ÍæÅ¼½ã½ã

ÍæÅ¼½ã½ãEchoes Calls for Pause on Expedited SIMG Pathways to Address Complex Workforce Challenges 

Pictured: Dr Pallavi Desai, Chair, ÍæÅ¼½ã½ãSpecialist International Medical Graduate Committee

RANZCOG

The Royal Australian and New Zealand College of Obstetricians and Gynaecologists

Updated
17 October 2024
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The Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG; the College) echoes the calls from The Council of Presidents of Medical Colleges (CPMC) and our allied medical colleges for an immediate stay on the implementation of expedited pathways for Specialist International Medical Graduates (SIMGs) in Australia.

ÍæÅ¼½ã½ãhas been clear that the Medical Board Australia’s (MBA) current proposal does not adequately address the complex workforce challenges facing obstetrics and gynaecology in Australia. The College has been on the front foot in committing to the development of a specialist-specific expedited pathway which would address many of these issues. ÍæÅ¼½ã½ãis dismayed that the Medical Board of Australia (MBA) has not heeded the calls for a reasonable pause on the rollout of its one-size-fits-all plan to allow specialist colleges to develop their own plans.

ÍæÅ¼½ã½ãappreciates that the MBA has been given clear directions from Australia’s health ministers to proceed with this plan; however, the College is adamant that the pathway as designed will not solve the workforce issues it is designed, to tackle and will not benefit patients.

If implemented in its current form, the MBA pathway:

Lacks details on targeted placements for areas of greatest need.

Potentially exacerbates existing workforce imbalances.

Insufficiently addresses long-term retention strategies for underserved areas.

Doesn’t provide better balance for domestic training initiatives.

Inadequately considers specialty-specific challenges.

ÍæÅ¼½ã½ãmet with the MBA during the development of this pathway and provided extensive written advice to this effect.

ÍæÅ¼½ã½ãsupports the CPMC’s request for a pause on the implementation of the pathway which would allow for both a comprehensive reassessment and redesign of the MBA pathway, and for medical colleges to further develop their own specialty-specific pathways. Without amendment, the MBA pathway will not adequately address both maldistribution and specialty-specific shortages.

“ÍæÅ¼½ã½ãis committed to the well-being of our patients and members and trainees,†said RANZCOG’s President, Dr Gillian Gibson. “While the College accepts and supports the outcomes of the Kruk report, and agrees that SIMG pathways can be better organised, focus must be on maintaining high standards of care and patient safety. SIMGs must also be supported to practice across all specialties and geographical areas, and not thrown into a dysfunctional health system to eventually burn out. We owe it to both our domestically trained workforce and SIMGs coming to Australia to build a health system that supports our front-line providers throughout their careers.â€

“Furthermore, ÍæÅ¼½ã½ãis concerned that the proposed process, whereby specialists who are new to Australia are not provided with a connection to a community of their peers, denies these doctors, the best opportunity of success in a new country.â€

While the MBA appears committed to proceeding with the rollout of the proposed pathway despite the calls for a pause by specialist medical colleges, ÍæÅ¼½ã½ãwill continue with the development of its own expedited pathway, with the necessary safeguards, for SIMG O&Gs.


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