Category: Internship

  • Medical Internship Australia 2026 Clinical Year Application Guide

    Medical Internship Australia 2026 Clinical Year Application Guide

    *We will be regularly updating this post as the various States and Territories update their processes. Where information is not currently available for the 2026 clinical year we have used information from the previous year, i.e. 2025. If you notice anything incorrect please let us know in the comments below.

    It’s time for our well-liked guide on applying for internships in Australia. Wondering how to become an intern in Australia? It’s that time of year when the process of applying for and assigning medical intern positions in Australia gets underway. So, now is the ideal moment to outline the procedure. I managed the largest intern application system in Australia, specifically the NSW Intern application system, for four years. Therefore, I would like to impart some of the insights I gained from that experience to this year’s medical graduates. Wondering how to become an intern in Australia? It’s that time of year when the process of applying for and assigning medical intern positions in Australia gets underway. So, now is the ideal moment to outline the procedure.

    Recent Developments of Note.

    1. One interesting phenomenon of the past few years of internship allocations in Australia has been that most jurisdictions have not been able to fill all intern posts. This theoretically creates more opportunities for IMG doctors. We have attempted to indicate the number of unfilled posts from last year where known.
    2. Consistent with the move to a 2-year Prevocational Training framework we understand that all jurisdictions are now offering a minimum 2-year contract for Internship.

    (Disclaimer: All information here has been sourced in good faith but things do change so you should always do your own due diligence in such matters, we are providing this information to aid you in your application but take no responsibility for any outcomes)

    As has been the case in past years the main Intern application and allocation dates are aligned across Australia so that every State and Territory opens and closes their systems at the same time and makes offers at the same times. There are some variations to this in relation to special priority categories in some States and Territories. The key things that all medical graduates should consider in preparing their medical internship application in 2025 year for the 2026 clinical year are as follows:

    • Applications open on 6th May 2025.
    • Applications close on 5th June 2025.
    • Make sure that you have an Intern Placement Number; otherwise, you won’t be able to apply.
    • You should research the application requirements now as there may be some “surprises”. As soon as the application system opens, register or log in and ensure that you have everything you need to complete your application.
    • Understand where you sit on the priority list for any State or Territory you are applying to.
    • If you are required to attend an interview. Ensure you have obtained leave from your medical school requirements to attend.
    • Also, consider whether the interview will be in-person, via phone, or video.
    • Give yourself time to request referees, assemble a Resume, if required, and find other documents you may need.
    • The first National Intern Offer Period commences 14th July 2025.
    • Offers for Rural and other Special Pathways will come out starting from 14th July 2025.
    • The first offers for all other main pathways will come out from 16th July 2025.
    • Generally, you only have 48 hours to accept. So make sure that you have regular access to your email.
    • The National Close Date for 2026 Intern Recruitment is 17th October 2025. After which all remaining vacant intern positions move into the Late Vacancy Management Process.
    • The National Late Vacancy Management Process closes on 20th March 2025
    • Stay in touch with your medical school. you may be worried about completing your degree on time but they are all working very hard with the other institutions to give you the best chance of completion.

    Number of Intern Positions Available Across Australia in 2025

    last updated 13th April 2025

    JurisdictionIntern Numbers 2026Intern Numbers 2025Intern Numbers 2024PopulationInterns per 100K Person**Unfilled Posts 2025Annual Salary
    New South Wales1,1751,1621,135.5 8,511,20013.842$76,009
    Victoria973971960.57,013,00013.92025 unknown, 16 in 2024$85,414
    Queensland9218858625,608,70016.4not available$90,141
    Western Australia401#4014012,981,80013.5not available$90,864,– $119,165***
    South Australia353#3533111,882,70018.840$81,814
    Tasmania106#106105576,00018.4not available$87,000
    Australian Capital Territory96#9695475,60020.2not available$86,619
    Northern Territory888865255,60034.4not available$90,150
    Junior Doctor Training Program (Commonwealth)115#115115not availablevaries
    TOTAL42284,1774,05027,309,40015.4
    * indicates based on 2023 Annual Report
    ** From https://www.abs.gov.au/statistics/people/population/national-state-and-territory-population/latest-release

    ***If allocated to WA Country Health you will receive a higher payment
    #2025 numbers not yet released, PMCWA does not list intern numbers for Western Australia.

    Key Dates for Internship Applications in 2025 and 2026

    Applications OpenTuesday 6th May 2025
    Applications CloseThursday 5th June 2025
    National Offer Period 1 Opens (Rural and Aboriginal and Torres Strait Islander Pathways)Monday 14th July 2025
    National Offer Period 1 – Main OffersWednesday 16th July 2025
    National Offer Period 1 ClosesFriday 1st August 2025
    1st National Audit of Acceptances and Unplaced ApplicantsTuesday 5th August 2025
    National Offer Period 2 OpensThursday 14th August 2025
    National Offer Period 2 ClosesFriday 5th September 2025
    2nd National Audit of Acceptances and Unplaced ApplicantsTuesday 9th September 2025
    National Offer Period 3 OpensThursday 18th September 2025
    National Offer Period 3 ClosesFriday 17th October 2025
    3rd National Audit of Acceptances and Unplaced ApplicantsTuesday 21st October 2025
    National Late Vacancy Management Process StartsMonday 10th November 2025
    National Late Vacancy Management Process ClosesFriday 20th March 2026
    C/- HETI

    Tip #1. Your Medical Intern Placement Number.

    The IPN is a unique nine-digit number that has been generated by AHPRA and has been provided to medical schools for distribution to all 2025 final-year medical students. The number is used as part of the national audit process (which ensures that intern positions across the country are made available to as many applicants as possible) as well as to streamline registration.

    This number is not the same number as your AHPRA registration number or student number. If you have not received your IPN you should check with your school.

    If you are not an Australian medical student you won’t be issued an IPN. If you are applying as a non-Australian medical student you do not require an IPN. However, please note that unless you are a New Zealand medical student your chances of gaining an internship are very slim.

    Tip #2. Other Things You Will Likely Need to Become an Intern in Australia. 

    The majority of States and Territories require you to upload an academic transcript as proof that you are indeed a medical student. 

    They will also request evidence that you satisfactorily meet the AHPRA English Language requirements. This may seem a bit ridiculous given that you have been attending medical school in English for the last 4 or 5 years. But it is the law. So check whether you may need to submit an up-to-date English test result or some other form of documentary evidence such as a high school certificate.

    Most States and Territories will also request a CV or Resume. For tips on your CV or Resume see our ultimate guide to CVs or watch a video series about this.

    Some States and Territories have a CV template that they suggest that you use to fill in your information. In the case of Victoria, you are no longer required to use the suggested template (change from last year). It’s probably fairly harmless to use the template for the other States and Territories. But if you are thinking about your future career, then now is a good time to be designing your own CV. The risk of using the template is that you don’t stand out from other candidates.

    You will need to also provide proof of your identity, citizenship, residency, or visa. And if you have had a name change along the way you will probably also need to provide some documentation in relation to this.

    Why All This Information?

    The State and Territory bodies who administer the Intern application process have a responsibility to ensure that you are eligible to apply for provisional registration at the end of the year in order to work as an Intern.  They collect this information to check that everything is in order so that you are indeed eligible to apply. Employers can get rightly annoyed when told that someone who has been allocated to work with them as an Intern will have a several-month delay whilst they resit an English language test.

    However, it’s your responsibility to ensure that you are eligible for registration. So you should also be checking these things yourself. 

    It’s hard to fathom given the amount of communication from health departments, medical schools and student colleagues. But every year there are a handful of medical students who forget to apply for their internship. This means having to wait another year. Don’t let that be you.

    Dr Anthony Llewellyn | Career Doctor

    Tip #3. Research and Apply Early.

    It’s hard to fathom given the amount of communication from health departments, medical schools, and student colleagues. But every year there are a handful of medical students who forget to apply for their internship. This means having to wait another year. Don’t let that be you.

    There are even more students who leave their applications to the last minute. Only to find that they are missing a vital document. For example, this could be evidence you need to substantiate that English is your first language, such as a high school certificate. Or perhaps your last name has changed whilst you have been in medical school? Or maybe you need to submit a CV with your application?

    As soon as the application page opens for each State and Territory you are going to apply to make sure you register. And then go as far through the process of applying as possible so you can see if there is some sort of document you need to obtain.

    Tip #4. Practice Your Interview Technique, Including Video Interview Technique.

    As part of your application to become and Intern in Australia you may need to undertake an interview. This could take the form of a faced to face interview or a video interview. The COVID pandemic resulted in a shift to a preference for video interviewing job applicants in Medicine in Australia. Many employers now see an inherent advantage to this. So you should still be prepared for the fact that this year your interview may be conducted on video.

    There’s a lot more than you think to video interviewing. For a rundown on this check out this post.

    Tip #5. Know Where You Sit In The Priority List.

    Its important to know where you sit on the priority list. Each State and Territory has a slightly different order but in essence, it goes something like this:

    1. If you are an Australian Citizen or Permanent Resident and went to Medical School in that State or Territory you are top of the list.
    2. If you are an Australian Citizen or Permanent Resident and went to Medical School in another State or Territory or New Zealand you are probably second.
    3. If you are an international student who studied Medicine in Australia you are probably next.

    Tip #6. Know the Key Dates, including Offer Dates.

    As noted above it’s crucial that you know the key dates. If you miss your application submission date (and it does happen) there is no allowance for a last-minute submission. You also need to make sure you are available to accept your offer. Generally, the window for offer acceptances is quite narrow (often 48 hours).

    For this year the day on which the first round of offers can be made nationally is 14th July 2025 for the rural and other special pathways. The first date that offers can be made to the main group of applicants is 16th July 2025 and most offers will come out on that day. Thereafter there is a series of offer windows for 2nd and 3rd round. In between which there is a mandated pause, which allows the National Intern Audit process to run. This is a system that works to ensure that vacancies are being freed up as soon as possible by highlighting medical students who may have an offer in more than one jurisdiction and ensuring that they accept one offer and decline others.

    The nationally coordinated offer system concludes on 17th October 2025. Technically this is the last date that the Medical Board can guarantee that they will be able to process your registration application in order for you to commence your internship on time the following year in 2026.

    However, there are generally still vacancies after this point and so the National Intern Audit Office switches over to an ad hoc coordinated late vacancy management process from 10th November 2025. This runs up until 20th March 2026, which is around the 1st term to 2nd term changeover for most interns. So it is still possible to commence your internship in 2026 but you might have to finish one or two terms in the following year.

    The National Intern Audit.

    States and territories share intern applicant information at pre-agreed dates. This data is then used to identify applicants who have applied for and/or accepted intern positions in more than one state/territory. Applicants who have accepted more than one intern position will be contacted by the National Audit Data Manager by phone or email and given 48 hours to withdraw from all intern positions, except the one where they intend to undertake their intern year.

    If you don’t respond to the National Audit Data Manager and/or do not withdraw from all positions except one, the relevant states/territories where you have accepted an offer will be advised and all offers, except for the first offer you received may be withdrawn.

    The Late Vacancy Management Process.

    The Late Vacancy Management (LVM) Process runs from Monday 10th November 2025 to Friday 20th March 2026. The process ensures any late vacancies are offered to eligible intern applicants who have not yet accepted an internship position.

    The Late Vacancy Management Process is coordinated by the National Audit Data Manager on behalf of states and territories. So you should ensure you have updated your contact details if you are going overseas during the Late Vacancy Management Process period.

    The National Audit Data Manager will send out emails to participants who will need to opt into the Late Vacancy Management Process if they still wish to receive an offer to be an Intern in Australia.

    If an applicant does not respond to this email, they will no longer be eligible to receive an internship offer, and their application will no longer be considered in any Australian jurisdictions.

    The process is open to medical graduates of AMC-accredited medical schools who have applied for and are not holding a 2026 intern position through the Commonwealth or states and territories at the National Close Date for Intern Recruitment. Participation in the LVM is an opt in process – you must confirm that you want to participate in the LVM by responding to the National Audit Data Manager by e-mail.

    Priorities Within Priorities.

    Some States and Territories also have priority pathways to ensure that groups such as Aboriginal and Torres Strait Islanders and doctors who wish to work rurally or regionally can obtain their preferred placement early.

    So if you are an International student and like the idea of working rurally, it’s probably a good idea to consider a rural pathway as it will likely boost your chances of gaining an Intern position earlier in the process.

    Further Information on Each Jurisdiction

    New South Wales

    Intern in Australia NSW
    Sydney Harbour Bridge, New South Wales.

    Intern Positions = 1,175 (including 241 rural preferential) across 15 Networks
    Unfilled posts in 2025 = 42
    Annual Salary = $76,009
    Length of Contract = normally 2 years
    Professional Development Allowance = nil

    The 4 Pathways in NSW


    You have the option of applying through one of 4 pathways:
    – Aboriginal Recruitment Pathway
    – Rural Preferential Pathway
    – Regional Allocation Pathway
    – Optimised (or Main) Pathway

    Only applicants who go through the Rural Preferential Pathway need to submit a CV and attend an interview.  All other pathways are based on applications only. A key advantage of the Aboriginal, Rural, and Regional Allocation Pathways is that you are far more likely to be given your preferred hospital network.

    Can You Stack or Hack the HETI Optimised Pathway?

    Each year the question comes up. Is it possible to hack or game the HETI optimised pathway. If you search enough you will find various reddit threads or blog posts covering this topic by authors purporting to have much greater understanding of mathematics than this author.

    The posts give an outline of how the HETI allocation algorithm works. The algorithm incorporates an annealing component with the purpose of optimizing the outcomes for as many applicants as possible. Hence the name “Optimised Pathway”. It does this not necessarily by allocating everyone to their most preferred network but by attempting to allocate as many people as possible to a higher preference network, therefore, guaranteeing that more applicants get a 1st or 2nd or 3rd preference overall.

    The general gist of the blogs written about hacking the HEIT algorithm is that if you are super keen on a certain NSW network. Let’s call this Network A then you should attempt to put this as your highest preference and then load all of your next higher preferences with networks that are not as popular.

    You can probably already see how this tactic can backfire massively for you.

    There’s a couple of things that can go wrong here.

    First algorithm is more likely to identify you as one of those few applicants that prefer the unpopular Network Z and allocate you there, thereby satisfying the aims of the algorithm.

    Second, you will be stacking your preferences based on historical data that does not reflect the desires of the current applicant cohort.

    And third, if large number of applicants does the same thing then you are probably all going to advantage those applicants that just put down the networks in their actual order of preference.

    Take home message. Don’t try to stack or hack the HETI algorithm.

    Intern Placement Priorities in NSW:

    Victoria

    Trains leaving the Melbourne CBD passing the Melbourne Cricket Ground

    Intern Numbers = 973 (includes an unspecified number of Rural Preferential posts)
    Unfilled Positions in 2025 = unknown (2024 was 16)
    Annual Salary = $85,414
    Length of Contract = 2 years
    Professional Development Allowance = $3,888 per annum

    c/- PMCV


    Internship in Victoria works around a computer matching system that the Postgraduate Medical Council of Victoria administers.

    The Allocation & Placement Service is a mathematical process that matches the preferences of both candidates and Health Services and is designed to be “impartial and transparent”. 

    Candidates create an account and then register with the Intern match. The second step is to select your preferred services. At the same time, the health services also place preferences. The matching process of successful candidates to positions according to rankings.

    For Victoria, you will need to submit referees as well as a CV. In past years this had to be on the quite unattractive PMCV standardised CV Template. The status of this template has now been downgraded to a “guide”. You don’t have to put a photo on your CV. I would recommend using your own CV template and not include a photo.

    Pre Recorded Video Interviews

    In 2020, Victorian Health Services began the use of video-recorded interviews. This continues for 2025 for certain candidates. The system appears to be being used as an efficient way for certain services or hospitals to review applications without arranging formal interview panel days and for candidates to appear in person.

    All VRPA applicants and all VIA Group 4 applicants will be required to complete a video interview.

    The way these interviews work because you are usually allocated a specific time to log into the system. Once you have gone through a couple of orientation steps you are usually given a series of questions and asked to record your answers. Generally, you don’t get a second go if you are not happy and the time is limited. It is vital therefore that you practice before you do your interview and ensure you have optimised your video environment.

    You are able to complete your recording at any time during the specified video interview period. All candidates are required to answer 3 questions. Questions are randomly selected from 3 different question banks. There is one additional question if you are applying for the Regional Pathway.

    Response times are 2 minutes per question. You get one minute to read the question and prepare your answer before recording.

    All health services can use these recordings to rate you along with your CV and referee reports.

    Metro hospitals may conduct live interviews with shortlisted candidates at any time before 3 July. Although I understand many do not and just rely on the candidates’ CV, referees and video interviews.

    Interns can be allocated to one of 22 hospitals and networks. This includes a small number of community-based internships where the focus is more on community-based models of care, including working in primary care and smaller hospitals.

    You can elect to be prioritised for an internship by entering the Victorian Rural Preferential Allocation (VRPA) match. Where you can be allocated to one of 5 rurally based networks. This pathway involves a live interview. First-round offers for VRPA come out on 18th July on the national rural allocation date.

    Intern Placement Priorities in Victoria

    Intern placement priorities have altered for 2025 with the introduction of a 3rd priorty group for the Victorian Rural Preferential Application (VRPA) pathway and renaming the main pathway to the Victorian Interns Allocatin (VIA) pathway with the creation of an additional fourth category for this pathway.

    VRPA Priority Group 1 – Graduates from an Australian University identifying as Aboriginal or Torre Strait Islander. Australian Citizen or permanent resident and New Zealand citizens graduating from a Victorian Medical School.

    VRPA Priority Group 2 – Australian Temporary residents graduating from a Victorian University. Graduates of the University of New South Wales who have undertaken their last two years of clinical placement at Albury Wodonga clinical School. Australian Citizen or permanent resident and New Zealand citizens graduating from an interstate Medical School but completed year 12 in Victoria. Completed their Year 12 schooling in Victoria; OR Previously lived in rural Victoria (Modified Monash Model (MMM)1 – MM2 classification or higher) and worked in a rural healthcare setting; OR Graduates of the University of New South Wales who have undertaken their last two years of clinical placement at Albury Wodonga Health clinical school.

    VRPA Priority Group 3 – Australian citizen or permanent resident or New Zealand citizen graduating from an interstate or New Zealand University. Australian Temporary resident graduating from an interstate
    University.

    VIA Group 1 – Graduates from an Australian University identifying as Aboriginal or Torre Strait Islander. Australian Citizen or permanent resident and New Zealand citizens graduating from a Victorian Medical School.

    VIA Group 2 – Australian Temporary residents graduating from a Victorian University. Australian citizens or permanent residents and New Zealand citizens graduating from an interstate University who completed their year 12 schooling in Victoria

    VIA Group 3 – Australian citizens or permanent residents and New Zealand citizens graduating from an interstate or New Zealand University. Australian Temporary residents graduating from an interstate
    University. New Zealand temporary resident graduating from a New Zealand University.

    VIA Group 4 – Graduates from and overseas campus of an Australian/New Zealand University accredited by the Australian Medical Council (i.e. Monash University, Malaysia or Ochsner).

    Indigenous Internships

    Both South West Health Care (based on Warnambool) and Melbourne Health have a small number of Internships reserved for Indigenous graduates.

    The Victorian Rural Medical Scholarship Scheme

    The Victorian Rural Medical Scholarship (VRMS) supports career pathways to rural medical practice and assists rural and regional health services to attract, employ and retain medical graduates. The VRMS supports medical students with a commitment to working in rural and regional Victoria by providing financial assistance towards living and tertiary expenses in the final year of their medical degree and into their rural intern year.

    The VRMS is administered by the PMCV on behalf of the Department of Health of Victoria. Scholarships valued at $20,000 each are available to be
    awarded to final year medical students in Victoria. Scholarship recipients are required to commit to a two- year return of service in rural or regional Victoria (within three years from graduating from medical school).

    Queensland

    Story Bridge Brisbane

    Intern Numbers = 921 (including 68 rural generalist intern positions)
    Annual Salary = $90,141
    Length of Contract = 1 year
    Professional Development Allowance = nil for Interns but $2,640 for RMOs
     
    Queensland has possibly the most complex internal allocation system of all jurisdictions. With a number of pathways and a combination of allocating certain priority groups and merit selection for others.

    The Queensland Department of Health coordinates the annual campaign to recruit interns for positions in Hospital and Health Services across the state. There is only one method of application for the intern campaign – the lodgement of an online form via a central application portal.

    Graduates assign a preference to all participating hospitals from highest to lowest (number 1 being the most preferred hospital). From the applications received via the campaign, graduates are either directly allocated to an intern position determined by their preferences (Group A) or will participate in a suitability assessment process conducted by participating hospitals with remaining intern vacancies (Applicant Groups B-D).

    The online portal is used for both the General intern campaign applications and the Queensland Rural Generalist Pathway (QRGP pathway). Applications for the QRGP are submitted first (usually in early March), followed by the General campaign (usually in May).

    So, by the time you are reading this post, if you were thinking of applying for the Queensland Rural Generalist Pathway you have missed your opportunity for 2026.

    Interns can be allocated to one of 20 Employment Hospitals.

    c/- Queensland Health

    Applicant Categories

    In Queensland, intern applicants are classified into two categories:

    Guaranteed offer graduates – Medical graduates who are guaranteed an offer of an intern position in Queensland within their immediate postgraduate year. Allocation to an intern position may be automatic or via random ballot, based on hospital preferences nominated by the individual in their intern application form. (For eligible applicants – see Group A).

    Not guaranteed offer graduates – Medical graduates who are not guaranteed an intern offer. A suitability assessment process is undertaken to determine if an offer of an intern position will be made. (For eligible applicants – see Groups B-D). There is no inherent prioritisation across applicant groups, the categorisation of groups are used for reporting for the intern campaign. Each participating Hospital and Health Service establishes suitability assessment processes to recruit from their available applicant pool and are not obligated to sequentially select through the applicant groups. Applicants who do not meet the outlined criteria for Groups A, B, C or D may be considered at the discretion of each participating hospital.

    c/- Queensland Health

    Note: Queensland is one of the few jurisdictions that offer an opportunity for IMG doctors to complete an internship in Australia. The number of doctors who are successful in doing so each year is rarely more than a handful.

    Internship pathways

    There are 4 pathways for Intern Allocation in Queensland.

    1. The Rural Generalist Program offers an opportunity to select a rural hospital centre as part of a program that is a pathway to working as a Rural GP. Applications open 4th March and close extremely early (18th March) for this pathway.
    2. Aboriginal and Torres Strait Islander Intern Allocation Initiative. The purpose of the initiative is “to promote the success of Aboriginal and Torres Strait Islander medical graduates in the Queensland Health workforce”. Eligible applicants can apply to the Aboriginal and Torres Strait Islander Intern Allocation Initiative to be allocated to their first preferenced hospital. Applications are reviewed by a panel that includes Aboriginal and Torres Strait Islander representation. Applicants who have been confirmed as eligible by the panel will be exempt from the ballot process and allocated to the facility nominated as first preference in their intern application.
    3. The General Intern Campaign. Which is a ballot process for all category A applicants.
    4. Suitability assessment for applicants in Group B-D.

    The General Intern Campaign Allocation Process.

    After the application period has closed, applications are sorted according to their applicant groups, preferences, and available positions at each facility.

    Prior to the ballot taking place a Review Committee considers applications for:

    • requests for special considerations
    • exemption requests
    • joint ticket applications
    • deferral requests

    After this the ballot commences.

    c/- Queensland Health

    Applicant Group A candidates who nominate an undersubscribed’ or equal in numbers hospital as first preference will automatically be allocated to that facility.

    Applicant Group A candidates who nominate an ‘oversubscribed’ hospital as their first preference may be allocated to another facility via the ballot process.

    Merit Selection for Groups B-D.

    There is no inherent prioritisation across applicant groups, the categorisation of these groups are used for reporting for the intern campaign. Each participating Hospital and Health Service establishes individual assessment processes to merit select from their available applicant pool and are not obligated to sequentially select through the applicant groups. Applicants who do not meet the outlined criteria for Groups A, B, C or D may be considered at the discretion of each participating hospital.

    Following the completion of first-round offers, the Position Status Report (PSR) is updated.

    This is an updated list of available positions remaining.

    Applicant group B-D candidates have 48 hours to change their preferences if they wish to.

    Queensland Health hospitals then assess applications and conduct their own meritorious selection processes. You should contact each Hospital and Health Service directly to find out what they look for in an intern.

    If vacancies become available after the First and Second Round offers, individual hospitals will meritoriously select from the remaining applicants for available vacancies. Recruitment to fill available vacancies will continue until the national closing date for intern recruitment. After the closing date, any further vacancies that arise will be filled via the Late Vacancy Management Process (LVMP).

    Western Australia

    Perth City Scape

    WA Health and the PMC of WA have previously indicated that they can not make Intern numbers available, as these are subject to confirmation by the Primary Employing Health Services.

    Estimated Numbers ≅ 401 including 25 Country Health places (based on 2023/2024 PMCWA Annual Report)
    Annual Salary = $90,864 ($119,165 if working for Country Health)
    Length of Contract = 3 years (in most cases, St John of God Midland = 2 years) with the ability to transfer to a different PEH if all internship requirements are met (IMGs may have shorter contracts tied to their visa status)
    Professional Development Allowance = $6,503

    c/- PMCWA

    Western Australia Intern Eligibility and Priorities

    In Western Australia applications that meet all eligibility criteria, and all essential criteria are included in the suitable recruitment pool. Once in the suitable pool, selection and recruitment decisions are made by the primary employing hospitals. 

    As with all other Australian jurisdictions, priority is given to Commonwealth funded medical students graduating from Western Australia. This is then followed by Western Australians graduating from interstate universities who want to return to WA; international medical students graduating from WA medical schools; then graduates from other jurisdictions (other than WA). The priority then shifts to international medical graduates from outside of Australia.

    Most notably, Western Australia has a final Category, Category 9, for graduates of universities in Competent Authority countries (as defined by Ahpra) who are Australian citizens or permanent residents, or New
    Zealand citizens who are eligible for limited registration. Presumably this is to permit Australian students who choose to study in countries such as the UK or Ireland to commence their internship in Australia. How they qualify for this is unclear, as technically, without any overseas experience they are not eligible for the Competent Authority pathway. It appears that they would have to sit and pass the AMC Part 1. Practically this probably means taking a risk and sitting out internship for 6 months to a year, because you can only sit the AMC Part 1 after you graduate from medical school.

    c/- PMCWA

    Vacancies arise as offers are declined throughout the process, and these vacancies fluctuate each year and will affect how many students outside of WA are offered an intern position. 

    Western Australia is one of the few options for IMGs to do an Internship in Australia, although as you can see from the above, it is quite limited.

    In WA all interns are employed by a Primary Employing Health Service (PEHS). 

    In WA all interns are employed by a Primary Employing Health Service (PEHS) accredited by PMCWA. Each PEHS is a major tertiary hospital in WA which has been accredited to directly employ interns and provide a high quality intern training program.

    The six PEHSs in WA are:

    All six WA Health PEHS recruit through the Centralised Intern Application Process. Each PEHS holds an information session during the application period, with presentations from the Medical Education teams, current interns and more.

    Following the close of applications in the centralised application process, PMCWA reviews all applications and creates a pool for all suitable applications. Applications appointed to the pool are grouped and managed according to the applicable priority category. As positions become available and selection processes are completed, applicants will be offered positions according to category.

    Each PEHS is a major tertiary hospital in WA that has been accredited to directly employ interns and provide an intern training program.

    Employing Health ServiceMetro PlacementsRural Placements
    Fiona Stanley Fremantle Hospitals Group (Fiona Stanley Hospital)Fiona Stanley Hospital
    Fremantle Hospital
    Rockingham General Hospital
    Albany Health Service
    Broome Regional Hospital
    Northam Health Service
    Joondalup Health CampusJoondalup Health CampusKalgoorlie Regional Hospital
    Royal Perth Bentley Group (Royal Perth Hospital)Royal Perth Hospital
    Armadale Health Service
    Bentley Hospital
    Osborne Park (Women and Newborn Service)
    Perth Children’s Hospital
    Bunbury Hospital
    Hedland Health Campus
    Kalgoorlie Regional Hospital
    Sir Charles Gairdner Osborne Park Health Care Group (Sir Charles Gairdner Hospital)Sir Charles Gairdner Hospital
    Graylands Hospital
    Hollywood Private Hospital
    Joondalup Health Campus
    Osborne Park (Women and
    Newborn Service)
    Perth Children’s Hospital
    Geraldton Regional Hospital
    Hedland Health Campus
    Karratha Health Campus
    St John of God Health Care (St John of God Midland Public Hospital)St John of God Midland
    Public Hospital
    St John of God Subiaco
    Hospital
    St John of God Murdoch
    Hospital
    WA Country Health ServiceAlbany Health Campus
    Broome Regional Hospital
    Bunbury Hospital
    Geraldton Regional Hospital

    Each PEHS hosts an information night. You can also choose to work as a rural intern by applying to work through Western Australia Country Health Service.

    The intern application process is coordinated by the Postgraduate Medical Council of Western Australia but you apply through the WA Jobs site called MedJobsWA. You submit one application and rank each PEHS from most to least preferred. Selection occurs through panels representing each of the PEHSs. As part of your application, you need to provide a CV (maximum 3 pages) and cover letter (optional) and address the intern selection criteria, you will require a range of other documents as well as nominate 2 referees. If successful you will normally receive a contract for 3 years, which provides you with job security.

    South Australia

    The River Torrens in the city of Adelaide

    Estimated Numbers = 353 (based on 2025 final positions, including 47 rural intern posts)
    Annual Salary = $81,814
    Length of Contract = 3 years in most cases (IMGs may have shorter contracts tied to their visa status)
    Professional Development Allowance = $4,500 per annum

    SA MET (South Australia Medical Education and Training) conducts the annual Intern application process in South Australia. There are 3 Adelaide-based Local Health Networks and 3 smaller country-based networks to which you can apply for the priority Rural Intern pathway. It should be noted that whatever network you are allocated to you may request or be required to undertake one or more rotations in other networks.

    The Rural Intern Pathway is a strength-based recruitment process for applicants who are interested in undertaking their internship (and potentially subsequent years) in rural hospitals within Country Health SA (CHSA). Rural intern positions provide broad opportunities in unique settings and are best suited for medical graduates with a history of living or working in rural areas or a desire to commence a career in the country. 

    To apply for internship in South Australia, you must comply with the following criteria:

    • Have graduated from a medical school in the last two years (i.e. to start an internship in 2026, you are / were a final year medical student in the 2025 or 2024 cohort).
    • Applicants who completed their medical degree at an overseas university NOT accredited by the Australian Medical Council (AMC) must have completed both Part 1 and 2 of the Australian Medical Council exams.
    • Can demonstrate that you meet the English Language Skills Registration Standard.
    • Be able to commence on the January start date, which includes compulsory orientation, and fulfil the minimum 12-month contract.
    • Have completed electronic medical record (Sunrise EMR and PAS) medical student training.
    • Be able to demonstrate that you will meet the requirements for registration with Ahpra.
    • Have NOT commenced or completed an internship or worked as a doctor before.
    • Be an Australian Citizen, Australian Permanent Resident, Australian Temporary Resident, New Zealand Citizen or New Zealand Permanent Resident.
    • Have a visa that allows you to work unrestricted in Australia for the duration of your internship.
    • Applicants completing their medical degrees in Australia who are on a student visa will need to obtain an appropriate Australian work visa before commencing their intern year (refer to page 33).
    • Have completed and submitted an online application, including the provision of valid supporting documentation, by the application closing date.
    C/- SAMET

    Barossa Hills Fleurieu Local Health Network (BHFLHN)

    Central Adelaide Local Health Network (CALHN)

    Eyre and Far North Local Health Network (EFNLHN)

    Flinders and Upper North Local Health Network (FUNLHN)

    Limestone Coast Local Health Network (LCLHN)

    Northern Adelaide Local Health Network (NALHN)

    Riverland Mallee Coorong Local Health Network (RMCLHN)

    Southern Adelaide Local Health Network (SALHN)

    Yorke and Northern Local Health Network (YNLHN)

    SA Intern Priorities:

    Like most other jurisdictions, South Australia prioritises its medical graduates first, then graduates from other States and Territories. International Students are given lower priority than Australian Citizens, Australian Permanent Residents and New Zealand Citizens.

    Aboriginal and Torres Strait Islander applicants are given priority preference by being placed in the first subcategory for categories 1 and 2.

    International Medical Graduates from non-Australian medical schools can apply for the rural intern pathway so long as they have only graduated in the last 2 years and have completed the AMC Part 1, and can meet the other requirements (which are extensive) and include meeting the Medical Board English language requirements, completing electronic medical record training and have residency status or a visa that allows you to work unrestricted. They must also not have commenced or completed an internship.

    International Medical Graduates from non-Australian medical schools can also apply for the main round but in this case must have completed both AMC Part 1 and Part 2.

    Rural Intern Pathway

    Applications for the Rural Intern Pathway are included in the standard South Australian application for internship.

    All applicants are asked to preference all eight rural networks as well as the three metropolitan health networks.

    Eligible applicants wishing to apply for the Rural Intern Pathway must preference a rural site as their FIRST preference. Rural Intern Pathway applicants who preference a rural LHN as their first preference are asked additional questions within their application form. And must participate in interviews conducted by a selection panel from the rural LHNs.

    SA Health determines which applicants will receive rural internship offers using a preference matching process and the ranked list provided by the LHNs.

    The placement of applicants into rural intern positions will occur prior to the placement of applicants into metropolitan intern positions. SA Health will match applicants to specific rural LHNs as instructed.

    Internship Categories

    Within the respective South Australian category groups, applicants are randomly allocated to their highest possible Local Health Network preference.
    If an offer is made, applicants must respond via the electronic application system within the specified timeframe. Where an applicant has been made an offer and no response received, the offer will be automatically declined. Applicants are only eligible to receive one offer for an internship in South Australia.

    South Australia is one of few States that specifically permits medical graduates from other countries to apply for internship positions. But they are at the very bottom of the priority list. Please see the above information about the rural internship.

    In addition to a CV and referees, in order to apply for an internship in South Australia, you will need to provide a certificate confirming that you have completed the SA Health online electronic medical record (Sunrise EMR & PAS) training.

    Tasmania

    Hobart in Australia

    Estimated Number  = 106
    Annual Salary = $87,000
    Length of Contract = 1 year (attempting to confirm if this has become 2 years)
    Professional Development Allowance = nil for Interns but RMOs get an allowance of $2040 per annum

    Internships are coordinated in Tasmania via the Department of Health and Human Services.
     
    All applicants are required to apply online. As part of your application, you are asked to preference all of the 3 available sites:

    SiteNumber of Positions
    North (Launceston General Hospital)39
    South (Royal Hobart Hospital)48
    North-West (North-West Regional Hospital Burnies and Mersey Community Hospital, Latrobe)19

    Rural Option

    You can also preferentially apply for one of 5 places on the Tasmanian Rural Generalist Program. You will be allocated to one of the above sites based on your preference but also undertake a 13-week rural GP placement as part of your internship.

    Applying


    Applicants must be graduates of or graduating from an Australian Medical Council-accredited University.  

    All applicants are required to apply online. Only one application is required; you will be asked to indicate your preferred place of employment (Hobart, Launceston, North West Region) via the application form.  Applicants must list each site in order of preference.

    The online application form ensures all the information required to assess your application is provided. The form includes information on eligibility to work in Australia and details on how to submit electronic reference requests.

    The online application form requires you to include your University Student Number and your Australian Health Practitioner Regulation Agency (AHPRA) Intern Placement Number.

    Candidates are required to attach a CV/Resume and any other relevant information to their application.

    A written statement addressing the selection criteria is NOT required. 

    Intern Placement Priorities:

    The Tasmanian Department of Health currently gives priority, in order, to:

    1. Australian permanent resident Tasmanian-trained Australian Government supported and full-fee paying medical graduates.
    2. Australian temporary resident Tasmanian-trained full-fee paying medical graduates.
    3. Australian permanent resident interstate-trained Australian Government supported and full-fee paying medical graduates.
    4. Australian temporary resident interstate-trained full-fee paying medical graduates.
    5. Medical graduates of an Australian Medical Council-accredited overseas University.

    Selection

    The Tasmanian Department of Health will conduct a ballot-based allocation system for placing Priority 1 (Australian permanent resident Tasmanian-trained Australian Government supported and full-fee paying medical graduates) and Priority 2 (Australian temporary resident Tasmanian-trained full-fee paying medical graduates) applicants.

    It is not clear at this stage how further positions are filled according to the remaining priorities.

    Northern Territory

    ocean coast in Darwin, Northern Territory Australia

    Intern Numbers = 88
    Annual Salary = $90,150
    Length of Contract = 1 year
    Professional Development Allowance = $3,601 per annum with the option to apply for an additional $3,000 or $3,000 for HELP relief.

    The NT Prevocational Medical Assurance Services (PMAS) conducts a central review of eligible applicants and all intern positions are allocated within the two NT Health Services:

    • Top End Health Service (TEHS) – based upon Royal Darwin Hospital (RDH) (64 posts)
    • Central Australia Health Service (CAHS) – based upon Alice Springs Hospital (ASH) (24 posts)

    Each Health Service has a primary employing health service as well as additional placement hospitals as per below:

    C/- NTPMAS Guide

    Eligible applicants are allocated intern positions in line with the Northern Territory category groups. Within the relevant category groups, applicants are allocated to their highest possible Health Service preference, pending the availability of a position.

    Intern Priority Categories:

    According to the NTMETC the applicant eligibility categories in order of selection for Internship in the Northern Territory are:

    c/- NTMETC

    Previously there was an F and G category that provided an option for IMG doctors. It is not clear whether this has been removed for the 2023 year.

    As part of your application, you are required to submit a curriculum vitae of no more than 2 A4 pages and address the selection criteria. Applications are submitted to the NT Government employment portal.

    Overall the intern allocation process is based on an applicant’s category group, Health Service preference, and the number of positions available in each health service.

    The two NT Health Services are responsible for selecting applicants and making their offers of employment, applicants are advised via email.  The Health Service responsible for making the offer of employment will after receiving an acceptance from an applicant arrange an employment contract for an Internship position within their health service to be provided prior to commencing their internship.

    Australian Capital Territory

    The Australian War Memorial in Canberra

    Intern Numbers = 96
    (6 of these positions are normally guaranteed to NSW medical students)
    Annual Salary = $86,619
    Length of Contract = 2 years
    Professional Development Allowance = $1,150 per annum + $900 Mobile Allowance + $4,000 Relocation Allowance.
     
    If you want to apply for an internship position in the Australian Capital Territory you do so via the ACT Health Recruitment page.

    Most of your time is spent at the Canberra Hospital. But ACT is interesting as it is one of the few chances you may have as an Intern to work in 2 separate States and Territories. Rotations may include secondments to Calvary Public Hospital, Goulburn Base Hospital, and South East Regional Hospital (SERH) at Bega. Because the ACT utilises some positions in NSW for intern posts there is a reciprocal arrangement whereby a number of NSW graduates are guaranteed an intern post in the ACT.

    Priority is given to:
    – Australian Graduates of ANU
    – A maximum of 6 graduates of NSW Universities
    – Graduates of other Universities who completed Year 12 in ACT

    ACT Intern Priority List:

    c/- act.gov.au

    Junior Doctor Training Program (Previously the Commonwealth – Private Hospital Stream)

    2025/2026 Information not yet available

    The Private Hospital Stream (PHS) funds private hospitals to deliver medical internships and support junior doctors to work in expanded settings. It focuses on supporting training for junior doctors in rural, regional and remote areas in Modified Monash (MM) 2 to 7 locations.

    This includes fostering partnerships between private hospital providers, rural public hospitals and other training settings (such as Aboriginal Medical Services) working as part of expanded training networks.

    Annual Salary and conditions should reflect the annual salary for an intern in the State or Territory you are working in.

    Internships and places

    The PHS supported up to 115 internships and up to 80 PGY 2 and 3 eligible junior doctor places in the 2020, 2021, 2022 and 2023 training years.

    Expression of Interest (EOI) internships

    An annual EOI internship process is run for junior doctors to express interest in a PHS-funded medical internship place.

    This process is only for PGY 1-funded places. It opens each year after state and territory governments have offered and filled their internship positions.

    Eligibility

    The program divides applicants into 2 categories – Priority One and Priority Two.

    Priority One eligibility criteria

    The Priority One category is for final year medical students who meet all eligibility criteria for an internship under the PHS.

    You are Priority One if you:

    • are a full-fee-paying international student completing your medical degree during the current calendar year from a medical school in Australia, having completed all of your medical degree in Australia (university-approved, short-term elective rotations completed overseas are allowed)
    • have met the Medical Board of Australia (MBA) English language proficiency requirements for registration purposes
    • are not an Australian Citizen
    • commit to getting a visa to work in Australia during your internship year.

    Priority Two eligibility criteria

    You are Priority Two if you:

    • have MBA provisional registration as a medical practitioner
    • have met the MBA English language proficiency requirements for registration purposes
    • commit to getting a visa to work in Australia during your internship year.

    Who is not eligible

    You are not eligible to apply for the PHS if you:

    • do not meet the Priority One or Priority Two eligibility criteria
    • have accepted an internship position from a state or territory government.

    Recruitment process

    The recruitment process aligns with the state and territory government recruitment processes and the national audit process.

    Suitable applications are forwarded to the PHS participating private hospitals by the due dates each year.

    The PHS participating private hospitals do eligibility checks. They will contact eligible applicants they want to interview.

    You should not make direct contact with the hospitals.

    Category prioritisation

    PHS participating private hospitals must fill PGY 1 places with Priority One applicants first.

    If there are still places available after the Priority One list is finished, the hospitals can then recruit Priority Two applicants.

    PGY 2 and 3 funded places

    PHS-participating private hospitals make their own recruitment and employment arrangements for PGY 2 and 3 junior doctors. This allows them to meet their own service needs.

    PHS-funded hospitals

    The Commonwealth funded the following private hospitals to deliver the PHS from 2020 to 2025:

    • Mater Misericordiae Limited Queensland through
      • Mater Health Services North Queensland (delivering PGY 1 places)
      • Mercy Health and Aged Care Central Queensland through Mater Private Hospital Bundaberg, Friendly Society Private Hospital Bundaberg, Bundaberg Base Hospital Bundaberg, Mackay Base Hospital Mackay and Mater Misericordiae Hospital Mackay (delivering PGY 1, 2 and 3 places)
    • Greenslopes Private Hospital, Queensland (delivering PGY 1, 2 and 3 places)
    • Calvary Health Care Riverina, New South Wales (delivering PGY 2 places)
    • Mater Hospital Sydney (delivering PGY 1 places)
    • St Vincent’s Private Hospital Sydney (delivering PGY 1 places)
    • MQ Health, New South Wales (Macquarie University Hospital) (deliver PGY 1 places)
    • St John of God Ballarat Hospital, Victoria – Grampians Intern Training Program (delivering PGY 1 places)
    • Ramsay Health Care, Western Australia (Joondalup) (delivering PGY 1, 2 and 3 places).

    How To Decide Where to Apply for Your Internship?

    There are lots of considerations when it comes to putting in your Intern application. Everyone is a bit different. Some graduates feel like they would like to be close to home and family whilst going through their transition to Intern. Others see it as a chance to get away and explore a new place and location. And then others focus on the long-term career prospects of certain locations.

    I think this last consideration is a little overrated for most. You can generally experience a wide range of medicine in your first couple of years of medicine after graduation and there is scant evidence that this affects your prospects of applying for specialty training posts.

    That being said if you have an interest in anything other than Medicine, Surgery or Emergency Medicine as a future career you should probably investigate whether this particular specialty is offered at the hospitals or networks to which you apply.

    Unfortunately, the internship model in Australia is quite antiquated and we have continued to use the experience as a proxy for competency when a large portion of the medical education world has moved on. The result has been the mandating of the 3 core terms for the internship of Medicine, Surgery, and Emergency Medicine. There is really no solid educational basis for this approach and one of the unfortunate outcomes is that all the other specialties get squeezed out and few interns get to experience psychiatry, general practice, obstetrics, paediatrics, pathology etc… which ultimately does have an effect on recruitment to these specialties.

    So the basic message is this. If you are really dead set keen on doing radiology as a career you should try to track down the very few locations that might offer this rotation to either interns or residents.

    Each year the Australian Medical Students’ Association produces a very useful Intern Guide with lots of information about the composition of intern training networks across the country. The 2023 version is not available but here’s a link to the 2022 version.

    Frequently Asked Questions

    Is There Any Restriction On Where I Can Complete My Internship?

    To meet the Medical Board of Australia’s requirements for general registration, an internship can be completed in any state or territory of Australia.

    Can I Apply to More Than One State or Territory for an Intern Position?

    Yes, you will need to apply separately to each state and territory where you would like to work. You will need to complete a separate application for each position, submit the documents, provide the information required and meet the selection requirements. As part of the application process, each state and territory requires you to include your intern Placement Number (IPN).

    What is an Intern Placement Number?

    The Intern Placement Number is a unique nine-digit number that has been generated by the Australian Health Practitioner Regulation Agency (AHPRA) and has been provided to medical schools for distribution to all final-year medical students. If you do not have an Intern Placement Number issued or you have misplaced it, you must contact your medical school to have the number issued or reissued. Do not contact AHPRA. Note: The Intern Placement Number is not your University Student Identification

    I Am Not an Australian Medical Student. How Do I Obtain an Intern Placement Number?

    In this situation, you do not require an IPN and will not be issued one. You can still apply for internships. But unless you are a New Zealand medical student your chances of gaining a place are very very limited.

    What If I Have Special Circumstances Which Make It Hard For Me To Work In Certain Places?

    All States and Territories Have processes for considering special circumstances. Some of the types of circumstances that are generally approved are: where you may have certain health conditions that mean you need to be close to certain hospitals or specialists; where you have dependents, such as young children, and are unable to relocate due to care arrangements; and where you and your partner want to work as doctors in the same location. Generally, requests to stay in certain locations, for reasons such as work commitments of partners or needs of school-aged children are not granted.

    I Have Received My Intern Offer. But I Would Like to Defer It. Is This Possible?

    This will partly depend on how long you wish to defer. If you just wish to defer for a few months. Once you have your offer and are in discussions with your new employer make inquiries. It may be possible to negotiate a later start with your employer. Most employers will generally prefer that you start on time so that you are not out of sync with your colleagues. But there might be some advantage for the employer in you attending orientation but then starting a bit later as it will probably help them to fill out roster gaps. On the other hand. If you wish to defer for a complete year. Then you will need to check the policy of the State or Territory that has provided you with an Intern offer. In some cases (for example Victoria) you will be permitted to defer and your place will be held for you the following year. In most other cases you will need to reapply the following year and check whether your priority status has altered. In most cases, you have the same priority status. But, for example, the ACT no longer guarantees you an internship and you start off at a minimum of Category 4. Also, bear in mind that it is unclear how long you can defer commencing your internship. However, the Medical Board of Australia expects that once you have commenced your internship you will have completed this process within 3 years.

    I am a Doctor With a Medical Degree From Outside Of Australia. Can I Apply For an Internship?

    Unless you obtained your medical degree from a New Zealand Medical School. Then the brief answer to this question is no. I would love to stop there. And I really think you should as well. But there are rare circumstances where you may be able to obtain an internship with a medical degree from outside of Australia. But the Medical Board of Australia strongly advises against this option and so do I. For good reasons. Firstly the whole Australian medical internship system is designed to ensure that Australian medical graduates are able to undertake an internship. Not for overseas graduates. Secondly (and as a result of the first point) it is very rare to be offered the chance. Some States and Territories will not even consider an application from an IMG for an internship. Others will only do so in limited circumstances, for example, the Northern Territory will accept applications from IMGs who may have done a medical student elective or clinical observership in the Northern Territory and who have experience in rural, remote and indigenous health locations. But even then these applicants are at the bottom of the priority list for obtaining an internship. South Australia will accept applications. But again you are bottom of the list. Queensland will also accept applicants, but only if you have never worked as a doctor. And again you are bottom of the list. A final note on this question is that the majority of IMGs who do obtain a medical internship position each year in Australia generally have Australian citizenship or permanent residency.

    I Have Heard That Some Graduates Miss Out On Internships. Is This True?

    Whilst it is theoretically a possibility that some medical graduates miss out on Internships according to annual reports provided by organisations like HETI and the PMCV at the end of intern applications no one is actually left at the end of the process without an offer. In fact, in some circumstances, there are vacant intern positions that are not able to be filled. Only Australian citizens and permanent residents are guaranteed an intern position under the COAG agreement. However, there are generally enough intern positions available for those students who have come to Australia to study medicine and the Commonwealth Private Hospital program offers additional spaces for those that may miss out. That being said. It is also clear that many graduates choose to drop out of the application process themselves. So not everyone who applies gets an offer. The assumption is that some graduates take up similar intern opportunities in other countries upon graduation.

    Can I Submit a Late Application?

    Acceptance of late applications is at the discretion of each state and territory.

    When Will Offers Be Made in 2025?

    All states and territories will commence making offers for Rural Pathways on Monday 14 July 2025 and will commence making offers for all other pathways on Wednesday 16 July 2025.

    What if I Receive More Than One Offer?

    You need to decide where you would like to undertake your internship and accept this position and decline all other positions. You should not hold onto more than one offer as this negatively impacts both the hospital that will have a vacancy if you fail to start work because you have started in another position in another state, and other applicants who would like to work at that hospital who do cannot receive an offer for that vacant position.

    What is the National Audit?

    States and territories share intern applicant information at pre-agreed dates. This data is then used to identify applicants who have applied for and/or accepted intern positions in more than one state/territory. Applicants who have accepted more than one intern position will be contacted by the National Audit Data Manager by phone or email and given 48 hours to withdraw from all intern positions, except the one where they intend to undertake their intern year.

    What if I Don’t Respond to the National Audit Data Manager?

    If you don’t respond to the National Audit Data Manager and/or do not withdraw from all positions except one, the relevant states/territories where you have accepted an offer will be advised and all offers, except for the first offer you received may be withdrawn.

    What is the Late Vacancy Management Process?

    The Late Vacancy Management (LVM) Process runs from Monday 10 November 2025 to Friday 20 March 2026. The process ensures any late vacancies are offered to eligible intern applicants who have not yet accepted an internship position. The Late Vacancy Management Process will be coordinated by the National Audit Data Manager on behalf of states and territories. Please ensure you have updated your contact details if you are going overseas during the Late Vacancy Management Process period. The National Audit Data Manager will send out emails to participants who will need to opt into the Late Vacancy Management Process if they still wish to receive an internship position offer in Australia. Note: if an applicant does not respond to this email, they will no longer be eligible to receive an internship offer and their application will no longer be considered in any Australian jurisdictions.

    Who can participate in the Late Vacancy Management Process?

    The process is open to medical graduates of AMC-accredited medical schools who have applied for and are not holding a 2024 intern position through the Commonwealth or states and territories at the National Close Date for Intern Recruitment. Participation in the LVM is an opt-in process -you must confirm that you want to participate in the LVM by responding to the National Audit Data Manager by e-mail.

    Can International Medical Graduates Apply to Become an Intern in Australia?

    With very few exceptions, International Medical Graduates (IMGs) cannot apply to become an Intern in Australia. Even if you are able to apply your chances of obtaining an intern post are quite low and you should explore other options. This situation is not to be confused with International Students who study for their medical degree in Australia who are eligible to apply. You won’t be able to apply if you have already completed an internship or worked clinically in another jurisdiction. The States and Territories that do allow IMGs to apply are Queensland, South Australia and the Northern Territory as well as Western Australia (for Australian or New Zealand graduates of competent authority medical schools only).

    Can International Students Apply to Become an Intern in Australia?

    International Students who undertake an Australian medical degree are eligible to apply to become an Intern in Australia.

    Can I Swap Intern Posts?

    As a general rule the jurisdictions either do not permit or strongly discourage the swapping of Internship posts. Medical Student bodies regularly lobby for there to be a swap process. Swaps are problematic for a number of reasons. Firstly the jurisdictions have set up processes to try to ensure that the outcome of allocations is as fair as possible to the most number of graduates. So it is generally the case at the end of this process that there are very few legitimate swap arrangements available, i.e. if you find yourself with an Intern post that you are not happy with it is unlikely that there is anyone who will be willing to swap with you as they will probably be happy with their allocation. Secondly, the whole process of swaps causes additional bureaucratic headaches when the jurisdictions are attempting to focus on getting through all of the allocations and providing as many applicants as possible an offer. Thirdly, the ability to swap could place certain applicants in a situation of duress, where they are put under pressure to swap. Fourthly, it is very likely that more than one applicant might want to swap. So it may be seen as unfair to allow swaps when not everyone who wants to swap can.

    Can I Defer my Intern Offer?

