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44-570: NGPA can refer to National General Practice Accreditation medical scheme of Royal Australian College of General Practitioners , Australia National Portrait Gallery of Australia in Canberra Natural Gas Policy Act of 1978 Next Generation Public Affairs , American firm co-founded by Matt Strawn and Pat Brady Topics referred to by the same term [REDACTED] This disambiguation page lists articles associated with

88-478: A tribunal hearing, and at any stage of the process the complaint to advance immediately to a tribunal hearing. Unlike the other stages, a tribunal hearing outcome is made to the public, and a tribunal typically consists of "a District Court judge, two medical practitioners and a lay person, specifically appointed to consider the evidence". According to AHPRA, in 2021 there were 10,147 notifications about 7,858 health practitioners, and 1.6% of those registered were

132-739: A 2011 publication, "Australia is [ sic ] the first country in the world to have a national registration and accreditation scheme regulating health practitioners." As of 2022 , the AHPRA regulates 16 medical professions in Australia. 12 of these were enacted under the National Registration and Accreditation Scheme on 1 July 2010, listed exactly as: In July 2012, this was expanded to include 4 additional professions: The set of "protected titles" also includes common variations on these profession titles. As of June 2022 ,

176-824: A GP will typically take up participation of the QI&;CPD program in order to satisfy medical registration requirements with the Australian Health Practitioner Regulation Agency (AHPRA), the national medical registration body. Participation in the QI&CPD program is not equivalent to Fellowship of the RACGP. The RACGP advocates for GPs and general practice, promoting the importance of patient safety, quality care, coordination of care, whole patient care, better recognition and reward for GPs, and investment into primary healthcare infrastructure, teams, training, and technology. The breadth of

220-652: A career in general practice across Australia and internationally. The categories of membership are: RACGP Fellowship is the admission to the specialty of general practice. It is an important recognition from the RACGP and the profession of general practice, and represents excellence in general practice. In 1996, the Australian Government adopted Fellowship of the RACGP (FRACGP) as the standard for certifying competence to deliver unsupervised general practice services in any general practice setting in Australia – urban, regional, rural or remote. Fellowship of

264-531: A criminal history check, where individuals must inform the national board under application jurisdiction if they have been "charged with an offence punishable by 12 months imprisonment or more, or convicted or found guilty of an offence punishable by imprisonment in Australia and/or overseas". There exists a dispute resolution process with the Australian Criminal Intelligence Commission and relevant police departments, if

308-565: A medical specialty and general practice qualifications, such as the Fellowship of the Royal Australian College of General Practitioners (FRACGP) were not registerable qualifications. The practical implication of the nationalisation of medical registration on the status of general practice as a medical specialty may be unclear. The oddity of general practice in Australia is a lingering and arguably outdated perception that

352-461: A positive source of public danger". There is a direct link between the public criticism of general practice and the move to create a College. Dr Rose and Dr Hunt in the BMJ 1950 write: "There is a College of Physicians, a College of Surgeons, a College of Obstetricians and Gynaecologists, a College of Nursing, a College of Midwives and a college of Veterinary Surgeons, all of them Royal Colleges; there

396-502: A student registration. Medical graduates applying from New Zealand are treated with the same registration standards as Australians, differing from the international registration process. As of 22 July 2021 , there are separate fees for both registration and application. Initial registration and application fees for general, specialist and limited registrations is $ 835 AUD , with some categories of New South Wales registrations receiving rebates. The registration process includes

440-476: Is a College of Speech Therapists and a College of Physical Education, but there is no college or academic body to represent primarily the interests of the largest group of medical personnel in this country – the 20,000 general practitioners". There was opposition in the UK to the creation of a College by the existing three Medical Colleges – Colleges of Surgeons, Physicians and Obstetricians and Gynaecologists – who held

484-468: Is a self-directed education program designed to support non-vocationally registered (non-VR) doctors on their pathway to RACGP Fellowship. The PEP aims to provide targeted educational support for non-VR doctors (primarily international medical graduates (IMGs)) to help them to prepare for the RACGP exams and to deliver quality general practice care to their patients. The RACGP Continued Professional Development (CPD) program supports Australian GPs to provide

