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Specific Issues from Day 1
FRAME Structure
  • It was agreed that the proposal will be refined in light of comments received and sent to designated University Heads / Directors to seek a response.
  • It was suggested that Heads talk with colleagues and put on the agenda at internal meetings.
  • Following approval by RCS Directors, FRAME will go back to Medical Deans to finalise details.
  • A 12 months trial period will be included.
  • FRAME will have a dedicated staff member (FRAME Project Manager) situated at Medical Deans Sydney Office utilising Medical Deans IT, HR, pay roll, office space.
  • Expert advice will be sought to ensure checks and balances are in place.
  • There were some concerns about dilution of FRAME’s effectiveness and mission.
  • FRAME’s presence within Medical Deans is a risk mitigation strategy, as it keeps rural on the agenda for the Medical Deans.
Action: Refine the proposal and distribute to Heads of Rural Clinical Schools, for ratification.
  • The student presentation raised opportunities for RCSs.
  • Students are interested in rural training pathways.
  • It is Important for students to understand FRAME’s priorities and its worthwhile for them to attend meetings and express opinions.
FRAME can:-
  • review the “providing positive rural training experience” document on the NRHSN website.
  • make contact with rural health clubs and build relationships were necessary.
  • work with the NRHSN to ensure the handover from one committee to the next is smooth and there is a good transfer of corporate knowledge.
  • encourage local rural student clubs to write handover manuals.
  • ensure there are local students at the FRAME meetings at rural clinical sites.
  • provide an opportunity for representatives from the NRHSN Executive to provide a brief report at the Canberra meeting.
  • Encourage DoH to include students in the trial of the Rural Placement Information website.
 Process for Negotiating RCTS Funding Parameters and other Issues
  • In the past DoH has been good at listening and making adjustments, however the processes have often been left to the last minute.
  • It was suggested that either the Policy Group or a working group, meet with the Department around the time of the Canberra meeting, to commence discussions about funding.
  • It is unlikely that the Department will start thinking about RCTS funding until the end of the year. RCTS will continue, but won’t continue as is. There will be no more money but RCSs will need to explore ways and means of leveraging off other activities, opportunity to be innovative and generate income
  • Funding parameters will be a priority discussion at the Canberra meeting.
  • The Administrators’ comment about the 5% rule was noted and it was suggested that it should be somewhere between 0-5%. (Policy group to discuss).
  • Alumni tracking work legitimises investment in RCSs and could become part of the parameters.
  • It is anticipated that the parameter around compulsory 4 week rural placements will change and it may be up to Individual universities to make the decision about short term placements.
  • Parameters might not be nearly so precise in an attempt to reduce red tape, and allow for simplification of reporting.
  • RCSs understand sub specialties and the need for specialist training and specialist registrar posts. FRAME could discuss parameters around specialist training. The RCTS program could absorb funding for specialist training currently going to Colleges and jurisdictions.
  • It was suggested that FRAME approach the Department for access to Medicare provider number data to support outcomes data
 Action: Funding parameters to be a feature item for the Canberra meeting.
             Each RCS to provide a summary of their thoughts around parameters and synergies.
DoH Rural Placement Information Project and mapping out training needs
  • There was some discussion as to the details of the project and concerns that data may quickly become out of date.
  • It is often difficult to get information about available jobs from medical superintendents, however FRAME members are well placed to ask the question.
  • It was agreed that it is essential to have a key contact person to provide accurate information about the post.
  • If the website is only to be updated twice a year, it was suggested this be done at an appropriate time, such as one month before students make choices.
  • Students should be involved in the planning process and provide input on where they would like to work if funded positions were available.
 Action: Continue discussions about the Rural Placement Information project via Ausframe.