호주의 의료 인력: 의사 부족 문제 해결 및 솔루션

### 호주의 의료 인력 부족 문제 해결: 신속한 경로의 필요성
* 🏥 호주는 향후 10년간 퀸즐랜드에서만 **3만 7,000명을 포함해 2030년까지 8만 명의 의료 인력이 추가**로 필요할 것으로 예상되는 등 심각한 의료 인력 부족에 직면해 있습니다.
* 📅 호주 내각은 2023년 4월에 발표된 중간 보고서에 이어 **2023년 12월 6일 해외 의사에 대한 규제 기준에 대한 최종 보고서**를 승인했습니다.
* 👩 2026년 11월까지 지방 및 농촌 지역에서 **13,000명의 의사, 40,000명의 간호사, 27,000명의 관련 의료 전문가에 대한 수요**가 있을 것으로 예상되며, 2023년 6월 현재 **44%의 의료 전문가 공석이 채워지지 않은 상태**로 남아 있습니다.
* 현재 국제 의학 졸업생(IMG)이 호주에서 일하기 위한 절차는 여러 차례의 신청과 평가가 필요하고 **최대 1년이 소요**되는 등 시간이 오래 걸리기 때문에 지방의 경우 **채용에 어려움**을 겪고 있습니다.
* 🚀 제안된 신속 전문의 경로는 이 절차를 간소화하는 것을 목표로 하며, 보건부 장관의 승인을 기다리는 동안 **2024년 10월에 일반의에 대해, 2024년 12월에 다른 전문과목에 대해 시행**될 예정입니다.
* 🔍 이 경로는 주로 호주 기준과 실질적으로 동등한 자격을 갖춘 전문가, 특히 **영국, 뉴질랜드, 캐나다, 미국 출신 전문가**에게 혜택을 주며, 의과대학의 감독을 필요로 합니다.
* 📊 신속한 경로에도 불구하고 **중앙 집중식 일자리 데이터베이스의 부족**과 지역 내 명확한 일자리 가용성의 필요성 등 이 이니셔티브의 효과를 저해할 수 있는 과제가 남아 있습니다.
* 🌏 이민은 인력 부족 문제를 해결하는 데 중요한 역할을 하며, **Robin C 보고서는 호주가 모든 사람에게 적시에 의료 서비스를 제공하기 위해 더 많은 국제 자격을 갖춘 의사를 유치하는 것이 시급**하다고 강조합니다.

호주는 심각한 의료 인력 부족 문제를 해결하기 위해 해외 의사가 입국할 수 있는 경로를 신속히 마련해야 합니다.

First, there's epic, then there's AMC, then there's colleges with their applications and interviews. And then there's the board, which takes almost a year for more doctors to come from overseas and start to work here in Australia. Areas who are struggling to find doctors in...

thousands. The process is just too slow. In the health sector alone, there is a need for an additional 80,000 workers by 2030. The state of Queensland alone projects that it will need 37,000 additional healthcare staff over the next decade on...

6th of December 2023, Australian National Cabinet endorsed the final report about regulatory standards relating to overseas doctors. This report was published in two phases: first in April 2023 as an interim report, and then in December 2023 as a final report.

Published by an independent reviewer, Ms. Robin Kirk. Now, as for the report, it is predicted by November 2026, there's a need for 13,000 medical practitioners, that is doctors, 40,000 nurses, and 27,000 allied healthcare professionals in regional and rural Australia, and...

what's even more concerning is that 44% of the health professional vacancies remained unfilled in the June quarter of 2023. Ask any rural GP practice owner, they will always have trouble recruiting GPs to their practice. And hence, they have to shut down and sell the rural...

hospitals and medical centers also face similar trouble recruiting doctors, and hence they have to heavily rely on very expensive locums. What one may ask? There are countless IMGs who want to come and work in Australia, and also, you know, there are IMGs here in Australia who are...

struggling to find any jobs, so why this disparity? Right, firstly, let me straighten out one concept: these rural towns and regions need fully qualified GPs and specialist doctors who can meet Australian regulatory standards of registration. Why qualified? Because they need to work independently with little

or no supervision. Also, you may not know, but any overseas doctor who accepts a job in a rural and regional area is because of a compromise, so they all start from the regional and rural areas, and the majority tend to gravitate to major towns and cities within a few years, and

these areas are the backbone of the Australian economy, providing agricultural mining industries. So surely these people and patients cannot move out there. What about the overseas qualified GPs and specialists who want to come and work here in Australia? Yes, that's what the K report highlights as another

problem, which is red tape, that is duplication of regulation standards. First, there's EPIC, and then there's AMC, and then there's colleges with their application and interviews, and then there's the board, which takes almost a year for more doctors to come from overseas and start to work here in Australia. So

the solution presented by the report is an expedited specialist pathway, which is predicted to roll out for GPs in October 2024 and for OBGYN, anesthesia, and psychiatry by December 2024. And then perhaps later, other specialties will come and sink in as well. This is, of

