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  • Common Questions (and Answers) About AMC Standard Pathway

    Common Questions (and Answers) About AMC Standard Pathway

    Over the last year, I have been pleasantly surprised by the interest of doctors all over the world in some of the explanations that I have been providing both here on the blog as well as on my Career Doctor YouTube channel about the processes for working as a doctor in Australia. There have been a lot of questions and comments seeking further understanding about the Standard Pathway Process. So here is a list of common questions and answers to help you out.

    What is the Standard Pathway Process?

    The Standard Pathway is a process whereby doctors who have medical degrees from outside of Australia can apply to have their capability as a doctor evaluated in order to work in Medicine in Australia. The process is intended to ensure that doctors are competent to the level of Australian doctors at the point at which they graduate from medical school and go onto successfully complete a provisional intern year.

    Which Doctors Should Apply for the Standard Pathway?

    The Pathway applies to international doctors who do not have specialist qualifications and who are not from one of the “competent authority” countries. So the majority of international doctors seeking general registration do apply for this pathway.

    What Are the Competent Authority Countries?

    The medical regulatory system in Australia recognizes 4 other countries as having medical training systems that are equivalent in terms of outcomes to Australia. The countries are the United Kingdom, the United States of America, Canada and the Republic of Ireland. Doctors from New Zealand are also recognized as having identical outcomes in their medical degree as the Australian Medical Council also accredits New Zealand medical schools.

    This means that if you graduated in medicine from one of these countries you have a more streamlined pathway available for being able to work as a doctor in Australia.

    In addition, some international doctors who have been through the process of gaining registration in a competent authority country will also be able to apply via this competent authority pathway. For e.g. if you have successfully completed the PLAB.

    What Are the Australian Medical Council Examinations?

    According to the Australian Medical Council

    The AMC examinations are set at the level of attainment of medical knowledge, clinical skills and attitudes required of newly qualified graduates of Australian medical schools who are about to begin intern training. They consist of a computer adaptive test (CAT) multiple-choice question (MCQ) examination and a clinical examination:

    • The AMC CAT MCQ Examination tests knowledge of the principles and practice of medicine in the fields of general practice, internal medicine, paediatrics, psychiatry, surgery, and obstetrics and gynaecology. It focuses on essential medical knowledge involving understanding of the disease process; clinical examination and diagnosis; and investigation, therapy and management.
    • The AMC Clinical Examination assesses clinical skills in medicine, surgery, obstetrics, gynaecology, paediatrics and psychiatry. It also assesses ability to communicate with patients, their families and other health workers.

    So an important thing to note here is that the AMC Exams are clinical exams and do not involve being tested around matters of basic science.

    When Can I Sit the AMC Examinations?

    You can sit for the AMC Examinations any time after you graduate from your medical school. All that is needed to sit is proof of a primary medical degree.

    You must sit and pass the first AMC Exam. The MCQ test. Prior to being able to sit for the Clinical Examination.

    Do I Need to Sit An English Test to Sit the AMC Examinations?

    Surprisingly the answer to this question is no. You won’t need an IELTS test or one of the other 3 acceptable tests in order to sit the examination. However, you will likely need one in order to apply for a job and become registered. See below.

    How Often Can I Sit the AMC Examinations?

    You can sit as many times as you wish to. But you can only be preparing for and registered to sit one particular exam at a time. Bear in mind the exams are expensive.

    Is There An Age Limit For Sitting AMC Exams.

    No. You can sit them at whatever age.

    How Long is my Exam Result Valid For?

    Once you pass an AMC exam this result remains valid for life.

    Is There a Time Limit for Sitting the AMC 2 Exam?

    No. There is no time limit by which you may sit this exam.

    How Much Does It Cost to Sit the AMC Exams?

    The AMC Exams are quite expensive. The MCQ exam costs $3,124AUD per sitting and the Clinical exam costs $3,991AUD for an in person sitting and $4,391AUD for an online. These costs are generally more expensive than most College training exams in Australia. There are also other fees that you will have to pay, for example, to establish a portfolio with the AMC, to get your certificate or reissue results.

    AMC Exam Fees 2024

    c/- AMC 2024

    How Hard Are the AMC Exams?

    In essence pretty hard. The MCQ exam is relatively ok with around about a 60% pass rate per sitting. The Clinical Examination is notoriously difficult with a pass rate of around 28%. See this post for a more in-depth explanation.

    When Is the Best Time to Sit the AMC Exams?

    The AMC Exams run constantly throughout the year with a bit of a break over the Australian summer period. There is no best time to sit from this perspective.

