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    The purpose of the Australian Medical Council is to ensure that standards of education, training

    and assessment of the medical profession promote and protect the health of the Australian Community.

    A u s t r a l i a n M e d i c a l C o u n c i l

    A P P L I C A T I O N P R O C E D U R E S

    A N D R E Q U I R E M E N T S F O R

    S P E C I A L I S T A S S E S S M E N T

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    A P P L I C AT I O N P R O C E D U R E S

    A N D R E Q U I R E M E N T S F O R

    S P E C I A L I S T A S S E S S M E N T

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    TABLE OF CONTENTS

    INTRODUCTION ...........................................................................................................................2

    SPECIALIST BOOKLET ..............................................................................................................3

    STATEMENT ON PRIVACY .........................................................................................................5

    STANDARDS OF SPECIALIST PRACTICE IN AUSTRALIA .....................................................6

    THE 11 STEP SPECIALIST ASSESSMENT PROCESS ..............................................................7

    AMC COMMUNICATION PROCESS WITH THE APPLICANT ...................................................8

    Incomplete application communication process ...............................................................................................8

    Complete application applicant contact points ..................................................................................................8

    STEP 1 RECEIPT OF FORMS SUBMITTED BY APPLICANT ...............................................10

    STEP 2 PRIMARY SOURCE VERIFICATION ........................................................................11

    EICS verication under the Specialist Pathway................................................................................................. 11

    Successful or incomplete applications ...............................................................................................................12

    STEP 3 REFERRAL TO SPECIALIST COLLEGE .................................................................13

    STEP 4 APPLICANT TO SEND FORM SC AND ASSESSMENT FEE TO COLLEGE ..........14

    College fees ......................................................................................................................................................14

    Fees to be paid in Australian currency ...............................................................................................................14

    Illness and/or deferring scheduled interview......................................................................................................14

    STEP 5 COLLEGE ASSESSMENT OF APPLICATION ..........................................................15

    College assessment processes ........................................................................................................................15

    College interview processes ..............................................................................................................................15

    Interview purpose...............................................................................................................................................16

    College comparability standard ..........................................................................................................................16

    College rejection of application ..........................................................................................................................18

    College to schedule interviews...........................................................................................................................18

    General college training and examination requirements ....................................................................................18

    STEP 6 AMC TO RECEIVE COPY OF REPORT 1 AND FORWARD TO APPLICANT .........19

    College notication of assessment outcome Report 1/Combined report........................................................19

    Application progress by college outcome ...........................................................................................................20

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    STEP 7 PARTIALLY COMPARABLE DECISION REQUIREMENTS FOR FURTHER

    TRAINING AND/OR EXAMINATION .........................................................................................21

    STEP 8 AMC TO ADVISE COLLEGE OF APPLICANTS INTENTION TO COMPLY ............23

    STEP 9 COLLEGE ADVISES AMC OF FINAL ASSESSMENT DECISION ...........................24

    STEP 10 AMC RECEIVES REPORT 2 FROM COLLEGE .....................................................26

    Application progress by college outcome ...........................................................................................................26

    STEP 11 AMC ADVISES THE MEDICAL BOARD OF AUSTRALIA (MBA) & WESTERN

    AUSTRALIAN MEDICAL BOARD OF APPLICANTS ELIGIBILITY TO PRESENT FOR

    REGISTRATION .........................................................................................................................28

    STATEMENT ON COLLEGE FELLOWSHIP .............................................................................29

    SEEKING REGISTRATION .......................................................................................................30

    APPENDIX A STATUTORY DECLARATIONS ........................................................................31

    Statutory declarations witnessed in Australia.....................................................................................................31

    Statutory declarations/afdavit witnessed overseas ..........................................................................................31

    APPENDIX B ENGLISH LANGUAGE PROFICIENCY ..........................................................33

    APPENDIX C COMMON ERRORS THAT DELAY APPLICATIONS .......................................34

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    1 Information Bookletfor applicants

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    2

    INTRODUCTION

    An applicant is eligible to apply to the Australian Medical Council (AMC)

    as an overseas trained specialist under the specialist assessment

    pathway if they can meet the eligibility criteria set out in theApplying

    to the Australian Medical Council Booklet. At the conclusion of the

    specialist assessment process, successful applicants will be eligible

    to present to the Medical Board of Australia (MBA) & Western

    Australian Medical Board for registration to practice as a specialist in

    the assessed speciality only.

    An applicant under the specialist assessment pathway will be expected

    to have satisfied all the training and examination requirements

    to practice in their field of specialty in their country of training. An

    applicant who cannot meet this criterion will be required to apply under

    the AMC non-specialist pathway to be deemed eligible to present to

    the Medical Board of Australia (MBA) & Western Australian Medical

    Board seeking general (non-specialist) registration.

    The purpose of the specialist assessment procedure is to determine

    the level of comparability of overseas trained specialists training and

    qualifications with the level of Australian trained specialists currently

    entering the Australian workforce.

    The role of the AMC is to verify the information contained within the

    application provided by the applicant to determine if an applicant is

    eligible to have their specialist skills assessed by a specialist medical

    college. After the specialist medical college assessment, it is the role

    of the AMC to advise the Medical Board of Australia (MBA) & Western

    Australian Medical Board of the outcome of the assessment made by

    the specialist medical college. The AMC administers the procedure,

    but the appropriate specialist medical college assesses the applicants

    training and experience.

    The role of the specialist medical college is to assess the training

    and experience of the applicant as compared to the training and

    examination program of the college for Australian trained specialists,

    and the skills standard required practicing in that specialty in Australia.

