1. Graduate registration: what you need to know October 2013 1

2. Outline Why is this important? National Registration and Accreditation Scheme (NRAS) Medical Radiation Practice Board of Australia Role of AHPRA Registration standards Guidelines, Code of Conduct and mandatory notifications Supervised practice Most importantly: the “how to” for registration 2

3. 3 Why should I care about registration? No registration, no job –you have to be registered to practice To be registered you must –hold an eligible qualification, and –you must meet registration standards. You should apply for registration four to six weeks before the end of your course

4. What is the National Regulation and Accreditation Scheme? 4 A single, national regulatory scheme for 14 registered health professions Protecting the public Three main parts –registration –notifications (complaints), and –accreditation. Student Register: all students undertaking clinical training in a health profession are required to be registered. AHPRA contacts each education provider for student information

5. Why have a National Scheme? 5 Mobility: Health practitioners register once, practise across Australia Uniformity: Consistent national standards – registration and professional conduct Efficiency: Less red tape – streamlined, effective Collaboration: Sharing, learning and understanding between professions National online registers: Showing current conditions on practice (except health)

6. 6 Proportion of registered professions

7. Where do MRPs work? 7 2,806 ACT 230 4,575 3,528 272 1,249 110 1,043 Not stated 80 10,761 DR 2,160 RT 963 NMT 21 dual Total 13,905

8. National Law and protected titles Anyone using any of these protected titles must be registered Medical Radiation Practitioner Medical Imaging Technologist Diagnostic Radiographer Radiographer Nuclear Medicine Scientist Nuclear Medicine Technologist Radiation Therapist If you are not registered and using or holding out you may be subject to a fine of $30,000 8

9. 9 What the Medical Radiation Practice Board does Primary goal is to ensure that only health practitioners who are suitably trained and qualified to practise in a competent and ethical manner are registered. The Board: sets standards, codes and guidelines for medical radiation practitioners decides who is registered approves accredited programs of study oversees assessment of overseas trained practitioners, and administers supervised practice programs.

10. Members of the Board 10 From L-R: Rosie Yeo, Marcia Fleet, Christopher Hicks, Sue Baldwin, Mark Marcenko, Neil Hicks (Chair), Tracy Vitucci, Chris Pilkington, Robyn Hopcroft, Liz Benson, Kar Giam 10

11. 11 What AHPRA does Works in partnership with 14 National Boards to implement the National Scheme Maintains the Board’s register of practitioners Supports National Boards by administering registration, investigation/notification, etc, and systems and processes A host of other activities such as Board projects, monitoring & compliance, practitioner audits

12. Other roles Universities deliver approved programs of study for qualification Accreditation authorities ensure high standards of education and training recommend to National Boards which courses should be recognised Professional associations represent and advocate for the profession provide Professional Indemnity Insurance deliver supervised practice program on behalf of the Board 12

13. Registration & membership Registration is compulsory to practice you must be registered and meet all Board standards Membership of professional associations is voluntary is not needed to practice, and may have different requirements to the Board. 13

14. Registration standards All practitioners must meet the Board’s standards on Continuing professional development (CPD) Professional indemnity insurance (PII) Criminal history English language skills Recency of practice  for practitioners who have not practised in the last three years but wish to return to practice, and Grandparenting and general registration eligibility  for practitioners eligible to apply for registration but who do not hold an academic qualification from an approved program of study. These provisions apply until 1 July 2015. 14

15. 15 Continuing Professional Development (CPD) CPD is how you maintain, improve and broaden your knowledge, expertise and competence By undertaking CPD you develop the personal and professional qualities required throughout your professional life You must undertake a minimum of 60 hours of CPD activities over a three year cycle, with a minimum of 10 hours in any one year; or Comply with the requirements of a CPD program approved by the Medical Radiation Practice Board (such as a program run by professional organisation) Can be a self managed program but keep records

16. 16 Continuing Professional Development (CPD) Keep a record of  type of activity, substantive or general  source or reference details (e.g. journal name, provider name)  date and number of hours of CPD activity  reflection, and  evidence of participation (i.e. certificate or other evidence). Most must be substantive – directly related to MRP  self-directed learning  professional course/training  conference, or  in-service/ meeting Reflection – think critically and analyse the experiences  what have you learnt?  how can you apply this learning to your work?

