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Australia registers record influx of overseas doctors


Michelle Wisbey


24/06/2024 4:00:12 PM

But with many relocating to escape their local healthcare systems, the RACGP fears what the future may hold should Australia follow a similar path.

Female GP speaking to patient.
Around 50% of doctors who registered to practice in Australia last financial year were educated internationally.

Overseas-trained doctors are flooding to Australian shores at a greater rate than ever before, with a record number taking up positions in every state and territory.
 
According to new Commonwealth data, 4699 doctors from overseas have registered to practice in Australia in the first 10 months of this financial year – almost double the 2991 doctors registered in 2018–19.
 
Half of all doctors registered to practice last financial year were educated internationally, and of those, 60% come from the United Kingdom, Ireland, India, or the Philippines.
 
Between July and April, newly registered doctors from overseas have begun working in:

  • Australian Capital Territory: 93
  • New South Wales: 1028
  • Northern Territory: 60
  • Queensland: 1006
  • South Australia: 265
  • Tasmania: 96
  • Victoria: 1102
  • Western Australia: 784
Federal Health and Aged Care Minister Mark Butler said the ‘boom in health workers’ represents a vote of confidence in the Australian health system; however, the RACGP has raised significant concerns.
 
While RACGP President Dr Nicole Higgins welcomed the diversity of the nation’s GPs, she said many of these doctors are moving to escape the UK’s NHS and fears Australia could be about to repeat the system’s mistakes.
 
‘The reason doctors and GPs are leaving the NHS is because they’ve been devalued and defunded to such a point that there’s no professional satisfaction and high levels of burnout,’ she said.
 
‘In the NHS, you’re working in a medical clinic and you only get to see your patient 15% of the time because they’re diverted to other health practitioners.
 
‘They’re sending the wrong message to doctors that there are other people that can do what you do with less training and less costs, and we just don’t value the education and training that it takes to become a GP.
 
‘With the emerging trend of NHS doctors coming to Australia, these doctors don’t want to be a refugee in one health system and then end up in another where they’re not valued or funded either.’
 
Ahead of the Federal Budget’s release earlier this year and the ongoing Scope of Practice Review, the RACGP raised fears Australia was heading in this direction, pleading with the Commonwealth to ensure the nation does not repeat its ‘significant and long-running policy failures’.
 
Dr Higgins said that by 2033, International Medical Graduates (IMGs) are expected to overtake domestic graduates in the general practice workforce, and this year already, there are more intern positions than graduates.
 
She said a long list of changes must be urgently made to begin reversing this trend, including reinstating Commonwealth funded placements for medical graduates.
 
‘We also need to ensure we change the curriculum of medical schools because students must have exposure to general practice at every touchpoint,’ Dr Higgins said.
 
‘Australia’s got one of the best health systems in the world, but the problem is it’s not funding general practice or primary care, and we need to have a big conversation around flipping the system and where we pour money.
 
‘Funding needs to go into general practice and primary care and move away from expensive, shiny hospitals.’
 
IMGs have long been an invaluable addition to Australia’s healthcare landscape, most notably in rural and regional communities.
 
Several policy changes have already been rolled out in a bid to cut red tape and make registration easier and life better for those GPs relocating.
 
Dr Higgins said she wants to ensure that for all IMGs beginning their new lives in Australia, the healthcare system they are joining remains one of the world’s best.
 
‘Changing countries is traumatic for anybody, and it costs a lot of money and a lot of time to relocate, and we want our RACGP members who have their primary qualification from overseas to know that they’re valued,’ Dr Higgins said.
 
‘We will fight for them to create a system where they’re welcomed, especially in our rural and regional areas, because if it wasn’t for internationally qualified doctors, we wouldn’t have a health system.’
 
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A.Prof Christopher David Hogan   25/06/2024 8:34:56 AM

As suggested above, the influx of significant numbers of international colleagues presents an opportunity not a ready made solution.
We must insist our politicians do not see this as a "plug & play solution"
For several years I have been a senior supervisor supporting IMGs as they sit for Australian fellowships & know how hard it is.
They & their families will need significant support to transition from their country of origin to Australia. It can be very difficult.
When cultural sensitivity training is mentioned , it usually refers to only dealing with indigenous cultures for people used to the other myriad cultures Australia is blessed with.
Many mention the culture shock involved in dealing with rural Australia as an example. I grew up in the bush & love it. One colleague expressed his cultural confusion saying "I don't know if they are praising me or insulting me- they use the same words!"


