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Your essential guideto internship: 2017

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Table of contents

2 TheAMA:avoicefortheprofession,acrosstheprofession DrJaniceFletcher

3 AMA(SA)Doctors-in-TrainingCommittee +TopTenTipstoSurvivingYourInternship

4 AMACDT:MakingthevoiceofDoctors-in-Trainingheard DrJohnZorbas

5 Nationaladvocacy:speakingoutforthefuture

6 LifeasanIntern DrShaneSelvanderan

7 Eightprinciplesforbeingaresilientdoctor

9 ApplyingforPGY2jobs:getanearlystart

11 TheSalariedMedicalOfficersEnterpriseAgreement

13 MembershipBenefits

MorehelpSAMEThasalsoproducedanInternGuide.Youcanfinditatwww.samet.org.au/doctors-in-training-intro/dit-committee.Checkitoutformorehelpfulinformationandadvice!

2ITHEESSENTIALGUIDE2017

Congratulationsonreachingthenextstepinyourcareer!

Yourinternyearmarksanewbeginning.Youwillmakegreatfriends.Youwillgainconfidenceandnewskills.Theemotionsyouwillfeelwillcoverthegamut,fromhightolow,andeverythinginbetween.Thememorieswilllastforever,aswillthefriendshipsandprofessionalties.Youwillfeelchallenged;tired;hopeful;empathetic;frustrated;and,attimes,profoundlymoved.

Oneofthegoodthingsaboutthisstageofyourcareeristhatno-oneexpectsyoutohavealltheanswers,sotaketheopportunitytobeasponge,askquestions,watchandlearn.Beagoodteamplayer,andalwaysrememberthatpatientsarefirstandforemostpeople,notnumbers,conditionsoracronyms.

Youcan’tgoverywrongifyouputthepatientatthecentreofeverythingyoudo.

Asyougothroughthedifferentrotations,lookaroundyouandtakenote.Medicineisthesameeverywhere,andalsodifferenteverywhere.Youwilllearnbyobservinghowthesystemworks,ordoesn’t,andhowdifferentdoctorsapproachmedicine,patientcare,andotherfacetsoflifeatthecoalfaceinapublichospital.

Taketimetoreflectonwhatyousee.Findexamples,andlearnfromnotjustthegood,butalsothebad.Rememberwelearnmorefromourmistakes.Findamentor(notyourboss),andchooseyourmentorswisely.

Medicinehasitsheroes,butitalsohasitsdarkside.Asaprofessionthatisaboutcaringforothers,weoftenfailtoadequatelycareforourselves,andeachother.Weneedtokeepsafeworkinghours,lookoutforourownandcolleagues’health,andensurethatworkingandtraining

Dr Janice FletcherPresident, AMA(SA)

The AMA: a voice for the profession, across the profession

environmentsarefreeofbullyingandharassment.Failingtodothesethingsisunacceptableinanyenvironment,butunforgiveableinthemedicalprofession.Weshoulddobetter,andwewillbe.

Wehavemuchtobeproudofinourworkplacesandourhealthservices.TheAMAisattheforefrontindrivingforchangeandadvocatingforsafeworkingenvironmentsforalldoctors,irrespectiveofpracticelocation.ThereasonthatIbringthisupisbecausethefutureofourprofessionintheyearsaheadwillbeinyourhands,andthehandsofyourfriendsandcolleagues.

rightfromthebeginning.AsanAMAmember,youwillbebetterinformedaboutwhatishappeninginhealthatstateandnationallevels.Youwillhaveaccesstoresourcesandassistancenon-membersdon’tknowexist.

Youwillhaveavoiceatthetableinhealthreform.Healthisimportant.Thegovernmentcaresaboutwhattheprofessionthinks–andtheyasktheAMA.YourmembershipdollarscontributetopublichealthcampaignsandadvocacyinareassuchasIndigenoushealth,thetreatmentofasylumseekers,Medicarefunding,andclimatechangeandhealth.

Ifyouhaveproblemsatwork,youcancallus.Ifyouareconcernedaboutmedicaltrainingorhealthreform,weareontoit.Ifyoulaterdecidetobranchoutintoprivatepractice,wehaveadviceandsupportforthattoo.

Westandwithourmembersonmattersfromthepracticaltotheprinciple:ourremitisaswideasmedicineitself.YouwouldbeworkingmuchlongerhoursifitwerenotfortheAMA.Wehavewonincreasedinternandothertrainingpositions.WehavedefendedMedicare,anddefeatedbadhealthpolicies.Thereisalwaysmoretodo,butmuchisachievedbothinthepublicarena,andmorequietly.MostpeopleknowtheAMAnameasasynonymformedicine,andonthatbasiswearecalledoneveryday,whetherbyhealthpolicymakers,politicians,themediaorthebroaderpublic.

YouwillknowabouttheAMAalready,butyouareprobablyawareofonlyasmallfractionofwhatwedo.UltimatelytheAMAisthereforeverysingledoctor–toonedegreeoranother–butonlysomepaytheirdues.Asanindependentorganisationwedonotreceivegovernmentfunding,somembershipfeesallowustochallengegovernmentswhererequired.TheAMAstandsbyitsmembers,andwhattheyneedandbelievein.

ThisissomethingthatweknowverywellattheAMA,whichisdedicatedtorepresentationfortheprofession,acrosseverystageandspecialty.Thismeansthatdoctorsateverystageofmedicallifeareatthecentreofwhatwedo.AllAMAcouncils,stateandfederal,haverepresentativesforstudentsanddoctorsintraining,aswellassalariedmedicalofficers.WehavestateandfederalCouncilsofDoctorsinTraininginformingouradvocacy.WewellknowthattheyoungfirebrandsoftodaywillbetheAMApresidentsoftomorrow,andtheelderstatesmenandwomenofthedayafterthat.Thefutureisyoursforthetaking–makeitagoodone!

Youhavemanyyearsaheadofyoutomakeadifferenceinwhateverareasyouarepassionateabout.Butthereisnobettertimethannowtostart.Oneofthekeythingsthatyoucandonowisbeapartoftheconversation

WewellknowthattheyoungfirebrandsoftodaywillbetheAMApresidentsoftomorrow

AMA(SOUTHAUSTRALIA)I3

1. Askquestions.Youareintheearlieststagesofyourcareer;no-oneexpectsyoutoknowalltheanswers

2. Honestyisalwaysthebestpolicy.Despitebestefforts,youwillmissthingsandforgettoordersometests.Donotlietotryandcoverthisup

3. Efficiencyandorganisationareking.Writingdownyourjobsandsystematicallycompletingthemwillensureyourdayrunsassmoothlyaspossible.Prioritisethosetasksthataremosturgentandwhetheryouusetickboxes,tasklistsortheelectronichandover,stickwiththesystemthatworksforyou

4. Beorganised.Beforeyoufinishtheday,checkthatyourpatientshaveamed-chart,warfarin/variabledrugdoseandifneeded,IVT.Itwillsaveunnecessarypagesandthecoverinternwillthankyou

5. Ifyouorderatest,follow-uptheresult.Ifyoudonotknowwhattheresultmeans,asksomeonewhodoes

6. Whenyourequestaconsult,makesurethatyouhaveaspecificgoal/questiontodirecttheconversationandhaveallthepatient’snotesinfrontofyou