17. A sample CPD logbook template is on the Board’s website: www.medicalradiationpracticeboard.gov.auwww.medicalradiationpracticeboard.gov.au Click the Registrations tab then click CPD Evidence of CPD activities must be provided if requested for audit - including your self-reflection Not mandatory for provisional registrants, but you’re doing CPD, so why not record it! 17 Continuing Professional Development (CPD)

18. Professional indemnity insurance Professional indemnity insurance (PII) provides protection for the public. Minimum PII requirements are minimum $10m for single claim, and appropriate to scope of practice Can be through employer, third party organisations or insurance company It is your responsibility to ensure you have appropriate arrangements 18

19. Criminal history You must declare any criminal history and provide details when you submit your paperwork Criminal history includes –every conviction of a person for an offence –every plea of guilty or finding of guilt by a court of the person for an offence, whether or not a conviction is recorded for the offence, and –every charge made against the person for an offence. 19

20. Criminal history examples  Charged with assault - Charge withdrawn... disclose  Shoplifting at age 17 - $200 fine, no conviction recorded... disclose  Guilty plea to charge of Public Nuisance - $250 fine... disclose  Charged with possession of prohibited drugs - no conviction recorded, direction to attend drug counselling course, $500 fine... disclose  Guilty plea to causing bodily harm in motor vehicle crash - good behaviour bond for two years... disclose  Drink driving - $600 fine, lost license for 2 years... disclose  A single speeding fine - $100 fine, lost 3 demerit points... no need to disclose (provided fine not contested in court) 20

21. English language skills Secondary AND tertiary education to be completed in English in an accepted country –Australia, Canada, New Zealand, Republic of Ireland, South Africa, UK, USA or Satisfactory completion of an approved examination –IELTS (academic) score of 7 and above in all categories, OET result A or B in all categories –can be more than two years old if you’ve been in full time study since obtaining the result. 21

22. English language skills When completing the registration application form you are asked Did you undertake and complete your secondary education, in English, in one of the countries listed? Answering ‘YES’ to this question and signing the application on page 7 is a legal declaration that you have undertaken and completed your secondary education in English The Board has the power to take immediate action where registration has been obtained based on false or misleading information. 22

23. English language skills The Board gave graduates undertaking supervised practice in 2013 an extension to demonstrate English language proficiency This exemption has finished – all graduates must meet the English language standard prior to general or provisional registration and supervised practice Statement from the Board www.medicalradiationpracticeboard.gov.au 23

24. 24 Guidelines The Board expects all practitioners to understand and comply with Code of conduct Advertising guidelines Social media guidelines (under development) Mandatory notification, and Provisional registration (under development).

25. 25 Code of conduct: what the Board expects The Code contains important standards for practitioner behaviour in relation to Become familiar with the Code of Conduct www.medicalradiationpracticeboard.gov.au/Codes-Guidelines/Codes-and-Guidelines www.medicalradiationpracticeboard.gov.au/Codes-Guidelines/Codes-and-Guidelines Providing good care Working with patients Working with other practitioners Working within the health care system Minimising risk Maintaining professional performance Professional behaviour and ethical conduct Ensuring practitioner health Teaching, supervising and assessing

26. Mandatory notifications Notifiable conduct includes practising the profession in a way that constitutes a significant departure from accepted professional standards practising with an impairment that places the public at risk of harm engaging in sexual misconduct in connection with the practice of the profession, and practising while intoxicated by drugs or alcohol. www.medicalradiationpracticeboard.gov.au/Codes-and-Guidelines 26

27. NSW has different arrangements NSW manages own conduct, performance & health matters National law with NSW specific provisions –Health Practitioner Regulation National Law (NSW) No 86aHealth Practitioner Regulation National Law (NSW) No 86a Health Care Complaints Commission (HCCC) involved Health Professional Councils Authority (HPCA)  supports Councils for each health profession by managing notifications, complaints & administrative matters  involved in management of impaired practitioners  responsible for inspectors  HPCA – web www.hpca.nsw.gov.au / ph 1300 197 177 www.hpca.nsw.gov.au 27

28. Queensland has different arrangements Arrangements to change in Queensland From July 2014, Queensland will be a co-regulatory jurisdiction A Health Ombudsman, appointed by Queensland Government, will  oversee the health complaints management system in Queensland  manage serious allegations against health practitioners Will not affect the national registration of health practitioners All complaints and notifications (voluntary and mandatory) in Queensland will be made to the Health Ombudsman The Health Ombudsman and Office will replace the Health Quality and Complaints Commission (HQCC) 28

