WPPOs will provide the government and GP colleges with advice on current actions, recommendations and future recommendations so they can understand what needs to be done to build capacity in areas that don’t have capacity at the moment.
It is critically important that the WPP team engage with people on the ground at the coalface working in GP practices. They need to talk to registrar’s, supervisors, practice managers and other key stakeholders in this area to identify issues, barriers and solutions and capture this information in their reports that are provided to the Commonwealth and to work with the Colleges to find solutions.
| 1. Supervision | 2. Practice Characteristics | 3. Training Quality | 4. Lifestyle |
| Access to accredited supervisors | Access to Accredited General Practices (meet RACGP standard) | Are trainees experencing diverse paitent load (e.g. structured) | Access to Housing |
| Capacity to supervise based on clinical workload | Access to Accredited AGPT Training Facilities | Capacity to work across Community facilities (e.g.RACF) | Access to Schools |
| Supervision: Trainee ratio | Active and Accredited AGPT Training Facilities | | Access to Childcare |
| Quality Supervision | Access to Training Space within GP Practices | | Access to Aiport |
| Supervisor Satisfaction | Access to Multidisciplinary Teams | | Access to Public Transport |
| Supervision complexity of Trainees | | | Sense of Community Belonging (culture) |
| | | Quality Internet Connectivity |
| | | Dinning and Leisure Opportunities |
| | | Sports and Recreation Facilities |
WPPOs need to continue to and already have engaged with current past and future AGPT registrar’s to continue to develop the training capacity rubric. WPPOs really need to engage with those who are coming through the system as well, because things change quite quickly.
WPPOs are engaging with supervisors and practice managers about what impacts training capacity. They know that practice managers run the practices and do a fantastic job, they’re often the first point of call, particularly from a training perspective. So it’s really important to engage with those practice managers who can provide us with that information.
The things that WPPOs want from general practices, supervisors and practice managers, we really want to find out their perspectives. So from a supervisors perspective, what are the things that matter to you, and how can we use that information within our reports. WPPOs want to know about your experiences. They think it is really important to find out the experiences you’re having in regard to supervising, and training your trainees as well as getting some suggestions from you as to how to solve or look at these problems. They don’t know everything, they are asking for that information.
What are some of the things that are missing that you can identify for WPPOs? And solutions?
The best possible way to improve the quality of training?
WPPOs certainly not saying that GP training has been at a poor quality but they are looking to how we can contribute to improvement. WPPOs need to look at continuous improvement and hear from supervisors to get that information that leads to improvement.
- How can WPPOs continuously improve
- Whatdo you think works well
- What do you think doesn’t work well
- What issues you think WPPOs can fix and how WPPOs can fix those
- WPPOs understand the data doesn’t tell the full story
- What are the things that will impact you continuing to be a supervisor?
- What are the things that will impact you stopping from being a supervisor?
- What will impact those younger supervisors or younger trainees coming through that might want to be supervisors in the long term?
- How do WPPOs look at succession planning? What are the things that impact that?
- Quality is important.
What is consistent is that we all want quality practices, quality training and quality supervision.
What would you use to measure quality when WPPOs are talking about quality training, quality supervision? Is there a metric you’re using?
What outcomes would the WPPOs use to measure quality?
WPPOs do not think there is an absolute measure of quality. It’s about talking to registrars and supervisors to try and identify what quality supervision is.
Trainees have different ideas to describe what they think quality is. WPPOs pull all this information together and try to come up with an answer to what we can measure that against.
The matrix below shows a number of different factors that influence the quality and capacity of training. These are indicators that registrar’s say has an impact on where they would choose to go.
| 1. Supervision | 2. Practice Characteristics | 3. Training Quality | 4. Lifestyle |
| Access to accredited supervisors | Access to Accredited General Practices (meet RACGP standard) | Are trainees experencing diverse paitent load (e.g. structured) | Access to Housing |
| Capacity to supervise based on clinical workload | Access to Accredited AGPT Training Facilities | Capacity to work across Community facilities (e.g.RACF) | Access to Schools |
| Supervision: Trainee ratio | Active and Accredited AGPT Training Facilities | | Access to Childcare |
| Quality Supervision | Access to Training Space within GP Practices | | Access to Aiport |
| Supervisor Satisfaction | Access to Multidisciplinary Teams | | Access to Public Transport |
| Supervision complexity of Trainees | | | Sense of Community Belonging (culture) |
| | | Quality Internet Connectivity |
| | | Dinning and Leisure Opportunities |
| | | Sports and Recreation Facilities |
This is a national approach. WPPOs are applying the same methodology to look at both rural regional and metropolitan GP catchments.
What WPPOs are hearing and what they are finding is that the situations that WPPOs are dealing with are very different depending on what GP catchments they are working with.
From conversations with colleagues in metropolitan PHN’s that they are experiencing enormous growth in populations in some of the outer corridors around Melbourne and that’s having a big impact on the numbers of GPs that we have available in those areas. It is a real supply and demand issue.
Being able to forecast these sorts of population growth is going to be really helpful when WPPOs are looking at the future placement of AGPT registrar’s, whereas in perhaps some of our rural communities, WPPOs are finding, they have supervision, difficulties trying to provide supervisors in some of these GP catchments, where they have practices that are keen to have GP trainees, but they might be solo practices with limited capacity. So this presents a different and unique challenge in those catchments. It is the same approach, but very different solutions and very different issues that WPPOs need to capture.
What about where there’s huge capacity to train but low workforce need? How do WPPOs preserve that?
Is that something that’s been factored in as at the moment WPPOs have some really engaged supervisors? Obviously, there are members who are very concerned that they won’t have training going into the future and they have set themselves up for it, they’ve gone to great expense and put a lot of investment of time and energy into it.
WPPOs do include these in their recommendations and their priority levels. WPPOs do address catchment areas that have a lower workforce need, and a higher training capacity so that they are flagging these issues with the Colleges so that they’re aware.
One of the reasons WPPOs have different indicators are to looking at quality. This is very important. There’s a need to put registrar’s into certain places where there is workforce need. It is also really important to have a look at the quality of training to make sure WPPOs do not lose that quality of training moving forward.
Ultimately, to have the independence and evidence based information, provided a report to the Colleges around the training capacity and the workforce need. So that then there’s more visibility, more informed information to assist, the decisions associated with distribution, training and support.
WPPO’s have an important role in generating those ratings so that it can then be used for informed decision making with transparency and visibility.