    If you are considering taking a year off between graduating and commencing medical school then you will be wanting to explore your options for deferral. The process varies from jurisdiction to jurisdiction. Jurisdictions will not hold onto your internship post for you. You will be expected to reapply the following year. And you will generally be in the same priority category again. For Victoria, you need to apply for a deferral in order to be able to enter the PMCV Match in the following year. You should also be aware that the Medical Board of Australia has specific requirements for registration that limit the time that an individual may defer undertaking their internship in order to obtain registration to 3 years from commencement. After which you may need to seek special approval from the Medical Board of Australia.

    Can I Be Allocated to the Same Spot as My Partner?

    Yes. It does happen. Medical Students do meet and fall in love during their medical school days. Jurisdictions do allow for genuine partners to work in the same facility or network. You may, however, have to compromise a bit in terms of your network preferences as in order to accommodate your request you may need to be matched to a less popular network. Depending on your jurisdiction you will either have to make a joint couple application or apply under special consideration.

    Can I Do My Intern Part Time or Job Share?

    Yes. It is possible to do your Intern in Australia part-time. In general, the hospital networks prefer you do this as part of a job-share arrangement with another part-time Intern. Job share and part-time employment are defined as a person or persons voluntarily seeking to work less than full-time hours. Medical graduates may request to complete their internship on a part-time or job share arrangement through the annual centralised applications. To avoid discrimination you are first allocated your position and then your hospital or network is informed of your request to work part-time. Hospitals and networks are then required to negotiate with you the terms of your employment. Interns must work a minimum of 0.5FTE so that the internship may be completed within a two-year period.

    What If I Have Special Circumstances?

    Every State and Territory has a Special Circumstances or Special Consideration policy. These policies are generally quite strict and generally only cover: – needing to be close to immediate partners and dependents – caring for young or elderly persons – access to specialised medical care. If you are approved for special circumstances you will not necessarily be placed in the hospital or network of your choice. For example, if you are applying in NSW and you have young children and your partner works in Sydney and it is not possible for your partner to relocate, then you will be approved to be allocated to one of the Sydney-based networks.

    (Disclaimer: All information here has been sourced in good faith but things do change so you should always do your own due diligence in such matters, we are providing this information to aid you in your application but take no responsibility for any outcomes)We’d welcome feedback from any Intern programs in relation to the accuracy of the above information.

  • When Do I Start? Australian Trainee Doctor Term Dates for 2025

    When Do I Start? Australian Trainee Doctor Term Dates for 2025

    Suppose you are a trainee doctor in Australia or perhaps considering working as a trainee doctor in Australia. You may wonder what your commencement dates are and/or when you might be changing terms. Well, wonder no more. We have compiled the Australian Trainee Doctor Term Dates for 2025 just for you.

    Australian doctor training and trainee doctor term dates operate on an “academic year” that traditionally runs from mid to late January (sometimes February) each year to around the same date 12 months later the following year. Generally, the entire academic year runs for a 52-week period. But occasionally (about every four years), it runs for 53 weeks – to avoid slowly creeping back into the Christmas period.

    There have been past efforts to harmonise trainee doctor term dates across States and Territories and include an overlap period where interns can buddy up with last year’s interns. But as you can see from the tabbed document below, trainee doctor term dates now vary widely from the commencement of 6th January 2025 for interns in Western Australia to 3rd February 2025 for Registrars in NSW.

    If you are looking for information on salary please go here to our comprehensive post.

    For IMG doctors wondering. Yes. It is entirely possible to start your position in Australia outside of these particular trainee doctor term dates. Services won’t make you wait till the next changeover. This can often be useful as you might get a chance to work alongside a colleague for a week or two before “flying solo”, as they say.

    Trainee Doctor Term Dates for 2024

    Interns & RMOs:

    TermStartEndWeeks
    Intern orientation20 January 202526 January 20251
    Term 127 January 202513 April 202511
    Term 214 April 202529 June 202511
    Term 330 June 20257 September 202510
    Term 48 September 202516 November 202510
    Term 517 November 20251 February 202611
    Year20 January 20251 February 202654

    SRMOs & Registrars:

    TermStartEndWeeks
    Term 13 February 20254 May 202513
    Term 25 May 20253 August 202513
    Term 34 August 20252 November 202513
    Term 43 November 20251 February 202613
    Year3 February 20251 February 202652

    Intern 5 term year (52 Week Year)

    TermStartFinishNo. of Weeks
    Term 113/01/202523/03/202510
    Term 224/03/202501/06/202510
    Term 302/06/202510/08/202510
    Term 411/08/202519/10/202510
    Term 520/10/202511/01/202612

    HMO 4 term year (52 Week Year)

    TermStartFinishNo. of Weeks
    Term 103/02/202504/05/202513
    Term 205/05/202503/08/202513
    Term 304/08/202502/11/202513
    Term 403/11/202501/02/202613

    HMO 5 term year (52 Week Year)

    TermStartFinishNo. of Weeks
    Term 103/02/202513/04/202510
    Term 214/04/202522/06/202510
    Term 323/06/202531/08/202510
    Term 401/09/202509/11/202510
    Term 510/11/202501/02/202612

    SHOs and JHOs

    Queensland appoints JHOs (Interns) and SHOs (RMOs) over 5 terms from 20 January 2025 to 18 January 2026.

    Intern Orientation is before 22 January 2024 and hospital specific.

    TermDatesDuration
    120 January 2025 – 13 April 202512 weeks
    214 April 2025 – 22 June 202510 weeks
    323 June 2025 – 31 August 202510 weeks
    41 September 2025 – 9 November 202510 weeks
    510 November 2025 – 18 January 202610 weeks

    Registrars and PHOs

    Queensland Health appoint Registrars and PHOs over either 2, 3 or 4 terms from 3 February 2025 to 1 February 2026.

    2 terms

    TermDatesDuration
    13 February 2025 – 3 August 202526 weeks
    24 August 2025 – 1 February 202626 weeks

    3 terms

    TermDatesDuration
    13 February 2025 – 1 June 202517 weeks
    22 June 2025 – 28 September 202517 weeks
    329 September 2025 – 1 February 202618 weeks

    4 terms

    TermDatesDuration
    13 February 2025 – 11 May 202514 weeks
    212 May 2025 – 3 August 202512 weeks
    34 August 2025 – 26 October 202512 weeks
    427 October 2025 – 1 February 202614 weeks
    Intern/RMO Term Dates 2025 (refer below for SJOG Midland, PCH and Registrars)
    TermStart DateEnd DateDuration
    Intern Orientation06 January 202510 January 20251 week
    Term 113 January 202530 March 202511 weeks
    Term 231 March 202508 June 202510 weeks
    Term 309 June 202517 August 202510 weeks
    Term 418 August 202526 October 202510 weeks
    Term 527 October 202511 January 202611 weeks
    St John of God Health Care Term Dates 2025
    TermStart DateEnd DateDuration
    Intern Orientation06 January 202510 January 20251 week
    Term 113 January 202513 April 202513 weeks
    Term 214 April 202513 July 202513 weeks
    Term 314 July 202512 October 202513 weeks
    Term 413 October 202511 January 202613 weeks
    Perth Children’s Hospital RMO Term Dates 2025
    TermStart DateEnd DateDuration
    Term 113 January 202513 April 202513 weeks
    Term 214 April 202513 July 202513 weeks
    Term 314 July 202512 October 202513 weeks
    Term 413 October 202511 January 202613 weeks
    King Edward Memorial Hospital RMO Term Dates 2025
    TermStart DateEnd DateDuration
    Term 113 January 202530 March 202511 weeks
    Term 231 March 202508 June 202510 weeks
    Term 309 June 202517 August 202510 weeks
    Term 418 August 202526 October 202510 weeks
    Term 527 October 202511 January 202611 weeks
    Registrar Term Dates 2025
    TermStart DateEnd DateDuration
    Term 103 February 202504 May 202513 weeks
    Term 205 May 202503 August 202513 weeks
    Term 304 August 202502 November 202513 weeks
    Term 403 November 202501 February 202613 weeks

    Interns

    Term 1: Wednesday 08/01/2025 – Tuesday 01/04/2025   (includes compulsory orientation)

    Term 2: Wednesday 02/04/2025 – Tuesday 10/06/2025

    Term 3: Wednesday 11/06/2025 – Tuesday 26/08/2025

    Term 4: Wednesday 27/08/2025 – Tuesday 11/11/2025

    Term 5: Wednesday 12/11/2025 – Tuesday 20/01/2026

    RMOs and Registrars

    Term 1:  Monday 03/02/2025 – Tuesday 06/05/2025

    Term 2:  Wednesday 07/05/2025 – Tuesday 05/08/2025

    Term 3:  Wednesday 06/08/2025 – Tuesday 04/11/2025

    Term 4:  Wednesday 05/11/2025 – Sunday 01/02/2026

    Interns

    Information not currently available.

    We believe that the medical intern year commences on Monday 13th January 2025.

    RMOs and Registrar

    Information not currently available.

    Interns

    Information not currently available.

    JMO Term Dates 2024

    • Term 1: Monday 20 January to Sunday 20 April 2025
    • Term 2: Monday 21 April to Sunday 20 July 2025
    • Term 3: Monday 21 July to Sunday 19 October 2025
    • Term 4: Monday 20 October to Sunday 18 January 2026.
    trainee doctor term dates
    Put these dates in your diary

    *Some RMOs are on a 4-term schedule. Many Registrars work two 6-month semesters, i.e. Term 1 & 2 and Term 3 & 4.

    **Salary rates are current as of the latest published award documents or enterprise agreements.

    References for Trainee Doctor Term Dates 2025

  • Medical Internship Australia 2025 Clinical Year Application Guide

    Medical Internship Australia 2025 Clinical Year Application Guide

    *We will be regularly updating this post as the various States and Territories update their processes. Where information is not currently available for the 2025 clinical year we have used information from the previous year, i.e. 2024. If you notice anything incorrect please let us know in the comments below.

    It’s time for our well-liked guide on applying for internships in Australia. Wondering how to become an intern in Australia? It’s that time of year when the process of applying for and assigning medical intern positions in Australia gets underway. So, now is the ideal moment to outline the procedure. I managed the largest intern application system in Australia, specifically the NSW Intern application system, for four years. Therefore, I would like to impart some of the insights I gained from that experience to this year’s medical graduates. Wondering how to become an intern in Australia? It’s that time of year when the process of applying for and assigning medical intern positions in Australia gets underway. So, now is the ideal moment to outline the procedure.

    (Disclaimer: All information here has been sourced in good faith but things do change so you should always do your own due diligence in such matters, we are providing this information to aid you in your application but take no responsibility for any outcomes)

    As has been the case in past years the main Intern application and allocation dates are aligned across Australia so that every State and Territory opens and closes their systems at the same time and makes offers at the same times. There are some variations to this in relation to special priority categories in some States and Territories. The key things that all medical graduates should consider in preparing their medical internship application in 2024 year for the 2025 clinical year are as follows:

    • Applications open on 6th May 2024.
    • Applications close on 6th June 2024.
    • Make sure that you have an Intern Placement Number; otherwise, you won’t be able to apply.
    • You should research the application requirements now as there may be some “surprises”. As soon as the application system opens, register or log in and ensure that you have everything you need to complete your application.
    • Understand where you sit on the priority list for any State or Territory you are applying to.
    • If you are required to attend an interview. Ensure you have obtained leave from your medical school requirements to attend.
    • Also, consider whether the interview will be in-person, via phone, or video.
    • Give yourself time to request referees, assemble a Resume, if required, and find other documents you may need.
    • The first National Intern Offer Period commences 15th July 2024.
    • Offers for Rural and other Special Pathways will come out starting from 15th July 2024.
    • The first offers for all other main pathways will come out from 17th July 2024.
    • Generally, you only have 48 hours to accept. So make sure that you have regular access to your email.
    • The National Close Date for 2025 Intern Recruitment is 11th November 2023. After which all remaining vacant intern positions move into the Late Vacancy Management Process.
    • The National Late Vacancy Management Process closes on 21st March 2025
    • Stay in touch with your medical school. you may be worried about completing your degree on time but they are all working very hard with the other institutions to give you the best chance of completion.

    Number of Intern Positions Available Across Australia in 2024

    last updated 30th May 2024

    JurisdictionIntern Numbers 2025Intern Numbers 2024IncreasePopulationInterns per 100K Person**Annual Salary
    New South Wales11621,135.526.5 8,394,70013.8$73,086
    Victoria985960.524.56,865,40014.3$83,331
    Queensland885862235,495,50016.1$87,517
    Western Australia39339032,905,90013.5$82,893 – $109,650***
    South Australia328311171,860,10017.6$81,814
    Tasmania****105105573,30018.4$87,000
    Australian Capital Territory****96951469,20020.5$77,898
    Northern Territory886523252,50034.9$84,975
    Commonwealth Private Hospital Stream115*115varies
    TOTAL4,1574,03911826,821,55715.4
    * indicates based on 2023 Annual Report
    ** From https://www.abs.gov.au/statistics/people/population/national-state-and-territory-population/sep-2023

    ***If allocated to WA Country Health you will receive a higher payment
    ****2024 numbers not yet released

    Key Dates for Internship Applications in 2024 and 2025

    Applications OpenMonday 6th May 2024
    Applications CloseThursday 6th June 2024
    National Offer Period 1 Opens (Rural and Aboriginal and Torres Strait Islander Pathways)Monday 15th July 2024
    National Offer Period 1 – Main OffersWednesday 17th July 2024
    National Offer Period 1 ClosesFriday 2nd August 2024
    1st National Audit of Acceptances and Unplaced ApplicantsTuesday 6th August 2024
    National Offer Period 2 OpensThursday 15th August 2024
    National Offer Period 2 ClosesFriday 6th September 2024
    2nd National Audit of Acceptances and Unplaced ApplicantsTuesday 10th September 2024
    National Offer Period 3 OpensThursday 19th September 2024
    National Offer Period 3 ClosesFriday 18th October 2024
    3rd National Audit of Acceptances and Unplaced ApplicantsTuesday 22nd October 2024
    National Late Vacancy Management Process StartsMonday 11th November 2024
    National Late Vacancy Management Process ClosesFriday 21st March 2025
    C/- HETI

    Tip #1. Your Medical Intern Placement Number.

    The IPN is a unique nine-digit number that has been generated by AHPRA and has been provided to medical schools for distribution to all 2023 final-year medical students. The number is used as part of the national audit process (which ensures that intern positions across the country are made available to as many applicants as possible) as well as to streamline registration.

    This number is not the same number as your AHPRA registration number or student number. If you have not received your IPN you should check with your school.

    If you are not an Australian medical student you won’t be issued an IPN. If you are applying as a non-Australian medical student you do not require an IPN. However, please note that unless you are a New Zealand medical student your chances of gaining an internship are very slim.

    Tip #2. Other Things You Will Likely Need to Become an Intern in Australia. 

    The majority of States and Territories require you to upload an academic transcript as proof that you are indeed a medical student. 

    They will also request evidence that you satisfactorily meet the AHPRA English Language requirements. This may seem a bit ridiculous given that you have been attending medical school in English for the last 4 or 5 years. But it is the law. So check whether you may need to submit an up-to-date English test result or some other form of documentary evidence such as a high school certificate.

    Most States and Territories will also request a CV or Resume. For tips on your CV or Resume see our ultimate guide to CVs or watch a video series about this.

    Some States and Territories have a CV template that they suggest that you use to fill in your information. In the case of Victoria, you are no longer required to use the suggested template (change from last year). It’s probably fairly harmless to use the template for the other States and Territories. But if you are thinking about your future career, then now is a good time to be designing your own CV. The risk of using the template is that you don’t stand out from other candidates.

    You will need to also provide proof of your identity, citizenship, residency, or visa. And if you have had a name change along the way you will probably also need to provide some documentation in relation to this.

    Why All This Information?

    The State and Territory bodies who administer the Intern application process have a responsibility to ensure that you are eligible to apply for provisional registration at the end of the year in order to work as an Intern.  They collect this information to check that everything is in order so that you are indeed eligible to apply. Employers can get rightly annoyed when told that someone who has been allocated to work with them as an Intern will have a several-month delay whilst they resit an English language test.

    However, it’s your responsibility to ensure that you are eligible for registration. So you should also be checking these things yourself. 

    It’s hard to fathom given the amount of communication from health departments, medical schools and student colleagues. But every year there are a handful of medical students who forget to apply for their internship. This means having to wait another year. Don’t let that be you.

    Dr Anthony Llewellyn | Career Doctor

    Tip #3. Research and Apply Early.

    It’s hard to fathom given the amount of communication from health departments, medical schools, and student colleagues. But every year there are a handful of medical students who forget to apply for their internship. This means having to wait another year. Don’t let that be you.

    There are even more students who leave their applications to the last minute. Only to find that they are missing a vital document. For example, this could be evidence you need to substantiate that English is your first language, such as a high school certificate. Or perhaps your last name has changed whilst you have been in medical school? Or maybe you need to submit a CV with your application?

    As soon as the application page opens for each State and Territory you are going to apply to make sure you register. And then go as far through the process of applying as possible so you can see if there is some sort of document you need to obtain.

    Tip #4. Practice Your Interview Technique, Including Video Interview Technique.

    As part of your application to become and Intern in Australia you may need to undertake an interview. This could take the form of a faced to face interview or a video interview. The COVID pandemic resulted in a shift to a preference for video interviewing job applicants in Medicine in Australia. Many employers now see an inherent advantage to this. So you should still be prepared for the fact that this year your interview may be conducted on video.

    There’s a lot more than you think to video interviewing. For a rundown on this check out this recent post.

    Tip #5. Know Where You Sit In The Priority List.

    ts important to know where you sit on the priority list. Each State and Territory has a slightly different order but in essence, it goes something like this:

    1. If you are an Australian Citizen or Permanent Resident and went to Medical School in that State or Territory you are top of the list.
    2. If you are an Australian Citizen or Permanent Resident and went to Medical School in another State or Territory or New Zealand you are probably second.
    3. If you are an international student who studied Medicine in Australia you are probably next.

    Tip #6. Know the Key Dates, including Offer Dates.

    As noted above it’s crucial that you know the key dates. If you miss your application submission date (and it does happen) there is no allowance for a last-minute submission. You also need to make sure you are available to accept your offer. Generally, the window for offer acceptances is quite narrow (often 48 hours).

    For this year the day on which the first round of offers can be made nationally is 15th July 2024 for the rural and other special pathways. The first date that offers can be made to the main group of applicants is 17th July 2024 and most offers will come out on that day. Thereafter there is a series of offer windows for 2nd and 3rd round. In between which there is a mandated pause, which allows the National Intern Audit process to run. This is a system that works to ensure that vacancies are being freed up as soon as possible by highlighting medical students who may have an offer in more than one jurisdiction and ensuring that they accept one offer and decline others.

    The nationally coordinated offer system concludes on 18th October 2024. Technically this is the last date that the Medical Board can guarantee that they will be able to process your registration application in order for you to commence your internship on time the following year in 2024.

    However, there are generally still vacancies after this point and so the National Intern Audit Office switches over to an ad hoc coordinated late vacancy management process from 11th November 2024. This runs up until 21st March 2025, which is around the 1st term to 2nd term changeover for most interns. So it is still possible to commence your internship in 2025 but you might have to finish one or two terms in the following year.

    The National Intern Audit.

    States and territories share intern applicant information at pre-agreed dates. This data is then used to identify applicants who have applied for and/or accepted intern positions in more than one state/territory. Applicants who have accepted more than one intern position will be contacted by the National Audit Data Manager by phone or email and given 48 hours to withdraw from all intern positions, except the one where they intend to undertake their intern year.

    If you don’t respond to the National Audit Data Manager and/or do not withdraw from all positions except one, the relevant states/territories where you have accepted an offer will be advised and all offers, except for the first offer you received may be withdrawn.

    The Late Vacancy Management Process.

    The Late Vacancy Management (LVM) Process runs from Monday 11th November 2024 to Friday 21st March 2025. The process ensures any late vacancies are offered to eligible intern applicants who have not yet accepted an internship position.

    The Late Vacancy Management Process is coordinated by the National Audit Data Manager on behalf of states and territories. So you should ensure you have updated your contact details if you are going overseas during the Late Vacancy Management Process period.

    The National Audit Data Manager will send out emails on Monday 4th November 2024 to participants who will need to opt into the Late Vacancy Management Process if they still wish to receive an offer to be an Intern in Australia.

    If an applicant does not respond to this email, they will no longer be eligible to receive an internship offer, and their application will no longer be considered in any Australian jurisdictions.

    The process is open to medical graduates of AMC-accredited medical schools who have applied for and are not holding a 2025 intern position through the Commonwealth or states and territories at the National Close Date for Intern Recruitment (18th October 2024). Participation in the LVM is an opt in process – you must confirm that you want to participate in the LVM by responding to the National Audit Data Manager by e-mail.

    Priorities Within Priorities.

    Some States and Territories also have priority pathways to ensure that groups such as Aboriginal and Torres Strait Islanders and doctors who wish to work rurally or regionally can obtain their preferred placement early.

    So if you are an International student and like the idea of working rurally, it’s probably a good idea to consider a rural pathway as it will likely boost your chances of gaining an Intern position earlier in the process.

    Further Information on Each Jurisdiction

    New South Wales

    Intern in Australia NSW
    Sydney Harbour Bridge, New South Wales.

    Intern Positions = 1,62 (including 230 rural preferential) across 15 Networks
    Annual Salary = $73,086
    Length of Contract = normally 2 years
    Professional Development Allowance = nil

    The 4 Pathways in NSW


    You have the option of applying through one of 4 pathways:
    – Aboriginal Recruitment Pathway
    – Rural Preferential Pathway
    – Regional Allocation Pathway
    – Optimised (or Main) Pathway

    Only applicants who go through the Rural Preferential Pathway need to submit a CV and attend an interview.  All other pathways are based on applications only. A key advantage of the Aboriginal, Rural, and Regional Allocation Pathways is that you are far more likely to be given your preferred hospital network.

    Can You Stack or Hack the HETI Optimised Pathway?

    Each year the question comes up. Is it possible to hack or game the HETI optimised pathway. If you search enough you will find various reddit threads or blog posts covering this topic by authors purporting to have much greater understanding of mathematics than this author.

    The posts give an outline of how the HETI allocation algorithm works. The algorithm incorporates an annealing component with the purpose of optimizing the outcomes for as many applicants as possible. Hence the name “Optimised Pathway”. It does this not necessarily by allocating everyone to their most preferred network but by attempting to allocate as many people as possible to a higher preference network, therefore, guaranteeing that more applicants get a 1st or 2nd or 3rd preference overall.

    The general gist of the blogs written about hacking the HEIT algorithm is that if you are super keen on a certain NSW network. Let’s call this Network A then you should attempt to put this as your highest preference and then load all of your next higher preferences with networks that are not as popular.

    You can probably already see how this tactic can backfire massively for you.

    There’s a couple of things that can go wrong here.

    First algorithm is more likely to identify you as one of those few applicants that prefer the unpopular Network Z and allocate you there, thereby satisfying the aims of the algorithm.

    Second, you will be stacking your preferences based on historical data that does not reflect the desires of the current applicant cohort.

    And third, if large number of applicants does the same thing then you are probably all going to advantage those applicants that just put down the networks in their actual order of preference.

    Take home message. Don’t try to stack or hack the HETI algorithm.

    c/- HETI https://www.heti.nsw.gov.au/education-and-training/courses-and-programs/medical-graduate-recruitment

    Intern Placement Priorities in NSW:

    Victoria

    Trains leaving the Melbourne CBD passing the Melbourne Cricket Ground

    Intern Numbers = 985
    Annual Salary = $83,331
    Length of Contract = 1 year
    Professional Development Allowance = $65 per week for FT Intern = $3,380

     

    c/- PMCV


    Internship in Victoria works around a computer matching system that the Postgraduate Medical Council of Victoria administers. The system had a significant overhaul in the previous year.



    The Allocation & Placement Service is a mathematical process that matches the preferences of both candidates and Health Services and is designed to be “impartial and transparent”. 

    Candidates create an account and then register with the Intern match. The second step is to select your preferred services. At the same time, the health services also place preferences. The matching process of successful candidates to positions according to rankings.

    For Victoria, you will need to submit referees as well as a CV. In past years this had to be on the quite unattractive PMCV standardised CV Template. The status of this template has now been downgraded to a “guide”. You don’t have to put a photo on your CV. I would recommend using your own CV template and not include a photo.

    Pre Recorded Video Interviews

    In 2020, Victorian Health Services began the use of video-recorded interviews. This continues for 2024 for certain candidates. The system appears to be being used as an efficient way for certain services or hospitals to review applications without arranging formal interview panel days and for candidates to appear in person.

    The way these interviews work because you are usually allocated a specific time to log into the system. Once you have gone through a couple of orientation steps you are usually given a series of questions and asked to record your answers. Generally, you don’t get a second go if you are not happy and the time is limited. It is vital therefore that you practice before you do your interview and ensure you have optimised your video environment.

    You are able to complete your recording at any time during the specified video interview period. All candidates are required to answer 3 questions. Questions are randomly selected from 3 different question banks. There is one additional question if you are applying for the Regional Pathway.

    Response times are 2 minutes per question. You get one minute to read the question and prepare your answer before recording.

    All health services can use these recordings to rate you along with your CV and referee reports.



    Metro hospitals may conduct live interviews with shortlisted candidates at any time before 3 July. Although I understand many do not and just rely on the candidates’ CV, referees and video interviews.

    Interns can be allocated to one of 22 hospitals and networks. This includes a small number of community-based internships where the focus is more on community-based models of care, including working in primary care and smaller hospitals.

    You can elect to be prioritised for an internship by entering the Victorian Rural Preferential Allocation (VRPA) match. Where you can be allocated to one of 5 rurally based networks. This pathway involves a live interview. First-round offers for VRPA come out on 18th July on the national rural allocation date.

    Intern Placement Priorities in Victoria:

    VRPA Priority Group 1 – Australian citizens or permanent residents and New Zealand citizens graduating from Victorian medical schools including CSP and domestic full fee-paying students (i.e. graduates of University of Melbourne, Monash University, Deakin University and University of Notre Dame: Melbourne & Ballarat Clinical Schools).

    VRPA Priority Group 2 – Australian permanent resident graduates of interstate universities who meet the following criteria:

    • Completed their Year 12 schooling in Victoria; OR
    • Previously lived in rural Victoria (Modified Monash Model (MMM)1 – MM2 classification or higher) and worked in a rural healthcare setting; OR
    • Graduates of the University of New South Wales who have undertaken their last two years of clinical placement at Albury Wodonga Health clinical school.

    As well as Australian temporary residents graduating from Victorian medical schools (i.e. graduates of the University of Melbourne, Monash University, Deakin University and the University of Notre Dame: Melbourne & Ballarat Clinical Schools).

    Priority Group 1 – Australian citizens or permanent residents and New Zealand citizens graduating from Victorian medical schools including CSP and domestic full fee-paying students (i.e. graduates of University of Melbourne, Monash University, Deakin University and University of Notre Dame: Melbourne & Ballarat Clinical Schools).

    Priority Group 2 – Australian temporary resident graduates of Victorian medical schools. As well as Interstate Special Considerations*.

    Priority Group 3 – Australian citizens or permanent residents and New Zealand citizens graduating from interstate or New Zealand medical schools; Australian temporary resident graduates of interstate universities; New Zealand temporary resident graduates of New Zealand universities; Graduates from an overseas campus of an Australian/New Zealand University accredited by the Australian Medical Council (i.e. Monash University, Malaysia or Ochsner).

    *There are a number of special consideration categories available including for significant medical, disability and carer responsibilities. Check with the PMCV directly for this.

    Indigenous Internships

    Both South West Health Care (based on Warnambool) and Melbourne Health have a small number of Internships reserved for Indigenous graduates.

    The Victorian Rural Medical Scholarship Scheme

    The Victorian Rural Medical Scholarship (VRMS) supports career pathways to rural medical practice and assists rural and regional health services to attract, employ and retain medical graduates. The VRMS supports medical students with a commitment to working in rural and regional Victoria by providing financial assistance towards living and tertiary expenses in the final year of their medical degree and into their rural intern year.

    The VRMS is administered by the PMCV on behalf of the Department of Health of Victoria. Scholarships valued at $20,000 each are available to be
    awarded to final year medical students in Victoria. Scholarship recipients are required to commit to a two- year return of service in rural or regional Victoria (within three years from graduating from medical school).

    Queensland

    Story Bridge Brisbane

    Intern Numbers = 885 (including 66 rural generalist intern positions)
    Annual Salary = $87,517
    Length of Contract = 1 year
    Professional Development Allowance = nil for Interns but $2,311 for RMOs
     
    Queensland has possibly the most complex internal allocation system of all jurisdictions. With a number of pathways and a combination of allocating certain priority groups and merit selection for others.

    Queensland Health conducts the annual intern allocation process in Queensland. To apply you will need to use the online portal and upload a range of documents, including a curriculum vitae and referee details. Note: Queensland Health has also produced an unattractive CV template for you to use. But this also has the status of “guide only”, therefore I recommend you use your own.

    Graduates assign a preference to all participating hospitals from highest to lowest (number 1 being the most preferred hospital).

    Interns can be allocated to one of 20 Employment Hospitals.

    c/- Queensland Health

    Applicant Categories

    In Queensland, intern applicants are classified into 2 categories: Guaranteed offer and Not guaranteed offer – see below.

    c/- Queensland Health

    Note: Queensland is one of the few jurisdictions that offer an opportunity for IMG doctors to complete an internship in Australia. The number of doctors who are successful in doing so each year is rarely more than a handful.

    Internship pathways

    There are 3 pathways for Intern Allocation in Queensland.

    1. The Rural Generalist Program offers an opportunity to select a rural hospital centre as part of a program that is a pathway to working as a Rural GP. Applications open 4th March and close extremely early (18th March) for this pathway.
    2. Aboriginal and Torres Strait Islander Intern Allocation Initiative. The purpose of the initiative is “to promote the success of Aboriginal and Torres Strait Islander medical graduates in the Queensland Health workforce”. Eligible applicants can apply to the Aboriginal and Torres Strait Islander Intern Allocation Initiative to be allocated to their first preferenced hospital. Applications are reviewed by a panel that includes Aboriginal and Torres Strait Islander representation. Applicants who have been confirmed as eligible by the panel will be exempt from the ballot process and allocated to the facility nominated as first preference in their intern application.
    3. The General Intern Campaign. Which is a ballot process.

    The General Intern Campaign Allocation Process.

    After the application period has closed, applications are sorted according to their applicant groups, preferences, and available positions at each facility.

    Prior to the ballot taking place a Review Committee considers applications for:

    • requests for special considerations
    • exemption requests
    • joint ticket applications
    • deferral requests

    After this the ballot commences.

    c/- Queensland Health

    Applicant Group A candidates who nominate an undersubscribed’ or equal in numbers hospital as first preference will automatically be allocated to that facility.

    Applicant Group A candidates who nominate an ‘oversubscribed’ hospital as their first preference may be allocated to another facility via the ballot process.

    Merit Selection for Groups B-D.

    There is no inherent prioritisation across applicant groups, the categorisation of these groups are used for reporting for the intern campaign. Each participating Hospital and Health Service establishes individual assessment processes to merit select from their available applicant pool and are not obligated to sequentially select through the applicant groups. Applicants who do not meet the outlined criteria for Groups A, B, C or D may be considered at the discretion of each participating hospital.

    Following the completion of first-round offers, the Position Status Report (PSR) is updated.

    This is an updated list of available positions remaining.

    Applicant group B-D candidates have 48 hours to change their preferences if they wish to.

    Queensland Health hospitals then assess applications and conduct their own meritorious selection processes. You should contact each Hospital and Health Service directly to find out what they look for in an intern.

    If vacancies become available after the First and Second Round offers, individual hospitals will meritoriously select from the remaining applicants for available vacancies. Recruitment to fill available vacancies will continue until the national closing date for intern recruitment. After the closing date, any further vacancies that arise will be filled via the Late Vacancy Management Process (LVMP).

    Western Australia

    Perth City Scape

    WA Health and the PMC of WA have previously indicated that they can not make Intern numbers available, as these are subject to confirmation by the Primary Employing Health Services.

    Estimated Numbers ≅ 393 including 25 Country Health places (based on 2022/2023 PMCWA Annual Report)
    Annual Salary = $82,893 – $109,650 (rates payable differ according to your location and industrial agreement with Country Health doctors receiving higher rates of pay)
    Length of Contract = 3 years in most cases with the ability to transfer to a different PEH if all internship requirements are met (IMGs may have shorter contracts tied to their visa status)
    Professional Development Allowance = $5,984

    c/- PMCWA

    Western Australia Intern Eligibility and Priorities

    In Western Australia applications that meet all eligibility criteria, and all essential criteria are included in the suitable recruitment pool. Once in the suitable pool, selection and recruitment decisions are made by the primary employing hospitals. 

    As with all other Australian jurisdictions, priority is given to Commonwealth funded medical students graduating from Western Australia. This is then followed by Western Australians graduating from interstate universities who want to return to WA; international medical students graduating from WA medical schools; then graduates from other jurisdictions (other than WA). The priority then shifts to international medical graduates from outside of Australia.

    c/- PMCWA

    Vacancies arise as offers are declined throughout the process, and these vacancies fluctuate each year and will affect how many students outside of WA are offered an intern position. 

    So Western Australia is one of the few options for IMGs to do an Internship in Australia. Although you can see from the above it is quite limited.

    In WA all interns are employed by a Primary Employing Health Service (PEHS). 

    In WA all interns are employed by a Primary Employing Health Service (PEHS) accredited by PMCWA. Each PEHS is a major tertiary hospital in WA which has been accredited to directly employ interns and provide a high quality intern training program.

    The six PEHSs in WA are:

    All six WA Health PEHS recruit through the Centralised Intern Application Process. Each PEHS holds an information session during the application period, with presentations from the Medical Education teams, current interns and more.

    Following the close of applications in the centralised application process, all applications are reviewed by PMCWA and a pool created for all suitable applications. Applications appointed to the pool are grouped and managed according to the applicable priority category. Applications appointed to the pool will be offered positions according to category as positions are available and selection processes completed.

    Each PEHS is a major tertiary hospital in WA that has been accredited to directly employ interns and provide an intern training program.

    Employing Health ServiceMetro PlacementsRural Placements
    Fiona Stanley Fremantle Hospitals Group (Fiona Stanley Hospital)Fiona Stanley Hospital
    Fremantle Hospital
    Rockingham General Hospital
    Albany Health Service
    Broome Regional Hospital
    Northam Health Service
    Joondalup Health CampusJoondalup Health CampusKalgoorlie Regional Hospital
    Royal Perth Bentley Group (Royal Perth Hospital)Royal Perth Hospital
    Armadale Health Service
    Bentley Hospital
    Osborne Park (Women and Newborn Service)
    Perth Children’s Hospital
    Bunbury Hospital
    Hedland Health Campus
    Kalgoorlie Regional Hospital
    Sir Charles Gairdner Osborne Park Health Care Group (Sir Charles Gairdner Hospital)Sir Charles Gairdner Hospital
    Graylands Hospital
    Hollywood Private Hospital
    Joondalup Health Campus
    Osborne Park (Women and
    Newborn Service)
    Perth Children’s Hospital
    Geraldton Regional Hospital
    Hedland Health Campus
    Karratha Health Campus
    St John of God Health Care (St John of God Midland Public Hospital)St John of God Midland
    Public Hospital
    St John of God Subiaco
    Hospital
    St John of God Murdoch
    Hospital
    WA Country Health ServiceAlbany Health Campus
    Broome Regional Hospital
    Bunbury Hospital
    Geraldton Regional Hospital

    Each PEHS hosts an information night. You can also choose to work as a rural intern by applying to work through Western Australia Country Health Service.

    The intern application process is coordinated by the Postgraduate Medical Council of Western Australia but you apply through the WA Jobs site called MedJobsWA. You submit one application and rank each PEHS from most to least preferred. Selection occurs through panels representing each of the PEHSs. As part of your application, you need to provide a CV and cover letter and address the intern selection criteria, you will require a range of other documents as well as nominate 2 referees. If successful you will receive a contract for 3 years, which provides you with job security.

    South Australia

    The River Torrens in the city of Adelaide

    Estimated Numbers = 328 (based on 2024 final positions, including 37 rural intern posts)
    Annual Salary = $81,814
    Length of Contract = 3 years in most cases (IMGs may have shorter contracts tied to their visa status)
    Professional Development Allowance = nil

    SA MET (South Australia Medical Education and Training) conducts the annual Intern application process in South Australia. There are 3 Adelaide-based Local Health Networks and 3 smaller country-based networks to which you can apply for the priority Rural Intern pathway. It should be noted that whatever network you are allocated to you may request or be required to undertake one or more rotations in other networks.

    The Rural Intern Pathway is a strength-based recruitment process for applicants who are interested in undertaking their internship (and potentially subsequent years) in rural hospitals within Country Health SA (CHSA). Rural intern positions provide broad opportunities in unique settings and are best suited for medical graduates with a history of living or working in rural areas or a desire to commence a career in the country. 

    To apply for internship in South Australia, you must comply with the following criteria:

    • Have graduated from a medical school in the last two years (i.e. to start an internship in 2025, you are / were a final year medical student in the 2024 or 2023 cohort).
    • Applicants who completed their medical degree at an overseas university NOT accredited by the Australian Medical Council (AMC) must have completed both Part 1 and 2 of the Australian Medical Council exams.
    • Can demonstrate that you meet the English Language Skills Registration Standard.
    • Be able to commence on the January start date, which includes compulsory orientation, and fulfil the minimum 12-month contract.
    • Have completed electronic medical record (Sunrise EMR and PAS) medical student training.
    • Be able to demonstrate that you will meet the requirements for registration with Ahpra.
    • Have NOT commenced or completed an internship or worked as a doctor before.
    • Be an Australian Citizen, Australian Permanent Resident, Australian Temporary Resident, New Zealand Citizen or New Zealand Permanent Resident.
    • Have a visa that allows you to work unrestricted in Australia for the duration of your internship.
    • Applicants completing their medical degrees in Australia who are on a student visa will need to obtain an appropriate Australian work visa before commencing their intern year (refer to page 33).
    • Have completed and submitted an online application, including the provision of valid supporting documentation, by the application closing date.

    Barossa Hills Fleurieu Local Health Network (BHFLHN)

    Central Adelaide Local Health Network (CALHN)

    Eyre and Far North Local Health Network (EFNLHN)

    Flinders and Upper North Local Health Network (FUNLHN)

    Limestone Coast Local Health Network (LCLHN)

    Northern Adelaide Local Health Network (NALHN)

    Riverland Mallee Coorong Local Health Network (RMCLHN)

    Southern Adelaide Local Health Network (SALHN)

    *Yorke and Northern Local Health Network (YNLHN)

    Rural Interns will also be able to work in the Yorke and Northern Local Health Network in 2025

    SA Intern Priorities:

    Like most other jurisdictions, South Australia prioritises its medical graduates first, then graduates from other States and Territories. International Students are given lower priority than Australian Citizens, Australian Permanent Residents and New Zealand Citizens.

    Aboriginal and Torres Strait Islander applicants are given priority preference by being placed in the first subcategory for categories 1 and 2.

    International Medical Graduates from non-Australian medical schools can apply for the rural intern pathway so long as they have only graduated in the last 2 years and have completed the AMC Part 1, and can meet the other requirements (which are extensive) and include meeting the Medical Board English language requirements, completing electronic medical record training and have residency status or a visa that allows you to work unrestricted. They must also not have commenced or completed an internship.

    International Medical Graduates from non-Australian medical schools can also apply for the main round but in this case must have completed both AMC Part 1 and Part 2.

    Rural Intern Pathway

    Applications for the Rural Intern Pathway are included in the standard South Australian application for internship.

    All applicants are asked to preference all eight rural networks as well as the three metropolitan health networks.

    Eligible applicants wishing to apply for the Rural Intern Pathway must preference a rural site as their FIRST preference. Rural Intern Pathway applicants who preference a rural LHN as their first preference are asked additional questions within their application form. And must participate in interviews conducted by a selection panel from the rural LHNs.

    SA Health determines which applicants will receive rural internship offers using a preference matching process and the ranked list provided by the LHNs.

    The placement of applicants into rural intern positions will occur prior to the placement of applicants into metropolitan intern positions. SA Health will match applicants to specific rural LHNs as instructed.

    Internship Categories

    Within the respective South Australian category groups, applicants are randomly allocated to their highest possible Local Health Network preference.
    If an offer is made, applicants must respond via the electronic application system within the specified timeframe. Where an applicant has been made an offer and no response received, the offer will be automatically declined. Applicants are only eligible to receive one offer for an internship in South Australia.

    South Australia is one of few States that specifically permits medical graduates from other countries to apply for internship positions. But they are at the very bottom of the priority list. Please see the above information about the rural internship.

    In addition to a CV and referees, in order to apply for an internship in South Australia, you will need to provide a certificate confirming that you have completed the SA Health online electronic medical record (Sunrise EMR & PAS) training.

    Tasmania

    Hobart in Australia

    Estimated Number  = 106
    Annual Salary = $87,000
    Length of Contract = 1 year
    Professional Development Allowance = nil for Interns but RMOs get an allowance of $2040 per annum

    Internships are coordinated in Tasmania via the Department of Health and Human Services.
     
    All applicants are required to apply online. As part of your application, you are asked to preference all of the 3 available sites:

    SiteNumber of Positions
    North (Launceston General Hospital)40
    South (Royal Hobart Hospital)46
    North-West (North-West Regional Hospital Burnies and Mersey Community Hospital, Latrobe)19

    Rural Option

    You can also preferentially apply for one of 5 places on the Tasmanian Rural Generalist Program. You will be allocated to one of the above sites based on your preference but also undertake a 13-week rural GP placement as part of your internship.

    Applying


    Applicants must be graduates of or graduating from an Australian Medical Council-accredited University.  

    All applicants are required to apply online. Only one application is required; you will be asked to indicate your preferred place of employment (Hobart, Launceston, North West Region) via the application form.  Applicants must list each site in order of preference.

    The online application form ensures all the information required to assess your application is provided. The form includes information on eligibility to work in Australia and details on how to submit electronic reference requests.

    The online application form requires you to include your University Student Number and your Australian Health Practitioner Regulation Agency (AHPRA) Intern Placement Number.

    Candidates are required to attach a CV/Resume and any other relevant information to their application.

    A written statement addressing the selection criteria is NOT required. 

    Intern Placement Priorities:

    The Tasmanian Department of Health currently gives priority, in order, to:

    1. Australian permanent resident Tasmanian-trained Australian Government supported and full-fee paying medical graduates.
    2. Australian temporary resident Tasmanian-trained full-fee paying medical graduates.
    3. Australian permanent resident interstate-trained Australian Government supported and full-fee paying medical graduates.
    4. Australian temporary resident interstate-trained full-fee paying medical graduates.
    5. Medical graduates of an Australian Medical Council-accredited overseas University.

    Selection

    The Tasmanian Department of Health will conduct a ballot-based allocation system for placing Priority 1 (Australian permanent resident Tasmanian-trained Australian Government supported and full-fee paying medical graduates) and Priority 2 (Australian temporary resident Tasmanian-trained full-fee paying medical graduates) applicants.

    It is not clear at this stage how further positions are filled according to the remaining priorities.

    Northern Territory

    ocean coast in Darwin, Northern Territory Australia

    Intern Numbers = 88
    Annual Salary = $84,975
    Length of Contract = 1 year
    Professional Development Allowance = $3,295 per annum with the option to apply for an additional $3,000 or $3,000 for HELP relief.

    The NT Prevocational Medical Assurance Services (PMAS) conducts a central review of eligible applicants and all intern positions are allocated within the two NT Health Services:

    • Top End Health Service (TEHS) – based upon Royal Darwin Hospital (RDH) (45 posts)
    • Central Australia Health Service (CAHS) – based upon Alice Springs Hospital (ASH) (20 posts)

    Each Health Service has a primary employing health service as well as additional placement hospitals as per below:

    C/- NTPMAS Guide

    Eligible applicants are allocated intern positions in line with the Northern Territory category groups. Within the relevant category groups, applicants are allocated to their highest possible Health Service preference, pending the availability of a position.

    Intern Priority Categories:

    According to the NTMETC the applicant eligibility categories in order of selection for Internship in the Northern Territory are:

    c/- NTMETC

    Previously there was an F and G category that provided an option for IMG doctors. It is not clear whether this has been removed for the 2023 year.

    As part of your application, you are required to submit a curriculum vitae of no more than 2 A4 pages and address the selection criteria. Applications are submitted to the NT Government employment portal.

    Overall the intern allocation process is based on an applicant’s category group, Health Service preference, and the number of positions available in each health service.

    The two NT Health Services are responsible for selecting applicants and making their offers of employment, applicants are advised via email.  The Health Service responsible for making the offer of employment will after receiving an acceptance from an applicant arrange an employment contract for an Internship position within their health service to be provided prior to commencing their internship.

    Australian Capital Territory

    The Australian War Memorial in Canberra

    Intern Numbers = 96
    (6 of these positions are normally guaranteed to NSW medical students)
    Annual Salary = $77,898
    Length of Contract = 2 year
    Professional Development Allowance = $1,040 per annum + $900 Mobile Allowance + $4,000 Relocation Allowance.
     
    If you want to apply for an internship position in the Australian Capital Territory you do so via the ACT Health Recruitment page.

    Most of your time is spent at the Canberra Hospital. But ACT is interesting as it is one of the few chances you may have as an Intern to work in 2 separate States and Territories. Rotations may include secondments to Calvary Public Hospital, Goulburn Base Hospital, and South East Regional Hospital (SERH) at Bega. Because the ACT utilises some positions in NSW for intern posts there is a reciprocal arrangement whereby a number of NSW graduates are guaranteed an intern post in the ACT.

    Priority is given to:
    – Australian Graduates of ANU
    – A maximum of 6 graduates of NSW Universities
    – Graduates of other Universities who completed Year 12 in ACT

    ACT Intern Priority List:

    c/- act.gov.au

    The Commonwealth – Private Hospital Stream

    **2024/2025 Information not yet available**

    The Private Hospital Stream (PHS) funds private hospitals to deliver medical internships and support junior doctors to work in expanded settings. It focuses on supporting training for junior doctors in rural, regional and remote areas in Modified Monash (MM) 2 to 7 locations.

    This includes fostering partnerships between private hospital providers, rural public hospitals and other training settings (such as Aboriginal Medical Services) working as part of expanded training networks.

    Annual Salary and conditions should reflect the annual salary for an intern in the State or Territory you are working in.

    Internships and places

    The PHS supported up to 115 internships and up to 80 PGY 2 and 3 eligible junior doctor places in the 2020, 2021, 2022 and 2023 training years.

    Expression of Interest (EOI) internships

    An annual EOI internship process is run for junior doctors to express interest in a PHS-funded medical internship place.

    This process is only for PGY 1-funded places. It opens each year after state and territory governments have offered and filled their internship positions.

    Eligibility

    The program divides applicants into 2 categories – Priority One and Priority Two.

    Priority One eligibility criteria

    The Priority One category is for final year medical students who meet all eligibility criteria for an internship under the PHS.

    You are Priority One if you:

    • are a full-fee-paying international student completing your medical degree during the current calendar year from a medical school in Australia, having completed all of your medical degree in Australia (university-approved, short-term elective rotations completed overseas are allowed)
    • have met the Medical Board of Australia (MBA) English language proficiency requirements for registration purposes
    • are not an Australian Citizen
    • commit to getting a visa to work in Australia during your internship year.

    Priority Two eligibility criteria

    You are Priority Two if you:

    • have MBA provisional registration as a medical practitioner
    • have met the MBA English language proficiency requirements for registration purposes
    • commit to getting a visa to work in Australia during your internship year.

    Who is not eligible

    You are not eligible to apply for the PHS if you:

    • do not meet the Priority One or Priority Two eligibility criteria
    • have accepted an internship position from a state or territory government.

    Recruitment process

    The recruitment process aligns with the state and territory government recruitment processes and the national audit process.

    Suitable applications are forwarded to the PHS participating private hospitals by the due dates each year.

    The PHS participating private hospitals do eligibility checks. They will contact eligible applicants they want to interview.

    You should not make direct contact with the hospitals.

    Category prioritisation

    PHS participating private hospitals must fill PGY 1 places with Priority One applicants first.

    If there are still places available after the Priority One list is finished, the hospitals can then recruit Priority Two applicants.

    PGY 2 and 3 funded places

    PHS-participating private hospitals make their own recruitment and employment arrangements for PGY 2 and 3 junior doctors. This allows them to meet their own service needs.

    PHS-funded hospitals

    The Commonwealth funded the following private hospitals to deliver the PHS from 2020 to 2024:

    • Mater Misericordiae Limited Queensland through
      • Mater Health Services North Queensland (delivering PGY 1 places)
      • Mercy Health and Aged Care Central Queensland through Mater Private Hospital Bundaberg, Friendly Society Private Hospital Bundaberg, Bundaberg Base Hospital Bundaberg, Mackay Base Hospital Mackay and Mater Misericordiae Hospital Mackay (delivering PGY 1, 2 and 3 places)
    • Greenslopes Private Hospital, Queensland (delivering PGY 1, 2 and 3 places)
    • Calvary Health Care Riverina, New South Wales (delivering PGY 2 places)
    • Mater Hospital Sydney (delivering PGY 1 places)
    • St Vincent’s Private Hospital Sydney (delivering PGY 1 places)
    • MQ Health, New South Wales (Macquarie University Hospital) (deliver PGY 1 places)
    • St John of God Ballarat Hospital, Victoria – Grampians Intern Training Program (delivering PGY 1 places)
    • Ramsay Health Care, Western Australia (Joondalup) (delivering PGY 1, 2 and 3 places).

    How To Decide Where to Apply for Your Internship?

    There are lots of considerations when it comes to putting in your Intern application. Everyone is a bit different. Some graduates feel like they would like to be close to home and family whilst going through their transition to Intern. Others see it as a chance to get away and explore a new place and location. And then others focus on the long-term career prospects of certain locations.

    I think this last consideration is a little overrated for most. You can generally experience a wide range of medicine in your first couple of years of medicine after graduation and there is scant evidence that this affects your prospects of applying for specialty training posts.

    That being said if you have an interest in anything other than Medicine, Surgery or Emergency Medicine as a future career you should probably investigate whether this particular specialty is offered at the hospitals or networks to which you apply.

    Unfortunately, the internship model in Australia is quite antiquated and we have continued to use the experience as a proxy for competency when a large portion of the medical education world has moved on. The result has been the mandating of the 3 core terms for the internship of Medicine, Surgery, and Emergency Medicine. There is really no solid educational basis for this approach and one of the unfortunate outcomes is that all the other specialties get squeezed out and few interns get to experience psychiatry, general practice, obstetrics, paediatrics, pathology etc… which ultimately does have an effect on recruitment to these specialties.

    So the basic message is this. If you are really dead set keen on doing radiology as a career you should try to track down the very few locations that might offer this rotation to either interns or residents.

    Each year the Australian Medical Students’ Association produces a very useful Intern Guide with lots of information about the composition of intern training networks across the country. The 2023 version is not available but here’s a link to the 2022 version.

    Frequently Asked Questions

    Is There Any Restriction On Where I Can Complete My Internship?

    To meet the Medical Board of Australia’s requirements for general registration, an internship can be completed in any state or territory of Australia.

    Can I Apply to More Than One State or Territory for an Intern Position?

    Yes, you will need to apply separately to each state and territory where you would like to work. You will need to complete a separate application for each position, submit the documents, provide the information required and meet the selection requirements. As part of the application process, each state and territory requires you to include your intern Placement Number (IPN).

    What is an Intern Placement Number?

    The Intern Placement Number is a unique nine-digit number that has been generated by the Australian Health Practitioner Regulation Agency (AHPRA) and has been provided to medical schools for distribution to all 2024 final-year medical students. If you do not have an Intern Placement Number issued or you have misplaced it, you must contact your medical school to have the number issued or reissued. Do not contact AHPRA. Note: The Intern Placement Number is not your University Student Identification

    I Am Not an Australian Medical Student. How Do I Obtain an Intern Placement Number?

    In this situation, you do not require an IPN and will not be issued one. You can still apply for internships. But unless you are a New Zealand medical student your chances of gaining a place are very very limited.

    What If I Have Special Circumstances Which Make It Hard For Me To Work In Certain Places?

    All States and Territories Have processes for considering special circumstances. Some of the types of circumstances that are generally approved are: where you may have certain health conditions that mean you need to be close to certain hospitals or specialists; where you have dependents, such as young children, and are unable to relocate due to care arrangements; and where you and your partner want to work as doctors in the same location. Generally, requests to stay in certain locations, for reasons such as work commitments of partners or needs of school-aged children are not granted.

    I Have Received My Intern Offer. But I Would Like to Defer It. Is This Possible?

