Competent Authority Pathway

The AMC has approved a number of international authorities as competent to assess, for the purposes of medical licensure or registration, the applied medical knowledge and basic clinical skills of international medical graduates (IMGs) to a standard consistent with its assessment processes. If you completed your training or assessment with an AMC-approved competent authority you can apply to the AMC for advanced standing towards the AMC Certificate. If granted advanced standing, you undertake a period of workplace-based performance assessment with an AMC-accredited provider while working under supervision. At the end of the assessment period, on the recommendation of the accredited provider, the AMC issues the AMC Certificate to you. You need the certificate to apply for general registration with the Medical Board of Australia.

Eligibility

To be eligible for assessment under the Competent Authority Pathway, you must have a primary medical degree from one of the following medical schools:

  • a medical school listed in the International Medical Education Directory of the Foundation for Advancement of International Medical Education and Research
  • a medical school in the United Kingdom accredited by the General Medical Council
  • a medical school in Ireland accredited by the Medical Council of Ireland.

You must have passed all components of the prescribed licensing examination or the accredited medical course and must have completed the prescribed supervised training (internship or equivalent). See Table 1 for details.

You must provide evidence that you have completed the specified period of post-examination or post-training clinical experience in a competent authority country. A period of supervised practice in Australia may substitute for the required period defined in each competent authority model listed in Table 1, provided that it is equivalent to an internship or incorporates periods worked in medicine, surgery and emergency medicine.

If you cannot provide evidence that your post-examination experience is equivalent to Foundation Year 1, internship, residency or prescribed rotation, the relevant state or territory office of the Australian Health Practitioner Regulation Agency (AHPRA) may require you to complete a further period of internship or rotations in medicine, surgery and emergency medicine before granting registration.

Internship positions in Australia are subject to availability and to open competition with Australian graduates. Internship places cannot be guaranteed.

The AMC-approved competent authorities and the eligibility requirements for each are shown in Table 1.

Table 1: Competent Authority Pathway—eligibility requirements

Category Eligibility requirements
Category A UNITED KINGDOM General Medical Council (GMC)


Successful completion of the Professional and Linguistic Assessments Board (PLAB) test since 1975

AND THEN

Successful completion of Foundation Year 1 or 12 months supervised training (internship equivalent) approved by the GMC in the United Kingdom or another AMC-designated competent authority country.

Category B UNITED KINGDOM General Medical Council (GMC)


Graduation from a medical course conducted by a medical school in the United Kingdom accredited by the General Medical Council

AND THEN

Successful completion of Foundation Year 1 or 12 months supervised training (internship equivalent) approved by the GMC in the United Kingdom or another AMC-designated competent authority country.

Category C CANADA Medical Council of Canada


Successful completion of the licentiate examinations of the Medical Council of Canada (LMCC) since 1992.

Category D UNITED STATES Educational Commission for Foreign Medical Graduates


Successful completion of the United States Medical Licensing Examination Step 1, Step 2 and Step 3 since 1992

AND

Successful completion of a minimum of two years of graduate medical education within a residency program accredited by the Accreditation Council of Graduate Medical Education.

Category E NEW ZEALAND Medical Council of New Zealand (MCNZ)


Successful completion of the New Zealand Registration Examination

AND

Successful completion of the required rotating internship (four runs accredited by the MCNZ).

Category F IRELAND Medical Council of Ireland


Graduation from a medical school in Ireland accredited by the Medical Council of Ireland

AND

Successful completion of an internship in Ireland (certificate of experience) or in another AMC-designated competent authority country.

Process summary

Check that you meet eligibility requirements for the Competent Authority Pathway---Complete and submit an application to the AMC for an Advanced Standing Certificate---Receive eligibility assessment outcome by email---Did your assessment outcome show you to be eligible for this pathway?---If no, you cannot complete this pathway. Learn more about alternative pathways through the AMC---If yes, you will be sent an Advanced Standing Certificate once your EICS number has been provided by ECFMG---Apply for limited registration with the Medical Board of Australia---Apply for workplace-based performance assessment through a general practice or hospital-based position---Successfully complete a 12-month period of workplace-based assessment in either a general practice or hospital-based position---If  you have completed your 12-month period of workplace-based assessment in a general practice position, the accredited authority provides a letter of recommendation to the AMC for the AMC Certificate---If  you have completed your 12-month period of workplace-based assessment in a hospital-based position, the accredited authority advises the relevant AHPRA office of your assessment outcome---Once all primary source verification is complete, including EICS, you are issued with an AMC Certificate

Assessment process

The AMC processes your application for assessment of eligibility for the Competent Authority Pathway (effectively an application for an Advanced Standing Certificate) and checks all associated documentation. If the AMC is satisfied that you have met all the requirements, it issues an Advanced Standing Certificate to you. The certificate enables you to apply to the Medical Board of Australia for limited registration. Once granted limited registration, you undertake 12 months supervised practice in a hospital-based position or in a general practice position through a provider accredited by the AMC to sign off on workplace-based performance assessments of IMGs in the Competent Authority Pathway. The Medical Board of Australia defines the supervision and reporting requirements when it grants registration to individual practitioners.

The AMC-accredited provider, if satisfied with your performance, recommends that the AMC issue an AMC Certificate to you. Once the certificate is issued to you, you can apply to the Medical Board of Australia for general registration.

Accredited providers

Only AMC-accredited providers can sign off on the workplace-based performance assessments required under this pathway.

The accredited providers for hospital-based positions are generally the state and territory offices of the Australian Health Practitioner Regulation Agency (AHPRA); however, in New South Wales, Victoria and Western Australia, the accredited providers are, respectively, NSW Health, the Postgraduate Medical Council of Victoria and WA Health, in conjunction with the AHPRA office in each of those states.

For general practice positions, only one provider, the Australian College of Rural and Remote Medicine (ACRRM), is accredited.

For further information on the Competent Authority Pathway, including registration requirements and a step-by-step guide to the process for both hospital-based and general practice positions, go to the Medical Board of Australia website.

If you are enrolling in the Competent Authority Pathway for general practice, you should read the detailed information on the ACRRM website.

How to apply

Download the step-by-step guide on how to apply to the AMC for assessment for eligibility for the Competent Authority Pathway (PDF 360KB) leading to the issuing of an Advanced Standing Certificate.

Applying to the Australian Medical Council (PDF 2.4MB)
Australian College of Rural and Remote Medicine
Australian Health Practitioner Regulation Agency
FAQs
General Medical Council (UK)
Medical Board of Australia

Last Updated on Thursday, 27 March 2014 09:32
 
Australian Medical Council