Medi-Nav Orientation Resource v6, 2024

Message from the Chief Medical Officer, Queensland Health	2
About this resource	3
Contents	4
Healthcare system in Australia	8
1.1 Australia’s public health system	10
1.1.1 Health system funding	10
1.1.2 Medicare Benefits Schedule	11
1.1.3 Schedule fee	11
1.1.4 Medicare levy	11
1.1.5 Bulk billing arrangements by medical practitioners	11
1.1.6 Pharmaceutical Benefits Scheme	12
1.1.7 PBS prescribing	12
1.1.8 Patient charges	12
1.1.9 PBS Safety Net	12
1.2 Primary Health Networks	14
1.3 Australia’s private healthcare system	14
1.3.1 Private health insurance	15
2.1 Queensland Health	17
2.2 Structure of the public health system	17
2.2.1 Department of Health structure	17
2.3 Queensland Health Vision	20
2.3.1 The vision	20
2.3.2 Underpinning principles	20
2.4 Hospital and Health Services	21
2.5 The health professional team	22
2.6 Clinical governance	23
2.6.1 Clinical Services Capability Framework	23
2.6.2 Credentialing and scope of clinical practice	23
Working as a medical practitioner in Queensland	24
3.1 Medical career structure	25
3.2 The multidisciplinary team	25
3.3 Medical education	26
3.3.1 Continuing professional development	27
3.4 Role expectations and responsibilities – junior doctors	27
3.4.1 Expectations of professional practice	27
3.4.2 Communication / handover	27
3.4.3 Interactions with nursing staff	28
3.4.4 Discharge planning	28
3.4.5 Communication and discharge summary	28
3.4.6 Ward rounds	29
3.4.7 Attendance in operating theatres and specialist outpatient clinics	29
3.4.8 Evidence-based medicine/practice	29
3.4.9 Documentation	29
3.4.10 Referral to specialists and specialist services	29
3.5 Disease and infection prevention	30
3.5.1 Acute respiratory infections	30
3.5.2 Communicable Diseases and Infection Management	30
3.5.3 Disease transmission	30
3.5.4 Standard precautions	30
3.5.5 Transmission-based precautions	31
3.5.6 Hand hygiene	31
3.5.7 Sharps management	31
3.5.8 Aseptic technique	32
3.6 Systems and standards	32
3.6.1 The digital hospital	32
3.6.2 Queensland Health IT systems	32
3.6.3 Professional behaviour in the workplace	35
3.6.4 Cultural capability	37
3.6.5 Closing the gap in Queensland	37
3.7 Wellbeing and support for junior doctors	39
3.7.1 Wellbeing education and training	39
3.7.2 Queensland Health Employee Wellbeing	39
3.7.3 Prioritising wellbeing through legislation	40
3.7.4 Employee assistance services	40
3.7.5 Your own GP	40
3.7.6 Peer support programs	40
3.7.7 Organisations that provide support	41
3.8 Recruitment and Employment	42
3.8.1 Overview	42
3.8.2 Wages and benefits	42
3.8.3 Payment of salaries	43
3.8.4 Employment conditions	43
3.8.5 Superannuation	44
3.8.6 Performance management	44
3.8.7 Term dates for interns and RMOs	45
3.8.8 Information for interns	46
3.9 Professional Associations	48
3.9.1 Australian Medical Association Queensland	48
3.9.2 Junior Medical Officer Forum of Queensland	48
Legislation and professional practice	49
4.1 Relevant legislation	50
4.2 Accreditation and registration bodies	50
4.2.1 Australian Medical Council	50
4.2.2 Registration – Medical Board of Australia	51
4.2.3 Australian Health Practitioner Regulation Agency	51
4.3 Accreditation	52
4.3.1 National accreditation	52
4.3.2 Prevocational accreditation	52
4.4 Australian Charter of Healthcare Rights	53
4.4.1 Ryan’s Rule	53
4.5 Child safety	54
4.6 Investigative and healthcare complaint entities in Queensland	55
4.6.1 Coroner	55
4.6.2 Office of the Health Ombudsman	55
4.6.3 Aged Care Complaints Commissioner	56
4.6.4 Crime and Corruption Commission	56
4.6.5 National Boards and the Australian Health Practitioner Regulation Agency	56
4.7 Information privacy and confidentiality	56
4.8 Informed Decision-Making and Consent	57
4.9 Medical indemnity insurance	58
4.10 Organ transplantation and hospital autopsies	58
4.11 Voluntary Assisted Dying	59
4.12 Right to information	60
4.13 Whistleblowers and public interest disclosures	60
Rural and remote health services in Queensland	61
5.1 Rural and Remote Health in Queensland	62
5.2 Rural and remote medical practitioner classifications	62
5.2.1 Medical Superintendents with Private Practice and Medical Officers with Private	62
5.2.2 Rural Generalists	63
5.2.3 Visiting Medical Officers	63
5.3 Remuneration/incentives for rural and remote medical practitioners	63
Appendices	64
Appendix 1: Emergencies internal and external	65
Appendix 2: Statewide emergency services	66
Appendix 3: Statewide Systems	67
Appendix 4: Government and non-government referral agencies	69
Appendix 5: Common medical abbreviations	77
Appendix 6: Common medication terminology abbreviations	79
Appendix 7: Route of medication administration abbreviations	79
Appendix 8: Government abbreviations	79
Appendix 9: Common health industry abbreviations	80

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