    For a list of fields of specialist practice and assessing colleges in

    Australia and Summary of college training/examinations please refer

    to www.amc.org.au.

    The role of the Medical Board of Australia (MBA) & Western Australian

    Medical Board is to administer the registration laws in Australia and

    to make the final decision to register a medical practitioner within a

    State or Territory.

    http://www.amc.org.au/index.php/pub/downloads/http://www.amc.org.au/index.php/pub/downloads/http://www.amc.org.au/http://www.amc.org.au/http://www.amc.org.au/index.php/pub/downloads/http://www.amc.org.au/index.php/pub/downloads/
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    3 Information Bookletfor applicants

    SPECIALIST BOOKLET

    This booklet outlines the requirements relating to the assessment

    of overseas trained specialists, as administered by the Australian

    Medical Council (AMC) and conducted by the constituent Specialist

    Medical Colleges of the Committee of Presidents of Medical

    Colleges (CPMC). These are current as at May 2010.

    The assessment procedure came into operation in January 1993.

    Assessment requirements and fees may change at any time

    without notice, therefore applicants are advised to visit the AMCs

    website www.amc.org.aufor current fees and requirements before

    submitting their application.

    All applications received by the AMC after 1 January 2006 will

    be required to have Primary Source Verifications. In the case of

    specialists, this will include postgraduate qualifications.

    Applicants should:

    be familiar with current assessment requirements before

    lodging an application;

    note that the AMC cannot determine eligibility for assessmentuntil it receives a formal written application, which includes the

    required documentation; and

    be aware that the AMC is unable to provide advice on matters

    relating to an individuals specialist qualification, training or

    experience without completion of a formal assessment through

    the agreed procedures that are outlined in this booklet.

    All matters concerning the AMC/Specialist Medical Collegeassessment process including: eligibility; arrangements for

    assessment; steps after the application has been referred to

    the assessing College; and notification of the final result, will be

    conveyed to the applicant in writing by the AMC Secretariat or the

    assessing College. While the AMC Secretariat will assist applicants

    by answering inquires over the telephone, the Council is bound

    only by information and requests provided in writing.

    http://www.amc.org.au/http://www.amc.org.au/
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    4

    It is the responsibility of all applicants for specialist assessment to

    know and comply with the procedures and instructions of the AMC

    and assessing College. These are set down in this booklet and in

    instructions and requirements in formal correspondence from the

    AMC Secretariat and the relevant College.

    In 1996, the Commonwealth Government amended legislation to

    impose restrictions on access to Medicare (the national universal

    health insurance scheme); including a ten-year delay on access

    to Medicare provider numbers for overseas trained doctors who

    apply to sit the AMC examination after 1 January 1997. Inquires

    about the restrictions should be addressed to the Workplace and

    Distribution Section of the Australian Department of Health and

    Ageing (telephone 02 6289 5903).

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    5 Information Bookletfor applicants

    STATEMENT ON PRIVACY

    The AMC is required to observe the provisions of the Privacy

    Amendment (Private Sector) Act 2000, which has effect from 21

    December 2001 and sets out the requirements for the collection

    and use of personal information collected before and after that

    date.

    Each of the Application Forms required by the AMC includes a

    statement relating to the AMCs privacy procedures. Each must be

    signed by the applicant to give formal consent for the AMC to collect

    and hold personal information. If the consent is not provided, the

    AMC will not be able to process the application.

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    6

    STANDARDS OF SPECIALIST PRACTICE IN

    AUSTRALIA

    For a list of medical specialties recognised in Australia please refer

    to the recognition area on the Australian Medical Council websitewww.amc.org.au.

    Medical education and clinical practice vary considerably from one

    country to another, reflecting access to educational and clinical

    resources, disease patterns and local health care priorities. These

    variations are even more significant in the area of specialist medical

    practice. Experience with the assessment of overseas trained

    specialists in New South Wales from 1990, and nationally through

    the AMC from 1993, confirms that many overseas trained specialists

    will experience difficulties meeting the standards required for

    specialist practice in Australia, or will require significant periods of

    advanced training to meet the standards. Advanced training

    positions are limited in number and are subject to open competition

    with Australian applicants.

    Note: Fellows of specialist medical

    colleges are expected to undertake

    Continuing Professional Developmentor Maintenance of Professional

    Standards programs conducted by

    the relevant colleges for the purposes

    of re-certification for registration in

    Australia.

    http://www.amc.org.au/http://www.amc.org.au/
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    7 Information Bookletfor applicants

    THE 11 STEP SPECIALIST ASSESSMENT

    PROCESS

    The final decision to register a medical practitioner rests solely with

    the Medical Board of Australia (MBA) & Western Australian MedicalBoard in Australia.

    THE APPLICANT THE AMC SPECIALIST MEDICALCOLLEGE

    Application assessed through

    AMCPrimary SourceVerification.

    AMC receives forms anddocumentation from applicant.

    STEP 1

    If the colleges final decision in that the applicant is not comparable theapplication for specialist assessment is discontinued in accordance with

    step 10. If the applicant has been determined to be substantinallycomparable, the application proceeds to step 11.

    If the applicant has been determined not to be comparable the application forspecialist assessment is discontinued in accordance with the process outlined in Step 6.

    If the applicant has received advice that they are required to undergo additional components of the assessment procedurethen the application will proceed to step 7.

    If the applicant has been recognised as being substantially comparable the application will now proceed directly to Step 9.

    STEP 2

    Referral sent to specialist college,

    applicant advised of referral.

