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Internship & Residency: Questions and Discussion

Best to check state relevant health webpages. Here's an example of NSW and QLD:
https://www.heti.nsw.gov.au/__data/...Priority-List-for-2020-Intern-Recruitment.pdf

Note that these are subject to change each year.
Each state/territory has their own priority list when it comes to selecting internships. As an example, category 1 might be domestic graduates from that state and category 2 might be domestic graduates from other states etc. In Queensland, currently domestic graduates from Queensland universities are in category 1, which means that domestic Bond graduates have the same chance of achieving an internship position at a certain hospital as those from any other uni, regardless of CSP/BMP/FFP etc.

HOWEVER the COAG agreement states that all CSP medical graduates are guaranteed an internship position somewhere in Australia after graduating. This guarantee is not extended to FFPs. Therefore, if in future the number of internship applicants exceeded the number of positions available, the international students, followed by the domestic FFP graduates, would be the ones to miss out on internship. This hasn't happened yet but with increasing numbers of graduates, it could be something to occur in future, which is something all people applying for FFP medical school positions should be aware of.


Thank you for your answers <3
 

A1

Rookie Doc
Moderator
HOWEVER the COAG agreement states that all CSP medical graduates are guaranteed an internship position somewhere in Australia after graduating.

Technical correction - the COAG is an agreement between Federal and State govs that a state is only given CSP/BMP med places if the state gov guarantees internships for them (i.e. if not the federal gov would reduce their CSP quota accordingly). So the guarantee is only for within the state you graduate from.

Regarding domestic FFP grads, they are not covered by this COAG agreement however all *current* priority tables make no mention of FFP versus CSP. Which means if there are intern positions in the state for them they get allocated on the same ranking as CSP grads.
 
Technical correction - the COAG is an agreement between Federal and State govs that a state is only given CSP/BMP med places if the state gov guarantees internships for them (i.e. if not the federal gov would reduce their CSP quota accordingly). So the guarantee is only for within the state you graduate from.

Regarding domestic FFP grads, they are not covered by this COAG agreement however all *current* priority tables make no mention of FFP versus CSP. Which means if there are intern positions in the state for them they get allocated on the same ranking as CSP grads.

That’s good to hear, hopefully it stays that way. Thanks for the help.
 

A1

Rookie Doc
Moderator
That’s good to hear, hopefully it stays that way. Thanks for the help.

For Bond FFPs in particular, I have heard from two sources that the uni has a separate agreement with the Qld gov to provide internships for Bond graduates (one mentioned Bond pays/contributes to these interns' salaries). I'm fairly sure it will stay that way.
 
For Bond FFPs in particular, I have heard from two sources that the uni has a separate agreement with the Qld gov to provide internships for Bond graduates (one mentioned Bond pays/contributes to these interns' salaries). I'm fairly sure it will stay that way.

Awesome. Thank you.
 
This question may have been answered. Sorry in advance

I am starting medicine this year and received a bonded medical place.
Q1) Do you get paid for your 3 years of bonded service? If so, how does the pay work?
Q2) Do you get to choose where you work. If not, can you do anything to work close to sydney?
Q3) I understand that we do roughly 2 years of internship and residency before starting specialist training. Will those 2 years of work be included within our three years of bonded service, OR do we have to do 5 years of pre specialist work (if that made sense)

If you could link any websites that will help me find more information please do so :)

Thanks in advance!
 

Crow

Staff | Junior Doctor
Moderator
This question may have been answered. Sorry in advance

I am starting medicine this year and received a bonded medical place.
Q1) Do you get paid for your 3 years of bonded service? If so, how does the pay work?
Q2) Do you get to choose where you work. If not, can you do anything to work close to sydney?
Q3) I understand that we do roughly 2 years of internship and residency before starting specialist training. Will those 2 years of work be included within our three years of bonded service, OR do we have to do 5 years of pre specialist work (if that made sense)

If you could link any websites that will help me find more information please do so :)

Thanks in advance!
All answered here [2020 entry and beyond] Guide to Bonded Medical Places
 
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chinaski

Regular Member
Not exclusively, no. You are rostered according to the needs of the roster, and also you are mandated to have sufficient experience and supervision - hence, working solely nights and evenings would be inadequate in the latter point.
 

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FreeElf

Member
Is there anyone who has applied to Australian states as a New Zealand graduate who would be willing to talk me through the process? I understand navigating priority groups but don't know if we need to acquire an IPN or sit English tests etc
 

A1

Rookie Doc
Moderator
Is there anyone who has applied to Australian states as a New Zealand graduate who would be willing to talk me through the process? I understand navigating priority groups but don't know if we need to acquire an IPN or sit English tests etc
Not a NZ graduate but assuming this is for internship I think I can help. You need to apply separately to each state you're interested in. You are treated the same as an Aus graduate from an Aus interstate med school so I'm fairly sure IPN / English test are not needed.

In this NSW link a video clip shows the application process is quite simple
> https://www.heti.nsw.gov.au/education-and-training/courses-and-programs/medical-graduate-recruitment
 

bokjoy

Lurker
Hi, I am a NZ citizen currently studying medicine in Australia, I was thinking of applying for an internship in NZ once I graduate, I was wondering if there was any priority list like the ones in Australia and where I could find it?
 

DrDrLMG!