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528-522: Is also responsible for hearing complaints about unregistered professions, which includes "unregistered health care workers who provide a health service", in violation of the National Code of Conduct for health care workers by behaving in an incompetent, exploitative, predatory or illegal manner. Martin Fletcher has been the chief executive officer of the AHPRA since its inception. According to

572-656: Is governed by the RACGP Board. The RACGP Broad comprises: There are nine faculties within the RACGP, representing different geographical regions and special interest groups. Six geographical faculties serve the needs of members practising in their respective regions; Western Australia , Victoria , Queensland , Tasmania , South Australia & Northern Territory and New South Wales & Australian Capital Territory . RACGP Rural supports and advocates for GPs working in rural and remote communities across Australia. RACGP Aboriginal and Torres Strait Islander Health

616-638: Is the professional body for general practitioners (GPs) in Australia . The RACGP is responsible for maintaining standards for quality clinical practice, education and training, and research in Australian general practice. The RACGP represents over 40,000 members across metropolitan, urban, rural and remote Australia. The RACGP develops resources and guidelines, advocates for GPs on issues that affect their practice, and develop standards that general practices use to ensure high quality healthcare. The RACGP

660-529: The National Registration and Accreditation Scheme , it is required to be registered with the AHPRA to self-identify with one of the "protected titles" set out in the legislation, and it is an offence to do so without registration. The AHPRA maintains a public register of those registered and related qualifications accessible from their website. The AHPRA is responsible for hearing and investigating complaints (which are legally termed "notifications" ) of "performance, health and conduct" by those registered. The AHPRA

704-591: The Royal Australian College of General Practitioners identified the main issues with the AHPRA as being "communication, transparency and timeliness of the complaints mechanism, and the importance of appropriate recognition of the impacts of assessment and investigation on a practitioner’s mental health". Over a four-year period, researchers identified 16 suicides and a further four instances of attempted suicide or self-harm among health care workers subject to regulatory notifications. Submissions for

748-580: The Victoria government department of health, which closed feedback submissions on 1 April 2022. Each regulated health profession is represented by a national board, of which there are 15, along with 21 specialist organisations. There are four categories of registration conducted through the Medical Board of Australia , depending on training and expertise, including "general", "specialist", "provisional", "limited" and "non-practicing", along with

792-568: The RACGP Standards for general practices. newsGP combines clinical articles directly relating to the treatment of patients with professional articles on policy, procedures or managing a practice. newsGP covers news from the RACGP, explaining position statements and advocacy efforts. newsGP features articles, profiles and opinion pieces. The RACGP develops guidelines and resources on health issues and topics to support GPs and general practices in delivering patient care. Each year

836-606: The RACGP allows GPs to: The RACGP Fellowship exam consists of three segments; applied knowledge test (AKT), key feature problems (KFP) and objective structured clinical exam (OSCE). The exams are delivered in various locations across Australia and the conjoint Fellowship is delivered in Hong Kong and Malaysia. Passing of each component of the RACGP Fellowship exam is the usual way GPs become eligible to apply for their FRACGP. The RACGP's Practice Experience Program (PEP)

880-616: The RACGP holds an annual conference in a different location around Australia. The 2018 conference was held on the Gold Coast from 11–13 October under the theme General Practice: The centre of health in Australia and was attended by over 2000 delegates . The RACGP annual conference is an opportunity for GPs and other healthcare professionals to discuss various educational themes, attend clinical workshops and research presentations, and network with one another to support their professional development. The various faculties and departments of

924-494: The RACGP host many educational and collegial events throughout the year, including fellowship ceremonies, awards nights, workshops and seminars. Prior to the mid 20th century, upon graduation Australian doctors spent time in general practice. A medical career usually included completing an intern year immediately after graduation as a resident in a major teaching hospital. After a period of time in general practice, some doctors would seek specialist qualifications. Possibly reflecting

