AUGUST 2013 - New Zealand Doctor

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RNZCGP Review of the delivery of general practice vocational training August <strong>2013</strong>The proposed hours are shown below with current educational hours shown in the brackets:Education component GPEP Year 1 GPEP Year 2 GPEP Year 3 TotalImmersion training 72 (72) 43 (0) 29 (0) 144 (72)Small group seminars 120 (240) 72 (16) 48 (16) 240 (272)Online education 36 (0) 22 (0) 14 (0) 72 (0)Workplace assessments 12 (8) 8 (4) 4 (4) 24 (16)TOTAL 240 (320) 145 (20) 95 (20) 480 (360*)*Excludes 46 hours (proposed 96 hours) of self-directed learning24
RNZCGP Review of the delivery of general practice vocational training August <strong>2013</strong>Option 2: Employment and use of fundingPoints for consultation1. That equitable education funding is obtained for the GPEP programme in comparison with othervocational registrar training programmes.2. That agreement is obtained that once a registrar is accepted in to the programme that three years ofeducation funding will be provided at a predetermined level and that this level will be determined prior toApril each year.3. That the College enters discussions with HWNZ to introduce the alternative model of fundingemployment and training. This model of employment could be in effect for the 2014/15 cohort ofstudents.Education and Salary FundingThe sum of HWNZ funding for GPEP provides for both education and employment, in termsequivalent to the MECA scale, for GPEP Year 1. Education funding is provided through all threeyears with the majority in Year 1. In contrast for registrars training within DHBs, HWNZ pays for theeducation components, the teacher to deliver training and a portion of the salary for the registrarwhile they receive the education. DHB Registrar Medical Officers (RMOs) are entitled to four hours ofprotected teaching each week.In an ideal future state, the principles underlying training should be that GPEP registrars are able toundertake education with appropriate supervision throughout all the years of their training. To enablethis to occur, the employer should have control over employment conditions throughout the wholetime registrars are in the programme as occurs for all other vocational scopes.To be able to operate GPEP in the most effective manner, and to be able to attract the highestpossible number of registrars, the College needs agreement from HWNZ that once a registrar isaccepted onto the programme that the full three years of educational funding will be provided at apredetermined level.Option 2.1 (status quo): College employs registrars for GPEP Year 1, withpractice employment in GPEP Years 2 and 3The current employment model, in place since December 2012, has GPEP Year 1 registrars beingemployed by the College, with salaries being funded by HWNZ. The shift from registrars receivinga bursary to becoming employees was part of a broader recognition of the need to make generalpractice an attractive career option to postgraduate registrars.The registrar is assigned to work in a practice under the supervision of a teacher selected andtrained by the College. The majority of the GPEP education components (80%) are also deliveredduring this year, with funding provided by HWNZ under a separate training contract.In GPEP Years 2 and 3, registrars are employed directly by the practices in which they work. Thereis no HWNZ funding for the salary of these registrars. A small amount of funding provides for someeducation delivery. The registrar is required to pay a fee ($3700 in 2012) to be part of the programmeand this provides the balance of funding to allow the delivery of the education components in Years 2and 3.At present education funding for GPEP 1 registrars is $25,688 while GPEP Years 2 & 3 are fundedfor a maximum of $4640 for a maximum of 100 registrars.25
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AUGUST 2013 - New Zealand Doctor

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