    As the exams are a test of your medical knowledge and abilities at the end of medical school it is generally considered that it gets harder to sit and pass these exams the longer it has been since you yourself finished medical school. So its best to sit as soon as possible. Many doctors will sit the MCQ whilst completing their own internship year in their own country.

    Is There a Waiting List for the AMC Exams?

    According to the AMC there is no wait list for the exams and no need for a wait list as they are able to offer enough examination spots to satisfy demand. This is achieved by running a number of MCQ exams both in Australia and across the world as well as having increased the number of clinical examination spots available.

    Whilst it may be true now that there is no wait list there have certainly been concerns in the past particularly in relation to waiting significant amounts of time (18 months or more) for the Clinical examination.

    The process itself also imposes a waiting period. Because once you have applied for and selected an examination date you cannot apply for another exam date. And you have to await the results of your MCQ exam before either applying to do it again or applying for the Clinical exam.

    What’s the Best Way to Prepare for the AMC Exams?

    In the AMC exams you compete against a standard. Not other candidates. So most doctors who have been successful in the AMC exams will tell you that one of the best ways to prepare is to form a small study group.

    Generally, most candidates prepare by using examples of past questions. You can purchase some official questions from the AMC. But there are also a number of other MCQ questions and Clinical stations floating digitally around the internet as many AMC candidates do attempt to recall questions after their exam.

    Given the expense of the exams themselves, it may be difficult to afford to pay for additional resources such as textbooks and online and face to face courses. Most international doctors do recommend purchasing a copy of Professor Murtagh’s book on General Practice as this covers a lot of the Australian specific knowledge for both the MCQ and Clinical. There are also a number of online tutoring and courses available as well as face to face courses and opportunities to undertake observerships if you are able to afford these.

    Follow the affiliate link below to purchase your copy of Murtagh’s General Practice.

    Can the USMLE or PLAB Substitute For the AMC Exams?

    Yes. But only if you complete all the steps required and in the case of the PLAB undertake at least 12 months supervised placement in the UK or in the case of the USMLE undertake at least 24 months in an accredited residency program. Otherwise, these exams are of no use and you have to sit all of the AMC Exams.

    Are There Other Alternatives to Sitting the AMC Exams?

    Yes. If you are from a Competent Authority Country you can apply via this pathway. If you are a specialist you can apply for the specialist pathway.

    If you are fortunate to be employed at one of the 1o places that are accredited for the Work Place Based Assessment Program by the AMC then you will also most likely have the option of completing a WBA program which is an alternative to the Clinical Component of the AMC exam with a much higher pass rate and lower cost for applicants.

    I Need to Complete An Internship. How Can I Obtain An Internship in Australia?

    You have probably read something on facebook or the Medical Board website itself telling you that you need to complete an internship to be able to be registered. In most cases, you probably do not need to complete an internship. As you will have done something similar in your own country. In general, the Medical Board wishes to see evidence that you have been granted a full license or general registration to practice in your own country. In some cases, this may require passing an internship or similar during medical school. In others, it may mean completing a provisional year after graduating.

    If you have not done any of these things so far. Then you do still need to complete an internship. But you are much better off completing this in another country. As the chances of being able to actually gain an internship position in Australia are extremely small.

    Do I Need to Sit an English Test?

    Most likely the answer to this question is yes. However, you may have some options to be exempt from this requirement if you can prove for example that all of your high schooling was in English.

    How Well Do I Need to Do In the English Test?

    There are minimum requirements for the various English Language Standard tests that you can do. For a fuller explanation see here. As an example to be able to gain registration if you sit the IELTS you need 7 or above in all four domains of this test.

    Many doctors think that achieving the minimum requirement in the English test is all that is needed. However, the minimum requirements often correlate with being less than sufficient in English in the eyes of the employer and can often mean that you are rejected for an interview in the first place or find out that your English language skills were the main reason the interview panel felt you were not suitable.

    You should endeavour to practice and build in your Australian English as much as possible and consider taking the test again to demonstrate a better score.

    When Can I Apply for a Job?

    As soon as you are successful in the AMC Part 1 you can begin applying for a medical position. Most doctors recommend this strategy and not waiting until you complete the Clinical Examination. This is because it can often take a lot of time and persistence to obtain a position. The downside of this approach is that you will probably get a lot of rejections and find yourself in a big group of candidates who all just have the AMC Part 1 exam.

    What Are the Best Jobs to Apply For?

    What job you apply for may depend on where you are intending to head in your career, particularly if you are looking at general practice. Bear in mind however that most of the doctor jobs in Australia will not be available to you until you have obtained general registration. The most common type of job that will be available is called a resident medical officer (RMO) job. These are often advertised at times during the year when hospitals have had vacancies in their ranks. The RMO role is normally a position that is one more year advanced than the intern position. But you are generally doing the same roles as interns, i.e. acting as the most junior member on the team looking after the day to day patient issues on the ward.

