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RDAV Conference 24 th May. Amit Vohra CEO. Who is GPRA . National Peak body for GP Registrars Support, advocacy and policy input Delivers National workforce programs GPSN student network GPN junior doctor network First Wave Scholarship Program. Growing GP training program.
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RDAV Conference 24th May Amit Vohra CEO
Who is GPRA • National Peak body for GP Registrars • Support, advocacy and policy input • Delivers National workforce programs • GPSN student network • GPN junior doctor network • First Wave Scholarship Program
Growing GP training program • 2003-2006: 600 training spots per annum • 2007 – 2011: gradual increase to 900 • 2012: 1000 training spots in AGPT • 2013: 1100 training spots in AGPT • 2014: 1200 training spots in AGPT
GPRA Member Snapshot at 2013 *As at 8 March 2013
Total Member Growth *As at 8 March 2013
ProjectedMembership Growth by 2016 • Medical Student 11500 ( >65% of market) • Pre-Vocational Doctors 7500 (>60% of market) • GP Registrars 4500 (>90% of market) • Recent Fellows 2000 (>70% of the market) ProjectedTotal Membership > 25,000
Key Issues from Rural Perspective • Many are forced to go rural either due to moratorium or to access the training program • 50% of AGPT must occur in RA2 – RA5 locations • Work-life balance – family commitments • Relocation costs not always funded • GPRIPs not seen as an incentive • Compliance with National Minimum Terms & Conditions of Employment
Registrar Perceptions • Positives of going Rural • Scope of practice • Great learning experience • Lifestyle • Higher Incomes • Job satisfaction of working in communities • Often seen as being a “real doctor”
Challenges for the Future • Increasing supply of registrars into the future links to creating training capacity • UGPA lobbying to increase intake to 1700 • Business case for Supervision • Ageing supervisor workforce & rising costs of supervision • Smarter ways to fund supervision
Challenges for the Future • Finding efficiencies across cost of training • Are we spending our money wiseley • Cost of 1 FTE week of AGPT = $1100 • Cost of 1 FTE week of PGPPP = $4400 • Changing the structure of medical training to support the entire training to occur in rural • Rural Internships
The GP workforce • AIHW report • overall number of medical practitioners increased by 17.3% from 2007 to 2011, GP numbers grew by only 3.9% over that time - less than 1% per year. • In the same period the number of clinicians grew by 18.1% including a 29.2% rise in hospital non-specialists, a 12.8% increase in specialists and a 41.8% increase in specialists in training. • 36.6% of GPs aged over 55 compared to 24.6% for the rest of the profession
The Economic Imperative • Over the past three decades, Commonwealth health spending has more than doubled, to 4.0 per cent of GDP in 2001-02. • In recent years, spending on the PBS has been the fastest growing. This has doubled in % of GDP in the last decade. • Unless addressed, these trends are likely to continue to drive health spending to 8.1 per cent of GDP in 2041-42.