29. 29 Supervised practice The MRPBA is responsible for supervised practice Applies to graduates of approved programs of study that lead to provisional registrationprovisional registration You must hold provisional registration with the Board before you commence practice AIR and ANZSNM run the 2013 supervised practice programs under contract with the Board  NPDP is AIR’s current program  PDY is ANZSNM’s program

30. 30 Supervised practice – what must I do? On (or near) graduation you must apply for  provisional registration (AHPRA), and  radiation use licence ( different arrangements in each State/Territory ) Ensure you have a placement Apply to start in supervised practice program www.medicalradiationpracticeboard.gov.au/Registration/Supervised-Practice Complete 48 week program, including four satisfactory capability assessments Near completion, apply for general registration

31. 31 www.medicalradiationpracticeboard.gov.au Check for newsletters, standards and other important information for your profession

32. Registration – the ‘how to’ Identify if you are eligible for general or provisional registration from the approved programs of studyapproved programs of study Apply and pay online 4 - 6 weeks before you are due to complete your course www.ahpra.gov.auwww.ahpra.gov.au Submit supporting documents to complete your application Assessment by AHPRA Confirmation of satisfactory completion of approved program by education provider Registered and details on the national register! 32

33. Submitting an application Online application – go to www.ahpra.gov.au and the Graduate applications section (from home page)www.ahpra.gov.au Current fees (same for general and provisional) –application fee $275 –registration fee $295 Email address – crucial that it is current and that you check it & your spam folder regularly If paper application form is required –for general registration use Form AGEN-91 –for provisional registration use Form ASPR-91 33

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35. Paperwork to submit Your application is not assessed until all paperwork is received by AHPRA You need to provide paper copies of your documentation to AHPRA  confirmation email you received following online application  certified copies of identification Refer to certification and identification information at end of form Almost 40% of applications last year had incorrectly certified or insufficient identification submitted. This delayed the processing of these applications. 35

36. Disclosure of health issues and criminal history Applicants must disclose physical or mental impairment, disability, condition or disorder that affects or is likely to affect capacity to practise Provide information about how condition can be managed to allow safe practice Contact AHPRA for more information if you need to disclose a health condition Board may apply conditions to support safe practice You must also disclose your criminal history – see earlier slides 36

37. Assessment by AHPRA Correctly certified identification Sufficient identification Conduct a criminal history check Verify qualification with university 37

38. Verification of qualification Verification of successful graduates provided to AHPRA directly from the university as soon as results are published Application must be complete and required paperwork submitted There are a large number of graduates in some states so may take about two weeks to update all the applications 38

39. Registration General registration is granted until 30 November Provisional registration is granted for 12 months You will receive a confirmation email once your application has been approved Check online national register of practitioners www.ahpra.gov.au You will be sent a Certificate of Registration and receipt 39

40. Now you are registered Ongoing practitioner responsibilities… Annual renewal by 30 November (online renewal encouraged)  late fee or re-application may be required Advise/Declare  change of contact details or principle place of practice  criminal proceedings, and  health issues likely to impact on practice Adhere to the Board’s registration standards 40

41. Further Information FAQ on AHPRA website You cannot work as a registered health practitioner until you are registered You can work as a registered health practitioner as soon as your name is published on the national register of practitioners Call 1300 419 495 www.ahpra.gov.au 41

42. 42 How do I stay informed? www.ahpra.gov.au –See Registration for information for graduates –See Notifications for more on complaints Enquiry hotline: 1300 419 495 www.medicalradiationpracticeboard.gov.au Check for newsletters, standards and other important information for your profession

43. Some Frequently Asked Questions 43 When do I apply for registration? You should apply 4-6 weeks before completing your course. Contact the department responsible for radiation use licensing in your state/territory to discuss when you should apply for a license. Do I need a job before I apply for registration No. Suggest that you apply as above. When you have secured a job you will need to advise AHPRA of your principal place of practice. What do I need to have to start work? Registration with the Board  general registration  provisional registration A radiation license If needed, enrol in a supervised practice program

44. Some Frequently Asked Questions 44 Does my secondary schooling have to be in English? Yes. You must have completed your secondary education in English – if you have not completed all you may be required to undertake an IELTS or other test. Can some of my secondary schooling be in English in another country ? Yes, but only New Zealand, Canada, Ireland, UK, USA & South Africa Can I get an exemption for the English language standard? The only exemption is listed in the standard, which is that you have undertaken your secondary and tertiary studies in English in a country listed above.