Medical - Public And Private Sector - Area Of Need
If a position is declared an Area of Need, the Medical Board of Australia can grant limited medical registration to a suitable International Medical Graduate (IMG) into that position under the Health Practitioner Regulation National Law (SA) Act 2010, and provided they meet all other registration requirements required by the Australian Health Practitioner Regulation Agency (Ahpra).
The following criteria must be demonstrated to meet the requirements for an Area of Need position:
a genuine vacancy exists;
the provision of medical services would fall below an acceptable level if the vacancy was not filled;
the market has been tested. The Australian medical community needs to have had the vacancy brought to its attention (e.g. relevant advertising). SA Health must be satisfied that there is no appropriately qualified Australian-trained medical practitioner to appoint to the position.
Please refer to the sections below for further information.
If you are an employer and have been unable to recruit an Australian trained medical practitioner, it can be possible to recruit and employ an IMG who has not yet received general registration with Ahpra.
There are two government requirements that must be met before a position can be filled by an IMG:
Area of Need (AoN) – South Australian Government (SA Health);
Distribution Priority Area (DPA) - Australian Government/Medicare Australia
An IMG with limited registration can only access Medicare Benefits in positions that have been deemed Area of Need (SA Health) and Distribution Priority Area (DPA) (Medicare Australia).
Recruiting an International Medical Graduate (IMG)
In order for an employer to appoint an IMG there are a number of steps to be followed. Alternatively, given the complex administrative arrangements involved, employers may choose to access recruitment agencies.
Step 4: Medicare provider number & District of Workforce Shortage (DWS)
An IMG will require a Medicare provider number (MPN) if they will be practicing privately and need to access Medicare benefits. Instructions on how to obtain an MPN are available through Medicare.
It is also at this point that the position is assessed to be in a District of Workforce Shortage (DWS) area. To ascertain if geographic area where the medical services are required is determined to be a DWS, please visit the Australian Government's Doctor Connect.
Employers applying for an Area of Need position
An application requesting a determination for a position to be deemed Area of Need must be submitted to SA Health. Following assessment by the Chief Medical Officer, the outcome is returned to the requesting body (within 10 working days). If successful, the Area of Need confirmation letter is forwarded to Ahpra to go towards the applicant gaining their limited registration.
The employer must demonstrate that labour market testing has been undertaken and that the vacancy could not be filled by a medical practitioner with general registration in Australia (i.e. previous advertising of the position has been unsuccessful). Australian-registered medical practitioners must not be disadvantaged by the recruitment of medical practitioners from overseas.
Expired determination for AoN
Determinations for an Area of Need are granted for a maximum of 3 years, once this time has elapsed it is the responsibility of the applicant to submit a new application to SA Health if the AoN is to continue to enable the ongoing employment of the IMG in that position.
It is it the responsibility of the requesting body to notify SA Health when the IMG, has either ceases employment or progresses to full registration.
A position description for the vacant position should be attached to the Area of Need application. The position description should outline the key duties that the incumbent is required to undertake, including information on the nature and scope of the position. The salary, essential skills, knowledge and experience essential to the position must be included.
IMGs may only access the Medicare Benefits Schedule if they agree to work in a District of Workforce Shortage (DWS) area. A DWS is an area in which the general population’s need for health care is not being met, and is assessed when applying for a Medicare Provider Number.
For the purpose of a DWS evaluation, geographic divisions set by the Australian Bureau of Statistics are used. Please check the DWS database (only for GPs) on the Doctor Connect website to establish whether a practice location is currently listed as a DWS.
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