Recency of Practice AdvanceMed

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  1. Hello
    is 4 weeks paid holidays and superannuation mandatory in job offer letter for employers to nominate IMG for 482 visa?

    1. Its standard for an employment contract. I’m not a Visa expert so I’m not sure if you need to show that sort of information in your application.

  2. Hello Doctor,
    I am an IMG, hold AMC certificate. Passed level 1 PESCI (RACGP). and have job offer in GP practice in Victoria. I have been working in a GP practice overseas as Telemedicine assistant to assist family physicians for past one year as a non registered health practitioner. I have not worked as registered health practitioner for more than 3 years.

    I have applied for provisional registration with AHPRA but AHPRA is asking for Plan for professional development and re-entry to practice.
    Any advice how should I proceed?


    1. Your practice supervisor should assist you with this and the RACGP will have provided advice about what sort of supervision and level of support you require initially (as per the PESCI outcome).

      1. Thank you doctor.
        my PESCI was level 1 supervision. there are no concerns shown in PESCI outcome, stated solid knowledge and history taking skills, and no recommendations other than suitable for level 1 supervision.
        the practice principle supervisor has provided written undertaking for my 5 weeks orientation followed by 12 months level 1 supervised training.
        would this suffice?
        Also usually how long Medical Board takes to process such application, it seems like medical board meets periodically to review registration applications.

        Thank you

        1. Hello Imran
          If your practice principal has provided a signed undertaking to provide level 1 supervision at all times (which means there is another senior doctor in the same room with you at all moments) then this should satisfy the Medical Board requirements.
          There are potentially serious consequences for providing deliberately false statements to the Medical Board.
          As I understand it the Medical Board employs medical officers to periodically review certain registrations such as initial IMG registration. It may also be that the jurisdictional registration committee that has to sign off on decisions, this will generally meet once per month.

          1. Thank you so much Doctor.
            I have another question,
            Does case discussions after every few cases, and daily at least two discussions with supervisor align with level 1 supervision?

          2. Hello Imran. Level 1 supervision means that every case is reviewed prior to a decision being made. Level 1 supervision is more easily achieved in a hospital setting. In a community or general practice it is harder because the patient really cannot leave until you have discussed with the supervisor. You can read the rules of the Levels of supervision on the Medical Board website.

          3. Thank you so much Dr. for this helpful information.
            I have been informed that my application has been referred to Victoria registration committee.
            Does it mean AHPRA/MBA has approved my application and now it is gone to jurisdictional registration committee for sign off?

          4. Hello Dr.
            I did get AHPRA Provisional registration but unfortunately hit a roadblock.
            My employer’s nomination is refused by immigration. the practice was in DPA MM1 area. Practice could not prove genuine need.
            I wonder if I would be able to apply somewhere else with new PESCI ? How this will work if I already have AHPRA registration specific to the practice whose nomination is refused? any guidance would be highly appreciated.

  3. Hello Doc,
    I had a quick question, I passed my amc part one in November 2019 , I practiced in my country till December 2021, then shifted to Australia. Since 2022-2023 I have been doing masters in diagnostic radiography in University of Sydney.
    I completed my masters this year.
    1.Will I be required to fill out the clinical gap in this case
    2. If so can I fill the gap by working under a GP here in Australia for 6 months and then apply for a job ?
    3. Do I have to get a recency back from my country, Bangladesh?
    I’d highly appreciate if you could help me out with this issue.
    Many thanks ,

    1. Hi Farah
      You will likely run into an issue with employers questioning your recency of practice.

      “If so can I fill the gap by working under a GP here in Australia for 6 months and then apply for a job?”

      You are missing the point. You can’t just work under a GP in Australia. You would need registration and also meet the requirements for working supervised in general practice. If you have not worked as a GP previously you won’t be able to start off in general practice. You will need to look for a hospital based job.

  4. Hello doctor,
    Thanks for laying out the details clearly.
    An IMG myself who passed amc mcq and finished housejob(internship -overseas) a year ago, what do you suggest to obtain recency before applying for limited registration and jobs?

      1. Thanks for sharing your insights!

        Just one last question to clarify my previous comment ,

        I completed internship/ house job ( compulsory rotation from my same medical college- oversease ) in Feb 2023. Following which i relocated to Australia to join my partner here. Passed McQ in Nov 2023, english test updated, and in the process of limited registration with AHPRA. Do you think my intern year overseas will be considered as practice ? To fulfill the recency of practice criteria

        I would like to get your opinion on this
        Thanks for the help !

  5. Hi Doctor, if I successfully obtained full registration as a medical practitioner with AHPRA but then had to go work abroad(as a doctor) for a couple years, could I renew my full registration with AHPRA without taking any exams and supervised internship again? Or can I still renew my AHPRA registration every year as I am technically still practicing(in another country). Thank you.

    1. Hi its a good idea to maintain your registration with AHPRA as non-practising if applicable. If you have been working abroad in your scope of practice there should be no issues returning to your practising registration here.

  6. Hello Sir,

    I have cleared my AMC MCQ in 2016. From then I am preparing and writing AMC clinicals, twice un successfully. Took many AMC clinical bridging courses. In the meanwhile to pay bills and to be close to medicine completed my bachelor of nursing and going to start work as an RN. Now I have close to 10 years of gap in practise. Is there any scope for me to get back to medicine with MCQ and RN experience in a public hospital ?

    1. Yes. Because you have been working as an RN all that time. Remember recency of practice affects the level of supervision you need. Apart from Internships, the Resident job is the most highly supervised job.

  7. Good morning sir,
    I worked as a doctor 5 years back in my home country and settled in gulf after that. I cudnt secure a job here . I want to write AMC and come to australia. Will I get a job keeping in mind my situation?

    1. Hi Humera
      As is often the case on this blog it’s really impossible to give a definite opinion without going into detail about your situation. I would say that your main barrier is the lack of experience, which will be a big one. If you want a definite opinion I suggest booking a clarity call with me.

  8. Do you need recency of practice if you graduated a year ago and are applying for provisional registration?

    1. I am presuming you have done the equivalent of an intern year elsewhere. If so, the answer is no. If not, we are talking about something else entirely.

  9. Hi Anthony,
    Good morning,
    My name is Angela Rajan. I’m a registered nurse in Australia. Could you please help me out in getting an Australian registration for my partner who is working as a doctor in General Medicine in India.

    Kind regards,
    Angela Rajan

      1. Hi Dr Anthony, I graduated in China . The situation is a little bit different as in China the internship is included in last year of medical school
        Question is , will Aphra consider this and accept my internship ? If I finish medical school and came to Australia straight away ?

        In China after you graduate and work for whole year full time and then you are eligible for seating for the license exam ( Chinese registration) . That includes on year internship from Uni and one year full time job as a doctor . So I didn’t have license when I arrive in Australia after internship in 2015.
        Question 2 , if I go back to work for 3 months . Does Aphra accept my working experience as recency of practice . And do I need to fill my recency as it’s been 5 years ?
        Thanks for your time !

        1. Hello Andy, your situation is unique like most doctors. So I’d encourage you to book a call with me to discuss. Generally, the Medical Board (not AHPRA) wants to see that you are fully licensed in your country, otherwise, they will likely have an issue around that. For recency of practice the Medical Board the general standard is 4 weeks full-time in the last 12 months. This will normally overcome any lengthy period of recency prior to this. Anthony

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