Australian College of Rural and Remote Medicine

Last updated

The Australian College of Rural and Remote Medicine
AbbreviationACRRM
Formation1997
PurposeRural and Remote Medicine
Headquarters Brisbane, Australia
Location
  • Australia
Region served
Australia
Official language
English
President
Dr Dan Halliday
Website https://www.acrrm.org.au/

The Australian College of Rural and Remote Medicine (ACRRM) is one of the two Australian Medical Council (AMC) accredited general practice colleges in Australia. The college sets and upholds standards for best practice provision of rural and remote medical care. It provides training and certification, and professional development for rural general practice. It also provides advocacy and support for current and prospective rural doctors.

Contents

The college has been part of an international movement to promote the concept of Rural Generalist Medicine as an important model of medical practice to support quality health services in rural and remote communities. The college is a signatory to the Cairns Consensus Statement of Rural Generalist Medicine endorsed by 23 national and international medical organisations. [1] ACRRM has a current national membership of around 4,500 including fellows, registrars, practitioners, junior doctors and students. [2] [ failed verification ]

Training for ACRRM Fellowship

The college provides training and assessment pathways to the award of Fellowship of ACRRM (FACRRM) to qualify as a Specialist Rural Generalist Physician. In all pathways, training is based on the ACRRM curricula and standards, and trainees must successfully complete the ACRRM assessment, education and training program which is delivered by the college.

The formative assessments include:

The summative assessments include:

The education includes:

The training includes:

Professional Development Program

ACRRM's Professional Development Program provides a framework for undertaking continuing professional development and maintenance of professional standards for unsupervised general practice in accordance with national regulatory authorities. The program is Australian Medical Council (AMC) accredited and designed to accommodate the distinct professional requirements of general practice in the rural and remote context. In particular it requires maintenance of advanced emergency care skills.

History

ACRRM was incorporated in March 1997 with 600 members. [3] :2

In 1998 the college published the first edition of its ACRRM Primary Curriculum. As of 2016 the curriculum is in its 4th edition. [4]

In 2002 the college's Professional Development Program (PDP) was formally recognized by the federal government as a mechanism for maintenance of Vocational Recognition (VR) for general practitioners in Australia. [3]

ACRRM received initial accreditation from the Australian Medical Council (AMC) in February 2007, and was included in the Australian Medicare legislation in April 2007. [2] [ failed verification ] Full accreditation was achieved in October 2011. The college's AMC accreditation status has been upheld since that time.

Status and recognition within Australian regulatory framework

College Fellowship status within Legislation and Regulations governing Medicare

Ratified Fellows of the ACRRM can attain vocational recognition as a general practitioner. This means that they can be recognised as a specialist general practitioner in Australia and through this can become eligible to deliver services that attract a Medicare rebate.

This eligibility was achieved in 2007 through a change to the Health Insurance Regulations (1975), [5] gazetted underneath the Health Insurance Act (1973). [6] These two documents define the conditions for vocational recognition of General Practitioners and provide three pathways to attaining this:

  1. Section 3EA of The Health Insurance Act 1973 allows doctors to gain a 'determination' as a General Practitioner if they are General Practitioners if they are Fellows of the Royal Australian College of General Practitioners.
  2. Section 3F of The Health Insurance act 1973 allows doctors to gain a determination as a General Practitioner if they meet the requirements set out by Medicare Australia. This is the Vocational Register. This list is held by the CEO of Medicare Australia.
  3. The third pathway relevant to Fellows of ACRRM is held in Section 6DA of The Health Insurance Regulations 1975. This section allows doctors to seek a determination that they are a General Practitioner if they 'meet ACRRM fellowship standards'. This regulation was added in April 2007 by the authority of the Governor General. [7]

Accreditation by the Australian Medical Council

The college initially sought recognition of Rural and Remote Medicine as a unique medical specialty in Australia through the then newly established Australian Medical Council (AMC) new specialty assessment process. [8] [ failed verification ]

This application was hotly debated with the AMC receiving 326 submissions for its deliberations. The application met resistance from some of the established medical groups[ citation needed ] and was rejected by the then Minister for Health and Ageing, Hon Tony Abbott MP [9] and the AMC Review Group proposed an alternative way forward for the process. They considered that "applying a broad definition of general practice, the practice of rural and remote medicine is largely general practice." [10] Additional comments said that "there is as yet no other instance in Australia of two organisations defining the standards of medical practice and the standards for training and assessment in one medical specialty...the AMC had agreed this should be possible." [10]

