JCU GP Registrar Placement Questionnaire - 2021 2nd Intake RACGP Registrars

JCU GP Registrar Placement Questionnaire - 2021 2nd Intake RACGP Registrars
Welcome to the 2021 Placement Questionnaire. Please read the Registrar Information Sheet below prior to completing this questionnaire.
The questionnaire must be submitted by midnight Wednesday, 18 November 2020.
This 10-minute questionnaire provides JCU with important information regarding your training intentions, hospital experience and region preferences.
Due to practice capacity limitations and workforce requirements, you may be required to relocate within the JCU GP region for all or part of your training.
You will need to attach the following supporting documentation or submit it to jcugp.placements@jcu.edu.au by Wednesday, 18 November 2020 (*you have to attach these documents to your placement questionnaire):
- Your CV*,
- Current AHPRA registration*,
- Evidence of the date you were first granted General Registration,
- End of Term Assessments for your mandatory hospital terms,
- Statement/s of Service for your hospital work (if available),
- If you're using Emergency Medicine (EM) terms to meet the Paediatric Term Requirement, either a letter from the hospital ED confirming your own paediatric caseload as a percentage for each EM term or a de-identified patient log for each EM term,
- RACGP Financial Membership (if available),
- 2021 Hospital Employment Contract (if applicable).
You can save the questionnaire part-way through completion, but once you have submitted your answers you can't change them.
If you have difficulty completing this questionnaire, please call (07) 5373 4413 and if you have any questions about a particular JCU training region, please contact the local regional offices whose contact information can be found in the Registrar Information Sheet.
JCU GP Training Post Placements: Information for Registrars

Your Information
Name*
First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Your home City*
Rockhampton, Emerald
Your home State*
QLD, VIC, NT
Do you identify as:*
AboriginalTorres Strait IslanderBothNeither
Citizenship Status*
Are you subject to the 10 Year Moratorium?*
YesNo
Do you hold a 19AB Exemption?*
YesNo
19AB Exemption Evidence
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Your Training Pathway*

Your Medical Registration
What is your Registration Number?*
MED00000000
Registration Type*
GeneralProvisionalLimited
When did you receive OR do you expect to receive General Registration?*
DayMonthYear
Date
Please any conditions
Evidence of your date of first General Registration or if you have Provisional Registration, a copy of your certificate*
Cancelof

Your Previous Hospital Experience
RACGP's Mandatory Hospital Term Requirements:
Registrars wishing to commence their training on the program in a community General Practice placement must demonstrate that they have successfully completed a minimum of 10 weeks in the following disciplines in an accredited Australian or New Zealand public hospital, within the last 5 years:
- General Medicine
- General Surgery
- Emergency Medicine
- Paediatrics*
- Three additional disciplines to demonstrate breadth of experience.
The RACGP's Paediatric Term Requirement document outlines the approved alternatives if a Paediatric term has not been completed.
Please consult JCUGPs College Mandatory Requirement Guidance document below for more information.
Mandatory Hospital Term Requirements*
Discipline Hospital FTE Weeks Start Date End Date
General Medicine
General Surgery
Emergency
Paediatrics or
Equivalent
Additional 1
Additional 2
Additional 3

How many weeks of hospital time will you have completed in an Australian or New Zealand public hospital by Monday, 18 January 2021 (including your Intern year)?*

	FTE Weeks
Total Number of Weeks completed Including Intern Year
Total Number of Annual Leave taken during this time
Total Number of Parental Leave taken during this time
Total Number of Unpaid Leave taken during this time

Your current PGY*
Australian Hospitals
Number of years hospital experience overseas
Basic Life Support
Registrars wishing to commence their training in a community General Practice Placement, need to submit a BLS certificate, which will be valid on the day they commence GP training (on 18 January or if their hospital contract finishes on 31 January, then 1 February 2021).
For more information, please visit https://www.racgp.org.au/education/registrars/fellowship-pathways/policy-framework/guidance-documents/basic-and-advanced-life-support.

Please note: the BLS component of an ALS course is valid for only 12 months.
Have you completed a Basic Life Support course since 20 January 2020?*
YesNo
Expiry date of your BLS Certificate*
DayMonthYear
Date
Please upload your supporting documentation below.
If a document is not available, please email it to jcugp.placements@jcu.edu.au by Wednesday, 18 November 2020.
Mandatory - a copy of your CV*
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End of term assessment - General Medicine
Cancelof
End of term assessment - General Surgery
Cancelof
End of term assessments - Emergency Medicine
Cancelof
End of term assessment - Paediatrics
Cancelof
Emergency Log or Letter showing your own personal paediatric caseload
Cancelof
End of term assessment - O&G
Cancelof
End of term assessment - Anaesthetics
Cancelof
Your Statement/s of Service - if this is not available, please submit to JCU by Wednesday, 18 November 2020
Cancelof
Basic Life Support
Cancelof