    STEP 3

    STEP 10

    Applicant completes and sendsForm SC and initial assessment

    fee to specialist college.

    STEP 4

    Assess application against collegestandards to determine compatibilityto an Australian Trained Specialist.

    STEP 5

    AMC receives report from specialistmedical college advising of applicantslevel of comparability. Report forwarded

    to applicant.

    STEP 6

    STEP 8

    AMC advises college of the applicantsintention to comply with Report 1

    requirements.

    STEP 9

    After applicants completion ofReport 1 requirements advise theAMC of final assessment decision

    via Report 2.

    STEP 7

    Applicant advises AMC in writingof their intention to comply with

    the requirements set out inReport 1.

    Receive report 2 from college andforward copy to appplicant.

    STEP 11

    Advise the relevant Medical Boardof the applicants eligibility

    to present for registration as a specialist.

    An incomplete application will not proceed past Step 2 until completedocumentation is provided. If the AMC determines that your application

    is complete the application will proceed to Step 3.

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    8

    AMC COMMUNICATION PROCESS WITH THE

    APPLICANT

    After the lodgment of the required application forms and

    documentation with the AMC, the application for specialistassessment will proceed along the 11-Step Specialist Assessment

    Process identified at page 6 of this booklet.

    During various steps of the assessment process, the applicant will

    be contacted by the AMC to be advised of the current stage of the

    application and where relevant, the actions required by the applicant

    to further progress the application.

    The AMC will advise the applicant of the outcome of the Primary

    Source Verification process as the first point of contact in

    processing all applications as identified within the Assessment

    Process Diagram.

    Incomplete application communication process

    If an application does not comply with the AMCs requirements set

    out in theApplying to the Australian Medical CouncilBooklet it will

    be deemed to be incomplete and the first contact point with the

    applicant will be at Step 2 of the specialist assessment process.The applicant will be notified that the application will not proceed

    past Step 2 until the required documentation and forms have been

    provided to the AMC.

    Complete application applicant contact points

    If an application is determined to be complete after the Primary

    Source Verification process in accordance with Step 2, the applicant

    will be notified at all following steps of the application process:

    Applicant contact point one STEP 3:

    The AMC advises the applicant that the application has been

    referred to the specialist medical college.

    Applicant contact point two STEP 5:

    The specialist medical college will directly contact the applicant

    to schedule the time and place for an interview to take place

    between the applicant and the specialist medical college, if aninterview is required by the relevant college.

    Note: Because of the high number

    of applications received by the AMC,

    and in order to be able to process

    all applications equally and fairly,

    applicants should not contact the AMC

    to request whether their application

    has been received.

    Note: Applications that are incompletewill incur an administration fee of

    $110.00 before they can be processed

    by the Australian Medical Council.

    http://www.amc.org.au/index.php/pub/downloads/http://www.amc.org.au/index.php/pub/downloads/
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    9 Information Bookletfor applicants

    Applicant contact point three STEP 6:

    After the interview, the AMC formally advises the applicant of

    the specialist medical college decision by forwarding to the

    applicant a copy of the Report 1 or Combined Report provided

    by the college to either:

    1. Recognise the applicants training and experience as

    substantially comparable OR reject the applicant from further

    assessment by determining that the applicants training and

    experience are not equivalent to the level of an Australian

    trained specialist.

    or the college will

    2. Require the applicant to undergo additional components of

    the assessment procedure to make a final assessment of

    the applicants training and experience comparability to the

    level of an Australian trained specialist.

    Applicant contact point four STEP 10:

    On completion by the applicant of the required additional

    training or exam components determined by the specialist

    medical college, the AMC will provide the applicant with a copy

    of the Report 2 which is the colleges final determination of

    comparability to either recognise the applicant as substantially

    comparable to the level of an Australian trained specialist or to

    determine the applicant not to be comparable on the basis of

    the assessment undertaken by the specialist medical college.

    Applicant contact point fve STEP 11:

    If the Report 2 deems the applicants training and experience to

    be substantially comparable, the AMC will provide the Applicantwith a copy of correspondence to the Medical Board of Australia

    (MBA) & Western Australian Medical Board advising of the

    applicants eligibility to present for registration to practice in the

    field of specialty which they have been assessed in under the

    specialist pathway.

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    10

    STEP 1 RECEIPT OF FORMS SUBMITTED BY

    APPLICANT

    At this stage of your application you have already forwarded the

    required specialist assessment application forms to the AustralianMedical Council (AMC). It is important that these forms have been

    completed in accordance with the requirements set out within the

    AMCsApplying to the Australian Medical CouncilBooklet.

    Application forms and documents which have not been correctly

    witnessed are not legally recognised in Australia and will not be

    accepted.

    When the required application forms and documents have been

    received by the AMC, your application will take up to two weeks

    to be assessed by the Primary Source Verification section. In the

    interests of processing all applications efficiently and fairly, you

    should not contact the AMC to check the status of your application

    if it has not been at least two weeks since your documents were

    sent to the AMC.

    http://www.amc.org.au/index.php/pub/downloads/http://www.amc.org.au/index.php/pub/downloads/
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    11 Information Bookletfor applicants

    STEP 2 PRIMARY SOURCE VERIFICATION

    Primary Source Verification is the process used by the AMC to verify

    the documentation and information provided by each applicant

    according to the AMCs requirements set out in the Applying to

    the Australian Medical CouncilBooklet and to the documentation

    requirements of the individual specialist medical college.

    It is the role of each specialist medical college to conduct an

    assessment of an applicants training and experience under

    the specialist pathway; however the AMC must ensure that the

    documentation provided by the applicant satisfies the initial

    requirements to be forwarded on to the assessing college.

