Pre-Employment Structured Clinical Interview (PESCI) Course

PESCI or Pre-employment Structured Clinical Interview is a measure taken by AHPRA to determine individual candidate’s suitability to a medical job. This is often requested by AHPRA when IMG doctors are applying for more independent positions such as General Practitioners, Senior Medical Officers, Career Medical Officers etc. Each state in Australia names these positions differently and AHPRA can make its own determination on PESCI requirement for individual applications but it is safe to assume if the position you are applying for has a fair degree of independence to it you may be required to undertake PESCI assessment.

Junior Medical Officer jobs under close supervision in a hospital may not require PESCI assessment. These can be good initial roles for IMG doctors to get into. With Junior Medical Officer positions increasingly unattainable for IMG doctors, more senior medical positions like a General Practitioner should be considered by IMG doctors looking for entry into Australia medical workforce market.

However, expectations on Australian General Practitioners are high. GPs in Australia sees and manages a wide range of medical conditions with high degrees of competence. Example range from chronic conditions (Medical/Surgical/Psychiatric/Gynae etc.) on ongoing basis to approach and investigation and treatment of new clinical presentations. This is all managed inhouse within a general practice. Patients are referred accordingly when required but the expectations are a General Practitioner should be able to competently and confidently manage the wide ranging and complex conditions and presentation.

Part of the purpose of PESCI is to ensure IMG doctors applying for a position is suitable and has the competence to function in the positions he/she is applying for. PESCI assessment for GP role is no different.

Challenges Facing PESCI Assessment Candidates

Obtaining a satisfactory PESCI assessment is a major hurdle for all IMG wanting to obtain limited registration through Standard Pathway to work as a General Practitioner.

PESCI is a challenging assessment because candidates are often being assessed for medical positions requiring significant degree of clinical competence and independence.

There may be misconception from candidates planning to sit PESCI to equate this assessment to AMC Clinical exam. It is important to note that there are fundamental differences between the two and not to confuse one for the other. PESCI is aimed to assess IMG doctors applying to AHPRA to work in fairly independent positions like General Practitioner and Senior Medical Officers etc. Meanwhile, the AMC Clinical Exam is aimed at assessing the IMG doctor’s clinical competence at similar levels of Australia as a medical intern. This is made clear in the documents publicised by AHPRA itself and IMG doctors must take note of it. There are also distinct differences in format between the two which candidates must take note of and practice accordingly.

AHPRA has published guidelines on PESCI and this guideline sets out the scope of PESCI assessment. However, there is still a lot of uncertainty around PESCI for candidates planning to sit the exam. What will be the format used on the day? How will I be assessed? What will I be assessed on? What is the required standard of answers to obtain a favourable assessment? Do I need to study? How do I study/prepare for PESCI? What do I use to study? Is there non-clinical assessment incorporated into PESCI? How do I prepare for that? These are important questions all candidates should be asking themselves well ahead of their PESCI date.

From the outset- exam strategies, techniques and our recommended books

Our PESCI course is taught through a combination of recorded lectures, online notes, online teaching through Videoconferencing. Course will start with introduction to PESCI-specialties assessed, type of questions, textbooks to use, assessment format, assessment environment etc. We teach you exactly what you need to know from the outset. We want you to focus on studying from the recommended books with highly organised and efficient method. We don’t want you to waste time moving from one book to another only to discover they are not suitable. As part of our method we will recommend books designed cover the specialties assessed at PESCI. We will guide you on how to use it, which one to start, which ones to use next, how to study them individually and with each other to give you the optimal chance to passing the exam.

Coaching model and Road Mapping

Our PESCI course is based our Coaching Model. We create an individualised road map for you based on your personal clinical competency and we guide you and coach you along this journey. Unlike many other PESCI courses they teach you the clinical conditions from textbooks, we believe we should rather spend the time teaching you and guiding you on what books to study from, what are the efficient ways to study them, how that differs between some of the specialties, how you should be making your own notes, how to do that efficiently. We will set goals and targets on a regular basis and we will monitor you along the way through our teaching and coaching sessions. We utilise clinical questions, constructive feedback based on assessment of your answers, examine the progress and structure of your study methods and notes as you work through each of our recommended books. 

You are expected to do most of the studying your own from our recommended books and with our methods as you progress along the road map under our guidance.

Unlike other PESCI courses where they focus on teaching you clinical conditions which you can easily study on your own from textbooks. We will give you the tools and the method and guide along the way. If you are not moving in the right direction, or not making adequate progress we will inform you and work with you to improve or correct the direction you are on. We believe this is the optimal way to prepare and study for PESCI.

Our Medical Director

Our Medical Director who designed this course will personally guide you through the entire course. He will be the key person guiding you through the entire program if you choose to enrol. He was an IMG once, like you he had to sit AMC exams and PESCI. He has gone through the difficult periods of studying and knows how to prepare for them in order to pass the exams and PESCI. He passed 16/16 stations in AMC Clinical exams and achieved Level 4 supervision for PESCI assessment. He has held several director positions in Australian public hospitals and ran large medical services. He teaches in 2 Australian medical schools. He has a wide range of experience related to managing recruitment, supervision and AHPRA registration of IMG doctors in Australia. All his experience and expertise will be available to you throughout the program.

