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Summary of Board Actions 2013/2014 Print E-mail
The Quarterly 2014


Professionalism, Integrity, Excellence, Respect

1. Board Members

Dr Sara Watson and Dr Annette Pantle were elected Fellows to the RACMA Board. Dr Leah Barrett-Beck completed her term of office as Candidate Director and Dr Paul Eleftheriou was elected new Candidate Director.

2. Strategic Plan 2014-2016

The new strategic plan developed following a Board strategic workshop and consultation with Jurisdictional Committees, identifies strengthening the College presence (P), advocacy (A), Course development and value (C) and Expansion for sustainability (E) i.e. PACE.

3. Strategic Initiatives

The Board agreed to carry out the following initiatives identified in the 2014-2016 Strategic Plan:
  • Establish working groups to inform the College of key issues relating to: revalidation, credentialing and scope of practice, future emerging issues in medical administration, research and strategy development, and sponsorship policies;
  • Continue the Research Training Fellow position to develop scholarly activities in the fellowship Training Program;
  • Develop the College advocacy program by engaging external expertise to assist develop position papers on the Education and Training of Doctors, Quality and Safety in Health Systems, and the Medical Management Workforce;
  • Re-invigorate the MiniMex program (management simulation) to support training in medical management practice;
  • Conduct evaluation of the Fellowship Training Program with a view to enhancing Candidate learning outcomes;
  • Develop additional CPD programs for FRACMA and AFRACMA to support NZ recertification and Australian CPD requirements;
  • Fund development of College faculty and engage with external Faculty;
  • Appoint a Dean of the Faculty of Education;
  • Ensure that funding is reserved to support possible future collaborative research at scale with academic partners.

In June the Board agreed to establish a small working group to identify emerging issues and developments and inform strategic thinking.

4. Consumers

Three consumer representatives were appointed to College Committees during the year: Education and Training Committee, Training Committee, CEP Committee. This was the culmination of discussion including advice from the Consumer Health Forum. A Consumer Engagement Governance Framework has been developed and endorsed by the Board.

5. New Zealand Training Program

Endorsement to fund medical administration training in New Zealand has been received by Health Workforce New Zealand. The NZ Committee continues to promote this funding to District Health Board. To date one Candidate has been appointed in Palmerston North.

In January 2014 the President and Chief Executive participated in a one day workshop in Wellington with NZ Committee and jurisdictional members. Following this workshop a refreshed webinar-based CPD program is now being co-ordinated for NZ members and the Education and Training Committee has developed a deeper appreciation of differences in the medical management and leadership structures and career pathways for specialists in NZ and Australia. In June 2014 this understanding was reflected in approval of a new accelerated training pathway: The Clinical Specialist/Senior Advisor pathway to Fellowship.

6. Board Review

Richmond Consulting Services provided the Board with a report following a survey of RACMA Board members. Among the discussions which followed this review were matters relating to Board Director professional development, reporting on strategic initiatives, an annual calendar of reports and senior officer performance review and development.

7. Constitution and Committees Review

The Board is consulting with Jurisdictional Committees on several matters which may lead to constitutional amendments in 2015/2016. These matters concern:
  • The role of the Jurisdictional Committees and their relationship to the Board
  • A membership class for AFRACMA trainees
  • The size of the RACMA Board and a move to a skills based Board membership
  • Jurisdictional cap on Board membership

8. Education and Training Committee and sub committee review

The Board has discussed the development of a strategic agenda for the Education and training Committee and the separation of some sub-committees from reporting to the ETC. The new RACMA Dean of Education, Professor Frost has been consulting with committee chairs to explore the following:
  • The Finance and Audit and Education and Training Committee will continue to be standing Committees of the Board and advise and report to the Board;
  • The Training, Curriculum, CEP and Credentialing Committees will continue to provide advice on operational matters but reporting arrangements will be reviewed;
  • The Board of Censors, which plays a significant operational role, will continue to advise the National Office and conduct assessment and examinations.