    A key phrase to look for in any job description which will indicate that you can apply for a position is:

    “eligible for registration”

    How Can I Improve My Prospects of Gaining a Job?

    I’d recommend you watch this video I did with Dr Naj Soomro. In it, we highlight a number of things that can help you gain a job.

    Some of the key things are:

    1. Having a really well put together resume
    2. Establishing networks to identify ad hoc job opportunities
    3. Being prepared to look outside of the major cities
    4. Preparing for job interviews

    Once I Get a Job Offer. What Happens Next?

    It is very important that you ask for a contract. There have been situations where international doctors have been offered a job in the past but this has been withdrawn at a later date. You are really not secure in your job until you have started working. It’s important that you are responsive during the phase between the offer and commencing as you will need to help the hospital sort out things like your registration and visa status.

    Once you are up and running you should make sure that you are aware of your supervision requirements and ensuring that you are getting regular feedback on your performance and completing the reports that need to go back to the Medical Board. It’s much better to identify problems in your performance early on so you can fix these rather than letting them become a big issue and jeopardizing your sign off at the end of the 12 months of limited registration.

    When Can I Apply for Training Positions?

    Once you have completed the process, ie. you have your full AMC Certificate and a satisfactory 12 month’s supervised practice you will be able to apply for general registration.

    Once you have general registration you will be eligible to apply for most of the specialty training schemes.

    There are some exceptions to this where you also require permanent residency. For example, the Australian General Practice Training Scheme and the College of Surgeons training programs. So, if you are aiming for these you will need to consider alternatives or wait a few more years till you can obtain permanent residency.

  • Doctor Jobs In Australia. The Best and Easy Way to Search.

    Doctor Jobs In Australia. The Best and Easy Way to Search.

    Probably one of the biggest question I get asked by International Doctors is. How do I find doctor jobs in Australia?

    In this post, I will try to demystify and break down the process for you. Starting with how to identify suitable posts online and then moving on to other strategies, such as personal approaches to employer and networking.

    Now the circumstances do vary a little between if you are working through the standard pathway process, the competent authority pathway process or the specialist pathway process. We will start off by focussing on identifying suitable posts for standard pathway and competent authority pathway doctors and towards the end of the post, I will turn my attention to the specialist pathway.

    By the way, if you don’t know what any of these terms mean. Then I suggest you check out the links to them on the Medical Board website OR watch the explainer video below.

    Finding jobs. General issues.

    There are a number of key steps you need to go through if you are an international doctor or IMG looking for your first post in Australia.

    Whether you are coming through the standard pathway or competent authority pathway your first position needs to be one that offers what is termed “provisional registration”. Think of this as a well-supervised post where you get the chance to demonstrate on the job that you are capable of working at the level of an Australian doctor. A year of provisional registration is a general requirement for all doctors coming via either of these two pathways.

    Herein lies the problem. Employers in Australia are under no obligation to offer positions for candidates that allow for provisional registration. In fact, by law, they are actually required to prefer Australian doctors over international doctors.

    Or to be completely accurate it is a requirement that if an Australian citizen or permanent resident demonstrates suitability for a position that they should be offered that job and it cannot be offered to a candidate from another country.

    Okay. But I know international doctors who have gotten jobs here. How does this happen?

    Labour markets are subject to issues of supply and demand. And there are often gaps in the supply or number of Australian doctors to fill positions particularly in less popular fields or less popular locations.

    So many employers will open the opportunity to international doctors. But usually after trying to recruit an Australian doctor first.

    In fact, if you do actually find a position advertised that will accept international doctors it’s quite likely that there will be very few Australian doctor candidates for this position. If any!  So that boosts your chances a bit.

    “Eligible For Registration”. The Key Magic Words.”

    As an IMG looking for doctor jobs in Australia, you can spend a lot of wasted time reviewing position descriptions and ringing potential employers if you don’t know where to look and what to look for.

    Think of this as similar to the initial review of a research article that you have found in your search for an evidence-based approach to solving a problem.  9 times out of 10 we will read the abstract of an article (or even just the title) and decide from that that the article is not relevant to our needs.

    The same goes for job search and job descriptions. The abstract is the Selection Criteria.

    Usually (but not always) these appear towards the bottom of the job ad or position description. Wherever they are find them and look at the criteria.  In a doctor job ad, there is always one selection criteria. Normally the first one. That describes what qualifications and registration you need.

