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:

1. The supervisor is physically present or contactable and available to respond at short notice at all times (including after hours care).
2. The IMG consults supervisor about all patient management.

Registrar level positions

The supervisor shares responsibility with the IMG for individual patients:

1. The IMG must inform the supervisor at agreed intervals about the management of individual patients.

The Applicant - additional considerations

1. If position requires supervision of other doctors - appropriate previous experience?
2. Previous experience in field applying for?
3. 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.