    This will partly depend on how long you wish to defer. If you just wish to defer for a few months. Once you have your offer and are in discussions with your new employer make inquiries. It may be possible to negotiate a later start with your employer. Most employers will generally prefer that you start on time so that you are not out of sync with your colleagues. But there might be some advantage for the employer in you attending orientation but then starting a bit later as it will probably help them to fill out roster gaps. On the other hand. If you wish to defer for a complete year. Then you will need to check the policy of the State or Territory that has provided you with an Intern offer. In some cases (for example Victoria) you will be permitted to defer and your place will be held for you the following year. In most other cases you will need to reapply the following year and check whether your priority status has altered. In most cases, you have the same priority status. But, for example, the ACT no longer guarantees you an internship and you start off at a minimum of Category 4. Also, bear in mind that it is unclear how long you can defer commencing your internship. However, the Medical Board of Australia expects that once you have commenced your internship you will have completed this process within 3 years.

    I am a Doctor With a Medical Degree From Outside Of Australia. Can I Apply For an Internship?

    Unless you obtained your medical degree from a New Zealand Medical School. Then the brief answer to this question is no. I would love to stop there. And I really think you should as well. But there are rare circumstances where you may be able to obtain an internship with a medical degree from outside of Australia. But the Medical Board of Australia strongly advises against this option and so do I. For good reasons. Firstly the whole Australian medical internship system is designed to ensure that Australian medical graduates are able to undertake an internship. Not for overseas graduates. Secondly (and as a result of the first point) it is very rare to be offered the chance. Some States and Territories will not even consider an application from an IMG for an internship. Others will only do so in limited circumstances, for example, the Northern Territory will accept applications from IMGs who may have done a medical student elective or clinical observership in the Northern Territory and who have experience in rural, remote and indigenous health locations. But even then these applicants are at the bottom of the priority list for obtaining an internship. South Australia will accept applications. But again you are bottom of the list. Queensland will also accept applicants, but only if you have never worked as a doctor. And again you are bottom of the list. A final note on this question is that the majority of IMGs who do obtain a medical internship position each year in Australia generally have Australian citizenship or permanent residency.

    I Have Heard That Some Graduates Miss Out On Internships. Is This True?

    Whilst it is theoretically a possibility that some medical graduates miss out on Internships according to annual reports provided by organisations like HETI and the PMCV at the end of intern applications no one is actually left at the end of the process without an offer. In fact, in some circumstances, there are vacant intern positions that are not able to be filled. Only Australian citizens and permanent residents are guaranteed an intern position under the COAG agreement. However, there are generally enough intern positions available for those students who have come to Australia to study medicine and the Commonwealth Private Hospital program offers additional spaces for those that may miss out. That being said. It is also clear that many graduates choose to drop out of the application process themselves. So not everyone who applies gets an offer. The assumption is that some graduates take up similar intern opportunities in other countries upon graduation.

    Can I Submit a Late Application?

    Acceptance of late applications is at the discretion of each state and territory.

    When Will Offers Be Made in 2024?

    All states and territories will commence making offers for Rural Pathways on Monday 15 July 2024 and will commence making offers for all other pathways on Wednesday 17 July 2024. The National Close Date for 2023 Intern Recruitment is Friday 18 October 2024.

    What if I Receive More Than One Offer?

    You need to decide where you would like to undertake your internship and accept this position and decline all other positions. You should not hold onto more than one offer as this negatively impacts both the hospital that will have a vacancy if you fail to start work because you have started in another position in another state, and other applicants who would like to work at that hospital who do cannot receive an offer for that vacant position.

    What is the National Audit?

    States and territories share intern applicant information at pre-agreed dates. This data is then used to identify applicants who have applied for and/or accepted intern positions in more than one state/territory. Applicants who have accepted more than one intern position will be contacted by the National Audit Data Manager by phone or email and given 48 hours to withdraw from all intern positions, except the one where they intend to undertake their intern year.

    What if I Don’t Respond to the National Audit Data Manager?

    If you don’t respond to the National Audit Data Manager and/or do not withdraw from all positions except one, the relevant states/territories where you have accepted an offer will be advised and all offers, except for the first offer you received may be withdrawn.

    What is the Late Vacancy Management Process?

    The Late Vacancy Management (LVM) Process runs from Monday 11 November 2024 to Friday 21 March 2025. The process ensures any late vacancies are offered to eligible intern applicants who have not yet accepted an internship position. The Late Vacancy Management Process will be coordinated by the National Audit Data Manager on behalf of states and territories. Please ensure you have updated your contact details if you are going overseas during the Late Vacancy Management Process period. The National Audit Data Manager will send out emails to participants who will need to opt into the Late Vacancy Management Process if they still wish to receive an internship position offer in Australia. u003cbru003eu003cbru003eNote: if an applicant does not respond to this email, they will no longer be eligible to receive an internship offer and their application will no longer be considered in any Australian jurisdictions.

    Who can participate in the Late Vacancy Management Process?

    The process is open to medical graduates of AMC-accredited medical schools who have applied for and are not holding a 2024 intern position through the Commonwealth or states and territories at the National Close Date for Intern Recruitment (18 October 2024). Participation in the LVM is an opt-in process -you must confirm that you want to participate in the LVM by responding to the National Audit Data Manager by e-mail.

    Can International Medical Graduates Apply to Become an Intern in Australia?

    With very few exceptions, International Medical Graduates (IMGs) cannot apply to become an Intern in Australia. Even if you are able to apply your chances of obtaining an intern post are quite low and you should explore other options. This situation is not to be confused with International Students who study for their medical degree in Australia who are eligible to apply. You won’t be able to apply if you have already completed an internship or worked clinically in another jurisdiction. The States and Territories that do allow IMGs to apply are Queensland, South Australia and the Northern Territory as well as Western Australia (for Australian or New Zealand graduates of competent authority medical schools only).

    Can International Students Apply to Become an Intern in Australia?

    International Students who undertake an Australian medical degree are eligible to apply to become an Intern in Australia.

    Can I Swap Intern Posts?

    As a general rule the jurisdictions either do not permit or strongly discourage the swapping of Internship posts. Medical Student bodies regularly lobby for there to be a swap process. Swaps are problematic for a number of reasons. Firstly the jurisdictions have set up processes to try to ensure that the outcome of allocations is as fair as possible to the most number of graduates. So it is generally the case at the end of this process that there are very few legitimate swap arrangements available, i.e. if you find yourself with an Intern post that you are not happy with it is unlikely that there is anyone who will be willing to swap with you as they will probably be happy with their allocation. Secondly, the whole process of swaps causes additional bureaucratic headaches when the jurisdictions are attempting to focus on getting through all of the allocations and providing as many applicants as possible an offer. Thirdly, the ability to swap could place certain applicants in a situation of duress, where they are put under pressure to swap. Fourthly, it is very likely that more than one applicant might want to swap. So it may be seen as unfair to allow swaps when not everyone who wants to swap can.

    Can I Defer my Intern Offer?

    If you are considering taking a year off between graduating and commencing medical school then you will be wanting to explore your options for deferral. The process varies from jurisdiction to jurisdiction. Jurisdictions will not hold onto your internship post for you. You will be expected to reapply the following year. And you will generally be in the same priority category again. For Victoria, you need to apply for a deferral in order to be able to enter the PMCV Match in the following year. You should also be aware that the Medical Board of Australia has specific requirements for registration that limit the time that an individual may defer undertaking their internship in order to obtain registration to 3 years from commencement. After which you may need to seek special approval from the Medical Board of Australia.

    Can I Be Allocated to the Same Spot as My Partner?

    Yes. It does happen. Medical Students do meet and fall in love during their medical school days. Jurisdictions do allow for genuine partners to work in the same facility or network. You may, however, have to compromise a bit in terms of your network preferences as in order to accommodate your request you may need to be matched to a less popular network. Depending on your jurisdiction you will either have to make a joint couple application or apply under special consideration.

    Can I Do My Intern Part Time or Job Share?

    Yes. It is possible to do your Intern in Australia part-time. In general, the hospital networks prefer you do this as part of a job-share arrangement with another part-time Intern. Job share and part-time employment are defined as a person or persons voluntarily seeking to work less than full-time hours. Medical graduates may request to complete their internship on a part-time or job share arrangement through the annual centralised applications. To avoid discrimination you are first allocated your position and then your hospital or network is informed of your request to work part-time. Hospitals and networks are then required to negotiate with you the terms of your employment. Interns must work a minimum of 0.5FTE so that the internship may be completed within a two-year period.

    What If I Have Special Circumstances?

    Every State and Territory has a Special Circumstances or Special Consideration policy. These policies are generally quite strict and generally only cover: – needing to be close to immediate partners and dependents – caring for young or elderly persons – access to specialised medical care. If you are approved for special circumstances you will not necessarily be placed in the hospital or network of your choice. For example, if you are applying in NSW and you have young children and your partner works in Sydney and it is not possible for your partner to relocate, then you will be approved to be allocated to one of the Sydney-based networks.

    (Disclaimer: All information here has been sourced in good faith but things do change so you should always do your own due diligence in such matters, we are providing this information to aid you in your application but take no responsibility for any outcomes)We’d welcome feedback from any Intern programs in relation to the accuracy of the above information.

  • Tips for Navigating Your First Year: A Guide for New Intern Doctors Australia | 2024

    Tips for Navigating Your First Year: A Guide for New Intern Doctors Australia | 2024

    With thanks to the contributors of the Australian Junior Doctors reddit community https://www.reddit.com/r/ausjdocs/

    The beginning of each year heralds a new chapter for the new intern doctors Australia welcomes to its health care system. This exciting yet demanding journey demands medical knowledge but also a set of soft skills and an understanding of the healthcare environment. As someone who has literally onboarded hundreds of new Interns in previous roles as a Director Training and Medical Workforce Executive, I know how important it is to provide support and guidance, particularly in the first few weeks. I reached out to other junior doctors on reddit on the /r/ausjdocs/ community to share essential tips to help you navigate this critical phase of your career.

    Intern Doctors Australia Tip 1. It’s OK to say I Don’t Know.

    There is general agreement that this tip is “the most important”.

    As C2-H6-E puts it:

    Learning to say “I don’t know” is a skill. You should practice saying it to your seniors, patients, nursing staff, etc. It’s about being a safe practitioner and recognizing your limitations.

    No one is going to be critical of you if you say, “I don’t know”. But they may be unhappy if you stay silent and something bad happens.

    If you are not aware of the concept of Impostor Syndrome. Here’s a quick precis.

    Impostor syndrome is a common phenomenon in the medical field and can have detrimental effects. It refers to the persistent belief that one is not competent or deserving of their achievements, leading to self-doubt and anxiety. This mindset can be dangerous as it may hinder the ability to seek help, ask questions, and admit when one doesn’t know something. It is crucial for intern doctors to acknowledge and address impostor syndrome to ensure patient safety and personal growth.

    If you are worried about saying “I don’t know” a lot. Try adding the following seven extra words

    “I don’t know. But I will find out for you.”

    Intern Doctors Australia Tip 2. Adapting to Hospital Work

    Nothing can prepare you absolutely for your first few days and weeks working as an Intern.

    Just know that you will be surprisingly tired at the end of each day.

    I remember the Term 1 Intern check-ins I would conduct with Interns. They would often arrive to my office looking physically exhausted and slump in the chair.

    It’s primarily a mental exhaustion as you will be spending lots of your time trying to take in new or adapt existing knowledge. But walking the corridors of a big hospital can also be physically exhausting. There is the cognitive challenge of having to think through every thing you are doing because you are doing lots of things for the first time.

    And then there is the overtime and night work!!

    As Doc_Quin explains, your Intern work will likely juxtapose with a lot of administrative tasks during the day. Something that your medical school experience is likely to have only partially prepared you for; and then the stress of having to make clinical judgements and decisions after hours.

    Intern Doctors Australia - hospital culture

    Adapting to Hospital Culture

    Every hospital has its unique culture and dynamics. Observe, learn, and adapt to these nuances. Being a team player and understanding the hierarchy will help you navigate through your intern year more smoothly.

    Your reputation as a team member is of utmost importance as an Intern. You will be rotating through hospital units where the rest of the staff are more permanent fixtures. You are joining their team. The Interns of the hospital are frequently discussed by these teams, especially the ones who have unfortunately developed a bad reputation.

    Our reddit advisors suggest that you try to be “reliable”, “be nice” and “be honest” – the golden rule again.

    Intern Doctors Australia Tip 3. Time to Understand the Australian Healthcare System

    Generally, you don’t get taught a lot in medical school about how the health care system actually operates.

    Australia’s healthcare landscape is dynamic and multifaceted, encompassing public and private sectors. Familiarize yourself with hospital protocols, healthcare policies, and patient rights. Remember, your role is crucial in this ecosystem, and understanding it deeply will help you integrate faster and perform better.

    Now is the time to start showing an interest, as you are now fully vested in it.

    Find out about how Medicare works, and in particular, provider numbers and referrals.

    Learn about the PBS system and how medications are prescribed. Try not to be a doctor who sends a patient home on a medication they and their GP cannot actually access outside of the hospital.

    What is this thing called Clinical Governance? What happens when I put in a RiskMan?

    By being more situationally aware of how the hospital operates and decisions are made you are not just more likely to be in a position to influence decisions but likely to find opportunities to expand on your resume to enhance your prospects for future job applications around the corner – “did that patient safety officer say they had an audit they needed a hand with?”

    Intern Doctors Australia Tip 4. Effective Communication Skills.

    Communication as an Intern goes beyond patient interactions. It’s about effectively liaising with colleagues, nurses, and other healthcare professionals. Be clear, concise, and compassionate in your communication. Remember, empathy is key when dealing with patients and their families, especially in stressful situations.

    Probably the most stressful communication task for an Intern is the Specialty Consult request. Here’s a bit of advice from one of our Redditors on how to tackle this part of the job.

    Intern Doctors Australia Tip 5. Time Management and Organization

    Intern years are known for their hectic schedules. Prioritize your tasks, learn to say no when necessary, and organize your schedule efficiently. Keeping a balance between your professional responsibilities and personal life is crucial for long-term success and well-being.

    Intern Doctors Australia Tip 6. Developing Clinical Competence

    As has already been highlighted, no one expects you as an Intern to be a clinical expert. It’s enough to develop your practical skills and focus on your awareness in terms of gaps in knowledge.

    Hands-on experience is your best teacher. Take every opportunity to learn and refine your clinical skills. Seek feedback constructively and don’t avoid challenging situations – they are often the best learning opportunities.

    There are plenty of resources to guide you in your hospital work. Here are some suggestions from our Redditors.

    Intern Doctors Australia Tip 7. Maintaining Work-Life Balance

    It’s easy to get overwhelmed in your first year. Remember to take care of your mental and physical health. Find hobbies or activities outside work that help you relax and recharge.

    Don’t get carried away at work and be a martyr. Remember to take your breaks and find times to decompress and debrief.

    Seeking Support and Mentorship

    Don’t hesitate to seek support. Find a mentor who can guide you through the challenges of your first year. A supportive network can provide invaluable advice, emotional support, and career guidance.

    Preparing for Future Career Steps

    Think about your career trajectory early. Explore different specialties, talk to senior doctors, and plan your steps post-internship. Setting clear goals will give you a direction and help you stay motivated.

    Conclusion

    Your intern year in Australia is just the beginning of a rewarding journey in medicine. Embrace the challenges, stay curious, and strive for excellence but be okay with good some of the time. Remember, this year will shape you not just as a doctor but as a lifelong learner in the field of healthcare.

    Related Questions

    How much will I get paid as an Intern?

    Base Salary is around $80,000 pa but varies by jurisdiction and will be bumped up by overtime. You can read this post for a comprehensive break down.

    Is it possible to fail Internship and what happens if I do?

    Every year, a small handful of interns require some extra time to complete their internship requirements. This can be for many reasons, including personal illness, family circumstances or the stress of the role.
    The good news is the vast majority of intern doctors complete their internship within the year and the rest only normally require another term or at the most extreme a couple of terms.
    Whist it is technically possible to not progress from internship this is a rarity. The Medical Board permits you up to 3 years’ time to complete so you should not be worried about this.
  • What Every Australian Trainee Doctor Earns. Junior Doctor Salary Guide

    What Every Australian Trainee Doctor Earns. Junior Doctor Salary Guide

    I often get asked about junior doctor salary rates. Personally, I hate the term “junior doctor”. Most trainee doctors I know are very mature and have often had a meaningful adult life before medicine. But unfortunately, this appears to be the most common term used for the group of doctors who are “pre-specialist”. So here is a comprehensive breakdown for you. Along with some additional interesting observations.

    As of 2025 If you are an intern doctor in NSW (postgraduate year 1) you are earning an annual full-time salary (before tax) of $76,000 AUD and you are officially on the lowest-paid junior doctor salary in Australia. On the other end of the spectrum if you are living in Western Australia and are a Senior Registrar Year 2, then you are on $192,371 AUD of annual junior doctor salary. And you are officially the best-paid trainee doctor in Australia. Although, because you have been at this training gig now for about 10 years. It is very likely that a lot of your colleagues have finished being trainee doctors by now and are earning far superior salaries as specialists.

    The rest of you are somewhere in between in your junior doctor salary. And if you refer to this handy table below you will be able to see how much salary you should be making (at least officially). And if you are thinking about moving States or Territories or are an IMG doctor thinking about working in Australia. You can also use this table to get a bit of an estimate of your salary expectations. But be warned some employers are known to play it hardball and discount your prior clinical experience and try to start you off on lower salary rates.

    So how much does a junior doctor in Australia make? What is the lowest salary for a junior doctor in Australia? And what does a first year doctor salary in Australia look like? You can answer all of these questions in the table below. And if you would prefer this in hourly or monthly rates we have these covered in tables at the end of this post.

    [ninja_tables id=”128185″]

    *Western Australia pays a significantly higher rate for doctors working for the Country Health Service north of the 26 degree latitude. Intern annual salary is $119,165 and Senior Registrar as much as $293,564 as of September, 2025

    Thanks to one of our readers that pointed out we had the incorrect rates for WA Health in a previous version.

    Sources:

    NSWVictoriaQueenslandWestern AustraliaSouth AustraliaTasmaniaACTNorthern TerritoryGeneral Practice
    Sources

    By the way. This is one of those posts where if you spot something wrong or out of date. I would really love to know. Leave me a comment below.

    So let’s cut to the chase what does every trainee doctor in Australia earn? Or. What does their junior doctor salary look like?

    How do these junior doctor salary rates compare with reported incomes?

    Now. Please bear in mind I have just shown you the official annual junior doctor salary for each trainee doctor type in Australia. I have even included for you General Practice Registrar’s Salaries, with thanks to the GP Registrars Association. But these are baseline salaries. They are the junior doctor salary you would get paid if you came to work from 8.30 to 5 pm each weekday. had a half-hour lunch break. Left on time every day. Took your 4 weeks of annual leave and a monthly rostered day off. And never worked an evening or overnight shift or weekend overtime or on-call.

    We all know that working as a trainee doctor is just not like that. i.e. these are not the true take-home junior doctor salary rates.

    To work out what these look like we need to dig a little deeper. One additional source of data is the Australian Taxation Office.

    What does the Australian Taxation Office say about junior doctor salary rates in Australia?

    According to Australian Taxation Office data

    Resident Medical Officers earned an average of $128,145 AUD of average taxable income in the 2021 to 2022 financial year. Which is approximately the current annual pay rate of a first year Registrar in Victoria or a third year registrar in New South Wales, again employed full-time.

    However, due to the way, the classification system works it’s not clear whether this category includes all trainee doctors. The figure is based upon 16,883 individual tax returns.

    According to. the Health Workforce Data Set in 2019, there were 16,526 Specialists in Training in Australia. Along with 12,098 Hospital Non-Specialists, a category that mostly includes prevocational trainee doctors, i.e. interns and resident medical officers. There were also 31,102 General Practitioners, a category that will include GP trainees.

    So were are likely comparing some apples with some oranges here.

    But the point is that there are probably another 15,000 – 20,000 tax returns completed by medical practitioners who are specialists in training, where they put a different occupation group down. on their form. Presumably the specialty they were training in.

    So the ATO data will likely reflect a junior doctor salary of a doctor in their earlier years of training. And are therefore fairly consistent with the salary rates in the big table above.

    The Junior Doctor Awards and Enterprise Agreements

    The other source of information is the Junior Doctor Awards and Enterprise Agreements.

    If you are an international reader you may be a little unfamiliar with the concept of an Award or Enterprise Agreement.

    In Australia, responsibility for industrial law is primarily the responsibility of State and Territory governments. Which explains why pay rates and conditions for doctors vary so widely in the above table.

    Awards are legal documents that outline the minimum pay rates and conditions of employment for certain categories of employees. Awards apply to employers and employees depending on the industry they work in and the type of job worked. Awards are authorised through a special legal court of law called an Industrial Relations Commission.

    For much of Australia’s history Awards were the main form of employment agreements. In the 1990s Enterprise Agreements were introduced.

    Awards don’t apply when an employer has an Enterprise agreement in place. Enterprise agreements set out minimum employment conditions and can apply to one business or a group of businesses.

    So the main difference between these two documents is Awards apply to the whole industry whereas Enterprise Agreements apply to a business or group of businesses.

    In essence, these legal documents look and read very similar to each other. Despite the ability to have Enterprise Agreements now in several States and Territories, there has only ever been one Enterprise Agreement for doctors working in public hospitals per State or Territory.

    Overtime, Penalty Rates and On-Call

    In Australia, it has been the historical practice that employees are further compensated for having to work additional or extra hours (commonly referred to as overtime). For these additional hours, you will generally get paid somewhere between 50% more (commonly referred to as time and a half) or 100% more (referred to as double time).

    Shift work and penalty rates are important aspects of employment for trainee doctors, especially in healthcare services where hospitals operate around the clock.

    Shift Work for Trainee Doctors:

    1. Nature of Shift Work: Trainee doctors often work in shift patterns to ensure continuous patient care. These shifts can include regular daytime hours, as well as evening, night, and weekend shifts. Shift work may also involve being on call, where the doctor must be available to work if needed.
    2. Rostering: Shifts are usually determined by a roster set out by the hospital or healthcare facility. This roster aims to balance the training needs of the doctor with the operational requirements of the hospital.
    3. Duration and Frequency: The duration of shifts can vary, but long shifts (sometimes 12 hours or more) are not uncommon in the medical field. The frequency of shifts, including night and weekend work, depends on the hospital’s policies and the specific department.

    Penalty Rates for Trainee Doctors:

    1. What Are Penalty Rates?: Penalty rates are higher rates of pay that are provided to employees for working outside of normal working hours, such as late nights, weekends, or public holidays. They are designed to compensate for the unsocial hours and increased demands of working these periods.
    2. Calculation of Rates: Penalty rates are typically calculated as a percentage above the standard pay rate. For example, a trainee doctor might receive a 150% pay rate (time and a half) for working on a weekend or a 200% rate (double time) for public holidays.
    3. Variation by State and Sector: Penalty rates can vary depending on the state or territory in Australia, as well as whether the doctor is working in the public or private sector.
    4. Impact on Income: For many trainee doctors, penalty rates can significantly increase their income, reflecting the demanding nature of their work schedule.

    It’s important for trainee doctors to be aware of their work conditions, including shift patterns and entitlements to penalty rates, as these significantly impact their work-life balance and overall compensation. These details should be clearly outlined in their employment contracts and governed by the relevant industrial agreements.

    Finally, you may be required to be on-call as part of your job. This is often the case for Registrars who are covering certain specialties in the hospital, where the hospital does not generally need a trainee to be in the hospital all of the time. Typical examples would be psychiatry or gastroenterology or Ear Nose and Throat Surgery. Traditionally, this was intended to be for the purpose of “calling you back in” so you could review an urgent patient after hours. Nowadays with ith the advent of improved telecommunications being on-call is often for the purpose of giving advice about the patient, without necessarily needing to go back in.

    On-call arrangements are probably one of the most hated components of Awards or Enterprise Agreements. As an example, being on-call in NSW attracts a very paltry $16.60 for a 24-hour period if you were already on duty that day. This does not include payments for attending whilst on-call which are covered by overtime. But it’s not a lot of money if all you are doing is giving phone advice all night. The situation is similar in Queensland, Western Australia and Victoria. Although Victoria at least has a clause about limiting the number of unnecessary phone calls.

    When one considers overtime, penalty rates and on-call one can see how your take-home junior doctors salary pay will likely lift significantly with even a few additional hours per week which is quite common for most trainee doctors.

    Other Benefits to Bear in Mind

    There are a range of other benefits and leave entitlements that you will normally be eligible for whilst working as a trainee doctor in Australia.

    The National Employment Standards and Trainee Doctors.

    Trainee doctors like all employees in Australia are supported under a national set of common employment conditions

    The National Employment Standards (NES) in Australia significantly impact trainee doctors, providing a foundational framework for their employment conditions. These standards offer a set of minimum entitlements that apply to all employees, including those in the healthcare sector. Here’s how they specifically affect trainee doctors:

    1. Working Hours and Rest Breaks: The NES sets limits on weekly working hours and mandates rest breaks and days off. This is crucial for trainee doctors, who often work long and irregular hours, helping to prevent burnout and ensuring they can provide quality care.
    2. Annual Leave: Trainee doctors are entitled to four weeks of paid annual leave per year, as per the NES. This ensures they have adequate time for rest and recuperation, away from the demanding hospital environment.
    3. Personal/Carer’s and Sick Leave: The NES allows for 10 days of paid personal/carer’s leave per year, plus additional unpaid carer’s leave if needed. This is vital for trainee doctors to manage their health and care responsibilities.
    4. Parental Leave: Trainee doctors are entitled to unpaid parental leave for the birth or adoption of a child. This includes maternity, paternity, and adoption leave, ensuring they can spend time with their new child without the fear of losing their job.
    5. Public Holidays: The NES provides for paid leave on national public holidays, a benefit that contributes to the work-life balance for trainee doctors.
    6. Notice of Termination and Redundancy Pay: These provisions under the NES protect trainee doctors in cases of job termination or redundancy, ensuring fair treatment and adequate notice or compensation.
    7. Flexibility in the Workplace: The NES allows for requests for flexible working arrangements, which can be particularly beneficial for trainee doctors balancing work with training or family commitments.
    8. Long Service Leave: While governed more specifically by state legislation, the NES acknowledges long service leave, allowing trainee doctors to accumulate leave over time for extended breaks.

    In essence, the NES provides a safety net of minimum employment conditions for trainee doctors, helping to safeguard their well-being and rights in a demanding and often high-pressure profession. It ensures a degree of uniformity and fairness across the healthcare sector and supports the sustainability of medical careers in Australia.

    Below is a more fuller description of each benefit available.

    Superannuation

    Superannuation is a pension program in Australia, designed to provide retirement income to our citizens. It is a compulsory system where employers are required to make contributions to a superannuation fund on behalf of their employees. This fund accumulates over time and is invested, with the aim to grow the savings for the employee’s retirement. As of July 2023, the current superannuation guarantee rate is 11% of an employee’s ordinary time earnings. This means employers must contribute an amount equal to 11% of their employees’ salaries and wages into their superannuation fund, ensuring a secure financial foundation for their retirement years. This rate of superannuation is expected to reach 12% by July 2025.

    Higher Duties Allowances and In-Charge Allowances

    A “higher duty allowance” and an “in charge allowance” are types of additional payments commonly found in various employment sectors, including healthcare. They usually amount to a few tens or hundreds of dollars extra per shift. Here’s a brief explanation of each:

    1. Higher Duty Allowance: This is a type of compensation provided to an employee when they temporarily take on higher-level responsibilities or duties that are above their regular job classification. For instance, in a healthcare setting, a nurse or a doctor might receive a higher duty allowance when they temporarily fill a position at a higher level, such as acting in a managerial or specialized role. This allowance is meant to compensate for the increased workload and the higher level of responsibilities.
    2. In Charge Allowance: This allowance is typically given to an employee who takes on the role of being ‘in charge’ of a shift, unit, or department, often in the absence of the regular supervisor or manager. In healthcare, this could apply to a nurse or other medical professional who oversees the operations of a ward or unit during a particular shift. The allowance is a recognition of the additional responsibilities and decision-making requirements that come with managing operations and supervising other staff in the absence of the usual leadership.

    Both allowances are ways of acknowledging and compensating employees for taking on more significant responsibilities, either on a temporary or ongoing basis, and are important for morale and motivation in the workplace.

    Travel and Accommodation Allowances

    Travel and accommodation allowances are forms of financial reimbursement provided to employees to cover expenses incurred when they are required to travel for work purposes. Here’s a brief overview of each:

    1. Travel Allowance: This allowance is designed to cover the cost of travel-related expenses, such as transportation, meals, and incidental costs, incurred by an employee while traveling for work. It can be structured in various ways: as a per diem, where a set daily amount is provided; as a reimbursement for actual expenses based on receipts; or as a mileage allowance for using a personal vehicle. For example, a doctor who needs to attend a medical conference in a different city might receive a travel allowance to cover airfare, taxi fares, and meals.
    2. Accommodation Allowance: This allowance specifically covers lodging expenses when an employee is required to stay away from their usual place of residence due to work-related travel. It is intended to cover costs such as hotel or motel charges and may sometimes include additional funds for meals if not already covered under a separate travel allowance. An example would be providing a healthcare professional with an accommodation allowance when they are sent to a rural area for a temporary assignment or training.

    If you area a trainee doctor and you are seconded to another region for a short stint as part of your employment contract (for e.g. 13 weeks or 6 months) you will generally be offered accommodation by the hospital you are working at. It’s unusual to be offered subsidy to find your own accommodation. But as a past medical administrator I have approved such requests when the trainee has given me reasonable notice (I had a trainee who wanted to rent a place he could have his pet at as part of a required rural rotation. He gave me about a year’s notice so I was happy to negotiate with the local manager and arrange an approval for this).

    Both allowances are important for ensuring that employees are not financially disadvantaged when they are required to travel for their job. They are typically governed by the government employment agreements (awards and enterprise bargain agreements), and may also be subject to tax considerations depending on the regulations in the specific country or region.

    junior doctor salary exam leave

    Professional Development, Learning, Training, Exam Leave

    Other Award and Agreement conditions vary somewhat between State and Territory. Over the past few years most States and Territories, with the notable exception of NSW have brought in some form of paid professional development funding and leave for trainee doctors. For example, Victoria might be considered the most progressive jurisdiction due to the fact that it provides for both a professional development allowance and professional development leave for all trainee doctors, including interns.

    [ninja_tables id=”128917″]

    Employee Assistance Programs and Trainee Doctors

    Employee Assistance Programs (EAPs) are supportive services offered by employers, including healthcare institutions for trainee doctors, to assist employees with personal or work-related issues that might impact their job performance, health, and well-being. EAPs are a critical resource in high-stress professions like healthcare.

    1. Scope of Services: EAPs typically offer a range of confidential and free counseling services, addressing issues such as stress, mental health, family problems, financial concerns, and workplace conflicts. These programs are designed to provide short-term support, with referrals to more specialized services if needed.
    2. Accessibility and Confidentiality: One of the key features of EAPs is their confidentiality, ensuring that employees can seek help without fear of stigma or repercussions at work. Services are often available 24/7, providing easy and immediate access for employees.
    3. Professional Support: EAPs are usually staffed by trained professionals like psychologists, counselors, and social workers who are equipped to provide expert assistance and guidance.
    4. Benefits for Trainee Doctors: For trainee doctors, EAPs are especially beneficial. The medical field can be exceptionally demanding, with long hours, high-stress situations, and emotional challenges. EAPs offer a valuable outlet for managing these pressures, promoting mental health and resilience.
    5. Workplace Well-being: EAPs contribute to a healthier workplace by addressing the root causes of work-related stress and improving overall employee well-being. This, in turn, can lead to increased job satisfaction, higher productivity, and reduced absenteeism.
    6. Preventive Approach: By providing early intervention, EAPs help prevent the escalation of issues, supporting not just the individual employee but also the broader workplace environment.

    Some employers choose to go beyond free professional counseling programs and offer other additional employee benefits, such as on-site recreational facilities or access to reduced cost gym memberships.

    Employee Assistance Programs are an essential part of modern employee benefits packages, reflecting a holistic understanding of the interplay between personal well-being and professional performance. For trainee doctors, EAPs represent a crucial support system, aiding them in navigating the complexities of both their professional and personal lives.

    Other Types of Leave for Trainee Doctors in Australia

    Doctors coming from most other countries will be surprised how many actual days of leave workers in Australia get. There are a plethora of leave types many of them quite standard across all sectors of the workforce.

    Annual Leave

    In Australia, the annual leave entitlements for trainee doctors, like all employees, are governed by national employment standards and specific industry agreements. Here’s how it typically works:

    1. Entitlement: Trainee doctors in Australia are usually entitled to four weeks of paid annual leave per year. This entitlement is a standard in line with the National Employment Standards (NES) set forth by the Fair Work Act.
    2. Accrual: Annual leave accrues progressively during the year, based on the number of normal hours worked (additional hours and overtime do not count).
    3. Taking Leave: To take annual leave, trainee doctors generally need to request and have their leave approved by their employer. This process often requires consideration of the staffing needs of the hospital or healthcare facility, as well as the educational requirements of the trainee’s program.
    4. Payment During Leave and Leave Loading: While on annual leave, trainee doctors are paid at slightly higher than their regular base pay. The standard rate for leave loading is often 17.5% of the employee’s ordinary earnings. This means that when an employee takes annual leave, they receive their usual pay plus an additional 17.5%. The leave payments do not include overtime or other special allowances they might normally receive.
    5. Public Holidays: Public holidays that fall during a period of annual leave do not typically count as annual leave days. So you do not lose a day if your annual leave falls on a public holiday.
    6. Carry-over and Cashing Out: Depending on the terms of their employment and relevant industrial agreements, trainee doctors may be able to carry over unused annual leave to the next year or, in some cases, cash out their unused leave.

    It’s important to note that specific details can vary depending on the state or territory, the healthcare institution, and any applicable enterprise agreements or contracts. Trainee doctors should refer to their individual employment contracts and consult with their HR department for detailed information regarding their annual leave entitlements.

    Rostered Days Off

    Rostered Days Off (RDOs) are scheduled days when an employee is not required to work, despite normally being part of their regular work schedule. This system is often used in industries with extended working hours or shift work, like healthcare, construction, or emergency services. Here’s how RDOs work for trainee doctors:

    1. Accrual: RDOs typically accrue over time. For instance, an employee might work extra hours each day or week, which then accumulate to provide a full day off on a regular basis. Typically trainee doctors in Australia work 40 hours of normal employment per week but are paid for 38 hours. The extra 2 hours goes towards their RDO.
    2. Scheduling: RDOs are usually planned and agreed upon in advance and are part of the employee’s work schedule or roster. This helps in ensuring that both the employer’s operational needs and the employee’s rest periods are balanced effectively.
    3. Purpose: The primary goal of RDOs is to provide employees with additional rest time, recognizing the demands of extended working hours or intense workloads. It’s a way to ensure work-life balance and reduce the risk of burnout, especially in high-stress jobs.
    4. Payment: Employees are typically paid for RDOs, as these days off are considered part of their normal working hours.
    5. Impact on Work Patterns: In sectors like healthcare, where staffing needs are constant, RDOs must be carefully managed to ensure that all shifts are adequately covered. This might involve rotating schedules or flexible staffing arrangements. In some parts of the hospital, such as operating theatres and clinics Low Activity Days maybe scheduled to allow employees to take RDOs.

    Public Holiday Leave

    As a trainee doctor in Australia you are entitled to leave for public holidays. If you are required to work on a public holiday you will be paid a higher rate than normal and accrue a leave day.

    Australia has a variety of public holidays, which include both national and state/territory-specific holidays. The number and dates of these holidays can vary depending on the state or territory.

    National Public Holidays:

    1. New Year’s Day (January 1st)
    2. Australia Day (January 26th)
    3. Good Friday (date varies each year as it’s based on the Christian calendar)
    4. Easter Monday (the day after Easter Sunday)
    5. ANZAC Day (April 25th)
    6. Christmas Day (December 25th)
    7. Boxing Day (December 26th)

    Additional Public Holidays (Varies by State/Territory):

    • Labour Day: Celebrated on different dates in different states.
    • Queen’s Birthday: Usually observed on the second Monday in June, except in Western Australia and Queensland.
    • Melbourne Cup Day: Only in Victoria, on the first Tuesday of November.

    State-Specific Holidays:

    • Each state and territory may have its own specific public holidays. For example, Adelaide Cup Day in South Australia, Canberra Day in the Australian Capital Territory, and Royal Queensland Show (Ekka) Day in Brisbane, Queensland.

    Total Number of Public Holidays:

    • The total number of public holidays can range from 8 to 13 days annually, depending on where one lives and works in Australia.

    When a standard public holiday falls on a weekend, a substitute public holiday may be observed on the next non-weekend day, usually a Monday.

    Sick Leave

    Sick leave is a critical employment benefit that allows employees, including trainee doctors, to take time off work due to illness or injury without loss of income. In Australia, full-time employees are typically entitled to a set number of paid sick leave days per year, with the standard entitlement being 10 days per annum for full-time employees. Part-time employees receive a pro-rata amount based on their hours worked.

    One of the key features of sick leave in Australia is its accumulative nature. If an employee doesn’t use all of their allocated sick leave in a given year, the unused days can be carried over to the next year, accumulating over time. This means that if an employee has a serious illness or injury that requires extended time off, they may have a reserve of sick leave days to draw from. Sick leave accumulation provides an important safety net, ensuring that employees do not suffer financial hardship due to illness or injury.

    Long Service Leave

    Long Service Leave (LSL) is an employment benefit with a unique and interesting history, particularly in Australia. Its origins are traced back to the 19th century and are closely linked to the country’s colonial past.

    1. Origins in Colonial Australia: Long Service Leave originated during the colonial era in Australia. It was initially introduced to allow public servants and later, other employees, the opportunity to visit their homelands, typically in the UK and Europe, after a period of service in Australia. Given the long sea voyage required at the time, an extended leave period was necessary.
    2. Evolution Over Time: Over the years, as travel times decreased and Australia’s identity and workforce evolved, so the purpose of LSL shifted. It became a means to acknowledge and reward long-term service and loyalty to an employer, and to provide an extended break for rest and rejuvenation.
    3. Legislation and Standardization: By the mid-20th century, LSL was legislated in various Australian states, with standard entitlements typically being after 10 years of continuous service. The specifics, such as the amount of leave and conditions for eligibility, can vary between jurisdictions and are outlined in employment laws and agreements.
    4. Global Perspective: While Long Service Leave is particularly characteristic of the Australian employment landscape, similar concepts do exist in other countries, albeit under different terms and conditions. For example, in some European countries, ‘sabbatical leave’ is offered, allowing for extended breaks for personal or professional development. However, the specific concept of LSL as it is known in Australia, particularly with its historical ties and specific conditions, is quite unique to the country.

    Generally, most trainee doctors do not benefit from LSL as a trainee, as they are normally finished with their training before the 10 year period accumulates. However, because most trainee doctors work in the public sector, if you continue to work in the public sector as a Consultant you will shortly be eligible for LSL. And the bonus is that you will be paid at your current rate (e.g. Consultant rates).

    A key aspect of long service leave, especially within the public sector, is its portability across government jobs. This means that when an individual moves from one government job to another, their accumulated long service leave entitlements can often be transferred or ‘ported’ to their new position. This portability ensures continuity of service benefits, recognizing the total contribution of an individual to public service, regardless of changes in specific government employment. The ability to port long service leave is particularly beneficial for professionals like trainee doctors who might move between different public hospitals or health services or states and territories, allowing them to retain and build upon their long service leave entitlements.

    Family and Carer’s Leave

    Family and Carers Leave is a provision in Australian employment law, designed to support employees, including trainee doctors, in balancing their work commitments with family responsibilities. This type of leave allows employees to take time off to care for a family member who is sick or needs assistance due to an unexpected emergency. Here’s a more detailed look:

    1. Entitlement: Under the National Employment Standards (NES), all Australian employees, including full-time, part-time, and casual employees, are entitled to unpaid carer’s leave. Full-time and part-time employees also have an entitlement to paid personal/carer’s leave.
    2. Paid Personal/Carer’s Leave: Full-time employees are typically entitled to 10 days of paid personal/carer’s leave per year, which can be used for their own illness or injury, or to provide care or support to a family or household member who is ill, injured, or experiencing an emergency. Part-time employees are entitled to a pro-rata amount based on their regular hours of work.
    3. Unpaid Carer’s Leave: In addition to the paid entitlement, employees can also take two days of unpaid carer’s leave whenever they need to care for a family member or a member of their household who is sick or in case of an emergency. This leave is available to all employees, including casuals.
    4. Notice and Evidence Requirements: Employees are required to notify their employer as soon as possible about the need to take carer’s leave and may need to provide evidence, such as a medical certificate, to support their leave request.
    5. Impact on Trainee Doctors: For trainee doctors, who often work in high-pressure environments with demanding schedules, access to family and carer’s leave is essential. It provides them with the flexibility to attend to personal and family health needs without the added stress of job insecurity or loss of income.

    Parental Leave

    Certainly. In Australia, trainee doctors, like all employees, are entitled to maternity, paternity, and adoption leave.

    1. Maternity Leave: Female trainee doctors in Australia are entitled to maternity leave as per the National Employment Standards (NES). Typically, they can avail up to 12 months of unpaid leave, with the possibility to request an additional 12 months. Additionally, they may be eligible for the Australian Government’s Paid Parental Leave scheme, which offers up to 18 weeks of pay at the national minimum wage. Some hospitals or health services may provide additional paid maternity leave benefits as part of their employment agreements.
    2. Paternity/Partner Leave: Male trainee doctors or partners, including same-sex partners, are entitled to paternity leave. Under the NES, they can take up to two weeks of paid leave at the national minimum wage under the Paid Parental Leave scheme (under most hospital agreements this will be paid at your normal rate). Fathers are also entitled to up to 12 months of unpaid leave to care for their child, which can be extended for another 12 months upon request.
    3. Adoption Leave: Trainee doctors who are adopting a child have similar entitlements to those on maternity or paternity leave. They can take up to 12 months of unpaid adoption leave, with the option to request an additional 12 months. The Paid Parental Leave scheme may also apply, offering financial support during the initial period following the adoption.

    In all cases, there are specific eligibility criteria, such as length of service and the requirement to be the primary caregiver. Furthermore, many hospitals and health services have their own policies that might provide more generous leave provisions than the minimum standards. These leaves are crucial for trainee doctors, allowing them to balance their demanding professional responsibilities with significant family life events.

    Defence Force Leave

    Defence Force Leave is a special form of leave for trainee doctors, who are members of the Australian Defence Force (ADF) Reserve. This leave enables them to fulfill their defence force commitments without impacting their civilian employment. Here’s a detailed look:

    1. Entitlement and Purpose: Defence Force Leave allows reservists to take time off from their civilian job to engage in various Defence Force activities, including training and operational deployments. This leave is essential for reservists to fulfill their military obligations while maintaining their civilian careers.
    2. Types of Leave: The leave can be categorized into two types – voluntary and obligatory. Voluntary defence service includes activities like training and exercises, while obligatory service refers to situations where a reservist is called upon for operational duties.
    3. Duration: The duration of Defence Force Leave varies based on the nature and requirement of the military service. It can range from a few days for short training exercises to several months for operational deployment.
    4. Paid and Unpaid Leave: Some periods of Defence Force Leave may be paid leave, particularly for short-term commitments or annual training obligations. However, longer deployments or extended training might be unpaid. Specifics depend on the employer’s policies and the nature of the service.
    5. Job Protection and Benefits: Employees on Defence Force Leave are typically protected by legislation that ensures they can return to their civilian job with the same terms and conditions. Their absence for defence service does not adversely affect their career progression, including entitlements like annual leave accumulation.
    6. Significance for Trainee Doctors: For trainee doctors who are Defence Force reservists, this leave is particularly valuable. It allows them to continue their medical training and career development while also serving their country. Hospitals and healthcare employers usually have policies in place to support these dual responsibilities.

    Family Violence Leave

    Family Violence Leave is a relatively recent but vital addition to workplace entitlements in Australia. It is designed to support employees, including trainee doctors, who are experiencing family violence. This type of leave provides necessary time off to attend to issues arising from family violence, acknowledging the profound impact such circumstances can have on an individual’s life and work. Here’s an overview:

    1. Entitlement: Under the National Employment Standards (NES), employees, including trainee doctors, are entitled to unpaid family and domestic violence leave. This allows them to deal with the impact of family violence without the added worry of losing their job or income.
    2. Duration and Conditions: The NES provides for five days of unpaid leave per year, which can be taken in single or multiple-day spans. Employees are eligible for this leave from the day they start their job, and it doesn’t accumulate year-to-year if not used.
    3. Purpose of Leave: Family Violence Leave can be used for various purposes, such as making safety arrangements for the employee or a close family member, attending court hearings, or accessing police services. The aim is to provide time and space to manage the complexities and challenges that arise from such situations.
    4. Confidentiality and Sensitivity: Given the sensitive nature of family violence, requests for leave are handled with strict confidentiality. Employers are required to protect the privacy of the employee taking this leave.
    5. Importance for Trainee Doctors: In the demanding and high-stress environment of healthcare, having access to Family Violence Leave is particularly important. It ensures that trainee doctors dealing with family violence can seek support and manage their personal circumstances without fear of repercussion in their professional lives.
    6. Workplace Support: Many healthcare employers also offer additional support services, such as counseling or referral to professional help, to assist employees experiencing family violence.

    Civic Duties

    Civic Duty Leave in Australia encompasses not only Jury Service Leave but also provisions for other types of civic responsibilities, such as participating in elections or serving in emergency services. This is particularly relevant for employees like trainee doctors, who may need to balance these duties with their professional obligations. Here’s an overview:

    1. Jury Service Leave: As previously mentioned, this allows employees to fulfill jury duties without loss of income or job security. Employers often provide paid leave for a set period, and longer services might be compensated by the government.
    2. Election Duty Leave: Individuals involved in conducting or working at elections may be entitled to take leave from their jobs. This can include roles like polling station officers or electoral officials. In many cases, this type of leave is unpaid, but it allows employees to participate in the democratic process without fear of losing their job.
    3. Emergency Services Leave: Trainee doctors who are also members of volunteer emergency services, such as the State Emergency Service (SES) or rural fire services, may be entitled to leave for duties related to these roles. This leave is crucial during times of natural disasters or emergencies when these volunteers are called upon to provide essential services. Employers generally support this leave, recognizing the importance of these services to the community. In some cases, this leave may be paid, especially for extended emergency situations, or it may be unpaid but protected, ensuring job security.
    4. Other Civic Duties: This can also include other types of leave for civic responsibilities, such as attending mandatory government appointments or participating in community service activities.

    Cashing Out Leave

    Cashing out leave is a practice in Australian employment, including for trainee doctors, where employees can exchange a portion of their accrued leave entitlements for a corresponding financial payment. This option offers flexibility in managing leave balances and provides a financial benefit. Here’s a closer look:

    1. Types of Leave Eligible for Cashing Out: Typically, the types of leave that can be cashed out include annual leave. It’s important to note that not all types of leave, such as personal/carer’s leave, are eligible for cashing out.
    2. Conditions and Limits: Cashing out leave is subject to certain conditions to ensure that the employee’s well-being and leave entitlements are not adversely affected. For instance, an employee must retain a minimum balance of annual leave (often four weeks) after the cashing out. Additionally, there are often limits on the amount of leave that can be cashed out in a given year.
    3. Employment Agreements and Policies: The specifics of cashing out leave, including the rate of payment and any restrictions, are typically outlined in the relevant industrial awards, enterprise agreements, or employment contracts. It’s important for trainee doctors to refer to these documents to understand their specific entitlements and conditions.
    4. Voluntary Agreement: Cashing out leave must be a mutual agreement between the employer and the employee. It cannot be forced or demanded unilaterally by either party.
    5. Benefit for Trainee Doctors: For trainee doctors, who may accrue significant amounts of leave due to demanding work schedules, the option to cash out can provide a welcome financial boost. It can be particularly beneficial in circumstances where taking time off might not be feasible due to work commitments or training requirements.
    6. Tax Implications: The cashed-out portion of leave is treated as income and is subject to taxation. Employees should be aware of these implications when considering cashing out their leave.

    Cashing out leave is a practical option that provides financial flexibility to employees, including those in demanding fields like medical training, while ensuring that their primary entitlement to rest and recuperation through leave is preserved.

    Junior Doctor Salary NSW, Junior Doctor Salary Victoria, Junior Doctor Salary Qld, Junior Doctor Salary WA, Junior Doctor Salary SA, Junior Doctor Salary Tas, Junior Doctor Salary ACT, Junior Doctor Salary NT

    Frequently Asked Questions

    How do I go up in pay?

    The general rule is that after 12 months’ service at one level you go up a further pay grade by year within the same band. So Interns and RMOs progress up the RMO pay scale until they hit the top level. You need to be selected to a Registrar spot in order to progress up the Registrar pay scale. You do not need to work full time for 12 months to progress to the next year. You can be working part-time.

    What are the normal starting dates for trainee doctors in Australia?

    The academic term loosely goes from late January one year to late January the following. But varies in different states and territories and by seniority with more senior positions turning over a bit later to enable a smoother handover of patients at a critical time for patient care. For exact details we have you covered in this post here.

    If I am from another country. What sort of salary will I be offered?

    This can vary considerably. Most employers will generally recognise at least some part of your experience. However, often IMG doctors are going into more junior roles in Auatralia compared to the ones they may be filling overseas. So, for example if you are a Consultant Surgeon in your country but you are taking up an RMO position via the Standard Pathway you are not going to be paid as a Consultant here. The most you can probably hope for is the highest level of RMO salary level possible. If you are being offered something less than you think you should it doesn’t hurt to ask. But do so politely.

  • Medical Internship Australia. Application Guide For 2024 Posts.

    Medical Internship Australia. Application Guide For 2024 Posts.

    *We will be regularly updating this post as the various States and Territories update their processes. Where information is not currently available for the 2024 clinical year we have used information from the previous year, i.e. 2023. If you notice anything incorrect please let us know in the comments below.

    How do you become an Intern in Australia? Well, it’s that time of the year again when the system of applying for and allocating medical intern posts in Australia system kicks into gear. So now is the perfect time to explain the process. For four years I was responsible for running the largest Intern application system in Australia for 4 years. The NSW Intern application system. So I’d like to share with this year’s medical graduates some of the wisdom I gained from that experience.

    (Disclaimer: All information here has been sourced in good faith but things do change so you should always do your own due diligence in such matters, we are providing this information to aid you in your application but take no responsibility for any outcomes)

    As has been the case in past years the main Intern application and allocation dates are aligned across Australia so that every State and Territory opens and closes their systems at the same time and makes offers at the same times. There are some variations to this in relation to special priority categories in some States and Territories. The key things that all medical graduates should consider in preparing their medical internship application for 2023 year are as follows:

    • Applications open on 8th May 2023.
    • Applications close on 8th June 2023.
    • Make sure that you have an Intern Placement Number otherwise, you won’t be able to apply.
    • You should research the application requirements now as there may be some “surprises”. As soon as the application system opens, register or log in and ensure that you have everything you need to complete your application.
    • Understand where you sit on the priority list for any State or Territory you are applying to.
    • If you are required to attend an interview. Make sure that you have obtained leave from your medical school requirements to attend.
    • Also, consider that the interview is likely to be either via phone or video this year.
    • Give yourself time to request referees, put together a Resume, if required, and find other documents that you may need.
    • Offers for Rural and other Special Pathways will come out starting from Monday 17th July 2023.
    • The first offers for all other main pathways will come out on Wednesday, 19th July 2023.
    • Generally, you only have 48 hours to accept. So make sure that you have regular access to your email.
    • The National Close Date for 2023 Intern Recruitment is Friday 17th November 2023. After which all remaining vacant intern positions move into the Late Vacancy Management Process.
    • Stay in touch with your medical school. you may be worried about completing your degree on time but they are all working very hard with the other institutions to give you the best chance of completion.

    Number of Intern Positions Available Across Australia in 2024

    JurisdictionIntern Numbers 2024Intern Numbers 2023IncreasePopulationInterns per 100K Person**Annual Salary
    New South Wales1,135.51,10035.5 8,193,54913.9$71,283
    Victoria960.589169.5 6,656,28114.4$79,138
    Queensland862805575,354,80116.1$78,941
    Western Australia390*390 2,805,01913.9$82,893 – $109,650
    South Australia311301101,828,70117.0$79,414
    Tasmania1059213571,87318.4$75,315
    Australian Capital Territory95950459,04820.7$75,836
    Northern Territory655015250,60225.9$78,757
    Commonwealth Private Hospital Stream115*115varies
    TOTAL4,0393,83920126,119,87415.5
    * indicates based on 2023 numbers
    ** From https://population.gov.au/

    Tip #1. Your Medical Intern Placement Number.

    The IPN is a unique nine-digit number that has been generated by AHPRA and has been provided to medical schools for distribution to all 2023 final-year medical students. The number is used as part of the national audit process (which ensures that intern positions across the country are made available to as many applicants as possible) as well as to streamline registration.