    The magic phrase you are looking for is “eligible for registration” or words similar to this. 

    For international doctors looking for a doctor job in Australia. Skip to the selection criteria. The magic words you are looking for are: “eligible for registration.”

    Dr Anthony Llewellyn

    This means that employers will consider doctor candidates that need their assistance to apply for registration, ie. someone who has their AMC Part 1 or someone who is applying via the competent authority pathway.

    On the flip side if you see words like “current registration”, “has registration”, “general registration” or “full registration” this means that you are not eligible to apply for this particular job.

    Make sure you check all the selection criteria.

    Just because there is a statement implying that the employer will consider someone who is not yet registered does not mean you should go ahead and start putting in your application. You should take care to do a few other things first.

    Firstly, you should check through all the other selection criteria. There are normally around 6 to 10 of these.  Make sure that you are able to meet all the essential criteria and can give a reasonable impression for any other non-essential (otherwise known as desirable) selection criteria.

    Don’t know the difference between essential and desirable criteria? Watch this video.

    Next. Go through the rest of the job description. Make sure you understand what the role is about and that you are confident you can at least grow into the role with some help.  Pay particular note to where the job is located.  If you are not able to commit to working in this particular location. Then don’t apply.

    Looking online for doctor jobs in Australia

    Looking online is an obvious first place to start if you are looking for your first doctor job in Australia.

    The very first thing you should do if you are looking for jobs online is that you should go and register with all the State and Territory Health Department Portals.  This is where the bulk of jobs that will be suitable for you are posted. I have put a list of these below to help you out.

    You should also register with sites like Seek as most of these systems automatically upload their postings to these general job advertising sites as well in order to increase their reach to prospective candidates.

    Most of these recruitment sites have a system of alerts so you can be notified of suitable job openings.

    So you should definitely turn these alerts ON.

    In most States recruitment is centralized so it’s not necessary to look at each individual hospital or health service.

    However, in Victoria, there is a partial centralization through the central system as well as what is called the match system but many jobs are actually only advertised on individual health service sites.  So you will need to do a bit more looking around and registering if you are interested in a job in Victoria.

    Employment Portals

    As I said above. The types of jobs you are looking for are ones where they will accept someone who required provisional registration.

    The position titles to look at are anything with the word Resident or Resident Medical Officer in the title. These are by far the highest yield job titles.  And are the posts that are most likely to be open to International Doctors coming via either the Standard Pathway or Competent Authority pathway.

    However, you may occasionally see job titles such as:

    • Intern
    • Trainee
    • Unaccredited Trainee
    • Senior Resident Medical Officer

    OR Even

    • Registrar

    These are either less likely to be advertised (especially intern) or less likely to be open to doctors without registration but are worth reviewing.

    In some States. Such as Queensland and Victoria the service will revert to an Award Classification as a title.

    So, if you see something like:

    • House Officer

    OR

    • Junior House Officer

    OR

    • Hospital Medical Officer

    That is also worth reviewing.

    The key phrase in the selection criteria that you will need to look for is

    “ELIGIBLE FOR REGISTRATION”

    This indicates that the employer understands that once you are offered the job there will be a process of applying to the Medical Board for registration.

    If it just says Must Be Registered with the Medical Board or Have current registration.  Then you are not able to apply.

    I recommend in order to save time you skip to the Selection Criteria to see if you are suitable.

    Trickiness with selection criteria

    As a final comment.  You will often see additional Selection Criteria requiring certain amounts of or certain types of experience.  Sometimes they are happy for that experience to be from anywhere.  Sometimes it needs to be from within Australia.  Sometimes they may accept experience from one of the Competent Authority countries.

    This is becoming a real problem lately and it’s actually pretty poor HR practice.

    But it is basically an effort by employers to exclude certain types of candidates either because it cuts down on their workload of interviewing candidates OR because they feel they already have an existing candidate pool with these types of experience.

    Some other ways to find a doctor job in Australia

    Whilst looking online is going to be your best first starting point. A problem is that it’s also going to be everyone else’s best starting point.

    So however clever you think you are at finding those rare jobs that will accept an IMG application you can bet that if you found it then others have as well and have probably shared it with their friends and the dozens of IMG support groups on social media sites like facebook.

    The strategies below are easy to implement. They mainly only require an investment of your time.

    Its amazing how many IMGs ignore these tactics initially. So, if you want to give yourself an edge over the competition, I suggest you think about implementing one or all of them.

    Personal approaches.

    Don’t stop at just filling in applications for current vacant positions.  Make a list of all the hospitals you are interested in working at and find out who the Managers or Doctors there are who are responsible for entry-level doctor recruitment. Send them a short courteous email with your details and a tailored CV. To avoid it looking spammy try to personalize the email with some sort of information that you have researched about the hospital.

