EXPANDED SETTINGS FOR SPECIALIST TRAINING

PROGRAM

APPLICATION FORM
POSITIONS COMMENCING IN 2008

ORGANISATION NAME
Skin and Cancer Foundation Inc.

FACILITY/TRAINING SITE NAME

Skin and Cancer Foundation

SPECIALITY TRAINING POSITION

DermatologyTrainee No. 1

ESSTP Application Form – Positions Commencing 2008 – Page 1 of 9

1 Administrative details

1.1 Applicant details

a) Legal Name Skin and Cancer Foundation Inc
b) Trading Name Skin and Cancer Foundation
c) Is the applicant an incorporated body? Yes
(Please attach Certificate of Incorporation at Appendix A) No

d) Australian Business Number 58 895 584 259

(Please attach ABN Registration Certificate at Appendix B)
e) Postal Address 95 Rathdowne Street
(for correspondence relating to this application) CARLTON 3053

1.2 Name & Address of facility where specialist training will be undertaken
Name of Facility Skin and Cancer Foundation
Street Address 95 Rathdowne Street
Suburb / Town CARLTON
State VICTORIA Postcode 3053

1.3 Authorised contact persons

Preferred Contact Alternative Contact
Title and Name of A/Prof Christopher Baker Mr Joe Mercuri
Contact Person
Official Position Held President Foundation Manager
by Contact Person
Telephone Number 03 9623 9400 03 9623 9421
Facsimile Number 03 9639 3575 03 9639 3575
Email Address bakerc.k@bigpond.com jmercuri@skincancer.asn.au

1.4 Business entity

Company / Incorporated Association Private for-profit
Trust Not-for-profit / Voluntary / Charitable
Partnership Joint venture
Local Government State Government
Other – Please specify:
<type here>
* ATO Registered Charity Certificate must be attached at Appendix C.

ESSTP Application Form – Positions Commencing 2008 – Page 2 of 9

1.5 Application details

1 Are you applying for more than one grant under the ESSTP
YES
Program?
2 If YES, how many grants are you applying for? 2

3 Please indicate the priority of THIS project compared to your other

1
applications.
4 Is this a joint application with another organisation?
NO
(Letters of support must be attached as Appendix E)

ESSTP Application Form – Positions Commencing 2008 – Page 3 of 9

2 Outline of Proposal

2.1 Specialty, sub-specialty or discipline of proposed training position

Dermatology – Accredited training position of the Australasian College of Dermatologists

40
2.2 Proposed hours per week:

2.3 Proposed commencement date: 4 February, 2008

2.4 Proposed duration of training position:

12 months

2.5 Objectives of the training position:

• To provide a comprehensive training experience for the trainee

toward successful completion of Dermatology training.
• To provide training in, and familiarisation with, the practice of
Dermatology in a private practice environment.
• To fulfil the requirements for an accredited training position of the
Australasian College of Dermatologists (refer Training Handbook
of the ACD 2007).

2.6 How will the proposed position complement existing training in the public sector?
(will the position be an offered as a rotation to public sector trainees or will it operate separately?)

The position is to be offered as a one year appointment at the SCF and will supplement
Dermatology training in the public sector. Appointees will be trainees who have been
accepted into the Victorian training program of the ACD and who will complete required
training in the public sector.

This position will complement training in the public sector by providing the trainee with
• .Experience in a range of consultative and procedural Dermatology clinics not
accessible in the public sector
• Experience in a private practice and community service environment

ESSTP Application Form – Positions Commencing 2008 – Page 4 of 9

3. Justification for proposal

3.1 What educational need will the position address and how was the need
identified? (why is there a need to provide training outside the public hospital system,
was the need identified by Colleges, health services, trainees, supervisors?)

Educational needs addressed by this position:

• Familiaristion with private practice environment
• Exposure to a range of clinical Dermatology not readily achieved in the public hospital
positions
• Procedural skills in Dermatology not readily achieved in the public hospital positions
• Completion of other training requirements of the ACD training program not provided in
the public sector

Educational needs addressed by this position were identified by surveys conducted by the
Australasian College of Dermatologists and by the Director of Training of the Victorian Faculty
of the Australasian College of Dermatologist.

3.2 How will the proposed position address the need?

(provide specific details of the experience the trainee will gain in the position not currently provided
and how will it enhance trainees’ progression through relevant specialist college training program)

This position will address the identified needs by

• Providing experience in a range of clinics with common and
3.3 Are there any otherdermatology
subspecialtly factors that support
problems the need for this position?
• Providing supervised training and tuition
(eg local workforce shortages, particular health needs of the local
fromcommunity)
the 30 specialist clinician
(including Dermatologists, Plastice Surgeons, Pathologists and other
clinicians) who attend the Skin and Cancer Foundation
• Providing exposure and familiaristion to private practice, the PBS and
MBS.

3.3 Are there any other factors that support the need for this position?
(eg local workforce shortages, particular health needs of the local community)

There is a local, rural and statewide workforce shortage of specialist Dermatologists. This position
will be an additional training position and will help meet the workforce need in both the short and
longterm. Participation of the trainee in the visiting rural service provided by the Victorian Faculty
of the ACD will help service rural centres and provide exposure of the trainee to rural private
practice.

