Bathurst Base loses cred
A major New South Wales hospital has been stripped of its accreditation to train medical registrars.
The Western NSW Local Health District (LHD) says the Royal Australasian College of Physicians (RACP) has withdrawn accreditation for medical registrar training at the Bathurst Base Hospital, meaning early-career doctors are being pulled from the roster to continue their rotation placements at other hospitals.
“The vast majority of the general physicians at Bathurst provide very, very good supervision of the trainees,” Western NSW LHD chief executive, Mark Spittal, has told reporters.
“There are a few who do not and who have not been able to meet the standards that the college requires and the college accredits departments, rather than individuals, as training sites,” he alleged.
The RACP reportedly cited supervision and the workload of registrars as reasons for its withdrawal of accreditation.
Registrars are doctors with over three years' experience in a public hospital, undertaking training in a specialist area.
Mr Spittal claimed there were no specific incidences that directly impacted patient care, but issues had arisen regarding “the quality of supervision” in recent months.
“And by that I mean availability of senior doctors to respond to concerns that registrars might have had, particularly out of hours ... and to make sure that they're well supported and nurtured,” he said.
The Western LHD services to patients will not be affected, as the hospital has sufficient staff.
“Every effort is being applied to secure locum or contracted medical officers to ensure there is minimal disruption to services,” a spokesperson for the Western LHD said.
“Accreditation for registrars in other disciplines at Bathurst is not affected.”
The hospital is reportedly taking steps to resolve some of the issues.
“We have already addressed the workload concerns with some additional non-training registrars,” Mr Spittal said.
The hospital has hired a new director of medical services and chief medical officer, and is looking for a new head of the general medical department.
“We are very, very confident that eventually, through the combination of the influence of those individuals and the work that we're doing on the ground, we will really be able to strengthen the understanding and practice of supervision for medical trainees at Bathurst,” Mr Spittal said.
“We're confident we'll get there eventually.”
Western LHD is reportedly working with the RACP to try to regain accreditation.