7. Bepoliteanduseyourmanners;ifsomeonegoesoutoftheirwaytohelpyou,makesureyouthankthemsincerely.It’samazinghownicelypeoplewilltreatyouwhenyouarenicetothemanditwillmakeyourmumproud

8. Donotforgettolookafteryourself;eatlunch,stoptousethebathroomandtore-hydrate.Unlessit’sacodeblue,mostthingscanwaitatleast30minutesforyoutofeelhumanagain

9. Holdontothosethingsoutsideofthehospitalthatyouenjoyedasstudents.Youarestillallowedtoplaysport/exercise/readfiction/watchamovieandseeyourfriendsfordinnerwithoutfeelingguilty

10.Despitewhatitmaybecalled,rememberthat“work”canactuallybealotoffun

Top Ten Tips to Surviving Your InternshipAMA(SA) Doctors-in-

Training Committee

TheAMA(SA)DoctorsinTraining(DiT)Committeeisanindependentrepresentativebodyadvocatingonbehalfofmedicalstudents,prevocationalandvocationaldoctorsintraining.Weaimtodeliverkey,balancedadvocacyonhealthsystemissuesthatjuniordoctorsareconcernedabout.

JuniordoctorsarethefutureoftheSouthAustralianHealthsystemandarecurrentlyatthecoalfaceofpatientcareinthepublicsector.TheproposedchangestothedeliveryofhealthcareinSouthAustraliaaredirectlyrelevanttoyouasajuniordoctor.

BelowareafewkeypointsthathopefullywillidentifythekeypillarsoftheAMA(SA)DiTCommittee.

AdvocacyTherearemultiplekeyadvocacyissuesthattheDiTCommitteeareinvolvedin.Issueswithinthemedicaltrainingpipelinehavebeenwellpublicised.InSouthAustralia,weareatriskofbeingthefirststatetofallshortofprovidinginternshipstoCommonwealth-supportedgraduates.ItisimportanttotheDiTcommitteethatthecommunitybeservedbyprovidingallgraduateswithqualityinternshipsto1)ensuretheongoingeducationofjuniordoctorsand2)maximisethereturnonpublicinvestment.

Thetrainingpipelineproblemsdonotstopatinternship.Clearworkforcemodellingisneededtoplanforthenext5,10andindeed20years.

TheadventofTransformingHealthhasincreasedtheworkforcepressuresandanecdotallyhasincreasedworkforcestress.Whilethereareavenuesforfeedback,itappearsthattheavenuesforjuniordoctorstomeaningfullycontributetoTransformingHealtharedwindling.

CareerDevelopmentTheAMA(SA)affordsmemberswithmultiplecareerdevelopmentopportunitiessuchasCVwritingworkshopsandcareernights.Inaddition,theAMAhaverecentlyreleasedacareerpathwaysguidethatwillhelpguidejuniordoctorsintheirnavigationofthemedicalworkforce.Thiscanbeaccessedherehttps://ama.com.au/careers/pathways

GetInvolvedTherearenumerousmechanismstogetmoreinvolvedwithintheAMA(SA)DiT.ThereistheFacebookpage,availableathttps://www.facebook.com/groups/AMASA.DiT/,inwhichyoucaninteractwithotherDiTsandgaininformationonissuesthataffectDiTs.

YoucanjointheDiTreferencegroupandbekeptabreastoftheworkingsoftheDiTCommitteeandreceiveminutesofmeetings.AlternativelyyoucanchoosetobeapartoftheDiTCommitteeandcontributeyouropinionsintothediscussionandshapeDiTpolicy.Ifanyoftheabovelevelsofinvolvementinterestyou,[email protected].


4ITHEESSENTIALGUIDE20174ITHEESSENTIALGUIDE2017

Congratulations!OnbehalfoftheAustralianMedicalAssociation,pleaseletmejointheenthusiasticchorusofpeoplewhohavewelcomedyoutotheprofessionofmedicine,andapplaudyouonsurvivingmedicalschool.

ChancesarethatyouandIhavenevermet,butourfuturesarenowintrinsicallylinkedandthat’swhyI’mtalkingtoyounow.I’mtheChairoftheAMACouncilofDoctorsinTraining(CDT).We’reacouncilofyourFederalAMA,whichworkstogetherwithyourStateAMA.WehaverepresentativesfromallStatesandTerritories,andwealsohaverepresentativesfromallofthetrainingcollegesacrossAustralia.WedealwithissuesthataffectallofthedoctorsintrainingacrossAustralia,frominternshiprightuptofellowship.That’salotofdoctorstorepresent,andalotofissuestoadvocateon.MajorissuesforCDTatthemomentincludeourworkonbullyingandharassmentinmedicine,thecontinuedadvocacyforsafeworkinghoursinmedicine,arenewedpushforflexibleworkarrangementsacrossthecountry,supportforIndigenoustrainees,andafiercecallfortheprotectionofeducationandtrainingconditionsinthepre-vocationalspace(that’syounow!).

Butdoyouwanttoknowthebiggestissue?It’sthatyourprofessionneedsyou.Now,morethanever.Havingtrainedinthesystemforthepastfewyears,youofcoursehavehadachancetoseethewaythepracticeofmedicineischanginginthemodernhealthcarelandscape.Thedoctorintrainingisoftendrowninginaseaofmandatorytrainingandpaperwork,unabletospendthetimetheyneedtowiththeirpatients.Healthcarehascomeburstingoutofthepoliticalshadowsinthemostrecentelection,withgovernmentsnolongerableto“fixittomorrow”.Trainingpipelinesareeveryone’sproblemandnobody’sresponsibility,withaworkforcethatfindsitselfinoversupplyandundersupply

simultaneously.Increasedpressureintheworkplaceleadstotoxiccultures,increasedratesofabsenteeismandlesssustainableworkloads.Andyetthesystemstillworks,becauseofthededicatedhealthcareprofessionalswhocaresopassionatelyaboutthepatientsthattheytreat.

Thispassionisoneofthereasonsthatittrulyisaprivilegetobeadoctor.It’sawell-worncliché,butyoudogettohelpsomeamazing

AMACDT: Making the voice of Doctors-in-Training heard

wayyourpatientsneedyou.Yourinvolvementiscriticalinadvancingtothenextstageofmedicineandtothefutureofhealthcare.Everysuccessfulprofessionneedsapeakrepresentativebodytoleaditforward,andinmedicinethatbodyistheAMA.Notthemedicalboard.NotAHPRA.Notthemedicaldefenceorganisations.It’stheAMA.So,whatareyouwaitingfor?FindyourvoiceinsideyourAMAandinsideyourprofession.BecomeamembertodayandgetintouchwithyourStateAMAdoctorintrainingcommitteesandsubdivisions.Bepartoftheconversation,andtakeownershipofyournewprofession!

Congratulationsonceagain,andmaythebestofyourpastbetheworstofyourfuture.