Training Needs Assessment (TNA)

We will need to assess the level of your clinical knowledge to understand your current clinical knowledge in order to plan a road map for you. We also determine your suitability for our coaching model. We don’t normally turn away IMG doctors for our PESCI course but if IMG doctor’s knowledge to very poor we might not be able to enrol them because they might not be suitable for our coaching model.

At TNA session we will be testing your clinical knowledge with common clinical presentations you are expected to know for the MCQ exam. We will provide you feedback on your performance at TNA and answer questions you have on the MCQ exam. There is a fee of $256 (Australian dollar) for TNA and it is not refundable. It is about 1.5 hours long.

ACOCE Unique Model and Approach

There is a lot of questions candidate should be asking themselves right from the beginning when a decision is made to undertake PESCI assessment. These are difficult questions to answer unless you have experience with PESCI such as being through the PESCI assessment or experience as an examiner on the PESCI panel.

Important questions all candidates should be asking themselves at the time when the decision is made to sit the PESCI assessment include: What will be the format used on the day? How will I be assessed? What will I be assessed on? What is the required standard of answers to obtain favourable assessment? Do I need to study? How do I study/prepare for PESCI? What do I use to study? Is there non-clinical assessment incorporated into PESCI? How do I prepare for that?

At ACOCE we believe candidates must prepare well in advance for PESCI. While there is an opportunity to sit PESCI again if you are assessed as NOT suitable for the position you applied for, the employer may not be able to wait for you to undergo another round of assessment. Also, unsatisfactory assessment knocks your confidence down, it can negatively impact your next PESCI, and makes your preparation that much harder for the next assessment.

We believe candidates must be prepared to study hard for at least 3 months ahead their PESCI. If this is your first PESCI we recommend that you begin your preparation when you have made a firm decision to look for jobs in Australia, before you start applying for Australian medical jobs. This should hopefully give you more than 3 months to prepare and study. Candidates must dedicate significant part of their lives for the preparation. The intensity must be ramped up accordingly leading up to the actual PESCI date.

However, hard work and dedication is not all there is to it. Clinical Medicine is a vast topic and we need to be smart in how we approach PESCI preparation. We believe at ACOCE an intelligent approach and dedicated hard work will maximise your chance of success.

Developed by our Medical Director ACOCE recommends our unique approach to preparing and studying for PESCI assessment for all candidates taking our preparation course. This approach is based on Project Management methodology creating individualised road map with milestones to attain required level of knowledge and enable you to achieve satisfactory PESCI assessment.

Through this approach we will individualise your training needs based on your strength/weakness in the context of PESCI assessment. We will identify the volume of work required to adequately prepare you for assessment.

We will create a road map individualised for you with milestones to achieve within set time line. We will teach and coach you along the way to achieve the learning outcomes.

Our unique model serves as foundation on which this program is taught. It is developed by our Medical Director tailored made for PESCI assessments. This model is comprised of a structure unique to key clinical areas covered in PESCI, with our approach for you to study each area. Our model provides you with certainty in direction and strategy right at the beginning of your study, aimed at achieving the competency required for satisfactory PESCI assessment. Our program ensures you know right from the beginning what PESCI is about, what is the expected standard to achieve satisfactory PESCI assessment, and the most efficient way of getting yourself to the satisfactory standard.

We will provide you with specific recommendations on what study materials to use, preventing valuable time wasted at the beginning going through unsuitable textbooks. We will also provide series of online teaching material serving as guidance and direction of study for each of the clinical area.

ACOCE High Calibre Staff

All of our courses and program are delivered by highly qualified registered senior medical practitioners in Australia. All our teaching staff have or had held director positions in Australia and currently working in Australian public hospitals. All of them currently teach in at least one Australian medical school. Most of all, our teaching clinicians have successfully been through AMC exams, obtained General Registration and went onto hold director roles in Australian public hospitals. They know how you feel, the difficulties you face, they have been in your position, and they triumphed through the challenges. These are rare and highly valuable combinations of excellence and they will deliver our Genera Registration Program and teach/coach you along the way.

 

Our Medical Director

Our Medical Director will personally guide you through our PESCI course. He will be the key person guiding you through the entire course if you choose to enrol. He was an IMG once, like you he had to sit AMC exams and PESCI. He has gone through the difficult periods of studying and knows how to prepare for them in order to competently pass the exams. He passed 16/16 stations in AMC Clinical exams and achieved Level 4 supervision for PESCI assessment. He has held several director positions in Australian public hospitals and ran large medical services. He teaches in 2 Australian medical schools. He has a wide range of experience related to managing recruitment, supervision and AHPRA registration of IMG doctors in Australia. All his experience and expertise will be available to you throughout the PESCI course. He understands well the challenges of working in Australia as a junior IMG doctor under supervision, as well as the complex journey to study and train to achieve General Registration in Australia. He will be personally available to guide you through the entire PESCI course.

