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Training and Career Development for Medical Administrators in NSW Print E-mail
The Quarterly 2012


In 2009, the NSW Department of Health (now Ministry of Health) approved a three year project to research and improve medical administration training and career development in NSW. The commissioning of this project was in recognition of the continued decrease in availability of Medical Administrators in NSW and the lack of trainees for RACMA’s Standard Pathway. There are three phases to this project:

  1. Phase 1 (9-12 months)
    Appoint a Clinical Chair and establish a Steering Committee
    Analyse the current state of affairs
    Develop a draft NSW training model to propose for implementation
    Send a report to the NSW Ministry of Health with recommendations for implementation

  2. Phase 2 (24-36 months)
    Implementation of the approved training model

  3. Phase 3 (3-6 months)
    Evaluation and review of the training model

Work on this project began in 2010 but the first phase of the review began in earnest in April 2011 following the appointment of Dr. Vasco de Carvalho MBBS (UNSW) FRACMA (’91) as Clinical Chair to the project within CETI. Soon after Dr de Carvalho’s appointment a Steering Committee was established to progress the Terms of Reference of the project. The initial task was to gain a common understanding of the current status of medical administrator training in NSW and related factors. It was then appropriate to broadly gauge support for Medical Administrators within NSW Health, identify career development opportunities, and to develop a training model. The Steering Committee consists of members representing the Clinical Education and Training Institute, the Royal Australasian College of Medical Administrators (RACMA - both Federal and State representation), the Clinical Excellence Commission (CEC), the NSW Jurisdictional Training Coordinator, Health Service Representatives from metropolitan and regional/rural areas, and trainee candidate representation.

This review has been conducted in close consultation with the RACMA, all Local Health Districts (LHDs) across the state, and other relevant stake holders.

To gain information about the current status of training in NSW, the Steering Committee requested information from each LHD across the state. This was achieved through a survey; the response rate was 75%. The Committee also developed a draft training model for NSW which links closely to the RACMA curriculum and works towards implementing a networked model of training in NSW. Other training models that have previously been implemented or are currently being used, both nationally and internationally, were assessed by the Committee and relevant components used in the development of the draft model of training. Queensland Health supports a comparatively large medical administrator program with approximately 15 candidates being trained annually, and arguably demonstrates "best practice" for RACMA training programs in Australasia. The Clinical Excellence Committee also conducts a short term Leadership and Management course for Clinician Managers; the Steering Committee is very conscious of the importance of interlinking these two Health Professional streams involved in Healthcare management. The Clinical Education and Training Institute recognises the contribution of QLD Health, the RACMA QLD Jurisdictional Co-ordinator and Committee, and the CEC in their support of our review.

The Clinical Chair and the Steering Committee members are currently using the information gathered from LHDs and other states, and are working towards the development of a final report to send to the NSW Ministry of Health in April 2012.


Dr Vasco de Carvalho



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Last Updated on Friday, 17 July 2015 14:15