Revised Pre-employment Structured Clinical Interview (PESCI) Guidelines and Criteria for AMC approval of PESCI providers – update November 2014


The Pre-employment Structured Clinical Interview (PESCI) is an objective assessment of the clinical experience, knowledge, skills and attributes of an international medical graduate to determine whether the person is suitable to practise in a specific position. The AMC developed the PESCI in 2007 as part of a 2006 Council of Australian Governments’ directive to ensure nationally consistent assessment of international medical graduates.

Since June 2013, the AMC and the Medical Board of Australia have been completing a review of the Pre-employment Structured Clinical Interview Guidelines and Criteria for AMC approval of PESCI providers. The AMC thanks stakeholders for their contribution to this review.

This review is now complete and has resulted in the following revised documents:

Pre-employment Structured Clinical Interview Guidelines and Criteria for AMC approval of PESCI providers

The document is divided into:

  • guidelines that provide information on the PESCI process. Revisions reflect the introduction of national registration standards and the Medical Board of Australia’s responsibilities
  • approval criteria for new providers to conduct PESCIs and for established providers to continue to be approved through an annual monitoring process. Changes to the approval criteria include: replacing the position risk matrix with guidance on the factors to consider in determining the degree of risk of a position; requiring a minimum of four clinical scenarios in the PESCI; emphasising that interviews should explore performance and capacity not knowledge; and linking supervision guidelines to Medical Board of Australia guidelines.

The approval criteria now also require approved PESCI providers to report annually to the AMC, and the guidelines outline requirements for reporting between the AMC and the Medical Board of Australia. In annual reports, providers are asked to provide data on the numbers of interviews conducted and their outcomes, the scenarios bank for PESCI interview and on the pool of interviewers. The provider is also asked to evaluate the quality of its PESCI process and report on any changes to its capacity to conduct PESCIs. The AMC is contacting individual PESCI providers concerning the reporting requirements.

PESCI report to the Medical Board of Australia

This is a template for the PESCI provider’s report to the Medical Board of Australia and the Australian Health Practitioner Regulation Agency on the content and outcome of the PESCI. It must be submitted within one week of the PESCI interview.

PESCI outcome report to the applicant

This is a template for the PESCI provider’s report to the applicant for the position. It must be provided within 14 days of the PESCI interview.

Implementation and further information

The new guidelines and approval criteria will apply from 1 March 2015.

For further information, please email accreditation@amc.org.au.