Dr John ZorbasChair, AMA Council of Doctors-in-Training

peopleintheirhoursofneed.You’llworkwithoutstandingcolleaguesandlearnfromsomeofthemostinspiringteachersaprofessioncanevenhopefor.Noneofthishappensbyaccident,ofcourse.Healthcareisincrediblycomplex,andthereareplentyofpeoplewithverystrongopinionsonhowthesystemshouldorshouldn’twork.Healthcareneedsdoctorswhoarepassionateaboutthehealthoftheirpatientstoadvocatefortheprotectionandadvancementofaworldclasshealthcaresystem.YourtransitiontointernshipisnotthetimetocalmthefiresofthepassionthatI’msurebroughtyoutothisjobinthefirstplace.

Andthatbringsustoyou.You’rethenewestmemberofaproudanddedicatedprofession,andyou’reapowerfuloneatthat,becauseyou’vealreadygotmoretimethaneverydoctoraheadofyou.Yourprofessionneedsyou,thesame

WedealwithissuesthataffectallofthedoctorsintrainingacrossAustralia,frominternshiprightuptofellowship

Not sure what kind of doctor you want to be?Withover64differentmedicalspecialtiestochoosefrominAustralia,makingthedecisiontospecialiseinone,canseemdaunting.

That'swhytheAMAhasdevelopedthisnational,specialtytrainingpathwaysguide.AsanAMAmemberyoucanaccessthisfullguidetoresearchparticularspecialtiesorcomparethekeyattributesofall64specialties,suchasentryrequirements,cost,andpositionsavailable.Pleasenotecurrentinformationwithintheguiderelatesto2016requirements.Informationwillbeupdatedtoreflect2017requirementssoon.

LettheAMA’sspecialtytrainingpathwaysguidehelpinformyourcareerdecisions.

Findoutmoreatama.com.au>Resources>DoctorsinTraining.


MoreFundingforTrainingPlacesAsaresultofAMAadvocacy,latein2015theFederalGovernmentannouncedfundingfortheestablishmentof30regionaltraininghubs,100additionalspecialisttrainingplaces,theestablishmentofaruralgeneralistprogramand240ruralGProtationsforinternstoimprovetheretentionofpostgraduateprevocationaldoctorsincountryareas.

AGrowingCareersAdvisoryServiceTheAMAnationalCareersAdvisoryServicecontinuestobeahighlysoughtaftermemberservice,linkingcentralisedwebbasedresourcesformemberstoface-to-facemedicalcareersconsultation.TheAMAiscurrentlydevelopingaSpecialistTrainingPathwayTool(recentlyreleased)thatprovidesinformationonover60specialistpathwaystohelpyouchoosethemedicalcareeryouwant.

AdvocacyonBullyingandHarassmentChangingthecultureofmedicinetotacklebullyingandharassmentintheworkplacehasbeenanareaofsignificantfocusfortheAMA,workingmanystakeholdersuchasASMOFtoprogressthisissue.

TheAMC-revisedaccreditationstandardsforspecialistmedicalprogramsandprofessionaldevelopmentprogramshavealsobeenstrengthenedinregardtodiscrimination,bullyingandsexualharassment,afterstrongsubmissionsfromtheAMA.

FollowingAMAadvocacy,theAustralianHealthMinisters’AdvisoryCouncil(AHMAC)isundertakingareviewofbullyingandharassmentpoliciesacrossalljurisdictionsandlookingathowstate/territoryhealthdepartmentscanworkmorecloselytogethertodevelopbestpracticepoliciesandprocesses.

TheAMAhasalsoencouragedMedicalCollegestocollaboratemorecloselyintacklingtheseissuesandwasverypleasedtoseetheRoyalAustralasianCollegeofSurgeonsadoptanumberofAMAproposalsinitsresponsetobullyingandharassmentinsurgicaltraining.

DevelopingFutureMedicalLeadersThisyear,theAMAintroducedtheAMADoctorinTrainingoftheYearAwardtorecogniseoutstandingleadership,advocacy,andaccomplishmentsofadoctorintraining.TheAMAhasalsolaunchedaprogramforfutureleadersinAugust,whereparticipantslearntabouttheintricaciesoftheFederalpoliticalprocess,thedevelopmentofAMApolicy,andworkingwithmediaandpoliticaldecision–makers.

OutcomesfromtheReviewofMedicalInternships(Internsonly)TheAHMACreviewofMedicalInternshipsacceptedmanyoftheAMA’srecommendationstoadoptanincrementalapproachtoreformtheinternshipyear.TheReview’sfindingsfocusonimprovingthelearningexperiencefordoctorsintrainingduringthefirsttwoyearsofpostgraduatetraining,andemphasisethatthisshouldbeaperiodoftransitiontopractice.Thereviewacceptedmanyofourrecommendationsincludingimprovingsupervisionandassessmentprocesses,expandingprevocationalexperienceinnon-traditionalsettingsandrecommendedaNationalTrainingSurvey.TheAMAwillcontinuetoadvocateforaNationalTrainingSurveytoprovidebetterinformationonwhetherweareprovidingrelevant,highqualitytrainingandasafetrainingenvironment.

GPTrainingTheGovernment’sreformstoGeneralPracticetraininginthe2014/15FederalBudgetwereasignificant

threattothefutureofgeneralpracticeandstronglobbyingbytheAMAhashelpedtoensurethatGPtrainingremainscollegeled–ensuringGPregistrarsreceivethequalitytrainingtheydeserve.

TheAMAalsolaunchedtheAMAVisionStatementforGeneralPracticeTrainingattheAMATraineeForuminMarch2016inMelbourne.ThisfocusedonwhatisneededtobuildasustainablegeneralpracticeworkforceequippedtomeetthehealthneedsofAustralians.ItwillguideallfutureAMAadvocacytoensurethatawell–trainedgeneralpracticeworkforcedelivershighquality,equitablehealthcaretoindividualsandcommunities;andthatgeneralpractitionersaretrainedtoprovideaworldleadingservicethatissustainableandresponsivetochangingcommunityneeds.

MedicareRebateFreezeCampaignDuringtheelectiontheAMAcontinueditscampaignagainsttheGovernment’songoingMedicarepatientrebatefreeze,withpostersandcampaignmaterialsbeingdistributedtotheAMA’smorethan30,000members,andbeingmadefreelyavailabletoalldoctorsandpracticesaroundthecountry.ThisissueremainsattheforefrontofAMAadvocacy,withsignificantpressureontheGovernmenttoreversethisdecision.

RuralGeneralistTrainingProgramAfteryearsofAMAlobbyingtheGovernmenthasannouncedthatitwillappointaNationalRuralHealthCommissionertoboosttheprofileofruralhealthandtodevelopaNationalRuralGeneralistPathwaytoboostthenumberofGPswithadvancedskillsworkinginruralareas.

National advocacy: speaking out for the future


“SorryI’mamedicalstudent–letmeaskmyintern.”

Althoughmedicalschooldoesprepareyouagreatdealforinternshipyear,itisnotuntilthefirsttimeyouareaskedtosignoffonaprescription,phoneapatient’srelativetobreakbadnewstothemorreviewanunwellpatientthatyoutrulyrealiseyounolongerhavetheaboveexcusetohidebehind.Thesteepinclinefromfinalyearmedicalstudenttoworkingjuniordoctorbringswithitsignificantresponsibilityandpressure,butalsowholesetofnovelandrewardingexperiences.