    The Primary Source Verification section will check your application

    against the criteria set out within the Applying to the Australian

    Medical CouncilBooklet to determine the application to be either

    complete or incomplete.

    A complete application will have satisfied all the requirements set

    out in theApplying to the Australian Medical CouncilBooklet.

    An incomplete application will require the applicant to provide further

    documentation or information to satisfy all of the requirements setout in theApplying to the Australian Medical CouncilBooklet. In this

    event, the applicant will be notified by the AMC that the application

    will not be able to proceed until the applicant provides or resubmits

    the required documentation.

    EICS verication under the Specialist Pathway

    All applications received by the AMC for assessment after 1 January

    2006 are required to be verified by the International Credentials

    Service (EICS) of the United States Education Commission forForeign Medical Graduates (ECFMG).

    The applicants primary and highest specialist degree/diploma will

    be electronically sent to the ECFMG for verification at this stage of

    the Primary Source Verification process. The AMC must then wait

    to receive the results of the verification process by the ECFMG. At

    this stage of the process the applicant will receive an EICS number.

    Note: The AMC processes all

    applications for specialist assessment

    strictly in the order they are received.

    Whilst every effort is made by the

    AMC to reduce the processing time

    for applications, many applications

    submitted to the AMC are incomplete

    or do not comply with the prescribed

    requirements, adding to the processing

    times and causing unnecessary delays

    for other applicants. Applicationsthat are incomplete will incur an

    administration fee of $110.00 before

    they can be processed by the Australian

    Medical Council.

    http://www.amc.org.au/index.php/pub/downloadshttp://www.amc.org.au/index.php/pub/downloadshttp://www.amc.org.au/index.php/pub/downloadshttp://www.amc.org.au/index.php/pub/downloadshttp://www.amc.org.au/index.php/pub/downloadshttp://www.amc.org.au/index.php/pub/downloadshttp://www.amc.org.au/index.php/pub/downloadshttp://www.amc.org.au/index.php/pub/downloadshttp://www.amc.org.au/index.php/pub/downloadshttp://www.amc.org.au/index.php/pub/downloadshttp://www.amc.org.au/index.php/pub/downloadshttp://www.amc.org.au/index.php/pub/downloads
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    12

    Once this process is completed, a covering letter and an AMC

    Certificate of Verification of Medical Qualifications will be issued

    with the applicants verification number. The AMC will notify the

    relevant Medical Board and Specialist College of the results of this

    process.

    Applicants should be aware that the process of EICS verification

    can take a significant amount of time. Often, the notification from

    the ECFMG back to the AMC of the verification results can take up

    to three months to be received. In some cases, the process can

    take longer. Because of this, the AMC will continue to progress

    your application after the initial request for EICS verification has

    been made. This means that a complete application is eligible to be

    referred to the specialist medical college for assessment of trainingand experience whilst the AMC waits to receive the results of the

    EICS verification process.

    When the ECFMG provides final confirmation that the EICS

    verification process has been successfully completed, the AMC

    will notify the applicant and the Medical Board of Australia (MBA)

    & Western Australian Medical Board in writing of the result of the

    EICS verification process.

    Successful or incomplete applications

    Successful application

    If the AMC determines that the applicant is eligible to present

    for assessment for recognition as a specialist, and that all

    documentation requested by the assessing specialist medical

    college is complete, the AMC will refer the application to the college

    in accordance with Step 3 below.

    Incomplete applications

    Notification of incomplete or inadequate documentation will be sent

    by email or letter to the applicant. The assessment of the application

    will be suspended at this stage and the applicant will not be able to

    proceed to Step 3 until the required documentation is provided to

    the AMC. The applicant should comply with the request to forward

    complete documentation to the AMC as soon as possible to avoid

    further delays at this stage of the process.

    If an applicant is required to provide information by completing

    a statutory declaration, please refer to Appendix A for further

    information on how to complete this stage of the process.

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    13 Information Bookletfor applicants

    STEP 3 REFERRAL TO SPECIALIST COLLEGE

    When the AMC has determined that an application is complete,

    the application will be forwarded to the specialist medical college

    for assessment of the applicants training and experience against

    college standards.

    The AMC will advise the applicant of referral of their application

    to the college by email and enclose a Form SC Application for

    Assessment by Specialist Medical College within this letter. It is

    the applicants responsibility to complete and forward the Form SC

    and initial assessment and interview fee to the relevant college to

    progress the application at this stage. For further information on

    how to complete the Form SC, please refer to theApplying to the

    Australian Medical CouncilBooklet.

    A schedule of Colleges fees for specialist assessment is provided

    on the AMCs Website at www.amc.org.au/

    http://www.amc.org.au/index.php/pub/downloadshttp://www.amc.org.au/index.php/pub/downloadshttp://www.amc.org.au/http://www.amc.org.au/http://www.amc.org.au/index.php/pub/downloadshttp://www.amc.org.au/index.php/pub/downloads
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    STEP 4 APPLICANT TO SEND FORM SC AND

    ASSESSMENT FEE TO COLLEGE

    The specialist medical college is not obliged to initiate its

    assessment process until it has received the completed Form SC,required fee (which must be made payable in Australian dollars by

    bank draft to the assessing College) and any other relevant college

    application forms from the applicant.

    College fees

    College fees are subject to variation from time to time and

    colleges may charge additional fees following the initial specialist

    assessment. Further information should be sought directly from the

    relevant college.

    Information regarding withdrawal fees and refunds that may be

    payable in certain circumstances by a college, is available directly

    from the relevant college.

