GP Fellowship
Terms & Conditions
GP Fellowship – Terms & Conditions

South Eastern Sydney Local Health District
Integrated Care Unit, Primary and Integrated Health Directorate

Multilevel Integrated Care Project
Proposed program for General Practitioner Fellowship (Skin Cancer)


1. Introduction 2

2. Project Governance structures 2

3. Conditions of the GP Fellowship – Skin Cancer 2

4. Assessment of applications 2

5. Proposed timeframes for Fellowship learning and supervision 2

6. Fellowship incentives and funding outline 3

7. Frequently Asked Questions 3

Appendix A: Steering Committee Membership 5
Appendix B – Application to GP Fellowship (Skin Cancer) 6


1. Introduction

This innovative program aims to establish a new model of multi-level integrated care for skin cancer and chronic wounds within the Sutherland Shire. The service will span both private and public locations and has the support of a number of key industry partners. It will enable better patient access to services through pathways to screening and prevention of wounds and skin cancers in high-risk patients.

The program also involves an education component, both at the primary and tertiary level, linking with specialist colleges and engaging key opinion leaders to deliver a vehicle for continuous improvement in patient treatment and the dissemination of the benefits of integrated care.

The opportunity exists to take part in a new and innovative program for the diagnosis and treatment of skin cancer. Specialists will be partnered with GPs who are interested to develop their scope of practice in the screening and treatment of skin cancer in order to provide educational and training opportunities for GPs to further their clinical expertise. This will involve a 6 month program with a minimum commitment of half a day per week and will provide hands-on training under supervision.


2. Project Governance structures

To ensure the approach to enhancing patient outcomes enables effective implementation in the Sutherland Shire region, representative project governance structures have been put in place. At a higher-level, a Steering Committee (Membership at Appendix A) provides governance across the project, with various time-limited working groups established to focus on specific aspects that require more attention and expertise. These working groups are chaired by a member of the Steering Committee with membership coming from various networks.


3. Conditions of the GP Fellowship – Skin Cancer

General Practitioners who wish to apply for a position in the GP Fellowship program must be admitted to Fellowship of the Royal Australian College of General Practitioners, accredited by the Medical Board of Australia and a minimum of five years of clinical practice. An interest in expanding knowledge of diagnosis and treatment of skin cancers is encouraged.

At the present time, this Fellowship is only available to GPs in the Sutherland Shire region.


4. Assessment of applications

A selection panel from the Steering Committee will assess all applications and prioritise these in order of suitability and availability.


5. Proposed timeframes for Fellowship learning and supervision

GP Fellows will be will spend at least half a day per week over a period of 6 months at the Integrated Specialist Healthcare in which they will undertake formal learning under the supervision of experienced specialists (dermatology, pathology, plastic surgery, surgery).

The training faculty includes:

  • A/Prof Anand Deva, Plastic Surgeon
  • Dr. Adrian Cacchia, Pathologist
  • Dr. Peter Cropley, Pathologist
  • Dr. Saleem Loghdey, Dermatologist
  • Dr. Ken Loi, General Surgeon
  • Sr. Sue Mackinley
  • Dr. Andrew MacKenzie-Wood, Dermatologist
  • Dr. Tony Palasovski, General Surgeon
  • Dr. John Pyne
  • A/Prof Duncan Stanford, Dermatologist
  • Dr. Michael Symons, Dermatologist

There are a number of slots in which interested GPs should state their availability. Please indicate your availability (by ranking your preference from 1-3) on the application form to ensure that a position in the Fellowship is available for you.


6. Fellowship incentives and funding outline

On completion of the Fellowship Program, GPs will be able to have their learning outcomes accredited with RACGP as a Supervised Clinical Attachment, eligible for 40 Category 1 points.

GPs who are enrolled in the Fellowship will bill Medicare according to the appropriate Item Numbers each time that they see patients. The proceeds from these Item Numbers will go into the Integrated Specialist Healthcare Foundation account, which will be used for the continuation of the Fellowship Program once project funding from the NSW Ministry of Health stops. Specialists who provide supervision for GPs who are seeing patients do not raise an additional charge to the patient as this practice of multi-specialty collaboration reduces the amount of waiting time for patients.


