Australian Defence Force (ADF) Policy 2015 NOTE: This policy commences on 1 January 2015 and will apply to ALL ADF registrars pursuing fellowship of the Royal Australian College of General Practitioners (RACGP). ADF Registrars may also apply for fellowship of the Australian College of Rural and Remote Medicine (ACRRM). ADF Registrars can elect general pathway or rural pathway. The Training for Registrars who are Full Time Members of the Australian Defence Force Policy 2008 will cease to apply after 31 December 2014. Scope of this policy This policy applies to Australian General Practice Training (AGPT) registrars who are members of the Australian Defence Force (ADF) pursuing the vocational training pathway of the Royal Australian College of General Practitioners (RACGP). This policy should be read in conjunction with the RACGP Vocational Training and Fellowship requirements. Members of the ADF can apply to pursue their vocational training through the Australian College of Rural and Remote Medicine (ACRRM) if that is their preference. It should be noted, however, that ACRRM registrar placements are managed locally by the relevant Regional Training Provider (RTP). This policy does not apply to ADF registrars pursuing vocational training through ACRRM. Definitions and notes In this policy: ADF means Australian Defence Force. ADF registrar means a member of the ADF who is a registrar in the AGPT program. ADF Joint Health Command or JHC provides health care and support to the Australian Defence Force. It develops strategic policy; provides strategic level health advice; and exercises technical and financial control of ADF health units. The College means the RACGP. RACGP approved military medicine means military medicine training activities that are endorsed by the RACGP to meet its vocational training requirements. Deployment means the relocation of forces to desired areas of operations. In the case of ADF registrars this means they may be relocated to locations within Australia or overseas to provide health support for ADF operations to meet ADF health operational requirements. Military medicine is a medical speciality that considers the risks and health needs (both preventive and interventional) of soldiers, sailors and airmen/airwomen. Historically military medicine has been involved in the prevention and treatment of infectious disease. However, in the 21st century this has expanded to include the health aspects of operating military specific machines (submarines, tanks, helicopters and airplanes), communication systems and weapon systems whilst undertaking sustained arduous activity within physically harsh and challenging environments. Rationale 1. Members of the ADF who are enrolled as registrars in the AGPT program and pursuing the vocational training program of the RACGP are required (as far as is practical), to meet the same broad education and training requirements for vocational training in general practice as civilian registrars. 2. It is acknowledged that there is a need for specific arrangements and/or training concessions which may be necessary to enable an ADF registrar to continue vocational training as well as meeting their ADF service requirements. 3. There are three (3) people/organisations involved in the delivery of ADF registrar training namely: a) The ADF Joint Health Command Officer for General Practice b) The RACGP c) The ADF registrar’s regional training provider (RTP) 4. The purpose of this policy is to assist the organisations named above to coordinate ADF registrar training, by: a) Outlining the training arrangements and requirements that have been approved by the RACGP as specified by the RACGP Vocational Training and Fellowship requirements. b) Meeting the requirements of ADF Joint Health Command from time to time. c) Enabling RTPs to manage the education and training of ADF registrars. 5. It is the responsibility of the organisations named above to liaise and coordinate registrar training in accordance with the RACGP’s Vocational Training Standards. Policy statement 6. ADF registrar training is managed by the RTP in consultation with the organisations named above (clauses 3a and 3b). 7. An ADF registrar’s current posting orders determines the RTP they train with. 8. The AGPT Transfer Policy 2015 manages ADF registrar movements between RTPs. 9. ADF registrars are exempt from the AGPT Training Location Obligations Policy 2015, Leave from Program Policy 2015 and Extension of Training Time Policy 2015. 10. RTPs must ensure ADF registrars have opportunities to pursue civilian practice as required by the RACGP. Training posts supporting ADF registrars 11. ADF registrars can undertake their required vocational training in the following facilities: a) A civilian-based general practice with the required level of practice accreditation; or b) An ADF medical facility or base with the required level of practice accreditation; or Page 2 c) Through a combination of the above as a composite training arrangement. ADF registrar training as approved by the RACGP 12. The RACGP has approved the training arrangements and requirements as described in this policy. Hospital training 13. An ADF registrar must comply with the College training requirements in relation to hospital training time. 14. During an ADF registrar’s hospital training, access to the following arrangements should be facilitated by the ADF registrar’s RTP, where possible: a) Twelve (12) months of post-intern hospital training in accredited hospital posts with preferred rotations in paediatric and geriatric disciplines. b) Of the 12 months post-intern hospital training, up to three (3) months experience in civilianbased general practice training as described in clause 15b below. Civilian-based general practice 15. In order to manage the configuration of training units for ADF registrars and to ensure they acquire the necessary experience required for competent practice during and after their military career, RTPs are required to have procedures in place to ensure that: a) ADF registrars experience general practice (as defined by the RACGP) equivalent to that of non-ADF registrars in line with RACGP Vocational Training Standards, recognising that an ADF registrar’s general practice experience may include military medicine (garrison or other) settings as well as civilian settings. b) If required, RTPs can facilitate a release from hospital training for the ADF registrar to undertake a minimum of three (3) months (FTE) general practice training in an civilianbased general practice with the required level of practice accreditation (at the level of a GPT1) during the ADF registrar’s hospital training year. Extended skills training 16. ADF registrars may undertake extended skills training, as follows: a) In a civilian-based general practice (which holds the required level of practice accreditation for skills training) in accordance with their RTP’s requirements; or b) In an RACGP-approved military medicine program. Training whilst on deployment 17. Experience, training, and education during deployment may be considered for credit as training time for extended skills or general practice terms in the following circumstances: a) Deployments or exercises within Australia that meet RACGP requirements for accreditation as a training post Page 3 b) Overseas deployments that meet RACGP requirements for overseas training and have been approved by the RACGP Censor. Leave 18. The AGPT Leave from Program Policy 2015 does not apply where an ADF registrar is required to take leave from the program to meet ADF service requirements. 19. Where an ADF registrar is required to take leave from the program to meet ADF service requirements then the provider must record the leave in the registrar’s training records as ‘ADF service leave’. Related documents AGPT Publications – AGPT Handbook, AGPT Applicant Guide and Guide for GP Registrars About the 2015 AGPT Program Policies Leave from Program Policy 2015 Transfer Policy 2015 RTP local implementation guidelines and procedures RACGP Registrar Handbook RACGP Vocational Training Standards Page 4