Reflectingbackonthelast10months,thefirstthoughtthatstrikesmymindishowquicklytheyearhasgone,andthatthereisjustonerotationleftuntilinternshipisofficiallyover.Itisveryinterestingtoseejusthowmuchmycolleaguesandmyselfhavedevelopedoversuchashorttimeframe.Thevariednatureoftheinternrolemeansthatthereismuchtoreflecton,soIhavetriedtosummarisebelowsomekeypartsofmyinternshipyearthathaveleftaparticularlystrongimprintonme.

Oneofthemostfulfillingaspectsofinternshipisthatyoudogettoplayanintegralpartinthehealthcareteamthatdeliverscaretopatientswhoareinneed.Theday-to-daytasksofdocumentingonrounds,organisinginvestigations,authoringdischargesummaries,preparingforunitmeetingsandtakingbloodsmayonoccasionseemmundane(mynon-medicalfriendshaveaskedifIreallyneededamedicaldegreeto

Dr Shane Selvanderan2016 Intern, Royal Adelaide Hospital

performsomeofthesetasks),theycertainlycontributeagreatdealtoapositivepatientoutcomes.Althoughyouarenotmakinganyhigh-levelmanagementdecisionsorperforminganyoftheinvasiveprocedures,smallvictoriessuchasarrangingurgentinpatientimagingorsuccessfullytakingbloodfromapatientwithdifficultveinsarestillvaluedbythepatientandyourseniors.

Astheinternyouarethememberofthemedicalteamthatisonthewardthemostandspendsthemosttimewiththepatientandtheirfamilies,whichcreatesaclosedoctor-patientrelationship.Listeningtothepatient’sconcerns,communicatingtheplanofthetreatingteamandadvocatingforthepatient’sneedsareveryrewarding.Patientsareoftenappreciativewheneveryouareabletospendtimewiththemandreceivingtheoccasionalthankyouisaverystrongmotivatortocontinueputtinginthishardwork.

Asadoctorattheverystartofyourcareer,everydaybringsnumerousnewscenariosandopportunitiestolearn.Particularlyinthefirstfewmonths,IfoundthatIwastakingsomethingnewawayfromeverypatientthatIsaw,everyinteractionIhadwithalliedhealthstaffandeverytimeIsoughtadvicefromamoreseniorcolleague.Assuch,thereisneveradullday,particularlywhenyouentereveryscenariowithanopenandeagermind.

Ihavespentalargepartofthispiecereflectingonthepositiveaspectsofinternship.However,thereisnodoubt

thattherearechallenginganddifficultmomentsininternship.Watchingapatientwhohadpreviouslydoingwellacutelydeteriorateanddieonthewarddespitetheteam’sbestefforts,beingtreatedpoorlybyfrustratedrelativesandfeelingoverwhelmedbythenumberofinpatientsunderyourcarearenegativemomentsthatleavealastingimpression.Havingsaidthis,youdonotoftenhavetoexperiencethesenegativemomentsonyourownandIhaveforgedmanynewandvaluedfriendshipswithotherjuniordoctorsthroughsharingsuchdifficultexperiences.Furthermore,whenitgetstough,myselfandtheotherinternshavefoundthesupportofclosefriendsandfamily,andalifeoutsideofmedicine,invaluabletokeepingoursanity.

Onafinalnote,IwouldliketothanktheAMA(SA)foritshardwork.ItisdifficultenoughtobalanceabusyworkinglifewithsocialandfamilycommitmentsanditisfantastichavinganassociationsuchastheAMAdevotetimeandenergywherewecannottoadvocateforthehealthprofession,andtokeepusinformedonthekeyissues.IhaveenjoyedmyinvolvementwiththeAMA(SA)boththisyearandinthepast,andwouldencourageyoualltoattheveryleastbecomeamemberifnotcontributeonamoreactivelevel.

Internshiphasbeendemandingandchallenging,butithasalsobeenbyfarthemostenjoyableandrewardingyearofmylifesofar.Ialmostdonotwantittobeoversosoon,butalsolookforwardtowhatliesaheadinmycareer.

medicSA asked AMA(SA) 2015 student medal winner Shane Selvanderan to tell us how his year as an intern has gone.

Life as an intern


Eight principles for being a resilient doctorMedicine is a rewarding and challenging career, and hanging in there for the long haul requires the ability to transcend adversity. Professor Leanne Rowe and Professor Michael Kidd share their advice on building resilience.

MEDICINEisarewardingandendlesslychallengingcareer,andhanginginthereforthelonghaulrequirestheabilitytotranscendadversity.Whenweconsiderallthecomplexissueswejuggleeveryday,sometimesitseemseasiertotrytoignorethefrustrationandjustgetonwiththejob.Butchronicstatesofstresscancatchupwithusandifthishappenspatientcarewillsuffer.

Mostimportantlyweneedtochallengeourmedicalculturewhichtendstoencourageustowearastateofchronicstressasabadgeofhonour.Weneedtothinkaboutwaystomaintainourownresilienceinthelongtermandcareforourcolleagues.

Lookingafterourselvesandbuildingstrongrelationshipsisanessentialcomponentofprovidingcompetentmedicalcaretoourpatients.Throughourexperienceasdoctorswelearnhowtodealeffectivelywiththemanygreatjoysandthemanychallengesofmedicallife.Outlinedherearesomeoftheprincipleswehavelearnedaboutdevelopingresilience.

MakehomeasanctuaryInanydemandingcareer,itisessentialtohaveaquietsanctuaryawayfromwork.Itissometimesdifficulttonurturepersonalrelationshipswhenworkinglonghoursorindifferentlocations.Itistemptingtowithdrawontheweekendsifwehavebeeninteractingwithhundredsofpeopleduringtheweek.Whilemakingtimeforsolitudeisimportant,withdrawingsociallyfrompeopleregularlyisasignofburnout,whichcanleadtomentalhealthproblems.

Wecanproactivelychoosepartnershipsandfriendshipswhichenergiseusandprovidemutualloveandsupport.Asdoctorsweoftenfindourselvesadoptingourcarerroleinourpersonalrelationships,andwhilethisisinevitable,itisalsoimportanttoseekoutpeoplewhowillhelpsustainus.

Bycaringforourfamiliesandfriends,wecreateawelcomingsanctuaryat

home–aplacetorelaxandrestoreourselvesandourlovedones.

ValuestrongrelationshipsStrongdoctorshavestrongrelationships.Asdoctorswefaceexcessivedemandsonadailybasis.Togetthejobdone,manyofustrytomanageeachdaybyunsuccessfullyattemptingtocompleteendless‘ticklists’attheexpenseofourprofessionalandpersonalrelationships.Wealsoneedtotaketimeeverydaytonurture

healthyrelationshipswithourfamilyandfriends,ourpatients,ourcolleagues,ourphysicalenvironmentandourselves.

Anyonewiththerighttrainingandexperiencecanbecomeanexcellentmedicaltechnician.Whatsetsexcellentdoctorsapartaretheirstrong,caringrelationshipswithpeople.