Resident Medical Officer
Administrator
Hi, I am a NZ citizen currently studying medicine in Australia, I was thinking of applying for an internship in NZ once I graduate, I was wondering if there was any priority list like the ones in Australia and where I could find it?
rustyedges frootloop do either of you have any idea about this?
 

rustyedges

Moderator
Moderator
Hi, I am a NZ citizen currently studying medicine in Australia, I was thinking of applying for an internship in NZ once I graduate, I was wondering if there was any priority list like the ones in Australia and where I could find it?
Hey bokjoy,
Yes there is. There is a national matching programme for PGY1 doctors called ACE, and you should look through its website for all the information you would need for applying. RMO

As an Australian graduate/NZ citizen, you are a Category 2 applicant, meaning you will be preferenced by employers behind each NZ graduate who is a NZ or AUS citizen/resident, but ahead of international students graduating from NZ universities. This means where you would work for your first 12 months can be quite unpredictable and may not be where you want to live, nor does it guarantee you will get a job.

The NZ health system is undergoing some restructuring from 20 separate District Health Boards to a single entity, Health NZ, and I don't know how this will affect the ACE system.
 
What makes a good intern and junior resident? Put aside obvious stuff like being respectful, punctual and not over-stepping your boundaries. One thing some seniors have told me is that a good intern is "efficient", but I am not sure how one could become more efficient. What are some other traits that makes a good intern/junior resident and what things can I do now in my final months as a medical student to make sure that I will be a good intern?
 

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forevafrensbear

Regular Member
A registrar and consultant often work harder without knowing why. They are more stressed. Until they realise it is because they are taking on a workload that the intern can carry. e.g. following up on results ; organising investigations ; doing documentation, attending to minor ward tasks because the intern is still somewhere else doing something else.

An efficient and high performing JMO
1. Carries the administrative and clinical workload expected of them reliably and capably. They know how to arrange tasks, follow up on results and knows what they are. They do not slow down the ward round.
2. Admin tasks like investigations, organising consults happen on the fly promptly. You know the patient(s) so don't have to spend much time reading the notes to get things done. Discharge summaries happen promptly and you're efficient at making things happen (had one intern spend over 1 hour organising a discharge until we realised she wasn't back). You know when and how to ask for help to work things out to make your life easier. And retain those lessons.
3. You're clinically safe. You answer nursing and patient concerns and address minor medical issues as they arise. You reliably let your registrar know when there is a concern and recognise this. You can take basic, reliable histories and we trust your assessment and formulation at your level. You don't try to do things outside your scope of practice. We trust you and don't have to go back and clarify or re-do things.
4. You communicate well and work as a team. There are no bushfires for your seniors to put out. The nurses are happy to call you as opposed to flag it up the line (see the first paragraph)

Basically an efficient intern helps carry the team. Things get done. You know your shit. You know your patients. The ward rounds are time effective and there is very little non-value added down time. (sorry, too much LEAN training). Your team and nurses value you. The patients speak highly of you.

This is not a complete list.

I've had MD2 students step in admirably when the intern or resident is away (COVID - yay) and I've had final year students where we shake our head after they leave because they can't present a simple admission and we have to re-do everything.

What can you do? Be part of the team. Be proactive. Build your medical school foundations. Practice taking clinical histories, presenting and formulating. Know common presentations, their tests and management. Be familiar with common things on medication charts. DO what the intern does. If you don't understanding something, learn to look it up and/or ask how to do it. So you have that skillset for when you start. Obviously, being familiar with the hospital you start as an intern helps but not everyone has that luxury.
 
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A registrar and consultant often work harder without knowing why. They are more stressed. Until they realise it is because they are taking on a workload that the intern can carry. e.g. following up on results ; organising investigations ; doing documentation, attending to minor ward tasks because the intern is still somewhere else doing something else.

An efficient and high performing JMO
1. Carries the administrative and clinical workload expected of them reliably and capably. They know how to arrange tasks, follow up on results and knows what they are. They do not slow down the ward round.
2. Admin tasks like investigations, organising consults happen on the fly promptly. You know the patient(s) so don't have to spend much time reading the notes to get things done. Discharge summaries happen promptly and you're efficient at making things happen (had one intern spend over 1 hour organising a discharge until we realised she wasn't back). You know when and how to ask for help to work things out to make your life easier. And retain those lessons.
3. You're clinically safe. You answer nursing and patient concerns and address minor medical issues as they arise. You reliably let your registrar know when there is a concern and recognise this. You can take basic, reliable histories and we trust your assessment and formulation at your level. You don't try to do things outside your scope of practice. We trust you and don't have to go back and clarify or re-do things.
4. You communicate well and work as a team. There are no bushfires for your seniors to put out. The nurses are happy to call you as opposed to flag it up the line (see the first paragraph)

Basically an efficient intern helps carry the team. Things get done. You know your shit. You know your patients. The ward rounds are time effective and there is very little non-value added down time. (sorry, too much LEAN training). Your team and nurses value you. The patients speak highly of you.

This is not a complete list.

I've had MD2 students step in admirably when the intern or resident is away (COVID - yay) and I've had final year students where we shake our head after they leave because they can't present a simple admission and we have to re-do everything.

What can you do? Be part of the team. Be proactive. Build your medical school foundations. Practice taking clinical histories, presenting and formulating. Know common presentations, their tests and management. Be familiar with common things on medication charts. DO what the intern does. If you don't understanding something, learn to look it up and/or ask how to do it. So you have that skillset for when you start. Obviously, being familiar with the hospital you start as an intern helps but not everyone has that luxury.

Thank you for your detailed reply. This was really helpful and has helped me on my last few months on placement. In addition to having a good and reliable knowledge/clinical skills I should endeavour to know about my patients and so in a sense play a more active intentional role in their care.
 

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