Thinking about coming to Australia?

Discussion in 'Australian Medical Council (AMC) EXAM' started by An immigrant doc, Aug 11, 2007.

  1. Guest

    Guest Guest

    I think it is illusory for any college to believe that it is not accountable (see the current row about the RACGP being called to account by local OTDs in their discretionary assessment of GPs).

    It is clear in law that if a College is advising on the registrability of a candidate either as a a simple doctor or a specialist, it is already acting de facto as a statutory body and thus can be made accountable.

    So, until they find a way out to escape from their bad deeds, the college's days of unrestricted power are all numbered.
  2. Guest

    Guest Guest

    The Age

    Cancer program inquiry
    NICK MILLER
    October 26, 2009

    A GROUP of Victorian gastroenterologists is under investigation for possible professional misconduct, over a mass-mailed bowel check questionnaire they use to direct people to their own colonoscopy service.

    The doctors urge colonoscopies on some people without any bowel cancer symptoms, contrary to national guidelines that recommend cheaper and less invasive faecal blood tests.

    The Age believes their Bowel Cancer Prevention Program (BCPP) is being investigated by the Medical Practitioners Board of Victoria, in response to complaints from the public.

    The country's leading bowel cancer charity has warned people not to respond to the questionnaire. Some recipients have mistaken it for the Federal Government's similarly named free National Bowel Cancer Screening Program.

    A BCPP director says his organisation was founded before the Government's, follows good medical practice, and is based on an ethical obligation to inform the public.

    Headed ''this is a free public health initiative'', the first letter from the BCPP says it ''offers you an opportunity to enter a bowel cancer education and prevention program without cost to you''.

    A follow-up letter includes a ''bowel check questionnaire'' about age and family medical history. It says ''completing this questionnaire could help save your life''. If the response indicates risk factors, or if respondents are over 50, they are advised to have a colonoscopy.

    According to guidelines published in 2005 by the National Health and Medical Research Council, in the absence of other risk factors the only recommended screening method for over-50s is a ''faecal occult blood test'' every two years.

    The BCPP admits in the mail-out that its methods differ from the guidelines, but argues they are ''more up to date (and) more proactive'' and in line with international practice.

    The letter says ''tests arranged by the BCPP for Victorian patients may be done at a Melbourne Endoscopy Day Hospital''.

    The three doctors behind the BCPP, Jack Hansky, Melvyn Korman and Anthony Stern, are directors of Melbourne Endoscopy, and have a financial interest in the Melbourne Endoscopy Day Hospitals.

    The Age believes complaints about the BCPP have been forwarded to the Medical Practitioners Board of Victoria, which is investigating whether the group is flouting mandatory codes of practice.

    Doctors must not advertise in a way that ''directly or indirectly encourages the indiscriminate or unnecessary use of regulated health services''. They must not exploit patients' lack of medical knowledge, and must declare financial interests in any product they endorse.

    A spokeswoman for the Medical Practitioners Board said she could not comment on, or confirm the existence of, any investigation. She said the board had set clear standards for advertising and professional conduct.

    ''Serious or repeated failure to meet these standards may have consequences for a doctor's medical registration.''

    Julien Wiggins, chief executive of Bowel Cancer Australia, said his organisation had received inquiries in recent months about the BCPP.

    ''Confusion about eligibility (for the Government's national screening program) remains widespread (which) has allowed other programs to spawn which do not necessarily comply with National Health and Medical Research Council guidelines,'' he said. "Our advice would be for people not to respond to unsolicited mail seeking personal health information.''

    Health Services Commissioner Beth Wilson said she could not comment on the BCPP group in particular, but had received complaints about commercial medical services approaching people.

    ''People should be very wary, and they should discuss these issues with a GP that they trust,'' she said. ''There is a big risk of people having unnecessary testing that can be invasive and stressful.''

    Dr Chip Farmer, president of the Colorectal Surgical Society of Australia, said he did not believe the mail-out was misleading, as it matched the US approach: a full colonoscopy for bowel cancer screening.

    ''Nonetheless the (Australian) guidelines are as they are at the moment, and they are the guidelines we support,'' he said.

    BCPP director Dr Korman said he was unable to answer The Age's questions in detail at short notice, and referred us to the information in the mail-out.

    ''The BCPP has functioned in Victoria for more than 17 years and used this name for more than a decade before the Government NBCSP was even conceived,'' he said.

    ''We try to focus on public education and the prevention of bowel cancer while the Government-funded program aims at early diagnosis.''

    than 17 years and used this name for more than a decade before the Government NBCSP was even conceived,'' he said.

    ''We try to focus on public education and the prevention of bowel cancer while the Government-funded program aims at early diagnosis.''

    COMMENT

    Further alleged rort emerges in Vic after the Kossmann scandal (which is all quiet).....IMGs would you like to join this type of practice in any new country? Not worth it, sacrificing your professionalism, duty and integrity.
  3. Guest

    Guest Guest

    Watchdog probes doctors' referrals

    NICK MILLER
    The AGE
    November 4, 2009

    MEDICAL specialists are profiting from referring patients to radiology businesses they part-own, in a practice the Federal Government has asked the Australian Competition and Consumer Commission to investigate.

    According to the Royal Australian & New Zealand College of Radiologists, doctors are forming joint ventures, in which 20 to 30 of them enter into business with radiologists that they refer to, splitting the profits.

    But these groups risk draining the Medicare purse and adding a health risk if patients are radiated too often, said Melbourne radiologist Dr Matthew Andrews, who is president-elect of RANZCR.

    Medicare is also investigating the groups, which have sprung up in WA, Queensland and NSW in the past 18 months due to what RANZCR calls a ''loophole'' in federal law.

    The college says they are poised to expand again - possibly to Victoria - once a new Medicare rebate for CT scans comes in to effect next month.

    ''In practice it may be above board but there's always the possibility that things could be tainted,'' Dr Andrews said. ''If the doctor has an interest in the imaging practice, first up the decision to perform the imaging could be influenced … [and it] has the potential to influence the doctor saying where the patient should go.''

    Current RANZCR president Mark Khangure said experience in the US with ''vertical integration'' of referrers and service providers in radiology had led to a 10 to 15 per cent increase in the number of scans ordered.

    ''You end up with a situation of overservicing,'' Professor Khangure said.

    An imaging specialist who did not want to be named said small practices were losing a lot of business to the new groups, adding that patients had told him the specialists did not declare their interest in the radiology business to which they were being referred.

    Last year a new federal law came into effect banning direct or indirect kickbacks from radiologists to referring specialists. However, RANZCR says a glaring loophole in the law allows joint-venture type arrangements.

    Earlier this year the Government asked Medicare to investigate several such practices, to see if they were complying with the law. And it recently referred one group to the ACCC.

    Depending on the ACCC's report, the Government may rewrite its legislation or begin a wider review of referral practices.

    Health Minister Nicola Roxon said any rorting of Medicare was unacceptable.

    ''Legislation was introduced last year by the Rudd Government to prohibit inappropriate commercial relationships between requesters and providers of pathology and diagnostic imaging services,'' she said. ''Ultimately, the question of whether or not any arrangements are in breach of the legislation is a matter for the courts to decide.''

    The Age contacted the WA-based radiology company Envision yesterday. Chief executive Julie Carr confirmed it was 40 per cent owned by about 20 specialists, but said Envision had legal advice that the interests of the specialists were ''permitted benefits'' under the law because their return on investment was not based on referral patterns.

    She also denied that the arrangement increased the rate of radiology referrals, saying the ''monitoring role of Medicare'' would catch any doctor behaving unethically.

    COMMENT:

    Dichotomy of any type under Hippocratic and GMC Guidance is infamous conduct. Under Ozzie cowboy practice, apparently this may be overlooked. OTDs do not compromise your professionalism, AVOID AUSTRALIA
  4. Guest

    Guest Guest

    College collapses hit VCES

    The AGE
    USHI DAS
    November 6, 2009

    THE crisis in international educational has spread with the sudden collapse of four colleges in Melbourne and Sydney, leaving 2000 students stranded.

    Foreign students studying for VCE exams in Melbourne were among those caught out when a company that owns the four private colleges went into voluntary administration yesterday.

    Victorian education officials rushed to ''secure'' the exam papers of 19 VCE students, and a new venue was last night being hastily arranged for them to sit their exams from Monday.

    Yesterday's closures amounted to the single biggest loss of student places in a day since the crisis began. Nine Victorian colleges have now closed since July, affecting a total of 2695 international and domestic students.

    The State Government has promised to place the year-12 school students in Government secondary schools and offer training students places in similar courses with other colleges as soon as possible.

    The $16.6 billion international education industry is braced for further college closures in coming months as the Federal Government cracks down on migration fraud, which is expected to result in the rejection of some visa applications.

    The placement of Global Campus Management Group into voluntary administration yesterday forced a senior secondary school and three vocational training colleges to close. They were Meridian International School, Meridian International Hotel School, International Design School and International College of Creative Arts.

    Angry students gathered outside colleges demanding answers. Karun Sachdeva, 24, from India, was studying at International Design School. He said he did not know whether he would be refunded the $2500 he had paid for the next semester. ''I made the biggest mistake coming to study in Australia,'' he told The Age. ''The quality of education here is shit. We have nothing but the media to rely on now [to protect our rights].''

    Teachers at the Meridian International Hotel School were called to a meeting in the Flinders Street offices at 4.55pm and within minutes were told they had lost their jobs. Terrence D'Souza, who taught commercial cookery there, said teachers were stunned and shocked.

    ''They said they do not have enough funds to pay us and we would have to leave straight away,'' he told The Age.

    The Victorian Registration and Qualifications Authority said the immediate priority was to ensure students doing VCE exams experienced no disruption. ''The VRQA has sent senior staff to the secondary school today to ensure that all VCE examination papers are secured and that students are properly briefed on the situation and where they will be undertaking their examinations,'' director Lynn Glover said.

    Further college closures could hit Victoria's economy hard - international education is the state's biggest export earner, bringing in more than $4 billion a year.

    Industry insiders say governments - state and federal - have been slow to rein in unscrupulous operators because of reluctance to upset a lucrative industry.

    A spokesman for state Skills and Workforce Participation Minister Jacinta Allan said the Government's primary concern was for the students.

    The State Government is auditing 41 colleges it believes pose a high-risk to international students.

    It is also reviewing state legislation and guidelines.

    Andrew Smith, the head of the Australian Council for Private Education and Training, said: ''ACPET will make every effort within our obligations to transfer students to a comparable college with minimal disruption.''

    A spokesman for PPB, the appointed administrator, said he was unable to comment last night.
  5. Guest

    Guest Guest

    Schoolgirl suspended for cancer head shave

    SMH

    CHRISTINE KELLETT
    November 10, 2009 - 2:25PM Be the first to comment


    Suspended ... a photograph of Emily Pridham after she shaved her head to raise money for charity. Photo: Facebook

    The mother of a 15-year-old girl suspended from school for shaving her head to raise money for cancer charities says her leukemia-stricken husband is proud of her actions.

    Emily Pridham was sent home from Mount Alvernia College yesterday and will not be allowed back until her hair regrows after she shaved it off as part of a cancer research fund-raiser on Saturday.

    The Catholic girls' school has cited its dress code policy for the temporary ban.

    Emily's mother Barbara Pridham said she was "gobsmacked" at the school's punishment and said the family had been given no warning about the possible consequences.

    She told ABC Radio her daughter had made the decision to part with her locks as a way to cope with her father's battle with leukemia.