    Fees to be paid in Australian currency

    Fees must be paid in Australian currency. Payments from outside

    Australia must be made by credit card, bank cheque, or bank draft,

    payable by an Australian bank.

    Illness and/or deferring scheduled interview

    Applicants withdrawing from a scheduled specialist medical college

    interview must advise the assessing college immediately and

    provide documented proof of severe illness or pressing domestic

    circumstances to enable the College to decide whether a refund is

    payable.

    Assessing colleges may not be able to provide a facility for deferring

    fees for the interview, nor assist applicants in obtaining financial

    assistance to present for assessment.

    The AMC and specialist medical colleges reserve the right to

    introduce, alter, amend or make other changes to fees at any time

    without notice.

    Applicants wishing to defer an interview or application process are

    required to notify the AMC in writing of such requests.

    Note: Under Australian law it is illegal

    to send cash through the mail.

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    15 Information Bookletfor applicants

    STEP 5 COLLEGE ASSESSMENT OF

    APPLICATION

    It is the role of the specialist medical college to assess the

    applicants previous training and experience to determine theapplicants comparability to the standard of an Australian trained

    specialist currently entering the workforce and to assess the

    applicants competency to practice in that specialty in Australia.

    College assessment processes

    At this stage of the assessment process, the college must make

    an initial assessment of the applicants specialist training and

    experience against college standards. The assessment procedures

    used by each college may include the following components:

    1. Initial assessment of documentary evidence of specialist

    training overseas and relevant experience, including a review

    of log books and evidence of advanced training overseas;

    2. A formal interview;

    3. The Part I or Primary Examination of the relevant college (or a

    modified examination based on the Part I Examination);

    4. Further specialist training;

    5. The Part II (Membership or Fellowship) Examination (or a

    modified examination based on the Part II Examination).

    College interview processes

    In most cases, the specialist medical college will arrange for an

    interview with the applicant following a review of the applicants

    documentation. This interview will involve a committee of Senior

    Fellows of the college.

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    Interview purpose

    The aim of the interview at this stage of the assessment process is

    to determine and confirm the nature and quality of the applicants

    training and experience, and to ensure that the applicant

    understands the standards of competence and safety expected of

    an Australian trained specialist currently entering the workforce.

    The interview is used by the college to determine the training or

    examination components, if any, which the applicant would need to

    complete to meet the college standard.

    College comparability standard

    The standard applied by the college in the assessment process

    is the level of the applicants specialist training and experience

    determined by the college as compared to the training and

    examination program of the college applied to Australian trained

    specialists, and the skills standard required to practice in that

    specialty in Australia.

    Overseas trained specialists will be considered by the college to

    be either substantially comparable, partially comparable, or not

    comparable on the basis of the initial assessment undertaken by

    that college, after referral of the application to the college by the

    AMC.

    Substantially comparable determination

    A determination to be substantially comparable means that an

    applicant must have satisfied the college requirements for this

    category in relation to previous training, assessment and recent

    practice.

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    17 Information Bookletfor applicants

    Partially comparable determination

    A determination to be partially comparable means that an

    applicant must have satisfied the college requirements for

    this category in relation to previous training, assessment andrecent practice. In order for a partially comparable applicant to

    be considered substantially comparable the applicant will be

    required to undertake a period of up to 24 months top-up training

    under a supervisor appointed through the college assessment

    unit, to ensure that the level of performance reaches that of an

    Australian trained specialist, and to assist with their transition to

    the Australian health system, provide professional support and

    help them to access continuing professional development.

    Other prescribed requirements including formal assessment may

    be imposed at this stage of the specialist assessment process.

    Applicants who are considered to be partially comparable are

    required to complete a period of top-up training and/or practice

    assessment to address identified training needs or determine

    competence in specified skills area.

    Not comparable determination

    A determination to be not comparable means that an applicant

    should not be permitted to register to practice as a specialist, but

    may be eligible to seek registration to enable them to complete

    formal college training and assessment, if they are able to gain

    a training post, or to seek registration to practice in another

    capacity.

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    College rejection of application

    In some cases however, the college may decide to reject the

    application without scheduling an interview with the applicant if it

    is clear to the Board of Censors of the college following review

    of the documentation that the applicants training and examination

    experience bears little relationship to the standard expected of an

    Australian trained specialist in that field. The college would decide

    to reject the application on these grounds in the interests of saving

    the time and money of the applicant.

    College to schedule interviews

    Each college will follow its own schedule of interviews. If the college

    decides to proceed to interview, it will contact the applicant directlyto arrange the timing and location of the interview upon receipt of

    the required assessment application forms, documentation and fee

    payment by the applicant.

    General college training and examination requirements

    Each specialist college will usually have its own general training and

    examination requirements applied as the college standard. Where

    these components are applied, they will be the same components

    or will be derived from the examination components that apply to

    local specialist trainees. An applicant will be assessed against the

    standard of an Australian trained specialist on this basis.

    To further explain the individual college training and examination

    requirements, a table is provided at the AMCs website at

    www.amc.org.au. This table provides a listing of the general training

    and examination requirements for each college.

