Determining the need for a PESCI
The PMCV has developed a risk matrix (based on the AMC risk matrix) to determine if a PESCI is required for an IMG doctor. A flow chart has been developed to guide health services in their decision making regarding whether or not an IMG requires a PESCI based on the following considerations:
Defining what is a well supervised hospital position?
HMO level positions
The supervisor takes direct and principal responsibility for individual patients:
- The supervisor is physically present or contactable and available to respond at short notice at all times (including after hours care).
- The IMG consults supervisor about all patient management.
Registrar level positions
The supervisor shares responsibility with the IMG for individual patients:
The IMG must inform the supervisor at agreed intervals about the management of individual patients.
The Applicant - additional considerations
- If position requires supervision of other doctors - appropriate previous experience?
- Previous experience in field applying for?
- Recency of practice?
Any IMG on the Competent Authority or Standard pathway, who is being employed into a hospital-based position, unless it is identified as being low risk, is required to have a PESCI.
An application to AHPRA for registration is required to include either the PESCI outcome or justification for a PESCI not being required.