    "I understand that school rules have to be abided by. However, I've gone through the school rules and the uniform policy and nowhere does it say that a girl cannot shave her head," Ms Pridham said.

    "At no stage did [the school] contact me or tell me. At no stage did I think I needed their permission for Emily to do this.

    "I am absolutely gobsmacked that this can happen for the reason that it has happened."

    A Facebook group supporting Emily's decision to shave her head has appeared, with members calling the school's decision a "joke" and an "absolute disgrace".


    Emily's mother said her daughter had decided to take part in the fund-raising head shave as a way of coping with her father's illness.

    "Ten months ago he was given six months to live and we had to explain all of this to Emily," she said.

    "I didn't want her to do it. She had beautiful, long blonde hair halfway down her back and I told her she might regret it because she can't just stick it back on ... but she's just been so determined to do it."

    The school has defended its actions to enforce uniform guidelines and has said other "ongoing issues" were behind the suspension.

    But Ms Pridham said the only trouble her daughter had been involved in included a warning over nail polish after the school formal two weeks ago and her use of a rude word in the presence of a teacher.

    She said her husband, who has undergone a bone marrow transplant, was supportive of Emily's decision to go bald.

    "He is very proud of her as everybody that knows her is," Ms Pridham said.


    "He is very angry and worried about the rest of her academic year."

    Ms Pridham said she had been in contact with the school about the suspension order.

    COMMENT:

    A very odd society indeed with those in power! Absolutely disgraceful, insensitive and inhuman behaviour by the school authorities.
  6. Guest

    Guest Guest

    Stop hating on Mt. A

    Emily Pridham was expelled on account of her abusive behaviour towards her homeroom teacher, along with various other offences.
    She was suspended on Friday, proceeded to shave her head on the weekend, then showed up in school on Monday, despite being suspended.
    Mount Alvernia is a great school. I should know, as I am a student here right now.
    Emily was participating in Shave For a Cure, and because she is under 18 needs the permission of both her parents, and the school.
    Mt. A offered to sponsor Emily for our annual Shave For a Cure drive. Last year, we raised thousands of money for the cause, and she has omitted truths, consequently giving Mt. A a bad name.
    Yesterday while walking home, I was shouted at on numerous occasions. Being called scumbags and a stain on society is uncalled for.

    Mt. A is known for its various outreach endeavours, it is a shame the media has twisted like this.
    Emily has been supported throughout her schooling in relation to her father's illness.
    In fact, last year she spoke at our Shave For a Cure fundraiser about her father.
    Emily has never raised an issue about how the school has dealt with her, or her father's illness, until now.
    Mt. A is a great school, and Dr. Tuite has handled the situation with grace, and has respected Emily, even though the respect is not mutual.
    Thank you for taking the time to read this.
  7. Guest

    Guest Guest

    NSW leads - in unemployment

    SMH
    November 12, 2009 - 2:05PM

    NSW has regained an unwanted title as the state with the highest unemployment after a sharp increase in the number of people out of work.

    Figures released today show unemployment rose in NSW to 6.1 per cent in October, up from the September figure of 5.5 per cent.

    Contributing to the jump was a 0.3 percentage point rise in the participation rate to 63.4 per cent, meaning more people were looking for work. The national participation rate remained flat at 65.2 per cent.

    Queensland is just behind NSW, with 6.1 per cent unemployment, also higher than the 5.8 per cent national average.

    The NSW jobless rate is now at the same level it was in August.

    ‘‘While this rate is well below our NSW budget time projection of 7.75 per cent, there is still more work to be done,’’ NSW Treasurer Eric Roozendaal told parliament. ‘‘These figures are a very important reminder that it is too early to wind back the stimulus measures of both the NSW and commonwealth governments.’’

    The NSW Business Chamber said today’s figures showed last month’s figure was a ‘‘rogue poll’’.

    The September figure of 5.5 per cent saw NSW fall below the national average for the first time since July 2005.

    ‘‘In a normal set of circumstances, a half of one per cent increase in unemployment in a given month would be cause for concern,’’ NSW business chamber chief executive Stephen Cartwright said.

    ‘‘However, given that last month’s data has the same fall in unemployment, we can simply assume last month’s data was a rogue poll.’’

    COMMENT

    Australia coming out of recession? Nah, it is just another spin job...the unemployment figures tells it all. Watch that AUD! It is going to crash suddenly and spectacularly!
  8. Guest

    Guest Guest

    'Information anarchy' if traditional media dies:

    The AGE

    Blunkett
    November 12, 2009 - 5:07PM



    Australia is set to enter an age of "information anarchy" if the traditional media don't lift their game, former British home secretary David Blunkett says.

    The rise of the new media, such as online sites, blogs, and Twitter, has resulted in the demise of many of Britain's newspapers, he says.

    Australia would go down the same path unless the media and consumers choose to back traditional journalism, said Mr Blunkett, who has enjoyed a somewhat rocky relationship with the media during his political career.

    "We are sleepwalking into a situation where people believe that the free-for-all for information and the uploading of information from iPhones ... is actually the alternative to properly edited and moderated news," he said in an address to Canberra's National Press Club on Thursday.

    This would result in "information anarchy", said Mr Blunkett, who confessed to disliking social networking sites such as Facebook and MySpace.

    "The challenge for all of us is actually to be able to do better than ... something that rapidly erodes the standards and the professional commitment of the traditional media."

    There was no substitute for real journalism, he said, adding bloggers and the like were amateurs and not accountable to their audiences.

    The traditional media should offer people "something better than you can get than relying on ... amateur journalists", Mr Blunkett said.

    News consumers also needed to challenge themselves not to rely heavily on non-mainstream media, he added.

    Mr Blunkett said he believed many people were ignorant of the dangers of information technology.


    COMMENT:

    It is already in Australia. The pioneers are the colleges, the AMC and many Health Departments and their bureaucrats....and, of course various governments!

    Oi, wot are yer goin to do about Dr Haneef's compo?
  9. Guest

    Guest Guest

    PM sidesteps apology on violence against Indian

    SMH
    KATHERINE MURPHY, NEW DELHI
    November 13, 2009 - 8:54AM

    Kevin Rudd has invited a new wave of criticism in India by declining to apologise to Indian students subjected to criminal attacks in Australia.

    But Mr Rudd says his Government accepts responsibility for ensuring all foreign guests are safe and welcome.

    Mr Rudd has been keen to settle controversy in India over the violent attacks on students and the abrupt closure of several training colleges catering to students from the subcontinent.

    The sensitive issue was raised during a bilateral meeting last night between Mr Rudd and his Indian counterpart, Dr Manmohan Singh.

    Cable television coverage in India during Mr Rudd's visit has been aggressive and negative; suggesting the Mr Rudd's concessions on the issue - saying he was “disgusted” by the attacks - had come very late.

    A popular local network, Times Now, declared Mr Rudd had “finally” accepted that Indian students had been the subject of “racist” attacks.

    Mr Rudd held a late night press conference in a further effort to defuse the student controversy, and he faced testy questions from Indian journalists about his handling of the issue.

    He announced positive measures, including a significant increase in Australia's diplomatic presence in Delhi, Mumbai and Chennai.

    But fumbles overshadowed the message.

    Clumsily, a press release, announcing a Rotary-run program in which Indian students would be invited to barbecues with Australian families, was hastily withdrawn moments before Mr Rudd's press conference.

    The program, dubbed “Home for Dinner: Australian Families Offering Hospitality to Indian Students”, appeared designed as a gesture of welcome and inclusion.

    But the press release was withdrawn abruptly minutes before the start of Mr Rudd's press conference.

    The status of the program is unclear. Mr Rudd's spokesman later told The Age: “If we have any announcements to make we will make them in due course.”

    Mr Rudd was asked whether he should heed calls by some local media outlets to apologise to students affected by the assaults.

    He pointedly declined to apologise, offering this formulation instead: “As Prime Minister of Australia I accept responsibility for the proper enforcement of Australian laws within our country.”

    Mr Rudd also denied that he'd characterised the attacks in Australia as “racist” during a speech earlier in the day.

    In a further bout of late-night plain speaking, Mr Rudd said he could not rule out future attacks on foreign students. “I cannot provide any iron-clad guarantee that there won't be such incidents in the future. That's not being responsible. That is not being honest.”
  10. hi

    i have done diploma in pediatrics,nw planning to move to australia,could you please tell me about present situation.you have written that condition is very bad in australia.
  11. Guest

    Guest Guest

    Dont bother trying: search for a document called "Race to Qualify" which the NSW government had suppressed for a long time. It was a government commissioned inquiry into discriminatory practices by NHS Health, the Colleges and the NSW Medical Board into mistreatment of OTDs in the 1990s. The summary is available in the Politics section of the ADTOA website.

    You will not find it on the web apart from the summary which is posted on the ADTOA website. The real uncensored copy should be obtain from the author, Mr Stepan Kerkyrasharian, AM who was then the Chair of the Ethinic Affairs Commission. Now he is the President of the NSW Anti Discrimination Board of the Dept of Justice and Attorney General. (the Dept has a website and a contact address and number - just Google it)

    A friend of mine Galileo (you can read is postings) has obtained the real uncensored copy and it depicts horrible atrocities which had been committed then and up to now by NSW Health, the Colleges (esp RACP and RACS) and the NSW Medical Board....it short, it is 'business as usual'
    Few of their recommendations had ever been noted.

    If you wish to validate it contact Prof Robyn Iredale of the ANU. She continues to conduct research on these matters.

    This of course is worthy to be brought to the UN Commissioner for Human Rights in Geneva

    College officials and supporters, watch your bums! We will be searing you from across the continent!
  12. Guest

    Guest Guest

    Sorry, it was NSW Health not NHS Health (also in terrible strife)

    Just stay put and wait for a while! Perhaps join the Medicins sans frontieres if you dont have a family to support
  13. Guest

    Guest Guest

    The way things are moving, perhaps the NSW government may soon be contacting MSF for assistance :)
  14. Guest

    Guest Guest

    Sorry state of abused children

    SMH

    MARK METHERELL AND ADELE HORIN
    November 18, 2009
    A DAY after the Prime Minister apologised to the forgotten Australians, fresh evidence has emerged showing more children than ever are being granted protection against family violence and abuse.

    The number of youngsters aged under 18 on care and protection orders has soared to 34,279, up 37 per cent in the three years to 2008, says the Australian Institute of Health and Welfare's biennial report on welfare.

    The number of cases notified to agencies in 2007-08 was 195,387, of which NSW was responsible for 103,355.

    But despite having more than half the cases, a separate report by the state Auditor-General finds NSW spends much less than other states on investigating child abuse and neglect notifications. And while expenditure by other states per investigation has risen since 2004-05, it has fallen in NSW from $3614 to $2052 - by far the lowest of all the states, the report says.

    The federal Minister for Families, Jenny Macklin, yesterday said Australia had to make more effort to ensure the care of children needing protection.

    ''We do fear there is also an increase in the level of abuse and neglect taking place. But it is very hard to measure how much is extra reporting and how much is additional levels of abuse or neglect. Either way we have far too many children being abused and neglected in this country.''

    Ms Macklin said governments were for the first time developing national standards for the care of children who could not live with their parents.

    ''A day after the apology to the forgotten Australians, I think we have to make an additional commitment to make sure those out-of-home care standards are as high as they can possibly be.''

    The chief executive of the Australian Childhood Foundation, Joe Tucci, said Australians were not facing up to the prevalence of child abuse.

    ''An unintended consequence of the apology is the belief that abuses of the past have been addressed,'' he said.

    ''But there are still abuses in the present that the community is in denial about.''