    This number is not the same number as your AHPRA registration number or student number. If you have not received your IPN you should check with your school.

    If you are not an Australian medical student you won’t be issued an IPN. If you are applying as a non-Australian medical student you do not require an IPN. However, please note that unless you are a New Zealand medical student your chances of gaining an internship are very slim.

    Tip #2. Other Things You Will Likely Need to Become an Intern in Australia. 

    The majority of States and Territories require you to upload an academic transcript as proof that you are indeed a medical student. 

    They will also request evidence that you satisfactorily meet the AHPRA English Language requirements. This may seem a bit ridiculous given that you have been attending medical school in English for the last 4 or 5 years. But it is the law. So check whether you may need to submit an up-to-date English test result or some other form of documentary evidence such as a high school certificate.

    Most States and Territories will also request a CV or Resume. For tips on your CV or Resume see our ultimate guide to CVs or watch a video series about this.

    Some States and Territories have a CV template that they suggest that you use to fill in your information. In the case of Victoria, you are no longer required to use the suggested template (change from last year). It’s probably fairly harmless to use the template for the other States and Territories. But if you are thinking about your future career, then now is a good time to be designing your own CV. The risk of using the template is that you don’t stand out from other candidates.

    You will need to also provide proof of your identity, citizenship, residency, or visa. And if you have had a name change along the way you will probably also need to provide some documentation in relation to this.

    Why All This Information?

    The State and Territory bodies who administer the Intern application process have a responsibility to ensure that you are eligible to apply for provisional registration at the end of the year in order to work as an Intern.  They collect this information to check that everything is in order so that you are indeed eligible to apply. Employers can get rightly annoyed when told that someone who has been allocated to work with them as an Intern will have a several-month delay whilst they resit an English language test.

    However, it’s your responsibility to ensure that you are eligible for registration. So you should also be checking these things yourself. 

    It’s hard to fathom given the amount of communication from health departments, medical schools and student colleagues. But every year there are a handful of medical students who forget to apply for their internship. This means having to wait another year. Don’t let that be you.

    Dr Anthony Llewellyn | Career Doctor

    Tip #3. Research and Apply Early.

    It’s hard to fathom given the amount of communication from health departments, medical schools, and student colleagues. But every year there are a handful of medical students who forget to apply for their internship. This means having to wait another year. Don’t let that be you.

    There are even more students who leave their applications to the last minute. Only to find that they are missing a vital document. For example, this could be evidence you need to substantiate that English is your first language, such as a high school certificate. Or perhaps your last name has changed whilst you have been in medical school? Or maybe you need to submit a CV with your application?

    As soon as the application page opens for each State and Territory you are going to apply to make sure you register. And then go as far through the process of applying as possible so you can see if there is some sort of document you need to obtain.

    Tip #4. Practice Your Interview Technique, Including Video Interview Technique.

    As part of your application to become and Intern in Australia you may need to undertake an interview. This could take the form of a faced to face interview or a video interview. The COVID pandemic resulted in a shift to a preference for video interviewing job applicants in Medicine in Australia. Many employers now see an inherent advantage to this. So you should still be prepared for the fact that this year your interview may be conducted on video.

    There’s a lot more than you think to video interviewing. For a rundown on this check out this recent post.

    Tip #5. Know Where You Sit In The Priority List.

    ts important to know where you sit on the priority list. Each State and Territory has a slightly different order but in essence, it goes something like this:

    1. If you are an Australian Citizen or Permanent Resident and went to Medical School in that State or Territory you are top of the list.
    2. If you are an Australian Citizen or Permanent Resident and went to Medical School in another State or Territory or New Zealand you are probably second.
    3. If you are an international student who studied Medicine in Australia you are probably next.

    Tip #6. Know the Key Dates, including Offer Dates.

    As noted above it’s crucial that you know the key dates. If you miss your application submission date (and it does happen) there is no allowance for a last-minute submission. You also need to make sure you are available to accept your offer. Generally, the window for offer acceptances is quite narrow (often 48 hours).

    For this year the day on which the first round of offers can be made nationally is 17th July 2023 for the rural and other special pathways. The first date that offers can be made to the main group of applicants is 19th July 2023 and most offers will come out on that day. Thereafter there is a series of offer windows for 2nd and 3rd and 4th rounds etc… in between which there is a mandated pause, which allows the National Intern Audit process to run. This is a system that works to ensure that vacancies are being freed up as soon as possible by highlighting medical students who may have an offer in more than one jurisdiction and ensuring that they accept one offer and decline others.

    The nationally coordinated offer system concludes on 17th November 2023. Technically this is the last date that the Medical Board can guarantee that they will be able to process your registration application in order for you to commence your internship on time the following year in 2023.

    However, there are generally still vacancies after this point and so the National Intern Audit Office switches over to an ad hoc coordinated late vacancy management process from 4th December 2023. This runs up until 22nd March 2024, which is around the 1st term to 2nd term changeover for most interns. So it is still possible to commence your internship in 2024 but you might have to finish one or two terms in the following year.

    The National Intern Audit.

    States and territories share intern applicant information at pre-agreed dates. This data is then used to identify applicants who have applied for and/or accepted intern positions in more than one state/territory. Applicants who have accepted more than one intern position will be contacted by the National Audit Data Manager by phone or email and given 48 hours to withdraw from all intern positions, except the one where they intend to undertake their intern year.

    If you don’t respond to the National Audit Data Manager and/or do not withdraw from all positions except one, the relevant states/territories where you have accepted an offer will be advised and all offers, except for the first offer you received may be withdrawn.

    The Late Vacancy Management Process.

    The Late Vacancy Management (LVM) Process runs from Monday 4 December 2023 to Friday 22 March 2024. The process ensures any late vacancies are offered to eligible intern applicants who have not yet accepted an internship position.

    The Late Vacancy Management Process is coordinated by the National Audit Data Manager on behalf of states and territories. So you should ensure you have updated your contact details if you are going overseas during the Late Vacancy Management Process period.

    The National Audit Data Manager will send out emails on Monday 27 November 2023 to participants who will need to opt into the Late Vacancy Management Process if they still wish to receive an offer to be an Intern in Australia.

    If an applicant does not respond to this email, they will no longer be eligible to receive an internship offer, and their application will no longer be considered in any Australian jurisdictions.

    The process is open to medical graduates of AMC-accredited medical schools who have applied for and are not holding a 2024 intern position through the Commonwealth or states and territories at the National Close Date for Intern Recruitment (17 November 2023). Participation in the LVM is an opt in process – you must confirm that you want to participate in the LVM by responding to the National Audit Data Manager by e-mail.

    Priorities Within Priorities.

    Some States and Territories also have priority pathways to ensure that groups such as Aboriginal and Torres Strait Islanders and doctors who wish to work rurally or regionally can obtain their preferred placement early.

    So if you are an International student and like the idea of working rurally, it’s probably a good idea to consider a rural pathway as it will likely boost your chances of gaining an Intern position earlier in the process.

    Further Information on Each Jurisdiction

    New South Wales

    Intern in Australia NSW
    Sydney Harbour Bridge, New South Wales.

    Intern Positions = 1,135.5 (including 210 rural preferential) across 15 Networks
    Annual Salary = $71,283
    Length of Contract = normally 2 years
    Professional Development Allowance = nil

    The 4 Pathways in NSW


    You have the option of applying through one of 4 pathways:
    – Aboriginal Recruitment Pathway
    – Rural Preferential Pathway
    – Regional Allocation Pathway
    – Optimised (or Main) Pathway

    Only applicants who go through the Rural Preferential Pathway need to submit a CV and attend an interview.  All other pathways are based on applications only. A key advantage of the Aboriginal, Rural, and Regional Allocation Pathways is that you are far more likely to be given your preferred hospital network.

    c/- HETI https://www.heti.nsw.gov.au/education-and-training/courses-and-programs/medical-graduate-recruitment

    Intern Placement Priorities in NSW:


     Priority 1 – Medical graduates of NSW universities who are Australian/New Zealand citizens or Australian permanent residents (Commonwealth Supported Place and Domestic Full Fee paying). This priority category is guaranteed an intern position in NSW. 

    Priority 2 – Medical graduates of interstate or New Zealand universities who completed Year 12 studies in NSW who are Australian/New Zealand citizens or Australian permanent residents (Commonwealth Supported Place, Domestic Full Fee paying or NZ equivalent). 

    Priority 3 – Medical graduates of interstate or New Zealand universities who completed Year 12 studies outside of NSW who are Australian/New Zealand citizens or Australian permanent residents (Commonwealth Supported Place, Domestic Full Fee paying or NZ equivalent). 

    Priority 4 – Medical graduates of NSW universities who are not Australian/New Zealand citizens or Australian permanent residents and who hold a visa that allows them to work or are able to obtain a visa to work.

    Priority 5 – Medical graduates of interstate or New Zealand universities who are not Australian/New Zealand citizens or Australian permanent residents and who hold a visa that allows them to work or are able to obtain a visa to work in Australia. 

    Priority 6 – Medical graduates of Australian Medical Council accredited universities with campuses that are located outside of Australia or New Zealand who are not Australian/New Zealand citizens or Australian permanent residents and who hold a visa that allows them to work or are able to obtain a visa to work in Australia.

    Victoria

    Trains leaving the Melbourne CBD passing the Melbourne Cricket Ground

    Intern Numbers = 960.5
    Annual Salary = $79,138
    Length of Contract = 1 year
    Professional Development Allowance = $65 per week for FT Intern = $3,380

    Hospital / NetworkIntern Numbers for 2024
    Albury / Wodonga Health15
    Alfred Health60
    Austin Health65
    Bairnsdale Regional Health15
    Barwon Health45
    Bendigo Health40
    Eastern Health70
    East Grampians Health Service8
    Echuca Regional Health5
    Goulburn Valley Health32
    Grampians Health Ballarat34
    Latrobe Regional Hospital31
    Melbourne Health77
    Mercy Health13
    Mildura Base Public Hospital10
    Monash Health124
    North East Health Wangaratta9
    Northern Health50
    Peninsula Health43
    Portland District Health2
    South West Health Care17
    St Vincents Health65
    Western Health95.5
    Victorian Rural Generalist Program – Barwon South West5
    Victorian Rural Generalist Program – Gippsland5
    Victorian Rural Generalist Program – Grampians5
    Victorian Rural Generalist Program – Hume Murray to the Mountains15
    Victorian Rural Generalist Program – Loddon Mallee5
    TOTAL960.5

     
    Internship in Victoria works around a computer matching system which is administered by the Postgraduate Medical Council of Victoria. The system had a significant overhaul in the previous year.

    The Allocation & Placement Service is a mathematical process that matches the preferences of both candidates and Health Services and is designed to be “impartial and transparent”. 

    Candidates create an account and then register with the Intern match. The second step is to preference your preferred services. At the same time, the health services also place preferences. The matching process successful candidates to positions according to rankings.

    For Victoria, you will need to submit referees as well as a CV. In past years this had to be on the quite unattractive PMCV standardised CV Template. The status of this template has now been downgraded to a “guide”. You don’t have to put a photo on your CV. I would recommend using your own CV template and not include a photo.

    In 2020 Victorian Health services began the use of video-recorded interviews. This continues for 2023 for certain candidates. The system appears to be being used as an efficient way for certain services or hospitals to review applications without having to arrange formal interview panel days and for candidates to appear in person.

    The way these interviews work is you are usually allocated a specific time to log into the system. Once you have gone through a couple of orientation steps you are usually given a series of questions and asked to record your answers. Generally, you don’t get a second go if you are not happy and the time is limited. It is vital therefore that you practice before you do your interview and ensure you have optimised your video environment.

    You are able to complete your recording at any time during the specified video interview period. All candidates are required to answer 3 questions. Questions are randomly selected from 3 different question banks. There is one additional question if you are applying for the Regional Pathway.

    Response times are 2 minutes per question. You get one minute to read the question and prepare your answer before recording.

    All health services can use these recordings to rate you along with your CV and referee reports.

    Metro hospitals may conduct live interviews with shortlisted candidates at any time before 3 July. Although I understand many do not and just rely on the candidates’ CV, referees and video interviews.

    Interns can be allocated to one of 22 hospitals and networks. This includes a small number of community-based internships where the focus is more on community-based models of care, including working in primary care and smaller hospitals.

    You can elect to be prioritised for an internship by entering the Victorian Rural Preferential Allocation (VRPA) match. Where you can be allocated to one of 5 rurally based networks. This pathway involves a live interview. First-round offers for VRPA come out on 18th July on the national rural allocation date.

    Intern Placement Priorities in Victoria:

    VRPA Priority Group 1 – Australian citizens or permanent residents and New Zealand citizens graduating from Victorian medical schools including CSP and domestic full fee-paying students (i.e. graduates of University of Melbourne, Monash University, Deakin University and University of Notre Dame: Melbourne & Ballarat Clinical Schools).

    VRPA Priority Group 2 – Australian permanent resident graduates of interstate universities who meet the following criteria:

    • Completed their Year 12 schooling in Victoria; OR
    • Previously lived in rural Victoria (Modified Monash Model (MMM)1 – MM2 classification or higher) and worked in a rural healthcare setting; OR
    • Graduates of the University of New South Wales who have undertaken their last two years of clinical placement at Albury Wodonga Health clinical school.

    As well as Australian temporary residents graduating from Victorian medical schools (i.e. graduates of the University of Melbourne, Monash University, Deakin University and the University of Notre Dame: Melbourne & Ballarat Clinical Schools).

    Priority Group 1 – Australian citizens or permanent residents and New Zealand citizens graduating from Victorian medical schools including CSP and domestic full fee-paying students (i.e. graduates of University of Melbourne, Monash University, Deakin University and University of Notre Dame: Melbourne & Ballarat Clinical Schools).

    Priority Group 2 – Australian temporary resident graduates of Victorian medical schools. As well as Interstate Special Considerations*.

    Priority Group 3 – Australian citizens or permanent residents and New Zealand citizens graduating from interstate or New Zealand medical schools; Australian temporary resident graduates of interstate universities; New Zealand temporary resident graduates of New Zealand universities; Graduates from an overseas campus of an Australian/New Zealand University accredited by the Australian Medical Council (i.e. Monash University, Malaysia or Ochsner).

    *There are a number of special consideration categories available including for significant medical, disability and carer responsibilities. Check with the PMCV directly for this.

    Indigenous Internships

    Both South West Health Care (based on Warnambool) and Melbourne Health have a small number of Internships reserved for Indigenous graduates.

    The Victorian Rural Medical Scholarship Scheme

    The Victorian Rural Medical Scholarship (VRMS) supports career pathways to rural medical practice and assists rural and regional health services to attract, employ and retain medical graduates. The VRMS supports medical students with a commitment to working in rural and regional Victoria by providing financial assistance towards living and tertiary expenses in the final year of their medical degree and into their rural intern year.

    The VRMS is administered by the PMCV on behalf of the Department of Health of Victoria. Scholarships valued at $20,000 each are available to be
    awarded to final year medical students in Victoria. Scholarship recipients are required to commit to a two- year return of service in rural or regional Victoria (within three years from graduating from medical school).

    Queensland

    Story Bridge Brisbane

    Intern Numbers = 862 (including 68 rural generalist intern positions)
    Annual Salary = $78,941
    Length of Contract = 1 year
    Professional Development Allowance = nil for Interns but $2,311 for RMOs
     
    Queensland has possibly the most complex internal allocation system of all jurisdictions. With a number of pathways and a combination of allocating certain priority groups and merit selection for others.

    Queensland Health conducts the annual intern allocation process in Queensland. To apply you will need to use the online portal and upload a range of documents, including a curriculum vitae and referee details. Note: Queensland Health has also produced an unattractive CV template for you to use. But this also has the status of “guide only”, therefore I recommend you use your own.

    Interns can be allocated to one of 20 Employment Hospitals.

    There are 4 Intern priority groups in Queensland:

    Group A – Medical graduates of Queensland universities who are Australian/New Zealand citizens or Australian permanent residents; and:- are seeking an internship commencing in the year immediately following graduation; OR – received Review Committee approval from a previous campaign to defer commencement of their internship.

    Group B – Medical graduates of Australian (interstate) or New Zealand universities who are Australian/New Zealand citizens or Australian permanent residents; OR Medical graduates of Queensland universities who are Australian/New Zealand citizens or Australian permanent residents who do not meet the criteria outlined in Group A.

    Group C – Medical graduates of Australian (Queensland or interstate) or New Zealand universities who are NOT Australian / New Zealand citizens or Australian permanent residents who: – – currently hold a visa that allows them to work in Australia; OR- will need to obtain a visa to work in Australia.

    Group D – Medical graduates of Australian University campuses outside of Australia accredited by the Australian Medical Council (AMC); OR Medical graduates of international universities who have not completed an internship in Australia or another country and have either: – obtained the AMC Certificate – successfully completed the AMC MCQ (multiple choice questionnaire).

    Note: Queensland is one of the few jurisdictions that offer an opportunity for IMG doctors to complete an internship in Australia. The number of doctors who are successful in doing so each year is rarely more than a handful.

    There are 3 pathways for Intern Allocation in Queensland.

    1. The Rural Generalist Program offers an opportunity to select a rural hospital centre as part of a program that is a pathway to working as a Rural GP. Applications open March and close extremely early (March) for this pathway.
    2. Aboriginal and Torres Strait Islander Intern Allocation Initiative. The purpose of the initiative is “to promote the success of Aboriginal and Torres Strait Islander medical graduates in the Queensland Health workforce”. Eligible applicants can apply to the Aboriginal and Torres Strait Islander Intern Allocation Initiative to be allocated to their first preferenced hospital. Applications are reviewed by a panel that includes Aboriginal and Torres Strait Islander representation.
    3. The General Intern Campaign.

    The General Intern Campaign Allocation Process.

    In Queensland, intern applicants are classified into two categories;

    Guaranteed offer graduates – Medical graduates who are guaranteed an offer of an intern position in Queensland for their immediate postgraduate year. Allocation to an intern position may be automatic or via random ballot, based on hospital preferences nominated by the individual in their intern application form.

    Not guaranteed offer graduates – Medical graduates who are not guaranteed an intern offer. A merit selection process is undertaken to determine if an offer of an intern position will be made.

    There is no inherent prioritisation across applicant groups, the categorisation of these groups are used for reporting for the intern campaign. Each participating Hospital and Health Service establishes individual assessment processes to merit select from their available applicant pool and are not obligated to sequentially select through the applicant groups. Applicants who do not meet the outlined criteria for Groups A, B, C or D may be considered at the discretion of each participating hospital.

    Merit Selection for Groups B-D.

    Group A Applicants are allocated according to a Balloting Process.

    Following the completion of first-round offers, the Position Status Report (PSR) is updated.

    This is an updated list of available positions remaining.

    Applicant group B-D candidates have 48 hours to change their preferences if they wish to.

    Queensland Health hospitals then assess applications and conduct their own meritorious selection processes. You should contact each Hospital and Health Service directly to find out what they look for in an intern.

    If vacancies become available after the First and Second Round offers, individual hospitals will meritoriously select from the remaining applicants for available vacancies. Recruitment to fill available vacancies will continue until the national closing date for intern recruitment. After the closing date, any further vacancies that arise will be filled via the Late Vacancy Management Process (LVMP).

    Western Australia

    Perth City Scape

    When contacted WA Health and the PMC of WA indicated that they could not make the 2024 Intern numbers available, as these are subject to confirmation by the Primary Employing Health Services.

    Estimated Numbers ≅ 390-395 (based on 2023 Clinical Year)
    Annual Salary = $82,893 – $109,650 (rates payable differ according to your location and industrial agreement)
    Length of Contract = 3 years in most cases with the ability to transfer to a different PEH if all internship requirements are met (IMGs may have shorter contracts tied to their visa status)
    Professional Development Allowance = $5,984

    WA Intern Eligibility and Priorities

    WA does not have a formal priority list. However, in order to apply for an internship in WA you must:

    • complete an application
    • be a graduate from a university accredited by the Australian Medical Council OR be a graduate from a university in a competent authority country AND be an Australian Citizen or Permanent Resident or New Zealand Citizen
    • possess a valid Intern Placement Number
    • have not previously commenced or completed an internship or worked as a doctor either in Australia or overseas
    • meet the Medical Board’s English language skills registration standard
    • be eligible to work in Australia

    So Western Australia is one of the few options for IMGs to do an Internship in Australia. Although you can see from the above it is quite limited.

    In WA all interns are employed by a Primary Employing Health Service (PEHS). 

    Each PEHS is a major tertiary hospital in WA that has been accredited to directly employ interns and provide an intern training program.

    The six PEHSs in WA and their seconding/rotating health sites are:

    Employing Health ServiceMetro PlacementsRural Placements
    Fiona Stanley Fremantle Hospitals Group (Fiona Stanley Hospital)Fiona Stanley Hospital
    Fremantle Hospital
    Rockingham General Hospital
    Albany Health Service
    Broome Regional Hospital
    Northam Health Service
    Joondalup Health CampusJoondalup Health CampusKalgoorlie Regional Hospital
    Royal Perth Bentley Group (Royal Perth Hospital)Royal Perth Hospital
    Armadale Health Service
    Bentley Hospital
    Osborne Park (Women and Newborn Service)
    Perth Children’s Hospital
    Bunbury Hospital
    Hedland Health Campus
    Kalgoorlie Regional Hospital
    Sir Charles Gairdner Osborne Park Health Care Group (Sir Charles Gairdner Hospital)Sir Charles Gairdner Hospital
    Graylands Hospital
    Hollywood Private Hospital
    Joondalup Health Campus
    Osborne Park (Women and
    Newborn Service)
    Perth Children’s Hospital
    Geraldton Regional Hospital
    Hedland Health Campus
    Karratha Health Campus
    St John of God Health Care (St John of God Midland Public Hospital)St John of God Midland
    Public Hospital
    St John of God Subiaco
    Hospital
    St John of God Murdoch
    Hospital
    WA Country Health ServiceAlbany Health Campus
    Broome Regional Hospital
    Bunbury Hospital
    Geraldton Regional Hospital

    Each PEHS hosts an information night. You can also choose to work as a rural intern by applying to work through Western Australia Country Health Service.

    The intern application process is coordinated by the Postgraduate Medical Council of Western Australia but you apply through the WA Jobs site called MedJobsWA. You submit one application and rank each PEHS from most to least preferred. Selection occurs through panels representing each of the PEHSs. As part of your application, you need to provide a CV and cover letter and address the intern selection criteria, you will require a range of other documents as well as nominate 2 referees. If successful you will receive a contract for 3 years, which provides you with job security.

    South Australia

    The River Torrens in the city of Adelaide

    Intern Numbers = 311 (including 18 rural intern posts)
    Annual Salary = $79,414
    Length of Contract = 3 years in most cases (IMGs may have shorter contracts tied to their visa status)
    Professional Development Allowance = nil

    SA MET (South Australia Medical Education and Training) conducts the annual Intern application process in South Australia. There are 3 Adelaide-based Local Health Networks and 3 smaller country-based networks to which you can apply for the priority Rural Intern pathway. It should be noted that whatever network you are allocated to you may request or be required to undertake one or more rotations in other networks.

    The Rural Intern Pathway is a strength-based recruitment process for applicants who are interested in undertaking their internship (and potentially subsequent years) in rural hospitals within Country Health SA (CHSA). Rural intern positions provide broad opportunities in unique settings and are best suited for medical graduates with a history of living or working in rural areas or a desire to commence a career in the country. 

    Those applying for the rural intern pathway undertake an interview from 26 June to 30 June and offers come out on the national rural allocation date of 17th July.

    Barossa Hills Fleurieu Local Health Network (BHFLHN)
    Central Adelaide Local Health Network (CALHN)
    Eyre and Far North Local Health Network (EFNLHN)
    Flinders and Upper North Local Health Network (FUNLHN)
    Limestone Coast Local Health Network (LCLHN)
    Northern Adelaide Local Health Network (NALHN)
    Riverland Mallee Coorong Local Health Network (RMCLHN)
    Southern Adelaide Local Health Network (SALHN)

    SA Intern Priorities:

    Like most other jurisdictions, South Australia prioritises its medical graduates first, then graduates from other States and Territories. International Students are given lower priority than Australian Citizens, Australian Permanent Residents and New Zealand Citizens.

    Aboriginal and Torres Strait Islander applicants are given priority preference by being placed in the first subcategory for categories 1 and 2.

    International Medical Graduates from non-Australian medical schools can apply for the rural intern pathway so long as they have only graduated in the last 2 years and have completed the AMC Part 1, and can meet the other requirements (which are extensive) and include meeting the Medical Board English language requirements, completing electronic medical record training and have residency status or a visa that allows you to work unrestricted. They must also not have commenced or completed an internship.

    International Medical Graduates from non-Australian medical schools can also apply for the main round but in this case must have completed both AMC Part 1 and Part 2.

    Rural Intern Pathway

    Applications for the Rural Intern Pathway are included in the standard South Australian application for internship.

    All applicants are asked to preference all eight rural networks as well as the three metropolitan health networks.

    Eligible applicants wishing to apply for the Rural Intern Pathway must preference a rural site as their FIRST preference. Rural Intern Pathway applicants who preference a rural LHN as their first preference are asked additional questions within their application form. And must participate in interviews conducted by a selection panel from the rural LHNs.

    SA Health determines which applicants will receive rural internship offers using a preference matching process and the ranked list provided by the LHNs.

    The placement of applicants into rural intern positions will occur prior to the placement of applicants into metropolitan intern positions. SA Health will match applicants to specific rural LHNs as instructed.

    Metro Internship Allocation

    Within the respective South Australian category groups, applicants are randomly allocated to their highest possible Local Health Network preference.
    If an offer is made, applicants must respond via the electronic application system within the specified timeframe. Where an applicant has been made an offer and no response received, the offer will be automatically declined. Applicants are only eligible to receive one offer for an internship in South Australia.

    South Australia is one of few States that specifically permits medical graduates from other countries to apply for internship positions. But they are at the very bottom of the priority list. Please see the above information about the rural internship.

    In addition to a CV and referees, in order to apply for an internship in South Australia, you will need to provide a certificate confirming that you have completed the SA Health online electronic medical record (Sunrise EMR & PAS) training.

    Tasmania

    Hobart in Australia

    Estimated Number  = 106
    Annual Salary = $75,315
    Length of Contract = 1 year
    Professional Development Allowance = nil for Interns but RMOs get an allowance of $2040 per annum

    Internships are coordinated in Tasmania via the Department of Health and Human Services.
     
    All applicants are required to apply online. As part of your application, you are asked to preference all of the 3 available sites:

    SiteNumber of Positions
    North (Launceston General Hospital)40
    South (Royal Hobart Hospital)46
    North-West (North-West Regional Hospital Burnies and Mersey Community Hospital, Latrobe)19

    Rural Option

    You can also preferentially apply for one of 5 places on the Tasmanian Rural Generalist Program. You will be allocated to one of the above sites based on your preference but also undertake a 13-week rural GP placement as part of your internship.

    Applying


    Applicants must be graduates of or graduating from an Australian Medical Council-accredited University.  

    All applicants are required to apply online. Only one application is required; you will be asked to indicate your preferred place of employment (Hobart, Launceston, North West Region) via the application form.  Applicants must list each site in order of preference.

    The online application form ensures all the information required to assess your application is provided. The form includes information on eligibility to work in Australia and details on how to submit electronic reference requests.

    The online application form requires you to include your University Student Number and your Australian Health Practitioner Regulation Agency (AHPRA) Intern Placement Number.

    Candidates are required to attach a CV/Resume and any other relevant information to their application.

    A written statement addressing the selection criteria is NOT required. 

    Intern Placement Priorities:

    The Tasmanian Department of Health currently gives priority, in order, to:

    1. Australian permanent resident Tasmanian-trained Australian Government supported and full-fee paying medical graduates.
    2. Australian temporary resident Tasmanian-trained full-fee paying medical graduates.
    3. Australian permanent resident interstate-trained Australian Government supported and full-fee paying medical graduates.
    4. Australian temporary resident interstate-trained full-fee paying medical graduates.
    5. Medical graduates of an Australian Medical Council-accredited overseas University.

    Selection

    The Tasmanian Department of Health will conduct a ballot-based allocation system for placing Priority 1 (Australian permanent resident Tasmanian-trained Australian Government supported and full-fee paying medical graduates) and Priority 2 (Australian temporary resident Tasmanian-trained full-fee paying medical graduates) applicants.

    It is not clear at this stage how further positions are filled according to the remaining priorities.

    Northern Territory

    ocean coast in Darwin, Northern Territory Australia

    Intern Numbers = 65
    Annual Salary = $78,757
    Length of Contract = 1 year
    Professional Development Allowance = $3,295 per annum with the option to apply for an additional $3,000 or $3,000 for HELP relief.

    The NT Prevocational Medical Assurance Services (PMAS) conducts a central review of eligible applicants and all intern positions are allocated within the two NT Health Services:

    • Top End Health Service (TEHS) – based upon Royal Darwin Hospital (RDH) (45 posts)
    • Central Australia Health Service (CAHS) – based upon Alice Springs Hospital (ASH) (20 posts)

    Each Health Service has a primary employing health service as well as additional placement hospitals as per below:

    C/- NTPMAS Guide

    Eligible applicants are allocated intern positions in line with the Northern Territory category groups. Within the relevant category groups, applicants are allocated to their highest possible Health Service preference, pending the availability of a position.

    Intern Priority Categories:

    According to the NTMETC the applicant eligibility categories in order of selection for Internship in the Northern Territory are:

    Previously there was an F and G category that provided an option for IMG doctors. It is not clear whether this has been removed for the 2023 year.

    As part of your application, you are required to submit a curriculum vitae of no more than 2 A4 pages and address the selection criteria. Applications are submitted to the NT Government employment portal.

    Overall the intern allocation process is based on an applicant’s category group, Health Service preference, and the number of positions available in each health service.

    The two NT Health Services are responsible for selecting applicants and making their offers of employment, applicants are advised via email.  The Health Service responsible for making the offer of employment will after receiving an acceptance from an applicant arrange an employment contract for an Internship position within their health service to be provided prior to commencing their internship.

    Australian Capital Territory

    The Australian War Memorial in Canberra

    Intern Numbers = 95
    (6 of these positions are normally guaranteed to NSW medical students)
    Annual Salary = $75,836
    Length of Contract = 2 year
    Professional Development Allowance = $1,040 per annum + $900 Mobile Allowance + $4,000 Relocation Allowance.
     
    If you want to apply for an internship position in the Australian Capital Territory you do so via the ACT Health Recruitment page.

    Most of your time is spent at the Canberra Hospital. But ACT is interesting as it is one of the few chances you may have as an Intern to work in 2 separate States and Territories. Rotations may include secondments to Calvary Public Hospital, Goulburn Base Hospital, and South East Regional Hospital (SERH) at Bega. Because the ACT utilises some positions in NSW for intern posts there is a reciprocal arrangement whereby a number of NSW graduates are guaranteed an intern post in the ACT.

    Priority is given to:
    – Australian Graduates of ANU
    – A maximum of 6 graduates of NSW Universities
    – Graduates of other Universities who completed Year 12 in ACT

    ACT Intern Priority List:

    The Commonwealth – Private Hospital Stream

    **2023 Information not yet available**

    The Private Hospital Stream (PHS) funds private hospitals to deliver medical internships and support junior doctors to work in expanded settings. It focuses on supporting training for junior doctors in rural, regional and remote areas in Modified Monash (MM) 2 to 7 locations.

    This includes fostering partnerships between private hospital providers, rural public hospitals and other training settings (such as Aboriginal Medical Services) working as part of expanded training networks.

    Annual Salary and conditions should reflect the annual salary for an intern in the State or Territory you are working in.

    Internships and places

    The PHS supported up to 115 internships and up to 80 PGY 2 and 3 eligible junior doctor places in the 2020, 2021, 2022 and 2023 training years.

    Expression of Interest (EOI) internships

    An annual EOI internship process is run for junior doctors to express interest in a PHS-funded medical internship place.

    This process is only for PGY 1-funded places. It opens each year after state and territory governments have offered and filled their internship positions.

    Eligibility

    The program divides applicants into 2 categories – Priority One and Priority Two.

    Priority One eligibility criteria

    The Priority One category is for final year medical students who meet all eligibility criteria for an internship under the PHS.

    You are Priority One if you:

    • are a full-fee-paying international student completing your medical degree during the current calendar year from a medical school in Australia, having completed all of your medical degree in Australia (university-approved, short-term elective rotations completed overseas are allowed)
    • have met the Medical Board of Australia (MBA) English language proficiency requirements for registration purposes
    • are not an Australian Citizen
    • commit to getting a visa to work in Australia during your internship year.

    Priority Two eligibility criteria

    You are Priority Two if you:

    • have MBA provisional registration as a medical practitioner
    • have met the MBA English language proficiency requirements for registration purposes
    • commit to getting a visa to work in Australia during your internship year.

    Who is not eligible

    You are not eligible to apply for the PHS if you:

    • do not meet the Priority One or Priority Two eligibility criteria
    • have accepted an internship position from a state or territory government.

    Recruitment process

    The recruitment process aligns with the state and territory government recruitment processes and the national audit process.

    Suitable applications are forwarded to the PHS participating private hospitals by the due dates each year.

    The PHS participating private hospitals do eligibility checks. They will contact eligible applicants they want to interview.

    You should not make direct contact with the hospitals.

    Category prioritisation

    PHS participating private hospitals must fill PGY 1 places with Priority One applicants first.

    If there are still places available after the Priority One list is finished, the hospitals can then recruit Priority Two applicants.

    PGY 2 and 3 funded places

    PHS-participating private hospitals make their own recruitment and employment arrangements for PGY 2 and 3 junior doctors. This allows them to meet their own service needs.

    PHS-funded hospitals

    The Commonwealth funded the following private hospitals to deliver the PHS from 2020 to 2023:

    • Mater Health Services North Queensland (PGY 1 places)
    • Mercy Health and Aged Care Central Queensland – Friendly Society Hospital, Bundaberg; Mater Private Hospital, Bundaberg; Bundaberg Base Hospital, Bundaberg; Mackay Base Hospital, Mackay; Mater Misericordiae Hospital, Mackay (PGY 1, 2 and 2 places)
    • MQ Health, New South Wales (Macquarie University Hospital) (PGY 1 places)
    • St John of God Ballarat Hospital, Victoria – Grampians Intern Training Program (PGY 1 places)
    • Mater Hospital Sydney (PGY 1 places)
    • St Vincent’s Private Hospital Sydney (PGY 1 places)
    • Ramsay Health Care, Western Australia (Joondalup) (PGY 1, 2 and 3 places)
    • Greenslopes Private Hospital, Queensland (PGY 1, 2 and 3 places)
    • Calvary Health Care Riverina, New South Wales (PGY 2 places)

    How To Decide Where to Apply for Your Internship?

    There are lots of considerations when it comes to putting in your Intern application. Everyone is a bit different. Some graduates feel like they would like to be close to home and family whilst going through their transition to Intern. Others see it as a chance to get away and explore a new place and location. And then others focus on the long-term career prospects of certain locations.

    I think this last consideration is a little overrated for most. You can generally experience a wide range of medicine in your first couple of years of medicine after graduation and there is scant evidence that this affects your prospects of applying for specialty training posts.

    That being said if you have an interest in anything other than Medicine, Surgery or Emergency Medicine as a future career you should probably investigate whether this particular specialty is offered at the hospitals or networks to which you apply.

    Unfortunately, the internship model in Australia is quite antiquated and we have continued to use the experience as a proxy for competency when a large portion of the medical education world has moved on. The result has been the mandating of the 3 core terms for the internship of Medicine, Surgery, and Emergency Medicine. There is really no solid educational basis for this approach and one of the unfortunate outcomes is that all the other specialties get squeezed out and few interns get to experience psychiatry, general practice, obstetrics, paediatrics, pathology etc… which ultimately does have an effect on recruitment to these specialties.

    So the basic message is this. If you are really dead set keen on doing radiology as a career you should try to track down the very few locations that might offer this rotation to either interns or residents.

    Each year the Australian Medical Students’ Association produces a very useful Intern Guide with lots of information about the composition of intern training networks across the country. The 2023 version is not available but here’s a link to the 2022 version.

    Frequently Asked Questions

    Is There Any Restriction On Where I Can Complete My Internship?

    To meet the Medical Board of Australia’s requirements for general registration, an internship can be completed in any state or territory of Australia.

    Can I Apply to More Than One State or Territory for an Intern Position?

    Yes, you will need to apply separately to each state and territory where you would like to work. You will need to complete a separate application for each position, submit the documents, provide the information required and meet the selection requirements. As part of the application process, each state and territory requires you to include your intern Placement Number (IPN).

    What is an Intern Placement Number?

    The Intern Placement Number is a unique nine-digit number that has been generated by the Australian Health Practitioner Regulation Agency (AHPRA) and has been provided to medical schools for distribution to all 2023 final-year medical students. If you do not have an Intern Placement Number issued or you have misplaced it, you must contact your medical school to have the number issued or reissued. Do not contact AHPRA. Note: The Intern Placement Number is not your University Student Identification

    I Am Not an Australian Medical Student. How Do I Obtain an Intern Placement Number?

    In this situation, you do not require an IPN and will not be issued one. You can still apply for internships. But unless you are a New Zealand medical student your chances of gaining a place are very very limited.

    What If I Have Special Circumstances Which Make It Hard For Me To Work In Certain Places?

    All States and Territories Have processes for considering special circumstances. Some of the types of circumstances that are generally approved are: where you may have certain health conditions that mean you need to be close to certain hospitals or specialists; where you have dependents, such as young children, and are unable to relocate due to care arrangements; and where you and your partner want to work as doctors in the same location. Generally, requests to stay in certain locations, for reasons such as work commitments of partners or needs of school-aged children are not granted.

    I Have Received My Intern Offer. But I Would Like to Defer It. Is This Possible?

    This will partly depend on how long you wish to defer. If you just wish to defer for a few months. Once you have your offer and are in discussions with your new employer make enquiries. It may be possible to negotiate a later start with your employer. Most employers will generally prefer that you start on time so that you are not out of sync with your colleagues. But there might be some advantage for the employer in you attending orientation but then starting a bit later as it will probably help them to fill out roster gaps. On the other hand. If you wish to defer for a complete year. Then you will need to check the policy of the State or Territory that has provided you with an Intern offer. In some cases (for example Victoria) you will be permitted to defer and your place will be held for you the following year. In most other cases you will need to reapply the following year and check whether your priority status has altered. In most cases, you have the same priority status. But, for example, the ACT no longer guarantees you an internship and you start off at a minimum of Category 4. Also, bear in mind that it is unclear how long you can defer commencing your internship. However, the Medical Board of Australia expects that once you have commenced your internship you will have completed this process within 3 years.

    I am a Doctor With a Medical Degree From Outside Of Australia. Can I Apply For an Internship?

    Unless you obtained your medical degree from a New Zealand Medical School. Then the brief answer to this question is no. I would love to stop there. And I really think you should as well. But there are rare circumstances where you may be able to obtain an internship with a medical degree from outside of Australia. But the Medical Board of Australia strongly advises against this option and so do I. For good reasons. Firstly the whole Australian medical internship system is designed to ensure that Australian medical graduates are able to undertake an internship. Not for overseas graduates. Secondly (and as a result of the first point) it is very rare to be offered the chance. Some States and Territories will not even consider an application from an IMG for an internship. Others will only do so in limited circumstances, for example, the Northern Territory will accept applications from IMGs who may have done a medical student elective or clinical observership in the Northern Territory and who have experience in rural, remote and indigenous health locations. But even then these applicants are at the bottom of the priority list for obtaining an internship. South Australia will accept applications. But again you are bottom of the list. Queensland will also accept applicants, but only if you have never worked as a doctor. And again you are bottom of the list. A final note on this question is that the majority of IMGs who do obtain a medical internship position each year in Australia generally have Australian citizenship or permanent residency.

    I Have Heard That Some Graduates Miss Out On Internships. Is This True?

    Whilst it is theoretically a possibility that some medical graduates miss out on Internships according to annual reports provided by organisations like HETI and the PMCV at the end of intern applications no one is actually left at the end of the process without an offer. In fact, in some circumstances, there are vacant intern positions that are not able to be filled. Only Australian citizens and permanent residents are guaranteed an intern position under the COAG agreement. However, there are generally enough intern positions available for those students who have come to Australia to study medicine and the Commonwealth Private Hospital program offers additional spaces for those that may miss out. That being said. It is also clear that many graduates choose to drop out of the application process themselves. So not everyone who applies gets an offer. The assumption is that some graduates take up similar intern opportunities in other countries upon graduation.

    Can I Submit a Late Application?

    Acceptance of late applications is at the discretion of each state and territory.

    When Will Offers Be Made in 2023?

    All states and territories will commence making offers for Rural Pathways on Monday 17 July 2023 and will commence making offers for all other pathways on Wednesday 19 July 2023. The National Close Date for 2023 Intern Recruitment is Friday 17 November 2023.

    What if I Receive More Than One Offer?

    You need to decide where you would like to undertake your internship and accept this position and decline all other positions. You should not hold onto more than one offer as this negatively impacts both the hospital that will have a vacancy if you fail to start work because you have started in another position in another state, and other applicants who would like to work at that hospital who do cannot receive an offer for that vacant position.

    What is the National Audit?

    States and territories share intern applicant information at pre-agreed dates. This data is then used to identify applicants who have applied for and/or accepted intern positions in more than one state/territory. Applicants who have accepted more than one intern position will be contacted by the National Audit Data Manager by phone or email and given 48 hours to withdraw from all intern positions, except the one where they intend to undertake their intern year.

    What if I Don’t Respond to the National Audit Data Manager?

    If you don’t respond to the National Audit Data Manager and/or do not withdraw from all positions except one, the relevant states/territories where you have accepted an offer will be advised and all offers, except for the first offer you received may be withdrawn.

    What is the Late Vacancy Management Process?

    The Late Vacancy Management (LVM) Process runs from Monday 4 December 2023 to Friday 22 March 2024.

    The process ensures any late vacancies are offered to eligible intern applicants who have not yet accepted an internship position. The Late Vacancy Management Process will be coordinated by the National Audit Data Manager on behalf of states and territories. Please ensure you have updated your contact details if you are going overseas during the Late Vacancy Management Process period.

    The National Audit Data Manager will send out emails to participants who will need to opt into the Late Vacancy Management Process if they still wish to receive an internship position offer in Australia.

    Note: if an applicant does not respond to this email, they will no longer be eligible to receive an internship offer and their application will no longer be considered in any Australian jurisdictions.

    Who can participate in the Late Vacancy Management Process?

    The process is open to medical graduates of AMC-accredited medical schools who have applied for and are not holding a 2023 intern position through the Commonwealth or states and territories at the National Close Date for Intern Recruitment (17 November 2023). Participation in the LVM is an opt-in process -you must confirm that you want to participate in the LVM by responding to the National Audit Data Manager by e-mail.

    Can International Medical Graduates Apply to Become an Intern in Australia?

    With very few exceptions, International Medical Graduates (IMGs) cannot apply to become an Intern in Australia. Even if you are able to apply your chances of obtaining an intern post are quite low and you should explore other options.

    This situation is not to be confused with International Students who study for their medical degree in Australia who are eligible to apply.

    You won’t be able to apply if you have already completed an internship or worked clinically in another jurisdiction.

    The States and Territories that do allow IMGs to apply are Queensland, South Australia and the Northern Territory as well as Western Australia (for Australian or New Zealand graduates of competent authority medical schools only).

    Can International Students Apply to Become an Intern in Australia?

    International Students who undertake an Australian medical degree are eligible to apply to become an Intern in Australia.

    Can I Swap Intern Posts?

    As a general rule the jurisdictions either do not permit or strongly discourage the swapping of Internship posts. Medical Student bodies regularly lobby for there to be a swap process.
    Swaps are problematic for a number of reasons.
    Firstly the jurisdictions have set up processes to try to ensure that the outcome of allocations is as fair as possible to the most number of graduates. So it is generally the case at the end of this process that there are very few legitimate swap arrangements available, i.e. if you find yourself with an Intern post that you are not happy with it is unlikely that there is anyone who will be willing to swap with you as they will probably be happy with their allocation.
    Secondly, the whole process of swaps causes additional bureaucratic headaches when the jurisdictions are attempting to focus on getting through all of the allocations and providing as many applicants as possible an offer.
    Thirdly, the ability to swap could place certain applicants in a situation of duress, where they are put under pressure to swap.
    Fourthly, it is very likely that more than one applicant might want to swap. So it may be seen as unfair to allow swaps when not everyone who wants to swap can.

    Can I Defer my Intern Offer?

    If you are considering taking a year off between graduating and commencing medical school then you will be wanting to explore your options for deferral. The process varies from jurisdiction to jurisdiction. Jurisdictions will not hold onto your internship post for you. You will be expected to reapply the following year. And you will generally be in the same priority category again.

    For Victoria, you need to apply for a deferral in order to be able to enter the PMCV Match in the following year.
    You should also be aware that the Medical Board of Australia has specific requirements for registration that limit the time that an individual may defer undertaking their internship in order to obtain registration to 3 years from commencement. After which you may need to seek special approval from the Medical Board of Australia.

    Can I Be Allocated to the Same Spot as My Partner?

    Yes. It does happen. Medical Students do meet and fall in love during their medical school days. Jurisdictions do allow for genuine partners to work in the same facility or network.
    You may, however, have to compromise a bit in terms of your network preferences as in order to accommodate your request you may need to be matched to a less popular network.
    Depending on your jurisdiction you will either have to make a joint couple application or apply under special consideration.

    Can I Do My Intern Part Time or Job Share?

    Yes. It is possible to do your Intern in Australia part-time. In general, the hospital networks prefer you do this as part of a job-share arrangement with another part-time Intern.

    Job share and part-time employment are defined as a person or persons voluntarily seeking to work less than full-time hours. Medical graduates may request to complete their internship on a part-time or job share arrangement through the annual centralised applications.

    To avoid discrimination you are first allocated your position and then your hospital or network is informed of your request to work part-time. Hospitals and networks are then required to negotiate with you the terms of your employment. Interns must work a minimum of 0.5FTE so that the internship may be completed within a two-year period.

    What If I Have Special Circumstances?

    Every State and Territory has a Special Circumstances or Special Consideration policy. These policies are generally quite strict and generally only cover:
    – needing to be close to immediate partners and dependents
    – caring for young or elderly persons
    – access to specialised medical care

    If approved for special circumstances you will not necessarily be placed in the hospital or network of your choice. For example, if you are applying in NSW and you have young children and your partner works in Sydney and it is not possible for your partner to relocate, then you will be approved to be allocated to one of the Sydney-based networks.

    (Disclaimer: All information here has been sourced in good faith but things do change so you should always do your own due diligence in such matters, we are providing this information to aid you in your application but take no responsibility for any outcomes)We’d welcome feedback from any Intern programs in relation to the accuracy of the above information.

  • Medical Internship in Australia – the Case for Change

    Medical Internship in Australia – the Case for Change

    Over the next three years in Australia, some significant changes will occur to the medical training system here. One of these important changes will be to the Australian medical internship system or, more correctly, the prevocational training system. The prevocational training system in Australia covers the first two years after graduation from medical school. In this post, I will summarise the case for change for the medical internship in Australia. And in a later post, I will provide an overview of what those intended changes will be.

    TL:DR

    The medical internship system in Australia has been largely unchanged since the 1990s when accreditation bodies were formed to oversight internships, and it was determined that completion of an internship required satisfactory completion of a 12-month provisional year experience, including mandatory core rotations in medicine, surgery and emergency medicine. Since that time, much has changed in the internship or prevocational training space: our healthcare systems and needs have changed markedly, as has the broad approach to medical education and training.

    Stakeholders have concurred that the current system is not fit for purpose as it does not provide enough supervision, feedback and assessment and lacks focus on crucial issues such as the professional development and wellbeing of interns; skills in communication, feedback and patient safety; exposure to non-acute and community type experiences; and leaves a large group of doctors, the resident or PGY2 doctors, unsupported with no training or accreditation authority to protect their needs and interests.

    Prevocational Training in Australia.

    The two years following medical school graduation are generally agreed to be the prevocational medical training period in Australia (and New Zealand). This definition is somewhat arbitrary for a couple of reasons.

    Firstly, historically, the medical internship in Australia has been given a special status as a provisional year undertaken after graduating and before being granted general registration.

    According to Geffen (2014) the internship was gradually introduced by state and territory medical registration boards between the 1930s and 1970s in Australia. It was initially “intended to be a period of apprenticeship with little formal educational structure when junior doctors progressed under supervision from ‘knowing’ to ‘doing’.”

    It is for this reason that the Australian internship system is largely off-limits to anyone other than a graduate from an Australian (or New Zealand) medical school.

    IMG doctors can generally not apply for intern programs or internships in Australia. Rather than try to intern in Australia they should generally look for resident medical officer jobs.

    Secondly, the immediate period after an internship in Australia has also evolved. Before the reforms to General Practice Training in the 1990s, a doctor could work as a general practitioner after gaining their general registration.

    Since the advent of vocational registration for general practice and its recognition as a specialty in its own right, we have seen the postgraduate year 2 (PGY2) period evolve into a largely hospital-based year and sometimes extend into a PGY3, PGY4, PGY5 or more period before doctors being able to enter specialty training.

    The prevocational medical councils also have had a variable stance on supporting PGY2 doctors. Leading to a concern about a “lost tribe” of trainee doctors who are not protected or supported by an accreditation or training body.

    The Current Status of Internship in Australia

    The nature of the medical internship in Australia has mainly remained the same since the 1990s when I completed my own medical internship.

    Beginning in 1982 with the Postgraduate Medical Education of Council, bodies were formed in the States and Territories to accredit hospitals to be allocated interns to ensure that the interns were well supervised and that the care they were involved in was safe (Geffen, 2014). By 2000 all States had a form of prevocational medical education council with the 2 Territories being served by other State councils.

    Around this time, the nature of the modern internship in Australia took shape. The internship experience and assessment process revolved primarily around the satisfactory completion of 5 rotations of 10 to 11 weeks duration. Within these rotations, each intern was required to complete a term in a medical unit, a term in a surgical unit and a term in emergency.

    This intern experience has continued to the modern day with few modifications. Some jurisdictions have trialled a 4 term system and some prevocational councils have extended their accreditation approach through to the PGY2 resident year. Requirements to attend an educational program have been brought in. But the key requirements to complete internship and be able to move on to general registration, i.e. completion of a satisfactory 12 months with core rotations in medicine, surgery and emergency have remained.

    So What Is Wrong with the Status Quo of Internship in Australia?

    In 2014 in recognition of growing concern about the fitness for the purpose of the Australian intern system the Council of Australian Governments – that’s all the State and Territory and the Federal Government commissioned a review of internship in Australia.

    The final report in 2015 made a case for change for internship in Australia. There were inconsistencies in the quality of training across different states and territories, leading to disparities in the level of competency and preparedness of interns.

    Problems with workload and professional development for current Interns

    The report identified high workloads and long working hours experienced by medical interns, limited opportunities for professional development and a lack of focus on essential communication and handover skills, which are needed to ensure safe and effective care of patients.

    Interns being exposed to the wrong sorts of experiences

    The report also noted that general practice is a critical area of need in Australia, given the aging population and the high prevalence of chronic diseases and that the current internship system failed to focus on chronic disease management and community-based care, which is where the bulk of health care is provided in Australia.

    The internship period is when most trainee doctors select a specialty to focus their careers on. So by focusing the internship experience on acute and specialised medical and surgical care, interns were not adequately exposed to several specialties where there was a need for more trainee doctors, such as general practice, general medicine and psychiatry.

    Problems with assessment, feedback and supervision in Internship

    The report also highlighted the lack of adequate supervision and feedback in the internship program and that the current assessment process lacked standardization. The report also highlighted the need to improve the quality and consistency of feedback provided to medical interns to help them identify areas where they need to improve and to support their ongoing learning and development.

    Indeed when I was the Medical Director of the Health Education and Training Institute between 2012 and 2016, we were aware that the current supervisor rating reports for interns provided very little discrimination in rating interns’ performance and were not identifying underperformance (Bingham, Crampton 2011).

    Furthermore, the report recommended that the assessment process should be redesigned to focus more on the development of skills and competencies, rather than just the acquisition of knowledge. The report suggests that this could be achieved by adopting a more competency-based approach to assessment, which would involve defining the key skills and competencies that medical interns should possess upon completion of the internship program and assessing their progress towards these goals throughout the program.

    The suggestion is that improvements to the assessment process were necessary to ensure that medical interns receive the support and feedback they need to develop their skills and competencies and provide high-quality care to patients.

    What About PGY2 Doctors?

    The final report also briefly discussed the postgraduate year two (PGY2) training and highlighted concerns regarding the current system. Specifically, the report noted a lack of consistency in the structure and content of PGY2 training across different states and territories in Australia. The report recommends that the PGY2 training program should be standardized across the country and that there should be a focus on ensuring that doctors receive appropriate supervision, feedback, and opportunities for professional development during this period.