    In past roles, I have been added to blind copy (BCC) email lists. It’s pretty obvious when you and a thousand other Medical Administrators have just been sent a CV. I have always trashed these emails. Don’t do this.

    I recommend finishing your short email with the statement:

    I am interested in any resident level job opportunities that you may have. Or any other suitable positions.

    Career Doctor

    Don’t try to call at this stage. Don’t be dismayed if you do not get a response. At best you might get a reply to one out of ten emails. If you do get a reply offer to come and meet with the manager or doctor.

    Make sure your CV is up to scratch

    One reason that you may not get a response is that your CV is not up to scratch. Some of the reasons may be. It contains errors. It might be missing vital information. It may not be well directed to the particular hospital. So before you start emailing brush up on how to write a medical CV in Australia.

    Networking.

    Networking is not often thought about as an opportunity to identify job positions.  But it is.  Most international doctors in my experience tend to hang out with other international doctors. This is perfectly ok if you are studying for things like the AMC exam. But it isn’t going to advance your job prospects. Find ways of hanging out with actual real employed Australian doctors. Some examples of how you might do this are by undertaking a clinical observership, going to medical conferences, becoming a medical school tutor, and enrolling in some of the courses that trainee doctors undertake.

    There are two key advantages to this. Firstly, you are getting better exposure to what it’s like to work in the Australian medical system. Secondly, as you develop friendships with employed doctors you will start to find out about potential job opportunities as well as get assistance with personal referrals to people in the hospital who are in charge of doctor recruitment. This will help you get through the first filter and have a chance to put your case forward.

    Private hospitals.

    Most general practitioners are employed in the private sector.  So that’s where you need to look if you are after a general practice job.  And most general practice doctors have understood this for quite some time.

    Private hospitals on the other hand have been a bit overlooked in terms of possible positions for international doctors.  This is probably because traditionally to work in a private hospital you needed to be an actual Consultant, a Fellow of a College, who can bring patients into the private hospital and allow the private hospital to charge. Or a fairly senior and experienced doctor who can work efficiently for the hospital and particularly free up the Consultants.

    Of late things have been changing. There have been some private hospitals that have started to take medical graduates as part of the intern allocation process. And some hospitals are now seeing IMGs as possible options for providing general ward cover.

    You might try approaching these private hospitals individually or many work as part of a group of hospitals where you can apply for a range of job opportunities.

    Getting out there.

    In my “5 Tips for Working as a Doctor in Australia” video I point out the medical job labor market in Australia is driven by an issue of supply and demand, whereby prestigious hospitals in capital cities are generally sought out by doctors. This means that the cities tend to draw doctors from the regions and the regions from the rural and remote areas.

    As a result. The more prepared you are to get out past the big places like Sydney, Melbourne, and Brisbane. And even bypass the Newcastles and Geelongs. In favour of the Burnies, the Rockhamptons, and the Armidales. The more likely you are to be able to actually meet with someone who might be interested in seeing if you are a good fit to work at their hospital.

    I speak to so many International Doctors about this tip. And so many ignore this really sound piece of advice. It can be hard to move your family if you are established within a like community in a capital city. But you will often find that there is a lot of local support and gratitude that makes it worthwhile at the other end.

    Should I register with a recruitment agent?

    In the above video, I talk about the potential benefits of working with a recruitment agency.  Sometimes the agencies know about other job opportunities that are not well advertised publicly.

    However, it’s not as simple as just registering. Recruitment companies have to make a living. So they are not going to take on any doctor for whom they feel that there is not a real prospect of landing a job.

    In my experience, you are wasting your time contacting recruitment agents if you are on the standard pathway unless you perhaps have a prospect of working in general practice.  

    On the other hand, it may be worth contacting a recruitment agent if you are eligible under the competent authority or have already gone through the specialist assessment process.  Particularly if you work in one of the higher-demand areas, such as critical care, psychiatry, or general medicine.

    I’m a General Practitioner. How do I find a job?

    This is a great question. And, I’m hoping to provide some more information about this for you shortly. Many of the strategies discuss above will work if you are looking for general practice roles.  You are not, however, generally looking for those keywords of “eligible for registration.” And you are unlikely to find many general practice positions advertised on the State and Territory recruitment sites.

    I’m a Specialist. How do I find a job?

    This is a great question. And, I’m hoping to provide some more information about this for you shortly. Many of the strategies discussed above will work if you are looking for specialist positions.  You are not, however, generally looking for those keywords of “eligible for registration.”