A doctor enters and completes general practice training
The Commonwealth is adding 200 places in 2026, 300 in 2027 and 400 from 2028. Places are not the constraint. The constraint is one step: leaving hospital employment, where a doctor's pay, leave and entitlements are set by an award, for a training program where they are set by an agreement between two membership organisations.
longest dependent chain
across 3 bodies
scheduling or queue, not assessment
vs. 3747 if run end-to-end
Where the time goes
Critical-path days only. Steps that run alongside others are real work but do not lengthen the process, so counting them here would overstate the prize.
| assessment | 1915d | Someone is genuinely evaluating the merits. | |
|---|---|---|---|
| applicant | 1670d | Waiting on the applicant to supply or fix something. | |
| scheduling | 120d | Waiting for a person or committee to become available. | |
| queue | 42d | Waiting behind unrelated work in a backlog. |
162 of 3747 elapsed days are spent waiting for a person or a meeting rather than for a judgement to be formed. Removing that time changes no assessment standard and lowers no bar -- it is the cost of scheduling alone.
The process, step by step
Applies when: A doctor seeks to train as a general practitioner or rural generalist.
| # | Step | Who | Why it waits | Clock | Typical | Basis |
|---|---|---|---|---|---|---|
| 1 | Medical degree application | — | applicant | — | 1460 estimate | — |
| 2 |
Internship and prevocational years
assessment
Employed by a hospital, under a state award, accruing leave and entitlements. after
Medical degree 1557d slack
|
— | assessment | — | 730 estimate | — |
| 3 |
Choose general practice over a hospital specialty
decision
The decision the entire policy problem turns on. after
Internship and prevocational years 1377d slack
|
— | applicant | — | 180 estimate | — |
| 4 |
Apply for an AGPT place
application
after
Choose general practice over a hospital specialty 1257d slack
|
GP training college (AGPT administrator) | scheduling | — | 120 published | — |
| 5 |
Employment terms set under the NTCER
registration
Pay and conditions set by an agreement between General Practice Registrars Australia and GP Supervision Australia. after
Apply for an AGPT place 1227d slack
|
— | applicant | — | 30 published | — |
| 6 |
Single Employer Model, where a trial operates
registration
only if triggered One employer across all training rotations, preserving entitlements and providing a fixed salary. Triggered when: The registrar is in a jurisdiction and location where a Single Employer Model trial operates. after
Apply for an AGPT place 1227d slack
|
— | applicant | — | 30 published | — |
| 7 |
Complete the training program
assessment
after
Employment terms set under the NTCER 132d slack
|
GP training college (AGPT administrator) | assessment | — | 1095 estimate | — |
| 8 |
Fellowship and specialist registration
registration
after
Complete the training program 42d slack
|
Australian Health Practitioner Regulation Agency | assessment | — | 90 estimate | — |
| 9 |
Medicare provider number and location restrictions
registration
Where the new fellow may practise with Medicare access.
|
Department of Health, Disability and Ageing | queue | — | 42 estimate | — |
on the critical path scheduling/queue = delay not caused by the assessment itself
Proposed changes
-
Adding 900 training places while the known fix runs as a $6.4 million trial to 2028
threshold
The Commonwealth is adding 200 GP training places in 2026, 300 in 2027 and 400 from 2028. The Single Employer Model — which addresses the reason doctors do not take them — operates in seven jurisdictions, is funded at $6.4 million to 2027-28, and is time-limited to 31 December 2028.
-
Employment terms for a Commonwealth-funded training program, set by two membership organisations
merge
GP registrar pay and conditions are set by the NTCER — an agreement negotiated between the registrars' association and the supervisors' association. It is not an award, not an enterprise agreement, and not made by government. The hospital job the same doctor is choosing between is governed by a state award.
Sources
- Department of Health, Disability and Ageing: up to 1,500 fully-funded GP and rural generalist AGPT places per annum, increasing by 200 commencing places in 2026, 300 in 2027 and 400 from 2028; 100 rural generalist places moving into AGPT from 2026
- National Terms and Conditions for the Employment of Registrars (NTCER), version 2026.1, negotiated between General Practice Registrars Australia and GP Supervision Australia
- NTCER 2026 changes: base rate increase in line with MBS indexation, flexible administration time for GPT3 and GPT4, unpaid cultural leave; up to 5 days or 38 hours pro-rata paid study leave from Semester 1 2026 through the Services Australia National Consistent Payment framework
- Department of Health, Disability and Ageing, Single Employer Model trials: operating in NSW, Tasmania, Queensland, South Australia and Victoria, with WA and NT from July 2026; time-limited to 31 December 2028; $6.4 million to 2027-28
Something wrong here?
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