    The Medical Training World Has Moved On.

    Suppose you are a medical student and you are reading this post. In that case, you are probably thinking that the current internship system in Australia is pretty archaic and very dissimilar to how you are taught and assessed as a student.

    And indeed, much has changed in other countries in this time. Internship programs in the United Kingdom, New Zealand and Canada are examples of programs that have successfully addressed some of the challenges faced by the Australian system.

    For example, the United Kingdom has implemented a foundation program, a two-year training program for medical graduates that includes rotations through various clinical specialties, as well as a focus on developing generic skills such as communication, teamwork, and leadership.

    Canada has been even more radical in this time by dispensing with the internship altogether.

    Finally, New Zealand has implemented a competency-based internship program that focuses on the development of specific skills and competencies rather than just the acquisition of knowledge.

    There is much that Australia can learn from these international examples, and a more innovative and flexible approach to medical intern training is needed to ensure that medical graduates are well-prepared to meet the changing needs of patients and the healthcare system.

    Even within Australia, we have seen major reforms to medical school and specialty training. In particular, a focus on more frequent feedback and greater, lower stakes in-training assessments. Adopting the same competency-based model that the Final Intern Review Report recommends.

    Conclusion

    It would be foolish to hold on to a system designed in the 1990s for a much different world than today. Especially when so many stakeholders have advocated that the system is no longer fit for purpose. Much has changed both in healthcare and the health and well-being needs of our nation. There have also been many changes to education and technology at this time.

    Bringing Resident (PGY2) doctors under an accreditation system will go a long way to ensuring that fewer trainee doctors are left exposed to the whim of hospitals, providing “service” jobs and working unsafe rosters. There will still be other “unaccredited trainees” and SRMOs remaining who also require a body to protect their needs and interests. But. this step is a much-needed reform.

    A change to the philosophy (pedagogy) of internship training and assessment has the potential to bring improvements to patient safety, the satisfaction and well-being of interns and intern preparedness.

    A positive for the suggested change in model is that most other components of the Australian medical training system have adopted competency-based medical education already. So the approach and tools will be familiar to most.

    I wholeheartedly agree that we need better to align the career aspirations of medical graduates with population needs moving away from expensive models of patch-up acute care to community-based preventative and primary care. Exposure to non-traditional intern rotations, including working in chronic care and community care, will hopefully help to sway the minds of some.

    But it is essential to recognise that the intern or prevocational training system is only one piece in a much larger medical training system, many components of which have an investment in maintaining the status quo model of health care delivery.

    The devil lies in the details of the proposed changes and their implementation.

    References:

    1. Geffen, L. (2014). A brief history of medical education and training in Australia. Medical Journal of Australia, 201(S1). https://doi.org/10.5694/mja14.00118
    2. Wilson, A., & Feyer, A. M. (2015). (rep.). Review of Medical Intern Training: Final Report. Council of Australian Governments.
    3. Bingham, C. M., & Crampton, R. (2011). A review of prevocational medical trainee assessment in New South Wales. The Medical Journal of Australia, 195(7), 410–412. https://doi.org/10.5694/mja11.10109
  • Medical Internship Australia. Application Guide For 2023 Posts.

    Medical Internship Australia. Application Guide For 2023 Posts.

    *We will be regularly updating this post as the various States and Territories update their processes. Where information is not currently available for the 2023 year we have used information from the previous year, i.e. 2022. If you notice anything incorrect please let us know in the comments below.

    It’s that time of the year again when the whole medical internship Australia system kicks into gear. The time when each of the States and Territories in Australia opens up their process to allow applications for medical internships for the following year. For four years I was responsible for running the largest Intern application system in Australia for 4 years. The NSW Intern application system. So I’d like to share with this year’s medical graduates some of the wisdom I gained from that experience.

    (Disclaimer: All information here has been sourced in good faith but things do change so you should always do your own due diligence in such matters, we are providing this information to aid you in your application but take no responsibility for any outcomes)

    As has been the case in past years the main Intern application and allocation dates are aligned across Australia so that every State and Territory opens and closes their systems at the same time and makes offers at the same times. There are some variations to this in relation to special priority categories in some States and Territories. The key things that all medical graduates should consider in preparing their medical internship application for 2023 year are as follows:

    • Applications open on 9th May 2022.
    • Applications close on 6th June 2022.
    • Make sure that you have an Intern Placement Number otherwise you won’t be able to apply.
    • You should research the application requirements now as there may be some “surprises”. As soon as the application system opens, register or log in and ensure that you have everything you need to complete your application.
    • Understand where you sit on the priority list for any State or Territory you are applying to.
    • If you are required to attend an interview. Make sure that you have obtained leave from your medical school requirements to attend.
    • Also, consider that the interview is likely to be either via phone or video this year.
    • Give yourself time to request referees, put together a Resume, if required, and find other documents that you may need.
    • Offers for Rural and other Special Pathways will come out on 18th July. The first offers for all other main pathways will come out on Wednesday, 20th July. So make sure that you have regular access to your email as your time for accepting offers can be quite short.
    • The National Close Date for 2023 Intern Recruitment is Friday 18th November 2022. After which all remaining vacant intern positions move into the Late Vacancy Management Process.
    • Stay in touch with your medical school. you may be worried about completing your degree on time but they are all working very hard with the other institutions to give you the best chance of completion.

    Tip #1. Your Medical Intern Placement Number.

    The IPN is a unique nine-digit number that has been generated by AHPRA and has been provided to medical schools for distribution to all 2022 final-year medical students. The number is used as part of the national audit process (which ensures that intern positions across the country are made available to as many applicants as possible) as well as to streamline registration.

    This number is not the same number as your AHPRA registration number or student number. If you have not received your IPN you should check with your school.

    If you are not an Australian medical student you won’t be issued an IPN. If you are applying as a non-Australian medical student you do not require an IPN. However, please note that unless you are a New Zealand medical student your chances of gaining an internship are very slim.

    Tip #2. Other Things You Will Likely Need. 

    The majority of States and Territories require you to upload an academic transcript as proof that you are indeed a medical student. 

    They will also request evidence that you satisfactorily meet the AHPRA English Language requirements. This may seem a bit ridiculous given that you have been attending medical school in English for the last 4 or 5 years. But it is the law. So check whether you may need to submit an up-to-date English test result or some other form of documentary evidence such as a high school certificate.

    Most States and Territories will also request a CV or Resume. For tips on your CV or Resume see our ultimate guide to CVs or watch a video series about this.

    Some States and Territories have a CV template that they suggest that you use to fill in your information. In the case of Victoria, you are no longer required to use the suggested template (change from last year). It’s probably fairly harmless to use the template for the other States and Territories. But if you are thinking about your future career, then now is a good time to be designing your own CV. The risk of using the template is that you don’t stand out from other candidates.

    You will need to also provide proof of your identity, citizenship, residency, or visa. And if you have had a name change along the way you will probably also need to provide some documentation in relation to this.

    Why All This Information?

    The State and Territory bodies who administer the Intern application process have a responsibility to ensure that you are eligible to apply for provisional registration at the end of the year in order to work as an Intern.  They collect this information to check that everything is in order so that you are indeed eligible to apply. Employers can get rightly annoyed when told that someone who has been allocated to work with them as an Intern will have a several-month delay whilst they resit an English language test.

    However, it’s your responsibility to ensure that you are eligible for registration. So you should also be checking these things yourself. 

    It’s hard to fathom given the amount of communication from health departments, medical schools and student colleagues. But every year there are a handful of medical students who forget to apply for their internship. This means having to wait another year. Don’t let that be you.

    Dr Anthony Llewellyn | Career Doctor

    Tip #3. Research and Apply Early.

    It’s hard to fathom given the amount of communication from health departments, medical schools, and student colleagues. But every year there are a handful of medical students who forget to apply for their internship. This means having to wait another year. Don’t let that be you.

    There are even more students who leave their applications to the last minute. Only to find that they are missing a vital document. For example, this could be evidence you need to substantiate that English is your first language, such as a high school certificate. Or perhaps your last name has changed whilst you have been in medical school? Or maybe you need to submit a CV with your application?

    As soon as the application page opens for each State and Territory you are going to apply to make sure you register. And then go as far through the process of applying as possible so you can see if there is some sort of document you need to obtain.

    Tip #4. Practice Your Video Interview Technique.

    If you are one of the many students who may need to undertake an interview for your internship choices as occurs in certain situations, such as rural preferential recruitment and certain States such as Victoria. The COVID pandemic resulted in a shift to a preference for video interviewing job applicants in Medicine in Australia. Many employers now see an inherent advantage to this. So you should still be prepared for the fact that this year your interview may be conducted on video.

    There’s a lot more than you think to video interviewing. For a rundown on this check out this recent post.

    Tip #5. Know Where You Sit In The Priority List.

    ts important to know where you sit on the priority list. Each State and Territory has a slightly different order but in essence, it goes something like this:

    1. If you are an Australian Citizen or Permanent Resident and went to Medical School in that State or Territory you are top of the list.
    2. If you are an Australian Citizen or Permanent Resident and went to Medical School in another State or Territory or New Zealand you are probably second.
    3. If you are an international student who studied Medicine in Australia you are probably next.

    Tip #6. Know the Key Dates, including Offer Dates.

    As noted above it’s crucial that you know the key dates. If you miss your application submission date (and it does happen) there is no allowance for a last-minute submission. You also need to make sure you are available to accept your offer. Generally, the window for offer acceptances is quite narrow (often 48 hours).

    For this year the day on which the first round of offers can be made nationally is 18th July for the rural and other special pathways. The first date that offers can be made to the main group of applicants is 20th July and most offers will come out on that day. Thereafter there is a series of offer windows for 2nd and 3rd and 4th rounds etc… in between which there is a mandated pause, which allows the National Intern Audit process to run. This is a system that works to ensure that vacancies are being freed up as soon as possible by highlighting medical students who may have an offer in more than one jurisdiction and ensuring that they accept one offer and decline others.

    The nationally coordinated offer system concludes on 18th November 2022. Technically this is the last date that the Medical Board can guarantee that they will be able to process your registration application in order for you to commence your internship on time the following year in 2023.

    However, there are generally still vacancies after this point and so the National Intern Audit Office switches over to an ad hoc coordinated late vacancy management process from December 2023. This runs up until 24th March 2023, which is around the 1st term to 2nd term change over for most interns. So it is still possible to commence your internship in 2023 but you might have to finish one or two terms in the following year.

    Priorities Within Priorities.

    Some States and Territories also have priority pathways to ensure that groups such as Aboriginal and Torres Strait Islanders and doctors who wish to work rurally or regionally can obtain their preferred placement early.

    So if you are an International student and like the idea of working rurally it’s probably a good idea to consider a rural pathway as it will likely boost your chances of gaining an Intern position earlier in the process.

    More Information on Each Jurisdiction

    New South Wales

    Medical Internship Australia NSW 2023
    Sydney Harbour Bridge, New South Wales.

    Intern Positions = 1,100 (including 202 rural preferential) across 15 Networks
    Annual Salary = $71,283
    Length of Contract = normally 2 years
    Professional Development Allowance = nil
    Orientation = 23rd January 2023
    Term 1 Start – 30th January 2023

    The 4 Pathways in NSW


    You have the option of applying through one of 4 pathways:
    – Aboriginal Recruitment Pathway
    – Rural Preferential Pathway
    – Regional Allocation Pathway
    – Optimised (or Main) Pathway

    Only applicants who go through the Rural Preferential Pathway need to submit a CV and attend an interview.  All other pathways are based on applications only. A key advantage of the Aboriginal, Rural, and Regional Allocation Pathways is that you are far more likely to be given your preferred hospital network.

    c/- HETI https://www.heti.nsw.gov.au/education-and-training/courses-and-programs/medical-graduate-recruitment

    Intern Placement Priorities in NSW:


     Priority 1 – Medical graduates of NSW universities who are Australian/New Zealand citizens or Australian permanent residents (Commonwealth Supported Place and Domestic Full Fee paying). This priority category is guaranteed an intern position in NSW. 

    Priority 2 – Medical graduates of interstate or New Zealand universities who completed Year 12 studies in NSW who are Australian/New Zealand citizens or Australian permanent residents (Commonwealth Supported Place, Domestic Full Fee paying or NZ equivalent). 

    Priority 3 – Medical graduates of interstate or New Zealand universities who completed Year 12 studies outside of NSW who are Australian/New Zealand citizens or Australian permanent residents (Commonwealth Supported Place, Domestic Full Fee paying or NZ equivalent). 

    Priority 4 – Medical graduates of NSW universities who are not Australian/New Zealand citizens or Australian permanent residents and who hold a visa that allows them to work or are able to obtain a visa to work.

    Priority 5 – Medical graduates of interstate or New Zealand universities who are not Australian/New Zealand citizens or Australian permanent residents and who hold a visa that allows them to work or are able to obtain a visa to work in Australia. 

    Priority 6 – Medical graduates of Australian Medical Council accredited universities with campuses that are located outside of Australia or New Zealand who are not Australian/New Zealand citizens or Australian permanent residents and who hold a visa that allows them to work or are able to obtain a visa to work in Australia.

    Victoria

    Trains leaving the Melbourne CBD passing the Melbourne Cricket Ground

    Intern Numbers = 891
    Annual Salary = $79,138
    Length of Contract = 1 year
    Professional Development Allowance = $65 per week for FT Intern = $3,380
    Term 1 Start Date = 16th January 2023
    Orientation varies but is usually the week before
     
    Internship in Victoria works around a computer matching system which is administered by the Postgraduate Medical Council of Victoria. The system had a significant overhaul in the previous year.

    The Allocation & Placement Service is a mathematical process that matches the preferences of both candidates and Health Services and is designed to be “impartial and transparent”. 

    Candidates create an account and then register with the Intern match. The second step is to preference your preferred services. At the same time, the health services also place preferences. The matching process successful candidates to positions according to rankings.

    For Victoria, you will need to submit referees as well as a CV. In past years this had to be on the quite unattractive PMCV standardised CV Template. The status of this template has now been downgraded to a “guide”. You don’t have to put a photo on your CV. I would recommend using your own CV template and now included a photo.

    In 2020 Victorian Health services began the use of video-recorded interviews. This continues for 2022 for certain candidates. The system appears to be being used as an efficient way for certain services or hospitals to review applications without having to arrange formal interview panel days and for candidates to appear in person.

    The way these interviews work is you are usually allocated a specific time to log into the system. Once you have gone through a couple of orientation steps you are usually given a series of questions and asked to record your answers. Generally, you don’t get a second go if you are not happy and the time is limited. It is vital therefore that you practice before you do your interview and ensure you have optimised your video environment.

    All health services can use these recordings to rate you along with your CV and referee reports.

    Metro hospitals may conduct live interviews with shortlisted candidates at any time before 3 July. Although I understand many do not and just rely on the candidates’ CV, referees and video interviews.

    Interns can be allocated to one of 22 hospitals and networks. This includes a small number of community-based internships where the focus is more on community-based models of care, including working in primary care and smaller hospitals.

    You can elect to be prioritised for an internship by entering the Victorian Rural Preferential Allocation (VRPA) match. Where you can be allocated to one of 5 rurally based networks. This pathway involves a live interview. First-round offers for VRPA come out on 18th July on the national rural allocation date.

    Intern Placement Priorities in Victoria:

    VRPA Priority Group 1 – Australian citizens or permanent residents and New Zealand citizens graduating from Victorian medical schools including CSP and domestic full fee-paying students (i.e. graduates of University of Melbourne, Monash University, Deakin University and University of Notre Dame: Melbourne & Ballarat Clinical Schools).

    VRPA Priority Group 2 – Australian permanent resident graduates of interstate universities who meet the following criteria:

    • Completed their Year 12 schooling in Victoria; OR
    • Previously lived in rural Victoria (Modified Monash Model (MMM)1 – MM2 classification or higher) and worked in a rural healthcare setting; OR
    • Graduates of the University of New South Wales who have undertaken their last two years of clinical placement at Albury Wodonga Health clinical school.

    As well as Australian temporary residents graduating from Victorian medical schools (i.e. graduates of the University of Melbourne, Monash University, Deakin University and the University of Notre Dame: Melbourne & Ballarat Clinical Schools).

    Priority Group 1 – Australian citizens or permanent residents and New Zealand citizens graduating from Victorian medical schools including CSP and domestic full fee-paying students (i.e. graduates of University of Melbourne, Monash University, Deakin University and University of Notre Dame: Melbourne & Ballarat Clinical Schools).

    Priority Group 2 – Australian temporary resident graduates of Victorian medical schools. As well as Interstate Special Considerations*.

    Priority Group 3 – Australian citizens or permanent residents and New Zealand citizens graduating from interstate or New Zealand medical schools; Australian temporary resident graduates of interstate universities; New Zealand temporary resident graduates of New Zealand universities; Graduates from an overseas campus of an Australian/New Zealand University accredited by the Australian Medical Council (i.e. Monash University, Malaysia or Ochsner).

    *There are a number of special consideration categories available including for significant medical, disability and carer responsibilities. Check with the PMCV directly for this.

    Queensland

    Story Bridge Brisbane

    Estimated Numbers = 805 (including 61 rural generalist intern positions)
    Annual Salary = $78,941
    Length of Contract = 1 year
    Professional Development Allowance = nil for Interns but $2,311 for RMOs
    Term 1 Start Date = 23rd January 2023
    Orientation varies but is usually the week before
     
    Queensland has possibly the most complex internal allocation system of all jurisdictions. With a number of pathways and a combination of allocating certain priority groups and merit selection for others.

    Queensland Health conducts the annual intern allocation process in Queensland. To apply you will need to use the online portal and upload a range of documents, including a curriculum vitae and referee details. Note: Queensland Health has also produced an unattractive CV template for you to use. But this also has the status of “guide only”, therefore I recommend you use your own.

    Interns can be allocated to one of 20 Employment Hospitals.

    There are 4 Intern priority groups in Queensland:

    Group A – Medical graduates of Queensland universities who are Australian/New Zealand citizens or Australian permanent residents; and:- are seeking an internship commencing in the year immediately following graduation; OR – received Review Committee approval from a previous campaign to defer commencement of their internship.

    Group B – Medical graduates of Australian (interstate) or New Zealand universities who are Australian/New Zealand citizens or Australian permanent residents; OR Medical graduates of Queensland universities who are Australian/New Zealand citizens or Australian permanent residents who do not meet the criteria outlined in Group A.

    Group C – Medical graduates of Australian (Queensland or interstate) or New Zealand universities who are NOT Australian / New Zealand citizens or Australian permanent residents who: – – currently hold a visa that allows them to work in Australia; OR- will need to obtain a visa to work in Australia.

    Group D – Medical graduates of Australian University campuses outside of Australia accredited by the Australian Medical Council (AMC); OR Medical graduates of international universities who have not completed an internship in Australia or another country and have either: – obtained the AMC Certificate – successfully completed the AMC MCQ (multiple choice questionnaire).

    Note: Queensland is one of the few jurisdictions that offer an opportunity for IMG doctors to complete an internship in Australia. The number of doctors who are successful in doing so each year is rarely more than a handful.

    There are 3 pathways for Intern Allocation in Queensland.

    1. The Rural Generalist Program offers an opportunity to select a rural hospital centre as part of a program that is a pathway to working as a Rural GP. Applications open (8th March) and close extremely early (22nd March) for this pathway.
    2. Aboriginal and Torres Strait Islander Intern Allocation Initiative. The purpose of the initiative is “to promote the success of Aboriginal and Torres Strait Islander medical graduates in the Queensland Health workforce”. Eligible applicants can apply to the Aboriginal and Torres Strait Islander Intern Allocation Initiative to be allocated to their first preferenced hospital. Applications are reviewed by a panel that includes Aboriginal and Torres Strait Islander representation.
    3. The General Intern Campaign.

    The General Intern Campaign Allocation Process.

    An interesting aspect of the previous Queensland application portal is that you could see a live indication of where other applicants have preferenced other hospitals. This was presumably designed to encourage medical students to consider other hospitals and get the student group itself to work out the allocation. Queensland Health has instead now put in place an interesting “rollback” system.

    For the General Intern Allocation process. Group A applicants are allocated via a ballot process. The first consideration is whether a hospital is undersubscribed or oversubscribed with Group A (top priority applicants)

    If the hospital is undersubscribed all Group A applicants are offered their posts at this hospital.

    If the hospital is oversubscribed with Group A applicants. All Group A applicant candidates for oversubscribed hospitals are placed in a pool and assigned a number. Oversubscribed hospitals are drawn randomly and applicants with first preference for this hospital are also drawn randomly. The process continues until all applicants are offered their next available preference for hospitals and are placed.

    After this, a “roll-back” process may occur. The roll-back process only applies to Applicant Group A candidates who tentatively accepted their first-round offer (because they did not receive their first preference). The roll-back occurs after the ballot and first-round offers have been finalised and aims to match Applicant Group A candidates to a higher preference hospital should a vacancy become available due to another Applicant Group A candidate declining their offer.

    The whole roll-back process happens in 1 day.

    If an applicant is unavailable on the day of rollback they can nominate a proxy to be available via phone.

    Merit Selection for Groups B-D.

    Following the completion of first-round offers, the Position Status Report (PSR) is updated.

    This is an updated list of available positions remaining.

    Applicant group B-D candidates have 48 hours to change their preferences if they wish to.

    Queensland Health hospitals then assess applications and conduct their own meritorious selection processes. You should contact each Hospital and Health Service directly to find out what they look for in an intern.

    If vacancies become available after the First and Second Round offers, individual hospitals will meritoriously select from the remaining applicants for available vacancies. Recruitment to fill available vacancies will continue until the national closing date for intern recruitment. After the closing date, any further vacancies that arise will be filled via the Late Vacancy Management Process (LVMP).

    Western Australia

    Perth CityScape

    **2022 Information not currently available**

    Estimated Numbers ≅ 330 (based on 2021)
    Annual Salary = $79,479
    Length of Contract = 3 years in most cases (IMGs may have shorter contracts tied to their visa status)
    Professional Development Allowance = nil
    Term 1 Start Date = Not Available
    Orientation varies but is usually the week before

    WA Intern Eligibility and Priorities

    WA does not have a formal priority list. However, in order to apply for an internship in WA you must:

    • complete an application
    • be a graduate from a university accredited by the Australian Medical Council
    • possess a valid Intern Placement Number
    • have not previously worked as an intern either in Australia or overseas
    • meet the Medical Board’s English language skills registration standard
    • be eligible to work in Australia

    In WA all interns are employed by a Primary Employing Health Service (PEHS). 

    Each PEHS is a major tertiary hospital in WA that has been accredited to directly employ interns and provide an intern training program.

    The six PEHSs in WA are:

    • Fiona Stanley Fremantle Hospitals Group (Fiona Stanley Hospital)
    • Joondalup Health Campus
    • Royal Perth Bentley Group (Royal Perth Hospital)
    • Sir Charles Gairdner Osborne Park Health Care Group (Sir Charles Gairdner Hospital)
    • St John of God Health Care (St John of God Midland Public Hospital)
    • WA Country Health Service

    Each PEHS normally holds an information night. You can also choose to work as a rural intern by applying to work through Western Australia Country Health Service.

    Intern Applications in WA open on 9th May. Information nights are as follows:

    • Sir Charles Gardiner 9 May
    • St John of God Midland 11 May
    • WA Country Health Service 12 May
    • Royal Perth 13 May
    • Joondalup Health Campus 17 May
    • Fiona Stanley 18 May

    The process is coordinated by the Postgraduate Medical Council of Western Australia but you apply through the WA Jobs site and selection occurs through panels representing each of the PEHSs. As part of your application, you need to provide a cover letter and address the intern selection criteria, a CV and will require a range of other documents as well as to nominate 3 referees. If successful you will receive a contract for 3 years.

    South Australia

    The River Torrens in the city of Adelaide

    Estimated Number = 301 (including 18 rural intern posts)
    Annual Salary = $77,084
    Length of Contract = 3 years in most cases (IMGs may have shorter contracts tied to their visa status)
    Professional Development Allowance = nil
    Term 1 Start Date = 6th February 2023
    Orientation varies but is usually the week before

    SA Health Careers conducts the annual Intern application process in South Australia. There are 3 Adelaide-based Local Health Networks and 3 smaller country-based networks to which you can apply for the priority Rural Intern pathway. It should be noted that whatever network you are allocated to you may request or be required to undertake one or more rotations in other networks.

    The Rural Intern Pathway is a strength-based recruitment process for applicants who are interested in undertaking their internship (and potentially subsequent years) in rural hospitals within Country Health SA (CHSA). Rural intern positions provide broad opportunities in unique settings and are best suited for medical graduates with a history of living or working in rural areas or a desire to commence a career in the country. 

    Those applying for the rural intern pathway undertake an interview from 27 June to 1 July and offers come out on the national rural allocation date of 18th July.

    SA Intern Priorities:

    International Medical Graduates from non-Australian medical schools can apply for the rural intern pathway so long as they have only graduated in the last 2 years and have completed the AMC Part 1, and can meet the other requirements which are extensive and include meeting the Medical Board English language requirements, completing electronic medical record training and have residency status or a visa that allows you to work unrestricted.

    South Australia’s main round intern allocation priorities are the most complex of all jurisdictions.

    Aboriginal and Torres Strait Islander applicants are given priority preference by being placed in the first subcategory for categories 1 and 2.

    From 2022 Guide C/- SAMET

    Within the respective South Australian category groups, applicants are randomly allocated to their highest possible Local Health Network preference.
    If an offer is made, applicants must respond via the electronic application system within the specified timeframe. Where an applicant has been made an offer and no response received, the offer will be automatically declined. Applicants are only eligible to receive one offer for an internship in South Australia.

    South Australia is one of few States that specifically permits medical graduates from other countries to apply for internship positions. But they are at the very bottom of the priority list. Please see the above information about the rural internship.

    In addition to a CV and referees, in order to apply for an internship in South Australia, you will need to provide a certificate confirming that you have completed the SA Health online electronic medical record (Sunrise EMR & PAS) training.

    Tasmania

    Hobart in Australia

    **2022 Information not currently available**

    Estimated Number  = 92 (Based upon last year).
    Annual Salary = $73,586
    Length of Contract = 1 year
    Professional Development Allowance = nil for Interns but RMOs get an allowance of $2040 per annum
    Term 1 Start Date = 9th January 2023
    Orientation = 4rd January 2023

    Internships are coordinated in Tasmania via the Department of Health and Human Services.
     
    All applicants are required to apply online. As part of your application you are asked to preference all of the 3 available sites:
    – Hobart
    – Launceston
    – North West Region

    You can also preferentially apply for the Tasmanian Rural Generalist Program. You will be allocated to one of the above sites based on your preference but also undertake a 13 week rural GP placement as part of your internship.

    Candidates need to attach a CV/Resume and any other relevant information to their application and must arrange the completion of two electronic referee reports:

    – One (1) referee that is employed in a clinical role (Clinical Academic) with the University where you are studying/or studied medicine and is aware of your studies in the past 12-24 months; AND

    – One (1) that is – a senior clinician (>4 years’ experience post general registration) who has observed you (you have worked with) during your clinical placements in the past 12-24 months, and can comment on your suitability for hospital-based practice.

    Intern Placement Priorities:

    In the past, The Tasmanian Health Service currently has given priority order to:
    1. Australian permanent resident Tasmanian-trained Australian Government supported and full-fee paying medical graduates.
    2. Australian temporary resident Tasmanian-trained full-fee paying medical graduates.-
    3. Australian permanent resident interstate-trained Australian Government supported and full-fee paying medical graduates.
    4. Australian temporary resident interstate-trained full-fee paying medical graduates.
    5. Medical graduates of an Australian Medical Council accredited overseas University.

    At this point, it is not clear how selection will work for 2022. In past years there has been an interview process. However, the information to date indicates that priority 1 candidates will be placed on a ballot and allocated according to preferences. This seems to indicate there will be no interview or merit-based selection at least for this group.

    Northern Territory

    ocean coast in Darwin, Northern Territory Australia

    **2022 Information not currently available**

    Estimated Number = 50 (24 for Central Australia Health Service, unknown for Top End Health Service)
    Annual Salary = $78,750
    Length of Contract = 1 year
    Professional Development Allowance = $3,295 per annum with option to apply for additional $3,000 or $3,000 for HELP relief.
    Term 1 Start Date = Not Available
    Orientation varies but is usually the week before

    The NT Prevocational Medical Assurance Services (PMAS) conducts a central review of eligible applicants and all intern positions are allocated within the two NT Health Services:
    Top End Health Service (TEHS) – based upon Royal Darwin Hospital (RDH)
    Central Australia Health Service (CAHS) – based upon Alice Springs Hospital (ASH)

    Each Health Service has a primary employing health service as well as additional placement hospitals as per below:

    C/- NTPMAS Guide

    Eligible applicants are allocated intern positions in line with the Northern Territory category groups. Within the relevant category groups, applicants are allocated to their highest possible Health Service preference, pending availability of a position.

    Intern Priority Categories:

    The applicant eligibility categories in order of selection for Internship in the Northern Territory are:

    CategoryCriteria
    ANT Medical Program Bonded Scheme / Return of Service Obligation (RoSO) applicants (guaranteed placement)
    BNT Indigenous applicants who have completed medical degrees at accredited Australian and New Zealand medical schools who are:
    NT Indigenous scholarship holders;
    Identified as an NT Indigenous resident.
    CNon-NT Indigenous applicants.
    DNT applicants (non-Indigenous) who have completed medical degrees at accredited Australian and New Zealand medical schools who are: NT scholarship holders;
    Identified as NT residents (may include non-bonded JCU/Flinders NTMP students).
    EAustralian applicants (non-Indigenous / non-NT residents):
    Previous experience working/studying in NT (JCU/Flinders/Other university student placements);
    Previous experience in a rural, remote and Indigenous health location/s (eg. Aboriginal Medical Services, Rural Clinical Schools, involvement in Rural Student Clubs and those applicants who come from rural, and remote locations).
    FInternational applicants on a student visa, now an Australian medical graduate who has:
    Previous experience working/studying in NT (JCU/Flinders/Other university student placements);
    Previous experience in a rural, remote and Indigenous health location/s (e.g. Aboriginal Medical Services, Rural Clinical Schools, involvement in Rural Student Clubs and those applicants who come from rural, and remote locations).
    GInternational medical degree applicants who have:
    Previous experience in NT student placements/clinical observers;
    Experience in rural, remote and Indigenous health locations.


    As part of your application, you are required to submit a curriculum vitae of no more than 2 A4 pages and address the selection criteria. Applications are submitted to the NT Government employment portal.

    Overall the intern allocation process is based on an applicant’s category group, Health Service preference, and the number of positions available in each health service.

    The two NT Health Services are responsible for selecting applicants and making their offers of employment, applicants are advised via email.  The Health Service responsible for making the offer of employment will after receiving an acceptance from an applicant arrange an employment contract for an Internship position within their health service to be provided prior to commencing their internship.

    *NT is one of a few jurisdictions which will consider IMG applicants. Generally, you will have to have had previous experience in the NT.

    Australian Capital Territory

    The Australian War Memorial in Canberra


    **No current information for 2022**

    Below is the information for last year.

    Estimated Numbers = 95
    (6 of these positions are normally guaranteed to NSW medical students)
    Annual Salary = $74,826
    Length of Contract = 1 year
    Professional Development Allowance = $1,040 per annum
    Term 1 Start Date = Not Available
    Orientation varies but is usually the week before
     
    If you want to apply for an internship position in the Australian Capital Territory you do so via the ACT Health Recruitment page.

    Most of your time is spent at the Canberra Hospital. But ACT is interesting as it is one of the few chances you may have as an Intern to work in 2 separate States and Territories. Rotations may include secondments to Calvary Public Hospital, Goulburn Base Hospital, and South East Regional Hospital (SERH) at Bega. Because the ACT utilises some positions in NSW for intern posts there is a reciprocal arrangement whereby a number of NSW graduates are guaranteed an intern post in the ACT.

    Priority is given to:
    – Australian Graduates of ANU
    – A maximum of 6 graduates of NSW Universities
    – Graduates of other Universities who completed Year 12 in ACT

    ACT Intern Priority List:

    Category 1a (Guaranteed First Round Offer) – Domestic Graduates of the Australian National University Medical School

    Category 1b Guaranteed First Round Offer (capped at SIX) – Domestic Graduates of NSW Universities.

    Category 1c Guaranteed First Round Offer – Aboriginal and Torres Strait Islander Graduates of other Australian Universities (who provide a statutory declaration regarding Aboriginality)

    Category 2 First Round Offer Not Guaranteed – Graduates of other Australian Universities who completed Year 12 studies in the ACT.

    Category 3 First Round Offer Not Guaranteed – International Student Graduates of the Australian National University Medical School.

    Category 4 First Round Offer Not Guaranteed – Graduates of other Australian Universities.

    Category 5 First Round Offer Not Guaranteed – Graduates of Australian University campuses outside of Australia accredited by the Australian Medical Council.

    The Commonwealth – Private Hospital Stream

    **2022 Information not yet available**

    The Private Hospital Stream (PHS) funds private hospitals to deliver medical internships and support junior doctors to work in expanded settings. It focuses on supporting training for junior doctors in rural, regional and remote areas in Modified Monash (MM) 2 to 7 locations.

    This includes fostering partnerships between private hospital providers, rural public hospitals and other training settings (such as Aboriginal Medical Services) working as part of expanded training networks.

    Annual Salary and conditions = should reflect the annual salary for an intern in the State or Territory you are working in.

    Internships and places

    The PHS supported up to 115 internships and up to 80 PGY 2 and 3 eligible junior doctor places in the 2020, 2021 and 2022 training years.

    Expression of Interest (EOI) internships

    An annual EOI internship process is run for junior doctors to express interest in a PHS-funded medical internship place.

    This process is only for PGY 1 funded places. It opens each year after state and territory governments have offered and filled their internship positions.

    Eligibility

    The program divides applicants into 2 categories – Priority One and Priority Two.

    Priority One eligibility criteria

    The Priority One category is for final year medical students who meet all eligibility criteria for an internship under the PHS.

    You are Priority One if you:

    • are a full-fee-paying international student completing your medical degree during the current calendar year from a medical school in Australia, having completed all of your medical degree in Australia (university-approved, short-term elective rotations completed overseas are allowed)
    • have met the Medical Board of Australia (MBA) English language proficiency requirements for registration purposes
    • are not an Australian Citizen
    • commit to getting a visa to work in Australia during your internship year.

    Priority Two eligibility criteria

    You are Priority Two if you:

    • have MBA provisional registration as a medical practitioner
    • have met the MBA English language proficiency requirements for registration purposes
    • commit to getting a visa to work in Australia during your internship year.

    Who is not eligible

    You are not eligible to apply for the PHS if you:

    • do not meet the Priority One or Priority Two eligibility criteria
    • have accepted an internship position from a state or territory government.

    Recruitment process

    The recruitment process aligns with the state and territory government recruitment processes and the national audit process.

    Suitable applications are forwarded to the PHS participating private hospitals by the due dates each year.

    The PHS participating private hospitals do eligibility checks. They will contact eligible applicants they want to interview.

    You should not make direct contact with the hospitals.

    Category prioritisation

    PHS participating private hospitals must fill PGY 1 places with Priority One applicants first.

    If there are still places available after the Priority One list is finished, the hospitals can then recruit Priority Two applicants.

    PGY 2 and 3 funded places

    PHS participating private hospitals make their own recruitment and employment arrangements for PGY 2 and 3 junior doctors. This allows them to meet their own service needs.

    PHS-funded hospitals

    The Commonwealth funded the following private hospitals to deliver the PHS from 2020 to 2022:

    • Mater Health Services North Queensland (PGY 1 places)
    • Mercy Health and Aged Care Central Queensland – Friendly Society Hospital, Bundaberg; Mater Private Hospital, Bundaberg; Bundaberg Base Hospital, Bundaberg; Mackay Base Hospital, Mackay; Mater Misericordiae Hospital, Mackay (PGY 1, 2 and 2 places)
    • MQ Health, New South Wales (Macquarie University Hospital) (PGY 1 places)
    • St John of God Ballarat Hospital, Victoria – Grampians Intern Training Program (PGY 1 places)
    • Mater Hospital Sydney (PGY 1 places)
    • St Vincent’s Private Hospital Sydney (PGY 1 places)
    • Ramsay Health Care, Western Australia (Joondalup) (PGY 1, 2 and 3 places)
    • Greenslopes Private Hospital, Queensland (PGY 1, 2 and 3 places)
    • Calvary Health Care Riverina, New South Wales (PGY 2 places)

    How To Decide Where to Apply for Your Internship?

    There are lots of considerations when it comes to putting in your Intern application. Everyone is a bit different. Some graduates feel like they would like to be close to home and family whilst going through their transition to Intern. Others see it as a chance to get away and explore a new place and location. And then others focus on the long-term career prospects of certain locations.

    I think this last consideration is a little overrated for most. You can generally experience a wide range of medicine in your first couple of years of medicine after graduation and there is scant evidence that this affects your prospects of applying for specialty training posts.

    That being said if you have an interest in anything other than Medicine, Surgery or Emergency Medicine as a future career you should probably investigate whether this particular specialty is offered at the hospitals or networks to which you apply.

    Unfortunately, the internship model in Australia is quite antiquated and we have continued to use the experience as a proxy for competency when a large portion of the medical education world has moved on. The result has been the mandating of the 3 core terms for internship of Medicine, Surgery, and Emergency Medicine. There is really no solid educational basis for this approach and one of the unfortunate outcomes is that all the other specialties get squeezed out and few interns get to experience psychiatry, general practice, obstetrics, paediatrics, pathology etc… which ultimately does have an effect on recruitment to these specialties.

    So the basic message is this. If you are really dead set keen on doing radiology as a career you should try to track down the very few locations that might offer this rotation to either interns or residents.

    Each year the Australian Medical Students’ Association produces a very useful Intern Guide with lots of information about the composition of intern training networks across the country. The 2022 version is not available but here’s a link to the 2021 version.

    Related Questions

    Is There Any Restriction On Where I Can Complete My Internship?

    To meet the Medical Board of Australia’s requirements for general registration, an internship can be completed in any state or territory of Australia.

    Can I Apply to More Than One State or Territory for an Intern Position?

    Yes, you will need to apply separately to each state and territory where you would like to work. You will need to complete a separate application for each position, submit the documents, provide the information required and meet the selection requirements. As part of the application process, each state and territory requires you to include your intern Placement Number (IPN).

    What is an Intern Placement Number?

    The Intern Placement Number is a unique nine-digit number that has been generated by the Australian Health Practitioner Regulation Agency (AHPRA) and has been provided to medical schools for distribution to all 2022final year medical students. If you do not have an Intern Placement Number issued or you have misplaced it, you must contact your medical school to have the number issued or reissued. Do not contact AHPRA.
    Note: The Intern Placement Number is not your University Student Identification Number.

    I Am Not an Australian Medical Student. How Do I Obtain an Intern Placement Number?

    In this situation, you do not require an IPN and will not be issued with one. You can still apply for internships. But unless you are a New Zealand medical student your chances of gaining a place are very very limited.

    What If I Have Special Circumstances Which Make It Hard For Me To Work In Certain Places?

    All States and Territories Have processes for considering special circumstances. Some of the types of circumstances that are generally approved are: where you may have certain health conditions that mean you need to be close to certain hospitals or specialists; where you have dependents, such as young children, and are unable to relocate due to care arrangements; and where you and your partner want to work as doctors in the same location. Generally, requests to stay in certain locations, for reasons such as work commitments of partners or needs of school-aged children are not granted.

    I Have Received My Intern Offer. But I Would Like to Defer It. Is This Possible?

    This will partly depend on how long you wish to defer. If you just wish to defer for a few months. Once you have your offer and are in discussions with your new employer make enquiries. It may be possible to negotiate a later start with your employer. Most employers will generally prefer that you start on time so that you are not out of sync with your colleagues. But there might be some advantage for the employer in you attending orientation but then starting a bit later as it will probably help them to fill out roster gaps. On the other hand. If you wish to defer for a complete year. Then you will need to check the policy of the State or Territory that has provided you with an Intern offer. In some cases (for example Victoria) you will be permitted to defer and your place will be held for you the following year. In most other cases you will need to reapply the following year and check whether your priority status has altered. In most cases, you have the same priority status. Also bear in mind that it is unclear how long you can defer commencing your internship. However, the Medical Board of Australia expects that once you have commenced your internship you will have completed this process within 3 years.

    I am a Doctor With a Medical Degree From Outside Of Australia. Can I Apply For an Internship?

    Unless you obtained your medical degree from a New Zealand Medical School. Then the brief answer to this question is no. I would love to stop there. And I really think you should as well. But there are rare circumstances where you may be able to obtain an internship with a medical degree from outside of Australia. But the Medical Board of Australia strongly advises against this option and so do I. For good reasons. Firstly the whole Australian medical internship system is designed to ensure that Australian medical graduates are able to undertake an internship. Not for overseas graduates. Secondly (and as a result of the first point) it is very rare to be offered the chance. Some States and Territories will not even consider an application from an IMG for an internship. Others will only do so in limited circumstances, for example, the Northern Territory will accept applications from IMGs who may have done a medical student elective or clinical observership in the Northern Territory and who have experience in rural, remote and indigenous health locations. But even then these applicants are at the bottom of the priority list for obtaining an internship. South Australia will accept applications. But again you are bottom of the list. Queensland will also accept applicants, but only if you have never worked as a doctor. And again you are bottom of the list. A final note on this question is that the majority of IMGs who do obtain a medical internship position each year in Australia generally have Australian citizenship or permanent residency.

    I Have Heard That Some Graduates Miss Out On Internship. Is This True?

    Whilst it is theoretically a possibility that some medical graduates miss out on Internships according to information provided by HETI for the most recent year of intern applications no one was actually left at the end of the process without an offer. Only Australian citizens and permanent residents are guaranteed an intern position under the COAG agreement. However, there are generally enough intern positions available for those students who have come to Australia to study medicine and the Commonwealth Private Hospital program offers additional spaces for those that may miss out. That being said. It is also clear that many graduates choose to drop out of the application process themselves. So not everyone who applies gets an offer. The assumption is that some graduates take up similar intern opportunities in other countries upon graduation.

    Can I Submit a Late Application?

    Acceptance of late applications is at the discretion of each state and territory.

    When Will Offers Be Made in 2022?

    All states and territories will commence making offers for Rural Pathways on Monday 18 July 2022 and will commence making offers for all other pathways on Wednesday 20 July 2022. The National Close Date for 2023 Intern Recruitment is Friday 18 November 2022.

    What if I Receive More Than One Offer?

    You need to decide where you would like to undertake your internship and accept this position and decline all other positions. You should not hold onto more than one offer as this negatively impacts both the hospital that will have a vacancy if you fail to start work because you have started in another position in another state, and other applicants who would like to work at that hospital who do cannot receive an offer for that vacant position.

    What is the National Audit?

    States and territories share intern applicant information at pre-agreed dates. This data is then used to identify applicants who have applied for and/or accepted intern positions in more than one state/territory. Applicants who have accepted more than one intern position will be contacted by the National Audit Data Manager by phone or email and given 48 hours to withdraw from all intern positions, except the one where they intend to undertake their intern year.

    What if I Don’t Respond to the National Audit Data Manager?

    If you don’t respond to the National Audit Data Manager and/or do not withdraw from all positions except one, the relevant states/territories where you have accepted an offer will be advised and all offers, except for the first offer you received may be withdrawn.

    What is the Late Vacancy Management Process?

    The Late Vacancy Management (LVM) Process runs from Monday 5 December 2022 to Friday 24 March 2023.
    The process ensures any late vacancies are offered to eligible intern applicants who have not yet accepted an internship position. The Late Vacancy Management Process will be coordinated by the National Audit Data Manager on behalf of states and territories. Please ensure you have updated your contact details if you are going overseas during the Late Vacancy Management Process period.
    The National Audit Data Manager will send out emails on Friday 25 November 2022 to participants who will need to opt into the Late Vacancy Management Process if they still wish to receive an internship position offer in Australia.
    Note: if an applicant does not respond to this email, they will no longer be eligible to receive an internship offer and their application will no longer be considered in any Australian jurisdictions.

    Who can participate in the Late Vacancy Management Process?

    The process is open to medical graduates of AMC accredited medical schools who have applied for and are not holding a 2023 intern position through the Commonwealth or states and territories at the National Close Date for Intern Recruitment (18 November 2022). Participation in the LVM is an opt-in process -you must confirm that you want to participate in the LVM by responding to the National Audit Data Manager by e-mail.

    (Disclaimer: All information here has been sourced in good faith but things do change so you should always do your own due diligence in such matters, we are providing this information to aid you in your application but take no responsibility for any outcomes)We’d welcome feedback from any Intern programs in relation to the accuracy of the above information.

  • How Much Do Interns Make in Australia? It Depends.

    How Much Do Interns Make in Australia? It Depends.

    We are approaching that time of the year again in Australia. The time where the majority of trainee doctors go up one step of responsibility on the ladder. It’s also the time that our newly graduated medical students commence their first paid position as a doctor. Commonly referred to as the internship. You might be keen to know how much you are going to be paid and how this compares to other States and Territories. How much do interns make? You may be surprised how much it actually varies.

    Interns across Australia are paid according to State or Territory based Awards or Enterprise Agreements. The annual rate of Intern pay varies considerably with NSW Interns being paid the worst and Western Australian Interns being paid the best. In order of ascending annual Intern salaries are as follows: New South Wales $71,283, Tasmania $73,586, Australian Capital Territory $74,826, South Australia $77,084, Northern Territory $78,757, Queensland $78,941, Victoria $79,138, Western Australia $79,479

    NSWTasACTSANTQldVicWA
    $71,283.00$73,586.00$74,826.00$77,084.00$78,757.00$78,941.00$79,138.09$79,479.00
    as of Jul 2021as of Jul 2021as of Dec 2020as of Apr 2020as of Jan 2021as of Jul 2021as of Jan 2021as of Oct 2020
    as of the latest publicly available Award document or equivalent

    How Much Do Interns Make? There Is A Wide Variation In the Entry Doctor Pay Rate

    The results above reveal that there is a wide variation of $8,196 or a 9.5% difference between the lowest paid annual salary and the best paid annual salary. Interestingly this gap has closed somewhat since we looked at it a couple of years ago.

    The reason for the large variation is that each State and Territory sets its wages for public employees separately through something called an Award or an Agreement.  These are formal documents that state the conditions of employment.  They include matters such as the hours of work, the leave available and of course how much you get paid.

    These Awards or Agreements are generally only comprehensively reviewed every few years at best. In the meantime State and Territory governments generally negotiate with the employee’s unions for an across the board annual wage increase somewhere around the rate of inflation.

    Doctors like other public employees do not generally contract as individuals for their services with hospitals.  So everyone gets the same conditions based on what role they are employed in and what year they are at.

    According to the Australian Bureau of Statistics Full Time Adult Average Annual Ordinary Earnings was $93,729 in 2021.  So bearing in mind that it takes a minimum of 5 years of university study (with a fair collection of higher education debt to pay off) to get to this point we can certainly not consider Interns to be extremely well paid.

    But it’s not all that doom and gloom. Whilst, Interns certainly do not work the amount of overtime they used to 10 or 20 years ago. Overtime provisions, as well as loadings (working rostered hours on an evening, night or weekend) under most Awards and Agreements, can lift the annual take-home pay of an Intern significantly. For e.g. most overtime starts off being paid at 150% and rapidly goes to 200%.

    So, if we take this into account when asking the question how much do interns make. If an Intern works on average 50 hours per week they are likely to hit Full-Time Adult Average Annual Ordinary Earnings, even in a State such as NSW.

    Medical Intern Salaries 2022

    It Goes Up From Here

    And, of course, it does improve significantly from this position. By the time a doctor becomes a Registrar in Victoria, for example, their regular pay has increased to $120,000 per annum (after a period of 2 or 3 years). And as we have recently pointed out in another post. Salaries and incomes for specialist doctors in Australia are amongst the best of all occupations in Australia.

    A Special Bonus For Interns

    An additional bonus for Interns comes at the first tax time. In Australia, the Financial Tax Year runs from July to June. So, because you have not been paying much in the way of taxes for the first half of the financial year, you end up paying more tax than you need to in your first 6 months of Internship and get a reasonable return come tax time. For this reason, some Interns seek to work extra overtime before 30th June.

    What’s Going On in NSW?

    NSW has the highest number of intern positions in the country. So it may be that you came to this blog post wondering how much do interns make in NSW.

    When I was an Intern, NSW paid some of the best salaries for trainee doctors in the country. States like Western Australia (which is now first) were actually towards the bottom of this list.

    Given that NSW is the biggest State in Australia by population and one of the richest States economically. And given that Sydney (NSW’s capital city) is probably the least affordable place in Australia to live it makes little sense that NSW Interns get paid the least.

    It’s hard to know exactly why this situation has occurred. It is possible that the industrial groups that represent doctors in other States and Territories have been more successful in representing trainee doctors over the years.

    This certainly seems to be the case if one looks at the Enterprise Agreement for doctors in Victoria.  Which even includes an allowance for continuing medical education, as well as separate provisions for internal training leave, examination leave and conference leave.

    So whilst the question of how much do interns make is an important factor in determining which State or Territory is the best to be an intern. We do need to take into consideration a range of other factors.

  • Intern, Resident, Registrar. The Doctor Hierarchy in Australia.

    Intern, Resident, Registrar. The Doctor Hierarchy in Australia.

    Do you have aspirations to be a doctor but are only familiar with the one title – that being “doctor”? Or maybe you have previously been admitted to the hospital and befuddled by the myriad of busy staff members you’ve come across who have been part of your care? Or you might be part of the allied health workforce and can’t seem to get your head around the difference between a resident and a registrar?

    Whatever the reason might be, understanding the medical system and the doctor hierarchy in Australian hospitals can be very difficult and this blog post will aim to clear up a few common misunderstandings about the different job titles that doctors have and hopefully some other helpful information about their roles.

    At its simplest form the doctor hierarchy for a medical team usually comprises one or more intern doctors as the most junior doctor in the team, followed by one or more resident doctors, then registrars, and finally consultant doctors as the most senior doctor/s in charge.

    This explanation is however a very simplified one. And the actual composition of teams can vary considerably according to whichever State or Territory you are in, the hospital you are working in and the area of specialty. Some other common terms for doctor job titles include JMO, which stands for “junior medical officer”, which may refer to an intern or interns or residents and occasionally even more senior doctors; house officers, which are generally alternative titles for residents; career medical officers, who are generally quite experienced doctors, almost at the level of consultant; and staff specialist and visiting medical officers, which are two common titles for consultant staff.

    Currently, I’m in the final year of my medical degree and this topic is something that confused me for a large part of my first clinical year in the hospital. 

    Alongside my studies, I am actually working as what is called an Assistant in Medicine, which means that I have been able to gain first-hand experience of how medical teams in Australian hospitals work and who works in them.

    So, whilst this topic isn’t necessarily something you get taught specifically in medical school, it’s one that has been of keen interest to me lately. And hopefully, you will also find this blog will help you to feel a bit more comfortable when you are in hospital and words like registrar, BPT, or fellow are being thrown around!

    The Basics of the Doctor Hierarchy in Australia

    So let’s get started by breaking it down a little bit. The foundations of the hierarchy can best be shown with the following basic diagram:

    doctor hierarchy
    Basic Australian Hospital Doctor Hierarchy

    At its simplest form the doctor hierarchy for a medical team usually comprises one or more intern doctors as the most junior doctor in the team, followed by one or more resident doctors, then registrars, and finally consultant doctors as the most senior doctor/s in charge.

    The diagram above however is a very simplified version of the doctor hierarchy in Australia. Whilst it breaks down the doctor hierarchy quite nicely if working in the medical field is something you’re interested in then this level of information becomes too basic quite quickly.

    You’ll soon be exposed to terms such as principal house officer, career medical officer, fellow, advanced trainee etc. and things get much more complicated. For example, below is a more complex diagram illustrating the various doctor roles from the State of Queensland.

    qld health doctor hierarchy
    C/- Qld Health

    Read on further as I go through each of these job titles, their variations, what they do and how they form the medical team, and how they interact with patients and the rest of the hospital staff.

    The Medical Team

    An important concept that can sometimes be a bit confusing is the medical team. So before explaining each individual role, let’s see how they fit together as a team.

    Medical teams or teams of doctors are normally split into different medical specialities such as cardiology, emergency, paediatrics, psychiatry and orthopaedics.

    The basic structure of a medical team is, ideally, at least one of each of the following individuals – intern, resident, registrar, and consultant (in order of least to most seniority).

    The consultant is in charge of the team and all patients are under their care. The rest of the team supports the consultant in taking care of patients by doing the majority of the grunt work which eventually gets reported to the consultant. This allows the consultant to take on multiple patients and prioritize their time to the most important tasks.

