RACGP Changes – Practice Experince Pathway (PEP)- Specialist stream

If you are GP looking to move to Australia and practise, it can be overwhelming and confusing to understand the new registration and visa processes put in place at the end of last year.

In this blog, we hope to clarify and explain the changes and what that means for you working as a GP.


There have been some changes put in place at the end of last year which means overseas trained doctors need to meet the new requirements to be able to practise.

One of the key changes is the pathway for medical registration through the RACGP. The new pathway is called the Practice Experience Pathway (PEP).

Under the PEP you will still undertake a comparability assessment but will then apply for limited registration while working towards Fellowship under peer review, the length of which is determined by your comparability outcome. The additional assessment requirements include

1. Completion of the RACGP core modules and units including a self-reflective activity
2. Colleague and patient feedback using a Colleague Feedback Evaluation Tool (CFET) and Doctors’ Interpersonal Skills Questionnaire (DISQ), collectively known as multisource feedback (MSF).
3. A clinical assessment visit which will involve a medical educator observing you in practice during four consultations (direct observation) and a clinical case analysis. The clinical case analysis involves the assessor selecting patients seen by you in the preceding week with oral questioning about aspects of the case. You will be provided with feedback on your performance.
4. Supervisor reports at the end of the work based assessment.

The additional requirements are not onerous, in fact, they aim to support professional development and transition to Australian general practice, while enabling you to receive feedback on your progress to fellowship.

Work Location

To enter the PEP, you must have accepted a job for a position located in Modified Monash Model (MMM) 1-7.

The Modified Monash Model is a geographical classification system that uses population data to classify areas on a scale of MM 1 (major city) to MM 7 (very remote). To work in an MM1 area it must also be classified as a PEP Priority GP Catchment area. All locations from MM2 – MM7 are automatically accepted by the RACGP and we are in the process of clarifying with the Department of Health which areas are deemed to be Priority catchment areas.
What this means is that the number of jobs available in some inner and outer metropolitan areas has subsequently reduced, however, there are still pockets of MM1 areas around most of the Metropolitan cities which we have secured GP jobs for. See some of our GP vacancies below:

GP – Wheatbelt region – 2 hours north of Perth

GP – Gippsland region, Victoria – 1.5hours from central Melbourne

GP – Unique Opportunity East Perth

DPA Classification

As an overseas trained GP, you also need to work at a practice that is in an approved location classified as a Distribution Priority Area (DPA). The DPA system identifies areas where people don’t have enough access to doctors, part of an initiative from the Australian government to get more GPs into rural areas and to better reflect the healthcare needs of an area.

What this means, in reality, is that GPs are not as easily able to work close to the major State capitals such as Sydney, Melbourne, etc however we do still have a number of vacancies close to these areas and in regional cities such as Mackay and Rockhampton.
Health Workforce Certificate

Lastly if you require a subclass 482 visa, the location must also be eligible for a Health Workforce Certificate which confirms the genuine need to fill a primary healthcare position. The practice will apply for this for each doctor they employ. To allow the practice to sponsor a GP, they must be granted a health workforce certificate.

All the changes may seem daunting and I’m sure you will have heard lots of rumors regarding what is now possible. Many doctors have called us concerned that they will now have to work in a rural area. Although there have been quite a few changes, we are fully up to speed with what this means for you as a GP. It certainly doesn’t now mean that you have to work in a rural area, we still have positions available in areas such as Perth, Canberra and the Sunshine Coast. All of which are fantastic places to live and offer real benefits for you professionally with excellent schooling and leisure facilities for your family.

There are also some real benefits and opportunities working in regional and rural areas; having more autonomy, broadening your skill base and building relationships within the community, we would invite you to get in touch to discuss your options.

Some of our Regional opportunities available.

GP – Hervey Bay  – Beautiful Queensland Coast

GP – 3 hours from Sydney

GP – Work in tropical paradise on Queensland’s Coast 

Further Reading

DWS Changes – Australia

Possible changes to where GP’s can work in Australia