HaveanannualpreventivehealthassessmentAsdoctors,weeachneedourowndoctor,someonewhomwetrustforourownmedicalcareandadvice.Ifwearegoingtopreventourownmajorhealthproblems,wemustattendourowndoctorforregularevidence-basedpreventive

healthassessmenttoallowearlyidentificationandmanagementofthesymptomsandsignsofanyphysicalormentalillness.

Theearlydetectionofseriousillnesssaveslivesandcanpreventyearsofunnecessarysuffering.Asdoctors,wedeservetohaveaccesstothesamelevelofqualitymedicalcarethatweprovidetoeachofourownpatients.Ourfamiliesalsodeservethisstandardofcare.Organiseforacheck-uptodaywithatrustedcolleague.

Controlstress,notpeopleAsdoctors,wetendtohavereputationsforbeingovercontrolling.Whetherthisistrueornot,manyofustendtodevelopdrivenpersonalitiesasanadaptationtothedemandsofourwork.Thispersonalitycanbeapositiveintheworkplace,butcanbedamaginginourpersonallives.

Weneedtoacceptthatotherpeoplecan’tbecontrolled,andallowotherstolearnfromtheconsequencesoftheiractions.Weneedtolearntodelegateandsharecaremoreeffectively.Sometimesourpatients,particularlythosewithspecialneeds,benefitfromamultidisciplinaryteamapproachratherthantheservicesofasingledoctorworkinginisolation.

Itisimportanttomaintainfeelingsofcontroloverourlivesbymanagingthestresseswedohavecontrolover.Ignoringproblemswillnotmakethemgoaway.Wecantaketimetoaddressthebackgroundstressesinourlivesandtotranscenddifficultiesby:

• Understandingourdrivenpersonalitiesandlearningtotakeabreakfromthesetraits.

• Recognisingandaddressingsignsandcausesofchronicnegativestress.

• Leveragingtimeanddelegatingtasks.

• Challengingourownnegativethinkingandbeliefs.

• Aimingforwellbeing,ratherthanabsenceofstress.


RecogniseconflictasanopportunityThisisnotaboutseekingoravoidingconflict.It’saboutmanagingconflictmaturelywhenitinevitablyarises.Inordertodealeffectivelywithconflict,wecanrecogniseitasanopportunitytobuildstrongerrelationshipswithpeople.Ifwehaveeverhadacalmdebatewithsomeoneoveranimportantissuethatconcludesinanegotiatedsolution,wewillrecognisethatourrelationshipwiththatpersonhasbecomestronger.Ifwehaveeveramicablyagreedtodisagreewithsomeoneoveranissue,wewillrecognisethattheabilitytohaveanopendebate,evenwithoutresolution,hasstrengthenedourrelationshipwiththatperson.

Ontheotherhand,avoidingconflict,non-assertiveness,hyper-sensitivitytocriticism,refusingtolistenorangrilysquashinganotherperson’spointofviewcanbedestructivetorelationships.Wecanbecomeasexpertatmanagingchallengingbehavioursandstrongpersonalities,conflictandangeraswearewithmanagingotheraspectsofourprofessionalwork.Wecanlearnhowtodealwithcriticismconstructively.

ManagebullyingandviolenceassertivelyBullyingandviolencearenotacceptablebehavioursandmustnotbetolerated.Asdoctors,wemustknowourresponsibilitiesasemployersinaddressingcasesofbullyingorviolenceintheworkplace.Weneedtobeawareofhowourownbehavioursareperceivedandstrivealwaystobehaveinanappropriateprofessionalmanner.

Medicalpractitionersmustbecomeskilledinwaysofassertivelymanagingpatient-initiatedviolenceandviolentbehaviourmustalwaysbereportedtothepolice.Failuretodothisoftenresultsintheviolencebeingdeflectedontoanothercolleagueorontothewidercommunity.

Itiswellknownthatpeoplewithmentalillnesssufferagreatdeal

becauseofthestigmaattachedtotheirdisorderandtheyaremorelikelytobethevictimsratherthantheperpetratorsofviolence.Peoplewithmentalillnessareover-representedinthecriminaljusticesystemandthisisamajorworldwidehumanrightsissue.Itisourresponsibilitytoadvocateforbetteraccessbyourpatientstooptimalmentalhealthcare.

legacythroughtheexampleswesetinthewayweliveourlivesandpractisemedicine.

Itmaybeworthconsideringhoweachofuswouldliketoberememberedattheendofourmedicalcareersandactaccordinglynow.Eachofushasasetofvaluesandprincipleswhichdeterminehowwebehaveasethicalmedicalpractitioners.Increatingourlegacywecanalsodiscoverwaystotranscendadversitythatweencounteraspartofourprofessionallives.

Ithelpstofocusonbig-pictureissuesthatmakeadifferenceby:• Findingmeaningandpurpose

inoureverydayworkandrediscoveringthejoyofbeingadoctor.

• Identifyingthequalitiesweadmireinourrolemodels,mentorsandcolleagues.

• Upholdingourintegrityinallwedo.

• Developinggoalsforallaspectsofourlivesincludingourspirituallife,ourphysicalandmentalhealth,ourcareersandourrelationshipswithotherpeople.

• Personallysupportingourmedicalandothercolleagues.

Inclosing…While‘firstdonoharm’haslongreferredtoprotectingourpatients,inthe21stcenturyitsmeaningneedstobeexpandedtoalsoincludeprotectingourfamilies,ourcolleagues,ourenvironmentandourselves.

This article is an edited extract from the book Firstdonoharm–beingaresilientdoctorinthe21stcentury by Adjunct Associate Professor Leanne Rowe AM and Professor Michael Kidd AM. Both authors are general practitioners, and are a past chair of the RACGP Victoria and a past president of the RACGP, respectively.

Increatingourlegacywecanalsodiscoverwaystotranscendadversitythatweencounteraspartofourprofessionallives

MakeourmedicalorganisationsworkforusOurmedicalorganisationsarechargedwiththeresponsibilityofadvocatingaboutmanyoftheissuesthataffectourabilitytodeliverahigh-qualityservicetoourpatientsandourcommunities.Theseissuesmayrangefromareasofclinicalinterest,inequityinaccesstohealthcare,clinicalindependence,trainingneedsortheimpactoftheenvironmentonhealth.

Bybecominginvolvedinourmembershiporganisations,eveninalimitedway,wecangainpeersupport,developareasofspecialinterestandlearnhowourorganisationsworkandhowtheycanprovideuswithongoingsupportandadvice.Ourmedicalorganisationscanalsoprovideopportunitiesforleadershiptrainingtosupportourrolesinadvocatingforourcommunitiesandourpatients.

CreatealegacyWecanbeproudofourprofession.Eachofushasthepotentialtobearolemodelforfuturedoctorsandcontributeourownlasting

AllinternswhojointheAMAfor2017willreceiveafreecopyof‘Firstdonoharm’astheAMA’sgifttoyou.


Thefirstfewmonthsofinternshipcanfeelquitebusyasyouareadjustingtoworkinglifeandlearninghowtogetthingsdoneinthehospital.However,itisimportanttokeepinmindthattheapplicationprocessforjobsthefollowingyearhappensfrighteninglysoonand,giventheever-increasingcompetitionforprevocationalandvocationaltrainingplaces,itiscriticallyimportantthatyousubmitthebestpossibleapplicationforyournextjob.Thisarticleisintendedtoprovideyouwithsomepreliminaryadviceabouttheprocess,butthekeymessagesaretobeawareofthetimeframesandtobeprepared.