    At the conclusion of the initial assessment process, the college willbe required to advise the AMC by way of a Report 1 or Combined

    Report whether the applicant is either substantially comparable,

    partially comparable or not comparable after being initially assessed

    against the college standard.

    http://www.amc.org.au/http://www.amc.org.au/
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    19 Information Bookletfor applicants

    STEP 6 AMC TO RECEIVE COPY OF REPORT 1

    AND FORWARD TO APPLICANT

    College notication of assessment outcome Report 1/

    Combined report

    Following the applicants interview with the specialist college, the

    initial assessment outcome will then be provided to the AMC by the

    relevant college, advising of the college decision by way of a report

    to either:

    1. As a final decision:

    a. Recognise the applicants training and experience as being

    substantially comparable to the level of an Australian trainedspecialist currently entering the workforce; or

    b. Reject the applicant from further assessment on the basis

    of the applicants training and experience being deemed not

    comparable to the level of an Australian trained specialist.

    Or the college will decide to:

    2. As an interim decision:

    Recognise the applicants training and experience as being

    partially comparable and require the applicant to undergo

    additional components of the assessment procedure to

    provide the college with more information to make a decision

    about comparability of training and experience. These

    additional components may include:

    i. Completing the Part II Examination of another assessment

    at an equivalent level; or

    ii. Completing a period of Advanced Specialist Training and

    completing the Part II examination; or

    iii. Completing the Part I Examination, completing a period

    of Advanced Specialist Training and completing the Part

    II Examination.

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    Application progress by college outcome

    At this stage of the assessment process, the application will be

    progressed according to whether a specialist medical college has

    made either a final decision or an interim decision on the level

    of the applicants training and experience. The application will

    be processed according to the college assessment outcome as

    follows:

    College outcome 1

    Applicant is considered to be Substantially Comparable

    Final Result: The Applicant will be provided with a copy of the

    Report 1 or Combined Report and the application

    will proceed to Step 11 of the Assessment

    process.

    College outcome 2

    Applicant is considered to be Not Comparable

    Final Result: The Applicant will be provided with a copy

    of the Report 1 or Combined Report and the

    application will be discontinued. The applicant

    will be required to apply under the AMCs non-

    specialist pathway should they wish to be eligible

    to present for general registration to either work

    in Australia as a non-specialist or to complete

    basic specialist or general training and attempt

    to apply for college training positions.

    College outcome 3

    Applicant is considered to be Partially Comparable

    Interim Result: The Applicant will be provided with a copy of the

    Report 1 or Combined Report and the application

    will proceed to Step 7 of the assessment

    process.

    Note: It is up to the individual assessing

    specialist college to determine the

    criteria by which an applicants training

    and experience may be considered

    either substantially comparable or

    not comparable to the standard

    of an Australian trained specialist

    currently entering the workforce. A

    determination that a decision is not

    yet possible will require the applicant

    to undertake further training and/or

    examination requirements specified

    by the assessing college so that a

    final decision can be made after the

    applicant completes the required

    training and/or examination.

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    STEP 7 PARTIALLY COMPARABLE DECISION

    REQUIREMENTS FOR FURTHER TRAINING AND/

    OR EXAMINATION

    A college decision that the applicants training and experienceis partially comparable will require the applicants completion of

    further training and/or examination to allow the college to make a

    final assessment of the applicants training and experience.

    Applicants who are required to undertake further training and/

    or examinations should obtain comprehensive details about the

    relevant specialist program from the specialist medical college.

    The following points should be noted:

    a. Accredited training positions are usually advertised by the

    training institutions in July/August each year;

    b. Accredited training positions are subject to open competition

    with Australian trained specialists for college recognition;

    c. Limits may apply to the number of times an applicant may

    present for a college examination, in particular for the Part II

    Examination;

    d. Fees associated with the accredited training and

    examinations of most colleges are indicated in summaries

    issued by the individual colleges and available upon

    application to the relevant college. The payment of fees for

    these components of the assessment, when they have been

    required by a college, is for direct settlement by the applicant

    with the college;

    e. The college will remain the primary point of contact for

    an applicant who is completing further training and/or

    examination requirements.

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    An applicant who has received a Report 1 with the outcome

    Partially Comparable from the AMC will need to write to the AMC

    to advise of their intention to comply with the extra training and/or

    examination requirements set by the assessing specialist college.

    Please note that the AMC is not able to accept either email or

    telephone communication as evidence of the applicants intention

    to comply with the stated Report 1 requirements. This advice must

    be in writing and contain the applicants AMC number and signature,

    in addition to the written notification of intention to comply with the

    Report 1 requirements, if the applicant intends to do so.

    Note: the Medical Board of Australia

    (MBA) & Western Australian Medical

    Board have indicated that when a

    College assesses that an overseas

    trained specialist must commence with

    a period of basic specialist training, or is

    required to undertake other additional

    training in addition to completing

    Advanced Specialist Training and

    examinations, the applicant will be

    required to complete one of the AMC

    non-specialist pathways to be eligible

    to obtain general (non-specialist)

    registration.

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    STEP 8 AMC TO ADVISE COLLEGE OF

    APPLICANTS INTENTION TO COMPLY

    When the AMC receives formal written notification of the applicants

    intention to comply with the Report 1 requirements, the AMC willformally notify the assessing specialist medical college by letter.

    If an applicant has advised the AMC that they do not intend to comply

    with the requirements set out by the college, the application will be

    discontinued at this point and the applicant may then be eligible to

    apply under an AMC non-specialist pathway to be eligible to obtain

    general (non-specialist) registration from the Medical Board of

    Australia (MBA) & Western Australian Medical Board.

    If the applicant has advised the AMC that they do intend to comply

    with the Report 1 requirements prescribed by the specialist medical

    college, they will need to be in direct contact with the relevant

    specialist medical college to organise completion of the further

    training and/or examination requirements.

    The college will remain the primary point of contact for applicants

    who proceed through this stage of the specialist assessment

    process.

