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RE: Saving the world, one healthcare policy at a time

With great interest I read Dr S. Chandrasiri's article on "Saving the world, one healthcare policy at a time" (Chandrasiri,2017). I note Dr Chandrasiri's views on the value of medical leadership and administration, the potential impact this fraternity has on healthcare and the community, and in particular, the perceptions of others who are not familiar with the specialty.
While Dr Chandrasiri's sentiment has been echoed by many in the field of medical administration in Australia, this specialty, in general, does not receive the recognition it rightfully deserves. There is emerging interest in the UK and US, with the formation of the Faculty of Medical Leadership and Management in the UK and the American College of Physician Executives. However, this field is only recognized as a fully-fledged medical specialty in Australia, New Zealand and Hong Kong.
Professor Gruner described the challenges our college and Fellows face in regard to gaining the recognition for our expertise by external bodies in Australia (Gruner, 2015). Dr M. Metello, in his response to Prof. Gruner's article, noted that there is increasingly a demand for FRACMA qualifications in the advertisements for medical management roles, but it is not an absolute requirement in all cases (Metello, 2017). I have observed the same and appreciate that this is a major step forth for the specialty, given that historically, literally any senior medical officers with experience in healthcare may be recruited to step up into medical management roles, despite the lack of formal training in administration.
This lack of regulatory unconditional requirement for expertise in Medical Administration for medical management roles, contradicts the fact that Medical Administration is a recognized medical specialty in Australia, that RACMA is an accredited training college for the specialty, and the very fact that its fellows are eligible for specialist registration through AHPRA. As opposed to reversion to legislative requirement, the application of credentialing and allocation of scope of clinical practice process to medical management roles could be further explored to justify the value of this specialist training.
It is also my opinion that RACMA and its senior members should consider devoting efforts in marrying career planning for its emerging young administrators and succession plan for senior leaders, in order for the next generation of medical administrators to continue on with robust and well considered clinical governance and medical workforce management, which are the main pillars of the medical administrator.
Dr Wei Wong
RACMA Candidate
Chandrasiri,S. (2017). Saving the world, one healthcare policy at a time. The Quarterly.
Gruner, D. L. (2015). Membership of RACMA - Where  is the pride? The Quarterly.
Metello, M. (2017). Letter to the Editor. The Quarterly.


Last Updated on Thursday, 29 June 2017 11:15