    Dr Tucci said Australian governments were failing to take practical steps to protect children in care, such as training for carers, schools to support vulnerable children, and measures to ensure children were not returned home unless it was certain parents were no longer abusive.

    The NSW Department of Community Services told the Auditor-General the fall in spending on investigations was due to a ''significant increase in the number of notifications … without a commensurate increase in total child protection funding,'' according to the report.

    But yesterday a spokeswoman for DOCS said the figures were not comparable because the NSW definition of a ''notification'' was much broader than that used by other states. ''Therefore NSW has a higher rate of notifications which would tend to make real expenditure lower.''

    The auditor's report highlights the number of notifications made to DOCS, 309,676 last year, while the report by the health and welfare institute highlights the number of children reported, a much smaller figure.

    NSW also had by far the highest rate of notifications at 67 per 1000 children aged 0-16, compared with a national average of 41 last year.

    But DOCS substantiates a much smaller proportion of final investigations - 23.5 per cent compared with a national average of 34.3 per cent - and spends much less money per substantiation - $8271 compared with $27,884 in WA, for example.

    The department's spokeswoman said because NSW had a broader definition of notification, it recorded serious and non-serious matters, leading to fewer substantiations.

    The Auditor-General noted that in response to the Wood commission of inquiry into child protection last year, the state had committed to spending $750 million over five years on child welfare.

    The Opposition spokeswoman on community services, Pru Goward, said the high number of reports was ''to be expected when you don't do early intervention work''.


    COMMENT:

    Australia's 'premier' state leads the way in dysfunctional society: this is a surrogate sign of it.....still want to go to Oz? Dont be lured! It is all lies, lies and more lies.
  15. Guest

    Guest Guest

    Doctors sick of failure to fix ailing hospitals

    Sydney Morning Herald
    NATASHA WALLACE
    November 19, 2009

    EXCLUSIVE

    DOCTORS are appalled by what they say is a complete failure to implement vital reforms in public hospitals recommended a year ago, according to a survey released exclusively to the Herald.

    It comes as an independent audit of the reforms released by the state Health Minister said hospitals were finding it increasingly difficult to provide quality patient care.

    Three-quarters of doctors believe the state's public hospitals have not become a better place to work in the past six months and 71 per cent say the health service has cut clinical staff, according to the survey of 510 doctors.

    Since Peter Garling, SC, handed down his landmark report a year ago, calling for an urgent overhaul of the state's hospital system, little has changed on the ground, the survey conducted for the Australian Medical Association and the Australian Salaried Medical Officers, concludes.

    Doctors were overwhelmingly negative about the lack of improvement and many said the only obvious reform was identification badges. One said: ''It's been mainly pictures on the wall and new badges - nothing that's going to change clinical care.''

    There were still severe bed and staff shortages, unacceptable surgery delays, bullying by managers when doctors claimed overtime or raised patient safety issues and ''misrepresentation'' of performance data, the survey found.

    ''A patient needed urgent surgery and post-op intensive care without there being an [intensive care unit] bed available. We were forced to provide less than optimal surgery to keep the patient out of the ICU,'' one doctor reported.

    Only 6 per cent felt there had been a positive change in workplace culture, and many felt it had worsened. And 68 per cent said they had not seen efforts by management to seek doctors' input in decision-making, despite ''many layers of committees''.

    The survey was conducted between October 30 and November 9 and was aimed at assessing doctors' experience of the implementation of the Garling reforms.

    Yesterday the state Health Minister, Carmel Tebbutt, released an independent audit of the reforms, saying there had been ''good progress'' in some areas such as clinical handover guidelines and basic hygiene.

    The auditor, John Walsh, gave the health department an ''A'' for enthusiasm and said its $485 million Caring Together program had been ''successfully initiated''. But there was ''considerable stress in the system''.

    ''The picture that emerges is a system under financial and cultural stress - clinicians and management alike are increasingly finding it difficult to deliver what brought them into the system in the first place - quality patient care,'' he said. ''The single biggest risk'' to reform was the divide between clinicians and management.

    In the survey, doctors repeatedly complained of patient safety issues, including people being discharged before they were fully recovered. One said: ''My hospital continues to run at bed occupancy of 100 per cent (or greater) to enable management to meet waiting list targets, with serious consequences for management of emergency work.''

    Brian Owler, an Australian Medical Association councillor and neurosurgeon at Westmead Hospital, said he doubted reforms would occur in the face of continued staff freezes and budget cuts.

    ''I think a lot of people have lost hope. People are despairing. It is depressing and morale is very low within NSW public hospital systems, and you know [the] Garling [report] has not really done anything to actually improve that situation.''
  16. Guest

    Guest Guest

    Published 16 November 2009
    Cite this as: BMJ 2009 News


    Australia operates "closed shop" to restrict doctors from overseas, say critics

    Melissa Sweet (Sydney)

    Overseas trained doctors seeking to work in Australia often face unwarranted restrictions on practising, say leading Australian medical specialists and healthcare reform advocates.

    Ian Hickie, a psychiatrist at the University of Sydney, says that shortages in the medical workforce are being exacerbated by restrictions caused by an "evil axis" of immigration policy, health regulations, and the monopoly of specialist medical colleges over training and accreditation.

    Australia was allowing a "closed shop" to control its medical workforce in a way that would not be tolerated in any other industry, he said. Concerns about quality and safety were often used as a "smokescreen" to maintain the position of local graduates, he added.

    "We’re quite happy to have all these overseas trained doctors work in our system, so long as they don’t exercise the same economic and civil rights [as Australian graduates]," said Professor Hickie.

    The recently publicised case of a Canadian doctor who has been unable to gain full rights of practice showed that workforce reform should be a major focus of the current national push for healthcare reform, he said.

    Susan Douglas, who moved to Australia in 2006 to take up an appointment as senior lecturer in general practice at the Australian National University, told the BMJ that she would not have made the move if she had known what would be involved. She currently has conditional registration, meaning that she can practise only in areas of designated workforce need and is contemplating leaving the country if she does not gain full rights to practise.

    "The system is not clear or transparent," said Dr Douglas. "There are lots of overseas trained doctors from the United Kingdom who have significant problems with either the colleges or the medical boards.

    "Australia discriminates against people who are not from Australia, and so consequently it’s not a friendly country for overseas trained doctors."

    Meanwhile thousands of medical students from overseas but who are studying in Australia face the prospect of not being able to gain intern positions in Australia because state governments have not expanded the number of internships in line with the expansion in undergraduate places. Some academics believe that more effort should be put into retaining these Australian trained students from overseas instead of relying so heavily on overseas trained doctors to work in rural, remote, and other areas that cannot recruit Australian doctors.

    Peter Brooks, director of the Australian Health Workforce Institute and a professorial fellow at the University of Melbourne, backed Professor Hickie’s statements that Australia was unnecessarily restrictive in accepting overseas trained doctors.

    "We’re very precious about things in Australia," he said. "We have very good clinical training, but there are a number of other countries around the world that produce very good doctors. We need to be loosening up a little bit."

    John Menadue, a health reform advocate and formerly a senior federal public servant and chief executive officer of the Qantas airline, said that "appalling" restrictive work practices and demarcations contributed to health workforce shortages and lost productivity.

    "These are justified in the names of quality and safety, which is just code for protecting territory," he said. "If aircraft engineers said, ‘We are highly skilled people and will establish colleges, and only graduates from our colleges will get jobs in airlines,’ everyone would be appalled. But that is in principle what happens with the medical colleges."

    But the Australian Medical Council and specialist medical colleges argue that major efforts have been made to create more streamlined and transparent processes for overseas trained doctors. Ian Frank, the council’s chief executive officer, said that requirements for doctors wanting to work in Australia were no more complex or difficult than those in similar countries, such as the United States, the UK, and Canada.

    National reforms had been implemented to ensure a more consistent assessment of overseas trained doctors, and new processes were introduced in 2007 for non-specialist doctors who had previously sat relevant examinations in the UK, US, New Zealand, or Canada. This enabled them to practise under supervision with limited accreditation for 12 months before gaining full registration.

    Mr Frank said that more than 3500 applications, including 1871 from the UK, had been processed through this new pathway, with 1400 receiving a council certificate, meaning they were eligible for general registration.

    "So, rather than saying it’s inflexible, we have quite a sophisticated system," he said. "We’re the only country in the world that offers that process. It’s really unfortunate that people dismiss the processes without finding out what they’re really about."

    Mr Frank added that many people who ran into difficulties had submitted incomplete applications, with only one in eight applications to the council including all the required documents.

    Russell Stitz, president of the Committee of Presidents of Medical Colleges, said the medical colleges had collaborated with governments and the Australian Medical Council to speed up assessment processes for international medical graduates.

    The committee has been lobbying state governments to do more to support international medical graduates, including providing a three month orientation in a public hospital. He said, "Can you imagine how difficult it must be for an IMG [international medical graduate], for example from India, who doesn’t know our system and has to go and practise medicine where there may not be another doctor for many kilometres, and they don’t know how to refer or who to ring if they’ve got a problem?"

    Claims that colleges operated a closed shop were "specious," he said, and did not acknowledge the reforms that had led to greater transparency.

    "The colleges are accused of using standards to stop training posts; if that were the case in the past, it’s certainly not my understanding of college processes now," said Professor Stitz.

    However, Allan Fels, the former head of the Australian Competition and Consumer Commission and now dean of the Australia and New Zealand School of Government, said there remained room for further reform of medical training and accreditation.

    "We should be more open to overseas practitioners than we are," he said. "The present restrictions look like largely restrictive work practices rather than merely quality checks."
  17. Guest

    Guest Guest

    At long last, some Ozzies are admitting that there is a real problem! Denial takes all forms...

    people should contribute to the discussion by logging into the bmj and clicking "News" where you can locate the article. It was a pay-article but now, it is free.
  18. Guest

    Guest Guest

    you can also take part in free discussions in Australia's alternative press called 'Crickey' (google this for the link)

    Within Crickey, there is a linked to Croakey which deals with Health Issues which will be very interesting in wannabee doctors coming to Oz. This site truthfully reveals stuff the authorities hide from you! And, you can comment and ask questions!!

    The Truth will only set you free (John 8: 32).....do not become a prisoner of the Australian Medical and Bureaucratic mafia!

    Enjoy and be stunned (or comforted) by the truth....if you think it is bad in your country, it is no better in Oz :-(
  19. Guest

    Guest Guest

    Are you still unconvinced about how messy it is in Oz?

    Junior doctors sick of inadequate training

    Sydney Morning Herald
    NATASHA WALLACE
    December 4, 2009

    AUSTRALIA was nearing a ''medical training emergency'' with nearly one-third of junior doctors reporting they were not adequately supervised, an AMA survey has said.

    The 900 junior doctors surveyed across the country believe they are missing out on vital medical education and training, with nearly half (48 per cent) reporting they and their supervisors are too overloaded with clinical demands to dedicate the time needed, the survey said.

    It comes as the number of new graduates is expected to soar from next year, after the Federal Government increased university places over the past decade to deal with a doctor shortage.

    The AMA Junior Doctor Training, Education and Supervision Survey said that too much reliance was placed on the goodwill of senior doctors and ''the system is at a tipping point''.

    ''They can no longer go unsupported in their efforts to train more doctors,'' it said.

    It said it was ''disturbing'' that 32 per cent of the junior doctors thought their hospital did not provide adequate supervision.

    More than one-third (36 per cent) of junior doctors believed their hospital did not support part-time or flexible working hours to allow for more training and study time. And 34 per cent thought their hospital did not have a structured study program.

