As an IMG, there are many steps to undertake when gaining registration with the Medical Board of Australia (MBA). One crucial step that applies to many IMGs is the Pre-Employment Structured Clinical Interview, also known as the PESCI.
This article covers everything IMGs need to know about the WHAT, WHO, WHEN and WHERE of the PESCI.
WHAT is the PESCI and what does it involve?
The PESCI is a fitness-for-task assessment and interview conducted by a panel of assessors, that is designed to measure an IMG’s ability to practise safely and effectively in Australia.
Important things to note about the PESCI:
A separate PESCI is required for each position application
All results are reported to the Australian Health Practitioner Regulation Agency (AHPRA)
Each PESCI result is only relevant to and valid for the role indicated in the position description provided by the applicant
The result of the PESCI is not transferable to another position.
During the PESCI, a panel of interviewers will assess your clinical experience, knowledge, training and attributes against the requirements of the specific position for which you are seeking registration. This will be done via a set of structured questions and scenarios in an interview setting which are tailored to a specific position (the supports, orientation and level of supervision that can be provided are also taken into consideration during this process).
The interview panel consists of a minimum of three interviewers which include at least two registered medical practitioners. One member of the panel may be a lay person, other health practitioner or registered medical practitioner.
WHO runs the PESCI and how much does it cost?
The PESCI is conducted by the below organisations, accredited by the Australian Medical Council (AMC).
Australian College of Rural and Remote Medicine (ACRRM) - All states and territories
Royal Australian College of General Practitioners (RACGP) - Australian Capital Territory, New South Wales, Northern Territory, South Australia, Tasmania
WHEN should I arrange a PESCI?
There are two recommendations, depending on which type of limited registration you are applying for.
Candidates applying for Limited registration in an area of need
It is recommended that you apply for registration before arranging a PESCI so that it can assess your experience in general practice or primary care, as IMGs applying for this type of registration must have at least three years full-time equivalent experience working in general practice or primary care.
Those who have already had their experience formally assessed by the RACGP or ACRRM, will not require further assessment of their experience by MBA, however you must provide with your application for registration evidence from the RACGP or ACRRM that confirms you have three years (full-time equivalent) experience working in general practice or primary care.
Note: If you don’t have three (FTE) years experience in general practice or primary care, you have the option to apply for registration to work in a non-specialist hospital position.
Candidates applying for other types of registration
It is recommended you arrange a PESCI before applying for registration, if you can meet all the requirements in the MBA’s registration standards, for your type of registration.