    An applicant may be registered by the Medical Board of Australia

    (MBA) & Western Australian Medical Board for the purpose of

    undergoing further specialist training or examination by the relevant

    specialist medical college as part of the specialist assessment

    process conducted by that college.

    The Medical Board of Australia (MBA) & Western Australian

    Medical Board and Specialist Medical Colleges have confirmed that

    the specialist assessment pathway is not an alternative pathwayto specialist training in Australia. The Medical Board of Australia

    (MBA) & Western Australian Medical Board will, in general, provide

    restricted registration for up to a maximum of two years to allow

    completion of specialist practice under supervision where specified

    by a College for recognition for specialist practice. Where longer

    periods or advanced training are specified by a College, the overseas

    trained specialist will be required to pass the AMC Examination to

    be eligible to apply for general (non-specialist) registration.

    When the applicant completes the Report 1 requirements prescribed

    by the specialist medical college, the application will then proceed

    to Step 9.

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    STEP 9 COLLEGE ADVISES AMC OF FINAL

    ASSESSMENT DECISION

    When the applicant has completed all of the prescribed Report 1

    requirements, the specialist college will make a final assessmentof the applicants training and experience compared against the

    standard of an Australian trained specialist currently entering the

    workforce. The final assessment will take into account all of the

    criteria applied during the initial assessment process undertaken

    during Step 5, in addition to the performance of the applicant during

    the required further training and/or examination requirements.

    The college is required to notify the AMC of the final assessment

    decision by way of a Report 2 which is sent directly to the AMC.

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    STEP 10 AMC RECEIVES REPORT 2 FROM

    COLLEGE

    The specialist medical college will notify the AMC that it has reached

    one of two possible decisions at this stage of the assessmentprocess by providing the AMC with the Report 2. The college will

    notify the AMC that the decision was made to either:

    1. Recommend that the applicant be granted recognition as

    a specialist on the basis that the applicants training and

    experience is considered to be substantially comparable to

    that of an Australian trained specialist currently entering the

    workforce;

    OR:

    2. Recommend that the applicant should not be granted recognition

    as a specialist on the basis that the applicants training and

    experience is considered not comparable to that of an Australian

    trained specialist currently entering the workforce.

    Application progress by college outcome

    At this stage of the assessment process, the application will be

    processed according to the college assessment outcome asfollows:

    College outcome 1

    Recommendation that the applicant be granted recognition

    as a specialist.

    Final Result: The Applicant will be provided with a copy of the

    Report 2 and the application will proceed to Step

    11 of the Assessment process.

    College outcome 2

    Recommendation that the applicant is not granted

    recognition as a specialist.

    Final Result: The Applicant will be provided with a copy of the

    Report 2 and the application will be discontinued.

    The applicant will be eligible to apply under the

    AMCs non-specialist pathway should they wish to

    obtain general registration to work in Australia asa non-specialist or to complete basic specialist or

    general training and attempt to apply for college

    training positions.

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    The outcomes described by the specialist medical college within

    the Report 2 require either a yes or no answer only. The college will

    need to ensure that they retain the necessary documentation that

    justifies the decisions which have formed the basis to the answers

    for question set out in the Report 2.

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    STEP 11 AMC ADVISES THE MEDICAL BOARD

    OF AUSTRALIA (MBA) & WESTERN AUSTRALIAN

    MEDICAL BOARD OF APPLICANTS ELIGIBILITY

    TO PRESENT FOR REGISTRATIONAt this stage of the assessment process, the AMC has received

    formal notification from the assessing specialist medical college that

    the applicants training and experience is substantially comparable

    to that of an Australian trained specialist currently entering the

    workforce. This notification would be received by the AMC in the

    form of either a Report 1, Report 2 or Combined Report (combined

    AON/Specialist Assessment Report) forwarded to the AMC by the

    relevant specialist medical college.

    This recognition of the applicants specialist training and experience

    will determine that an applicant is eligible to present to The Medical

    Board of Australia (MBA) & Western Australian Medical Board

    seeking registration as a specialist, subject to the condition that

    their registration is restricted to practice in the assessed field of

    specialty only, which is reported to the Medical Board by the AMC.

    When the AMC receives the formal notification from the specialist

    medical college that the applicants training and experience hasbeen deemed to be substantially comparable, the AMC will notify

    the relevant Medical Board in Australia of the applicants eligibility

    to present for conditional registration as a specialist.

    At this stage, the specialist assessment process is complete. The

    final decision to register a medical practitioner rests solely with the

    Medical Board of Australia (MBA) & Western Australian Medical

    Board.

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    STATEMENT ON COLLEGE FELLOWSHIP

    The purpose of the specialist assessment procedure is to

    determine comparability of training and experience of overseas

    trained specialists with Australian trained specialists, with a view

    to establishing their eligibility to apply for (conditional) registration

    in Australia. However, while applicants may complete a Colleges

    requirements for specialist recognition for registration to practice

    in Australia, the College may set further requirements such as,

    for example, some form of bridging training or experience, for

    eligibility to apply for election to Fellowship of the College. Further

    information should be sought from the relevant College.

    A medical practitioner holding the Fellowship of an Australian

    or Australasian Specialist Medical College who does not hold a

    primary medical qualification for general registration in Australia

    may apply direct to the Medical Board of Australia (MBA) & Western

    Australian Medical Board for conditional registration, to practice in

    the specialty in which they hold Fellowship only.