    Next year, in NSW there will be 648 graduates for 630 hospital training places and that is forecast to jump to 1097 by 2012, according to AMA figures.

    The president of the AMA, Dr Andrew Pesce, called on the federal and state governments yesterday to address the issue.

    ''Public hospital medical training is at breaking point. It will collapse under the weight of the greater numbers of medical graduates in the system,'' he said. "Australia cannot afford to lose doctors because of a lack of training … and poorly supported training environments.''

    Last year, the National Health and Hospitals Reform Commission said research and education was sometimes seen as an ''afterthought'' by health services.
  20. Guest

    Guest Guest

    Thirty years in Australia, then deported to die

    SMH
    JOEL GIBSON LEGAL AFFAIRS
    December 7, 2009

    ANDREW DEREK MOORE arrived in Australia from Scotland aged 11. Almost 30 years and a string of convictions later, Australia decided he had failed its character test and cancelled his visa.

    On October 20, after a decade-long stretch in jail and immigration detention and despite serious health problems that were known to Australian authorities, Mr Moore was sent ''home''. Leaving behind a teenage son and his extended family, the 43-year-old recovering alcoholic was released at Heathrow Airport at 6am with $1000 cash, medication and a hotel booking. Two days later he was dead.

    British police are now asking why. The Australian Government denies any responsibility.

    But Mr Moore's death has shone a spotlight on Australia's practice of washing its hands of up to 70 people a year who are Australian in all but citizenship - and often seriously unwell.

    Unlike the cases of Cornelia Rau and Vivian Alvarez Solon, they attract little sympathy because they are convicted criminals. Some, such as Robert Jovicic and Ali Tastan, have been allowed to return after being found destitute and ill living on foreign streets.

    Others, such as so-called ''one-woman crime wave'' Patricia Toia, have strained diplomatic relations by allegedly committing crimes upon arrival in the country of their birth.

    News of Mr Moore's death has spread among critics of migration policy, who see it as the most egregious example yet of a heartless deportation regime.

    Peshawa Shalley, a staff member at Central Park Hotel in London, said Mr Moore checked out after a couple of days despite his ground-floor room being booked for a month.

    The Metropolitan Police said they were called to a block of flats 15 kilometres away in South Lambeth Road on October 23, where a seriously injured man was lying on the footpath outside.

    He was pronounced dead shortly after arriving at hospital and an autopsy was inconclusive. The death is being treated as unexplained and detectives are investigating it, a New Scotland Yard spokesman said.

    Mr Moore was no angel. His problems with alcohol and the law began aged 14 and culminated in a conviction for manslaughter after he stabbed a drinking buddy in a drunken brawl in 2000.

    But his son, his parents, his siblings, nieces and nephews and ex-wife all fought to keep him in Australia, promising to support him if released.

    Mr Moore's family have so far declined to comment on his death. He was the subject of a talkback radio campaign in Melbourne before his deportation, when host Derryn Hinch said it was a ''cynical sick joke on the Australian public'' that he had been allowed a TV set and a DVD at Maribyrnong detention centre after escaping in May and turning himself in four months later.

    He was being ''treated like a VIP'', said Hinch, and was ''swan[ning] around in a blue bathrobe and treat[ing] the place like his own Ritz-Carlton.''

    A source familiar with Mr Moore's case said he was in fact wearing a dressing gown because he was chronically ill.

    ''His face was like a skull'', the source said, his body racked by a failing liver, hepatitis C, fibromyalgia and bowel problems. ''A puff of wind would have blown him over.''

    The source said the centre's operations manager later apologised to Mr Moore for the leaks, which he considered payback for his escape.

    The refugee advocate and former ABC journalist John Highfield said criminal deportees attract little sympathy but the policy has far-reaching consequences.

    ''It's beyond the criminals themselves. It's a punishment on the families as well. Andrew has a 15-year-old son who is now grieving and wanted to be with his father despite his record.''

    Professor Louise Newman, director of the Monash University Centre for Developmental Psychiatry and Psychology, said Mr Moore's death demanded a review of how the Immigration Department assesses the travel risk for deportees.

    ''At what point do we decide that someone is actually fit, particularly if they have mental health or other significant issues?

    ''People with significant problems, whether they are criminals or not, need a full risk assessment. It's a very hard thing for them to make a transition like that.''

    A spokeswoman for the Immigration Minister, Chris Evans, declined to comment on the case, saying deportations were an operational matter for his department.

    An Immigration Department spokesman said Mr Moore was assessed as fit to travel by International Health and Medical Services, was provided with medication and was due for a clinical review on October 26, the day his family reported him dead.

    Heathrow Travel Care was supposed to meet him upon arrival but was not available until business hours, so he said goodbye to his minders and made his own way to the hotel.

    He had a ''destitute allowance'' of $700 and a $300 ''cold weather clothing allowance'' and made contact before his death with a social services agency engaged by the Government called Prisoners Abroad.

    ''The department made all appropriate arrangements for his return,'' the spokesman said. ''The Government does not consider itself responsible for Mr Moore's untimely death and extends its condolences to his family and friends for their loss.''

    Senator Evans has said he remains determined to deport foreign-born residents convicted of serious crimes, no matter how long they have been here.

    It is estimated that about 70 people a year are deported for character reasons. Most - up to 40 - are sent to New Zealand, to its government's dismay.

    According to the Commonwealth Ombudsman, the offences committed by them are typically drug-related, or involve property and theft crimes, armed robbery or assault.

    They make up a significant portion of those in immigration detention and some spend longer there than they spent in jail.

    Until 1999, anyone who had lived here for more than 10 years could not be deported.

    The Howard government toughened the test, resulting in the high-profile cases of Jovicic, Toia, Stefan Nystrom and Ali Tastan.

    The Rudd Government softened the test in June, making the length of time a person has been in Australia a primary consideration.

    But Michael Grewcock from the the University of NSW law faculty says those changes have had no discernible effect, and the practice should be abolished.

    Dr Grewcock told a conference in Perth last week that while the facts of Mr Moore's death remain unclear, his case ''provides a dismal example'' of the deportation policy.

    ''In this case, the consequences literally were fatal; in virtually all cases, multiple forms of additional punishment beyond those envisaged or sanctioned by the sentencing court are inflicted upon the prisoner. This not only has damaging individual consequences but also has the potential to undermine parole, risk assessment and the nature of the sentencing process as a whole.

    ''Moreover, the operation of s501 allows for inconsistent and discretionary political interventions against unpopular and often very vulnerable prisoners.''

    ''At a minimum,'' Dr Grewcock said, ''some systematic scrutiny of it is required.''

    COMMENT

    This is how Australia treats some of people it accepts....
  21. Guest

    Guest Guest

    i am a finanl year MBBS student from Bangladesh.can anybody here just suggest me how can i start my preparation for AMC exam initially.is there any Bangladeshi doctor passed the exam recently.
    looking for ur kind information.
    Thanks.
    [/b]
  22. Guest

    Guest Guest

    Sick man 'denied a doctor' in detention


    Sydney Morning Herald
    JOEL GIBSON LEGAL AFFAIRS
    December 9, 2009


    THE dire health of 32-year resident Andrew Moore, who died two days after being deported, was exacerbated by poor medical treatment in immigration detention, according to a lawyer familiar with his case.

    The claims came as a disagreement over a bungled aspect of his case erupted yesterday between the government and the Commonwealth Ombudsman, who had recommended Moore be allowed to enter community detention to recuperate before his deportation.

    Melbourne lawyer Jessie Taylor, who accompanied Moore when he turned himself in to immigration authorities in September, said he was seriously ill, was "vomiting most foods", and was promised a doctor immediately upon his return to Maribyrnong detention centre.

    But he received only a check-up by a nurse and a Panadol, she said - which he couldn't take due to his liver disease.

    When she visited the next day, Ms Taylor was told Moore was "too sick to receive visitors," she said.

    Moore was assessed fit to travel in October despite being hospitalised twice for suspected heart attacks in the months leading up to his deportation, Ms Taylor and others associated with the case said.

    "We rang the Minister's office, we rang [the Department at Maribyrnong], we rang [the detention centre operator GS4 at Maribyrnong], we rang [the medical team at Maribyrnong], we rang everyone," Ms Taylor said. "They were more on notice than any Minister, department or contractor has ever been of anything, ever."

    The Immigration Department says Moore received appropriate care equal with what is available to the greater community, and declined to comment on Ms Taylor's claims while a coronial inquest is underway.

    A 43-year-old alcoholic with liver failure, fibromyalgia syndrome, hepatitis C, chronic fatigue and depression, Moore failed the Migration Act's character test after serving a sentence for manslaughter.

    He was released at Heathrow Airport in October and died soon after in unexplained circumstances on a London street.

    The Herald understands his immigration case officer, who attended the 43-year-old Scotsman's memorial service, is devastated by his death and has taken stress leave.

    The Immigration Minister, Senator Chris Evans, his department and the Commonwealth Ombudsman all pointed the finger at each other yesterday over why Moore was not allowed to be treated in the community, as three doctors had recommended.

    Mr Evans's spokeswoman said he never received a community detention request for Moore, despite it being mentioned in a review of his case by the Commonwealth Ombudsman, Professor John McMillan.

    He decided not to intervene on April 27 before he had read the Ombudsman's report which was tabled in parliament on May 12 but the Ombudsman says the report was sent to the minister on April 24.

    A spokesman for the Immigration Department said the Ombudsman had misinterpreted its advice, which was badly worded, and that Moore was not in the end deemed suitable for community release.

    But a spokeswoman for the Ombudsman said he would have amended his report on Moore if he believed he had misinterpreted any information. "He has not issued an amended report," she said.

    An inquest into Moore's death has been scheduled for 26 March next year at London's Southwark Coroner's Court.

    COMMENT

    Serious string of bungles
  23. dreamhigh

    dreamhigh Guest

    HELLO TO ALL


    I AM REALLY LOOKING FOR A SINCERE OPINION REGARDING THE SITUATION IN AUSTRALIA...
    I AM A FRESH GRADUATE FROM INDIA LOOKING TO DO MY POSTGRADUATION IN AUSTRALIA IN MEDICINE AND THEN LOOK INTO SUBSPECIALITY LIKE GASTRO...

    SO ANYONE OUT THERE,,PLS GUIDE ME REGARDING THE OPPURTUNITIES FOR AN IMG FOR THAT? IS THERE ANY SO CALLED BIAS TOWARDS US?

    WILL GETTING AN AUS PR HELP IN THIS REGARD TO TIDE OVER THE PROBLEMS FOR OVERSEAS DOCTORS?

    WAITING FOR VALUABLE OPINIONS...
    GOD BLESS YOU [/size]ALL
  24. Guest

    Guest Guest

    health insurance act 1973

    Google the Health Insurance Act 1973 (Cth) and look at section 19AB

    Decide for yourself what your future might be like when you come to Oz whether as a PR or as a Temporary OTD assuming you pass the AMC

    This is as honest and straightforward an opinion you can get.
  25. Guest

    Guest Guest

    Tebbutt's new year resolutions aim to ease health hangover


    Sydney Morning Herald
    NATASHA WALLACE
    December 22, 2009

    THE NSW Health Minister, Carmel Tebbutt, has announced her goals for the next 12 months to address the systemic problems that have plagued public hospitals for many years.

    The Caring Together: Building Sustainability report outlines the second phase of the Government's $485 million response to last year's Garling inquiry, which warned hospitals were ''on the brink''. Ms Tebbutt promises further widespread reform, including quarterly publication of hospital-acquired infection rates.

    However, a status report also released yesterday showed the Health Department has completed only some of the dozens of tasks to which it committed in its Caring Together response to the Garling report, released in March.

