Teaching and training OTDs in the ED: Challenges, opportunities and solutions
Couser, G, Teaching and training OTDs in the ED: Challenges, opportunities and solutions, Annual Scientific Meeting of the Australasian College for Emergency Medicine, 2007, Gold Coast, Australia (2007) [Conference Extract]
Overseas trained doctors ("OTDs") play an essential role in service provision in Australian public hospitals, and bring a wealth of diverse experience to a hospital. Most regional emergency departments and an increasing number of urban departments are reliant upon OTDs for staffing. A number of recent high profile cases have drawn considerable public and regulatory attention to this group of doctors. Increased numbers of OTDs are coming from
"non-traditional" regions with different health systems to Australia, such as Africa, China, the Middle East and Eastern Europe. This leads to challenges for supervising clinicians who need to invest considerable resources to orientate and train such doctors. The entry point for many OTDs wishing to obtain full registration in Australia is presently the AMC clinical exam. However, emergency medicine is underrepresented in this process despite the successful
completion of a term in emergency medicine being a requirement for registration with all medical boards in Australia. Additionally, competency and fitness to practice is not assured by successful completion of the AMC exam and additional training and supervision is usually required. An additional issue is that a large group of OTDs work on temporary work visas and need not obtain the AMC Certificate. Issues of competency assessment are left to
individual hospitals and medical boards, and emergency departments are regularly called upon to orientate, supervise and train this group of doctors. The presenter has designed and delivered programs for OTDs and this presentation will address common issues and suggest solutions for emergency physicians who supervise OTDs in Australia.