course, after the Health Minister approves the new revised standards of regulation. So in this video, I will share my forecast how this pathway will look like and provide also a critical analysis of what this means for most specialists and especially international medical graduates who are currently

working as GPs and specialists back in their own country and want to move to Australia so let's dive in and divide I'll divide this conversation to why is this pathway needed the current problems for IMGs what specialties will be expedited who will be eligible for this expedited

pathway what will happen to the role of specialist medical colleges for specialist assessment what is the process going to look like should you wait if you're thinking of the specialist pathway what about the job search and then I will summarize and conclude all about the expedited pathway at the

end why this pathway is needed well part I've already explained but it's all about safe patient doctor ratios in major cities there are about 120.5 full-time equivalent GPs per 100,000 people however in very remote areas the number plummets to just 65.8

so nearly half the situation is even more dire when it comes to medical specialists there are about 143.5 specialists per 100,000 population in cities compared to only 25 in remote and regional areas of Australia in the health sector alone there is a need for

additional 80,000 workers by 2030 to meet the rising demand the state of Queensland alone projects that it will need 37,000 additional healthcare staff over the next decade so what's the current problem if the IMG specialist currently wants to come and work in

Australia he has to apply for EPIC and then AMC and then the specialist colleges like Australian College of Emergency Medicine Royal Australian College of General Practitioners Australian College of Physicians Surgeons you know obstetricians and so forth the assessment from the colleges

takes about 3 to 4 months after the submission of the application and the colleges nitpick on the application and then the interview and then the job search process starts which may take another four to six months and after the job search and job offer the registration by

Opa takes another 2 to three months so the entire process takes close to about a year and the costs are huge for both IMGs and also for the Australian government Now I'm not opposed to a proper checks In fact when we tried to do the application form and interview

assistance we try to meet the standard requirements in a first goal but for areas who are struggling to find doctors in thousands the process is just too slow What specialties will be expected the shortage is particularly severe in specialties like general practice

Psychiatry anesthesia Radiology Pediatrics emergency medicine Obstetrics and Gynecology so who will be eligible for this expedited pathway On the Opa website it says that the new pathway will be available to specialist International Medical graduates with specialist qualifications that the medical board has

assessed as substantially equivalent or based on similar competencies and similar to that of an Australian trained specialist the board will publish a list of qualifications that are substantially comparable so right off the bat these will be specialists who are post CCT from the UK who have

completed their training in specialist exams Also specialists from New Zealand Canada and also from the US so perhaps candidates from India and Pakistan and Middle Eastern countries who have completed 5 years of specialist training and then another four to five years of consultant level experience after

passing the specialist level exam are currently working in a very senior capacity might be also able to qualify that's why what my idea or understanding of substantial compatibility standards actually mean what will happen to the medical colleges I think specialist medical colleges will still have a very

important role to play as you know majority of the Specialists and GPs from India Pakistan and Arab countries are found partially comparable which then requires a top-up training and competencies and skills requirements the colleges will continue to provide assessment with regular application and

interview so so-called Junior IMG consultant what about the process what would the process look like uh from December 2024 so let's say your specialist qualification is published on the OPA website as substantially comparable for being a GP or a gynecologist or

psychiatrist initially you will apply directly to the board through a specialist application form if you are comparable you will be given a provisional specialist registration directly and you will then undergo a 6 months of supervised medical practice you will also complete necessary orientations and

cultural safety training as per the ARA website and once you've completed all the above you'll be given unconditional specialist registration allowing you to work independently however as by my experience despite all these steps the assessment is going to be very strict Australia is one of the most regulated

countries in the world and this process must not be confused as easy but please try to understand that as stringent and expedited I think overall by cutting out the college from this pathway you may reduce the time by about half but the process and the expectation will pretty

much stay the same, should you wait for the specialist assessment, that's a big question. So, at least at this point, the expedited pathway is not clear on anything. If you are working as a consultant in the UK, New Zealand, Canada, or the US after training and you've completed your

exam, and then you are also working as a consultant for four to five years, then perhaps yes. For specialists and GPs from India, Pakistan, Sri Lanka, and Arab countries, if you have five years plus experience training and at least four to five years of senior consultant

level experience in a good tertiary setup in specialties of GP, psychiatry, and O&G, with no career gaps, then perhaps yes, you should also wait. But if you're not likely to be substantially comparable as a specialist, which the majority of the doctors of the subcontinent are, just because our

curriculum of FCPS and MD training are just not enough, then it appears that not much is going to change for you. What about the jobs after the assessment? Now, based on the Robin K report, the deficiencies of GP and O&G doctors are in regional and remote Australia, even currently.