    It has yet to start work on some recommendations, such as ward audits of infection control and relieving paramedics of the burden of staying with patients as they await treatment.

    Commitments for 2010 include establishing regional chronic disease management services. By February, NSW Health aims to have 500 clinical support officers in roles designed to relieve the administrative burden on nurse managers. That is about double the current figure.

    Medical assessment units, designed to reduce patient waiting times in emergency, will open at Tweed, Lismore, Coffs Harbour, Orange and Mona Vale hospitals, in the first quarter.

    NSW Health will ''research best practice in clinical engagement'' next year after doctors' repeated complaints of being ignored.

    Dr Clare Skinner of the Hospital Reform Group said clinicians felt ''nothing has changed''. ''We've had no stability at the top in NSW. It's very hard to commit to a reform agenda when the leadership changes so often. People want things to change but there's a lack of clear direction,'' she said.

    COMMENT

    OTDs: if you have to come to Australia, just avoid NSW. It is in a documented utter mess which, some say will never recover. What really needs serious reform is the sacking of a good deal of health bureaucrats! Pass this news round the world.......AVOID NSW however good the carrot may look..corruption and dysfunction has just gone too far for redemption.
  26. Guest

    Guest Guest

    Abbott launches hospitals offensive
    MARK METHERELL HEALTH CORRESPONDENT
    December 23, 2009

    The Sydney Morning Herald

    EXCLUSIVE

    THE Opposition Leader, Tony Abbott, is expected to press for a referendum on health funding reform, putting the heat on the Prime Minister, Kevin Rudd, over his pledge to fix public hospitals.

    The Coalition is preparing to go to the next election with a promise to overhaul health funding. Its policy will include plans for direct federal funding of new local health and hospital boards, rather than funding through state governments.

    The referendum push will be part of Mr Abbott's strategy to challenge Mr Rudd's credibility on his promise to ''seek a mandate'' at the next election for a federal takeover of public hospitals if the states failed to agree to his reform plans.

    The Opposition health spokesman, Peter Dutton, is believed to have won approval for the plan from shadow cabinet while Malcolm Turnbull was leader.

    Mr Abbott, who as health minister in the Howard government repeatedly described health funding as ''a dog's breakfast'', has told colleagues he supports the plan.

    After winning the leadership this month he dismissed as ''another fudge'' Mr Rudd's pledge to seek a mandate for a federal takeover if necessary.

    But Mr Abbott has opposed a direct federal takeover of health funding. The Coalition would seek to avoid shifting detailed funding decisions from state governments to Canberra.

    Instead, federal health funding would be directed to local hospital boards so decisions could be made close to where services were delivered.

    Mr Abbott is expected to face resistance within his party, particularly in NSW, to a move that weakens state powers.

    Mr Rudd's promise of a staged approach to health reform is six months behind schedule, and there is little evidence that the states will agree to expanded federal control of funding for hospital out-patients and other health areas, as recommended by the National Health and Hospital Reform Commission in July.

    The Victorian Government has rejected proposals for a federal takeover of funding for non-hospital services such as community health centres. But NSW dropped its proposal for a more regionalised approach to funding.

    At the Council of Australian Governments meeting in Brisbane this month, Mr Rudd was only able to announce that he and the premiers had agreed on a process to move towards reform in the first part of next year. But he said he was not resiling from his promises before the election.

    This month Mr Abbott told the Herald there were too many state Labor governments and too many public sector unions relying on the current arrangements for the Rudd Government to take over health.

    ''I think it is hugely improbable he is going to come up with a policy we are going to support,'' Mr Abbott said.

    A long-time advocate of health reform, the former senior public servant John Menadue, welcomed the chance that a referendum might receive bipartisan support. ''It would be a major step forward in my view,'' he said. ''It would still be opposed by state governments and bureaucracies, but if both federal parties endorse it, I believe they could win.''

    Mr Menadue said the Government ''underestimates how sick and tired people are of the state governments' performance''

    COMMENT:

    Whilst the fighting continues, what makes you think that OTDs would be caught in the crossfire and the blame shifting of dysfunction health systems? Rather, they will be the first casualties......so, OTDs forget about Oz and dont waste your time or money coming to Oz. ...you will regret it. These bureaucrats would even bother thinking twice before they will implicate you for their faults and dysfunction.....it is the easiest way out.
  27. Guest

    Guest Guest

  28. Guest

    Guest Guest

    Burnt body identified as Indian
    January 6, 2010 - 3:28PM

    SYDNEY MORNING HERALD

    Police have identified a partially burnt body found beside a rural road in southwest NSW as that of Indian national Ranjodh Singh.

    Mr Singh, aged 25, had been living at Wagga Wagga and was visiting Griffith at the time of his death. A passer-by found his body on December 29 beside Wilga Road at Willbriggie.

    Inquiries led investigators to a Kookora Street home at Griffith where a search began on Tuesday night.

    Griffith police Inspector Paul Smith today described Mr Singh's death as "horrific" and repeated an appeal for public information.

    "We are reaching out to all members of the Griffith community to come forward, including members of the local Indian community who might hold crucial information that could be the key to solving Mr Singh's death," Insp Smith said in a statement.

    "To assist with the investigation we have appointed an Indian-speaking detective as a liaison officer, who speaks Punjab and Hindi, and I would urge anyone with any information no matter how small, to contact us."

    Police also want to hear from anyone who was in the area near Kookora Street and Griffin Lane in Griffith between midnight (AEDT) on December 28 and December 29.

    COMMENT:

    We should now ask the NSW AMA how many Indians (and other Asians) the Medical Board had targetted in the AMA's Register of Inappropriate Disciplinary/Investigation Cases. If there is corroboration, this strongly suggests racism.
  29. Guest

    Guest Guest

    Brumby slams Indian government, media

    The AGE
    February 3, 2010 - 2:46PM

    Premier John Brumby has slammed Indian media and officials for unbalanced reporting, citing the case of an Indian man in Melbourne who police say pretended he had been set on fire in an unprovoked attack.

    Jaspreet Singh, 29, of Grice Crescent, Essendon, claimed he was set alight by unknown assailants near his home last month.

    But police allege he accidentally burned himself while torching his car for an insurance claim.

    Singh faced an out-of-sessions hearing before a bail justice at St Kilda Road police complex yesterday charged with making a false report to police and criminal damage with a view to gaining a financial advantage.

    The case made international headlines, linked to a series of attacks by white Australians on Indian nationals in Melbourne.

    Mr Brumby said to date the Indian media's reports of such incidents have been unbalanced.

    "I think I'll make a couple of comments and in a sense they go, as much as anything, to the way the Indian media and the, to a lesser extent some representatives in the Indian government, portray these events," he told reporters in Melbourne today.

    Mr Brumby referred to the murder of Indian Ranjodh Singh, whose body was found on the side of a road in southern NSW in late December.

    "I think the point needs to be made that the people who have been charged with that murder are both Indians," he said.

    "And we've had this (Jaspreet Singh) case, which attracted a lot of attention in India, and police have charged an individual with setting fire to himself.

    "So I hope that there is some balance to the debate, some balance to the reporting in India and certainly to date that balance hasn't been there."

    Jaspreet Singh, who is in Australia accompanying his wife on her student visa, told police he was doused with petrol and set alight as he parked his car near his home early on Saturday, January 8.

    He was taken to The Alfred hospital with burns to 15 per cent of his body, affecting his face, arms and hands.

    Detective Senior Constable Danielle O'Keefe of the arson and explosives squad told the court yesterday Singh suffered the burns while trying to torch his 2003 Ford Futura.

    "Police inquiries have led us to believe that Mr Singh is in some financial difficulty and that he intended to sell his car but instead stood to gain $11,000 from an insurance claim out of this particular incident," she told the hearing.

    Jaspreet Singh was bailed to appear before the Melbourne Magistrates' Court on March 15.

    Married Indian couple Gurpreet Singh, 23, and wife Harpreet Bhullar, 20, as well as another man, Harpreet Singh, have been charged with Ranjodh Singh's murder.

    The couple appeared via video link in Wagga Local Court today and were remanded to appear in Griffith Local Court via video link on May 5.

    Harpreet Singh was also scheduled to appear in Griffith Local Court today.

    AAP


    COMMENT:

    Why slam the Indian media when Australian governments (including the Vic government) try to cover up misdeeds by Australian doctors against Asian OTDs. Issues like bullying, fabrication of allegations, confidential deeds of release, misinforming Colleges and persuading Colleges to propagate errors and then to bury their mistakes. This is as evil as killing Indians or faking incidents. Mr Brumby, beware the Ides of March ;-)
  30. Guest

    Guest Guest

    Rudd won't release Haneef document

    * Sarah Elks
    * From: The Australian
    * December 01, 2009 12:00AM



    KEVIN Rudd's department is refusing to release parts of a potentially explosive diplomatic cable from New Delhi, believed to detail the Indian government's concerns over the detention of cleared terror suspect Mohamed Haneef, because of fears it will damage Australia's international relations.

    Relations between Australia and India are already strained, with a steady stream of ministers and the Prime Minister travelling to the subcontinent to acknowledge tensions arising from the bashings of Indian students in Australia. The cable in question was sent from Australia's high commission in New Delhi on July 17, 2007, the day after then immigration minister Kevin Andrews revoked Dr Haneef's working visa and ordered his continued detention. The day the cable was sent, the Indian government reportedly summoned the high commissioner and insisted Dr Haneef be treated fairly. Dr Haneef, who was working at a Gold Coast hospital when he was arrested on suspicion of being involved in the bombings of the Glasgow airport, and his lawyers launched a Freedom of Information campaign last year, seeking documents regarding his detention and visa cancellation.

    Start of sidebar. Skip to end of sidebar.
    Related Coverage

    * Terror agencies 'fail to deliver' The Australian, 25 Dec 2008
    * Key events in the Mohamed Haneef case Herald Sun, 23 Dec 2008
    * Surviving Haneef The Australian, 1 Dec 2008
    * AFP reversal on Haneef The Australian, 16 Nov 2008
    * AFP 'knew' of Haneef visa strip The Australian, 31 Oct 2008

    End of sidebar. Return to start of sidebar.

    It is understood that the information garnered may be used by Dr Haneef to seek compensation from the federal government.

    Reams of documents have been released, but Dr Haneef's team has hit a snag with a request to the Department of Prime Minister and Cabinet over several extracts of the diplomatic cable.

    The department refused to release the cable in its entirety, arguing that certain paragraphs would damage Australia's international relations and that others contained information "communicated in confidence by or on behalf of a foreign government".

    The cable also contains some commentary from the high commission.

    Dr Haneef's lawyers took the matter to the Administrative Appeals Tribunal, which ruled in October that more -- but not all -- of the cable should be released to Dr Haneef. "I am at a loss to understand how the material in the first entry or the second entry could damage Australia's international relations," the written decision of AAT senior member Bernard McCabe says. "The material is, for the most part, platitudinous."

    He also ruled that some of the information that the government had argued was communicated in confidence should be released. But the department has taken the matter to the Federal Court, where it has applied for a review of the AAT's decision.


