EDUCATION &TRAINING INSTITUTEHow do you apply?Application Dates• PTAP takes your online applications• PTAP facilitates the application andallocation process for NSW• PTAP can be accessed via the HETIwebsite: www.heti.nsw.gov.au• PTAP opens on Friday, 4 May 2012• You can register online on PTAP fromFriday, 4 May 2012• Your application must be submittedby the national closing date at5pm on Friday, 8 June 2012HEALTH EDUCATION &TRAINING INSTITUTEHEALTH EDUCATION &TRAINING INSTITUTE4

29/05/2012Applications• Supplementary documentation is only acceptableif uploaded online and approved in time forverification by the closing date• Only verified applications go on to the next stageof allocation• Late applications will not be accepted• Check out a screen shot of the registration page...HEALTH EDUCATION &TRAINING INSTITUTEHEALTH EDUCATION &TRAINING INSTITUTENine StepsStep 1 – Eligibility• Graduate: Medical Students & Graduates of universitiesin Australia and New Zealand accredited bythe Australian Medical Council• Work Eligibility: Citizenship, PR, Visa StatusNine Steps• Select the intake:• Do you want to commence your internship in,either January 2013? the main optionor• June 2013? predominantly for University ofNewcastle graduates. Please note there are onlya small number of positions in limited networksCheck out a screen shot…HEALTH EDUCATION &TRAINING INSTITUTEHEALTH EDUCATION &TRAINING INSTITUTENine StepsStep 2 – Personal Information• Your personal details need to be accurate,up to date, consistent and verifiable One of the most important is your Email Address HETI will communicate with you by email, so makesure you check it regularly for:• Status updates Pending, Incomplete, Verified, Rejected Allocation Offer Allocation Accepted or Allocation DeclinedHEALTH EDUCATION &TRAINING INSTITUTEHEALTH EDUCATION &TRAINING INSTITUTE5

29/05/2012Nine StepsSupporting documentationStep 3 – Education• All applicants who have completed high school inone of the countries listed on the Medical Board ofAustralia website (under the Medical BoardRegistration Standard) must provide evidence ofsecondary school qualification• Clearance for international students on a scholarship• English language evidenceHEALTH EDUCATION &TRAINING INSTITUTEHEALTH EDUCATION &TRAINING INSTITUTENine StepsWhat is ‘Special Consideration’?Step 4– More InfoWhat supporting documentation is required?• Special consideration application & fee $170• Building Capacity in Aboriginal Medical Workforceapplication• Other documents for different applicant types…• A recognition that some applicants have circumstancesthat limit their ability to be allocated to one or moreof the training networks in NSWHEALTH EDUCATION &TRAINING INSTITUTEHEALTH EDUCATION &TRAINING INSTITUTEWhat are the criteria forSpecial Consideration?How do you apply forSpecial Consideration?• Major health problems requiring frequent and ongoinghighly specialised treatment only available in certainlocations• Separation from a dependent that would havesignificant negative impact on the functioning of theapplicant and / or dependent• Apply through PTAP• Provide documentation to support your case (verified bya Justice of the Peace)• $170 non refundable application fee – BPAY paymentand noted on PTAPHEALTH EDUCATION &TRAINING INSTITUTEHEALTH EDUCATION &TRAINING INSTITUTE6

29/05/2012When will you be notified?Applicant Types• All applicants will be notified of the outcome of SpecialConsideration, in writing, on Monday 23 July 2012• The decisions are made by a Committee.There are four main types:• Full Time• Joint• Job Share• Part-timeHEALTH EDUCATION &TRAINING INSTITUTEHEALTH EDUCATION &TRAINING INSTITUTEJoint ApplicantsJob Share Applicants• Two applicants that would like to be allocated to thesame network and each have one full time position• The two applicants are from the same priority group• They have selected identical network preferencesApplication requirements• Upload letter• Participation form• Tick relevant box in PTAP & indicate your jointapplicant PTAP ID number• Two applicants that share one full time position• Identified a job share partner before applyingon PTAP• They have selected identical network preferencesApplication requirements• Upload letter• Participation form• Tick relevant box in PTAP & indicate the job shareapplicant PTAP ID numberHEALTH EDUCATION &TRAINING INSTITUTEHEALTH EDUCATION &TRAINING INSTITUTEPart Time ApplicantsNine StepsStep 5 – Preferences• You are required to notify HETI immediatelyyou apply, if you nominate part time in yourapplicationApplication requirements• Tick relevant box in PTAP• Select the prevocational training network preferences• You must nominate, in order of your preference, all 15prevocational networks in NSW• There is an ACT Network. HETI does not allocateapplicants to this network, refer to ACT Health• Check out a screen shot of the network preferenceselection page: “drag and drop” to order ...HEALTH EDUCATION &TRAINING INSTITUTEHEALTH EDUCATION &TRAINING INSTITUTE7