In light of these comments, on 22 December 2005 Minister Abbott released funding to the Australian College of Rural and Remote Medicine to further develop its rural doctor vocational training programs for assessment and accreditation within the specialty of 'general practice'. [11]

The college and its educational programs were subsequently assessed by the AMC and ACRRM and was granted initial accreditation as a standards body and provider of specific training and professional development program for the specialty of general practice in 2007. This decision included accreditation of training leading to Fellowship of ACRRM and of the ACRRM Professional Development Program. The AMC awarded the College Full accreditation as a provider of specialist medical training in general practice in 2011. Full accreditation status has been maintained since that time. [12]

ACRRM became the first Australian medical college to be recognized, fully assessed and accredited under the newly established and substantively more rigorous AMC accreditation framework. Currently it continues to seek recognition with the AMC to be recognised as a sub-speciality within general practice, known as rural generalism.[ citation needed ]

Related Research Articles

<span class="mw-page-title-main">Emergency medicine</span> Medical specialty concerned with care for patients who require immediate medical attention

Emergency medicine is the medical speciality concerned with the care of illnesses or injuries requiring immediate medical attention. Emergency physicians specialize in providing care for unscheduled and undifferentiated patients of all ages. As first-line providers, in coordination with emergency medical services, they are primarily responsible for initiating resuscitation and stabilization and performing the initial investigations and interventions necessary to diagnose and treat illnesses or injuries in the acute phase. Emergency medical physicians generally practice in hospital emergency departments, pre-hospital settings via emergency medical services, and intensive care units. Still, they may also work in primary care settings such as urgent care clinics.

In the medical profession, a general practitioner (GP) or family physician is a physician who treats acute and chronic illnesses and provides preventive care and health education to patients of all ages. GPs' duties are not confined to specific fields of medicine, and they have particular skills in treating people with multiple health issues. They are trained to treat patients to levels of complexity that vary between countries. The term "primary care physician" is more usually used in the US. In Asian countries like India, this term has been replaced mainly by Medical Officers, Registered Medical Practitioner etc.

Internal medicine, also known as general internal medicine in Commonwealth nations, is a medical specialty for medical doctors focused on the prevention, diagnosis, and treatment of internal diseases. Medical practitioners of internal medicine are referred to as internists, or physicians in Commonwealth nations. Internists possess specialized skills in managing patients with undifferentiated or multi-system disease processes. They provide care to both hospitalized (inpatient) and ambulatory (outpatient) patients and often contribute significantly to teaching and research. Internists are qualified physicians who have undergone postgraduate training in internal medicine, and should not be confused with "interns”, a term commonly used for a medical doctor who has obtained a medical degree but does not yet have a license to practice medicine unsupervised.

<span class="mw-page-title-main">Podiatrist</span> Medical professional devoted to the medical treatment of disorders of the foot

A podiatrist is a medical professional devoted to the treatment of disorders of the foot, ankle, and related structures of the leg. The term originated in North America but has now become the accepted term in the English-speaking world for all practitioners of podiatric medicine. The word chiropodist was previously used in the United States, but it is now regarded as antiquated.

<span class="mw-page-title-main">Anesthesiology</span> Medical specialty concerned with anesthesia and perioperative care

Anesthesiology, anaesthesiology, or anaesthesia is the medical specialty concerned with the total perioperative care of patients before, during and after surgery. It encompasses anesthesia, intensive care medicine, critical emergency medicine, and pain medicine. A physician specialized in anesthesiology is called an anesthesiologist, anaesthesiologist, or anaesthetist, depending on the country. In some countries the terms are synonymous, while in other countries they refer to different positions and anesthetist is only used for non-physicians, such as nurse anesthetists.

<span class="mw-page-title-main">Podiatry</span> Medicine branch focusing on the human lower extremities

Podiatry, or podiatric medicine, also known as chiropody, is a branch of medicine devoted to the study, diagnosis, and treatment of disorders of the foot, and ankle. The healthcare professional is known as a podiatrist. The US podiatric medical school curriculum includes lower extremity anatomy, general human anatomy, physiology, general medicine, physical assessment, biochemistry, neurobiology, pathophysiology, genetics and embryology, microbiology, histology, pharmacology, women's health, physical rehabilitation, sports medicine, research, ethics and jurisprudence, biomechanics, general principles of orthopedic surgery, and foot and ankle surgery.