    COMMENT:

    1. The thread on Dr Haneef has been removed
    2. We cannot tell how the medical community and the Commonwealth government had been and continue to treat not Indians (and non whites)
    3. If this article is true, then a lot needs to be fixed....has Dr Haneef received his compo yet? Does any know?
  31. Why don't you all stop whining about racism and just take care of your own? You complain and bitch about the injustice then stay in the 3rd worlds you come from oh benevolent ones....Lets be honest, your interested in your bottom line and getting as many family memebers as possible into the West....You are not interested in "caring for the sick and dying" as you have more than you can handle where your at and most of us see through your veneers (your smug smiles)....It has nothing to do with racism and everything to do with seeing through your lack of humanity...You are all opportunists...Stay where you are and fix your own countries for Christs sake; before coming over here and complaining about ours!
  32. Guest

    Guest Guest

    these are the words of a true hypocrite ...there are no human rights in Oz...definitely
  33. Guest

    Guest Guest

    Doctors shut operating theatres due to leaky roof
    KATE BENSON

    SMH
    February 13, 2010

    SURGEONS and anaesthetists at the ailing Hornsby Hospital will shut the operating theatres to all but life-saving cases on rainy days after a senior nurse slipped in a puddle from a leaking roof and shattered her arm last week.

    The snap decision will force some patients to move to Royal North Shore Hospital and others to wait longer for surgery.

    Doctors, furious that a leaking air vent in the operating theatres has still not been fixed, say they fear a patient or staff member will die if they do not take action.

    The chairman of the hospital's medical staff council, Richard Harris, said yesterday that doctors had been left with no option after the Health Minister, Carmel Tebbutt, said on radio during the week that the leaking vent had been fixed in October and a new leak had developed during last weekend's torrential rain.

    ''How ridiculous. The water is coming from the same place. It has been leaking for 16 years and it has not been fixed. I don't want anyone else getting hurt or killed,'' Dr Harris said.

    The Bureau of Meteorology predicts thunderstorms for Sydney for the next three days. Rain is expected to return on Thursday, which could put staff and patients at risk of electrocution, a senior anaesthetist, David Benson, said.

    ''If you have water in a roof where there are electrics, by definition you have some potential for safety issues,'' he said. ''It is now time to to force the hand of the state government to to fix this problem.''

    Dr Benson said a cut in the power supply caused by water in the roof could also put patients at risk. ''There is a one-second delay before the generator cuts in but that is enough to cause the computerised monitoring systems to shut down and reboot themselves.

    ''So effectively you are without any way of monitoring a patient for about a minute and half, which could be critical.''

    At present about seven patients a day have elective surgery at the hospital but this rises to about 25 a day later this month.

    COMMENT

    The line to note is that the Health Minister's excuses do not corroborate with the hospital doctors' account of the leak (i.e. 16 years). Even Carmel is learning the art of spin in her not so new role!
  34. Guest

    Guest Guest

    Rights bill is long overdue

    Sydney Morning Herald

    PHILIP LYNCH
    March 1, 2010



    What do Gough Whitlam, Malcolm Fraser, Gareth Evans, Fred Chaney, Natasha Stott Despoja, Bob Brown and Steve Bracks have in common? Aside from careers in politics, little, it would seem. They come from across the political spectrum and from all corners of the country. They have served as prime ministers, ministers, premiers and party leaders. They span at least six political generations. Yet, despite these differences, they all support an Australian human rights act.

    Human rights have not always been a political football. As the Rudd government finalises its response to the report of the National Human Rights Consultation - the centrepiece of which is a human rights act - it is worth remembering that conservatives have not always opposed such an act, nor have those on the left always considered one to be ''controversial''.

    History demonstrates how truly universal and bipartisan support for human rights has been. Just over 60 years ago, Labor attorney-general and foreign minister Herbert ''Doc'' Evatt presided over the UN General Assembly as it adopted the historic Universal Declaration of Human Rights. Forty-eight nations voted in favour of the declaration, none against.

    Following the declaration's adoption, Evatt rightly predicted that ''millions of people all over the world would turn to it for help, guidance and inspiration''. Conservative leader Winston Churchill advocated its adoption into the British legal system, calling for a charter of human rights ''guarded by freedom and sustained by law''.

    Some 20 years later, the declaration was enshrined as international law in two major treaties: the covenants on civil and political rights, and on economic, social and cultural rights. Labor prime minister Whitlam signed both treaties within the first two weeks of his election. Fraser, his Liberal successor, ratified both covenants, making them binding on Australia.

    The importance of the legal recognition and protection of human rights was one of the few issues on which, at the time, both men agreed. But despite this, and despite Australia being a consistent champion of human rights on the international stage for the next 40 years, no Australian leader has taken the further steps necessary to protect those rights in Australian law.

    In 2010, the report of the National Human Rights Consultation demonstrates the continuing broad base of support for human rights in Australia and presents an opportunity and imperative to bring our human rights legacy home. For, while the legal protection of human rights may not enthuse some politicians - Tony Abbott, for example - it is clearly an issue of great concern to the Australian people.

    The National Human Rights Consultation committee received a record 35,000 submissions and hosted 66 round-table meetings throughout metropolitan, regional and rural Australia. It found that ''after 10 months of listening to the people of Australia, [there is] no doubt that the protection and promotion of human rights is a matter of national importance''.

    Its report establishes that while most of us recognise that this is a great place to live, we also recognise that we could and should do more to protect the rights of the vulnerable and disadvantaged. Independent polling found that up to 75 per cent of Australians support stronger measures to protect the human rights of people with mental illness, the elderly, Aboriginal Australians and people with disability.

    Support for a human rights act is deep and diverse: 87 per cent of submissions were in favour, and independent polling found 57 per cent support and only 14 per cent opposition.

    Australians understand the fundamentally democratic role of the judiciary in protecting human rights and the rule of law. We do not subscribe to the simplistic characterisation of this debate as being about whether we trust parliament on the one hand, or courts on the other. In fact, 86 per cent of us consider that government has a high level of responsibility in relation to the promotion and protection of human rights; 84 per cent also recognise the significant responsibility of the courts in this regard.

    Those opposed to a human rights act have leapt on the federal Attorney-General's recent observation that human rights should be protected ''in a way that as far as possible unites a community rather than causes further division'', asserting that this ''dooms'' the passage of an act.

    These people, however, do an injustice to the bipartisan history of human rights. They also underestimate the propensity of Australians to unite behind good, evidence-based policy, particularly where it reflects and resonates with our values of dignity, respect, tolerance, freedom and fairness.

    Two years ago the Rudd government was faced with similar opposition in relation to the proposed apology to the stolen generations. Opponents predicted a flood of compensation claims and highlighted that, while polls showed 55 per cent support for the government's decision to say sorry, 36 per cent opposed it.

    They said the apology would be contentious and divisive and would not advance the cause of reconciliation. Just a week after the apology, however, support had risen to 78 per cent. The apology displayed the power of bold, responsible political leadership and the ways in which a commitment to fundamental human rights and the alleviation of disadvantage can unite us. We should now unite around a human rights act.

    Philip Lynch is director of the Human Rights Law Resource Centre.

    COMMENT

    This confirms that there is no Human Rights Law in Oz but research shows that Australia is a signatory to the Treaties of the Human Rights Convention out of which there are 7 (see posting by Nostradamus above)

    Australian Health Bureaucrats, Medical Boards and Colleges: dont think you will get away with it! We, the OTDs are coming for you via the ADTOA and the UN
  35. Guest

    Guest Guest

    Stop exploitation of doctors from overseas

    * OPINION: Sue Douglas
    * From: The Australian
    * April 03, 2010 12:00AM


    WHEN most Australians think of doctors they think of a powerful and privileged group who make three to four times as much as the average bloke. It's not a group that engenders sympathy, or one you associate with exploitation.

    The reality is, however, that international medical graduates are a vulnerable group that have been exploited by the government, abused by their own profession and ignored by the public.

    Unlike doctors born in Australia, foreign-born doctors are restricted to where they can work, even if they attended medical school and did all their specialty training in Australia. Under section 19AB of the Health Insurance Act, all IMGs, regardless of country of training and citizenship, must work in a designated area of workforce shortage for 10 years. This is a significant chunk of a doctor's professional career.

    Also, in Australia your ability to work is determined by your immigration status. You may no longer be able to work as a doctor if you decide to become a permanent resident or citizen. It's much easier to exploit the rights of temporary than permanent residents. If you complain it's easy to have your visa revoked.


    In Australia your potential competitors judge your professional qualifications. Imagine going for a job interview where the interviewer was another applicant. Also imagine if that applicant was responsible for drafting the selection criteria upon which you were to be judged. In these circumstances it's next to impossible to have a fair and objective assessment of your qualifications.

    In Australia if your rights are abused by one of the medical organisations you have no meaningful recourse to justice. Most are private member-based organisations and therefore exempt from statutory regulation. Imagine having no access to unions, ombudsmen or the judicial system. What recourse would you have in the face of injustice?

    This is the reality for the thousands of IMGs who provide an invaluable service to this country. These problems don't just affect IMGs, they have a significant impact on Australia's medical workforce.

    Legislation and the accreditation-registration system hinder the deployment of skilled IMGs. The glut of students coming through is not going to fix the problem in the present system because historically the vast majority of Australian doctors are not willing to work in rural areas.

    The argument has been made that Section 19AB is necessary to ensure adequate medical services in rural and remote regions. Yes, Australia needs more doctors but does this justify the exploitation of a politically vulnerable group?

    So what's the solution? Many countries have a compulsory period of medical service for their new doctors in underserviced areas and-or for disadvantaged populations. We could devise a system in Australia where all new doctors -- regardless of nationality or country of training -- need to work for a specified period of time in a rural community.

    Similarly, all IMGs coming into the country would need to provide the same service. In this way the workload is shared more equitably and across a much larger population.

    Section 19AB is an affront to human rights and the government must review this discriminatory piece of legislation.

    Let's finally take action to ensure that the thousands of IMGs who provide an essential service to this country are finally given a fair go.

    Sue Douglas is a Canadian-trained doctor and senior lecturer in general practice at Australian National University.
  36. Guest

    Guest Guest

    Doctors conscripted to the country

    * Sean Parnell
    * From: The Australian
    * April 03, 2010 12:00AM


    KEVIN Rudd may have eased concerns over the effect of his reform plans on regional hospitals by offering them block funding, but he faces calls to overhaul the system of distributing doctors to rural and remote areas.



    With increasing numbers of overseas-trained doctors -- also known as international medical graduates -- securing access to Medicare only by agreeing to work in an area of need for 10 years, health groups argue the so-called 10-year moratorium should be replaced with proper incentives for doctors to leave the city.

    Some IMGS are calling for a fair go, arguing the moratorium is discriminatory and prevents skilled professionals from helping the community.

    Australian Medical Association president Andrew Pesce says his organisation originally supported the moratorium -- devised when there was deemed to be an over-supply of Australian doctors, partly to protect their livelihoods -- but has since joined other groups in wanting it phased out.

    Pesce says section 19AB of the Health Insurance Act -- which bans overseas-trained doctors from accessing Medicare unless they abide by the moratorium -- is a form of conscription affecting people who don't have professional support, political clout or community sympathy.

    "It basically means the government has a dependable supply of workforce [participants] and [doesn't] have to put as much effort as [it] possibly should to addressing the barriers to attracting locally trained doctors to regional areas," he says.

    The number of exemptions under section 19AB rose to 4381 for the 12 months ended October 31 last year, compared with 2718 for the same period four years earlier. During that time, the percentage of the population and land area deemed to have a doctor shortage remained relatively steady, indicating overseas-trained doctors are still being used to fill gaps in the medical workforce, if only to prevent the problem from getting worse.

    One of those given an exemption, Australian National University senior lecturer in general practice Sue Douglas, labels the system discriminatory and dysfunctional.

    Douglas had 16 years' clinical experience in Canada, where she trained and eventually trained others, when she moved to Australia in 2006.