3.4 How does the proposal meet the requirement that positions represent a genuine
expansion in training positions?

The position will expand the Victorian Dermatology training program by

providing a new, additional training postion that is currently not available
which will commence in 2008.
ESSTP Application Form – Positions Commencing 2008 – Page 5 of 9
4. Trainee Position Details

4.1 Who will employ the trainee? Will the trainee’s public sector employment
entitlements be maintained?
The employer will be the Skin and Cancer Foundation. Public sector employment
entitlements (at this stage) will not be automatically maintained however the
trainee appointed to this position will be advised of this issue and advised to
consider options such as arranging 12 months unpaid leave. (Discussions with the
State Health Department will be undertaken regarding this matter).

4.2 How will you ensure that the trainee has appropriate medical indemnity insurance
(including run off cover) and workers compensation insurance while working in the
proposed position?
The trainee is covered by the medical negligence insurance policy covering all clinicians working at the SCF. In addition, to
obtain clinical accreditation at the Skin and Cancer Foundation Inc., trainees are also required to obtain (and provide
evidence to the Medical Advisary Board) of appropriate medical indemnity insurance. The employer undertakes to meet the
cost of run off cover for a appropiate number of years if the trainee does not require medical indemnity insurance from an
outside provider in subsequent positions.

The trainee will be covered by the worker’s compensation insurance policy applicable to all employees of the SCF.

4.3 How will the trainee be recruited?

The trainee will be appointed following the annual selection process of the
Australasian College of Dermatologists and on recommendation of the Training
Committee (Heads of Hospital Committee) of the Victorian Faculty of the
Australasian College of Dermatologists.

4.4 What supervision arrangements will be put in place for the trainee?

The trainee will work under the supervision of senior specialist clinicians who attend the SCF. The
Supervisor of Training at the SCF and Chairman of the Medical Advisory Board at the SCF will be
responsible for the trainee’s clinical and training activities at the SCF. The Director of Training
(Victoria) will supervise and coordinate the trainee’s training activities.

4.5 Will the trainee have the opportunity to participate in formal educational
activities?
(if yes, provide details)

The trainee will be a registered trainee of the Australasian College of

Dermatologists. He/she will have opportunity to participate in the formal
education activities of the Victorian Faculty of the ACD. Many of these activities
are held at the SCF.

4.6What other support and resources will be available to the trainee?

Resources provided include infrastructure and facilities required to meet the accreditation standards of the ACD are
provided at the SCF (refer Training Handbook 2007). There include required diagnostic and therapeutic equipment, library
resources and internet access. Support available from – Supervisor of Training, Director of Training, Chair of Medical
Advisory Board, Specialist Dermatology Nursing staff , other SCF staff and a mentor will be allocated to each trainee.

ESSTP Application Form – Positions Commencing 2008 – Page 6 of 9

4.7 How will the quality of training and supervision provided to the trainee be
monitored and reviewed?

The position will be subject to ongoing accreditation and supervision by the

Australasian College of Dermatologists. The quality of training will be monitored
by the Supervisor of Training, Director of Training (Victoria) and ACD Education
Committee.

5. Evidence of Support from Key Stakeholders

5.1 Has the position been accredited by the relevant specialist medical college? If the
position has not been accredited, outline what progress has been made towards
accrediting the position and the anticipated date of accreditation.

Support for accreditation of the position has been provided by the ACD (see
attached letter). Accreditation of the position is anticipated to occur by 1
November 2007.

Please attach evidence of accreditation or progress towards accreditation as Appendix

E.

5.2 Is the proposal supported by the public health service in your region? Where the
position is to be offered as part of a rotation involving a public hospital or health
service, has agreement been reached on how the position will operate?

Yes Refer attached correspondence.

Please attach letter of support outlining the agreements reached as Appendix F.

5.3 What other stakeholders have you consulted in developing this proposal?

Australasian College of Dermatologists refer attached letter.

ESSTP Application Form – Positions Commencing 2008 – Page 7 of 9

6. Medicare Billing by the Registrar

6.1 Will the Registrar/s in the proposed position be billing Medicare?

YES

If yes:

6.2 What is the expected level of Medicare rebates to be generated by the

Registrar/s based on a 12 month period of billing?

Approximately $20,000 to $30,000 per annum depending on activities undertaken

and classification of Medicare provider number issued.

7. Declaration
Please note:
- A person who is legally empowered to give assurances and enter into contracts and commitments
on behalf of your organisation should sign this application; and
- Any application that does not provide all required information or which contains false or
misleading information will be excluded from consideration.

I hereby apply for funding under the Expanded Settings For Specialist Training Program
for the Dermatology Speciality Training Position No. 1 at The Skin and Cancer Foundation
Inc.

I certify that the information given in the application is complete and correct. An application
that contains information that is, to the applicant’s knowledge, false or misleading may result
in the funding being revoked.
I understand that the Department may refer this application to a State-based Reference Group
for consideration.

Signature:

Name: Associate Professor Christopher Baker

Position in Organisation: President Skin and Cancer Foundation Inc.

Date: 10th September 2007

ESSTP Application Form – Positions Commencing 2008 – Page 8 of 9

8. Appendices
Please ensure you have attached:
Copy of Certificate of Incorporation (Appendix A);
ABN Registration Certification (Appendix B);
ATO Registered Charity Certificate (Appendix C);
Letter of support from each partner organisation (Appendix D)
Evidence of accreditation or progress towards accreditation of the position by the
relevant medical specialist college (Appendix E)
Evidence of agreement with the public health sector (Appendix F).

ESSTP Application Form – Positions Commencing 2008 – Page 9 of 9