9. Education and Training Committee Activity

The Committee completed several pieces of work over the previous year under the leadership of Professor Gavin Frost. These included: the establishment of a Candidate Progression Panel, the development of new regulations for Candidate transfers, extensions and appeals, and revision of Interim Training Assessment (ITA). The Committee also agreed to discontinue the Accelerated Pathway (AP) program in its current form in 2015.

10. Pathways to Fellowship

The Board accepted recommendations from the Education and Training Committee for three distinct pathways to the Fellowship Training Program, with changes to existing pathways to be implemented by 2015. These are:
  1. Standard Pathway for medical graduates with a minimum of three years clinical experience who are moving into medical management roles. (This is the existing Standard Pathway).
  2. Medical Executive Pathway for doctors with senior executive medical management experience and for OTS assessed as partially comparable to FRACMA Fellows under the AMC or MCNZ assessment process. (This is the current AP pathway and is subject to review of the training program requirement). The Medical Executive Pathway will be implemented from the academic year commencing February 2015.
  3. Clinical Specialist/Senior Advisor Pathway (CSP/SAP) for clinicians with at least five years specialist experience, who hold senior clinical leadership or senior advisor roles. Candidates will be granted 18 months RPL, requiring them to complete 18 months full-time equivalent supervised management practice before being eligible to present to examination. (This is a new pathway; entry requirements and training program details will be further reviewed by the Education and Training Committee).

11. Continuing Education Program (CEP)

The Board agreed that CEP certification by FRACMA and AFRACMA members will be considered in terms of medical leadership, management and administration and that CEP program development and opportunities will be expanded.

12. Hong Kong College of Community Medicine/RACMA

The College strengthened its relationship with the Hong Kong College of Community Medicine and will sign a Memorandum of Understanding (MOU) at the 2014 RACMA Annual Conference, under which the following are included:
  • attendance at Annual Scientific Meetings;
  • RACMA training in Hong Kong;
  • conjoint examinations and preceptorship;
  • dual fellowships in administrative medicine/medical administration;
  • reciprocal CPD;
  • participation in webinars;
  • publication in the College journal The Quarterly;
  • joint annual conferences/scientific meetings;
  • membership of the World Federation of Medical Managers (WFMM).

13. New Learning and Teaching Institute (LTI)

On the recommendation of the Education and Training Committee, the Board agreed to establish a Learning and Teaching Institute as a unit within the College from 2015. The Institute will focus on the development and delivery of professional development programs for Fellows and AFRACMA.

14. Workforce Census

The 2013 RACMA Workforce Survey results were reported to the Board. Results indicated that:
  • 30% of survey respondents were new respondents i.e. did not respond to the 2012 survey;
  • 90% of those who changed jobs in the last 12 months prior to the survey indicated that they did so because of job opportunities;
  • responsibility for junior doctor training and oversight was significant across all membership classes;
  • the majority of respondents had a positive attitude towards the future.

15. World Federation of Medical Managers

The 2014 International Medical Leaders Forum was held in conjunction with the NHS Ahead of the Curve meeting in Brighton, UK on 4 and 5 June. The conference days were followed by a WFMM steering Committee meeting on 6 June in London at the offices of the UK Faculty of Medical Leadership and Management. Dr Gruner was elected the new chair of the Committee replacing Dr Roger Boyd who was thanked for his considerable contribution since the WFMM was formed.

16. Research

There have been continuing discussions about the best way for RACMA to support health services evaluation and medical management research. The Board has acknowledged the training program in health services evaluation now included as part of the Fellowship training Program. In June 2014 it was agreed to collaborate with AIHI/UNSW in its conduct of the Deepening our understanding of quality improvement in Australia (DUQuA) research project. A significant number of RACMA members are working in sample sites for this research.