<span class="mw-page-title-main">Residency (medicine)</span> Postgraduate medical training

Residency or postgraduate training is a stage of graduate medical education. It refers to a qualified physician, veterinarian, dentist, podiatrist (DPM) or pharmacist (PharmD) who practices medicine, veterinary medicine, dentistry, podiatry, or clinical pharmacy, respectively, usually in a hospital or clinic, under the direct or indirect supervision of a senior medical clinician registered in that specialty such as an attending physician or consultant. In many jurisdictions, successful completion of such training is a requirement in order to obtain an unrestricted license to practice medicine, and in particular a license to practice a chosen specialty. In the meantime, they practice "on" the license of their supervising physician. An individual engaged in such training may be referred to as a resident, registrar or trainee depending on the jurisdiction. Residency training may be followed by fellowship or sub-specialty training.

The Australian Medical Council (AMC) is an independent national standards and assessment body for medical education and training. It was established in 1985.

<span class="mw-page-title-main">Family medicine</span> Medical specialty

Family medicine is a medical specialty within primary care that provides continuing and comprehensive health care for the individual and family across all ages, genders, diseases, and parts of the body. The specialist, who is usually a primary care physician, is named a family physician. It is often referred to as general practice and a practitioner as a general practitioner. Historically, their role was once performed by any doctor with qualifications from a medical school and who works in the community. However, since the 1950s, family medicine / general practice has become a specialty in its own right, with specific training requirements tailored to each country. The names of the specialty emphasize its holistic nature and/or its roots in the family. It is based on knowledge of the patient in the context of the family and the community, focusing on disease prevention and health promotion. According to the World Organization of Family Doctors (WONCA), the aim of family medicine is "promoting personal, comprehensive and continuing care for the individual in the context of the family and the community". The issues of values underlying this practice are usually known as primary care ethics.

A medical specialty is a branch of medical practice that is focused on a defined group of patients, diseases, skills, or philosophy. Examples include those branches of medicine that deal exclusively with children (paediatrics), cancer (oncology), laboratory medicine (pathology), or primary care. After completing medical school or other basic training, physicians or surgeons and other clinicians usually further their medical education in a specific specialty of medicine by completing a multiple-year residency to become a specialist.

<span class="mw-page-title-main">Medical education in Australia</span> Summary of education and training of medical practitioners (doctors) in Australia.

Medical education in Australia includes the educational activities involved in the initial and ongoing training of Medical Practitioners. In Australia, medical education begins in Medical School; upon graduation it is followed by a period of pre-vocational training including Internship and Residency; thereafter, enrolment into a specialist-vocational training program as a Registrar eventually leads to fellowship qualification and recognition as a fully qualified Specialist Medical Practitioner. Medical education in Australia is facilitated by Medical Schools and the Medical Specialty Colleges, and is regulated by the Australian Medical Council (AMC) and Australian Health Practitioner Regulation Agency (AHPRA) of which includes the Medical Board of Australia where medical practitioners are registered nationally.

<span class="mw-page-title-main">Royal Australian College of General Practitioners</span>

The Royal Australian College of General Practitioners (RACGP) is the professional body for general practitioners (GPs) in Australia. The RACGP is responsible for maintaining standards for quality clinical practice, education and training, and research in Australian general practice. The RACGP represents over 40,000 members across metropolitan, urban, rural and remote Australia.

An international medical graduate (IMG), earlier known as a foreign medical graduate (FMG), is a physician who has graduated from a medical school outside of the country where he or she intends to practice. The term non-local medical graduate may be similarly used in countries with distinct licensing regions within them. Generally, the medical school of graduation is one listed in the World Directory of Medical Schools (WDOM) as accredited by the Foundation for Advancement of International Medical Education and Research or the World Health Organization.

Fellow of the Royal Australasian College of Physicians, abbreviated as the post-nominal initials FRACP, is a recognition of the completion of the prescribed postgraduate specialist training programme in internal adult or internal paediatric medicine of the Royal Australasian College of Physicians.