Pleasenotethatthisarticleisbasedonpriorpractices,anditispossiblethatSAMET(SouthAustralianMedicalEducationandTraining)maychangetheapplicationprocess,sopleaseseetheirwebsite(www.saimet.org.au)forthedefinitiveinformation.

Quicksummary• Somevocationaltraining

positionsarenotallocatedbySAMET,soifyouareconsideringapplyingforsuchapositionyouneedtoinvestigatetheprocessandtherelevantdeadlines;

• Seekouttraineesinyourdesiredprogramorareaofinteresttoaskaboutspecificprocessesorproceduresfortheparticulartrainingpathway;

• TwotothreereferencesfromsupervisingconsultantsinyourfirsttwointernrotationsarenecessaryfortheSAMETapplicationprocessforresidentjobs;

• Thoroughlyinvestigatethesituationtoensureyoumakeaninformeddecisionregardingyourpreferencesforjobs,

notingtheincreasingdemandforallpositions;

• Investtimeinpreparingforallinterviewssothatyoumaximiseyourchanceofsecuringapositionyouwant;

• TheAustralianMedicalAssociation(SouthAustralia)willbeholdingsessionsonjobapplications,curriculumvitaewritingandinterviewsin2017,sokeepaneyeoutforthese.

ApplicationsSAMETisresponsibleforadministeringtheapplicationandallocationprocesstoeffectivelyallprevocationaljobs,andsomevocationaltrainingplaces.However,therearesomenotableexceptions,suchasEmergencyMedicinetraining,GeneralPracticetrainingandarangeofothervocationaltrainingplaces;therefore,ifyouintendtoapplyforvocationaltrainingdirectlyfrominternship,itwillbeessentialtoinvestigatetherelevantapplicationprocessesandensureyouareawareoftheimportantdates.

TheSAMETapplicationsusuallyopeninlateMayandcloseinlateJune.Latesubmissionsarenotaccepted,soyouneedtoensurethatyougetinontime.Theapplicationprocessisrelativelystraightforward,requiringsomebasicinformation,alongwithyourcurriculumvitaeandtwoorthreereferences.Thereferencesareparticularlyimportant.Theyneedtobefromseniorclinicians(i.e.consultants)withwhomyouhaveworkedclinically,meaningthatreferencesfromMedicalSchoolorresearchprojectsarenotsuitable.Giventhetimingofapplications,itiseffectivelynecessarytogarnertwotothreereferencesfromyourfirsttworotationsoftheyear.Itistechnicallypossibletouseasupervisingconsultantfromyourthirdrotation,butthisshouldbeconsideredaback-

upoptiononly,giventhelimitedtimeyouwouldhavespentwiththemandthetimepressuresinvolved.

Approachingconsultantsforreferencescanbedaunting,butthevastmajorityarefullyawareoftheimportanceoftheprocessandarewillingtoassistyouinyourfutureendeavours.Vocationaltrainingprogramsandstreamedprevocationalplaces(e.g.surgicalresidentyears)generallypreferreferencesfromconsultantsintherelevantarea,soifyouareconsideringapplyingforsuchapositionthenthismayberelevantintermsofyourrotationpreferencesfortheinternshipyear.Onceaconsultanthasagreedtoprovideareferenceforyou,thenextstepistologtheirdetailsintotheonlineSAMETsystem;theclinicianthenreceivesanautomatedemailinvitingthemtosubmityourreference,andyouarenotifiedwhentheycompletethis.Sometimesitisnecessarytoremindrefereesthattheyneedtocompletethereferencesbythedeadline,whichisusuallyafewweeksafterapplicationsactuallyclose.

PreferencesApplicantsarerequiredtonominatethreejobsforwhichtheyareapplying,frommostpreferredtoleastpreferred.Obviouslythelikelihoodofreceivinganofferisasimplefunctionofthesupplyofrelevantplaces,candidatedemandandthecompetitivenessoftheindividualapplicant.SAMEThasdetailedinformationonlineregardingthetechnicalitiesoftheapplicationprocess,ifthisisofinterest.

Theunfortunaterealityisthatthereisaneverincreasingpoolofgraduatescompetingforalimitednumberofprevocationalandvocationaltrainingplaces.Therearereportsfromeasternstatesthatlargenumbersofjuniordoctorsarenotreceivingjoboffers.Thesituation

Applying for PGY2 jobs: get an early start


inSouthAustraliaislessclear,butSAMETdoesreleaseapublicationoutliningtheresultsoftheallocationprocessinJanuaryeachyearfortheprecedingallocation;itmaywellbeworthreviewingthiswhenitisavailableinJanuary2017sothatyoucandevelopagoodimpressionofthepriorcompetitivenessofthepositionswhichyouareinterestedinapplyingfor.

Althoughwecannotofferanyadviceonwhatpreferencesmightbebestforyou,wedothinkitisadvisabletoconsiderthespecificsituationthatappliestoyouandtothoroughlyinvestigatethistoensureyoumakeinformeddecisions.Forexample,ifyouareinterestedinsurgicaltraining,itmaynotnecessarilybewisetoapplyonlyforsurgicalresidentyearsifthesearehighlycompetitiveandifyouarenotveryconfidentofreceivinganofferforoneofthesepositions.Thisisbecause,ifyoudonotreceiveanofferforanysuchposition,youwillnotbeconsideredforanyofthegeneralpositionswhich(atleasthistorically)havebeenlesscompetitiveduetotheirgreateravailability.

Itisgenerallynotedthatapplicantstendtobemorehighlyrankedbyhealthservicestowhichtheyareknown,presumablybecausethecliniciansandadministratorsarefamiliarwiththeindividualinquestion.However,thisshouldnotdeteryoufromseekingopportunitiesoutsideofthehospitalinwhichyouareanintern,andyoushouldconsiderwhetherswitchinghospitalsmayimproveyourexposuretoconsultantsorprocedures,orperhapsofferabetterwork-lifebalance.Inpreviousyearshealthserviceshavenotreceivedinformationaboutwhereyouhaverankedthejobsthatyouhaveappliedforandyouarenotobligedtodisclosethistothem.