These deficiencies exist, but there's a very little clarification of where these jobs actually are. There is not a centralized database, and every state tends to publish their own area of need. We have an input in the form of IMGs who are keen and want to come through, but by

having an expedited pathway of assessing their application and doing the interview by the board, that's very good. But the output of getting these doctors to get to work, that is a job, and if that's not done right, then what's the point of expedited assessment anyway? So,

My suggestion is the job finding process must also be simplified with a centralized database of jobs, one simple online application and interview process. Jobs must be easy to find; no one must search Seek, Indeed, individual health websites, areas of need lists – that's just too much. You have to understand these

overseas specialists and GPs are busy doctors and they don't have time to do all of these searches and applications. So, in conclusion, it's important to understand that this pathway will not be for every specialty. For example, there may not be a need for dermatologists,

cardiac surgeons or orthopedic surgeons. Also, I think the Opa process of expedited pathway is still going to be stringent. The compressed timeline might lead to operational difficulties and effectively rolling out this pathway. There's also a consideration of how restrictions like visa

and permanent residency and moratoriums are going to pan out. And as I said, if there are no jobs at the end of this expedited process line, then we're just moving the bottleneck from the assessment process to the job process, and the real patients

in the regions and rural areas are never going to benefit. There's also some opposition from, you know, RSGP, who have expressed concern about the lack of consultation with specialist colleges, not just them, but all of the colleges. Now, there's another person called

Professor Brendan Murphy, who's a health analyst, being a previous chief medical officer and the Secretary of the Department of Health. He says that relying on migrant doctors isn't a long-term solution to workforce shortages, which to be honest, I don't entirely agree with.

This is almost all developed countries need migration to grow and sustain themselves. You need more people to come to your country for work and generate more tax to support the economy. And then you need more people to look after them like service industries of doctors, nurses, teachers, builders, and all, yes there

needs to be a balance that demands don't exceed the supply. But migration is a big portion of growth and development for countries like Australia, Canada, and the US, and will continue to be over decades to come. The Robin C report makes it clear Australia needs to act now. The shortages

in our healthcare system are not just numbers, they represent real people who are waiting too long for the care that they desperately need. By implementing expedited pathways and reducing regulatory barriers, Australia can attract more internationally qualified practitioners to fill these critical

gaps in the regional and rural Australia and at the same time, this will also make Australia a more attractive destination for highly skilled, not only medical professionals, but other professionals as well. Look after yourself and each other and I'll catch you in the next video.

Overseas GPs and Specialists | NEW Expedited Pathway for Australia

Emergency Focus

호주의 심각한 의료 인력 부족 문제

해외 의사 등록 절차의 상당한 지연은 광범위한 인력 부족 문제를 해결하려는 노력을 방해합니다.

2030년까지 8만 명의 의료 인력이 추가로 필요할 것으로 예상되며, 퀸즐랜드에서만 3만 7천 명이 필요할 것으로 예상됩니다.

2026년 11월까지 지역 및 농촌 지역에서 13,000명의 의사, 40,000명의 간호사, 27,000명의 연합 보건 전문가가 필요할 것으로 예상됩니다.

2023년 6월 분기에도 의료 전문가 공석의 44%가 채워지지 않아 병원이 문을 닫고 값비싼 현지 인력에 의존하는 상황이 발생했습니다.

농촌 지역에서는 독립적인 진료가 필요하기 때문에 자격을 갖춘 일반의와 전문의가 필요합니다.

이 보고서는 등록 절차 시간을 단축하는 것을 목표로 부족 문제를 해결하기 위한 신속한 경로를 제안합니다.

이 경로는 2024년 10월에 일반의, 2024년 12월에 산부인과, 마취과, 정신과를 대상으로 출시될 것으로 예상됩니다.

주요 도시와 외딴 지역 간에는 의사 대 환자 비율에 상당한 격차가 존재합니다.

현재 IMG 신청 절차에는 여러 지원서(EPIC, AMC, 전문 대학)가 포함되며 약 1년이 소요됩니다.

신속 처리 절차의 자격 및 절차

특히 일반 진료과, 정신과, 산부인과와 같은 전문과목의 인력 부족이 심각한 상황입니다.

이 경로는 호주에서 훈련받은 전문의와 실질적으로 동등한 자격을 갖춘 것으로 평가된 전문 IMG가 이용할 수 있습니다.

이 과정에는 이사회에 직접 신청, 임시 등록, 6개월의 감독 실습, 문화 안전 교육이 포함됩니다.

대기 절차의 적합성은 지원자의 자격과 경력에 따라 달라지며, 영국, 미국, 캐나다, 뉴질랜드 출신이 자격을 갖출 가능성이 높습니다.

경로와 관련된 도전 과제 및 우려 사항

중앙 집중식 채용 데이터베이스가 부족하면 신입 전문가를 위한 구직 프로세스가 방해받습니다.

이 경로가 모든 전문 분야에 대한 요구를 충족시키지 못할 수도 있으며, 압축된 일정으로 인해 운영상의 어려움이 발생할 수도 있습니다.

전문 대학과의 협의가 부족하고 인력 부족을 해결하기 위해 이주 의사에게 장기적으로 의존하는 것에 대한 우려가 존재합니다.

이 보고서는 의료 인력 부족 문제를 해결하고 국제적으로 자격을 갖춘 의사를 유치하기 위한 조치가 시급히 필요하다고 강조합니다.