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Embarking on the PESCI journey as an overseas trained doctor (OTD) is a sometimes daunting but significant step toward contributing to Australia’s healthcare landscape.

In previous years, the PESCI process has been quite difficult for most applicants with a high failure rate and differences between the way providers evaluate applicants. In December 2023, the Royal Australian College of General Practitioners (RACGP) held a webinar for key stakeholders explaining their new approach and how they are improving the system for OTDs. They not only shed light on common issues but also offered crucial tips to ensure a smoother PESCI experience.

Detailed Position Descriptions and Orientation Plans

The RACGP emphasized the critical role of detailed and specific information included in position descriptions and orientation plans. They noted that the orientation plans specifically are often quite vague or are missing entirely from applications.

Crafting comprehensive documents that showcase an understanding of the prospective workplace is crucial. These documents provide evaluators with a clear picture of the environment in which the applicant will potentially practice.

Experience in Various Health Situations

Understanding the common pitfalls leading to PESCI failures, the RACGP highlighted the necessity of practical experience in complex health situations and emergencies. Demonstrating competence in navigating challenging medical scenarios is paramount. The evolving nature of general practice demands practitioners who can adapt to diverse healthcare settings.

Clear Understanding of Personal Limitations

Applicants were encouraged to develop a keen awareness of their own limitations. This self-awareness contributes to a realistic understanding of potential challenges in a new healthcare environment. By openly acknowledging and addressing limitations, applicants showcase a commitment to continuous improvement and adaptability.

Focused Approach to Patient History

A targeted approach to patient history emerged as a key factor in PESCI success. The RACGP detailed that many used a scattergun approach and urged applicants to delve into specific issues during patient history assessments. This strategic focus not only demonstrates clinical expertise but also showcases the ability to address patient needs efficiently.

Understanding Aboriginal and Torres Strait Islander Health

While in-depth expertise is not expected, a working knowledge of Aboriginal and Torres Strait Islander health is deemed essential. Applicants were encouraged to familiarize themselves with the unique health considerations of these populations. This awareness reflects a commitment to cultural competence, an increasingly important aspect of healthcare delivery in Australia.

Virtual Clinic Exploration

A notable change highlighted during the webinar is the elimination of the expectation for in-clinic observation prior to PESCI. Instead, the RACGP recommended a virtual approach. Applicants are advised to conduct a Zoom walk-through of the clinic and engage in in-depth conversations with the practice manager (PM) and supervisor. This ensures a thorough understanding of the healthcare environment, even from a distance.

Need help with the paperwork for the PESCI? Our registration team can help, contact them at [email protected]