InterviewsMostplacesforwhichapplicantscanapplywillhaveassociatedinterviews.Theseareanopportunityforthehealthservicetomeetyouand,equally,foryoutogettoknowthem.Interviewsalsorepresentanopportunitytodemonstrateyourenthusiasmandsuitabilityforthepositioninquestionandtoadvantageyourselfintheallocationprocess.Generaltipsaboutjobinterviewsallapplytointerviewsformedicaljobs,buttherearesomesuggestionsoutlinedbelownonetheless:

• Ensureyouarewellinformedabouttheexactnatureofthejobthatyouareinterviewingfor,whatyourresponsibilitieswouldbe,andsoon;

• Althoughinterviewersareunlikelytobeimpressedbyrote-learnedanswers,youcanpredictyouwillbeaskedkeyquestionssuchaswhyyouareapplyingforthejobandwhatyoucanbringtotheposition;

• Sometimesquestionsaskedduringinterviewsaresimilarfromyeartoyear;itmaybepossibletodevelopanotionofwhatyouarelikelytobeasked,andmanycandidatespracticeinterviewswiththeircolleagues;

• Ifpossible,usespecificexampleswhenansweringquestions;althoughinterviewerswillhaveaccesstoyourcurriculumvitae,coverletterandapplication,theyhavemanycandidatestointerviewandsoitisworthwhilespecificallyremindingthemaboutyourskills/attributes/achievementsduringtheinterviewitself;

• Interviewsareoftenheldduringworkinghoursandthiscanmakethingsdifficultandmorestressful;

ifpossible,arrangetimeofftoattendinterviewsinperson.Itispossibletoconductinterviewsoverthetelephonebutthisismuchlesspreferable;

• Interviewerssometimesaskhypotheticalquestionsorforyoutorespondtoaclinicalorethicaldilemma.Thesearegenerallynotdesignedtoassessclinicalknowledge(althoughnotnecessarilyforvocationaltrainingplaces)butmorefocussedonyourapproach;rememberthatthereisnotnecessarilya‘right’answerandthattheinterviewsaremorelikelytobeinterestedinyourunderlyingreasoningandyourpriorities;

• Ifunsureaboutthedresscode,asksomeonewhohasbeentotheinterviewbefore,rememberingitisgenerallyregardedasbettertobeoverdressedthanunderdressed.

HowcantheAMA(SA)helpyou?Theapplicationforjobsin2018willcomeuponyoubeforeyouknowit!HowevertheAMA(SA)isheretohelpyouthroughthisprocess.Luckily,SAMEThasmadetheprocessrelativelysimple.However,theselectionofpreferencesandthenuancesofinterviewingarecomplexandrequireaconsiderableinvestmentoftimeandcaretoensureyougiveyourselfthebestpossiblechanceofsuccess.

AMA(SA)hashelpedjuniordoctorswiththedevelopmentoftheircareers.Numerousworkshopsandcareernightshavehelpedjuniordoctorsmaptheircareerpaths.NowtheAMAhavealsoreleasedthecareerpathwayguidehttps://ama.com.au/careers/pathways.

Allthebestwithyourapplications!


The Salaried Medical Officers Enterprise Agreement 2013 Pleasenotethattheawardisacomplexdocument.Extractshavebeen

takenfromtheawardtoprovidetheinformationbelow.Therearesometimesspecialcircumstancesthatneedtobetakenintoaccountnotcoveredbelow.

Whataretheordinaryhoursofworkundertheaward?Theordinaryhoursofdutyareanaverageof38hoursperweek.Thehoursmustnotexceed12hourspershift(excludingmealbreaks),68hoursinanyoneweekor272hoursinanyfourweekcycle.

Howisovertimepaid?Overtimeispaidatthefollowingadditionalhourlyrates:

Fulltimeemployees

Inexcessof76hoursinanytwoweekcycle 50%

Inexcessof76hoursinanytwoweekcyclethatfallsonaSunday 100%

Inexcessof110hoursinanytwoweekcycle 100%

Whatarethepenaltyratesundertheaward?Anyhoursworkedbetweenthefollowinghoursshallbepaidatordinarytimeplustheappropriatepenaltyrateasfollows:

MidnightFridayandmidnightSunday 50%

Inexcessof8hoursonaSunday 75%

Atorafter12Middayandextendingbeyond6pm 15%

Betweenmidnightand8amonanyday(theovertimeandpenaltypaymentsabovetakeprecedenceoverthispayment,whichisnotanadditionalonetothem) 25%

Onproclaimedpublicholidays,employeeswillbepaidanadditional150%ofthehourlyrateforhoursworked(conditionsapply).WhereapublicholidayfallsbetweenMondayandFridayandtheemployeeisrosteredoffonthatparticularday,theywillbeentitledtohaveonedayaddedtoannualleaveforeachpublicholiday.

Whatarethemealallowancesprovidedundertheaward?Therearespecialrequirementsconcerninghavingmealbreakswhicharecoveredintheaward.

Aninternmustnotberequiredtoworkmorethan6hourswithoutamealbreakofhalfanhour,exceptinthecaseofemergenciesorwheretherequirementtofacilitatecontinuityofpatientcareresultsintheneedfortheinterntocontinueactiveduty.

Aninternwhoworksinexcessof6hourswithoutamealbreakmustbepaidanadditionalpenaltyforalltimeworkeduntilamealbreakistakenandcompleted,exceptinthecircumstanceswhereaninternhasnotbeenexpresslyinstructedbythatintern’ssuperiortocontinueworkinginexcessofthe6thhourspan.Theadditionalpenaltypayableunderthisclauseis50%oftheHourlyRateapplicabletotheintern.Whereaninternperformsworkwhichattractsovertimeand/orweekendpenaltyrates,thisadditionalpenaltyispayableinadditiontoanyotherpenaltiesthatmightbepayable.

Whereaninternisinterruptedduringamealbreakbyworksuchmealbreakistobecountedastimeworkedandtheperiodpaidforatordinarytimerates.

Whatareyourprofessionaldevelopmententitlements?Anintern,notinanaccreditedtrainingprogram,isentitledtouptooneweekofpaidleaveeveryyearforprofessionaldevelopment,whichcanbeaccumulatedtoatotalof2weeksinanytwoyearperiod.Therearerulesonwhatisconsideredacceptabletrainingforthisleave.Inaddition,reimbursementforprofessionaldevelopmentofupto$4,000perannum(inclusiveofanyapplicableFBT),whichcanbeaccumulateduptoanamountof$8,000inanytwoyearperiodcanbepaidwithapprovalforfulltimestaff.Lesseramountsapplytoparttimestaff.

“Professionaldevelopment”meansprofessionaldevelopmentasapprovedbytheintern’sdirectlinemanagerwhowillhaveregardtotheintern’sperformancedevelopmentplanasapplicableatthetimeofapproval,providedthattheabsenceofaperformancedevelopmentplanwillnotprecludeanapproval.

Notethatapplicationsforapprovalmustbemadebyaninternatleast3monthspriortotheanticipateddateofcommencementofleaveexceptthatwheretheleaveisforthepurposesofattendanceatascheduledworkshop/seminar/courseanapplicationmustbemadeatleast6monthspriortothedateofcommencementofleavetoallowforappropriatearrangementstobemadeforongoingserviceneeds.


The Salaried Medical Officers Enterprise Agreement 2013 …

Also,itisrecognisedthatpartoftheaverageof38hoursperweekforinternsisspecificallydesignedtoallowthemtoundertaketrainingandeducationalactivities.Suchactivitiesmayincludetutorials,lectures,grandrounds,andconsultationswithothermedicalofficersontheunderstandingthattheprincipalobjectofsuchactivitiesistodevelop,maintainorimprovetheskillsandknowledgeoftheintern.Rostersshouldtakethatintoaccounthavingregardtopracticalityandlocalarrangements

Howmuchsickleaveareinternsentitledto?Maximumsickleaveshallbecalculatedbythefollowingformula:

Thisequatesto12daysperyearforfulltimeemployees.

Asaprofessionalprecaution,theAMA(SA)alsoencouragesyoutoconsidertakingoutincomeprotectioninsurance.

