Medical Training Review Panel: sixteenth report
Data for the MTRP report were supplied by a range of organisations.
Information on undergraduate medical students was supplied by Medical Deans Australia and New Zealand Inc (MDANZ) from its Student Statistics Collection and from the Medical Schools Outcomes Database (MSOD) Project. Medical Deans is the peak representative body representing medical education and research in Australian universities. The Students Statistics collection is conducted annually at the time of enrolment. The MSOD Project is conducted by Medical Deans and has been directly funded by Health Workforce Australia since July 2011. The MSOD data are collected longitudinally for individual students at all medical schools; on entry to medical school (since 2006), during and on exit from the medical course, and at the end of the first prevocational year.
Data on the first (internship) and second years of prevocational training were provided by state and territory health departments.
Vocational training data relating to doctors pursuing specialist training were provided by each of the specialist medical colleges. General Practice Education and Training Limited (GPET), as well as the Royal Australian College General Practitioners (RACGP) and the Australian College of Rural and Remote Medicine (ACRRM), provided data on general practice training. Given these multiple sources, efforts have been made to ensure that there is no double counting of trainees. Administrative data were sourced from the Australian Medical Council (AMC), the Australian Government Department of Immigration and Citizenship (DIAC) and the Australian Government Department of Health and Ageing (DoHA) for Chapter 5 on International supply.
Data Quality Issues
The quality of the MTRP report, as a single reference point covering all aspects of medical education and training, is dependent on the provision and collation of comprehensive information from all contributors. Data templates and specifications defining each data element and the periods covered have been developed for all areas of the report. These continue to be further refined with the assistance of members of the Data Subcommittee. The specifications used in compilation of this report are attached in Appendix E. It has been endeavoured to ensure the source data is according to the data specifications, but where this is not possible and data differ from the provided specifications, this is duly noted.
These continued enhancements have greatly improved the comparability of data between state and territories and specialties within tables. This has, however, affected comparability of data across years. Where this is known to have significantly confounded the analysis of time series data, cautions have been noted.
There are a number of areas in which there have been attempts to source more and/or improved information, in particular to quantify activity in relation to the training and supervision of international medical graduates and specialists and the country from which they came and in which they obtained their primary medical qualifications. It is hoped that medical colleges will introduce new data items that will allow this information to be presented in future reports.
The MTRP is dedicated to continue working with state and territories, specialist medical colleges and relevant external agencies to improve the data and provide more comprehensive information in medical training as necessary to inform policy and planning decisions.
Given the differing collection methodologies for different data, the year for which data are reported varies. The majority of data presented in the report are for 2012 with most data reported as at 30 June 2012.
The exceptions to these are data on medical graduates, college examinations, new and total college fellows, which are reported for the previous calendar year, 2011.
Data on international medical graduates and overseas trained specialists are also reported for 2011, however, where data are for the 2012 financial year, this in noted.
Examination of Trends
The MTRP report has been produced annually since 1997. To aid readability, tables in the body of the report present information pertaining to the latest five years. Where data are available from the previous years, this has been included in Appendix D.
In some cases data from previous years have been updated or amended. Where this has occurred, it is duly noted. Therefore it should be noted that caution should be used when comparing data with that of previous editions of this report. Data can vary between years where its scope has changed due to more detailed specifications and different interpretations of what was required in previous reports. An effort has been made to note where there are significant differences in the way data have been collected or reported across years, or there have been changes in requirements, such as in relation to the training provided.
Medical College Acronyms and Specialties
Data on vocational training has been provided by medical colleges and is reported by medical speciality. Table 1.1 provides a guide to the full names of the medical colleges, the acronym used for these throughout the report and the associated specialities under which data is reported.
|ACD||Australasian College of Dermatologists||Dermatology|
|ACEM||Australasian College of Emergency Medicine||Emergency medicine|
|ACSP||Australasian College of Sports Physicians||Sport and exercise medicine|
|ACRRM||Australian College of Rural and Remote Medicine||General practice|
|ANZCA||Australian and New Zealand College of Anaesthetists||Anaesthesia|
|Faculty of Pain Medicine||Pain medicine|
|CICM||College of Intensive Care Medicine of Australia and New Zealand||Intensive care|
|RACGP||Royal Australian College of General Practitioners||General practice|
|RACMA||Royal Australasian College of Medical Administrators||Medical administration|
|RACP||Royal Australasian College of Physicians|
|Faculty of Occupational and Environmental Medicine||Occupational and Environmental medicine|
|Faculty of Public Health Medicine||Public health medicine|
|Australasian Faculty of Rehabilitation Medicine||Rehabilitation medicine|
|Adult Medicine Division||Adult medicine|
|Paediatrics and Child Health Division||Paediatrics|
|Australasian Chapter of Addiction Medicine||Addition medicine|
|Australasian Chapter of Palliative Medicine||Palliative medicine|
|Australasian Chapter of Sexual Health Medicine||Sexual health medicine|
|RACS||Royal Australasian College of Surgeons||Surgery|
|RANZCO||Royal Australian and New Zealand College of Ophthalmologists||Ophthalmology|
|RANZCOG||Royal Australian and New Zealand College of Obstetricians and Gynaecologists||Obstetrics and Gynaecology|
|RANZCP||Royal Australian and New Zealand College of Psychiatrists||Psychiatry|
|RANZCR||Royal Australian and New Zealand College of Radiologists||Radiodiagnosis|
|Faculty of Radiation Oncology||Radiation oncology|
|RCPA||Royal College of Pathologists of Australasia||Pathology|
|Joint Pathology – Royal Australasian College of Physicians and Royal College of Pathologists of Australasia||Pathology|