7. Frequently Asked Questions

a. How do I apply for training?
Applications should be made using the attached form (Appendix B). Along with the required documents, you will also need to supply two referees. Applications and enquiries should be sent to admin@ishc.com.au

b. What does the training look like?
Training is expected to be completed part-time due to availability of applicants and supervising specialists. Any planned leave arrangements during the 6 month program should be discussed on application. Supervision will be provided by a range of specialists during each session, which means that there will be a range of expertise and clinical practice from which to learn.

c. I have practiced for a while but have limited experience in diagnosing and treating skin cancers, is this Fellowship suitable for me?
Yes. It is expected that there will be a range of clinical experience from GPs who apply for this Fellowship. What is expected is that all applicants have a keen interest in improving their skills and practice in diagnosing and treating skin cancers in order to improve outcomes for their patients. The teaching program has been structured in such a way that GP Fellows have hands-on learning under the supervision of multiple specialists from different backgrounds.

d. I have been accepted into the GP Fellowship, do I need to attend the lecture series?
No, it is not compulsory to attend the lecture series but it is strongly encouraged if there is an area of practice that you would like to reinforce. The Fellowship is designed so that you will reach a level of competence.

e. I am not able to apply for the Fellowship this year, can I still attend the lectures?
Yes. We would like to ensure that as many GPs as possible are able to receive continuing professional development and attending these lectures is one way of doing so.

f. I have an interest in skin cancers on specific body parts. Can I focus on these during the Fellowship?
While interest in skin cancers on particular body parts is not a bad thing, the Fellowship seeks to provide all participating GPs with a solid grounding of skin cancers on all body parts. As such, GPs who enrol in the Fellowship program will be expected to complete all requirements of the program in order to attain the desired level of competence. This is also required for GPs to be eligible to receive the full 40 Category 1 points from RACGP.

g. Does acceptance into this GP Fellowship mean that I am recognised as a “Fellow” of Macquarie University?
While Macquarie University is involved with this project to ensure probity for academic and research purposes, GPs who are part of this Fellowship are not recognised as Fellows of Macquarie University.

h. What are the necessary Citizenship requirements for this program?
GPs who have been accredited to practice by the Medical Board of Australia are eligible for this program, irrespective of citizenship status. Priority for places is given to GPs who practice in the Sutherland Shire.

i. Do GP Fellows receive a stipend of some sort?
No. GP Fellows are receiving this hands-on education from experienced specialists at no cost and as such, there is no capacity to provide GPs with remuneration for the time that they see patients.

j. What happens to the Medicare Item numbers that GPs claim for seeing patients as part of the GP Fellowship?
Proceeds from the these Medicare Item numbers will go into the Integrated Specialist Healthcare Foundation account to provide for the continuation of this Fellowship Program once seed funding stops.

k. If I miss out on a place in the GP Fellowship, what is the process for appealing?
If an applicant has been unsuccessful in becoming a GP Fellow, it may appeal the decision with the Steering Committee (through admin@ishc.com.au). When seeking an appeal, applicants must provide additional information outlining the grounds for the appeal and why they believe the decision should be overturned. The decision of the Steering Committee will be final.

l. What happens if something unfortunate occurs and I cannot complete the Fellowship?
Every effort will be made to ensure that GPs are able to complete the full Fellowship in order to receive the full 40 Category 1 CPD points from RACGP. If a GP is not able to complete the Fellowship program and needs to cease participation due to any unforeseen circumstances, then due consideration will be given to what they have learnt and they will be prioritised to complete the remainder of the Fellowship at the earliest opportunity. Eligibility for the 40 Category 1 CPD points is only on completion of the Fellowship.


Appendix A: Steering Committee Membership

As of December 2015 the membership of the Multilevel Innovators Project – Integrated Care Steering Committee is as follows:

Name

Position

Organisation

A/Prof Anand Deva (Chair)

Head Cosmetic Plastic and Reconstructive Surgery

Macquarie University /
Integrated Specialist Healthcare

Linda Soars

Integrated Care Manager,
Integrated Care Unit

SESLHD

Tom Chapman

Chronic Care Redesign Manager, Integrated Care Unit

SESLHD

Jocelyn Hickson

Manager Innovation, Improvement and Innovation Hub

SESLHD

Wei-Li Hume

Integrated Care Innovators Program Coordinator, Integrated Care Unit

SESLHD

Ann Stewart

Clinical Nurse Consultant, Southcare

SESLHD

A/Prof Peter Gonski

Director Southcare

SESLHD

Steven Rajcany

Chief Executive Officer

Kareena Private Hospital, Ramsay Healthcare

Susan Wells

Medical Liaison Officer

Laverty Pathology

Dr Rowan Vickers

General Practitioner

Vickers Teamcare

Andrew Coe

Executive Manager Operations

CESPHN

Caroline Kovacic

Project Officer – Cancer Screening and Prevention

CESPHN

Mukerrem Ildes

Operations Manager

Integrated Specialist Healthcare

Dr Shamaila Tahir

PhD candidate,
Surgical Infection Research Group

Macquarie University

Dr Preeti Joshi

Co-Director

Integrated Specialist Healthcare

Matthew Wilson

Wound Care Clinical Nurse Consultant, Sutherland Hospital

SESLHD