The American Board of Family Medicine (ABFM) is a non-profit, independent medical association of American physicians who practice in family medicine and its sub-specialties. Founded in February 1969 as the American Board of Family Practice (ABFP), the group was the 20th medical specialty to be recognized by the American Board of Medical Specialties and was formed out of a need to encourage medical school graduates to enter general practice. It adopted its current name in 2005.

<span class="mw-page-title-main">Health care in Australia</span> Availability, funding, and provision of health services in Australia

Health care in Australia operates under a shared public-private model underpinned by the Medicare system, the national single-payer funding model. State and territory governments operate public health facilities where eligible patients receive care free of charge. Primary health services, such as GP clinics, are privately owned in most situations, but attract Medicare rebates. Australian citizens, permanent residents, and some visitors and visa holders are eligible for health services under the Medicare system. Individuals are encouraged through tax surcharges to purchase health insurance to cover services offered in the private sector, and further fund health care.

Dr. Sue Page AM is the past President of the Rural Doctors Association of Australia and current

Membership of the Royal College of General Practitioners (MRCGP) is a postgraduate medical qualification in the United Kingdom (UK) run by the Royal College of General Practitioners (RCGP). On successful completion of the assessment, general practitioners are eligible to use the post-nominal letters MRCGP that indicate Membership of the RCGP.

Overseas trained doctors in Australia (OTDs) are medical practitioners who completed their core medical training overseas. Historically, from time to time there has been a shortage of qualified medical practitioners in Australia, especially in rural Australia, and the Australian Government has at times encouraged immigration for such graduates to Australia.

<span class="mw-page-title-main">Australasian College of Sport and Exercise Physicians</span>

The Australasian College of Sport and Exercise Physicians (ACSEP) is a not-for-profit professional organisation responsible for training, educating, and representing over 350 doctors in Australia and New Zealand. These doctors practise medicine in the specialty of sport and exercise medicine (SEM). The ACSEP is the smallest of the 15 recognised specialist medical Colleges in Australia with approximately 260 Fellows and Registrars in 2020. Australia and New Zealand, along with the UK, have been cited as pioneer countries in the establishment of SEM as a stand-alone specialty.

References

  1. "Cairns Consensus Statement of Rural Generalism". World Summit Rural Generalist Medicine. Society of Rural Physicians of Canada. Archived from the original on 6 November 2016. Retrieved 11 November 2016.
  2. 1 2 "Australian College of Rural and Remote Medicine". ACRRM. Archived from the original on 25 September 2007. Retrieved 22 September 2007.
  3. 1 2 ACRRM Annual Report 2002-03. "President's Report" (PDF). www.acrrm.org.au. Australian College of Rural and Remote Medicine. Retrieved 11 November 2016.
  4. Australian College of Rural and Remote Medicine. "ACRRM Primary Curriculum 4th edition" (PDF). www.acrrm.org.au. Australian College of Rural and Remote Medicine. Retrieved 11 November 2016.
  5. "Health Insurance Regulations 1975". ComLaw. Attorney General's Department. Retrieved 26 September 2007.
  6. "Health Insurance Act 1973". ComLaw. Attorney General's Department. Retrieved 26 September 2007.
  7. "Health Insurance Amendment Regulation 2007 (No. 1)". ComLaw. Attorney General's Department. Retrieved 26 September 2007.
  8. "Recognition of Medical Specialties". Australian Medical Council. Archived from the original on 14 September 2007. Retrieved 27 September 2007.
  9. "Status of Current Applications for Recognition". Australian Medical Council. Archived from the original on 29 August 2007. Retrieved 27 September 2007.
  10. 1 2 "Final Report. Assessment of rural and remote medicine as a medical specialty" (PDF). Australian Medical Council. Archived from the original (PDF) on 18 September 2006. Retrieved 27 September 2007.pg 72
  11. "More support for rural and remote medicine" (PDF) (Press release). Australian Government Department for Health. 22 December 2005. Archived from the original (PDF) on 7 September 2006.
  12. Australian Medical Council. "Accreditation Report: Training Leading to Fellowship of the Australian College of Rural and Remote Medicine, Feb 2015" (PDF). www.amc.org.au. Australian Medical Council Ltd. Archived from the original (PDF) on 17 February 2017. Retrieved 11 November 2016.