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CAE the journey continues

OET Practice Reading Test Part A: - GP Workforce

Read the four texts and then complete the summary task at the end by filling in
the missing words. \/Vrite your answers in the answer column on the right hand
side. Each answer may require one word or a phrase.

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TURN OVER

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Copyright CAE 2010 1

Text 3

Retirement intentions of general practitioners aged 45-

65 years

Thomas D Brett, Diane E Arnold-Reed, Dana A Hince, lan K Wood and Robert G
Moorhead
MJA 2009; 191 (2): 75-77
Objective:

To ascertain the retirement intentions of a cohort of Australian

general practitioners.

Design and setting:

Postal questionnaire survey of members of four Divisions of

General Practice in Western Australia, sent out November
2007- January 2008.

Participants:

A sample of 178 GPs aged 45-65 years.

Main outcome measures:

Intention to work in general practice until retirement; reasons for

retiring before age 65 years; factors that might encourage
working beyond chosen retirement age; and perceived
obstacles to working in general practice.

Results:

63% of GPs intended to work to at least age 65 years, with men

more likely to retire early. Of 63 GPs intending to retire early,
46% gave pressure of work, exhaustion and burnout as reasons

Copyright CAE 2010 2

 for early retirement. Better remuneration, better staffing levels
and more general support were incentives to continue working
for 46% of the 64 GPs who responded to the question about
incentives, and more flexible working hours, part-time work and
reduced workload for 41 %. Of 169 participants, 65% gave
increasing bureaucracy, poor job satisfaction and
disillusionment with the medical system or Medicare as
obstacles to working in general practice in Australia, whereas
workforce shortage, increasing patient demands and
diminishing lifestyle through overwork were obstacles named by
48%.

Conclusion:

Many GPs are planning to retire early, reflecting an emerging

trend among professionals and society generally. Declining job
satisfaction, falling workforce numbers, excessive workload and
increasing bureaucracy were recurrent concerns of older WA
GPs considering premature retirement.

Copyright CAE 2010 3

t

Text 2

Doctors trading places: the Isolated Practitioner Peer

Support Scheme

John G Moran, Sue L Page, Hudson H Birden, Louise M Fisher and Naree J
Hancock
MJA 2009; 191 (2): 78-80

• A practice exchange, in which an isolated general practitioner

from a remote region traded work and living arrangements with a
rural group practice GP, can provide an opportunity for mid- and
senior-career professionals to refresh their outlook on their
careers.
• An exchangE~ Involving the rural medical workforce in practice
exchanges can emable the development of peer networks that can
improve retention of isolated practitioners in Australia.

• A fresh experience in a new setting can provide opportunities

for practitioners to improve practice management and sharpen
their clinical skills.

• Uprooting families and preparing homes for unfamiliar visitors

add stress to doctors and their families on exchange.

• Patients in isolated practices could feel concerned that they

may lose their doctor as a result of an exchange.

• In this instance, the benefits far outweighed the difficulties.

Copyright CAE 2010 4

 \\D

Text 3

Work intentions and opinions of general practice

registrars

Thomas D Brett, Diane E Arnold-Reed, Cam T Phan, Robert G Moorhead and

Dana A Hince
MJA2009; 191 (2): 73-74

To THE EDITOR: The work intentions and opinions of general

practice registrars are important in estimating the future supply
of Australian general practitioners. Declining popularity of
general practice has led to entrenched, long-term shortages
(especially in rural areas), with 700 new entrants annually-
----'·
well short of the 1100-1200 required to meet community needs.

Copyright CAE 2010 5

\ \\

Text4

• In 2008, the Australian Primary Health Care Research Institute

(APHCRI) held a Primary Health Care Workforce Roundtable with
practising clinicians, policymakers and researchers, which drew on
Australian evidence in health care policy, systematic reviews, and
expertise and experience of participants.

• Key recommendations for an adequate, sustainable and

effective primary health care workforce that arose from the
meeting included:

• simplifying the Medicare Benefits Schedule, which is

unnecessarily complex and inflexible;

• effectively funding undergraduate and prevocational

medical and nursing education and training in primary
health care;

• developing career structure and training pathways for

general practitioners and primary health care nurses;

• developing of functional primary health care teams; and

• using a blended funding model, comprising fee-for-

service as well as capitation for patients with chronic or
complex needs.

• A report from the meeting, detailing these policy

options, was submitted to the National Health and Hospitals
Reform Commission for inclusion in their deliberations.

Copyright CAE 2010 6

 \\{L

Summary Answers

In 2008, an Australian Pr mary Health

Care 1. R )undtable by 1.
the APHCRI recommend ed solving the
primary health care work orce problems
by: making the 2.
2. simpler: funding
undergraduate and 3.
3. trainin!g; de vel oping
career pathways for GPs and nurses;
developing 4. PH C teams; and 4. --
blending fee for servi1ce w ith capitation,
for patients with complex or chronic
needs_

In a letter to the editor, so me people 5.

have confirmed that 5 .. are
an important factor in est mating the
number of GPs available for service in
the future in rural areas o f Australia. In
these areas, new entrant ; number 6. ---
6. , well bellow t 1e 1100-1200
required 7. _ _ __ - 7. -~~-

A study by Brett et al. inv ~stigated the 8.

8_ clGPsb etween 45 -------
9.
and 9. years ::>f age. The 10.
.
,_
sample consisted of 10._ 11 .
GPs in 11. Au ;tralia, 12.
showing that 12. _ __ - wanted to
13.
work 13. until 1 ~-
14.
age. --

An Australian program e :;hanging

15.
15. from remote ·egions with
rural group practice GPs 1ims to
provide the 16_ _ - ___
_ - medical 16.
workforce with an opport1 nity for career
development. This exch nge could
help GPs improve their
17.
17. - - - -s 1lls and 18.
---

- - - - - - managem ent in a novel ---

·--

Copyright CAE 2010 7

l \/>
setting. It would also improve 19.
19. of20. - - - - GPs 20.
by developing 21. ne works. 21.
These benefits outweighed the
difficulties of 22. do ctors' 22.
families, preparing homes forst ·angers,
and patients' 23. _ _ __ 23. -----

Of those GPs who intended reti lng

early, 24. gave 24. ----
25_ and 26. - as 25.
1------------
primary reasons. 27 . _ _ _ for
-~-~~-·--~-

26.
wishing to work longer varied between 27. I I

46% seeking improved pay, 28.

28. and general sup ::>ort, to -----
29.
41% for flexi-time, 29. ____ - -
30.
and 30. workload. T e --

majority of participants said that

31.
increasing 31. , llow j b
32.
satisfaction and 32. _ __ 11ere to
blame, while the rest identified
33.
33. , patient
34.
34. and lower qua ity of
lifestyle as reasons to 35. ___ - - 35. ---~--- --- -~~---

prematurely.

THAT IS THE END OF THE READING TEST

TOTAL SCORE: /35

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