Whatispersonalleaveandhowmuchareinternsentitledto?Anintern,otherthanacasualemployee,withresponsibilitiesinrelationtotheirfamilywhoneedtheircareandsupportduetopersonalinjury,orforthepurposesofcaringforafamilymemberwhoissickandrequirestheintern’scareandsupport,orwhorequirescareduetoanunexpectedemergency,isentitledtoupto10days(ortheequivalentinhours)oftheiraccruedsickleaveentitlementinanycompletedyearofcontinuousservice(prorataforpart-timeemployees)toprovidecareandsupportforsuchpersonswhentheyareill.Therearespecificconditionsaroundthisleavethatmustbemet.

Whatarethematernityandadoptionleaveprovisionsundertheaward?Anemployee,otherthanacasualemployee,whohascompleted12monthsofcontinuousserviceisentitledto16weeksofpaidleaveformaternityoradoption.Thepaymentwillbeattheemployee’sordinaryrateofpayexcludingallowancesandpenalties.

Whataretheannualleaveprovisionsundertheaward?Anemployeewhoisnotacasualemployeeisentitledtothefollowingcalendardaysofannualleaveentitlementsinadditiontopaidpublicholidays:

Regularlyrosteredfordutyover7daysoftheweek 35days

Notregularlyrosteredover7daysoftheweekbutisregularlyrequiredtobeoncallordutyon7daysoftheweek,includingSaturdaysandpublicholidays 35days

Notrosteredorrequiredtobeondutyoroncallover7daysoftheweek 28days

NoteonlongserviceleaveYoushouldbeawarethatifyouleaveyouremploymentwiththeStateGovernmentyouraccrualoflongserviceleaveceasesandyoulosealloftheyearsearned(before7years).Ifthereareopportunitiestotakeleavewithoutpaythisshouldbesoughtasthismaywellpreservelongserviceleaveentitlements.

Whatarethenoticeprovisionsundertheaward?Anemployermustgive2weeks’noticetotheemployee.

RatesofpayperannumFrom14.4.16

Intern(Step1) 69,834

MedicalPractitionerStep2 76,184 Step3 82,532 Step4 95,863 Step5 104,116Step6 110,466 Step7 116,814 Step8 123,163

Hourlyrate–meansannualsalarycalculatedasaweeklyamountdividedby38.

DefinitionsIntern-meansanemployeewhohasgraduatedfromanaccreditedAustralian/NewZealandSchoolofMedicineandhasbeengrantedprovisionalregistrationbytheMedicalBoardofAustraliapursuanttoPart7,Division3oftheHealthPractitionerRegulationsNationalLaw(SouthAustralia)Act2010.

Averageno.ofhoursrostereddutyMPGemployeeisemployedperweek x 91.2 =

Maximumno.ofhoursentitlementperfinancialyear(takentonearesthour]

38 1

IMPORTANTREMINDER:Asyoustartyourmedicalcareer,itisveryimportanttoensurethatyouareprotectedwithincomeprotectioninsurance.Itisanimportantsafeguardagainstunforeseenadversity.Remember,itistaxdeductible.Soundfinancialplanningfortheyearsaheadisalsoimportant.AMAInsuranceServicescanhelpwiththefirst(1300763766)andAMA(SA)PreferredProviderHoodSweeneywiththesecond(1300764200).


Membership BenefitsIn addition to its state and federal advocacy activities, the AMA also offers a range of member benefits and resources for doctors at all stages of their careers. For more information, visit amasa.org.au.

SpecialmembershipcardTheAMA(SA)AmbassadorMembershipCardbringstangiblebenefitsthroughthesavingsitoffers.ItcanbeusedatmanyoutletsacrossAustraliatoaccessdiscountsondiningoutandaccommodation,andavarietyofentertainmentoffers.Signup,andenjoybetterprices!

PublicationsAMA(SA)membershipcomeswithafreesubscriptiontotheMedicalJournalofAustralia–Australia’sleadingfortnightlyscientificandacademicmedicaljournal,aswellasmedicSA,forSAnewsandviews.Youcanalsoget10%offwithMJABookshop.

RepresentationTheAMAhasastrongrepresentativestructurewhichensuresthatAMApositionsandadvocacyarewellinformedbymembersrepresentingarangeoffieldsandareasofexpertise,includingdoctorsintraining,whoarerepresentedonourstateandfederalcouncils,andthroughourDiTCommitteeandDiTCouncil.

VWVolkswagenvehiclesarecheaperforAMAmembers,whocanreceiveadiscountoffthelistprice:adealthatcouldsaveyouthousands!JustseeyourlocalVWdealershipforfulltermsandconditions,orvisitwww.ama.com.au/memberservices

AMAGoldCard$0annualcardfeeComplimentaryenrolmentin

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available

CareersAdvisoryService-theAMAhasdevelopedanationalCareersAdvisoryService,linkingcentralisedwebbasedresourcesformemberstoface-to-facecareersconsultationavailablethroughyourlocalAMA.TheAMAunderstandtheincreasinglycompetitiveenvironmentformedicalprofessionalsandtheCareersAdvisoryServicecanassistwithcoachingandresourcestohelpyougetthemedicalcareeryouwanttoachieve.

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HoodSweeneyisaSouthAustralianprofessionalservicesfirmwithover30years’experienceadvisinghealthcareprofessionals,andspecialisesinworkingwithyoungdoctorstoestablishasecurefinancialfuture.AMA(SA)DoctorsinTrainingreceivingafreefirsttaxreturnwitha20%discountonaccountingandtaxationservicesanda50%discountonaninitialFinancialPlanningStatementofAdvice.ContactourHealthTeamon1300764200formoredetails.

CommonwealthBankAsanAMAmemberyoucanreceiveaccesstodiscountsoninterestratesandareductionoffeesfornewHomeLoans,andInvestmentHomeLoans,aspartoftheWealthPackage,aswellasaccesstospecialtailoredpackages.YouwillalsohaveaccesstoaPersonalRelationshipManagerwhowillbeyoursinglepointofcontact.Aswellasassistingyouinachievingfinancialgrowth,weprovidesuperiorcustomerservicetohelpyoubettermanageyourfinancesonadaytodaybasis.Contact(08)83610101formoredetails.

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Receivegreatdiscountsoffone-yearandtwo-yearmembershipfeeswithQantasClub.1year–$390.60(save$119.30)2year–$697.50(save$227.50)PleasecontacttheAMAon1300133655toobtainanapplicationform.

AdelaideBMWAMA(SA)membersareeligibletoreceivePlatinummemberbenefitswhentheypurchaseaBMWVehiclethroughAdelaideMotors.Thesebenefitsinclude:ComplimentaryBMWService

Inclusivefor5years/80,000kmCorporatepricingReduceddealerdeliverychargesReducedrateonaBMWDriving

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GoodLifeHealthClubs10%offGymMembershipforAMA(SA)members.

doctorportalLearningTheAMAlaunchedanewfreebenefitformembers,anonlineCPDTrackercapableoftrackingpointsagainstalmostallmedicalcolleges,supportingmedicalprofessionals’MBAreportingobligationsandprovidingonlinemedicalCPDlearning.www.learning.doctorportal.com.au

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