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    SEEKING REGISTRATION

    Specialist medical college confirmation of substantial comparability,

    including the award of College Fellowship (where applicable) will

    not in itself confer the right to practice. In addition, the Medical

    Board of Australia (MBA) & Western Australian Medical Board may

    impose conditions on registration, if, in their opinion, appropriate

    specialist positions do not exist within their State or Territory that

    is, the Medical Board of Australia (MBA) & Western Australian

    Medical Board have the right of final decision on applications for

    registration under any category.

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    APPENDIX A STATUTORY DECLARATIONS

    In the event that you are required to complete a statutory declaration

    to progress your application during the specialist assessment

    process, the AMC will accept the following personsonlyas eligible

    witnesses:

    Statutory declarations witnessed in Australia

    Chief Magistrate Police Magistrate Resident Magistrate Special Magistrate;

    A Justice of the Peace;

    A person appointed under the Commonwealth StatutoryDeclarations Act 1959 as amended, or under a State Act to be

    a Commissioner for Declarations;

    A Notary Public;

    A person appointed as a Commissioner for Declarationsunder the Statutory Declarations Act 1911, or under thatAct as amended, and holding office immediately before thecommencement of the Statutory Declarations Act 1959;

    A person before whom a Statutory Declaration may be madeunder the law of the State in which a Declaration is made.

    Statutory declarations/afdavit witnessed overseas

    A Notary Public;

    Commissioner of Oaths (South Africa and Canada only);

    A person appointed to hold, or act in the office in a countryor place outside Australia in an Australian Embassy, HighCommission, Legation or other post as Australian Consul-General, Consul or Vice-Consul;

    Australian Trade Commissioner or Consular Agent;

    Australian Ambassador or High Commissioner;

    Australian Minister, Head of Mission, Commissioner, Chargedaffaires or Counselor;

    Australian Secretary or Attach; or

    A person authorized to perform notarial duties.

    Note: A Justice of the Peace

    registered outside Australia is NOT

    accepted by the AMC for witnessing

    documentations

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    Penalties for making false declarations

    A person who willfully makes a false statement in a Statutory

    Declaration/Affidavit under the Statutory Declaration Act 1959, as

    amended, is guilty of an offence against that Act, the punishmentof which is imprisonment not exceeding four years, if the offence is

    prosecuted upon indictment.

    An applicant for specialist assessment who willfully makes a false

    statement or provides false information in his/her application

    forms, or in the documents attached may forfeit his/her eligibility

    to present for assessment or be accorded recognition by an

    Australian or Australasian specialist medical college, or be subject

    to de-registration (if registration has already been obtained)

    and/or other penalties as prescribed in the relevant State or Territory

    medical registration laws.

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    APPENDIX B ENGLISH LANGUAGE

    PROFICIENCY

    In Australia, evidence of English language proficiency is currently a

    medical board requirement for registration for international medicalgraduates.

    From 1 January 2009, English language proficiency will be an AMC

    requirement for eligibility to progress to step three of the specialist

    assessment process.

    From January 2009, medical practitioners seeking registration

    through the specialist pathway must have demonstrated their

    English language proficiency before assessment by specialist

    colleges. The standard required is set by the Medical Board

    of Australia (MBA) & Western Australian Medical Board and is

    nationally consistent.

    From January 2009, the AMC will require proof (English Language

    Testing System (IELTS) or Occupational English Test (OET) at the

    agreed national standard) in accordance with the national policy on

    English language proficiency before assessment by colleges under

    the specialist assessment pathway.

    Introducing an up-front English language test in the specialist

    registration pathway aims to ensure that college assessment

    resources are focused on candidates who meet existing national

    language proficiency requirements.

    It will also ensure the same standards are expected by the specialist

    colleges and medical registration boards for English language

    requirements for the specialist registration pathway.

    Please note that a two-year time limit is applicable to results from

    both the OET and the IELTS. All documents submitted to the AMC

    and the Medical Board of Australia (MBA) & Western Australian

    Medical Board must be within the valid time period.

    Applicants should view the National Policy on English Language

    Proficiency requirements for International Medical Graduates,

    along with the English Language Proficiency flowchart at for

    further information. This policy is available on the AMC website at

    www.amc.org.auand the websites of the Medical Board of Australia

    (MBA) & Western Australian Medical Board.

    http://www.amc.org.au/http://www.amc.org.au/
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    APPENDIX C COMMON ERRORS THAT DELAY

    APPLICATIONS

    The most likely cause of delay in the processing of applications

    is incorrectly completed Application Forms and incorrectlycertified documents. It is in the applicants interest to ensure that

    all Application Forms and copies of documents are completed

    correctly as incomplete or incorrect applications will not be sent to

    specialist colleges for assessment.

    The most common problems with applications include:

    Using multiple witnesses to certify documents/photographs.

    The AMC requires that all documents be certified by the

    individual that witnesses the applicants signature on the

    application form. Where additional witnesses must be used, a

    statutory declaration must be provided to explain why.

    Not providing certified copies of the primary medical degree

    and specialist qualification. Where the degree is issued in a

    language other than English, a certified or original, word-for-

    word translation by a professional translator must be provided

    (an extract translation will not be accepted).

    Not providing sufficient information to allow the college to make

    an assessment of the applicants specialist skills. As part of

    the College assessment, many colleges conduct an initial

    assessment of documentary evidence of training and relevant

    experience to determine eligibility to present for an interview.

    Curriculum Vitaes that are missing information, not up to date,

    or do not provide an in-depth expanded explanation of the

    applicants skills and experience will be deemed incomplete

    and are a frequent cause of delay in the specialist assessmentprocess.

    Not providing certificates of good standing from all registration

    authorities during the last two years of employment.

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