17. Policy and Advocacy

The Policy and Advocacy Committee is supporting the following work in the College:
  • Support the UNSW in a direct approach to hospitals to be involved in the Australian version of the DUQUA research project.
  • Undertake two pieces of work in relation to the workforce (these being credentialing and scope of practice and revalidation).

18. New Fellows and Associate Fellows

In the 2013/2014 year, 53 new AFRACMA members and 14 new Fellows joined the College.


19. AMC Accreditation

In early 2014 the College submitted its first Comprehensive Review Report to the AMC. The Board has been advised a recommendation the College be granted a further 4 years accreditation has been made to the AHPRA. The College was also commended for its excellent report.

20. Sponsorship Framework

The Board has referred a draft policy about sponsorship to establish a group to advise it on the development of the sponsorship policy and on procedures to govern the process. Dr Bernie Street, Dr Annett Pantle and Dr Paul Eleftheriou agreed to participate. It was suggested an external expert might also join this group.

21. Policy making and review

The following policies were approved by the RACMA Board in 2013/2014

Policy/Regulation
Cultural capability in Practice – welcomes and acknowledgements.
For implementation at major events.
Engagement of College Members in Paid Work for the College
Amended to clarify the process for invoicing and payments to College members undertaking work for the College. All fellows will now invoice the College. Honorariums will not be paid. This clarification follows advice from the College auditor.
Candidate Transfer to AFRACMA
This Regulation is to enable, under the RACMA Constitution, a transfer from Candidacy to an award of AFRACMA. This relates to the additional and specific training pathway whereby a Candidate decides not to complete the full Fellowship Training Program and applies for AFRACMA membership class. The Regulation outlines the circumstances and conditions for eligibility for a Candidate to apply for credit for Board approved studies in training program already undertaken in the College, and be awarded AFRACMA.
Requesting an Extension for Written Work in the Fellowship Training Program
This Regulation outlines the circumstances under which a Candidate may be granted extra time to submit written work for assessment and applies to all Candidates. The Regulation provides Candidates with options in ‘acute events’ and support to the Candidates in special circumstances. The Regulation also sets out standards for the application of penalties in relation to submission of late work.
Definition of the Academic Year
To adopt the nationally recognised commencement date for registrars in Australia and NZ as the first Monday in February.
The academic year will be defined in weeks and aligned with the AHPRA & Medical Board of Australia (MBA) definition (July 2011), which will also be relevant for all NZ candidates to the extent it does not disadvantage NZ candidates.
Reconsideration, Review and Appeal of Decisions of the College Committee and Officers
Appeal of Decision of College Committees and Officers
Breaches within the College of the Code of Conduct
Developed in response to the AMC conditions to accommodate appeal process and potential disputes, as well as to establish consistency with the other College’s practices.
Delegated Authority Manual
Annual review
Principles and policies to guide investment decisions by the College
To guide decisions about surpluses and equity
Risk Management policy
Reviewed and updated
RACMA Privacy Policy
Updated following advice from DLAPiper in relations to national policy changes.
RACMA CPD standard (1)
Standard 2 continues to be revised.
Assessing international medical graduates seeking RACMA Fellowship – (Australia and NZ).
Effective from 1 July 2014, changes implemented by the Medical Board of Australia to the specialist pathway for international medical graduates (IMGs) recognised as specialists in their country of origin, will take place. These changes are aimed at streamlining the assessment process for IMGs.
This will change the way applications for specialist recognition are processed and increase the role of the Specialist Colleges in this process. Specialist IMGs who wish to practice Medical Administration in Australia will now apply directly to the Royal Australasian College of Medical Administrators (RACMA) for an assessment of their comparability to an Australian trained specialist in the specialty, rather than applying through the Australian Medical Council (AMC).


Dr Karen Owen

The Royal Australasian College of Medical Administrators
Dr Karen Owen, , p702
www.racma.edu.au /index.php?option=com_content&view=article&id=702&Itemid=405