DOCTORS IN TRAINING WHAT YOU NEED TO KNOW 2013-2016
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Doctors in
Training
AMA Salaried Doctors
Metropolitan Health Services Agreement
2013-2016
What you
need
to know
The AMA – advocating, protecting, producing results!Doctors in Training
AMA MHS Salaried Doctors Agreement
2013-2016.
On 19 December 2012 the Association lodged a log of claims on the Minister for
Health on behalf of medical practitioners employed under the following agreements:
• Department of Health Medical Practitioners Despite these difficulties the Association reached
(Metropolitan Health Services) AMA Industrial a formal agreement with the Department of Health
Agreement 2011; immediately prior to Christmas 2013. The agreed
• Department of Health Medical Practitioners changes are reflected in the revised industrial
(WA Country Health Service) AMA Industrial agreements. The MHS Industrial Agreement
Agreement 2011; was registered in the WA Industrial Relations
• Department of Health Medical Practitioners (Drug Commission on 23 December 2013 and the
and Alcohol Office) AMA Industrial Agreement remaining agreements, with the exception of the
2011; Clinical Academics Agreement, were registered on
• Department of Health Medical Practitioners 27 February 2014. The Association believes that the
(Director General) AMA Industrial Agreement agreements provide excellent outcomes for medical
2011 practitioners in the public system and ensures that
WA practitioners remain amongst the best paid in
• Department of Health Medical Practitioners
the country. The increases provided under the new
(Clinical Academics) AMA Industrial Agreement
agreements are the highest of any state and territory
2011
in Australia.
The log of claims was developed after extensive
consultation with practitioners across the public At the time this booklet went to print, the Clinical
system and was designed to ensure that medical Academics Agreement had not been registered. It is
practitioners remain best placed to continue to expected to be registered in the near future.
provide high quality healthcare to the WA community. The new Agreements will be collectively referred to
Negotiations between the Association and the as ‘the 2013 Agreements’. For practitioners within
Department of Health (DOH) commenced in March the North West please refer to the salary schedule
2013. These negotiations were difficult given the on the AMA (WA) website for specific details of
state of the economy, the loss of WA’s AAA credit applicable rates.
rating and the recent bargaining outcomes for
medical practitioners in the eastern states.
2 Negotiated by the AMA for and on behalf of AMA MembersOverview
This summary details specific changes applying to Doctors in Training (i.e. Interns through to Senior Registrars)
employed under the above named Agreements. For those Registrars and Senior Registrars who may soon be
employed within the system as Senior Practitioners reference should also be made to the details contained
within the Senior Practitioners reference guide.
Details of Specific Changes
1. Salaries
The Government’s original position was to offer a salary increase in line with Government Wages Policy which
resulted in an offer of 7.5% over three years. Given Government Wages Policy the only option to improve the
offer was to identify efficiencies that would deliver productivity improvements in return for salary increases
beyond 7.5%. During the latter part of negotiations, and shortly before the initial offer was made, the WA
Government lost its triple A credit rating. Despite a more difficult negotiating environment the Association was
able as part of the further negotiations to secure an increase of 11% over three years (i.e 3.75%, 3.75% and
3.5% payable from 1 October ’13, 1 October ’14 and 1 October ’15 respectively). The quantum increase will
also apply to all applicable allowances that are outlined later in this summary.