At ACOCE, we believe candidates must prepare well in advance for PESCI. While there is an opportunity to retake the PESCI assessment again if you are deemed NOT suitable for the position you applied for, the employer may not be able to wait for you to undergo another round of assessment. We believe candidates must be prepared to study hard for at least 3 months ahead of their PESCI assessment. If this is your first undertaking the assessment, we recommend that you begin your PESCI preparation when you have made a firm decision to look for jobs in Australia, before you start applying for Australian medical jobs. This should hopefully give you more than 3 months to prepare and study. Candidates must dedicate a significant part of their daily schedules towards their PESCI exam preparations. The intensity must be ramped up accordingly leading up to the actual PESCI assessment date.

Developed by our Medical Director, ACOCE recommends our unique approach to preparing and studying for PESCI assessment for all candidates taking our preparation course. This approach is based on Project Management methodology creating an individualised roadmap with milestones to attain the required level of knowledge and enable you to achieve a satisfactory PESCI assessment. Through this approach, we will individualise your training needs based on your strengths and weaknesses. We will identify the volume of work required to adequately prepare you for assessment.

We will create a roadmap individualised for you with milestones to achieve within a set timeline. We will teach and coach you along the way to achieve the learning outcomes. Our unique model serves as the foundation on which this program is taught. It is developed by our Medical Director tailored made for PESCI assessments. This model is comprised of a structure unique to key clinical areas covered in PESCI, with our approach for you to study each area. Our model provides you with certainty in direction and strategy right at the beginning of your study, aimed at achieving the competency required for satisfactory PESCI assessment. Our program ensures you know right from the beginning what PESCI is about, what is the expected standard to achieve satisfactory PESCI assessment, and the most efficient way of getting yourself to the satisfactory standard.

We will provide you with specific recommendations on what study materials to use, preventing valuable time wasted at the beginning going through unsuitable textbooks. We will also provide a series of online teaching material serving as guidance and direction of study for each of the clinical area.

 

From the outset- exam strategies, techniques and our recommended books

Our PESCI course are taught through a combination of recorded lectures, online notes, online teaching through Videoconferencing. Course will start with an introduction to PESCI-specialties assessed, type of questions, textbooks to use, assessment format, assessment environment etc. we teach you exactly what you need to know from the outset. We want you to focus on studying from the recommended books with highly organised and efficient method. We don’t want you to waste time moving from one book to another only to discover they are not suitable. As part of our method we will recommend books designed cover the specialties assessed at PESCI. We will guide you on how to use it, which one to start, which ones to use next, how to study them individually and with each other to give you the optimal chance to passing the exam.

 

Coaching model and Road Mapping

Our PESCI course is based our Coaching Model. We create an individualised road map for you based on your personal clinical competency and we guide you and coach you along this journey. Unlike many other PESCI courses they teach you the clinical conditions from textbooks, we believe we should rather spend the time teaching you and guiding you on what books to study from, what are the efficient ways to study them, how that differs between some of the specialties, how you should be making your own notes, how to do that efficiently. We will set goals and targets on regular basis and we will monitor you along the way through our teaching and coaching sessions. We utilise clinical questions, constructive feedback based on assessment of your answers, examine the progress and structure of your study methods and notes as you work through each of our recommended books.

You are expected to do most of the studying on your own from our recommended books and with our methods as you progress along the road map under our guidance.

Unlike other PESCI course where they focus on teaching you clinical conditions which you can easily study on your own from textbooks. We will give you the tools and the method and guide along the way. If you are not moving in the right direction, or not making adequate progress we will inform you and work with you to improve or correct the direction you are on. We believe this is the optimal way to prepare and study for PESCI.

 

Training Needs Assessment (TNA)

We will need to assess the level of your clinical knowledge to understand your current clinical knowledge in order to plan a road map for you. We also determine your suitability for our coaching model. We don’t normally turn away IMG doctors for our PESCI course but if IMG doctor’s knowledge to very poor we might not be able to enrol them because they might not be suitable for our coaching model.

At TNA session we will be testing your clinical knowledge with common clinical presentations you are expected to know for the PESCI assessment. We will provide you feedback on your performance at TNA and answer questions you have regarding the PESCI assessment. There is a fee of $256 (Australian dollar) for TNA and it is not refundable. It is about 1.5 hours long.

Based on your performance at TNA we will recommend a package for you:

  • Premium Package is recommended for weaker candidates requiring a lot more coaching sessions
  • Standard Package is recommended for stronger candidates who require less coaching sessions

We take this initial assessment seriously and we will not recommend the premium packages unless we believe you require it. We take pride in our professional integrity and strive to uphold this at every level. We want you to have the best chance to pass the exam. However we are also happy for you to choose Standard Package regardless of our recommendation. We can always add more coaching sessions for additional fee if you require it.

Ready to start your journey to Australia?