    While her ANU role gave her an exemption allowing some clinical work, under provisional registration, she nonetheless experienced the same bureaucratic hurdles confronting IMGs who want to work in Australia.

    For instance, the ACT Medical Board refused to register Douglas until her qualifications were accredited by the Royal Australian College of General Practitioners, which at the same time refused to accredit her until she was registered. This well-spoken academic was even required to supply a letter from her high school proving she spoke English and have her university degree translated even though it is in English.

    Not surprisingly, Douglas regards the 10-year moratorium as a the final insult to highly qualified and well-meaning doctors the world over.

    Rural Doctors of Australia president Nola Maxfield says 41 per cent of rural Australia has an overseas-trained doctor and while "some of those are wonderful people doing a great job, some have been put there without adequate skills and support and there are problems".

    The latter ultimately led to the recent national registration initiative -- a move away from jurisdiction by jurisdiction registration of doctors -- if not the Prime Minister's recent pledge to train more doctors. Yet there has been no serious debate about the methods of ensuring an equitable distribution of doctors.

    Maxfield's organisation has put to both sides of politics a reform package that would see rural and remote doctors paid a premium, through Medicare, for their isolation, extra duties and future training and professional support.

    The group sees Rudd's intention to reform primary care, aligning GPs with his proposed local hospital networks, as an opportunity to change the system of distributing doctors across the country and in areas of need. "Unless they've got a workforce out there, none of their change models are going to help," Maxfield says.

    Federal Health Minister Nicola Roxon will not be drawn on their demands but says the government has increased incentives for doctors to work outside metropolitan areas. "One of the main issues in regional Australia is simply finding a doctor, which is why we've announced $632 million to train an additional 6000 GPs and specialists," Roxon says.

    "Half of these new training places will be based in rural and regional Australia. We're also investing more than $134m to encourage more doctors to practise in rural and regional areas.

    "Our approach is essentially that the more remote you go, the greater the reward, up to $120,000 for simply relocating, with more money and support the longer they stay."

    Despite being lobbied by several IMGs, Roxon is refusing to comment on section 19AB.

    The previous review, conducted by medical education consultant Eleanor Long in 2006, was never made public. Long recommended the guidelines covering the use of section 19AB undergo revision to ensure the underlying need in medical services in Australia was better articulated, the factors affecting applications for exemption were given greater context, and the exemptions themselves were clarified.

    The Health Department was also urged to develop an assessment tool to improve the reliability of the guidelines.

    The department has retracted its previous claim that there was a legislative requirement to review section 19AB this year.

    However, the acting assistant director of the department's workforce distribution branch, Barny Lee, revealed recently in a letter to a doctor affected by section 19AB, that from July the 10-year moratorium would be subject to scaling, whereby the time would go faster depending on the degree of remoteness of an overseas-trained doctor's location.

    In his letter, Lee acknowledged concerns about section 19AB, but insisted it was a key element of the government's efforts to address the maldistribution of the medical workforce.

    "Evidence suggests that the current policy of restricting overseas-trained doctors who are subject to the 10-year moratorium has been successful in addressing this workforce maldistribution and has resulted in a larger number of doctors providing much needed medical services in rural and remote Australia," Lee wrote.
  37. Guest

    Guest Guest

    Survey shows racism rampant

    * Guy Healy
    * From: The Australian
    * March 31, 2010 12:00AM


    RACISM is experienced by overseas students in parts of Sydney and Melbourne but is unrelated to their student visa status, a Universities Australia forum will hear today.

    Indian, Sri Lankan and Chinese residents experience racism at more than double the level of other Australians, University of Western Sydney geographer Kevin Dunn will say. The researchers have used surveys to map higher rates of racism in central western Sydney.

    "Harris Park [where 70 Indian students blocked an intersection in protest last June] is right in the guts of that. I'd anticipate the same trends would be apparent in Melbourne," Professor Dunn told the HES.

    "If you really want to confront issues of racism against international students, you have to confront the broader issue of racism against visible minorities.

    "If we challenge racism generally, we will also address the issue of racism against students."

    Professor Dunn was commenting on the findings of a series of phone surveys of up to 12,500 randomly chosen people that were conducted between 2001 and 2008.

    A separate survey of more than 4000 people revealed that 5.7 per cent of the respondents had been racially attacked or villified in a threatening manner, he said.

    The analysis will be presented today at the UA workshop on racism and the student experience, jointly sponsored by the Australian Human Rights Commission and the Academy of the Social Sciences in Australia.

    The workshop follows criticism that authorities haven't taken the attacks seriously enough. However, a series of developments appear to suggest a sea change.

    In New Delhi in early March, Foreign Minister Stephen Smith revealed Australian police had made 70 arrests in the past 12 months for crimes where the victim was of Indian ethnicity.

    A small number of the assaults "had either racial or racist overtones", Mr Smith said.

    Police did not keep statistics on the basis of nationality, which had made analysis of the assaults difficult, he said.

    However, the Australian Institute of Criminology, a listed participant at the workshop, had been asked to do an exhaustive statistical analysis of the assaults, Mr Smith said.

    "The AIC is currently conducting ongoing research into the victimisation of overseas students in Australia," an AIC spokeswoman confirmed yesterday.

    La Trobe University researcher Helen Forbes-Mewett, who has started investigating the attacks, will say the motivations of the perpetrators are unknown.

    Monash researcher Chris Nyland will tell the conference that educational institutions will have to become much more open about the scourge of racism if the issue is to be addressed. Attacks on overseas students in Australia - including one fatality - have led to an outpouring of anger by Indian students.
  38. As recent as last week, I have been openly and abused (unprovoked) as a "fcuking Chinese bsatard" in front of an Amnesty International stand while reading some pamplets within the Central market of a large Australian city.....the Police whom I talked to later, tells that this is unlawful and can be reported and the person will be charged.

    As some one said in an earlier post, by virtue of Australia being a "large open prison," there will always be such characters around.

    We just have to watch our backs and persistently educate the younger generation about love for fellow human kind - the Easter message for today.

    Happy Easter!
  39. Guest

    Guest Guest

    OTDs: please come out of the closet, especially if you have a grievance that colleges or health services have been using medical boards as a tool to bully you, to intimidate you and to cripple you professionally. There is a growing list....the ppl to contact would be the ADTOA....it is all happening!


    Galileo
  40. Guest

    Guest Guest

    457 extra baggage allowance

    As a candidate myself I felt compelled to reply to this posting. The first post was perhaps understandable since she had been be part of the Australian culture had learned to adapt or perhaps had clotted dearly to his first culture which I can only assume since she stuck to (either preference or by chance) an Indian man herself. She would be seeing matters differently from those Indians barely a year in Australia or at least still carries the heavy accent.

    But nevertheless, she has a point and must be respected as true. As foreign nationals, and coming from a totally different background from historical Australia, IMGs must never forget that they are guest. If they experienced bad events whilst they were in the country, then it is up to them whether to stay or go somewhere else. If they stay, then they know what they up against. Or are they staying to change Australia?

    Again, IMGs are candidates and/or temporary guest and were only welcomed because the Government permitted them to stay. The following years will only provide proof whether a foreign national is still needed and/or the welcome had been overstayed. Remember, you have to make apply to stay. If you become a permanent resident that means you have accepted the way of life in Australia...but if don't you do, you are a hipocrite. You take what Australia has to offer and trash talk it every chance you got. You should have never been granted PR in the first place.

    Imagine, Western or Chinese or Russian or African or Pakistani(Kashmere-even) doctors flooding India. What would be the local doctors or its communities would say. I bet they would also put measures limiting who goes where. Anyway, didn't the sub-continent evolted already? I bet the Indian medical Community will not be so welcoming not to mention an equivalent IELTS for IMGs too in India will be in order.

    Remember we are guest, we can stay or we can go somewhere. You can't make Australia India. You can not make Australia beg for you to stay. And more surely, Australians did not set us up in a leaking boat to reach christmas island.
  41. Guest

    Guest Guest

    You have missed the point. It is not about any party wishing to change Australia.

    It is about:

    1. Basic human rights (respected in other developed countries) being breached and used politically as tools to control and manipulate

    2. Basic Universal respect for each other: a foreign registered medical practitioner in a host country is generally registered insofar he or she have attained the standard to practise the profession. When a well qualified and experienced doctor comes to Australia he is tested according to the most discretionary standards which are designed to keep him out...and this is done in the name of 'standards' and an obsession to protect the public. We do not need to debate this as there are sufficient case anecdotes already available.

    3. Adaption: everyone adapts and compromises in a new country. When it comes to corrupt practices being imposed occultly on a person without his knowledge or consent, then this is risk shifting and unethical practice. Just because 10,000 Australian doctors do something regularly and have been doing it for years does not mean it is correct. The best examples are cost shifting and double dipping which is not a new discovery: but, newcomers are exposed to this without their knowledge and when they raise concerns, they get punished: is this justice or a breach of the individual's basic human rights? This is one of the issues what Kevin Rudd is hammering on right now in his bid to take control of State hospitals which have been given the chance to perform and which are not: especially NSW.

    In summary,

    All of us professionals have a fundamental duty to preserve the dignity and honour of the profession: it is the public trust in our profession which is paramount. Sacrificing the honour of one in the profession who is ethical to cover up the misdeeds of the rest is absolutely wrong: this is the issue some of us OTDs are experiencing....being victimised by the Colleges using the medical boards as statutory tools to repress us.

    Any oppobrium connected to one being investigated (even falsely) in the profession is a permanent stain: no doctor wants it. But, if there is an emeriing pattern of College intsigated actions, we must bring this to the open. The medical profession should not and cannot act in secrecy like the Opus Dei or the mafia: they are accountable to the public - and so are the medical boards.

    We are glad that this forum will allow such posts which an Australian owned and based forum will not.....see what happened to the ADTOA forum over the years? They are subject to scrutiny for ASIO that is why no one dares to post there!

    Cheers

    Galileo
  42. Guest

    Guest Guest

    Australian money

    I agree with the previous one. If you don't like it in Australia (for whatever reason(s))..then leave.

    Why should you stay in this country if you think great injustice had been dealt upon you? Why force yourselves into what seems to be a dire situation you set yourself into? Why stay? It is not as if Australia barred you to pack your stuff and leave the country.
  43. Guest

    Guest Guest

    Why stay indeed? If we put aside our selfish ambitions and leave in exodus, let us see what happens to the regulation of medical care here? Those who are trying to come in may think again very seriously. Let us not give them our dignity! If you do, you become a puppet and a loser. Gandhi said something like this years ago and by passive resistance he was able to peacefully wrench India from the colonials.
  44. Guest

    Guest Guest

    leave in exodus?

    Like other Indian doctors would follow that idea? I say you go first!!! Go and leave the country and your current post!

    I'm staying. Going back to my hospital work in India saxs!!!! The pay sax too!! The quality of life sax!! Politics sax!!

    If all Indian doctors leave at once, like an exodus scale as the above suggest, there would be hundreds of other IMGs(from other countries) waiting to replace us in a moments' notice. Australia at large will not stand still and cease to to exist as we know it. We are totally replaceable!! And don't get any impression that we are not.

    There may be inequities in Australia, just look at their progress in dealing with Black Australians(YES!! born and raised Australians themselves not foreign doctors!!) gets treated like second class citizens in their own country with some tribes not even speaking English..wew..don't get me started with the level and quality of education these Australians receives. I am a rural based so I know what I am talking about.

    Change your attitude, we are no longer in India( even back there our voices are barely heard anyway!!). Work hard and be patient. Change will come, as it always does, but not on own terms. It will be by our host country's terms and time.