The following base rates will apply:
3.75% 3.75% 3.50%
First pay period First pay period First pay period
on or after on or after on or after
Classification Level 01-Oct-13 01-Oct-14 01-Oct-15
Intern 1 $69,892 $72,513 $75,051
Resident Medical Officer Yr 1 2 $76,882 $79,765 $82,557
Resident Medical Officer Yr 2 3 $84,570 $87,741 $90,812
Resident Medical Officer Yr 3 4 $93,026 $96,515 $99,893
Registrar Yr 1 5 $97,678 $101,340 $104,887
Registrar Yr 2 6 $102,562 $106,408 $110,132
Registrar Yr 3 7 $110,254 $114,389 $118,392
Registrar Yr 4 8 $115,767 $120,109 $124,312
Registrar Yr 5 9 $121,555 $126,113 $130,527
Registrar Yr 6 10 $127,633 $132,419 $137,054
Registrar Yr 7 11 $134,014 $139,039 $143,906
Senior Registrar Yr 1 12 $144,066 $149,469 $154,700
Senior Registrar Yr 2 13 $151,269 $156,941 $162,434
Supervised Medical Officer Yr 1 5 $97,678 $101,340 $104,887
Supervised Medical Officer Yr 2 6 $102,562 $106,408 $110,132
Supervised Medical Officer Yr 3 7 $110,254 $114,389 $118,392
Supervised Medical Officer Yr 4 8 $115,767 $120,109 $124,312
Negotiated by the AMA for and on behalf of AMA Members 3AMA MHS Salaried Doctors Agreement 2013–2016
3.75% 3.75% 3.50%
First pay period First pay period First pay period
on or after on or after on or after
Classification Level 01-Oct-13 01-Oct-14 01-Oct-15
Supervised Medical Officer Yr 5 9 $121,555 $126,113 $130,527
Supervised Medical Officer Yr 6 10 $127,633 $132,419 $137,054
Supervised Medical Officer Yr 7 11 $134,014 $139,039 $143,906
Supervised Medical Officer Yr 8 12 $144,066 $149,469 $154,700
Supervised Medical Officer Yr 9 13 $151,269 $156,941 $162,434
Trainee Medical Administrator Yr 1 6 $102,562 $106,408 $110,132
Trainee Medical Administrator Yr 2 7 $110,254 $114,389 $118,392
Trainee Medical Administrator Yr 3 8 $115,767 $120,109 $124,312
Trainee Medical Administrator Yr 4 9 $121,555 $126,113 $130,527
Trainee Medical Administrator Yr 5 10 $127,633 $132,419 $137,054
Trainee Medical Administrator Yr 6 11 $134,014 $139,039 $143,906
Trainee Medical Administrator Yr 7 12 $144,066 $149,469 $154,700
Trainee Psychiatrist Yr 1 7 $110,254 $114,389 $118,392
Trainee Psychiatrist Yr 2 8 $115,767 $120,109 $124,312
Trainee Psychiatrist Yr 3 9 $121,555 $126,113 $130,527
Trainee Psychiatrist Yr 4 10 $127,633 $132,419 $137,054
Trainee Psychiatrist Yr 5 11 $134,014 $139,039 $143,906
Trainee Psychiatrist Yr 6 12 $144,066 $149,469 $154,700
Trainee Psychiatrist Yr 7 13 $151,269 $156,941 $162,434
Trainee Public Health Physician Yr 1 6 $102,562 $106,408 $110,132
Trainee Public Health Physician Yr 2 7 $110,254 $114,389 $118,392
Trainee Public Health Physician Yr 3 8 $115,767 $120,109 $124,312
Trainee Public Health Physician Yr 4 9 $121,555 $126,113 $130,527
Trainee Public Health Physician Yr 5 10 $127,633 $132,419 $137,054
Trainee Public Health Physician Yr 6 11 $134,014 $139,039 $143,906
Trainee Public Health Physician Yr 7 12 $144,066 $149,469 $154,700
4 Negotiated by the AMA for and on behalf of AMA Members2. Professional Development Allowance
The Professional Development Allowance has been escalated in line with salary increases.
3.75% 3.75% 3.5%
1st pay period 1st pay period 1st pay period
on or after on or after on or after
Classification 1-Oct-13 1-Oct-14 1-Oct-15
Intern $5,114 $5,306 $5,491
Resident Medical Officer $5,114 $5,306 $5,491
Registrar $8,948 $9,274 $9,609
Senior Registrar $12,783 $13,262 $13,727
Supervised Medical Officer $8,948 $9,274 $9,609
Trainee Medical Administrator $8,948 $9,274 $9,609
Trainee Psychiatrist $8,948 $9,274 $9,609
Trainee Public Health Physician $8,948 $9,274 $9,609
3. Long Service Leave
The Association has identified, following consultation entitlements. It should be noted that the break in
with members, that DiTs were concerned about the employment shall not count as service but shall
not constitute a break in continuous service for the
loss of their Long Service Leave (LSL) entitlements
purposes of the LSL clause.