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968-539: The RACGP's work is reflected by its various advocacy efforts . The RACGP publishes the Australian Journal of General Practice (AJGP), Australia's only peer-reviewed scholarly journal for GPs. All articles are subject to a peer-review process before they are accepted for publication. The journal is indexed in MEDLINE, Index Medicus and Science Citation Index Expanded. The RACGP has developed and published

1012-522: The RACGP. Demonstrating again the slow shift towards recognition, Australia was late in accepting that general practice should be taught or regarded as a discipline in its own right. The Whitlam government's Karmel committee into 'Expansion of Medical Education in Australia' compromised with departments of 'community medicine' – a confusing anachronism that persisted for many years in Australia's tertiary institutions. The RACGP sought strongly but unsuccessfully that this committee accept general practice into

1056-579: The RACGP. In modern Australia, general practice is listed by the AMC as a medical specialty and the RACGP as the specialist college responsible for assessment, as endorsed by the Medical Board of Australia inaugurated in 2010. Yet, on further examination of how general practice is considered across the nation, some of the now-defunct state-based Medical Practitioners' Boards such as Victoria, Queensland and South Australia, did not consider general practice

1100-670: The Standards for general practice since July 1996. The current edition is the RACGP Standards for general practice (5th edition), which launched in October 2017. The Australian Commission on Safety and Quality in Health Care administers the National General Practice Accreditation (NGPA) Scheme, which supports the consistent accreditation assessment of Australian general practices against

1144-677: The United Kingdom had a powerful case for recognition by the late 1960s, and the United States recognised general practice in 1969. The standing of general practice within academic faculties of universities and professionally has undergone a marked increase in recent decades. The RACGP has been a key driver of this shift. The development and consolidation of training programs, standards for training, standards for practice, curriculum of general practice and various evidence based guidelines and publications have occurred internally within

1188-478: The belief that general practice should be a joint faculty of general practice linked to the existing Colleges. However, put into perspective, in the same document Hunt describes the two original British Colleges sought to stop the creation of the College of Obstetricians and Gynaecologists via legal action in 1929. The British College of General Practitioners was formed in 1953 with many Australian doctors amongst

1232-400: The best possible care for patients. It does this by recognising ongoing education and promoting the development and maintenance of general practice skills and lifelong learning. Medicare Australia requires all GPs who access any Medicare program or service to participate and complete all requirements of a recognised CPD program. In the absence of fellowship of any of the specialty colleges,

1276-681: The creation of the Royal College of General Practitioners and instrumental in highlighting the need for professional and practice standards, Australia was one of the last developed countries to recognise general practice as a specialty. It was 1978 before the National Specialist Qualification Advisory Committee (the predecessor to the Australian Medical Council) recognised general practice as a specialty. In contrast,

1320-581: The decision to practise as a GP has low or no standing and status. Comments heard by many GPs including; 'You are just a GP' or 'What do you intend on specialising in?’ reflect something of the community understanding of the general practitioner. This is not without precedent. The history of the general practitioner shows that GPs in early Australia through to GPs in mid and late 20th century, 'defaulted' into general practice having disliked surgical or physician training or having failed exit exams too often. Also, while Australian general practitioners were part of

1364-572: The expansion of pharmaceuticals and medical and surgical interventions. In the United States, the number of doctors identifying as general practitioners fell markedly between 1931 and 1974 from 83% to 18%. This process began as specialisation increased prior to the War. US GPs increasingly felt that health care was becoming fragmented and weakening doctor patient relationships. "There are 57 different varieties of specialist to diagnose and treat 57 different varieties of disease but no physician to take care of

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1408-636: The following professions are not regulated by, and do not have "protected titles", under the National Registration and Accreditation Scheme : As of June 2022 , although there exists guidelines under the AHPRA for "medical practitioners who perform cosmetic medical and surgical procedures", the term "surgeon" and related terms like "cosmetic surgeon" are not "protected titles". This meant that registered medical practitioners in Australia could these titles even when having different training and qualifications. A public consultation about this began on 1 December 2021 via Engage Victoria , an online platform run by

1452-607: The founding members including the RACGP's first president Dr William Conolly, again reflecting the origins of Australia as a series of British colonies, established a New South Wales faculty of the BCGP. This was followed by the creation of other state based faculties of the British College of General Practitioners in Queensland, Western Australia, Tasmania, Victoria and South Australia over the next 5 years. In keeping with