    Depending on how many patients the team has (and therefore how busy they are) or sometimes on consultant preference, the number of junior staff (i.e. interns, residents, and registrars) may change.

    For example on a busy team, there may be 2 interns assigned to one team whilst less busy teams may only have an intern, a registrar, and a consultant. 

    The Roles of Individual Doctor Team Members

    Now to let’s look at each individual team member and understand their role. Luckily there is some logic behind it all and we can work off the basic diagram to slowly add more pieces to the puzzle. However, before adding more, let’s start by tackling some of the basic roles and titles.

    The Intern Doctor

    So what does internship even mean? Well, an internship is a period of work experience for students or new graduates.

    Originally this term was used mainly in the medical field, however, these days it’s seen in a wide range of professions such as business, law firms, and government agencies. For some professions, internships can be voluntary positions, solely for the purpose of gaining work experience.

    This is especially the case for students undertaking an internship. However, in the medical profession, an internship is always a paid position. Yet it still serves as a period of work experience.

    During internship, you are provisionally registered by the Medical Board of Australia and at the end of the mandatory 12 months, you are eligible for general medical registration. 

    There are multiple different conditions to fulfil before becoming eligible for an internship in Australia, however, the most basic requirement is that you must be a graduate of an Australian or New Zealand Medical school that has been accredited by the Australian Medical Council.

    Interns in Australia must complete at least one term in each of Medicine, Surgery, and Emergency Medicine to progress to residency and full registration with the Medical Board.

    In explaining the basics of the medical team – we already know that interns are the most junior team members, hence their official title being Junior Medical Officer (JMO).

    Interestingly, despite being called Junior Medical Officers, you may find this term to be slightly misleading too. With many universities moving to a post-graduate medical degree, medical students are a bit older and additionally, there are always mature age students, some of whom have had successful careers in other fields!

    So whilst the term JMO is accurate in terms of experience in the hospital, it doesn’t account for one’s maturity and worldly experience!

    Also, the term JMO can often be used by some to refer to residents as well as interns. And some hospital managers may even use this term to refer to all the trainee medical staff, i.e. everyone other than the consultants.

    What Does an Intern Do?

    Interns are in essence the backbone of the team, doing much of the grunt work.

    A good example of this is seen during ward rounds. As an intern, an important aspect of your job is to ensure that the ward rounds go smoothly and efficiently. To do this, interns will often come in a bit earlier to print off a list of the patients under the care of their team.

    During the ward round they will find the correct patient files and take notes whilst the consultant and registrar talk to the patient and conduct any relevant physical examination.

    The intern will also be the doctor asked to organise any investigations (e.g. blood tests, scans) or medications that the consultant would like. If a consultant would like to see letters from the patient’s GP or notes from previous hospital admissions, it is the intern’s job to find such documents. So in a way, the intern role is very much a secretarial role. 

    Now after reading the last paragraph, you might be a little put off by the role of the intern, especially if like me you are a medical student. After all, when you think of being a doctor, secretarial work isn’t the first thing that necessarily comes to mind!

    This is quite a common thought, even for medical students who are in the latter part of their studies. You may expect to be making the big medical decisions as soon as you graduate but realistically that is not the case.

    Despite having studied for up to 6 years, making the big decisions is not something you can expect to be doing – this requires experience, experience, and more experience! This is why the road to becoming a consultant is more often than not, a long and time-consuming process.

    Internship, residency, and your years as a registrar are all about gaining experience and finding a field that you want to specialise in. Some may find the role of an intern degrading; however, it should really be seen as a time where you are being paid to learn!

    For example, taking notes during ward rounds is a great way to see how your consultant and registrar think about the medical problem at hand and gives you first-hand experience to use when you eventually are in their position. 

    Since an intern’s role has a lot of non-medical aspects to it, you will find many interns and residents enjoy doing after-hours work.

    On after-hours shifts, as an intern, you get to do more “pure” medicine such as taking a history and doing a physical exam which is largely what you’ve been training to do throughout your medical degree. It’s the time where you actually feel like a doctor instead of a secretary or assistant.

    And to make things even better, you are well supported during after-hours shifts as there will be a registrar, who is more experienced, that can provide support whenever there are times you are unsure. 

    The Official Role of an Intern Explained

    Here is an official statement found in a Western Australia internship Job Description Form outlining the key responsibilities:

    “To provide a high-quality clinical service to all hospital patients under the supervision of Clinical Supervisors (including Consultants and Registrars) and within a multidisciplinary team. To work within your ability and according to the hospital’s core values. To expand your knowledge and skills through the available learning opportunities. To perform satisfactorily under supervision in a range of accredited terms and complete the mandatory experience required to be granted general registration with the Medical Board of Australia under the registration standard “Granting general registration as a medical practitioner to Australian and New Zealand medical graduates on completion of intern training”

    C/- Western Australia Health

    This is quite a succinct and clear description of the role of an intern however to break it down further and explain some of the key elements here is a summary of some of the critical points:

    1. Providing high-quality service under the supervision of a clinical supervisor and within the multidisciplinary team (MDT)

    • This is an important point and there are a few different aspects to it. Firstly, as discussed above, as an intern, you are working under the supervision of senior staff members (i.e. registrars and consultants). You will often find patients asking questions which you are unable to answer, and this is completely acceptable. You should be very comfortable in saying you will need to double check with your consultant or registrar.
    • Secondly, it’s very important that you remember the other members of your team. Whilst doctors play a critical role in the functioning of a hospital, without the rest of the MDT, the whole system would fall apart very quickly. So, familiarising yourself with the MDT, which includes the nursing staff, physiotherapists, occupational therapists, social workers, pharmacists, discharge planners and a range of other professionals is vital. You’ll find how much easier your life becomes when everyone comes together as a team so be sure to use every asset available to you!

    2. Working within your ability and the hospital’s values

    • Working within your ability is once again a reminder that you are an intern and that there will be many things you will need to ask for help about and that this is perfectly reasonable
    • Most hospitals will have a set of core values which you will be expected to abide. Whilst they are mostly common sense, and in some ways used more for the positive public image it’s a good idea to familiarise yourself with the values that your specific hospital advocates for

    3. Expanding your knowledge and skills

    • This is a direct reminder that as an intern, you are still training and learning. At no one point in medicine will you stop learning (even as a consultant) and its important to remember this point despite having graduated from university.  

    4. Working in a range of terms/rotations to be granted general registration by the Medical Board of Australia

    • There are 3 terms that are mandatory to complete before being granted general registration and becoming a resident. These three rotations are Emergency Medicine, Surgery, and Internal Medicine. Usually, you will complete 12-week rotations in each of these and the rest of your year could be in any other terms, such as psychiatry, obstetrics, and gynaecology etc. Your hospital will allocate you into your rotations (with all interns doing the three mandatory rotations at some point in the year) and depending on your hospital system you may get to preference which specialty you would like to work in

    Resident or Resident Medical Officer (RMO)

    So, moving on, let’s have a look at the next step up the ladder – residents.

    A resident is a medical officer who has completed their internship and has been granted general registration by the medical board of Australia.

    But have you ever wondered where the term resident originates from? It’s quite a funny little fact! The term arises from the fact that resident physicians would spend so much time in the hospital that they would be considered residents of the hospital. And would often actually live at the hospital!

    Thankfully, however, over the years, there’s been a push towards supporting junior doctors more and more and you won’t find yourself working as much as the original residents did back in the day, not to say resident physicians have it so much easier off now. And most residents do have their own home to go to now!

    Another term that you will hear is Senior Resident Medical Officer (SRMO) or Senior House Officer (SHO).

    This is a doctor who has completed at least one year of residency however has not yet applied to a training program. One of the reasons you may choose to become an SRMO and extend your residency period is to gain further experience or to work in a field you haven’t worked in before to test whether or not it’s something you are interested in pursuing.

    Through your internship and your first year as a resident, there’s no guarantee that you will have worked in the field you are most interested in and an extra year as an SRMO might give you that experience. It does however come with the disadvantage of delaying your training by at least a year.

    What Does a Resident Do?

    Now as a medical student, my training has given me a good understanding of the role of an intern.

    However, in my opinion, to get an understanding of what a resident does it would be best to hear from an actual resident medical officer. So, to help me explain the roles of a resident, I’ve asked Dr Asim Soomro, who is currently an RMO at Tamworth Rural Referral Hospital to give me some first-hand insight. Here are a few questions I’ve asked him to help explain his role. What are your main roles and responsibilities? How does your role differ from an intern? How would you describe your role to a first-year medical student?

    Registrars

    Now registrarship is where things get the most complicated! I’ll make an effort to explain as many of the different titles a registrar can have however, I’m sure there will be some that I’ll end up missing. So feel free to post a comment or a query in the comments section below.

    First of all, registrars are medical officers who have enrolled in a specialty training program. By completing a specialty program, you can become a consultant in that field. However, you must first go through the training program which involves examinations, interviews, and hours and hours of work experience.

    The training programs can last anywhere between 3 and 6 years however this is a minimum. Many doctors will defer their exams to allow themselves more time to study or some may have to re-sit exams/interviews if they are unable to get through the first time. In competitive specialties, it may take several years to get on the program as well.

    However, throughout this period you will be a registrar, and depending on where you are along your chosen pathway, you may have other specialised terms applicable to you.

    Let’s have a look at some of these specific terms and make some sense out of them:

    Basic Trainee

    • Some colleges, such as the Royal Australian College of Physicians, have a basic and advanced training component. Basic training is the entry point for the specialty training program and must be completed before being eligible for advanced training. In NSW you are eligible to apply for a RACP training program in your second postgraduate year (PGY2) to begin your basic training at the start of your third (PGY3). So, logically, a Basic Trainee (or sometimes referred to as a Basic Physician Trainee/BPT) is a medical officer who is in the process of completing their basic training component.
    • In NSW, BPTs must complete 36 months of full-time equivalent (FTE) training before applying for advanced training

    Trainee

    • A trainee is similar to a Basic/Advanced trainee; however, this term is reserved for those colleges that don’t have a basic and advanced component and only have one pathway towards specialist qualification.

    Unaccrediteded Trainee

    • This is a medical officer who is working at the level of a trainee, i.e. a Registrar. But has yet to be formally accepted into a training program. This generally occurs in specialties where there are fewer training posts versus the number of doctors who want to train. The classic example being surgery.

    Advanced Trainee

    • This is a medical officer who has completed their basic training component. This means they have completed the required amount of work-experience (usually about 36 months FTE) and have usually passed their basic exams. Depending on the college, advanced training is usually around 24 to36 months FTE and includes a range of assessments which differ depending on what specialty you have chosen. At the end of advanced training, you become a fellow of your respective college and can work as a consultant.

    Provisional trainee

    • Some colleges require a period of provisional training before entering the training program. The Australian College of Emergency Medicine is an example of a college that requires an additional year of provisional training. In most cases, this provisional training is 1 year in duration.

    Provisional Fellow

    • Some colleges require an addition Fellowship year before being eligible for specialist registration. It is also possible to choose to do an extra provisional year before becoming a consultant to gain further experience in your field. During this year you are given the title of Provisional Fellow

    Principal House Officer

    • This is a term that is used in specific states such as Queensland. It is a medical officer who has not undertaken a specialty training program. It is only eligible to those who are PGY3 and greater and is an equivalent level to a registrar

    What Does a Registrar Do?

    To explain the roles of a registrar, I’ve once again asked for some experienced hands to help. Dr Georgina Wallace is a Basic Physician Trainee who is currently working at Tamworth Rural Referral Hospital. Heres what Georgina had to say about being a registrar: What are your main roles and responsibilities? How does your role differ from a resident/SRMO? How would you describe your role to a first-year medical student?

    Senior Grade Doctors

    There are a couple of other terms you may come across that I’ve put under the umbrella term of ‘Senior Grade Doctors’. These are doctors who don’t classify as registrars or consultants and find themselves somewhere in between.

    The main term you will hear for such doctors is Career Medical Officer or Career Hospital Doctor. These are doctors who have not specialised in any one field. They can work in a variety of different fields such as obstetrics and gynaecology, emergency, or psychiatry depending on choice and their past experiences.

    These doctors are usually very experienced in their area of medicine and have often completed some of the training components of the related specialty program.

    Here is a list of some of the terms you may come across in relation to Senior Grade Doctors and where these terms are commonly used:

    • Career Medical Officer – Tasmania, ACT, NSW
    • Senior Hospital Medical Officer – NT
    • Career Hospital Doctor – Qld
    • Health Service Medical Practitioner/Senior Medical Officer – WA
    • Senior Medical Practitioner – SA

    Interestingly, there doesn’t seem to be an equivalent term in the Victorian System, at least according to the remuneration rates published by the Victorian Department of Health and Human Services.

    Consultants

    Finally, we come to the top of the doctor hierarchy – the consultant.

    This is one of the easier roles to explain since, in reality, they are just the boss! All the major decisions are made by the consultant and at the end of the day, the buck stops with them.

    Whilst their role may be easy enough to explain, there are a few different terms you will here that describe a consultant so let’s clear those up:

    Staff Specialist

    • This is a medical officer who has competed their training through one of the many colleges and is employed by the hospital either full-time or part-time on a salary. Most staff specialist just perform public work. But it is possible to work part-time as a staff specialist and work tyour other time in the private sector.

    Visiting Medical Officer (VMO)

    • A VMO is a doctor who has completed their training through their respective college and is contracted to a public hospital to care for public patients. They are not employed by the hospital and they normally have their own private practice which they work in.

    Physician

    • A physician is a consultant who has completed their training through the Royal Australian College of Physicians. This term could relate to any of the sub specialties within the College such as Cardiologist, Neurologist, Gastroenterologist etc.

    FACEM/FRACP/FRACS etc etc etc

    • Whilst they aren’t used commonly these terms can sometimes be the most confusing if you haven’t heard them before. These terms are actually a qualification, just like MD and MBBS are. They denote completion of specialty training, for example FRACS stands for Fellow of the Royal Australian College of Surgery. You will usually only see these terms written next to names however in the Emergency Department, you may here the term FACEM (pronounced “face-em”) being thrown around as many ED doctors go by this term instead of consultant/specialist

    What About General Practice?

    Compared to other hospital specialties, General Practice has far fewer descriptive terms and titles. So we should be able to breeze through this much quicker than the other specialties!

    To be eligible to enrol into the Royal Australian College of General Practice (RACGP), you must first complete your internship and residency. After this, you can begin your training through the RACGP during which you will be known as a GP Registrar. Once you have completed all the requirements of your training you become a fellow of the RACGP and henceforth are a fully-fledged GP.

    Breaking it down like this may make it seem like a simple task but it’s important to remember that the training process involves many hours of work experience, exams and interviews before you finally become a fellow of the college.

    It’s important to understand that General Practitioners are specialist doctors in their own rights. And in fact, in most rural towns with hospitals, it is the GPs who are providing medical services to the hospital. Usually as Visiting Medical Officers. Often termed as GP-VMOs.

    Related Questions

    How much can I expect to be paid as an Intern or Resident or Registrar etcetera?

    Pay rates for the various jobs and titles vary. As a general rule the more senior you are the more you get paid. But rates and scales can vary considerably across the different States and Territories.
    You can find more information about pay rates in some of our other posts.
    Intern pay post.
    Resident pay post.
    Trainee pay post.
    Specialist pay post.

    How does one gain entry into specialist training and become a Registrar?

    The first step is knowing which specialty you are hoping to train in. If you aren’t familiar with the different specialties and Colleges in Australia or you want to know how to become a registrar in a specific specialty, you can read through our post about Specialty Training in Australia.

    I am an IMG doctor – what sort of job should I be aiming for?

    This is a difficult one and will depend on your experience in your home country. For example, if you are coming via the Standard Pathway then the sorts of jobs you should be targeting are generally at the Resident level. For a variety of information on the options available to IMGs head over to our forum on International Doctors in Australia

    What is the difference between being a Resident in Australia vs a Resident in the United States?

    This is one of the most common questions we get from international doctors at AdvanceMed. We are also often specifically asked how one gets into residency training in Australia.
    I guess this sadly somewhat represents the Americanization of the world. As the article above highlights there is no “residency training” program in Australia. The equivalent term is specialty training and you will normally be called a Registrar when you are training.
    So the key difference here is that in Australia there is a period of training between medical graduation and specialty training, called prevocational training, inhabited by intern and resident doctors. Whereas in countries like the United States medical students generally skip internship altogether and head into resident roles, which are specialty training positions.

  • Medical Internship Australia 2021. For the 2022 Clinical Year.

    Medical Internship Australia 2021. For the 2022 Clinical Year.

    *We will be regularly updating this post as the various States and Territories update their processes. Where information is not currently available for the 2021 year we have used information from the previous year, i.e. 2020.

    It’s that time of the year again, where the whole medical internship Australia system kicks into gear. The time when each of the States and Territories in Australia open up their process to allow applications for medical internships for the following year. For four years I was responsible for running the largest Intern application system in Australia for 4 years. The NSW Intern application system. So I’d like to share with this year’s medical graduates some of the wisdom I gained from that experience.

    (Disclaimer: all information here has been sourced in good faith but things do change so you should always do your own due diligence in such matters, we are providing this information to aid you in your application but take no responsibility for any outcomes)

    As has been the case in past years the main Intern application and allocation dates are aligned across Australia so that every State and Territory opens and closes their systems at the same time and makes offers at the same times. There are some variations to this in relation to special priority categories in some States and Territories. The key things that all medical graduates should consider in preparing their medical internship application for the 2022 year in 2021 are as follows:

    • Applications open on 4th May 2021.
    • Applications close on 3rd June 2021.
    • Make sure that you have an Intern Placement Number otherwise you won’t be able to apply.
    • You should research the application requirements now as there may be some “surprises”. As soon as the application system opens, register or log in and ensure that you have everything you need to complete your application.
    • Understand where you sit in the priority list for any State or Territory you are applying to.
    • If you are required to attend an interview. Make sure that you have obtained leave from your medical school requirements to attend.
    • Also, consider that the interview is likely to be either via phone or video this year.
    • Give yourself time to request referees, put together a Resume, if required and find other documents that you may need.
    • The first main round offers come out from 12th July. So make sure that you have regular access to your email as your time for accepting offers can be quite short.
    • Stay in touch with your medical school. you may be worried about completing your degree on time but they are all working very hard with the other institutions to give you the best chance of completion.

    Tip #1. Your Medical Intern Placement Number.

    The IPN is a unique nine-digit number that has been generated by AHPRA and has been provided to medical schools for distribution to all 2021 final-year medical students. The number is used as part of the national audit process (which ensures that intern positions across the country are made available to as many applicants as possible) as well as to streamline registration.

    This number is not the same number as your AHPRA registration number or student number. If you have not received you IPN you should check with your school.

    If you are not an Australian medical student you won’t be issued an IPN. If you are applying as a non-Australian medical student you do not require an IPN. However, please note that unless you are a New Zealand medical student your chances of gaining an internship are very slim.

    Tip #2. Other Things You Will Likely Need. 

    The majority of States and Territories require you to upload an academic transcript as proof that you are indeed a medical student. 

    They will also request evidence that you satisfactorily meet the AHPRA English Language requirements. This may seem a bit ridiculous given that you have been attending medical school in English for the last 4 or 5 years. But it is the law. So check whether you may need to submit an up-to-date English test result or some other form of documentary evidence such as a high school certificate.

    Most States and Territories will also request a CV or Resume. For tips on your CV or Resume see our ultimate guide to CVs or watch a video series about this.

    Some States and Territories have a CV template that they suggest that you use to fill in your information. In the case of Victoria, you are required to use this template. It’s probably fairly harmless to use the template for the other States and Territories. But if you are thinking about your future career, then nows is a good time to be designing your own CV. The risk of using the template is that you don’t stand out from other candidates.

    You will need to also provide proof of your identity, citizenship, residency, or visa. And if you have had a name change along the way you will probably also need to provide some documentation in relation to this.

    Why All This Information?

    The State and Territory bodies who administer the Intern application process have a responsibility to ensure that you are eligible to apply for provisional registration at the end of the year in order to work as an Intern.  They collect this information to check that everything is in order so that you are indeed eligible to apply. Employers can get rightly annoyed when told that someone who has been allocated to work with them as an Intern will have a several-month delay whilst they resit an English language test.

    However, it’s your responsibility to ensure that you are eligible for registration. So you should also be checking these things yourself. 

    It’s hard to fathom given the amount of communication from health departments, medical schools and student colleagues. But every year there are a handful of medical students who forget to apply for their internship. This means having to wait another year. Don’t let that be you.

    Dr Anthony Llewellyn | Career Doctor

    Tip #3. Research and Apply Early.

    It’s hard to fathom given the amount of communication from health departments, medical schools, and student colleagues. But every year there are a handful of medical students who forget to apply for their internship. This means having to wait another year. Don’t let that be you.

    There are even more students who leave their applications to the last minute. Only to find that they are missing a vital document. For example, this could be evidence you need to substantiate that English is your first language, such as a high school certificate. Or perhaps your last name has changed whilst you have been in medical school? Or maybe you need to submit a CV with your application?

    As soon as the application page opens for each State and Territory you are going to apply to make sure your register. And then go as far through the process of applying as possible so you can see if there is some sort of document you need to obtain.

    Tip #4. Practice Your Video Interview Technique.

    If you are one of the many students who may need to undertake an interview for your internship choices as occurs in certain situations, such as rural preferential recruitment and certain States such as Victoria. Then you should be prepared for the fact that this year your interview is unlikely to be held in person and very likely to be conducted on video.

    There’s a lot more than you think to video interviewing. For a rundown on this check out this recent post.

    Tip #5. Know Where You Sit In The Priority List.

    ts important to know where you sit on the priority list. Each State and Territory has a slightly different order but in essence, it goes something like this:

    1. If you are an Australian Citizen or Permanent Resident and went to Medical School in that State or Territory you are top of the list.
    2. If you are an Australian Citizen or Permanent Resident and went to Medical School in another State or Territory or New Zealand you are probably second.
    3. If you are an International student who studied Medicine in Australia you are probably next.

    Tip #6. Know the Key Dates, including Offer Dates.

    As noted above it’s crucial that you know the key dates. If you miss your application submission date (and it does happen) there is no allowance for a last-minute submission. You also need to make sure you are available to accept your offer. Generally, the window for offer acceptances is quite narrow (often 48 hours).

    For this year the day on which the first round of offers can be made nationally is 12th July and most offers will come out on that day. Thereafter there is a series of offer windows for 2nd and 3rd and 4th rounds etc… in between which there is a mandated pause, which allows the National Intern Audit process to run. This is a system that works to ensure that vacancies are being freed up as soon as possible by highlighting medical students who may have an offer in more than one jurisdiction and ensuring that they accept one offer and decline others.

    Priorities Within Priorities.

    Some States and Territories also have priority pathways to ensure that groups such as Aboriginal and Torres Strait Islanders and doctors who wish to work rurally or regionally can obtain their preferred placement early.

    So if you are an International student and like the idea of working rurally it’s probably a good idea to consider a rural pathway as it will likely boost your chances of gaining an Intern position earlier in the process.

    More Information on Each Jurisdiction

    New South Wales

    Intern Positions ≅ 1,041 (including 173 rural preferential) across 15 Networks
    Annual Salary = $69,649

    The Health Education & Training Institute runs the country’s largest Intern application process. Offering over 1,000 internships.

    Interns can be allocated to one of 15 networks of hospitals. The offer is for a 2-year contract to cover both internship and residency.

    You have the option of applying through one of 4 pathways:
    – Aboriginal Recruitment Pathway
    – Rural Preferential Pathway
    – Regional Allocation Pathway
    – Optimised (or Main) Pathway

    Only applicants who go through the Rural Preferential Pathway need to submit a CV and attend an interview.  All other pathways are based on applications only. A key advantage of the Aboriginal, Rural, and Regional Allocation Pathways is that you are far more likely to be given your preferred hospital network.
     
    Intern Placement Priorities:
     
    Priority 1 – Medical graduates of NSW universities who are Australian/New Zealand citizens or Australian permanent residents (Commonwealth Supported Place and Domestic Full Fee paying). This priority category is guaranteed an intern position in NSW. 

    Priority 2 – Medical graduates of interstate or New Zealand universities who completed Year 12 studies in NSW who are Australian/New Zealand citizens or Australian permanent residents (Commonwealth Supported Place, Domestic Full Fee paying or NZ equivalent). 

    Priority 3 – Medical graduates of interstate or New Zealand universities who completed Year 12 studies outside of NSW who are Australian/New Zealand citizens or Australian permanent residents (Commonwealth Supported Place, Domestic Full Fee paying or NZ equivalent). 

    Priority 4 – Medical graduates of NSW universities who are not Australian/New Zealand citizens or Australian permanent residents and who hold a visa that allows them to work or are able to obtain a visa to work.

    Priority 5 – Medical graduates of interstate or New Zealand universities who are not Australian/New Zealand citizens or Australian permanent residents and who hold a visa that allows them to work or are able to obtain a visa to work in Australia. 

    Priority 6 – Medical graduates of Australian Medical Council accredited universities with campuses that are located outside of Australia or New Zealand who are not Australian/New Zealand citizens or Australian permanent residents and who hold a visa that allows them to work or are able to obtain a visa to work in Australia.

    HETI Medical Graduate Recruitment Page

    HETI Prevocational Training Application Program Portal

    Victoria

    Estimated Numbers = 820
    Annual Salary = $79,138
     
    Internship in Victoria works around a computer matching system which is administered by the Postgraduate Medical Council of Victoria. The system had a significant overhaul in the previous year.

    The Allocation & Placement Service is a mathematical process that matches the preferences of both candidates and Health Services and is designed to be “impartial and transparent”. 

    Candidates create an account then register with the Intern match. The second step is to preference your preferred services. At the same time, the health services also place preferences. The matching process successful candidates to positions according to rankings.

    For Victoria, you will need to submit a CV. In past years this MUST BE on the quite unattractive PMCV standardised CV Template. You don’t have to put a photo on your CV. And I would not recommend doing so.

    In 2020 Victorian Health services began the use of video-recorded interviews. The way these interviews work is you are usually allocated a specific time to log into the system. Once you have gone through a couple of orientation steps you are usually given a series of questions and asked to record your answers. Generally, you don’t get a second go if you are not happy and the time is limited. It is vital therefore that you practice before you do your interview and ensure you have optimised your video environment.

    All health services can use these recordings to rate you.

    Metro hospitals can then elect to also do live interviews. Although I suspect many will not.

    Interns can be allocated to one of 22 hospitals and networks. This includes a small number of community-based internships where the focus is more on community-based models of care, including working in primary care and smaller hospitals.

    You can elect to be prioritised for an internship by entering the Victorian Rural Preferential Allocation (VRPA) match. Where you can be allocated to one of 5 rurally based networks. This pathway involves a live interview. First-round offers for VRPA come out on 5th July, which is one week before the national first-round offer date of 12th July.

    Intern Placement Priorities:

    Priority Group 1 – Graduates from Victorian medical schools holding Australian or New Zealand citizenship or permanent residency, including domestic full fee paying and Commonwealth Supported Place students.

    Priority Group 2 – Australian temporary resident graduates of Victorian medical schools. Interstate Special Consideration candidates (approved by PMCV).

    VRPA Priority Group 2 – Australian permanent resident graduates of interstate universities who meet the following criteria: Completed their Year 12 schooling in Victoria; or Graduates of the University of New South Wales who have undertaken their last two years of clinical placement at Albury Wodonga Health clinical school.

    Priority Group 3 – Australian permanent resident graduates of interstate or New Zealand universities (including previous residents of Victoria); Australian temporary resident graduates of interstate universities; New Zealand temporary resident graduates of New Zealand universities; and Graduates from an overseas campus of an Australian/New Zealand University accredited by the Australian Medical Council (e.g. Monash University – Sunway Campus, Malaysia and University of Queensland Oschner campus).

    PMCV Standardised CV Template

    PMCV Internship Information

    PMCV Match Portal

    Queensland

    Estimated Numbers = 784 (including 65 rural generalist intern positions)
    Annual Salary = $80,913
     
    Queensland has possibly the most complex internal allocation system of all jurisdictions.

    Queensland Health conducts the annual intern allocation process in Queensland.

    Interns can be allocated to one of 20 Employment Hospitals.

    There are 3 pathways for Intern Allocation in Queensland.

    – The Rural Generalist Program offers an opportunity to select a rural hospital centre as part of a program that is a pathway to working as a Rural GP. Applications open (2nd March) and close extremely early (16th March) for this pathway.
    – Aboriginal and Torres Strait Islander Intern Allocation Initiative. The purpose of the initiative is “to promote the success of Aboriginal and Torres Strait Islander medical graduates in the Queensland Health workforce”. Eligible applicants can apply to the Aboriginal and Torres Strait Islander Intern Allocation Initiative to be allocated to their first preferenced hospital.
    – The General Intern Campaign.

    An interesting aspect of the previous Queensland application portal is that you could see a live indication of where other applicants have preferenced other hospitals. This was presumably designed to encourage medical students to consider other hospitals and get the student group itself to work out the allocation. From the information this year it appears that you will not be able to see how many have applied for what hospital. Rather they have put in place an interesting “rollback” system.

    The roll-back process only applies to Applicant Group A candidates who tentatively accepted their first-round offer (because they did not receive their first preference). The roll-back occurs after the ballot and first-round offers have been finalised and aims to match Applicant Group A candidates to a higher preference hospital should a vacancy become available due to another Applicant Group A candidate declining their offer.

    The whole roll-back process happens in 1 day.
    If an applicant is unavailable on the day of rollback they can nominate a proxy to be available via phone.
    All applicants (or their proxies) participating in the roll-back process need to be:
    • contactable on the day.
    • ready to accept or decline the roll-back offer at the time of the telephone call from the Intern Campaign Coordinator.
    Proxy details need to be emailed to the Intern Campaign Coordinator before the day.
    If you or your proxy is not contactable by phone you will miss out on the offer. They apparently do not leave voicemails!
     
    Intern Allocation Priorities:

    Group A
    Medical graduates of Queensland universities who are Australia/New Zealand citizens or Australian permanent residents; and are seeking an internship commencing in the year immediately following graduation;
    OR 
    received Review Committee approval from a previous campaign to defer commencement of the internship

    For Group A Applicants.

    Candidates who nominate an ‘undersubscribed’ or equal in numbers hospital as first preference are automatically allocated to that facility.

    If a hospital is oversubscribed, candidates who have chosen that hospital are randomly selected and offered their next preference until that oversubscribed hospital is at quota.

    Group B
    Medical graduates of Australian (interstate) or New Zealand universities who are Australian/New Zealand citizens or Australian permanent residents;
    OR
    Medical graduates of Queensland universities who are Australian/New Zealand citizens or Australian permanent residents who do not meet the criteria outlined in Group A

    Group C
    Medical graduates of Australian (Queensland or interstate) or New Zealand universities who are NOT Australian / New Zealand citizens or Australian permanent residents who: 
    currently hold a visa that allows them to work in Australia;
    OR
    will need to obtain a visa to work in Australia

    Group D
    Medical graduates of Australian University campuses outside of Australia accredited by the Australian Medical Council.
    OR
    Medical graduates of international universities who have not completed an internship in Australia or another country and have either: 
    – obtained the AMC Certificate (and are eligible for provisional registration)
    – successfully completed the AMC MCQ (multiple choice questionnaire) (and are eligible for limited registration).

    Merit Selection for Groups B-D.

    A merit selection process for applicants in Groups B-D for intern positions is conducted by each individual hospital and is tailored specifically for their service. The selection methods are designed by the hospital but commonly include shortlisting, interviews, and referee checks.

    In order to apply for an internship in Queensland, you will need to submit a CV, regardless of whether you are undergoing merit selection and 2 referees. Queensland Health offers “for your convenience” a CV template. If I were you I would conveniently ignore this template and organise your own resume.


    *Queensland is one of a few jurisdictions that does permit International Medical Graduates to apply for positions as part of the last Applicant Group.

    CV template

    2021 Queensland Intern Campaign Home Page

    Application Guide

    Application Portal.

    Application Portal

    Postgraduate Medical Council of Western Australia

    South Australia

    Estimated Number = 285 (including 12 rural intern posts)
    Annual Salary = $77,084

    SA Health Careers conducts the annual Intern application process in South Australia. There are 3 Adelaide-based Local Health Networks and 3 smaller country-based networks to which you can apply for the priority Rural Intern pathway. Although only two of these appear to be offering intern posts for 2022.

    The Rural Intern Pathway is a strength-based recruitment process for applicants who are interested in undertaking their internship (and potentially subsequent years) in rural hospitals within Country Health SA (CHSA). Rural intern positions provide broad opportunities in unique settings and are best suited for medical graduates with a history of living or working in rural areas or a desire to commence a career in the country. 

    Those applying for the rural intern pathway undertake an interview and offers come out a week early on 5th July.

    International Medical Graduates from non-Australian medical schools can apply for the rural intern pathway so long as they have only graduated in the last 2 years and have completed the AMC Part 1.

    Intern Allocation Priorities:

    South Australia’s intern allocation priorities are the most complex of all jurisdictions.

    Aboriginal and Torres Strait Islander applicants are given priority preference by being placed in the first subcategory for categories 1 and 2.

    Category 1 Australian Citizens, Australian Permanent Residents, and New Zealand Citizens
    1.1: Medical graduates from a South Australian university who identify as Aboriginal and Torres Strait Islander (ATSI)
    1.2: Medical graduates from a South Australian university – Commonwealth-supported (HECS-HELP) or SA Bonded Medical Scholarship Scheme (SABMSS)
    1.3: Medical graduates from a South Australian university – full-fee paying

    Category 2 Australian Citizens, Australian Permanent Residents and New Zealand Citizens
    2.1: Medical graduates from an interstate or New Zealand university who identify as Aboriginal or Torres Strait Islander (ATSI)
    2.2: Medical graduates from an interstate or New Zealand university who completed Year 12 in South Australia
    2.3: Medical graduates from an interstate or New Zealand university
    2.4: Medical graduates from an overseas university who completed Year 12 in South Australia
    2.5: Medical graduates from an overseas university 

    Category 3 Australian Temporary Residents and New Zealand Permanent Residents
    3.1: Medical Students from a South Australian University 

    Category 4 Australian Temporary Residents and New Zealand Permanent Residents
    4.1: Medical graduates from an interstate or New Zealand University 

    Category 5 Australian Temporary Residents and New Zealand Permanent Residents
    5.1: Medical graduates who have spent two or more semesters in an overseas campus of an Australian or New Zealand University (eg Monash Sunway campus, UQ New Orleans campus)
    5.2: Medical graduates of an overseas university

    South Australia is one of few States that specifically permits medical graduates from other countries to apply for internship positions. But they are at the very bottom of the priority list. Please see the above information about the rural internship.

    In addition to a CV and referees, in order to apply for an internship in South Australia, you will need to provide a certificate confirming that you have completed the SA Health online electronic medical record (Sunrise EMR & PAS) training. 

    SA MET Internship Guide

    SA Health Careers Link

    Tasmania

    Only partial information is available for 2021 so far.

    Estimated Number  = 90 (Based upon last year).
    Annual Salary = $71,932
    Internships are coordinated in Tasmania via the Department of Health and Human Services.
     
    All applicants are required to apply online. As part of your application you are asked to preference all of the 3 available sites:
    – Hobart
    – Launceston
    – North West Region

    Candidates need to attach a CV/Resume and any other relevant information to their application and must arrange completion of two electronic referee reports:

    – One (1) referee that is employed in a clinical role (Clinical Academic) with the University where you are studying/or studied medicine and is aware of your studies in the past 12-24 months; AND

    – One (1) that is – a senior clinician (>4 years’ experience post general registration) who has observed you (you have worked with) during your clinical placements in the past 12-24 months, and can comment on your suitability for hospital-based practice.

    Intern Placement Priorities:

    The Tasmanian Health Service currently gives priority, in order, to:
    1. Australian permanent resident Tasmanian-trained Australian Government supported and full-fee paying medical graduates.
    2. Australian temporary resident Tasmanian-trained full-fee paying medical graduates.-
    3. Australian permanent resident interstate-trained Australian Government supported and full-fee paying medical graduates.
    4. Australian temporary resident interstate-trained full-fee paying medical graduates.
    5. Medical graduates of an Australian Medical Council accredited overseas University.

    At this point, it is not clear how selection will work for 2021. In past years there has been an interview process. However, the information to date indicates that priority 1 candidates will be placed on a ballot and allocated according to preferences. This seems to indicate there will be no interview or merit-based selection at least for this group.

    Recruitment Link

    Ularu

    Northern Territory

    Northern Territory
    Estimated Number = 50 (24 for Central Australia Health Service, unknown for Top End Health Service)
    Annual Salary = $78,750

    The NT Prevocational Medical Assurance Services (PMAS) conducts a central review of eligible applicants and all intern positions are allocated within the two NT Health Services:
    Top End Health Service (TEHS) – based upon Royal Darwin Hospital (RDH)
    Central Australia Health Service (CAHS) – based upon Alice Springs Hospital (ASH)

    Eligible applicants are allocated intern positions in line with the Northern Territory category groups. Within the relevant category groups, applicants are allocated to their highest possible Health Service preference, pending availability of a position.

    Intern Priority Categories:

    Category A NT Medical Program Bonded Scheme / Return of Service Obligation (RoSO) applicants (guaranteed placement)
    Category B NT Indigenous applicants who have completed medical degrees at accredited Australian and New Zealand medical schools who are:
    – NT Indigenous scholarship holders
    – Identified as an NT Indigenous resident
    Category C
    Non NT Indigenous applicants.
    Category D
    NT applicants (non-Indigenous) who have completed medical degrees at accredited Australian and New Zealand medical schools who are:
    – NT scholarship holders
    – Identified as an NT resident (may include non-bonded JCU/Flinders NTMP students)
    Category E
    Australian applicants (non-Indigenous / non NT residents):
    – Previous experience working/studying in NT (JCU/Flinders/Other university student placements)
    – Previous experience in a rural, remote and Indigenous health location/s (eg. Aboriginal Medical Services, Rural Clinical Schools, involvement in Rural Student Clubs and those applicants who come from rural, and remote locations)
    Category F
    International applicants on a student visa, now an Australian medical graduate who has:
    – Previous experience working/studying in NT (JCU/Flinders/Other university student placements)
    – Previous experience in a rural, remote and Indigenous health location/s (e.g. Aboriginal Medical Services, Rural Clinical Schools, involvement in Rural Student Clubs and those applicants who come from rural, and remote locations)
    Category G
    International medical degree applicants who have:
    – Previous experience in NT student placements/clinical observers
    – Experience in rural, remote, and Indigenous health locations.

    Overall the intern allocation process is based on an applicant’s category group, Health Service preference, and the number of positions available in each health service.

    The two NT Health Services are responsible for selecting applicants and making their offers of employment, applicants are advised via email.  The Health Service responsible for making the offer of employment will after receiving an acceptance from an applicant arrange an employment contract for an Internship position within their health service to be provided prior to commencing their internship.

    NT Department of Health Intern Recruitment Link (includes information on Categories)
    *NT is one of a few jurisdictions which will consider IMG applicants. Generally, you will have to have had previous experience in the NT.

    NTPMAS Site

    Intern Priority List

    Recruitment Page.

    The Commonwealth – Junior Doctor Training Program Private Hospital Stream

    Intern Positions TBD

    The information below is for the previous year.

    Annual Salary = will depend on which State or Territory you are employed in.

    The Commonwealth provides an additional Internship program for international students who study at Australian medical schools.

    *Any excess posts may be applied for by other IMGs in Australia

    The main function for this program over the years has been to provide additional opportunities for international students studying Medicine in Australia a chance to complete their internship.  This is done by tendering to various private hospitals for additional intern positions.

    The program was retitled in 2020 to the Junior Doctor Training Program Private Hospital Stream when there were 115 positions on offer.

    Normally there is not as much information about the program available until a mad flurry at the end of the year.  And 2020 seems to be no different. They are still sorting out which hospitals will provide internships.  After which there will probably be some information about how to apply.

    For now we know that the eligibility requirements are that you must either be an international full fee-paying medical graduate from an onshore Australian medical school. This is Priority One. If not all positions are filled by priority one medical graduates then the private hospitals may then recruit other medical graduates who have provisional registration. This is the Priority Two category. I am not sure how this priority category two helps any IMG as they must already have provisional registration. I guess it might help some IMGs already employed and on the standard pathway jump into a better training program.

    Eligibility Requirements for Intern (PGY 1) Junior Doctor Training Places under the Junior Doctor Training Program Private Hospital Stream

    Under the PHS, participating private hospitals must prioritise international full fee-paying medical graduates from onshore Australian medical schools (Priority One). Should these places not be filled, private hospitals may then recruit other medical graduates eligible for provisional registration (Priority Two). This means that the Commonwealth Scheme provides one of the few opportunities for IMGs who are applying via the standard pathway process to gain an internship position in Australia.

    To do so you will need to have met the Medical Board of Australia provisional registration requirements as a medical practitioner. And also have met the English language proficiency requirements for registration purposes. And commit to obtaining an appropriate visa to work in Australia during the internship year.
    Private Hospitals funded to deliver the Private Hospital Stream from 2020-2022 are:
    – Mater Health Services North Queensland (delivering PGY1 places)
    – Mercy Health and Aged Care Central QLD – Friendly Society Hospital, Bundaberg; Mater Private Hospital, Bundaberg; Bundaberg Base Hospital, Bundaberg; – — — Mackay Base Hospital, Mackay; Mater Misericordiae Hospital, Mackay (delivering PGY1, PGY2 and PGY3 places)
    – MQ Health (Macquarie University Hospital) (delivering PGY1 places)
    – St John of God Ballarat Hospital – Grampians Intern Training Program (delivering PGY1 places)
    – Mater Hospital Sydney (delivering PGY1 places)
    – St Vincent’s Private Hospital Sydney (delivering PGY1 places)
    – Ramsay Health Care WA (Joondalup) (delivering PGY1, PGY2 and PGY3 places)
    – Greenslopes Private Hospital (delivering PGY1, PGY2 and PGY3 places)
    – Calvary Health Care Riverina (delivering PGY2 places)

    Link to Program details

    How To Decide?

    There are lots of considerations when it comes to putting in your Intern application. Everyone is a bit different. Some graduates feel like they would like to be close to home and family whilst going through their transition to Intern. Others see it as a chance to get away and explore a new place and location. And then others focus on the long-term career prospects of certain locations.

    I think this last consideration is a little overrated for most. You can generally experience a wide range of medicine in your first couple of years of medicine after graduation and there is scant evidence that this affects your prospects of applying for specialty training posts.

    That being said if you have an interest in anything other than Medicine, Surgery or Emergency Medicine as a future career you should probably investigate whether this particular specialty is offered at the hospitals or networks to which you apply.

    Unfortunately, the internship model in Australia is quite antiquated and we have continued to use the experience as a proxy for competency when a large portion of the medical education world has moved on. The result has been the mandating of the 3 core terms for internship of Medicine, Surgery, and Emergency Medicine. There is really no solid educational basis for this approach and one of the unfortunate outcomes is that all the other specialties get squeezed out and few interns get to experience psychiatry, general practice, obstetrics, paediatrics, pathology etc… which ultimately does have an effect on recruitment to these specialties.

    So the basic message is this. If you are really dead set keen on doing radiology as a career you should try to track down the very few locations that might offer this rotation to either interns or residents.

    Each year the Australian Medical Students’ Association produces a very useful Intern Guide with lots of information about the composition of intern training networks across the country. The 2020 version did not appear to eventuate. So I can only assume they are no longer compiling this. But here’s a link to the 2019 version.

    Related Questions

    What If I Have Special Circumstances Which Make It Hard For Me To Work In Certain Places?

    All States and Territories Have processes for considering special circumstances. Some of the types of circumstances that are generally approved are: where you may have certain health conditions that mean you need to be close to certain hospitals or specialists; where you have dependents, such as young children, and are unable to relocate due to care arrangements; and where you and your partner want to work as doctors in the same location. Generally, requests to stay in certain locations, for reasons such as work commitments of partners or needs of school-aged children are not granted.

    I Have Received My Intern Offer. But I Would Like to Defer It. Is This Possible?

    This will partly depend on how long you wish to defer for. If you just wish to defer for a a few months. Once you have your offer and are in discussions with your new employer make enquiries. It may be possible to negotiate a later start with your employer. Most employers will generally prefer that you start on time, so that you are not out of sync with your colleagues. But there might be some advantage for the employer in you attending orientation but then starting a bit later as it will probably help them to fill out roster gaps. On the other hand. If you wish to defer for a complete year. Then you will need to check the policy of the State or Territory that has provided you an Intern offer. In some cases (for example Victoria) you will be permitted to defer and your place will be held for you the following year. In most other cases you will need to reapply the following year and check whether your priority status has altered. In most cases you have the same priority status. Also bear in mind that it is unclear how long you can defer commencing your internship. However, the eMedical Board of Australia expects that once you have commenced your internship you will have completed this process within 3 years.

    I Am a Doctor With a Medical Degree From Outside Of Australia. Can I Apply For Internship?

    Unless you obtained your medical degree from a New Zealand Medical School. Then the brief answer to this question is no. I would love to stop there. And I really think you should as well. But there are rare circumstances where you may be able to obtain an internship with a medical degree from outside of Australia. But the Medical Board of Australia strongly advises against this option and so do I. For good reasons. Firstly the whole Australian medical internship system is designed to ensure that Australian medical graduates are able to undertake an internship. Not for overseas graduates. Secondly (and as a result of the first point) it is very rare to be offered the chance. Some States and Territories will not even consider an application from an IMG for internship. Others will only do so in limited circumstances, for example, the Northern Territory will accept applications from IMGs who may have done a medical student elective or clinical observership in the Northern Territory and who have experience in rural, remote and indigenous health locations. But even then these applicants are at the bottom of the priority list for obtaining an internship. South Australia will accept applications. But again you are bottom of the list. Queensland will also accept applicants, but only if you have never worked as a doctor. And again you are bottom of the list. A final note on this question is that the majority of IMGs who do obtain a medical internship position each year in Australia generally have Australian citizenship or permanent residency.

    I Have Heard That Some Graduates Miss Out On Internship. Is This True?

    Whilst it is theoretically a possibility that some medical graduates miss out on Internship according to information provided by HETI for the most recent year of intern applications no-one was actually left at the end of the process without an offer. Only Australian citizens and permanent residents are guaranteed an intern position under the COAG agreement. However, there are generally enough intern positions available for those students who have come to Australia to study medicine and the Commonwealth Private Hospital program offers additional spaces for those that may miss out. That being said. It is also clear that many graduates choose to drop out of the application process themselves. So not everyone who applies gets an offer. The assumption is that some graduates take up similar intern opportunities in other countries upon graduation.

    I Am Not an Australian Medical Student. How Do I Obtain an Intern Placement Number?

    In this situation you do not require an IPN and will not be issued with one. You can still apply for internships. But unless you are a New Zealand medical student your chances of gaining a place are very very limited.

    (Disclaimer: all information here has been sourced in good faith but things do change so you should always do your own due diligence in such matters, we are providing this information to aid you in your application but take no responsibility for any outcomes)We’d welcome feedback from any Intern programs in relation to the accuracy of the above information.

  • Medical Internship 2020 / 2021 Australia

    Medical Internship 2020 / 2021 Australia

    *We will be regularly updating this post as information is updated about the Medical Internship process in Australia. The situation is fluid and has been disrupted somewhat due to COVID-19.

    It’s that time of the year again. The time when each of the States and Territories in Australia open up the process of applications for medical internships for the following year. For four years I was responsible for running the largest Intern application system in Australia for 4 years. The NSW Intern application system. So I’d like to share with this year’s medical graduates some of the wisdom I gained from that experience.

    (Disclaimer: All information here has been sourced in good faith but things do change so you should always do your own due diligence in such matters, we are providing this information to aid you in your application but take no responsibility for any outcomes)

    Intern applications and allocations are normally coordinated across Australia so that every State and Territory opens and closes their systems at the same time and makes offers at the same times. It still appears that this will be the case in 2020, despite COVID-19. The key things that all medical graduates should consider in preparing their medical internship application for the 2021 year in 2020 are as follows:

    • Applications open on 4th May 2020.
    • Applications close on 4th June 2020.
    • Make sure that you have an Intern Placement Number otherwise you won’t be able to apply.
    • You should research the application requirements now as there may be some “surprises”. As soon as the application system opens, register or log in and ensure that you have everything you need to complete your application.
    • Understand where you sit in the priority list for any State or Territory you are applying to.
    • If you will need to attend an interview. Make sure you have gotten leave from your medical school requirements to attend.
    • Also, consider that the interview is likely to be either via phone or video this year.
    • Give yourself time to request referees, put together a Resume, if required and find other documents that you may need.
    • First offers come out from 13th July 2020. So make sure that you have regular access to your email as your time for accepting offers can be quite short.
    • Stay in touch with your medical school. you may be worried about completing your degree on time but they are all working very hard with the other institutions to give you the best chance of completion.

    Tip #1. Your Medical Intern Placement Number.

    The IPN is a unique nine-digit number that has been generated by AHPRA and has been provided to medical schools for distribution to all 2020 final year medical students. The number is used as part of the national audit process (which ensures that intern positions across the country are made available to as many applicants as possible) as well as to streamline registration.

    This number is not the same number as your AHPRA registration number or student number. If you have not received you IPN you should check with your school

    Tip #2. Other Things You Will Likely Need. 

    The majority of States and Territories require you to upload an academic transcript as proof that you are indeed a medical student. 

    They will also request evidence that you satisfactorily meet the AHPRA English Language requirements. This may seem a bit ridiculous given that you have been attending medical school in English for the last 4 or 5 years. But it is the law. So check whether you may need to submit an up-to-date English test result or some other form of documentary evidence such as a high school certificate.

    Most States and Territories will also request a CV or Resume. For tips on your CV or Resume see our ultimate guide to CVs or watch a video series about this.

    Some States and Territories have a CV template that they suggest that you use to fill in your information. In the case of Victoria, you are required to use this template. It’s probably fairly harmless to use the template for the other States and Territories. But if you are thinking about your future career, then nows is a good time to be designing your own CV. The risk of using the template is that you don’t stand out from other candidates.

    You will need to also provide proof of your identity, citizenship, residency, or visa. And if you have had a name change along the way you will probably also need to provide some documentation in relation to this.

    Why All This Information?

    The State and Territory bodies who administer the Intern application process have a responsibility to ensure that you are eligible to apply for provisional registration at the end of the year in order to work as an Intern.  They collect this information to check that everything is in order so that you are indeed eligible to apply. Employers can get rightly annoyed when told that someone who has been allocated to work with them as an Intern will have a several-month delay whilst they resit an English language test.

    However, it’s your responsibility to ensure that you are eligible for registration. So you should also be checking these things yourself. 

    It’s hard to fathom given the amount of communication from health departments, medical schools and student colleagues. But every year there are a handful of medical students who forget to apply for their internship. This means having to wait another year. Don’t let that be you.

    Dr Anthony Llewellyn | Career Doctor

    Tip #3. Research and Apply Early.

    It’s hard to fathom given the amount of communication from health departments, medical schools and student colleagues. But every year there are a handful of medical students who forget to apply for their internship. This means having to wait another year. Don’t let that be you.

    There are even more students who leave their applications to the last minute. Only to find that they are missing a vital document. For example, this could be evidence you need to substantiate that English is your first language, such as a high school certificate. Or perhaps your last name has changed whilst you have been in medical school? Or maybe you need to submit a CV with your application?

    As soon as the application page opens for each State and Territory you are going to apply to make sure your register. And then go as far through the process of applying as possible so you can see if there is some sort of document you need to obtain.

    Tip #4. Practice Your Video Interview Technique.

    If you are one of the many students who may need to undertake an interview for your internship choices as occurs in certain situations, such as rural preferential recruitment and certain States such as Victoria. Then you should be prepared for the fact that this year your interview is unlikely to be held in person and very likely to be conducted on video.

    There’s a lot more than you think to video interviewing. For a rundown on this check out this recent post.

    Tip #5. Know Where You Sit In The Priority List.

    ts important to know where you sit on the priority list. Each State and Territory has a slightly different order but in essence, it goes something like this:

    1. If you are an Australian Citizen or Permanent Resident and went to Medical School in that State or Territory you are top of the list.
    2. If you are an Australian Citizen or Permanent Resident and went to Medical School in another State or Territory or New Zealand you are probably second.
    3. If you are an International student who studied Medicine in Australia you are probably next.

    Priorities Within Priorities.

    Some States and Territories also have priority pathways to ensure that groups such as Aboriginal and Torres Strait Islanders and doctors who wish to work rurally or regionally can obtain their preferred placement early.

    So if you are an International student and like the idea of working rurally it’s probably a good idea to consider a rural pathway as it will likely boost your chances of gaining an Intern position earlier in the process.