    If you can't wait, then go to USA, UK, NZ, Canada, Ireland...or somewhere with better pay and a chance to improve your quality of life and family status. Australia is not a place for you.
  45. Guest

    Guest Guest

    I think the best compromise is peaceful protests as did happen in the late 1990s in Sydney. The ADTOA was the organiser of this and the NSW government commissioned an internal investigation by Mr S Kerkyrasaharian.

    This was scathing on the conduct of NSW Health, the NSW Medical Board and the colleges. It was suppressed for a while and took some debates in the Upper House for it to be made available.

    This document is still difficult to obtain from the State Libraries or anywhere else. However, if you wrote to Mr Kerkyrasharian, AM, current President of the Anti Discrimination Board, you can get hold of it.

    The lesson to learn from this is DONT shoot from the hip: there is a lot a discrimination and ill treatment of OTDs here and they know how to manipulate us legally.

    When they seduce you to come, you will not know about it...till you actually experience it.

    Yes, we should be patient but we should UNITE.

    I am not aware of what has happened in other states but there are reports of ill treatment too.

    Watch this space!
  46. Guest

    Guest Guest

    Health plan on verge of collapse

    ANDREW PROBYN, ANDREW TILLETT and DANIEL EMERSON

    The West Australian April 14, 2010, 2:35 am

    Kevin Rudd's health reforms are teetering on collapse with WA Health Minister Kim Hames accusing the Prime Minister of stinginess and Victorian Premier John Brumby angrily digging in his heels.

    Mr Rudd cannot move ahead with his health plan unless all the premiers agree at a meeting in Canberra next week, but Mr Brumby, who has devised a rival plan, insists he will not be held hostage to take-it-or-leave-it tactics last seen under Queensland's autocratic premier Joh Bjelke- Petersen.

    "You've got to go back a long way, probably to the Bjelke-Petersen government in the 70s, for the last time I can remember that a Government held the States to ransom and said 'Oh, if you don't do things the way I tell you, I'm going to take money off you'," Mr Brumby said.

    Mr Rudd wants States to surrender 30 per cent of their GST in return for the Commonwealth taking a 60 per cent majority funding role in public hospitals, but Mr Brumby has won support from NSW and WA for an alternative which would see the State and Federal governments pool their health funding on a 50-50 basis.

    As a sweetener for the States, Mr Rudd has promised the States an extra $3 billion over four years to tackle pressure points, such as cutting elective surgery and emergency department waiting times, more aged-care beds and training places for doctors.

    But Dr Hames is unimpressed by WA's share of $304 million.

    "Which is $76 million extra a year for the next four years in funding from that Federal package," he said.

    "I have to say that in health we spend that in about a week and a half, so the actual money provided at first examination of the document seems to be very much on the short side," he said.

    He repeated the WA Government's claim that it was disingenuous to "dress up" WA's forfeited GST revenue as Commonwealth funding.

    Mr Rudd said States needed to put aside "local differences" and act in the interests of patients crying our for reform.

    The Australian Medical Association said neither of the duelling plans addressed the major missing link in Australia's hospital system, the shortage of hospital beds.

    AMA president Andrew Pesce said an extra 3870 beds, including 400 in WA, were needed immediately in public hospitals.

    "The incentives being offered by the Government to reduce waiting times in emergency departments and for elective surgery will only work if hospital capacity is significantly expanded," he said.

    Opposition Leader Tony Abbott said Mr Rudd's health reforms had stalled because it was a "bad plan".

    "I'm not against health spending but I am against plans that don't appear to have been fully thought through. and the whole problem with this plan is that it's been dribbling out day by day, detail by detail," he said.
    The Government's plan won a vote of confidence from former WA Health chief Neale Fong, who said the States could not afford to lose the opportunity to reform the system.
  47. Guest

    Guest Guest

    This internal fighting on funding for reforms and the severe documented inquiry generated knowledge (Garling) of NSW Health suggest that there is a huge problem in the health system in Oz - like most places in the world today...so, IMGs, watch your moves and decisions.

    This is not a place paved with golden roads for doctors....! You may be a victim of the system like some of the cases complained of here if you have a misfortune of meeting some idiotic/corrupt/incompetent bureaucrats.

    BTW, even the UK suffers from this: Ramon N, an Australian Urological surgeon blew the whistle in London and was fixed ....but he won his Industrial Case recently
  48. Guest

    Guest Guest

    The Independent UK

    Damages win for consultant who criticised cost-cutting

    Whistleblower was suspended by hospital after raising safety concerns

    By Robert Verkaik, Home Affairs Editor

    Wednesday, 3 February 2010


    Urologist Ramon Niekrash was branded a troublemaker and excluded from Queen Elizabeth Hospital after he expressed concerns

    FRANTZESCO KANGARIS


    A senior consultant at a London hospital who was suspended after repeatedly raising concerns about the health and safety of patients has a won a landmark claim.

    Ramon Niekrash, 50, a consultant urologist at the Queen Elizabeth Hospital in Woolwich, south-east London, was branded a "troublemaker" and excluded from the hospital in 2008 after writing a series of letters to management warning about the impact of chronic cost-cutting.

    But an employment tribunal has ruled that Mr Niekrash was acting as a whistleblower in the public interest and is entitled to substantial damages from the hospital.

    COMMENT:

    Ramon is Australian.....but, the difference between Australia and UK is that the Administrative Law system is more mature and accessible to grievance complaints. In Oz, they (corrupt managers) will cover up, fabricate to stall you and to make you spend your life savings on the legal profession on a wild goose chase...he will probably leave the UK and may move back to Oz to continue his profession: if he does, watch your butt, Ramon!
  49. Guest

    Guest Guest

    Damages win for consultant who criticised cost-cutting

    Whistleblower was suspended by hospital after raising safety concerns

    By Robert Verkaik, Home Affairs Editor

    Wednesday, 3 February 2010

    A senior consultant at a London hospital who was suspended after repeatedly raising concerns about the health and safety of patients has a won a landmark claim.

    Ramon Niekrash, 50, a consultant urologist at the Queen Elizabeth Hospital in Woolwich, south-east London, was branded a "troublemaker" and excluded from the hospital in 2008 after writing a series of letters to management warning about the impact of chronic cost-cutting.

    But an employment tribunal has ruled that Mr Niekrash was acting as a whistleblower in the public interest and is entitled to substantial damages from the hospital.

    The case raises important questions about the lack of protection for NHS staff who wish to bring health and safety failings to the attention of senior management. Last night, Mr Niekrash's lawyers said the treatment of their client showed how senior whistleblowers working for the NHS are being victimised for speaking out.

    The judges also blamed government NHS targets for adding to the damaging tensions between management and senior medical staff at the hospital.

    In his evidence to the tribunal in Croydon, Mr Niekrash complained that the reduction of specialist nurses and closure of the specialist urology ward was detrimental to the care of patients. On 18 March 2009, just before his suspension, he wrote a letter stating that the delayed review of cancer patients meant they had a "very good case of negligence against the trust".

    In another letter, he accused the hospital's management of having the attitude of a "plantation owner" in their treatment of the doctors. The tribunal was told that the management's reaction to the letters was to dismiss him as "vexatious" and "awkward".

    In one instance it was alleged that a senior doctor at the hospital said she wished that the Australian-trained consultant was "in chains on a plane in Heathrow back to Australia".

    The unanimous 50-page employment tribunal ruling found that Mr Niekrash's treatment, specifically his exclusion from the hospital, was in breach of whistleblowing legislation.

    Judge Burton, sitting at the tribunal, said: "We have no doubt that the exclusion of a consultant, being a rare occurrence, must have an adverse impact on the claimant's [Mr Niekrash's] reputation... We accept that the claimant has been hurt by the exclusion and that his health has suffered."

    On the Government's target-setting, the judge said: "What is immediately apparent is that there has been a tension between the professional desire of the claimant and his consultant colleagues to provide a good quality urology service for the patients and the requirement of management to reduce or limit costs and also comply with varying targets laid down by the Department of Health from time to time."

    He added: "The difference between the parties will have to be resolved by the restoration of a proper working relationship which will require goodwill on both sides."

    Arpita Dutt, employment specialist with law firm Russell Jones & Walker, who represented Mr Niekrash, said: "The decision to exclude Mr Niekrash was exceptional and unjustified and has had an ongoing adverse impact on his reputation, practice and his health, and we are delighted that the tribunal's judgment reflects this.

    "In the wake of further cuts to public services, including the health service and the likely increase in such tensions, it is hoped that employers won't resort to similar silencing measures against employees who raise legitimate public interest concerns," she warned.

    A spokesman for the hospital said: "We are considering this judgment very carefully. These incidents covered in this case took place prior to the establishment in April 2009 of South London Healthcare NHS Trust, which now manages the Queen Elizabeth Hospital. There are nearly always lessons to be learned from cases like this, and as soon as we have carefully considered the judgment, we will respond in full."


    COMMENT:

    Mr Rudd's targets game planners, beware.....there is already trouble here in Oz: do not follow the UK targets policy blindly...move cautiously
  50. beatmedical

    beatmedical Guest

    Stop exploitation of doctors from overseas - I agree

    I agree with the article in the Australian.

    This is a blog post I put on my Beat Medical blog recently -

    Mary is a UK trained GP, and wishes to migrate to Australia to get away from that chilling London drizzle. Apparently, it’s easy to find GP jobs in Australia because there is such a shortage here. She speaks to the college of GPs, and they give her some very clear instructions, as follows:

    “The first thing you need to do is apply to the AMC for assessment towards the SPP. They will deal the EICS, and make sure that you meet language requirements, else you might need to sit IELTS. You shouldn’t have to do that AMC I or II because you are a MRCP, and will be recognised for fellowship to the RACGP. Once that is done, you can apply to the MBA for the SPP, who will also assess the DWS status to make sure you are registered in an appropriate location. If you can’t get SPP, you will need to consider AoN – but any location without DWS can’t have AoN, so remember that. The next step is to talk to DIAC get your 457 Long Stay (SBS) visa – but you can’t do that without having your SPP finished first. It’s smooth sailing after that to the HIC for the section 3J application – unless PR is involved (no, not that type of PR), in which case it will be a 19AB application. Now, that’s clear isn’t it?â€

    This bewildering tale is an all-too-common symptom of the broken medical recruitment system in Australia. There are so many fantastic people out there working in the government, medical boards, immigration, the colleges, and the AMC to try to help overseas trained GPs work in Australia. Some would say that with such a multilayered, complex system it is amazing we have anyone to see patients on a Monday morning. In fact, in many places of Australia, we are failing to recruit doctors because of an outdated, thorny labyrinth of forms, bureaucracy, and stone walls.

    The recruitment agencies of Australia play a de-facto role as the coordinating body, acting as the translators, and conduits for GPs to start work in Australia. We do what the private sector does best – be effective.

    The more I think about it, I can’t help but think that a free market will result in more effective recruitment. What would happen if we abolished elements of the Health Insurance Act, District of Workforce Shortage, and Area of Need? Some would say absolute anarchy, others would say that DWS and AoN have created a misguided sense of security, and a false economy of recruitment. The argument against a free recruitment market is that doctors will flood to city and sub-city regional areas. This could be the case, but given that there are a finite amount of doctors jobs in those areas, there will inevitably be pressure to move out further and further from cities.

    The protectionist approach afforded by these policies simply means that those who know, and understand the system best can work it to their advantage – and the rest are left by the wayside. For doctors like Mary, having to deal with the language of the system is enough of a reason to stay home – what is wrong with a bit of drizzle, anyway?

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