29/05/2012Nine StepsStep 6: QuestionnaireWhat’s the purpose?• Statistical only• Not mandatory to move on in the application• But helpful for HETIHEALTH EDUCATION &TRAINING INSTITUTEHEALTH EDUCATION &TRAINING INSTITUTENine StepsNine StepsStep 7: DocumentationWhat supporting documentation is required?Mandatory items are:From your university, confirmation of Final year of study Expected date of completion of study• From you, evidence of Citizenship or residency status Others…Step 8: PaymentWho is required to pay an application bond? All non-guaranteed applicants Payment of $440 is made only via BPAY Enter your receipt number into your PTAPapplicationHEALTH EDUCATION &TRAINING INSTITUTEHEALTH EDUCATION &TRAINING INSTITUTENine StepsNine StepsStep 8: PaymentWhen are you entitled to a bond refund? Complete 5 terms in NSW & obtain full registrationwith the Medical Board of Australia Withdraw your application before receiving an offer Unallocated due to insufficient positionsStep 9: ReviewYou’re nearly there!• Check your details• Read the Terms and Conditions• Ask the HETI team for helpPress the SUBMIT button!HEALTH EDUCATION &TRAINING INSTITUTEHEALTH EDUCATION &TRAINING INSTITUTE8

29/05/2012What is Rural Preferential Recruitment?• Continuing undergraduate to postgraduate medicaltraining in rural areas• Priority filling of rural hospital prevocational trainingpositions• Build a sustainable rural workforce over the longer termHEALTH EDUCATION &TRAINING INSTITUTEHEALTH EDUCATION &TRAINING INSTITUTEWho is eligible to apply for RPR in2013?• Applicants in categories 1.1 & 1.2 of NSW HealthPriority ListWhere are the participating RPR hospitals?• 10 Rural facilities• Check the HETI website• RPR page for specific details www.heti.nsw.gov.auHow do I apply for RPR positions?• Apply on PTAP from Friday, 4 May 2012• Apply for specific rural hospital positions online atwww.health.nsw.gov.au/jobs/recruitment.asp• Positions will be advertised on Monday, 28 May 2012• Closing date is 5pm Friday, 8 June 2012• You may apply for more than one position• Apply to each rural hospital direct• Your covering letter must indicate your preferred intakeas either January or June 2013HEALTH EDUCATION &TRAINING INSTITUTEHEALTH EDUCATION &TRAINING INSTITUTEYour PTAP preferenceshave no bearing on theRPR processWhat happens next?RPR Offers• Interviews are held by rural hospitals• Rural hospitals provide HETI a ranked list of eligibleapplicants they would like HETI to offer internshippositions to• Three rounds of RPR offers will be made by HETI• You will receive your offer by email• You may receive more than one offer• You must accept or decline any offer by return of emailby the deadline• Should an applicant accept an RPR offer they will bewithdrawn from subsequent offer rounds as well as theregional & main round of allocationHEALTH EDUCATION &TRAINING INSTITUTEHEALTH EDUCATION &TRAINING INSTITUTE9

29/05/2012What happens if you areunsuccessful or decline all offers ofRPR?• You may still receive an offer of allocation in the regionalor next roundHEALTH EDUCATION &TRAINING INSTITUTEHEALTH EDUCATION &TRAINING INSTITUTERecapping: Rural PreferentialRecruitment Eligible applicants are from priority groups 1.1 and 1.2 Merit selection recruitment process Requires an application in PTAP You also apply directly to the rural facility that hasadvertised internship positions should you decline your RPR offer you may receive an offerlater, in the next round or regional roundHEALTH EDUCATION &TRAINING INSTITUTEHEALTH EDUCATION &TRAINING INSTITUTEBuilding Capacity of the AboriginalMedical WorkforceAllocation• Aligned with National Partnership Agreement of “Closingthe Gap” in Indigenous Health Care Outcomes• Supporting the transition of Aboriginal medical graduatesto junior doctor by offering an intern position wherethere is access to supportDeveloped in partnership with:• Australian Indigenous Doctors Association• NSW Ministry of HealthKEYPathwaysApplicants incategories1.1 & 1.2BuildingCapacity in theAboriginalMedical WorkforceRegionalPreferentialAllocationRuralPreferentialRecruitmentHEALTH EDUCATION &TRAINING INSTITUTEHEALTH EDUCATION &TRAINING INSTITUTE10