Your Future Training Options
JCU's Aboriginal and Torres Strait Islander health GP training program
Two-thirds of Queensland’s approximately 100,000 Aboriginal and Torres Strait Islander people live within the JCU GP training region, which means there are a variety of opportunities for registrars to develop an extended scope of practice in Aboriginal and Torres Strait Islander health.
Find out more about training opportunities in Aboriginal and Torres Strait Islander Health.
Are you interested in working in an Aboriginal Medical Service (AMS) / Aboriginal and Torres Strait Islander health during your training?*
Yes, 2021Yes, but not sure which yearNo
Enhanced Rural Training Environment Program
JCU is committed to distributing registrars equitably throughout our vast region ensuring workforce requirements are met in communities in need. As a consequence we are providing enhanced employment opportunities using an innovative funding package in following locations:
- Biggenden (Wide Bay Region),
- Bowen (Mackay Region),
- Cloncurry (Central West Region),
- Cooktown (Cape & Torres Strait Region),
- Magnetic Island (Townsville Region),
- Normanton (North West Region),
- Ravenshoe (Tablelands Region),
- Roma (South West Region),
- St George (South West Region), and
- Tully (Cairns Coast Region).
Are you interested in working in one of our Enhanced Rural Training Environment Program locations in 2021? If you answer yes, our team will contact you to discuss.*
Yes, 2021Yes, but not sure which yearNo
Which location interests you?
Academic Post Placements
An academic post can be a great way to incorporate academic work into your career, or as preparation for further postgraduate study in academic general practice. Academic posts provide exposure to medical research and the academic environment, including teaching, project work and critical evaluation of research relevant to the discipline of general practice.
Registrars undertaking an academic post will also have the opportunity to:
- Contribute to the evidence on which general practice is based
- Attend funded workshops and conferences
- Disseminate their research in professional journals and at conferences
- Help build a foundation towards becoming a general practice academic or medical educator.
Please visit https://www.jcugp.edu.au/our-training-program/training-opportunities/academic-posts/ for more information.
Are you interested in undertaking an Academic Post placement during your training? If you indicate 'yes', we will discuss this with you during your pre-entry meeting.*
Yes, 2021Yes, but not sure which yearNo

2021 Training Intentions
Do you already have employment confirmed for 2021 e.g. a Hospital placement, Advanced Rural Skills Training placement?*
YesNo

Region Preferencing for 2021 JCUGP Placements
What type of training do you plan to undertake in 2021*
Region Preferencing:
For more information on the regions, their boundaries or what the training opportunities are like please visit https://www.jcugp.edu.au/about-us/our-training-region/
Please note: your preferences are taken into consideration during the placement process, however, we cannot guarantee that you will be allocated to your preferred regions.
Applicants wishing to undertake training in a community General Practice placement in January 2021 should be aware that JCU’s Sunshine Coast region (which includes Gympie) and the Hervey Bay portion of the Wide Bay region are at capacity for 2021.
The following JCU regions have excellent GP training opportunities and are projected to have training post capacity in 2021:
• Central Queensland
• Central West Queensland
• Mackay
• North West Queensland
• Tablelands
• Wide Bay – Bundaberg or Maryborough
• Regional areas of the Townsville and Cairns regions
JCU GP requires registrars to live in the region that they work in.
Please rank in order of preference your preferred training regions (1 most preferred - 10 least preferred).*
Connections to the region/s you have preferenced.*
Supporting documentation
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Do you agree to live in the community you are allocated to train in?*
YesNo
If no, please comment below.
JCU's first semester commences on 18 January 2021. If you are unable to start GP training on this day due to an existing hospital contract, please indicate when you are able to start.
DayMonthYear
Date
JCU typically place registrars for a period of 12 months for their General Practice term placements. Occasionally this does not fit with some registrars' training. Are you planning to continue in the same placement in Semester 2, 2021?*
YesNo

2021 Employment Confirmed
Are you hoping to be considered for a community GP placement instead?
YesNo
Training Type*
Training Post*
Position Level*
JHO, SHO, PHO, Prov SMO
Discipline/s*
Start Date*
MonthDayYear
Date
End Date*
MonthDayYear
Date
2021 Employment Contract, if applicable
Cancelof

Thank you!
Please press the Submit button before closing your browser. Please leave final comments in the box below if you wish. We look forward to talking to you at your Pre-entry Meeting on Friday morning, 20 November 2020.
Should be Empty:

	Discipline	Hospital	FTE Weeks	Start Date	End Date
General Medicine
General Surgery
Emergency
Paediatrics or Equivalent
Additional 1
Additional 2
Additional 3

JCU GP Registrar Placement Questionnaire - 2021 2nd Intake RACGP Registrars

Your Information

Your Medical Registration

Your Enrolments

Your Previous Hospital Experience

Your Future Training Options

2021 Training Intentions

Region Preferencing for 2021 JCUGP Placements

2021 Employment Confirmed