1496-441: The historical origins of Australia as a series of British colonies, these doctors would travel overseas, most often to the UK, to specialise and then return to establish practice. As the Australian population grew post World War II , the public hospital system also grew demanding an increasing number of specialists. Local training program emerged and therefore the ability of a doctor to enter specialist training directly following

1540-552: The long amount of time taken to resolve complaints. There was an investigation in 2014 following complaints to the AHPRA about how complaints are managed, including a lack of transparency over the complaint review process, and delays in investigations, with one case taking 2,368 days to resolve. There have been senate inquiries (see Australian Senate committees ) by the Parliament of Australia in 2011, 2017 and 2021 over related issues. The 2021 public submission of support from

1584-415: The mandatory intern year post graduation without entering general practice. This increasing number of specialists made it increasingly difficult for general practitioners in Australia to hold and retain public hospital appointments, especially in procedural areas such as surgery or obstetrics . This was not a uniquely Australian phenomenon. Worldwide, medical practice was shifting focus onto hospitals with

1628-463: The patient." In 1950, an Australian Graduate, Dr Joseph Collings, conducted a review of general practice in the UK. This 30-page report was published in the Lancet in 1950. "There are no real standards for general practice. What a doctor does and how he does it depends entirely on his own conscience" Dr Collings, 1950. Dr Collings' report was scathing and generated immediate and heated interest. It

1672-596: The process for creating Medical Colleges under the British system, a group of Australian General Practitioners met in 1957 at the first Annual Scientific Convention in Sydney to declare an intention to form the Australian College of General Practitioners (ACGP) which was formally founded in 1958. This new College joined the state based faculties. State based faculties remain a key part of the modern day function of

1716-427: The result of a criminal history check prevents registration under the AHPRA. In the AHPRA, complaints are termed "notifications". The complaints process includes several stages, which may advance a stage, result in disciplinary action, a fast-track process called "immediate action", or the complaint may be dropped. The stages include a receipt of the complaint, preliminary assessment, investigation, panel hearing, and

1760-643: The subject of a complaint. According to Sharon Russell, "many medical practitioners will be the subject of an AHPRA complaint at some stage during their career". Complaints can be made online via the AHPRA website, by mail, telephone or attending an office. There is also a whistleblower policy governed under the Public Interest Disclosure Act 2013 where anonymous complaints can be made for serious misconduct. The AHPRA has been subject to criticism, including for medical right to privacy and informed consent of those registered, and

1804-542: The title NGPA . If an internal link led you here, you may wish to change the link to point directly to the intended article. Retrieved from " https://en.wikipedia.org/w/index.php?title=NGPA&oldid=1250638247 " Category : Disambiguation pages Hidden categories: Short description is different from Wikidata All article disambiguation pages All disambiguation pages Royal Australian College of General Practitioners The Royal Australian College of General Practitioners ( RACGP )

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1848-458: The universities. Today, general practice is listed or has been added alongside community medicine, highlighting the shift since the early 1970s (e.g. Department of General Practice and Community Medicine Monash University) Australian Health Practitioner Regulation Agency The AHPRA is intended to facilitate public safety of health practice in Australia, and is used to assess the qualifications of overseas health practitioners. According to

1892-550: Was formed as part of the RACGP's commitment to raising awareness of Aboriginal and Torres Strait Islander health needs, and therefore to help 'close the gap'. RACGP Specific Interests was established in 2008 to recognise the additional interest and expertise held by GPs in selected areas of general practice. RACGP Specific Interests facilitates GP members practising in these areas to promote the area of specific interest and to share and develop related knowledge and materials. The RACGP has more than 40,000 members working in or towards

1936-428: Was undoubtedly a key event in the definition of general practice as a "speciality." He identified that general practice has no academic underpinning, no evidence upon which to base practice and no consistency of practice. The report did not pull punches. He described rural practice is "an anachronism", suburban practice is a "casualty-clearing" service and Inner city practice is "at best… very unsatisfactory and at worst

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