Workforce education issues for international medical graduate specialists in anaesthesia.

Higgins, Niall, Taraporewalla, Kersi J., Steyn, Michael P., Brijball, Rajesh and Watson, Marcus (2010) Workforce education issues for international medical graduate specialists in anaesthesia.. Australian Health Review, 34 2: 246-251. doi:10.1071/AH09793

Author Higgins, Niall
Taraporewalla, Kersi J.
Steyn, Michael P.
Brijball, Rajesh
Watson, Marcus
Title Workforce education issues for international medical graduate specialists in anaesthesia.
Journal name Australian Health Review   Check publisher's open access policy
ISSN 0156-5788
Publication date 2010
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1071/AH09793
Volume 34
Issue 2
Start page 246
End page 251
Total pages 6
Editor Andrew Wilson
Place of publication Collingwood, VIC, Australia
Publisher CSIRO Publishing
Collection year 2011
Language eng
Formatted abstract
International medical graduate (IMG) specialists in anaesthesia need education to be part of the assessment process for pre-registration college fellowship. Fellowship of the anaesthetic college is required in Australia for registration as a specialist in this field. Marked differences exist between local trainees and IMG specialists in terms of training, stakes of the exam and isolation of practice. We have examined the reasons for the low pass rate for IMG specialists compared to the local trainees in the Australian and New Zealand College of Anaesthetists (ANZCA) final fellowship examinations. We also offer an IMG specialists’ view of this perceived problem. It highlights their difficulties in obtaining adequate supervision and education.

What is known about the topic? There has been a worldwide shortage of doctors over the last decade. In Australia this shortage has been attributed to government policy in the 1990s limiting the number of medical school places. Other factors that may have contributed to this shortage are changes in the practice of medicine, increasing specialisation, growth in population and patterns of population settlement at the coastal fringes of Australia. The use of international medical graduates and reliance on them is associated with several problems and challenges. A key factor relates to their performance at a standard acceptable to the country.

What does the paper add? This paper offers an examination of the issues that present to IMG specialists located at rural and remote areas of Australia. The global aim of this study is to understand the workforce education issues that present to IMG specialists as a basis for supporting this group, having migrated to Australia, to better prepare for assessment of their practice in this country. Results of a survey of IMG specialists in Anaesthesia are included to contribute to an overall view. It highlights their understanding of the issues that present when preparing for specialist assessments.

What are the implications for practitioners? This information will be useful for policy practitioners who determine critical elements that influence workforce planning and education support. Decision makers will be able to make more informed decisions on the need to integrate education into planning for workforce efficiencies. There are currently no published data explaining why the pass rate for IMG specialist in anaesthesia is so different from local trainees and this paper also offers a viewpoint of present issues from those who are attempting these examinations.
© AHHA 2010 Open Access
Keyword Overseas-trained doctors
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Official 2011 Collection
School of Medicine Publications
School of Psychology Publications
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Citation counts: TR Web of Science Citation Count  Cited 3 times in Thomson Reuters Web of Science Article | Citations
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Created: Mon, 21 Mar 2011, 20:42:02 EST by Sia Athanasas on behalf of Medicine - Royal Brisbane and Women's Hospital