    More Information on Each Jurisdiction

    New South Wales

    Intern Positions ≅ 1,039 (including 170 rural preferential)
    Annual Salary = $69,649

    The Health Education & Training Institute runs the countries largest Intern application process. Offering over 1,000 internships.

    Interns can be allocated to one of 15 networks of hospitals. The offer is for a 2-year contract to cover both internship and residency.

    You have the option of applying through one of 4 pathways:
    – Aboriginal Recruitment Pathway
    – Rural Preferential Pathway
    – Regional Allocation Pathway
    – Optimised (or Main) Pathway

    Only applicants who go through the Rural Preferential Pathway need to submit a CV and attend an interview.  All other pathways are based on applications only.

    Intern Placement Priorities:

    Priority 1 – Medical graduates of NSW universities who are Australian/New Zealand citizens or Australian permanent residents (Commonwealth Supported Place and Domestic Full Fee paying). This priority category is guaranteed an intern position in NSW. 

    Priority 2 – Medical graduates of interstate or New Zealand universities who completed Year 12 studies in NSW who are Australian/New Zealand citizens or Australian permanent residents (Commonwealth Supported Place, Domestic Full Fee paying or NZ equivalent). 

    Priority 3 – Medical graduates of interstate or New Zealand universities who completed Year 12 studies outside of NSW who are Australian/New Zealand citizens or Australian permanent residents (Commonwealth Supported Place, Domestic Full Fee paying or NZ equivalent). 

    Priority 4 – Medical graduates of NSW universities who are not Australian/New Zealand citizens or Australian permanent residents and who hold a visa that allows them to work or are able to obtain a visa to work.

    Priority 5 – Medical graduates of interstate or New Zealand universities who are not Australian/New Zealand citizens or Australian permanent residents and who hold a visa that allows them to work or are able to obtain a visa to work in Australia. 

    Priority 6 – Medical graduates of Australian Medical Council accredited universities with campuses that are located outside of Australia or New Zealand who are not Australian/New Zealand citizens or Australian permanent residents and who hold a visa that allows them to work or are able to obtain a visa to work in Australia.

    HETI Medical Graduate Recruitment Page.

    HETI Prevocational Training Application Program Portal.

    Victoria

    Estimated Numbers = 820
    Annual Salary = $79,138

    Internship in Victoria works around a computer matching system which is administered by the Postgraduate Medical Council of Victoria. The system appears to have had a significant overall this year and looks to be much more user friendly.

    Portal

    There is no other information available at this stage.

    Below is information from last year.

    Once you have submitted all your details and preferences the match informs the various hospitals and health networks who then conduct a selection process.  Some but not all hospitals and networks perform interviews.  Your selection may just be based on where you sit in the priority list plus your CV and referee reports.

    Interns can be allocated to one of 22 hospitals and networks. This includes a small number of community based internships where the focus is more on community based models of care, including working in primary care and smaller hospitals.

    For Victoria you will need to submit a CV. This MUST BE on the quite unattractive PMCV Standardised CV Template. You don’t have to put a photo on your CV. And I would not recommend doing so.
    Intern Placement Priorities:

    Priority Group 1 – Australian permanent residents or citizens and New Zealand citizens graduating from a Victorian medical schools including CSP and domestic full fee paying students (i.e. graduates of University of Melbourne, Monash University, Deakin University and University of Notre Dame: Melbourne & Ballarat Clinical Schools).

    Priority Group 2 – Australian temporary resident graduates of Victorian medical schools  Interstate Special Consideration candidates (approved by DHHS)

    Priority Group 3 – Australian permanent resident graduates of interstate or New Zealand universities (including previous residents of Victoria); Australian temporary resident graduates of interstate universities; New Zealand temporary resident graduates of New Zealand universities; and Graduates from an overseas campus of an Australian/New Zealand University accredited by the Australian Medical Council (e.g. Monash University – Sunway Campus, Malaysia)

    Queensland

    Estimated Numbers = 776 (including 67 rural generalist)
    Annual Salary = $78,941

    Queensland Health conducts the annual intern allocation process in Queensland. Interns can be allocated to one of 20 primary allocation centres. An interesting aspect of the Queensland application portal is that you can see a live indication of where other applicants have preferenced other hospitals. This is presumably designed to encourage medical students to consider other hospitals and get the student group itself to work out the allocation. I have no indication whether its a useful process or not. If you know anything about this. Leave a comment below.

    Intern Allocation Priorities:

    Group A
    Medical graduates of Queensland universities who are Australia/New Zealand citizens or Australian permanent residents; and are seeking an internship commencing in the year immediately following graduation;
    OR 
    received Review Committee approval from a previous campaign to defer commencement of internship

    Group B
    Medical graduates of Australian (interstate) or New Zealand universities who are Australian/New Zealand citizens or Australian permanent residents;
    OR
    Medical graduates of Queensland universities who are Australian/New Zealand citizens or Australian permanent residents who do not meet the criteria outlined in Group A

    Group C
    Medical graduates of Australian (Queensland or interstate) or New Zealand universities who are NOT Australian / New Zealand citizens or Australian permanent residents who: 
    currently hold a visa that allows them to work in Australia;
    OR
    will need to obtain a visa to work in Australia

    Group D
    Medical graduates of Australian University campuses outside of Australia accredited by the Australian Medical Council.
    OR
    Medical graduates of international universities who have not completed an internship in Australia or another country and have either: 
    – obtained the AMC Certificate (and are eligible for provisional registration)
    – successfully completed the AMC MCQ (multiple choice questionnaire) (and are eligible for limited registration)

    The Queensland Rural Generalist Pathway (QRGP) offers graduating medical students the opportunity to explore a wide variety of clinical training and develop the advanced skill set required to support the health needs of rural communities. It’s a priority pathway that you can opt for first.

    If you are not interested in the Rural Generalist pathway then you need to work out which category you are in.

    Intern Application Info Page.

    How To Apply.

    Application Portal.

    *Queensland is one of a few jurisdictions that does permit International Medical Graduates to apply for positions as part of the last Applicant Group.

    South Australia

    Estimated Number = 260
    Annual Salary = $77,084

    SA Health Careers conducts the annual Intern application process in South Australia. There are 3 Adelaide based Local Health Networks and one small Country Health Network (based at Mt Gambier & Whyalla) to which you can apply for the priority Rural Intern pathway.

    The Rural Intern Pathway is a strength based recruitment process for applicants who are interested in undertaking their internship (and potentially subsequent years) in rural hospitals within Country Health SA (CHSA). Rural intern positions provide broad opportunities in unique settings and are best suited for medical graduates with a history of living or working in a rural areas or a desire to commence a career in the country. 

    Intern Allocation Priorities:

    Category 1 Australian Citizens, Australian Permanent Residents and New Zealand Citizens
    1.1: Medical graduates from a South Australian university who identify as Aboriginal and Torres Strait Islander (ATSI)
    1.2: Medical graduates from a South Australian university – Commonwealth-supported (HECS-HELP) or SA Bonded Medical Scholarship Scheme (SABMSS)
    1.3: Medical graduates from a South Australian university – full-fee paying

    Category 2 Australian Citizens, Australian Permanent Residents and New Zealand Citizens
    2.1: Medical graduates from an interstate or New Zealand university who identify as Aboriginal or Torres Strait Islander (ATSI)
    2.2: Medical graduates from an interstate or New Zealand university who completed Year 12 in South Australia
    2.3: Medical graduates from an interstate or New Zealand university
    2.4: Medical graduates from an overseas university who completed Year 12 in South Australia
    2.5: Medical graduates from an overseas university 

    Category 3 Australian Temporary Residents and New Zealand Permanent Residents
    3.1: Medical Students from a South Australian University 

    Category 4 Australian Temporary Residents and New Zealand Permanent Residents
    4.1: Medical graduates from an interstate or New Zealand University 

    Category 5 Australian Temporary Residents and New Zealand Permanent Residents
    5.1: Medical graduates who have spent two or more semesters in an overseas campus of an Australian or New Zealand University (eg Monash Sunway campus, UQ New Orleans campus)
    5.2: Medical graduates of an overseas university

    South Australia is one of few States that specifically permits medical graduates from other countries to apply for internship positions. But they are at the very bottom of the priority list.

    If you are not a South Australian medical student, in order to apply for an internship in South Australia you will need to provide a certificate confirming that you have completed the SA Health online electronic medical record (Sunrise EMR & PAS) training. 

    Western Australia

    Estimated Numbers = 310 (based on 2020)
    Annual Salary = $78,749

    In WA all interns are employed by a Primary Employing Health Service (PEHS). 

    There are 4 PEHSs and each PEHS is a major tertiary hospital in WA which have been accredited to directly employ interns and provide a high-quality intern training program. Each PEHS normally holds an information night. There is no information available about these at the moment. You can also choose to work as a rural intern by applying to work through Western Australia Country Health Service.

    The process is coordinated by the Postgraduate Medical Council of Western Australia but you apply through the WA Jobs site and selection occurs through panels representing each of the PEHSs. As part of your application, you need to provide a cover letter and CV and will require a range of other documents as well as to nominate 3 referees. If successful you will receive a contract for 3 years.

    Application Portal

    Key Dates

    Northern Territory

    Estimated Number = 50
    Annual Salary = $78,750

    The NT Prevocational Medical Assurance Services (PMAS) conducts a central review of eligible applicants and all intern positions are allocated within the two  NT Health Services:
    Top End Health Service (TEHS) – Royal Darwin Hospital (RDH)
    Central Australia Health Service (CAHS) – Alice Springs Hospital (ASH)

    Eligible applicants are allocated intern positions in line with the Northern Territory category groups. Within the relevant category groups applicants are allocated to their highest possible Health Service preference, pending availability of a position.

    Overall the intern allocation process is based on an applicant’s category group, Health Service preference and the number of positions available in each health service.

    The two NT Health Services are responsible for selecting applicants and making their offers of employment, applicants are advised via email.  The Health Service responsible for making the offer of employment will after receiving an acceptance from an applicant arrange an employment contract for an Internship position within their health service to be provided prior to commencing internship.

    NTPMAS Site

    NT Department of Health Intern Recruitment Link (includes information on Categories)

    *NT is one of a few jurisdictions which will consider 

    Australian Capital Territory

    Estimated Numbers = 95
    Annual Salary = $74,826
    (6 of these positions are normally guaranteed to NSW medical students)

    If you want to apply for an internship position in the Australian Capital Territory you do so via the ACT Health Recruitment page.

    Most of your time is spent at the Canberra Hospital. But ACT is interesting as it is one of the few chances you may have as an Intern to work in 2 separate States and Territories. Rotations may include secondments to Calvary Public Hospital, Goulburn Base Hospital and South East Regional Hospital (SERH) at Bega. 

    Priority is given to:
    – Australian Graduates of ANU
    – Maximum 6 graduates of NSW Universities
    – Graduates of other Universities who completed Year 12 in ACT
    – International Fee Paying Graduates of ANU
    – Graduates of other Australian Universities
    – Graduates of Australian University campuses outside of Australia

    Other details are limited at this stage. 

    Intern Priority List

    Recruitment Page.

    Tasmania

    Estimated Number  = 90
    Annual Salary = $70,315
    Internships are coordinated in Tasmania via the Department of Health and Human Services.

    All applicants are required to apply online. As part of your application you are asked to preference all of the 3 available sites:
    – Hobart
    – Launceston
    – North West Region

    Candidates need to attach a CV/Resume and any other relevant information to their application and must arrange completion of two electronic referee reports:

    – One (1) referee that is employed in a clinical role (Clinical Academic) with the University where you are studying/or studied medicine and is aware of your studies in the past 12-24 months; AND

    – One (1) that is – a senior clinician (>4 years’ experience post general registration) who has observed you (you have worked with) during your clinical placements in the past 12-24 months, and can comment on your suitability for hospital-based practice.

    Intern Placement Priorities:

    The Tasmanian Health Service currently gives priority, in order, to:
    – Australian permanent resident Tasmanian-trained Australian Government supported and full-fee paying medical graduates.
    – Australian temporary resident Tasmanian-trained full-fee paying medical graduates.-
    – Australian permanent resident interstate-trained Australian Government supported and full-fee paying medical graduates.
    – Australian temporary resident interstate-trained full-fee paying medical graduates.
    – Medical graduates of an Australian Medical Council accredited overseas University.

    Selection occurs via face-to-face interviews (likely to change). Following interview successful applicants will be placed in an order of merit with applicant performance at interview accounting for 70% of the overall score, and each referee report accounting for 15% of the overall score. Vacant positions are offered in order of merit and the Tasmanian Health Service Priority Placement Framework.

    Recruitment Link

    Commonwealth – Junior Doctor Training Program Private Hospital Stream

    Intern Positions TBD
    Annual Salary = will depend on which State or Territory you are employed in.

    The Commonwealth provides an additional Internship program for international students who study at Australian medical schools.

    *Any excess posts may be applied for by other IMGs in Australia

    The main function for this program over the years has been to provide additional opportunities for international students studying Medicine in Australia a chance to complete their internship.  This is done by tendering to various private hospitals for additional intern positions.

    The program was retitled in 2020 to the Junior Doctor Training Program Private Hospital Stream when there was 115 positions on offer.

    Normally there is not as much information about the program available until a mad flurry at the end of the year.  And 2020 seems to be no different. They are still sorting out which hospitals will provide internships.  After which there will probably be some information about how to apply.

    For now we know that the eligibility requirements are that you must either be an international full fee paying medical graduate from an onshore Australian medical school. This is Priority One. If not all positions are filled by priority one medical graduates then the private hospitals may then recruit other medical graduates who are eligible for provisional registration. This is the Priority Two category.

    Eligibility Requirements for Intern (PGY 1) Junior Doctor Training Places under the Junior Doctor Training Program Private Hospital Stream

    Under the PHS, participating private hospitals must prioritise international full fee paying medical graduates from onshore Australian medical schools (Priority One). Should these places not be filled, private hospitals may then recruit other medical graduates eligible for provisional registration (Priority Two). This means that the Commonwealth Scheme provides one of the few opportunities for IMGs who are applying via the standard pathway process to gain an internship position in Australia.

    To do so you will need to have met the Medical Board of Australia provisional registration requirements as a medical practitioner. And also have met the English language proficiency requirements for registration purposes. And commit to obtaining an appropriate visa to work in Australia during the internship year.
    Private Hospitals participating in delivering the Private Hospital Stream in past years were:
    – Mater Health Services North Queensland Limited
    – Mercy Health and Aged Care Central QLD
    – MQ Health (Macquarie University Hospital)
    – St John of God Health Care Inc.
    – St Vincent’s Private Hospital Limited
    – St Vincent’s Private Hospital Sydney
    – Ramsay Health Care
    – Greenslopes Private Hospital
    – Joondalup Hospital

    Link to Program details

    How To Decide?

    There are lots of considerations when it comes to putting in your Intern application. Everyone is a bit different. Some graduates feel like they would like to be close to home and family whilst going through their transition to Intern. Others see it as a chance to get away and explore a new place and location. And then others focus on the long-term career prospects of certain locations.

    I think this last consideration is a little overrated for most. You can generally experience a wide range of medicine in your first couple of years of medicine after graduation and there is scant evidence that this affects your prospects of applying for specialty training posts.

    That being said if you have an interest in anything other than Medicine, Surgery, or Emergency Medicine as a future career you should probably investigate whether this particular specialty is offered at the hospitals or networks to which you apply.

    Unfortunately, the internship model in Australia is quite antiquated and we have used the experience as a proxy for competency. The result has been the mandating of the 3 core terms for internship of Medicine, Surgery, and Emergency Medicine. There is really no solid educational basis for this approach and one of the unfortunate outcomes is that all the other specialties get squeezed out and few interns get to experience psychiatry, general practice, obstetrics, paediatrics, pathology, etc… which ultimately does have an effect on recruitment to these specialties.

    So the basic message is this. If you are really dead set keen on doing radiology as a career you should try to track down the very few locations that might offer this rotation to either interns or residents.

    Each year the Australian Medical Students’ Association produces a very useful Intern Guide with lots of information about the composition of intern training networks across the country. We are currently waiting on the 2020 version. But here’s a link to the 2019 version.

    Related Questions

    Question: What If I Have Special Circumstances Which Make It Hard For Me To Work In Certain Places?

    Answer: All States and Territories Have processes for considering special circumstances. Some of the types of circumstances that are generally approved are: where you may have certain health conditions that mean you need to be close to certain hospitals or specialists; where you have dependents, such as young children, and are unable to relocate due to care arrangements; and where you and your partner want to work as doctors in the same location.

    Generally requests to stay in certain locations, for reasons such as work commitments of partners or needs of school aged children are not granted.Question: I Have Received My Intern Offer. But I Would Like to Defer It. Is This Possible?

    Answer: This will partly depend on how long you wish to defer for. 

    If you just wish to defer for a a few months. Once you have your offer and are in discussions with your new employer make enquiries. It may be possible to negotiate a later start with your employer. Most employers will generally prefer that you start on time, so that you are not out of sync with your colleagues. But there might be some advantage for the employer in you attending orientation but then starting a bit later as it will probably help them to fill out roster gaps.
     
    On the other hand. If you wish to defer for a complete year. Then you will need to check the policy of the State or Territory that has provided you an Intern offer. In some cases (for example Victoria) you will be permitted to defer and your place will be held for you the following year. In most other cases you will need to reapply the following year and check whether your priority status has altered. In most cases you have the same priority status.

    Also bear in mind that it is unclear how long you can defer commencing your internship. However, the Medical Board of Australia expects that once you have commenced your internship you will have completed this process within 3 years.
    Question: I Am a Doctor With a Medical Degree From Outside Of Australia. Can I Apply For Internship?

    Answer: Unless you obtained your medical degree from a New Zealand Medical School. Then the brief answer to this question is no.

    I would love to stop there. And I really think you should as well. But there are rare circumstances where you may be able to obtain an internship with a medical degree from outside of Australia. But the Medical Board of Australia strongly advises against this option and so do I. For good reasons. Firstly the whole Australian medical internship system is designed to ensure that Australian medical graduates are able to undertake an internship. Not for overseas graduates. Secondly (and as a result of the first point) it is very rare to be offered the chance.

    Some States and Territories will not even consider an application from an IMG for internship. Others will only do so in limited circumstances, for example, the Northern Territory will accept applications from IMGs who may have done a medical student elective or clinical observership in the Northern Territory and who have experience in rural, remote and indigenous health locations. But even then these applicants are at the bottom of the priority list for obtaining an internship. South Australia will accept applications. But again you are bottom of the list. Queensland will also accept applicants, but only if you have never worked as a doctor. And again you are bottom of the list.

    A final note on this question is that the majority of IMGs who do obtain a medical internship position each year in Australia generally have Australian citizenship or permanent residency.Question: I Have Heard That Some Graduates Miss Out On Internship. Is This True?

    Answer: Whilst it is theoretically a possibility that some medical graduates miss out on Internship according to information provided by HETI for the most recent year of intern applications no-one was actually left at the end of the process without an offer.

    Only Australian citizens and permanent residents are guaranteed an intern position under the COAG agreement. However, there are generally enough intern positions available for those students who have come to Australia to study medicine and the Commonwealth Private Hospital program offers additional spaces for those that may miss out.

    That being said. It is also clear that many graduates choose to drop out of the application process themselves. So not everyone who applies gets an offer. The assumption is that some graduates take up similar intern opportunities in other countries upon graduation.

    (Disclaimer: all information here has been sourced in good faith but things do change so you should always do your own due diligence in such matters, we are providing this information to aid you in your application but take no responsibility for any outcomes)

    We’d welcome feedback from any Intern programs in relation to the accuracy of the above information.

  • Tips for Compiling A Great Rural Medical Student Resume.

    Tips for Compiling A Great Rural Medical Student Resume.

    Based On An Article Originally Requested By the NSW Medical Students Council about medical student resumes.

    Being able to compile a CV or Resume is an essential skill for pretty much any career.  But as a medical graduate, you may not necessarily have been taught this specific skill so far.

    In my experience it is uncommon for medical schools in Australia to cover how to compile a medical student resume as part of their formal curriculum.  But that’s okay. It is a skill that you can actually teach yourself with a bit of research and guidance.  I’ve reviewed tens of thousands of CVs and Resumes in my time and helped hundreds of doctors write or rewrite their resumes. So, you are in good hands.

    Unique to the state of New South Wales, where I reside, the only medical graduates who need to put a resume together are those applicants applying for Rural Preferential Recruitment (RPR).  This is because this is the only pathway that employers are directly involved in the selection process.  So, I am pleased to have been invited to write this article specifically for that purpose. But even if you are not applying for RPR you will probably learn something by reading this article because you will definitely need a resume in the next few years.

    Let’s start with the basic features of your medical student resume, which components are most important, and the recommended order. After which I will go into some more detail about 3 key aspects of your resume that are important to consider when applying for a rural internship (your personal statement, describing your education and choosing your referees).

    The Basic Medical Student Resume Format

    Included in this article is an example of how you can put together a 2-page medical student resume for your internship application. 

    You can also download this as a word doc template from the following link [will provide you the link].

    Most medical graduates will only need 2 pages for their medical student resume. But honestly if you need to go to another page or two that is fine.  Just know that when your CV is reviewed the first time, its not reviewed for very long (about 8 seconds) and most of that time is spent reviewing what is on the first page.  So, you need to be circumspect about what you do and don’t include on this page.

    The Front Page

    The front page of your medical student resume and in fact the top third of the front page is where you need to put down all the essential information that you absolutely want the employer to see and acknowledge.  You will notice in the example above the biggest element on the front page is the candidate’s name.  That’s deliberate.  That’s the one thing you want them to remember the most.  You notice I have also put Dr as a prefix.  Now you may not feel comfortable doing this if you have not officially completed your degree yet.  If so. That’s OK.  But definitely include it in future resumes.  It displays confidence and formality.

    You will also notice that high up on the front page of this medical student resume are some basic details, including your contacts (you want the employer to be able to contact you easily) and your short qualifications.  For medical jobs there are some essential requirements for most jobs.  These include items like having a medical degree, having the appropriate registration, and in some cases things like being registered with a college, having English language proficiency, and eligibility to work in Australia are also important.  So, all of these should be high up on the front page so that they are seen, and the employer can tick the necessary boxes.

    You will see that the other prominent element in the top third of the medical student resume is a statement.  We generally refer to this as a personal statement or career goal statement.  I recommend spending some time on getting this piece of text right.  It should provide a compelling story for the reviewer to want to talk to you in person.  But do this last after you have put together all the other elements of your resume as you will want to draw on some of these.  More about the personal statement shortly.

    For most medical student resumes work history comes straight after the personal statement.  Employers are most interested in what you have been doing in your most recent job.

    For medical graduates however your most recent significant activity has been your education, so this comes next and this provides yet another opportunity to describe some of the things you have been doing and most importantly have achieved.

    If you do have work history, it’s a very good idea to include some information about this as a bare minimum it demonstrates that you have been employable in the past and in most cases demonstrates many more things about you.

    What Other Headings Should You Use on Your Medical Student Resume?

    Medical Student Resume Page 2

    You will see that I have suggested a range of other headings that you can use both in the short right hand column and after work history.  Other than work and education there is no set rule as to what you should include and where in your Resume.  I would recommend including the next thing that shows your strengths.  So if this is your teaching experience talk about this next. Or if it is the fact that you have already done some decent research, talk about this.

    The only caveat to this is that referees always come last on the resume.

    3 Specific Areas to Focus In Your Medical Student Resume For a Rural Internship

    Picking appropriate referees, describing achievements and writing a compelling personal statement are key to all resumes.  Let’s talk about how to make them relevant in your resume application.

    Referee Selection

    When I speak to medical students about the need to have referees on their resume, they often get caught up in the need to have well-known consultants as referees on their resume.

    This is not the case. And often times your exposure to brand name consultants who really get to know you is limited anyway.

    It’s more important to focus on a having a diverse range of referees that have recent and relevant knowledge of you.

    A mixture such as a consultant, a registrar and a Nurse Unit Manager or even a professional staff member from your medical school is generally fine.  But try to ensure that there is at least one female and one female on your list.  And aim for at least some of these people to have had decent exposure to you in the last 12 months or so.

    In terms of relevancy for a rural internship, it may seem an obvious point but having people listed who work in rural areas is going to go a long way in terms of your candidacy.  Here’s something that you probably don’t know.  The rural hospitals in NSW that take internships have strong networks with each other.  The JMO Managers and Directors of Training at these hospitals generally know each other on a first name basis.  This network also usually extends to local clinical school staff.  So, if you are able to put someone like a Clinical Dean on your resume this will go a long way for you.

    Educational Achievements 

    One of the more tedious parts to read of most doctor resumes is their work history and education history. It’s almost 99% a list of rotations and responsibilities, which says nothing about how they actually performed.

    By all means give a quick summary of where you were for each of your years of medical school.  But quickly focus in on the things that you particularly did that prove that you are suited for a rural medical career.  There are some obvious candidates here, such as spending a year at a rural clinical school or being a member of a rural club.

    Less obvious might be parts of your course where you focused on generalist medical skills and methods of delivering health care.

    If possible, list at least a couple of things under your education history that show you can get things done.  This does not necessarily need to directly link to rural health.  But is a bonus if it can.  I like the SMART acronym for this.

    Try to describe your achievement end ensure you are Specific about what your achievement was. That you can Measure the success of your achievement. That you can describe your specific Actions in that achievement. And that you can describe the Result and Timeframe in which it occurred.

    So, here is an example that demonstrates SMART,

    “In my final year of medical school, we were set a group task to deliver a presentation on the differences between urban and rural mental health outcomes.  I noticed that we were having some initial trouble as a group in developing individual roles and accountability. So, I volunteered to act as the secretary of the group to ensure better coordination of group roles and tasks. This had an almost immediate effect on improving group dynamics and ultimately contributed to our group delivering the project ahead of time, gaining a higher distinction for our project and being selected as one of two groups to present our findings at the end of the year.”

    You will notice that the example doesn’t really touch much on medical knowledge or skills, but demonstrates skills and values such as emotional intelligence, professionalism, and a desire to achieve success as part of a team.  These are all highly desirable characteristics for employers.

    In terms of competencies that you could demonstrate in your resume I recommend you review the CanMEDS framework [http://www.royalcollege.ca/rcsite/canmeds/canmeds-framework-e] for further inspiration.

    Personal Statements

    Finally, we come to the personal statement.  There is a lot to personal statements.  So if you want to explore them more fully I have written more about the topic on the AdvanceMed Blog (advancemed.com.au).  However, I think for rural preferential internship there are 2 unique ways to go with your personal statement.

    Some of the medical graduates applying for rural interest will be from a rural background and the remaining will have an interest in rural health.

    For the first group. Those with a rural background. This is a strong selling point. The evidence around rural background and the rural training pipeline is well-known to rural hospitals and they are actively seeking candidates from this group as they know they have a high chance of becoming more permanent than just completing a year of internship and residency.  So, it’s definitely worth weaving this into your personal statement.

    My general formula for the personal statement is to:

    1. Offer some value to the employer.
    2. Show natural progression.
    3. Demonstrate how the opportunity helps you.

    So, for graduates from a rural background you can easily weave your background in at points 2 and 3 of this formula.  In which case you can if you want talk about one or two other key strengths for points 1.

    For example,

    “I bring 4 years of high-quality medical school training with a strong emphasis on communication and teamwork schools, I was also awarded a prize for my academic prowess in the area of surgery.  Having been born and high-schooled in a rural NSW town and spent 50% of my medical school at a rural clinical school, I am very prepared and excited to commence my internship at a rural hospital. A rural internship will also help me with my longer-term career aspiration to be a rural general surgeon.”

    For graduates who do not have a rural background but are interested in rural health you should take the opportunity to point out that a rural internship is the obvious next step for someone interested in rural health and will help you to define a rural career.  But, because you do not have that obvious rural background. I would suggest that its also worth pointing out what specific rural exposure and training you have had so far at Item 1.

    For example,

    “I have spent the last 2 years of medical school studying at 2 separate rural clinical schools. In that time I had developed a good understanding of the challenges for rural health as well as been able to identify that some of my strengths, such as personal communication and working within small and agile teams, are well suited to working in a rural hospital.  My rural hospital experience to date means that I am well prepared to take on a rural internship. Further a rural internship will greatly assist me in my desire to one day become a rural general practitioner.”

  • Medical Student Resumes A Written And Video Guide

    Medical Student Resumes A Written And Video Guide

    This is an evolving blog and vlog post specifically about how to write a medical student resume put together by request from a number of medical students who have contacted me asking for this type of information.

    In my experience, many medical students are at a bit of a loss composing a resume in their final years of medical school. There may be a number of reasons for this but high amongst these reasons is the fact that for many it’s their first experience at doing something like this. So before I dive into the details and specifics lets me give you my key tips on how you can get a good medical student resume together.

    1. It’s really helpful to start with a template. Problem is there are not too many that are specifically for medical students. So I’ve supplied you one at the end of this post (to encourage you to read the whole way through).
    2. It’s best to not get caught up with particular headings or what should go where. Just start writing in the sections that you can and get the juices flowing. Leave your personal statement to the very last.
    3. Understand that employers spend only a few seconds the first time they see your resume. So in order to maximise its impact, you need to ensure that important matters are on the first page.
    4. Personal statements can be tricky to construct. Especially the first time you try to do it. For most of us, it’s hard to talk ourselves up. In this article, I have provided a personal statement formula that works well for most doctor’s

    So, if you are a medical student and would like some help with your resume you are in the right place.  And look even if you are not a student you may find some of these tips useful so please feel free to keep reading as we dig a bit deeper.

    What Is Unique About the Medical Student Resume?

    There are a number of unique features of the medical student resume. And I should clarify we are talking here about the one that you put together at the end of your medical school years.  The one you need for your intern application.

    A key unique feature of the medical student resume is that it can be a struggle to show big points of difference at this point.  You might be lucky to have won some awards or have a higher than normal grade point average in your medical school.  But generally, most medical students have the same types of experiences and learn the same things in medical school.  So, this can make it really hard to stand out.

    On the positive side, there is generally less emphasis on the importance of your resume at this point. The key reason for this is that from an employer perspective you have not been tested as yet through work experience. Work experience is a key thing that most employers look at on any candidate’s resume.

    So with a similar educational experience and lack of any work experience (at least as a doctor), it can seem hard to stand out.

    Or can it?

    Describing Competencies Can Boost Your Resume.

    I recently gave a seminar to some 4th-year medical students (students in their penultimate year) at my local university. The talk was about the importance of being well-rounded in one’s medical career and being able to demonstrate a range of competencies on your resume.

    Being able to articulate your competencies and demonstrate evidence for them is a really good way to shine on your resume. The problem is many medical students and doctors alike don’t know what competency is. Which is a real shame as competencies underpin much of what is currently occurring in medical training.

    The framework I like for describing competencies is the CanMEDS framework. I’ve done a few more extended videos about CanMEDS so here’s one of those videos if you want some further details.

    But suffice enough to say, CanMEDS is a thoroughly well-tested model that says that what we are looking for in a good doctor is someone who is not only a medical expert but has strengths in the areas of communication, collaboration, advocating for patients and good health outcomes, scholarship (i.e. teaching, learning and research), being a leader and of course being a professional.

    All good so far when I spoke to my students about this concept.  They could all see that there was more to being a doctor than their medical knowledge and skills.

    BUT they asked me.  How can we actually demonstrate that we have competencies in those areas?

    What are the opportunities we have between now and graduation where we can develop these other competencies more or demonstrate our proficiency?

    Fair enough question.

    So let’s take one of these competencies.  Let’s take communication.

    I have deliberately chosen communication as it can be an extremely difficult competency to write about in a resume.  Yet it’s almost always there as a key selection criterion.

    Lots of doctors (not just medical students) will just write that they are very effective communicators.

    I am a highly effective communicator

    Typical statement seen on a doctor resume which frankly means nothing.

    But so what. Who says?  Where’s the evidence?

    Well. If you think about it for a minute. In medical school, there are actually plenty of opportunities to demonstrate your capability as a communicator and collect evidence for your resume.

    You just have to be strategic and have a bit of a plan.

    If you just rely on what the medical school says to guide your learning you are going to miss these opportunities that I am now going to point out for you.

    Communication Opportunity Number 1.

    Communication Training sessions.

    Most medical schools these days incorporate specific sessions or training around communication.  Engage in these sessions.  Find out what the curriculum or learning outcomes are for them.  Write these learning outcomes down in a logbook or a diary somewhere.

    Go into these sessions with a specific goal in mind.  If, for example, you feel that you want to work on counseling patients, as part of your communication training.  Tell the teacher of the workshop this at the start and ask if there is a specific opportunity in the session for you to practice this aspect of your communication.

    Write a short reflective piece about what you learned as a reminder and reinforcer.

    Now. When it comes to putting your resume together you suddenly have something substantial to write.

    For example,

    as a communicator, I was trained and assessed in my medical school training to be an effective and patient-centred listener and communicator. I learnt the benefits and utility of various communication techniques, including both open and closed questions.  I learnt how to successfully handle difficult communication challenges, such as breaking bad news or enquiring about suicide. A personal goal for me in all of this was to achieve high-quality counselling skills, which I am pleased to say I was able to achieve so that I am competent in a range of counselling situations for interns, including discharge planning, the impact of lifestyle on health, and discussing common medications and their possible side effects.

    Communication Opportunity Number 2.

    End of Term Reports.

    Most medical schools will require that you get some sort of end-of rotation or end-of-term supervisor report. Use these to collect feedback and information about your communication strengths and weak points.

    I would encourage all medical students to start out each rotation again with a few clear learning goals in mind.  If communication is one of these.  Make sure that this is clear to the consultant and the trainee doctors and other team members that you are working with.

    Be as specific as possible about what it is that you are wanting to work on.  And encourage them to be as specific as possible.

    So again, going back to our previous example. Perhaps you want feedback on your counseling skills. Say this upfront and your team will most likely help construct opportunities to practise these skills and get feedback.

    At the end of this rotation and others.  You will then hopefully have meaningful comments in your supervisor reports which you can use on your resume.  Check with your supervisor about your end-of-term reports before the term wraps up.  Make sure that you are provided with plenty of written feedback.

    Then when it comes to putting together your resume.  You have more to write about.

    For example,

    across my last 2 clinical years of medical school, my supervisor reports consistently showed that I excelled in communication.  I was signed off as competent in being able to gather a relevant history, make appropriate file notes, complete an effective discharge summary, conduct a handover and do basic patient counselling.

    Communication Opportunity Number 3.

    So, my final opportunity for you to both enhance your communication and demonstrate it on your resume might be seen as a little bit more unorthodox than the last 2 suggestions.

    But I’d encourage you to consider this one.

    As someone who has interviewed thousands of doctors over time for various jobs.  There are few things that speak more highly about someone’s communication skills than actual patient feedback.

    Very few doctors bother to gather feedback from patients about things like communication.

    So here is a really great opportunity for you to stand out.

    Think about putting together a short survey or questionnaire for the patients you are seeing.  Make sure of course that you consider issues of consent and privacy. It’s probably best not to collect any demographics or even case details.

    Whenever you see a patient ask them if they would mind filling out a quick survey about your communication.

    Very quickly you will be able to compile a useful set of data and information that will probably show you your areas of strength (which you can now point out on your resume) and areas for improvement.

    For example,

    During medical school I also conducted a survey of 20 patients who indicated that I was an effective listener, was able to communicate in lay language and that they would be more than happy with having me as their intern.

    So there you go.

    Some tips about how to talk about your communication on your CV.  Some of these you may be able to act based on existing data that you have collected.  Some may require you to think about the remainder of your medical student days.

    Personal Statements

    One of the most crucial elements of any resume is your personal statement or what is sometimes referred to as your career goal statement.

    If you don’t know what a personal statement is. It’s that piece of narrative text that normally immediately follows your name and brief details on your resume and summarizes you as a job applicant.

    Other names for personal statements are:

    • Personal summary
    • Personal profile, and
    • Career goal statement

    Now. If you have watched any of my videos about CVs and resumes you will know how important I view your personal statement to be. It’s possibly the most important part of your resume.

    And personal statements are even more important. If that’s possible. When it comes to medical student resumes.

    This is because you have no formal on-the-job experience as a doctor. Which is normally the next most critical part of your resume.

    Benefits of Personal Statements on Medical Student Resumes.

    So, let’s talk first briefly about the benefits of a personal statement and we will go over how you should construct your personal statement.

    The benefits of a personal statement really boil down to one big thing, which is your ability to control the narrative of your resume.

    Think about it. If a prospective employer has not met you before. And they are reviewing your resume along with a bunch of others. Having a quick snappy well-written summary at the top of your resume is like gold to them.

    It saves them time by giving them key things that they need to know.

    Think of it as the abstract on a research paper or an executive summary on a report. How many times have you read one or other of these and then not even bothered reading the rest of the paper or report? Or possibly just skimmed the rest. I’m betting it’s at least 9 times out of 10.

    People only have limited memories and like it or not they are going to try to simplify you. To make it easier on them. So what is better than to control this simplification through the use of a well-constructed and controlled statement on the top of your resume?

    Why not control the narrative of your career rather than them making it up by hopping all over your CV?

    And even if they do know you. Which happens a lot in medicine. The summary is still going to help them in that simplification. As they really know everything about you.

    So that’s why a personal statement is crucial.

    Let’s now talk about how to construct one.

    How to Construct a Personal Statement for Your Medical Student Resume.

    So, in order to construct your personal statement, you are going to need a few other things as well.

    First. You should ideally have written at least the first draft of your resume already. You need that. Because personal statements should link to the other components of your resume.

    Secondly. You should also ideally have a position description. Now, this may be hard depending on where you are located. If you are in Australia or New Zealand you are normally applying for an intern position at a number of locations across these two countries so there may not be a clear job description. In the UK it may be a similar issue applying for foundation posts. For residency applications in North America, there may be a job description available for the post.

    Normally there is some form of document that has the selection criteria on it. Which is what we are looking for.

    What we are endeavouring to do is match our best strengths to the job and tailor our resume and statement as much as possible.

    So, once you know what the key things the employer is looking for. Think about the key strengths or key skills that you have in your resume which match these criteria.

    We have already talked about one of these in our previous topic about talking about communication in your resume.

    Communication almost always comes up as a key selection criterion for intern and resident posts. It’s so crucial that you have good communication skills.

    A Formula for Great Personal Statements.

    My formula for personal statements is as follows:

    First off start by telling them what you can offer them. What value you do you bring. It’s really important that you lead with this first. Employers are looking for people who can add value to their organisation even if it is future potential. You are being respectful by offering something first.

    So for example as a medical student you might say something like:

    I have recently graduated from one of Australia’s most innovative medical school training programs where I developed strong clinical capabilities along with excellent communication and teamwork skills as evidenced by high ratings in communications workshops and excellent supervisor reports which I have listed in my resume.

    It’s important that you provide some measure justification for your strengths even if it is referring to someone independent, particularly with something like communication.

    The second part is that you need to show them why this position is a natural next step or fit for you. Now, this is relatively easy to do for a medical student resume. But there is an opportunity to personalise things a bit.

    For example,

    In seeking this internship opportunity, I would strongly welcome the opportunity to work in your hospital as I feel that I have already developed a strong understanding of the organisation through my 12 months on placement.

    Finally, you want to leave them with a personal reason for why you feel you are a good fit for this particular job. Now, this may be a little bit hard if your resume has to be submitted to a number of hospitals at the same time. So, it might be a little difficult to personalise it down to that level. But if you can then do so.

    One way of achieving this is to make your personal statement a career goal statement.

    Converting from Personal Statement to Career Goal Statement.

    So, we can do this by finishing off our personal statement by talking about where we see this job helping us or taking us into the future (let’s say in about 3 to 5 years time).

    For example

    Working at this hospital will, in particular, give me a strong opportunity to develop my passion for general medicine as it is one of the few tertiary facilities in the State that has retained a general medicine department. Ultimately, I would love to do my basic physician training at your institution.

    If you can point out something that’s good about the hospital and make reference to seeing yourself working there for a good while then employers love that.

    So that’s one example of a medical student resume personal statement.

    Because it can be hard to craft one of these the first time. Let me leave you with a couple of more examples.

    Example of A Personal Statement for a Doctor Targetting a Rural Internship.

    I offer a commitment to rural medicine.

    Example of a Personal Statement for a Medical Graduate Targetting a Hospital With a Particular Program.

    Referees.

    Now that you’re entering the final years of medical school, it’s time to start preparing for your transition to becoming a “real doctor”. In Australia, we call this the internship. But you might refer to it as other things like your residency or foundation program. Depending on where you are in the world.

    Now the requirements for applying for an intern post vary a little bit depending on where you are applying.

    But one thing that most of you will need to consider is having referees for your application.

    So in this section, I’m going to talk about.

    • How to go about finding referees.
    • What sort of referees you should consider.
    • And of course how to list your referees on your resume.

    References are required for intern applications in most States and territories of Australia. But they’re not required in New South Wales if you’re going through the general application system. But if you are applying for the rural preferential system, they are required.

    So basically, most Australian medical students need referees.

    What exactly is a referee?

    Basically. A referee is someone who agrees to have their name and contact details listed on your application and resume so that the selection panel can contact them to ask questions about you.

    These questions might just to confirm that you are who you say you are. Or may go quite a bit deeper seeking to validate things you say about yourself on your application and get a better feel for how you operate from another person’s perspective.

    So, it’s pretty important to choose your referees wisely. More about this soon.

    Now the first thing you should be thinking about before you get to selecting referees is to be thinking where you might be applying for with your internship and checking out all the requirements that there are including what sort of documents you may need to submit.

    In general, you will need to submit the names of at least two people who can vouch for the fact that you’ve been a medical student and preferably talk more about you than that.

    It’s generally wise also to have a third referee just in case.

    In most cases, it’s ok for your referees to be supervisors that you’ve worked with, a faculty member or even something like a professional staff member. It’s best to have at least one medical professional as a referee.

    In a few cases, there may be requirements are for all of your referees to be medical professionals, particularly in certain other countries. So again, you need to check out the actual requirements.

    How to Approach Potential Referees As A Medical Student.

    So here’s my suggestion for how you should go about collecting referees.

    After you’ve completed a placement or rotation, you should consider approaching your supervisor to ask if they would be happy to act as a referee for you.

    Explain to them carefully that you don’t need them to do anything at this point.

    It may even be that they just need to be listed as a name on your application. Just write down their contact details including:

    • The correct spelling of their name
    • Their title or position in the hospital or facility
    • Their best email and phone number

    Is preferable to get a mobile or cell number, if they’re happy to give this. Tell your referee that you may need to contact them in a few month’s time to act as a referee. Make sure they don’t get too carried away now and start writing you a letter of reference (unless you truly think that you may use this).

    In my experience, in most cases, referees for internship posts are not actually contacted or just quickly contacted to verify you are who you say you are.

    Now. Before you end this rotation. Think about the other members of the team. Who did you get on well with? Who did you respect? Could they also be a good potential referee?

    Think about specialty trainee doctors, Nurse Managers and Allied Health staff.

    Repeat the step you just went through with your supervisor to ask these people for a reference.

    Pretty soon in a very little amount of time, you will have a bunch of options for referees for your resume and application.

    Does Brand Recognition Matter for Medical Student Referees?

    Now. Some people say it’s a good idea to collect the names of well-known people as your referee. You might call this going for “brand recognition” on your resume.

    In my experience, particularly for the internship applications, it makes little difference whether you have a well-known person on your resume.

    What is more important are a few other matters.

    Recency, Relevancy and Diversity Matter More for References on Medical Student Resumes.

    When selecting your referees it’s a good idea to think about 3 key points

    • Recency
    • Relevancy
    • Diversity

    Let’s unpack that a bit more.

    Recency

    Recency is about having referees with up to date knowledge of your performance. As a medical student, you probably have a number of options here. Try to ensure that your referees have had some contact with you in the last couple of years. And in particular, make sure that one has had a good view of your performance in the last 12 months.

    Relevancy

    Relevancy is about someone speaking to the role that you are going into. Amongst your referees, you ideally need one or two who have an idea about the job you are going to perform. Clearly, for a prospective intern, this means having at least one medical referee. But think about this more deeply. Are you perhaps applying for a rural internship? If so, it really makes sense to have at least one rural doctor as a referee who can attest to your aptitude for rural medicine.

    Diversity

    Diversity. is probably the most often overlooked of the criteria. You don’t need to have all doctors on your resume. And these doctors don’t need to be all-male consultants over 50. A good way to show that you can work well in a diverse health team is to have a range of referees on your resume. At least one male and female is a good start. But think also about registrars, as well as nursing staff, allied health and managers. Often these people get a much better look at you than a consultant. So make a more effective referee anyway.

    How to Know If A Referee Will Be a Good Referee.

    I am often asked how to tell whether a certain referee will be a good referee. The best way to assess whether someone will act as a good referee for you is the direct approach. Ask them.

    Ask them what they would say about you if approached for a reference. Most people will be honest with you. If someone feels like that they can’t give you a great reference they will probably say so. And you will likely learn something vital about yourself in doing so.

    It’s worth noting, however, that you probably don’t want someone as a referee who tends to be really overenthusiastic about your performance (to the point where you don’t feel you merit at all their praise). This may come across as lacking in authenticity when they are rung up.

    From a recent literature review, I was involved in there was some small (limited) evidence that choosing a more junior or younger referee may provide a more positive reference. But honestly, I wouldn’t make this the key criteria for choosing your referee. Because as I say the evidence was small in its significance at best.

    Finally, you are probably wondering how to go about listing your referee on your resume.

    How to List Your Referees On Your Medical Student Resume

    Example of how to list your referees

    Basic Physician Trainee example:

    Dr Michael Reeves (FRACP) Cardiologist and current supervisor, Regional Hospital, Regional City 0444 555 666 777, email@advancemed.com.au

    Of note, you want the name, their title, where they work and a mobile number and email address for contact. You don’t need to include all of their qualifications. But anything that relates to your job application (in this case we are wanting to become a Fellow of the RACP) can go in. If it is unclear from your work history how this person knows you make sure this is explained as well.

    So remember:

    • Recency
    • Relevancy
    • Diversity

    Describing Your Education and Other Achievements

    One thing that is unique about a medical student resume over other doctors resumes is the absence of work history. Or at least the absence of medical work history. It’s one of the rare situations where it generally makes sense to put education next after your personal statement.

    But don’t forget to include any substantial work history. That job you did in a previous life as a management consultant for Deloitte’s might just be the big thing that stands you out over other candidates.

    In terms of describing your education history. Much the same as for your work history. You should see this as an opportunity to highlight your ability to perform and achieve.

    Don’t just put down a list of your medical curriculum requirements. This is boring and the employer will just assume that you did the same thing as everyone else at your school.

    Try to find opportunities to show that you can stand out and did more.

    For example, was there a particular clinical rotation where you were given some additional responsibility? Or perhaps took on a small audit for the unit. Or did you take on a leadership role in your medical society and did you actually achieve something in that role?

    Be SMARTE

    Use the acronym SMARTE to describe your achievements.

    SMARTE stands for

    • Specific task or Situation: describe the actual task including specific details. Create a “mental picture” of the accomplishment.
    • Measurable details and Metrics: quantify the accomplishment use facts, figures, dates, and percentages.
    • Actions taken and your Actual role: talk about your actual involvement in the change, were you in charge? did you take on a key role? did you show initiative? Acknowledge team contributions wherever possible (Medicine is a team game) but make it clear that you made an active contribution to the teams’ success.
    • Results achieved and deliverables defined: describe the overall outcome or final product, it’s overall quality compared to some important benchmark, inform the reader if you received any positive recognition for the work.
    • Timeframe to accomplish the task and the Team involved: talk about the time to create the outcome and the other members of the team. Especially if you met your objectives in a period of time that was under pressure (where it often was) or earlier than expected. And if you displayed good teamwork skills in getting other members on board.
    • Environment, culture and underlying circumstances: talk about the challenges that may have been present in the environment and how you overcome barriers.

    Now not every achievement will have all of SMARTE in it. But the more the better.

    Here is an examples

    During my Cardiology term as a final year medical student, I was placed on one of the State’s busiest units.  On a weekly basis I was regularly helping the intern to clerk 24 inpatients along with attending the weekly general outpatient clinic, 2 stress test sessions per week (some of which I was permitted to conduct under supervision) and following the registrar for an average 2 consults per day. I learnt a lot during this time.

    Now not everyone has hard cold factual achievements that they can list under their work history.  But even something like being praised in a supervisor report for something is better than you just providing a list of responsibilities.

    If you have learnt and developed certain skills or capabilities then its also ok to put these down.

    My paediatric term in combination with the APLS course I attended helped me to become comfortable in managing sick children.

    Don’t forget it doesn’t have to be about your academic work. It could be:

    That you managed to get your research project accepted to a peer reviewed publication.

    Or that you dedicated extra time to developing up a teaching program in your school.  But if you have don’t just say you started a program. How many students did you have? How many teaching sessions did you provide etc…

    In terms of extra things. There are a few don’ts or things to avoid.

    Don’t put down extra responsibilities without talking about the achievements.

    A classic is being a member of a certain committee.  If that committee did nothing the year you were on it (as many do). Best not to put this down as you have basically just shown that you like to contribute to inefficiency.

    If however that committee fixed something important then take some credit for this.

    Putting It All Together

    Once you have the content of your Resume pulled together you should first go back and review your personal statement and make sure it fits with the rest of your resume and has all the gems in it.

    Then its time to assemble. It’s essential that you compile it in a way that ensures that the most important information is presented first. In particular that you maximise what is on your first page. As this is the page that employers will spend most of their time on.

    Things that should go on your first page include:

    • Your name, which should be the biggest thing.
    • Short qualifications
    • Contact details
    • Personal statement
    • Education history

    You may have other things you wish to include but these generally will come on the next pages.

    There are lots of options for doing this but either an online CV-builder or a document template will probably ensure that you stick to a simple and professional style and format.

    Templates that have 2 columns often work better as they allow you to set out information well but increase what is included on the first page.

    In terms of online CV builders here are 3 that we recommend:

    VisualCV

    Resume.Io

    novoresume

    A Medical Student Resume Template

    Click here to go to a related post where we have a template waiting for you.

    Related Questions

    Question. Am I limited to listing just one strength in my personal statement?

    Answer. No. But you will probably find it hard to provide strengths for all of the criteria. So it’s best to limit yourself to 2 to 3 at the most. Otherwise, you lose their attention and also stop them from focusing on where you want to be. Remember this is determining the narrative that you want them to remember you by. So you have to decide if you want to be known as a medical graduate with a strong research background or perhaps the medical graduate who used to be a management consultant. Try not to confuse them too much.

    Question. How long should a personal statement be?

    Answer. You should try to make it as brief as possible. Get someone else to read it for you. If you can use one word rather than three go for the one word. As a general rule for a medical graduate, I wouldn’t do more than a couple of paragraphs filling up the top 1/3 of your front page. But its all relative and as you go on further in your career you may want to devote more front-page real estate to your personal statement.

    Question. Is there anything I should not put in my personal statement?

    Answer. The main thing to avoid is statements or claims that you don’t back up in your resume. For example, if you say that you have excellent clinical skills then you should at least list the key ones you have developed under education. As I say statements such as “a strong focus on high-quality communication” or “strongly valuing teamwork” get quite cliched and grate on experienced employers. Don’t add something in like this unless you can really back up how you have demonstrated it in your career so far.

  • Intern, Resident and Registrar Salary Australia. 2020 Guide.

    Intern, Resident and Registrar Salary Australia. 2020 Guide.

    We have an updated salary guide at this post.

    On this blog we want to give you the best information possible about Medical Careers. That obviously includes information about pay rates and related conditions. We have already given you the low down on Interns and Residents, as well as Specialists. So its high time we discussed Specialty Trainees. Right?

    In this post we are going to talk about Specialty Trainees, also referred to as Registrars and how much they earn. Specialty Trainee Registrars working full-time in the hospital system will earn between $89,649 as a first-year Registrar in Tasmania up to $161,766 per annum working at the most senior Registrar level in Western Australia. General Practice Trainee Registrars working full-time are guaranteed $75,328 per annum in their first year of training. Going up to a guaranteed $96,724 per annum in their 3rd and final year of training.

    Once again it’s important to emphasize that these salaries are base salaries for full-time employees. Specialty Registrars are often required to work considerable amounts of overtime and on-call which will increase their pay rate significantly. And General Practice Registrars are able to negotiate with their employers above the guaranteed rate of pay. Often this will be on the basis of a proportion of the Medicare revenue that they generate for the practice. So, again they can possibly earn significantly more.

    Specialty Trainees Can and Often Do Earn Much, Much More.

    We can see evidence of the fact that Registrars do earn much more than their base rate of pay. “Other Medical Practitioners”, which is where most Registrars classify themselves for tax purposes with the Australian Tax Office earned on average $204,387 of taxable income in 2016/17 according to the ATO.

    Whilst these figures are likely to be conflated by General Practitioners and other Specialists indicating this category as their profession as well they do back up the contention that most trainee doctors earn significantly more than their base salary due to working excessive hours with specialty trainees at most risk of working excessive hours and amongst these Intensive Care and Surgical trainees being at the highest risk of fatigue.