29/05/2012Who is eligible?• Aboriginal or Torres Strait Islander final year medicalstudents & graduates• Applicants in Categories 1.1 and 1.2 of the NSW HealthPriority List• Applicants address a minimum of 1 out of 6 essentialcriteria in relation to support available in the NSWprevocational training network of first choiceHow do I apply?• Complete PTAP application• Submit all mandatory supporting documentation• Same application timeframe as PTAP• Indicate you will be applying for the Building Capacity ofthe Aboriginal Medical Workforce ProgramIn addition submit:• Building Capacity of the Aboriginal Medical WorkforceApplication Form• Proof of AboriginalityAny questions please contact HETIHEALTH EDUCATION &TRAINING INSTITUTEHEALTH EDUCATION &TRAINING INSTITUTEAllocationPathwaysRegionalPreferentialAllocationKEYGuaranteedApplicantsBuildingCapacity in theAboriginalMedicalWorkforceRuralPreferentialRecruitmentHEALTH EDUCATION &TRAINING INSTITUTEHEALTH EDUCATION &TRAINING INSTITUTEWhat is the purpose of RegionalPreferential Allocation?What is Regional PreferentialAllocation?• Continuing undergraduate to postgraduate medicaltraining in regional areas• Build a sustainable regional workforce• Priority filling of regional positions• There is a preferential allocation of guaranteedapplicants to regional prevocational training networks• Refer to the HETI website for more information• You must nominate either:Network 2, 4, 7, 11, 12, 14 or 15 as your first and/orsecond preferenceHEALTH EDUCATION &TRAINING INSTITUTEHEALTH EDUCATION &TRAINING INSTITUTE11

29/05/2012Features of Regional PreferentialAllocationRegional Preferential Allocationoffers• Guaranteed applicants are eligible• No separate online application process• If you meet the criteria you are automaticallyconsidered• Two weeks before the national allocation dateRegional Preferential Allocation offers will be made• Eligible applicants will receive one allocation offer• Offers will be made by emailHEALTH EDUCATION &TRAINING INSTITUTEHEALTH EDUCATION &TRAINING INSTITUTEWhat if you accept an offer?What if you decline an offer?• If an applicant accepts an offer under the RegionalPreferential Allocation process, they will be removedfrom further allocation rounds• If an applicant declines a regional offerthey WILL NOT receive another offer inany further allocation roundHEALTH EDUCATION &TRAINING INSTITUTEHEALTH EDUCATION &TRAINING INSTITUTEWhat if you don’t receive an offer?• Applicants that do not receive an offer will beincluded in the main round and receive an offer on23 July 2012HEALTH EDUCATION &TRAINING INSTITUTEHEALTH EDUCATION &TRAINING INSTITUTE12

29/05/2012AllocationAn allocation overviewKEYPathwaysAll applicantsRegionalPreferentialAllocationAboriginalBuilding CapacityProgramRuralPreferentialRecruitment• Why? How? When? Who? What?• Results 2008 – 2012 clinical years• Accept / decline / swap• Change in personal circumstancesHEALTH EDUCATION &TRAINING INSTITUTEHEALTH EDUCATION &TRAINING INSTITUTEWhy does NSW use this system?... An auditable process• NSW offers almost a third of all intern positions inAustralia It expects all medical graduates to be work ready Practical & cost effective distribution of a large cohort Equitable result and...HEALTH EDUCATION &TRAINING INSTITUTEHEALTH EDUCATION &TRAINING INSTITUTEHow are applicants allocated?When will you receive an offer?• The order is determined by theNSW Health priority list• An optimised preference algorithm is usedto allocate applicants• The algorithm gives the best possibleoutcome for the entire cohort• Round 1 national allocation of offers will bemade on 23 July 2012• All offers are made by email• No verbal offers• Weekly offers are made subject to positions• In 2011 there were 20 rounds of offersHEALTH EDUCATION &TRAINING INSTITUTEHEALTH EDUCATION &TRAINING INSTITUTE13