should they work with the private sector as part of their
training requirements thus breaking their continuous 4. Part Time Employment
service with WA Health. The 2011 Industrial The Association has for a number of years received
Agreement provision enabled a practitioner to work or enquiries regarding the prospect of undertaking
study overseas or interstate and return to work within internships on a part time basis. Previously this
has not been possible. The Association was happy
WA Health within 24 months to ensure that their LSL
to advocate for change as long as the substantive
entitlements previously accrued were maintained.
principle that an Internship was a full time position
However should that practitioner previously have was maintained. The parties have reached agreement
wanted to undertake their further training requirements that an Intern shall be employed on a full time basis.
within WA they were disadvantaged. However at the request of the intern the Employer
may approve employment on a part time basis.
The Association has managed to secure agreement
for DiTs, subject to employer approval, to work in a 5. Hours and Rostering
privately operated public hospital e.g. Joondalup to
During negotiations the Association was keen to
further their skills and return to WA Health within
push for better conditions for Doctors in Training with
24 months to maintain their previously accrued LSL regard to hours and rostering. During consultation
entitlements. Further a DiT can, subject to employer with members it became apparent that several
approval, undertake a period of employment in a provisions included in the previous Agreement were
private hospital e.g. SJOG Subiaco, for the purposes not being interpreted in the way that was envisaged
of progressing through a College Training Program during the last round of negotiations. Furthermore,
and subsequently return to WA Health within there were several provisions which Doctors in
24 months to maintain previously accrued LSL Training flagged as needing review.
Negotiated by the AMA for and on behalf of AMA Members 5AMA MHS Salaried Doctors Agreement 2013–2016
The Association was able, after much negotiation The Association was not prepared to either include
and argument with the Employer, to reach agreement or remove any clauses in the Agreements which
on the following issues: would result in a diminution of conditions or place
• The term ‘all duty’ has been clarified so it is significant additional responsibilities on practitioners.
explicit that it refers to both rostered duty and any
The 2013 Agreements contains several ‘efficiencies’
periods of call back for the purposes of the 8 hour
which the Association believes, given the current
break between shifts. If a practitioner is required
economic climate, are fair and do not place
to resume rostered duty before having eight
consecutive hours free from all duty (including additional responsibilities on practitioners. The
call back) the subsequent hours shall attract agreed provisions are summarised below:
a 50% loading. Whilst it was always intended • All practitioners with the ability to charge private
that the term ‘all duty’ included call-backs, the and compensable patients and others on whom
Association wanted to ensure that there was no a fee can legitimately be raised will maximise
room for error and sought an amendment to their right to bill. The health service will provide
make it explicit as to what “all duty” involved. timely assistance to mutually achieve this goal.
• The term ‘where practicable’ has been removed • Heads of Department will ensure that practitioners
to ensure that all practitioners must have at least at all levels will adhere to activity and cost of
two consecutive days off in each 28 day roster service targets that are set for their departments
cycle free from all duty including on call. under activity based funding.
• The new Agreement includes a provision which • All practitioners will work with and promote the
makes it clear that split shifts are not to be targets under the National Emergency Access
rostered or worked.
Target (NEAT) and National Elective Surgery
Target (NEST) policies.
6. Resident Medical Officers
The definition of a Resident Medical Officer (RMO) • All practitioners will work with the health service
has been clarified such that a Resident Medical to achieve the 10 mandated standards of the
Officer is defined as a practitioner in the second or Australian Commission on Safety and Quality in
subsequent years of relevant experience following Healthcare.
graduation and who is not performing the duties of a • All practitioners who have accrued in excess of
Registrar. It should be noted that if a RMO is directed 2 years of annual leave will apply to take and
by the Employer to act in a higher classified position will take at the operational convenience of the
and who performs the full duties and accepts the hospital sufficient leave to ensure their annual
full responsibility of the higher classified position for leave does not exceed 2 years entitlement. Leave
more than ten consecutive working days they shall vacancies will not be back filled for leave that is
be paid the higher salary rate whilst so engaged as two weeks or under except on urgent clinical or
if the practitioner were permanently appointed to service grounds and only then on the approval of
the higher classified position. These parameters are the hospital or health service Executive Director.
defined within the Higher Duties clause (Clause 19) Where practitioners cannot take that excess leave
contained with the DiT Section of the Agreement.
