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Migration Help
18th January 2010, 06:03 PM
DANNY ROSE
January 18, 2010

Overseas-trained doctors have for years been forced to live in the Australian bush to address regional workforce shortages, but now the Australian Medical Association (AMA) believes this is wrong.

AMA president Dr Andrew Pesce has called for an end to the rule, saying the "discriminatory" requirement means these doctors start work in Australia without many of the resources available to their metropolitan-based peers.

The system was an inadequate way of addressing hard-to-fill vacancies in the bush, he said.

International medical graduates (IMGs) who relocate to Australia cannot obtain a Medicare provider number unless they agree to move to a designated area of doctor shortage for a minimum of 10 years.

"The (Rudd) government recently introduced welcome changes to assist New Zealand IMGs and the AMA would like to see this as the first step in dismantling the 10-year moratorium," Dr Pesce said in a statement on Monday.

"The moratorium is discriminatory and often forces IMGs to live and work in areas where they do not have access to adequate professional support and supervision.

"IMGs are required to spend long periods in some of the most professionally challenging clinical environments, despite limited preparation for this experience," he said.

"This is not in the best interests of the doctors or their patients."

Dr Pesce said the moratorium, introduced in 1997, was being used to "prop up" doctor numbers in regional areas where overseas-trained doctors now accounted for almost half of the workforce.

This had allowed governments to "defer or ignore proper policies to attract and retain doctors in country areas", he said.

"IMGs now make up 41 per cent of the medical workforce in rural and remote areas," Dr Pesce said.

"They make an enormous contribution to the medical workforce and to rural communities but this contribution is not being properly recognised or rewarded."

The AMA has written to federal Health Minister Nicola Roxon to call for the change.

Improved incentives and support mechanisms were needed to encourage more locally trained doctors to take up positions in regional areas, Dr Pesce said, while appropriately skilled IMGs should be able to "voluntarily consider a career" in the bush.

"We want the right people in the right places," Dr Pesce said.

SOURCE (http://news.smh.com.au/breaking-news-national/end-rule-to-send-foreign-docs-to-bush-20100118-mfgv.html)

MH

Migration Help
20th January 2010, 09:37 PM
Wed Jan 20 2010
BY Danny Rose

The peak body which promotes the recruitment of rural GPs says many remote areas would miss out if the federal government changed the rules affecting overseas-trained doctors.

The Australian Medical Association (AMA) this week called for an end to the "ten year moratorium" rule, which requires foreign-trained doctors to first take up a hard-to-fill posting when they start work in Australia.

Dr Kim Webber, chief executive of Rural Health Workforce Australia, said the rule was vital to staffing the nation's regional and remote areas and it could not be dropped.

"Our workforce in the country would be decimated if you got rid of it and the AMA needs to be careful that it doesn't throw the baby out with the bathwater on this issue," Dr Webber said in a statement on Tuesday.

"If that policy was unilaterally dropped, I don't know how places like the Kimberley and Brewarrina would ever be staffed.

"These communities understand this and greatly appreciate the work these doctors do there."

Dr Webber said rural Australia was now reliant on overseas-trained doctors and this would not change until there were sufficient numbers of new medical graduates trained in Australia.

It would take "several years" before the recent expansion of medical schools and undergraduate places would fill this gap, she said.

New rural relocation incentives for doctors, which take effect from July 1, should also help to attract GPs to regional areas, she said.

Rural Health Workforce Australia is the peak body for the not-for-profit Rural Workforce Agencies, which recruit and support rural and remote GPs in each state and the Northern Territory.

The AMA this week said the rule was "discriminatory", and it ensured newly arrived and recently graduated doctors were sent to challenging postings where they had limited resources and professional support.

SOURCE (http://news.ninemsn.com.au/health/1002093/bush-may-miss-out-on-doctors-gp-group)

MH