29/05/2012Who will receive an offer on23 July 2012?• All guaranteed applicants in category 1.1 of theNSW priority list• Offers to non-guaranteed applicants according tothe NSW Health priority list may be made subject tothe number of available positionsAllocation outcomes 2008 - 2012How did the first round of offerscompare to applicant preferences?Preference 2008 2009 2010 2011 20121 st 69.70% 58% 60% 64.78% 60%1st to 4 th 80.90% 88.60% 79.50% 80.25% 77%1st to 8 th 97.90% 100% 99% 100% 100%Lowest 15 8 9 8 8HEALTH EDUCATION &TRAINING INSTITUTEHEALTH EDUCATION &TRAINING INSTITUTEWhat information is availablebefore each round of offers?What are your choices?• Posted on the website Number of vacancies Priority list progress• Personal email to you Date of the next round How to reclaim your bond if you havereceived another offer and wish towithdraw• Accept• Decline you will not be offered another position you can however apply again in a future year• Swap (Round 1 only) Swap register in PTAPHEALTH EDUCATION &TRAINING INSTITUTEHEALTH EDUCATION &TRAINING INSTITUTECan you appeal?• You may appeal a special consideration decision• You cannot appeal your allocation offer• For more information refer to the HETI websitewww.heti.nsw.gov.auWhat if your personal circumstanceschange after you submit yourapplication?• If your circumstances have changed following yourapplication submission and before you commenceyour internship, where you feel you now meet therequirements for special consideration, you maylodge a change in personal circumstances application• For more information please refer to the HETI websitewww.heti.nsw.gov.auHEALTH EDUCATION &TRAINING INSTITUTEHEALTH EDUCATION &TRAINING INSTITUTE14

29/05/2012HEALTH EDUCATION &TRAINING INSTITUTEHEALTH EDUCATION &TRAINING INSTITUTENSW Rural Generalist Training ProgramTraining PathwayWould you like a career as a rural GP who alsoprovides advanced procedural skills (anaestheticsor obstetrics) at the local hospital?• Position: Rural Generalist• Speciality: General Practice• NEW training program commencing 2013• Enrol at PGY2 – GP Vocational Training• PGY3 – Advanced skills / Procedural Training• PGY4/5 – Community General Practice Training &opportunity to provide procedural services at a ruralfacility• Fellowship – FACCRM, FRACGP + FARGP• Employment as GP VMO• Could be for you in 2014HEALTH EDUCATION &TRAINING INSTITUTEHEALTH EDUCATION &TRAINING INSTITUTEEligibilityNSW RURAL GENERALISTTRAINING PROGRAM• Interest in rural communities & rural clinical practice• Interest in providing procedural services in a ruralcommunity (anaesthetics or obstetrics)• Further information, or• To register your interest for 2014 intake• www.ruralceti.health.nsw.gov.au• Eligible for registration with the Medical Board ofAustralia• Intention to enrol in General Practice TrainingHEALTH EDUCATION &TRAINING INSTITUTEHEALTH EDUCATION &TRAINING INSTITUTE15

29/05/2012Your Registration with AHPRA• Obtaining provisional registration is your responsibility• Apply in time• Apply online• Refer to the AHPRA website• Visit www.ahpra.gov.auHEALTH EDUCATION &TRAINING INSTITUTEHEALTH EDUCATION &TRAINING INSTITUTEDo’s & Dont’s• Our team can answer your questions by email or telephone• Our team cannot discuss your application with friends or relatives discuss your allocation offer with you accept late applications verify documents after the closing dateHEALTH EDUCATION &TRAINING INSTITUTEHEALTH EDUCATION &TRAINING INSTITUTEFor more information• Attend HETI university presentations• Listen to Podcasts of presentation & RPR Expo• Visit HETI website: www.heti.nsw.gov.au• Read Prevocational Training and Application Directory• Talk to your University Liaison OfficerOr contact us: Phone: (02) 9844-6562 Email: internship@heti.nsw.gov.auThanks for your attentionAny questions?HEALTH EDUCATION &TRAINING INSTITUTE16