WACHS Clinical Supervision of Junior Doctors Policy

WA Country Health Service (WACHS) has developed a Clinical Supervision of Junior Doctors Policy for implementation from January 2019.

The new policy recognises that adequate and appropriate supervision is critical to the training and development of junior doctors at WACHS sites.  This supervision is also essential for the safe care of patients.

What does this mean for you?
If you are or are intending to work, or have a registrar working in a WACHS site, this policy will apply.
The policy states:
A senior doctor is responsible for the care of each patient treated at a WACHS site. Junior doctors may assist senior doctors. Every junior doctor is to be allocated a supervisor for each term – the “Term Supervisor”.
RMOs and registrars, working in general practice, have a GP supervisor who fulfils the role of Term Supervisor. The GP supervisor is appointed by the Regional Training Organisation, e.g. WAGPET.

The GP supervisor’s role is to:

  • have overall clinical responsibility of patients who are managed by the GP trainee
  • arrange an orientation to the WACHS facility prior to the commencement of work by the GP trainee
  • provide clear information on how to escalate the care of patients of concern, and ensure availability of appropriate clinical supervision at all times
  • personally review any patients of concern in a timely manner (or will arrange for another senior doctor to do so if they cannot).
  • inform the Regional Medical Director of any significant clinical adverse event arising regarding a patient under the GP trainee’s care in a WACHS facility, as soon as possible.

Credentialing requirements for GP RMOs and registrars
From January 2019, GP RMOs and registrars must be credentialed to attend patients at a WACHS site. They must practice within the scope of their GP Supervisor’s Contracting Medical Practitioners agreement. Their GP supervisor has overall clinical responsibility for all patients that the GP RMO or registrar attends. The GP supervisor must be informed of all patients seen, and of any significant deterioration in a patient’s condition.

A Supervision Agreement must be completed and signed by the GP RMO/registrar, GP supervisor and Regional Medical Director (or their delegate), before credentialing may occur.
All those working in a WACHS site in 2019 must complete a Supervision Agreement by November 2018.
If you would like to discuss the new policy and credentialing requirements further, please contact your Program Training Advisor


What does this mean for me as a registrar?

Your practice will advise you and the WACHS site if they want you to have visiting rights for GP patients. If you are a registrar and need visiting rights then you need to be credentialed with WACHS, and complete the supervision agreement. Send the signed agreement to your PTA when you send back your AGPT provider number application.  When the WACHS region is advised that you will be moving to the region and attending the hospital, the regional office will send you an invitation to a (credentialed) position on the WA Health CredWA database which is hosted by a company called Mercury.  If you are not already credentialed on that database then you will be asked to complete a profile before submitting your application for credentialing online. You cannot see patients at WACHS sites without being credentialed.

What if I’m independently credentialed to work in a WACHS site already? Do I have to complete the agreement?

Usually GP Registrars can only be credentialed for an advanced skill if their supervisor is also credentialed for that skill. Patients are admitted under the name of the supervisor, and the supervision agreement covers both general practice and the advanced skill work. Exceptions to this may be considered on a case by case basis by the Regional Medical Director e.g. a very experienced GP Registrar with an advanced skill and a supervisor without that skill.

What if I am already credentialed in emergency (ED) do I still need to complete the supervision agreement?

Yes all GP Registrars need to complete the agreement for ED and GP scopes of practice.

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