A gradual implementation of training in expanded settings will be required to ensure no reduction in service delivery capacity within public hospitals. The results of the specialist trainee supply projections indicate that, at a national level, full implementation would be possible from 2011 onwards. It is from approximately this date that the projected number of trainees eligible to enter specialist training will begin to exceed the current number of available positions. The overall growth in trainee numbers, even with trainees rotating to expanded settings, will result in a net increase of trainees to public hospitals. In some specialties, a more rapid implementation may be both possible and desirable. To guide implementation, Reference Group 2 has recommended a set of overarching and operational principles. Please see Chapter 7 for more details.
On 14 July 2006, the Council of Australian Governments announced the support of the Commonwealth, states and territories for the establishment of a system enabling specialist trainees to undertake training rotations in a range of settings. The settings identified included public settings (including regional, rural and ambulatory settings), the private sector (hospitals and practices), community settings and non-clinical environments (such as simulated learning centres). COAG also announced that this system would be established by 2008.
The steering committee agrees that a structured system for the administration and funding of expanded training opportunities should be developed and implemented within this timeframe.