Dr Shabbir Ahmad   25/06/2024 8:40:44 AM

I would like to express my serious concern about time it takes to move from one department to the next in order to be able to work in Australia. I applied in October, 2024 to join medical work force of Australia. I arrived in Perth WA on 5 May, 24.
I applied for provider number on 9 April, 2024. I am
still waiting for it.


Dr Mylapanahalli Krishnappa Shivashankaraiah   25/06/2024 8:50:22 AM

Doctors in rural and regional areas haven't been well supported. Australian medical graduates do not want to practice in country towns. Rural Doctors Workforce Agency does not provide support to the practices when doctors go on leave. No financial compensation when they fall sick or have to go to a city for medical appointments. I totally agree 'if it wasn’t for internationally qualified doctors, we wouldn’t have a health system.’


Dr Edward Peter Collinson   25/06/2024 11:05:20 AM

I debunked form the NHS over 35 years ago and I fully agree that Australia is heading down the same path as the NHS has done previously to become the dysfunctional miserable system to work in it is now. The rot becomes obvious when politicians boast about creating better emergency / urgent care facilities not appreciating that every one of these is an indictment of the under-funding of primary care that is creating the problem. Lets have proper preventative care, not band-aid solutions.


Dr Peter James Strickland   25/06/2024 11:19:22 AM

Having to import our medicos from overseas is an indictment of the present Governments and universities' policies on training of our medical force. It all is the result of the bureaucrats and relevant ministers not actually knowing that the support of general practice improves the health system better for everyone --the patient, the economy, AND reduces the cost of the expensive and the wasteful public hospital system. General practice is NOT supported by the Federal Govt --that is glaringly obvious by looking at the BB rebates alone --Medicare (Medibank) has produced a decrease in health care efficiency since the early1970s when I was a resident --everyone should contribute something into their health care, and no 'freebies' would solve a lot!


Dr Christopher Francis Boyle   25/06/2024 5:54:44 PM

Medicare has simplly not kept pace with inflation so the value of a consultation has been eroded. It was $20 rebate for the patient to see me for an item 23 in 1984. It is $40 rebate in 2024. $0.50 rise per year for 40 years. Well under inflation. No wonder the bulkbilling rate is low and no wonder that young graduates do not wish to do GP.


Dr Khoi Manh Bui   25/06/2024 8:41:04 PM

We are in Healesville, Yarra Valley, Vic. Can anyone tell me why we get applications from Iranian doctors still in Iran on a daily basis and not from any other countries listed above? Weird!


Dr Catherine Emma Linda Sloan   25/06/2024 9:44:48 PM

Australian medical students need a lot more exposure to GP and especially rural GP. We need to showcase all the good bits, not let their view be only that of hospital specialists.


Dr Bryan Joe Kim Buttery   26/06/2024 9:06:49 PM

Probably not so much our medical system that is attracting these IMG’s, many of whom will be leaving much higher status bestowed upon them in their countries. But we do in Australia have an unenviable lifestyle, freedom and opportunities for their children. This I suspect is what attracts migrants whether they be medical or not to our country. That’s why my own parents migrated to Australia in the 70’s.


Dr Christine Anne Paterson   28/06/2024 5:23:26 AM

I have been coming to work as a VR GP in Australia since 1993 and I have witnessed a decline in the respect and monetary rewards given to Australian GP's . I recently vowed I would never work again in NHS .
I am now back in Australia but things are quickly going downhill and I see no sign of the policymakers giving a toss.
My advice to young UK GP's is don't come to Australia - Go straight to Canada


A.Prof Vicki Kotsirilos, AM   29/06/2024 8:36:28 AM

I love general practice; we need to convey a very strong positive image to medical students & Drs during their training years how rewarding it is, & include more rural general practice exposure & the benefits of lifestyle choices.
My children are super smart. Yet they did not get into Medicine due to the fierce competition for very high ATAR schools requiring high scores. They were out by 0.5 & suffered burnout trying to get the high scores!
Surely there needs to be an assessment of Uni entry & places available to allow more Australian children the opportunity to enter Medicine? The bar has been raised too high for young students who dream of being a Dr, & want to get into Medicine, yet lower trained health practitioners with lesser educational demands & standards are doing some of the work of Drs.