    Its certainly been my observation over the years that surgical trainees in particular work long hours. This is generally a combination of rostered and unrostered overtime as well as being “on-call”. I was literally at a meeting last week where an administrator reported that the surgical trainees at her hospital were the best paid doctors last year due to their workload. Meaning that they were paid even more than the specialists.

    Its easy to see why and how this would be the case. Lets take a typical situation of a medium hospital which employs 3 General Surgical trainees. Each is on the roster approximately 1 in 3 on top of their normal 40 hours per week. This means being on call around 2 weeknights per week and 1 weekend in 3.

    Let’s assume one of these surgical trainees does slightly more than their share of weeknights in a month (4 weeks). 8 in total. But only one weekend. Let’s say that they get called on average 2 times per weeknight and 15 times over the course of that weekend.

    In New South Wales each of these call-backs would amount to a period of 4 hours of overtime. This is initially paid at time and a half for the first two hours and thereafter double time.

    So we have:

    • 160 hours of normal time
    • 2 callbacks X 8 = 64 hours of overtime for the weeknights
    • 15 callbacks for the weekend = 60 hours

    This gives us a total of 284 hours for that 4 week period. Which is close to double the base hours! But wait. Because those overtime hours get paid initially as time and a half and then very quickly as double time. The total amount of hours paid becomes about 400 hours!

    Now this example is obviously not typical for every specialty and there are some specialties which may not have to do as much overtime and not get called in as much. But it is also not the most extreme example either as the case of Dr. Yumiko Kadota has demonstrated to us.

    Breakdown By State and Territory.

    We have compiled below a table that demonstrates the current base rates of pay for Intern, Resident, Senior Resident, Registrar and Senior Registrar for each State and Territory in Australia.

    Please bear in mind a number of things. Once again we are talking Full-Time Annual Salary. Also, as I have pointed out above the actual take-home pay can vary considerably. Also, the Awards and agreements for each State and Territory are set independently and at different times from each other. So over time, the tendency is for there to be movement both up and down through the table.

    What is apparent, however, as we have pointed out on our other blog posts about Interns and Residents is that Western Australia is clearly the best place to work if your sole interest is finances. Victoria is next best and rates a special mention as its Enterprise Agreement contains a lot of additional friendly provisions that others do not.

    $31,000 in difference between the highest rate of pay between Western Australia and Tasmania is a bit hard to fathom and justify. It’s almost a 20% difference.

    State / TerritoryInternResidentSenior Resident*RegistrarSenior Registrar**
    Western Australia***[]$78,479$86,328$94,960$109,678$161,766
    Victoria$74,563$79,391$86,060$116,460$155,477
    New South Wales[]$69,649$81,639$89,793$101,698$143,398
    Australian Capital Territory***[]$68,094$79,682$87,410$98,704$138,667
    Queensland$73,306$79,413$85,521$105,377$134,389
    Northern Territory$71,350$82,731$88,629$98,413$134,113
    South Australia$73,370$80,041$86,710$100,717$133,400
    Tasmania$68,936$72,837$89,649$89,649$126,854

    *Being appointed to a specialty trainee position does not automatically mean appointment to a Registrar role in all States and Territories. For some, for example NSW, the entry point is the Senior Resident Medical Officer position.

    **Not all States and Territories have a Senior Registrar role. We have used the maximum Registrar pay grade where there is no Senior Registrar role.

    ***The Australian Capital Territory Enterprise Agreement expired in July 2017. Therefore we expect that the salaries quoted here will increase significantly when there is a finalization of the new agreement. Similarly, the WA Agreement experied in 2018.

    What About General Practice?

    Ok. So far I have ignored General Practice. But this has not been deliberate. It’s because General Practice is a different set of circumstances to the other specialty training cases. This is because General Practice works more on a national basis. Because there is an Australia-wide minimum set of pay standards.

    So, according to the General Practice Registrar Association website the current base rate of pay for a first-year General Practice Registrar is $75,328.23 per year and for a Registrar in their final year (which is either 3rd or 4th year) $96,724.43 per year. Again, this is for full-time work.

    Now, whilst these rates appear to be somewhat lower than for Specialty Trainees paid as Registrars you should bear in mind four things about General Practice training.

    The first is that General Practice training is a minimum of 4 years, whereas most other specialties are 5 years and possibly longer. So there is no need for higher Registrar levels in general practice.

    The second is that is actually possible to enter General Practice training in your PGY2 hospital year. So when you enter your first actual GP training post you are actually in your second year of training.

    The third is that the pay agreements are a minimum standard as part of an employment contract below which your employer may not go. But it is quite common for GP trainees to negotiate a better agreement with their employer, by agreeing to collect a share of their Medicare billings. So it is possible to do far better than these minimum amounts. Although, clearly this partly has to do with your own productivity as a GP trainee. And I don’t have any meaningful information to tell you how much this can increase salaries.

    The fourth and final thing is that clearly, GP trainees become specialists earlier. So whilst other specialists can and do eventually earn more than GPs. You get there first as a GP and so you get a head start on the rest of the field. Also, GPs are generally working less time than other specialists. So in theory more able to enjoy their very reasonable salary.

    Time To Complete Training and Other Costs.

    It has been suggested to me by my readers and viewers that in order to tell the complete picture I should talk about the time it takes one to complete training as well as some of the other costs involved in getting there.

    Whilst I agree that this probably does make the picture a little bit more complex for Specialty groups such as Surgeons. As I have also pointed out. Whilst one is working as a Surgical Trainee, either accredited or unaccredited you are in a group of doctors who are going to be earning quite a bit due to the amount of time worked. Now. This observation in itself is not really an attractive reason to enter Surgical training in my opinion.

    But it does mean that if you are successful in getting your way through Surgical training to your FRACS you are probably going to end up earning one of the highest incomes of doctors across your medical career.

    This is all pretty relative when we consider that most medical professions are in or close to the top ten occupations in terms of average income in Australia.

    Some key things to observe here are:

    • Some specialties are somewhat easier to get into at an earlier stage of training, examples being Emergency Medicine, Psychiatry, Physician Training and Emergency Medicine.
    • Other specialties have long waiting lists where you might end up becoming a very, very senior Resident before you get onto the program. Examples here are Surgery, Ophthalmology and Dermatology
    • Costs of training fees and exam fees can also vary significantly. Annual College fees usually start at over a thousand dollars for most Colleges. Examination fees can be a few thousand dollars to over ten thousand dollars. These costs are all tax deductible.
    • You may also need to or find it desirable to enter a formal training course. Some Colleges make this mandatory. This will also cost you a few thousand dollars. Again. This is also tax deductible.
    • Depending on your specialty there may be some equipment that you need to buy. For example, some of the surgical specialties utilise special equipment (think Ear, Nose and Throat).

    Other Related Questions.

    Question: What Other Benefits Do You Get As a Specialty Trainee?

    Answer.

    There are a range of other benefits that you get when working as an employed doctor in Australia.

    • On top of your salary, your employer is required to pay an additional 9.5% into a superannuation fund to assist with your retirement.
    • As an employee, you are covered by workers compensation for any injury or accident that might occur at work. Although payouts are often fairly poor and below what most professionals earn. So you may wish to consider taking out additional income protection insurance.
    • If you are asked to be on-call you will get a small allowance for this and be paid if you are called back into work.
    • You may get an allowance or even a mobile phone provided to you if you are required to be on call.
    • You might get some meal allowances for shifts.
    • If you have been seconded a reasonable distance from your normal place of appointment you will generally be provided with free temporary accommodation (you may need to pay a bond) and a travel allowance, for example, a free air ticket back home every 13 weeks or so.
    • You will get at least 4 weeks of annual leave per year.
    • Most doctors will also get one extra day off per month. Called a Rostered Day Off or RDO.
    • You will get a certain amount of sick leave every year which you can accumulate if you don’t use.
    • You also get access to other types of leave, such as leave to take your child to the doctor.

    Question: If I Am a Specialty Trainee From Overseas. How Much Will I Get Paid?

    Answer.

    You should be paid the same as the equivalent doctor in Australia. But this is a case where it’s always best to check. Once you are offered a position you should make sure that the employer is taking into account your current status as a trainee doctor overseas and in particular the amount of years of experience you have had. Some employers may indicate that they only take into account years of clinical experience worked in Australia. This can be a grey point. When pushed they will generally recognise your overseas experience as well.

    Special thanks to Dr Rachel Seaniger for the research conducted on this post

  • Medical Internship 2019 Guide. With 5 Tips For Applying.

    It’s that time of the year again. The time when each of the States and Territories in Australia opens up the process of applications for medical internships for the following year. For four years I was responsible for running the largest Intern application system in Australia for 4 years. The NSW Intern application system. So I’d like to share with this year’s medical graduates some of the wisdom I gained from that experience.

    (Disclaimer: All information here has been sourced in good faith but things do change so you should always do your own due diligence in such matters, we are providing this information to aid you in your application but take no responsibility for any outcomes)

    Intern applications and allocations are coordinated across Australia so that every State and Territory opens and closes their systems at the same time and makes offers at the same times. The key things that all medical graduates should consider in preparing their medical internship application for 2019 are as follows:

    • Applications open on 8th May 2019.
    • Applications close on 7th June 2019.
    • Make sure that you have an Intern Placement Number otherwise you won’t be able to apply.
    • You should research the application requirements now as there may be some “surprises”. As soon as the application system opens, register or log in and ensure that you have everything you need to complete your application.
    • Understand where you sit in the priority list for any State or Territory you are applying to.
    • If you will need to attend an interview. Make sure you have gotten leave from your medical school requirements to attend.
    • Give yourself time to request referees, put together a CV and find other documents that you may need.
    • First offers come out from 15th July 2019. So make sure that you have regular access to your email as your time for accepting offers can be quite short.

    Tip #1. Your Medical Intern Placement Number.

    The IPN is a unique nine-digit number that has been generated by AHPRA and has been provided to medical schools for distribution to all 2019 final year medical students. The number is used as part of the national audit process (which ensures that intern positions across the country are made available to as many applicants as possible) as well as to streamline registration.

    This number is not the same number as your AHPRA registration number or student number. If you have not received you IPN you should check with your school

    Tip #2. Other Things You Will Likely Need. 

    The majority of States and Territories require you to upload an academic transcript as proof that you are indeed a medical student. 

    They will also request evidence that you satisfactorily meet the AHPRA English Language requirements. This may seem a bit ridiculous given that you have been attending medical school in English for the last 4 or 5 years. But it is the law. So check whether you may need to submit an up-to-date English test result or some other form of documentary evidence such as a high school certificate.

    Most States and Territories will also request a CV or Resume. For tips on your CV or Resume see our ultimate guide to CVs or watch the video below.

    Some States and Territories have a CV template that they suggest that you use to fill in your information. In the case of Victoria, you are required to use this template. It’s probably fairly harmless to use the template for the other States and Territories. But if you are thinking about your future career, then nows is a good time to be designing your own CV. The risk of using the template is that you don’t stand out from other candidates.

    You will need to also provide proof of your identity, citizenship, residency or visa. And if you have had a name change along the way you will probably also need to provide some documentation in relation to this.

    Why All This Information?

    The State and Territory bodies who administer the Intern application process have a responsibility to ensure that you are eligible to apply for provisional registration at the end of the year in order to work as an Intern.  They collect this information to check that everything is in order so that you are indeed eligible to apply. Employers can get rightly annoyed when told that someone who has been allocated to work with them as an Intern will have a several-month delay whilst they resit an English language test.

    However, it’s your responsibility to ensure that you are eligible for registration. So you should also be checking these things yourself. 

    Tip #3. Research and Apply Early.

    It’s hard to fathom given the amount of communication from health departments, medical schools, and student colleagues. But every year there are a handful of medical students who forget to apply for their internship. This means having to wait another year. Don’t let that be you.

    There are even more students who leave their applications to the last minute. Only to find that they are missing a vital document. For example, this could be evidence you need to substantiate that English is your first language, such as a high school certificate. Or perhaps your last name has changed whilst you have been in medical school? Or maybe you need to submit a CV with your application?

    As soon as the application page opens for each State and Territory you are going to apply to make sure your register. And then go as far through the process of applying as possible so you can see if there is some sort of document you need to obtain.

    Tip #4. Know Where You Sit In The Priority List.

    It’s important to know where you sit in the priority list. Each State and Territory has a slightly different order but in essence, it goes something like this:

    1. If you are an Australian Citizen or Permanent Resident and went to Medical School in that State or Territory you are top of the list.
    2. If you are an Australian Citizen or Permanent Resident and went to Medical School in another State or Territory or New Zealand you are probably second.
    3. If you are an International student who studied Medicine in Australia you are probably next.

    Priorities Within Priorities.

    Some States and Territories also have priority pathways to ensure that groups such as Aboriginal and Torres Strait Islanders and doctors who wish to work rurally or regionally can obtain their preferred placement early.

    So if you are an International student and like the idea of working rurally its probably a good idea to consider a rural pathway as it will likely boost your chances of gaining an Intern position earlier in the process.

    South Australia

    Intern Positions ≅ 260
    Annual Salary = $73,370
     
    Intern Positions in South Australia are administered via SA Health Careers

     

    Northern Territory

    Intern Positions ≅ 50 
    Annual Salary = $71,350
     
    In the Northern Territory Internship is organised by the Northern Territory Prevocational Medical Education Assurances Service.

    New South Wales

    Intern Positions ≅ 1,000+
     Annual Salary = $67,950
     
    Intern Positions in New South Wales are administered via HETI.
     

    Victoria

    Intern Positions ≅ 820
     Annual Salary = $74,639
     
    Intern Positions in Victoria are managed by the Postgraduate Medical Council of Victoria

      

    Commonwealth Program

    Intern Positions up to 115
    Annual Salary = uncelar
     
    The Commonwealth provides an additional Internship program for international students who study at Australian medical schools.
    *Any excess posts may be applied for by other IMGs in Australia
       

    Western Australia

    Intern Positions ≅ 310
    Annual Salary = $78,749
     
    In Western Australia Intern Applications are coordinated by the Postgraduate Medical Council of Western Australia (PMCWA).
     

    Queensland

    Intern Positions ≅ 840 
    Annual Salary = $73,306
     
    Intern Positions in Queensland are administered via Queensland Health.
     
     

    Canberra

    Intern Positions ≅ 95
    Annual Salary = $68,094
     
    Intern Positions in ACT are administered by ACT Health.
     

    Tasmania

    Intern Positions ≅ 90
    Annual Salary = $68,936
     
    Intern Positions in Tasmania are administered by the Department of Health and Human Services.
      

    Western Australia.

    Annual Salary = $78,749

    Estimated Numbers = 310

    In WA all interns are employed by a Primary Employing Health Service (PEHS). 

    There are 4 PEHSs and each PEHS is a major tertiary hospital in WA which have been accredited to directly employ interns and provide a high-quality intern training program.

    Each PEHS holds an information night.

    You can also choose to work as a rural intern by applying to work through Western Australia Country Health Service.

    The process is coordinated by the Postgraduate Medical Council of Western Australia but you apply through the WA Jobs site and selection occurs through panels representing each of the PEHSs.

    As part of your application, you need to provide a cover letter and CV and will require a range of other documents as well as to nominate 3 referees.

    If successful you will receive a contract for 3 years.

    Application Link

    Application Guide 

    Northern Territory.

    Annual Salary = $71,350

    Estimated Number = 50 

    The NT Prevocational Medical Assurance Services (PMAS) conducts a central review of eligible applicants and all intern positions are allocated within the two  NT Health Services:

    • Top End Health Service (TEHS) – Royal Darwin Hospital (RDH)
    • Central Australia Health Service (CAHS) – Alice Springs Hospital (ASH)

    Eligible applicants are allocated intern positions in line with the Northern Territory category groups. Within the relevant category groups, applicants are allocated to their highest possible Health Service preference, pending availability of a position.

    Overall the intern allocation process is based on an applicant’s category group, Health Service preference, and the number of positions available in each health service.

    The two NT Health Services are responsible for selecting applicants and making their offers of employment, applicants are advised via email.  The Health Service responsible for making the offer of employment will after receiving an acceptance from an applicant arrange an employment contract for an Internship position within their health service to be provided prior to commencing the internship.

    NTPMAS Site

    NT Department of Health Intern Recruitment Link (includes information on Categories)

    South Australia.

    Annual Salary = $73,370

    Estimated Number = 260

    SA Health Careers conducts the annual Intern application process in South Australia.

    There are 3 Adelaide-based Local Health Networks and one small Country Health Network (based at Mt Gambier & Whyalla) to which you can apply for the priority Rural Intern pathway.

    The Rural Intern Pathway is a strength-based recruitment process for applicants who are interested in undertaking their internship (and potentially subsequent years) in rural hospitals within Country Health SA (CHSA). Rural intern positions provide broad opportunities in unique settings and are best suited for medical graduates with a history of living or working in rural areas or a desire to commence a career in the country. 

    Intern Allocation Priorities:

    • Category 1 Australian Citizens, Australian Permanent Residents and New Zealand Citizens

    1.1: Medical graduates from a South Australian university who identify as Aboriginal and Torres Strait Islander (ATSI)
    1.2: Medical graduates from a South Australian university – Commonwealth-supported (HECS-HELP) or SA Bonded Medical Scholarship Scheme (SABMSS)
    1.3: Medical graduates from a South Australian university – full-fee paying

    • Category 2 Australian Citizens, Australian Permanent Residents and New Zealand Citizens

    2.1: Medical graduates from an interstate or New Zealand university who identify as Aboriginal or Torres Strait Islander (ATSI)
    2.2: Medical graduates from interstate or New Zealand university who completed Year 12 in South Australia
    2.3: Medical graduates from an interstate or New Zealand university
    2.4: Medical graduates from an overseas university who completed Year 12 in South Australia
    2.5: Medical graduates from an overseas university 

    • Category 3 Australian Temporary Residents and New Zealand Permanent Residents

    3.1: Medical Students from a South Australian University 

    • Category 4 Australian Temporary Residents and New Zealand Permanent Residents

    4.1: Medical graduates from an interstate or New Zealand University 

    • Category 5 Australian Temporary Residents and New Zealand Permanent Residents

    5.1: Medical graduates who have spent two or more semesters in an overseas campus of an Australian or New Zealand University (eg Monash Sunway campus, UQ New Orleans campus)
    5.2: Medical graduates of an overseas university

    South Australia is one of few States that specifically permits medical graduates from other countries to apply for internship positions. But they are at the very bottom of the priority list.

    If you are not a South Australian medical student, in order to apply for an internship in South Australia you will need to provide a certificate confirming that you have completed the SA Health online electronic medical record (Sunrise EMR & PAS) training. 

    SA Health Careers Link

    SA Intern Application Job Pack (with priority categories

    Queensland.

    Annual Salary = $73,306 

    Estimated Numbers = 840

    Queensland Health conducts the annual intern allocation process in Queensland.

    Interns can be allocated to one of 19 hospitals.

    An interesting aspect of the Queensland application portal is that you can see a live indication of where other applicants have preferenced other hospitals. This is presumably designed to encourage medical students to consider other hospitals and get the student group itself to work out the allocation.

    I have no indication whether it’s a useful process or not. If you know anything about this. Leave a comment below.

    Intern Allocation Priorities:

    Group A
    Medical graduates of Queensland universities who are Australia/New Zealand citizens or Australian permanent residents; and

    • are seeking an internship commencing in the year immediately following graduation; OR 
    • received Review Committee approval from a previous campaign to defer commencement of internship

    Group B
    Medical graduates of Australian (interstate) or New Zealand universities who are Australian/New Zealand citizens or Australian permanent residents;
    OR
    Medical graduates of Queensland universities who are Australian/New Zealand citizens or Australian permanent residents who do not meet the criteria outlined in Group A

    Group C
    Medical graduates of Australian (Queensland or interstate) or New Zealand universities who are NOT Australian / New Zealand citizens or Australian permanent residents who: 

    • currently hold a visa that allows them to work in Australia; OR
    • will need to obtain a visa to work in Australia

    Group D
    Medical graduates of Australian University campuses outside of Australia accredited by the Australian Medical Council.
    OR
    Medical graduates of international universities who have not completed an internship in Australia or another country and have either: 

    • obtained the AMC Certificate (and are eligible for provisional registration)
    • successfully completed the AMC MCQ (multiple choice questionnaire) (and are eligible for limited registration)

    The Queensland Rural Generalist Pathway (QRGP) offers graduating medical students the opportunity to explore a wide variety of clinical training and develop the advanced skill set required to support the health needs of rural communities. It’s a priority pathway that you can opt for first.

    If you are not interested in the Rural Generalist pathway then you need to work out which category you are in.

    Intern Application Info Page.

    How To Apply.

    Application Portal.

    New South Wales.

    Annual Salary = $67,950 

    Estimated Numbers = 1000

    The Health Education & Training Institute runs the countries largest Intern application process. Offering over 1,000 internships.

    Interns can be allocated to one of 15 networks of hospitals. The offer is for a 2-year contract to cover both internship and residency.

    You have the option of applying through one of 4 pathways:

    • Aboriginal Recruitment Pathway
    • Rural Preferential Pathway
    • Regional Allocation Pathway
    • Optimised (or Main) Pathway

    Only applicants who go through the Rural Preferential Pathway need to submit a CV and attend an interview.  All other pathways are based on applications only.

    Intern Placement Priorities:

    Priority 1 – Medical graduates of NSW universities who are Australian/New Zealand citizens or Australian permanent residents (Commonwealth Supported Place and Domestic Full Fee paying). 

    This priority category is guaranteed an intern position in NSW. 

    Priority 2 – Medical graduates of interstate or New Zealand universities who completed Year 12 studies in NSW who are Australian/New Zealand citizens or Australian permanent residents (Commonwealth Supported Place, Domestic Full Fee paying or NZ equivalent). 

    Priority 3 – Medical graduates of interstate or New Zealand universities who completed Year 12 studies outside of NSW who are Australian/New Zealand citizens or Australian permanent residents (Commonwealth Supported Place, Domestic Full Fee paying or NZ equivalent). 

    Priority 4 – Medical graduates of NSW universities who are not Australian/New Zealand citizens or Australian permanent residents and who hold a visa that allows them to work or are able to obtain a visa to work.

    Priority 5 – Medical graduates of interstate or New Zealand universities who are not Australian/New Zealand citizens or Australian permanent residents and who hold a visa that allows them to work or are able to obtain a visa to work in Australia. 

    Priority 6 – Medical graduates of Australian Medical Council accredited universities with campuses that are located outside of Australia or New Zealand who are not Australian/New Zealand citizens or Australian permanent residents and who hold a visa that allows them to work or are able to obtain a visa to work in Australia.

    HETI Medical Graduate Recruitment Page.

    HETI Prevocational Training Application Program Portal.

    Australian Capital Territory.

    Annual Salary = $68,094

    Estimated Numbers = 95

    (6 of these positions are normally guaranteed to NSW medical students)

    If you want to apply for an internship position in the Australian Capital Territory you do so via the ACT Health Recruitment page.

    Most of your time is spent at the Canberra Hospital. But ACT is interesting as it is one of the few chances you may have as an Intern to work in 2 separate States and Territories. Rotations may include secondments to Calvary Public Hospital, Goulburn Base Hospital, and South East Regional Hospital (SERH) at Bega. 

    Other details are limited at this stage. 

    Recruitment Page.

    Victoria.

    Annual Salary = $74,639

    Estimated numbers = 820

    Internship in Victoria works around a computer matching system which is administered by the Postgraduate Medical Council of Victoria.

    Once you have submitted all your details and preferences the match informs the various hospitals and health networks who then conduct a selection process.  Some but not all hospitals and networks perform interviews.  Your selection may just be based on where you sit on the priority list plus your CV and referee reports.

    Interns can be allocated to one of 22 hospitals and networks. This includes a small number of community-based internships where the focus is more on community-based models of care, including working in primary care and smaller hospitals.

    For Victoria, you will need to submit a CV. This MUST BE on the quite unattractive PMCV Standardised CV Template. You don’t have to put a photo on your CV. And I would not recommend doing so.

    Intern Placement Priorities:

    Priority Group 1 – Australian permanent residents or citizens and New Zealand citizens graduating from Victorian medical schools including CSP and domestic full fee-paying students (i.e. graduates of University of Melbourne, Monash University, Deakin University and University of Notre Dame: Melbourne & Ballarat Clinical Schools).

    Priority Group 2 – Australian temporary resident graduates of Victorian medical schools  Interstate Special Consideration candidates (approved by DHHS)

    Priority Group 3 – Australian permanent resident graduates of interstate or New Zealand universities (including previous residents of Victoria); Australian temporary resident graduates of interstate universities; New Zealand temporary resident graduates of New Zealand universities; and Graduates from an overseas campus of an Australian/New Zealand University accredited by the Australian Medical Council (e.g. Monash University – Sunway Campus, Malaysia)

    PMCV Computer Match.

    Candidates Guide.

    Tasmania.

    Annual Salary = $68,936 

    Estimated Number  = 90.

    Internships are coordinated in Tasmania via the Department of Health and Human Services.

    All applicants are required to apply online. As part of your application you are asked to preference all of the 3 available sites:

    • Hobart
    • Launceston
    • North West Region

    Candidates need to attach a CV/Resume and any other relevant information to their application and must arrange completion of two electronic referee reports:

    One (1) referee that is employed in a clinical role (Clinical Academic) with the University where you are studying/or studied medicine and is aware of your studies in the past 12-24 months; AND

    One (1) that is – a senior clinician (>4 years’ experience post general registration) who has observed you (you have worked with) during your clinical placements in the past 12-24 months, and can comment on your suitability for hospital-based practice.

    Intern Placement Priorities:

    The Tasmanian Health Service currently gives priority, in order, to:

    1. Australian permanent resident Tasmanian-trained Australian Government supported and full-fee paying medical graduates.
    2. Australian temporary resident Tasmanian-trained full-fee paying medical graduates.
    3. Australian permanent resident interstate-trained Australian Government supported and full-fee paying medical graduates.
    4. Australian temporary resident interstate-trained full-fee paying medical graduates.
    5. Medical graduates of an Australian Medical Council accredited overseas University.

    Selection occurs via face-to-face interviews. Following the interview, successful applicants will be placed in an order of merit with applicant performance at the interview accounting for 70% of the overall score, and each referee report accounting for 15% of the overall score.  Vacant positions are offered in order of merit and the Tasmanian Health Service Priority Placement Framework.

    Intern Information Page.

    Tip #5. Commonwealth Program.

    Annual Salary = uncertain. 
    Likely to be based on the Award for the State that you are working in.

    Number = up to 115.

    The Commonwealth Internship Program is my final tip. 

    This is because it is a program that runs separately and in addition to the State and Territory internship programs. And you may have not been informed of its existence OR thought to apply for it.

    The main function of this program over the years has been to provide additional opportunities for international students studying Medicine in Australia a chance to complete their internship.  This is done by tendering to various private hospitals for additional intern positions.

    The program has been retitled this year as the Junior Doctor Training Program Private Hospital Stream and there will be a total of up to 115 positions on offer.

    Normally there is not as much information about the program available until a mad flurry at the end of the year.  And 2019 seems to be no different. They are still sorting out which hospitals will provide internships.  After which there will probably be some information about how to apply.

    For now, we know that the eligibility requirements are that you must either be an international full fee-paying medical graduate from an onshore Australian medical school. This is Priority One. If not all positions are filled by priority one medical graduates then the private hospitals may then recruit other medical graduates who are eligible for provisional registration. This is the Priority Two category.

    Eligibility Requirements for Intern (PGY 1) Junior Doctor Training Places under the Junior Doctor Training Program Private Hospital Stream
    Under the PHS, participating private hospitals must prioritize international full fee-paying medical graduates from onshore Australian medical schools (Priority One). Should these places not be filled, private hospitals may then recruit other medical graduates eligible for provisional registration (Priority Two).

    This means that the Commonwealth Scheme provides one of the few opportunities for IMGs who are applying via the standard pathway process to gain an internship position in Australia.

    To do so you will need to have met the Medical Board of Australia provisional registration requirements as a medical practitioner. And also have met the English language proficiency requirements for registration purposes. And commit to obtaining an appropriate visa to work in Australia during the internship year.

    Private Hospitals participating in delivering the Private Hospital Stream in 2019 are:

    • Mater Health Services North Queensland Limited
    • Mercy Health and Aged Care Central QLD
    • MQ Health (Macquarie University Hospital)
    • St John of God Health Care Inc.
    • St Vincent’s Private Hospital Limited
    • St Vincent’s Private Hospital Sydney
    • Ramsay Health Care
    • Greenslopes Private Hospital
    • Joondalup Hospital

    Link to Program details

    How To Decide?

    There are lots of considerations when it comes to putting in your Intern application. Everyone is a bit different. Some graduates feel like they would like to be close to home and family whilst going through their transition to Intern. Others see it as a chance to get away and explore a new place and location. And then others focus on the long-term career prospects of certain locations.

    I think this last consideration is a little overrated for most. You can generally experience a wide range of medicine in your first couple of years of medicine after graduation and there is scant evidence that this affects your prospects of applying for specialty training posts.

    That being said if you have an interest in anything other than Medicine, Surgery or Emergency Medicine as a future career you should probably investigate whether this particular specialty is offered at the hospitals or networks to which you apply.

    Unfortunately, the internship model in Australia is quite antiquated and we have used the experience as a proxy for competency. The result has been the mandating of the 3 core terms for internship of Medicine, Surgery, and Emergency Medicine. There is really no solid educational basis for this approach and one of the unfortunate outcomes is that all the other specialties get squeezed out and few interns get to experience psychiatry, general practice, obstetrics, paediatrics, pathology etc… which ultimately does have an effect on recruitment to these specialties.

    So the basic message is this. If you are really dead set keen on doing radiology as a career you should try to track down the very few locations that might offer this rotation to either interns or residents.

    Each year the Australian Medical Students’ Association produces a very useful Intern Guide with lots of information about the composition of intern training networks across the country. We are currently waiting on the 2019 version. But here’s a link to the 2018 version.

    Related Questions

    Question: What If I Have Special Circumstances Which Make It Hard For Me To Work In Certain Places?

    Answer: All States and Territories Have processes for considering special circumstances. Some of the types of circumstances that are generally approved are: where you may have certain health conditions that mean you need to be close to certain hospitals or specialists; where you have dependents, such as young children, and are unable to relocate due to care arrangements; and where you and your partner want to work as doctors in the same location.

    Generally, requests to stay in certain locations, for reasons such as work commitments of partners or needs of school aged children are not granted.

    Question: I Have Received My Intern Offer. But I Would Like to Defer It. Is This Possible?

    Answer: This will partly depend on how long you wish to defer for. 

    If you just wish to defer for a a few months. Once you have your offer and are in discussions with your new employer make enquiries. It may be possible to negotiate a later start with your employer. Most employers will generally prefer that you start on time, so that you are not out of sync with your colleagues. But there might be some advantage for the employer in you attending orientation but then starting a bit later as it will probably help them to fill out roster gaps.
     
    On the other hand. If you wish to defer for a complete year. Then you will need to check the policy of the State or Territory that has provided you an Intern offer. In some cases (for example Victoria) you will be permitted to defer and your place will be held for you the following year. In most other cases you will need to reapply the following year and check whether your priority status has altered. In most cases you have the same priority status.

    Also bear in mind that it is unclear how long you can defer commencing your internship. However, the Medical Board of Australia expects that once you have commenced your internship you will have completed this process within 3 years.

    Question: I Am a Doctor With a Medical Degree From Outside Of Australia. Can I Apply For Internship?

    Answer: Unless you obtained your medical degree from a New Zealand Medical School. Then the brief answer to this question is no.

    I would love to stop there. And I really think you should as well. But there are rare circumstances where you may be able to obtain an internship with a medical degree from outside of Australia. But the Medical Board of Australia strongly advises against this option and so do I. For good reasons. Firstly the whole Australian medical internship system is designed to ensure that Australian medical graduates are able to undertake an internship. Not for overseas graduates. Secondly (and as a result of the first point) it is very rare to be offered the chance.

    Some States and Territories will not even consider an application from an IMG for internship. Others will only do so in limited circumstances, for example, the Northern Territory will accept applications from IMGs who may have done a medical student elective or clinical observership in the Northern Territory and who have experience in rural, remote and indigenous health locations. But even then these applicants are at the bottom of the priority list for obtaining an internship. South Australia will accept applications. But again you are bottom of the list. Queensland will also accept applicants, but only if you have never worked as a doctor. And again you are bottom of the list.

    A final note on this question is that the majority of IMGs who do obtain a medical internship position each year in Australia generally have Australian citizenship or permanent residency.

    Question: I Have Heard That Some Graduates Miss Out On Internship. Is This True?

    Answer: Whilst it is theoretically a possibility that some medical graduates miss out on Internship according to information provided by HETI for the most recent year of intern applications no-one was actually left at the end of the process without an offer.

    Only Australian citizens and permanent residents are guaranteed an intern position under the COAG agreement. However, there are generally enough intern positions available for those students who have come to Australia to study medicine and the Commonwealth Private Hospital program offers additional spaces for those that may miss out.

    That being said. It is also clear that many graduates choose to drop out of the application process themselves. So not everyone who applies gets an offer. The assumption is that some graduates take up similar intern opportunities in other countries upon graduation.

    (Disclaimer: all information here has been sourced in good faith but things do change so you should always do your own due diligence in such matters, we are providing this information to aid you in your application but take no responsibility for any outcomes)

    We’d welcome feedback from any Intern programs in relation to the accuracy of the above information.

  • Medical Student CV: 9 Tips Plus Examples, Personal Statements & Length

    Medical Student CV: 9 Tips Plus Examples, Personal Statements & Length

    For most medical students the point at which you need to think about compiling a Curriculum Vitae (CV) or Resume comes in your final year of medical school. This is the time when you need to think about applying for a job for after graduation. As a doctor who has seen 10,000+ CVs in his career I’ve put together some tips for the medical student CV, including how it may differ from other types of doctor CVs or medical resumes.

    But before we dive into these tips. Let’s look at what the key aspects of a medical student CV are. In order to compile a good quality medical student CV, you should ensure the following vital elements are covered:

    1. The most prominent element on your medical CV should be your name. This is what you want potential employers to remember.
    2. You should have clear and professional contact details. So they can get in touch easily.
    3. A personal statement is highly recommended. As you then get the chance to control the narrative (not the employer).
    4. Your education history will take prominence over work history, which is different from the way it goes for the rest of your career. You should, therefore, try to continue “the narrative” in this section and signal some of your special achievements during this time.

    There are of course other things which should go on your medical CV. But the above are in my experience the most critical elements and if you focus upon these then you will have a very good first page for your medical CV and this is the bit of your CV that actually gets read.

    9 Tips For Compiling A Good Quality Medical Student CV.

    Tip 1. Don’t Leave It Till Your Final Year of Medical School.

    It seems obvious to say this but you should really be thinking of making a CV the moment you enter medical school. Keep an original copy somewhere that you use to keep a record of your achievements over time. You can then use this to make shorter variations when it comes time for applying for jobs.

    The term CV is actually a misnomer. A CV technically is a full record of all your career information. For doctors who have worked a while this document can get quite big. With the various jobs they have done, the courses, conferences, papers published etc…

    The document you are normally putting forward is generally more akin to a resume which is a tailored synthesis of your career put against the actual role you are applying for.

    At the very least start thinking about your medical CV in your penultimate year of medical school. This is because you want to giver yourself the time to collect the number of referees you may require on the document. Normally this is a minimum of two.

    Tip 2. Leave the Photo Off (Unless Specifically Requested). Make Your Name “the Hero”.

    Photos are distracting and seen as too flashy on Medical CVs. They also inject unneeded bias into the process before you get to front the interview panel.

    Occasionally you may be requested to include a photo as a formal requirement. If so do then. Otherwise leave it off and use the space to make your name the biggest item on the front page. You want the reviewer to remember you name as they hopefully put your medical CV into the “for interview” pile.

    Tip 3. Include a Personal Statement.

    Personal Statements or Career Goal Statements are really important. Once, you realize how long it takes (or doesn’t take) to review your CV. You will realize the importance of a summary statement at the top of the CV that lets you tell the story of your career and doesn’t leave it up to the reviewer to make up.

    For a medical student CV I tend to recommend a Personal Statement over a Career Goal Statement. It can be seen as just a little too presumptuous at this stage to be declaring your specialty intentions at this point.

    Concentrate on talking a little bit about:

    • Why you choose a career in Medicine
    • What your interests are. You can broadly allude to your career intentions, for example use terms like “critical care”, “interested in procedures”, “rural medicine”. Make sure though that you back this up with some evidence from your medical school about how you pursued these interests. So it doesn’t come off as a second thought.
    • And then finally try to throw in some value for the employer. What skills do you bring that add some thing additional that others perhaps do not. Again, this could be some of the extra stuff you did throughout medical school or for many it might be skills you developed in a career prior to medicine.

    Tip 4. Continue The Use of Narrative and Sell Your Educational Achievements.

    Because you don’t have a medical work history its very important that you signal any special achievements you had during medical school. You don’t have to just talk about your formal education in this section. You can bring in other things you may have done during this time. A classic is tutoring other students or other forms of part-time work.

    Most students have to work on one or two projects or some form of research during medical school so you could also talk about the outcomes of this work.

    If you were on a committee talk about what that committee achieved during the year.

    If possible try to quantify your outcomes. If, for example, you helped organise a rural medicine one-day workshop state how many attended.

    Don’t just put down that you were the Secretary of the Medical Society without talking about your achievements. Employers are acutely aware how much a waste of time most committees are. So they will assume that you took up the position to add to your CV and did nothing during that year.

    Tip 5. Your Work History Prior to and During Medicine is Of Interest.

    Your work history or “work achievements” prior to medicine is of interest to employers. It may help to make you a more unique candidate. Definitely put this down its not a disadvantage.

    I once had a medical student ask me if they should put down the fact that they were an Executive Assistant in a prior career. My answer was absolutely! Interns are in fact glorified Executive Assistants for a fair bit of the time. And EAs are well known for their ability to get work done, time manage, juggle tasks and be the linchpin of teams.

    Tip 6. Stick to a Simple Style and Format.

    Try to avoid too much formatting to your CV until you are close to completing it. Ideally, choose one font-type and don’t vary the size too much. A contrast in colour is ok. As is the use of a colour block with whit text to highlight important things like your name.

    Avoid going too crazy with underlined words and bolding and italics. Also try to stick with only one level of indenting and bullet points. Otherwise it can start to look a bit chaotic.

    Also, check that sections are not being split between pages. If they are pad things out a bit so that new sections start at the top of the page.

    Tip 7. Start a LinkedIn Profile.

    Now that you have completed all that work in compiling your CV. Why not go the extra step and set up a LinkedIn profile if you have not already OR update it if you have.

    There are a number of reasons for doing this but the prime one is that employers now do Google searches on prospective employees and LinkedIn profiles rank well on Google so it once again gives you a chance to control what is being said about you, as well as manage your online reputation.

    In this case make sure that you do include a photo as it is expected on LinkedIn.

    Tip 8. Your CV Should Be As Long As It Needs To Be And No Longer.

    I see so much rubbish on the internet about how a Resume should be no longer than 2 pages or in some instances 1 page. The logic being that if you can’t synthesise your career down to that length to make a winning proposition to an employer. Then you are no go.

    I’m calling BS on that.

    Sure I have seen some really good tight doctor CVs or Resumes that have managed to get down to 2 pages. But these have generally either been medical students or interns.

    I have also seen people try to cram all their information on to 2 pages and make it look a mess because the font-type size is too small.

    Once you have worked as a doctor for a while you accumulate a lot of work experience and other good stuff. So generally this takes a few more pages to fill out. Normally this is 4 pages but if it requires more then fine.

    Remember employers mainly only focus on the first page in any case. Concentrate on getting this right and then include other things that you think support that first page.

    Tip 9. Don’t Get Overly Concerned About How Much a CV Matters At This Point.

    Perhaps I should have put this point first. But I wanted you to understand all the other points above first. In most cases you do need a CV. So you might as well make a good one.

    That being said. Because there is no medical work history to put on your CV. Employers will not pay as much weight to it. Employers know that the best test of whether someone is good for the job is to try them out in it. And the second best is if they can relate similar succesful job experiences from the past.

    So don’t get too concerned if you feel that yours doesn’t have much of interest on it.

    Recommended Format For a Medical Student CV.

    The format I recommend for most Medical Student CVs is as follows:

    • Big Bold Name at the very top.
    • Contact details just underneath or to the right hand side. You really just need a mobile phone number and a professional looking email address so they can contact you. If you have social media profiles such as LinkedIn you can include these as well.
    • Short Qualification Summary just below as well as any other pertinent information such as citizenship or visa status.
    • Personal Statement. See Above.
    • Education Achievements. Note we use “Achievement” rather than “History”
    • Work Achievements
    • Other Headings
    • Referees. Always Come Last.

    By the time you have finished the Education Achievements Section you are probably going to be onto the second page. After Work History you can pretty much use what ever other headings you choose in the order that you feel represents you best. But remember you can always bundle some of the good stuff up under your Medical School description as well.

    So some other headings you may wish to use include:

    • Research
    • Publications
    • Academic Achievements
    • Courses
    • Professional Development
    • Teaching
    • Writing
    • Skills
    • Volunteer Work
    • Languages
    • Quality Improvement
    • Leadership
    • Awards
    • Certificates
    • Committee Work

    Below is an example:

    Related Questions.

    Question: Are There Cases Where I Do Not Need a CV?

    Answer: For most Intern applications in Australia you need to supply a CV. For NSW you do not need to supply a CV unless you are applying via the Rural Preferential Pathway.

    Question: How Do I Put Together a Medical CV As a Trainee Doctor Or Consultant?

    Answer: We have you covered over here in this comprehensive guide.

    Question: What Sort of Referees Should I List on My CV?

    Answer: As a general rule you should have at least one referee who has worked with you in a supervisory capacity in the last 12 months. You don’t necessarily have to have all doctor referees on your CV. But you should have at least one. Try also to have a diverse range of referees on your CV. For a more comprehensive overview of referee selection and how to list them check out the related post.

    Question: What Is The Best Way To Proof Read My CV?

    Answer: Proof reading of CVs is important. Even small typographical errors can be seen as an indication of a lack of eye for detail. You have spent so much time making this CV that you are the worst one to spot any remaining errors. At the very least give it to someone you trust to go over it thoroughly. Ask them to identify any errors for you. And ask them to also let you know if it makes sense and reads as authentic. If you want to spend some additional dollars on it. You can pay someone to review your CV for you.

  • Yes. Medical Interns Get Paid In Australia – Medical Intern Pay

    Yes. Medical Interns Get Paid In Australia – Medical Intern Pay

    A question we get asked reasonably frequently is about medical intern pay and specifically whether medical interns get paid in Australia. Often this comes from doctors working in other countries. We think the main confusion occurs around the concept of an intern in a medical setting and an intern in a corporate setting.

    In relation to the question of whether medical interns get paid in Australia. The answer is an unequivocal yes. Medical Interns are paid a salary of between $68,000 AUD and $79,000 AUD base salary per annum for full-time work, depending on which State or Territory of Australia they are in. The majority of interns are employed on a full-time basis and they can often earn a little be more due to working shifts and overtime.

    So the question then arises as to why medical interns are paid and other interns are not? As well as whether there are other situations where a doctor might be employed in a non-paid capacity. Feel free to read on further where we answer these questions and discuss the topic of medical intern pay.

    Medical Intern Pay

    Why Are Medical Interns Paid and Other Interns in the Corporate Sector Normally Not paid?

    According to the online etymology dictionary, the word intern comes from the French word “interner“, meaning send to the interior or confine, which itself derives from the Latin word “internus“, meaning within or internal.

    the French word “interne” means ‘assistant doctor’ and the word means one working under supervision as part of professional training”

    So it seems that the concept of the medical intern or doctor intern came first. This, in turn, stems from the concept of an apprenticeship, which arose in the middle ages under the guild system. Agricultural methods and technology had become more advanced, requiring fewer workers in the fields. So people started leaving the farm to take up trades in their early to mid-teens.

    Apprentices would pay a guild master to teach them the trade. Apprentices typically lived with the master for a decade, if not longer, and couldn’t marry or earn wages during the apprenticeship. At the end of the apprenticeship, the apprentice became a member of the guild and a “journeyman”, which meant he could earn his own wages.

    Medical Interns Were Probably Not Paid At Some Point.

    Therefore it’s also likely at some point even medical interns were unpaid. The apprenticeship model in medicine evolved into the concept of a medical internship year probably sometime in the early 1900s. And intern doctors became doctors who were recent graduates of medical schools who were unlicensed but able to work under supervision strictly in hospitals.

    So at some point, medical intern pay was introduced for these doctors. You generally needed to complete your intern year to be able to go out on your own and start a practice. But many doctors stayed on longer and these trainees were often housed by the hospitals. This is where the term resident comes from.

    For some time now. Since the end of the second world war, at least we have had medical intern pay. This is a reasonable proposition as they have already undertaken a large degree of unpaid higher education (generally more than any other profession) to get to this point and they now contribute significantly to the operation of many hospitals.

    According to Taylor Research group, corporate intern programs originated in the United States in the 1960s as both businesses and government agencies saw the merit of providing short term opportunities for prospective future employers to gain some work experience in their summer breaks. However, it has only been in the late 1990s that government and corporate internships have become common in college campuses in the United States and also only in the last couple of decades have they started to become more common in other countries.

    Because these internships are generally shorter and limited in time and focused around providing current students with a work experience opportunity most internships have been offered on a voluntary basis. This is not to say that no corporate internship provides payment or other benefits. In some cases, there may be allowances for things like travel or accommodation or other expenses. And of course, the premise of an internship in the corporate sector is that one receives free on the job training.

    Are there situations where you might not get paid for working as a doctor in Australia?

    There should really be no situation where a doctor performs work in Australia and is not paid for this. Certainly, all true medical internship positions are paid under an Award based system. Which is a set of rules that are commonly applied to a group of employees across a certain industry sector and by which the employer must abide.

    Sometimes the concept of a clinical placement or clinical observership can be confused with a medical internship. These are actually quite different things.

    A clinical placement in medicine in Australia normally occurs as part of the formal requirement for workplace-based experience in a medical school program. Students are assigned to placements under supervision in hospitals, general practices, and other settings.

    A clinical observership is a period of time where a doctor observes another doctor or clinical team in a non-active capacity. The most common reason for this is to permit doctors from other countries to familiarise themselves with the Australian health care system and gain exposure to patients. Most such placements last around 4 to 8 weeks.

    How do I find a Clinical Observership?

    If you are an international medical graduate a clinical observership is not only a great opportunity to gain exposure to the medical system in Australia but it may provide you with an opportunity to make connections with potential future employers. So it’s not surprising then that clinical observerships are highly sought after.

    Most clinical observerships tend to be arranged through personal connections. For example, you may know a senior clinician in a hospital who is able to arrange a clinical observership for you. Some hospitals may offer formal observership programs such as Northern Health in Melbourne, in which case the criteria for gaining an observership is quite high.

    Be aware that the hospital may be using observerships to test out potential employees. So it’s probably best to have some grounding in what sort of things employers look for in medical officers before embarking on an observership.

    Where is the best place for medical Intern pay in Australia?

    In order to work out where the best place to work as a medical intern in Australia is we would need to take a number of factors into consideration including remuneration, career opportunities, work conditions, the desirability of location and cost of living.

    If we are to look just at remuneration then Western Australia is definitely the best place to work in Australia as an intern as the wages for interns in Western Australia are the best in the country.

    Coupled with this Western Australia has some very nice places to live and has recently become a far better prospect for the cost of living, in particular renting and buying a house, since the decline in the mining boom that grossly affected housing prices there.

    Where is the worst place to work for medical Intern pay in Australia?

    If we were to use the same factors that make Western Australia the best place to work in Australia then New South Wales, in particular, Sydney would be easily the worst place to work as a medical intern in Australia. The pay rates for interns in NSW are the worst in the country and it doesn’t get better as you progress as a trainee. And, of course, Sydney is the most expensive city to live in in Australia.

    But it’s not all bad. New South Wales has a lot of training opportunities and Interns in NSW are offered a 2-year contract, whereas Interns in other parts of the country are only given one year. This makes a great difference as it can take the pressure off in your first year because you are not worried about impressing your employer to get another job the following year.

    Related Questions

    Exactly how much can medical interns make from shift-work and overtime?

    Whilst the base salary of an intern in Australia is somewhere between $68,000 and $79,000 AUD it is possible to do considerably better than this. Most interns are required to do a level of overtime and what is called shift work (work outside the normal hours) both of which are paid at a higher level than normal work. For example, most overtime (work in excess of 40 hours) is paid at double time in Australia.

    So you can see that that base salary can improve quite significantly. But of course, it also means you are working longer hours, which may not necessarily be a good thing.

    How much does a Resident Medical Officer earn?

    A Resident Medical Officer is someone who is at least a year more senior than an Intern. In their first year, a Resident Medical Officer will earn considerably more money than an Intern. For example in NSW interns earn a base salary of around $66,000 AUD and first-year residents earn a base salary of around $77,000 AUD.

    Do corporate Interns ever get paid?

    Corporate internships are sometimes paid. Using non-paid employees to do the work of employed workers can get employers into trouble with regulator authorities, particularly in countries like Australia. So generally corporate internships that are of longer duration do tend to get paid.

    Is there somewhere I can find out more information about pay rates for doctors in Australia?

    Interestingly there is no one place to find out about doctor pay rates across the country. We have written a blog post that summarizes the pay rates for interns across Australia here and we hope to have the time to summarize the rest for you. Check back regularly.

  • How Much Does An Intern Get Paid In Australia? Doctors Pay Rates

    How Much Does An Intern Get Paid In Australia? Doctors Pay Rates

    One of the questions I am most asked by doctors from other countries is: “What is the pay like for doctor’s in Australia?”

    We are approaching the period here in Australia where we introduce a large number of graduated doctors to the Australian health care system as Interns.

    So at AdvanceMed we thought that we would review what the rates of pay are for Interns in Australia. The findings are quite interesting.

    A Wide Variation In the Entry Doctor Pay Rate

    The results above reveal that there is a wide variation of over $10,000 per annum in an intern salary from NSW, which pays the lowest at $67,950 to Western Australia which pays the best at $78,479 per annum.

    The reason for the large variation is that each State and Territory sets its wages for public employees separately through something called an Award or an Agreement.  These are formal documents that state the conditions of employment.  They include matters such as the hours of work, the leave available and of course how much you get paid.

    Doctors like other public employees do not generally contract as individuals for their services with hospitals.  So everyone gets the same conditions.

    According to the Australian Bureau of Statistics Full Time Adult Average Annual Ordinary Earnings is was $82,752 in 2018.  So bearing in mind that it takes a minimum of 5 years of university study (with a fair collection of higher education debt to pay off) to get to this point we can certainly not consider Interns to be extremely well paid.  

    But its not all that doom and gloom.  Whilst, Interns certainly do not work the amount of overtime they used to 10 or 20 years ago.  Overtime provisions, as well as loadings (working rostered hours on an evening, night or weekend) under most Awards and Agreement can lift the annual take home pay of an Intern significantly. For e.g. most overtime starts off being paid at 150% and rapidly goes to 200%. So, if an Intern works on average 50-60 hours per week they are likely to hit Full Time Adult Average Annual Ordinary Earnings, even in a State such as NSW.

    It Goes Up From Here

    And, of course it does improve significantly from this position. By the time a doctor becomes a Registrar in Victoria for example, their regular pay has increased to $105,000 per annum (after a period of 2 or 3 years). And a first year Staff Specialist in NSW can earn upwards from $234,566 per annum.

    A Special Bonus For Interns

    An additional bonus for Interns comes the first tax time. In Australia the Financial Tax Year runs July to June. So, because you have not been paying much in the way of taxes for the first half of the financial year, you end up paying more tax than you need to in your first 6 months of Internship and can get a reasonable return come tax time. For this reason, some Interns seek to work extra overtime before 30th June.

    What’s Going On in NSW?

    When I was an Intern, NSW paid some of the best salaries for trainee doctors in the country. States like Western Australia (which is now first) were actually towards the bottom of the list.

    Given that NSW is the biggest State by population, one of the richest States economically. And given that Sydney (NSW’s capital city) is probably the least affordable place in Australia to live it makes little sense that NSW Interns get paid the least.

    Its hard to know exactly why this situation has occurred. Its possible that the industrial groups that represent doctors in other States and Territories have been more successful in representing trainee doctors over the years.

    This certainly seems to be the case if one looks at the Enterprise Agreement for doctors in Victoria.  Which even includes an allowance for continuing medical education, as well as separate provisions for internal training leave, examination leave and conference leave.

    This situation puts the NSW trainee doctors Award to shame. This instrument has not been modified in any significant way since the 1990s (possibly longer).