(defined as annual leave accrued beyond 2 years
entitlement) because of operational requirements
7. Professional Responsibilities
or extenuating personal circumstances they will
After the loss of WA’s triple A credit rating, the DOH
be expected to make a personal plan with their
made it clear to the Association that ‘efficiencies’ would
need to be included in the 2013 Agreements in order manager for the taking of their excess leave.
to recoup some costs associated with the increased
entitlements the new 2013 Agreements provide.
6 Negotiated by the AMA for and on behalf of AMA Members• All practitioners will support and be actively 9. Professional Development Leave
involved in assisting in the implementation of health Practitioners notified the Association of difficulties
and hospital reforms including the establishment they had encountered in utilising their Professional
and operations of new facilities including but not Development Leave (PDL) entitlement to undertake
limited to the Fiona Stanley Hospital and Perth their research projects which are a clear expectation
Children’s Hospital. of their training programs. Due to these difficulties
The Association will jointly monitor adherence to the Association has managed to achieve agreement
these commitments with the employer through a with the Employer to expand the definition of how
joint oversight committee. The composition and PDL can be used such that it can now be used “to
membership of the committee will be determined by undertake clinically significant research associated
agreement between the parties. with obtaining or maintaining higher medical
qualifications with the approval of the employer in
8. Annual Leave relation to its educational value”.
The DOH has agreed to include a provision for
additional purchased leave. These entitlements
10. On Call and Call Back
are already contained in the Registered Nurses, The on-call hourly rate has been escalated in line
Midwives and Enrolled Mental Health Nurses, with salary increases.
Australian Nursing Federation, WA Health Industrial 3.75% 3.75% 3.5%
Agreement 2007 and WA Health, Health Services 1st pay period 1st pay period 1st pay period
on or after on or after on or after
Union PACTS Industrial Agreement 2011. 1-Oct-13 1-Oct-14 1-Oct-15
At the request of a practitioner the Employer may $10.41 $10.80 $11.17
agree to an arrangement whereby the practitioner
can take a reduced salary spread over 52 weeks 11. Contract of Service
of the year and receive the following amounts of The contract completion payment provisions for
purchased leave: Supervised Medical Officers have been improved to
include payments on the basis of proportions of years
Number of weeks salary Number of weeks purchased
spread over 52 weeks leave of service completed, rather than completed years.
The calculation is made on the basis of completed
42 10
months of service up to a maximum of 5 years.
43 9
44 8 Conclusion
The range of remuneration and condition changes
45 7
is substantial and provides significant improvements
46 6 both remuneratively and professionally.
47 5 They have been secured after several years work
48 4 by your AMA in formulating and negotiating its
claims on your behalf. The capacity to achieve such
49 3
outcomes is the product of you and your colleagues’
50 2 membership and the consequential resources
51 1 and professionalism able to be brought to the
negotiations.
Without your support, the outcomes and benefits
you accrue would not have been achieved. You and
your colleagues support is greatly appreciated.
Negotiated by the AMA for and on behalf of AMA Members 7These Agreements have been negotiated by the
Australian Medical Association (WA) on your behalf.
Securing changes to your employment terms
and conditions, including salary and allowance
increases, involves a significant amount of effort.
This is financed solely by AMA members.
Join now by visiting www.amawa.com.au
Australian Medical Association (WA)
14 Stirling Highway, Nedlands WA 6009
Phone: 08 9273 3000 Fax: 08 9273 3073
Email: industrial.negotiators@amawa.com.au
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