Australia s Health Workforce Series Health Workforce by Numbers Issue 1 - February 2013 hwa.gov.au 1
Health Workforce Australia This work is copyright. It may be reproduced in whole or part for study or training purposes only, provided that the acknowledgment below is included. Any reproduction for purposes other than those indicated above, or otherwise not in accordance with the provisions of the Copyright Act 1968 or any other legal obligation, requires the written permission of Health Workforce Australia (HWA). IBSN: 978 0-9873201 9-3 Enquiries concerning this report and its reproduction should be directed to: Health Workforce Australia GPO Box 2098, Adelaide SA 5001 T +61 8 8409 4500 F +61 8 8212 3841 E hwa@hwa.gov.au www.hwa.gov.au Citation: Health Workforce Australia 2013, Australia s Health Workforce Series - Health Workforce by Numbers: Health Workforce Australia: Adelaide 2
Introduction Health Workforce by Numbers helps build the evidence base. It draws together information from a range of sources to provide a statistical overview of: This publication is intended as a ready reference for health workforce planners and other interested people, for understanding the broad characteristics and size of the selected workforces. More detailed statistics can be accessed via HWA s website and through the cited data sources. Graphics within the publication are used to highlight statistics of particular interest. This is the first issue of Health Workforce by Numbers. It will be updated periodically following the release of new statistics. Symbols explanation - rounded to zero.. not applicable na not available np not published 3
Medical workforce Registrations 2007 2008 2009 2010 (a) 2011 Total registrations 83,697 86,156 90,261 81,639 87,790 Total registered excluding multi-state 77,193 78,669 82,895 81,639 87,790 In medical labour force in Australia 68,812 70,193 74,260.. 81,621 Employed medical practioners 67,208 68,455 72,739.. 78,833 Proportion employed (%) 97.7 97.5 98.0.. 96.6 Clinician 62,652 63,889 67,613.. 73,980 General practitioner (b) 24,121 24,015 25,707.. 25,056 Hospital non-specialist 7412 7754 7677.. 9576 Specialist 21,702 22,458 24,290.. 24,475 Specialist-in-training 8853 8778 9154.. 12,491 Other clinician 564 885 785.. 2382 Non-clinician 4556 4566 5126.. 4853 Administrator 1338 1284 1524.. 1344 Teacher/educator 730 798 866.. 894 Researcher 1146 1130 1322.. 1307 Public health physician 416 437 516.... Occupational health physician 302 309 310.... Other non-clinician (c) 623 607 589.. 1308 On extended leave 1124 1166 1154.. 2540 Looking for work in medicine 480 572 366.. 248 Not in medical labour force 8381 8476 8636.. 6169 Working in medicine overseas 3030 3214 3030.. 2731 Not looking for work in medicine 2720 2955 3494.. 1105 Retired from work (d) 2631 2307 2111.. 2333 (a) 2010 data exclude Queensland and Western Australia due to their registration period closing after the national registration deadline of 30 September 2010. Therefore, 2010 is not comparable with any other year, and only the number of medical practitioner registrations is presented. (b) From 2010 general practitioner replaced primary care practitioner. Primary care practitioners who did not self-identify as general practitioners may be included in other clinician rather than general practitioner. Therefore, general practitioner data from 2010 onwards is not directly comparable with previous years. (c) From 2010 other non-clinician includes public health physician and occupational health physician which were previously reported as separate categories. (d) In 2011, Retired include only those who were retired from regular work. Source: Australian Institute of Health and Welfare (AIHW) medical labour force series 2007 to 2009. National Health Workforce Dataset (NHWDS): medical practitioners 2010 and 2011. 4
Registered medical practitioners 87,790 In medical labour force in Australia 81,621 (93.0%) Not in medical labour force in Australia 6169 (7.0%) Employed elsewhere and not looking for work in medicine 336 (5.4%) Not employed and not looking for work 769 (12.4%) Retired from work 2333 (37.8%) Working overseas 2731 (44.3%) Currently employed in medicine 78,833 (96.6%) On extended leave 2540 (3.1%) Looking for work in medicine 248 (0.3%) Clinician 73,980 (93.8%) General practitioner 25,056 (33.9%) Administrator 1344 (1.7%) Hospital non-specialist 9576 (12.9%) Teacher/educator 894 (1.1%) Specialist 24,475 (33.1%) Researcher 1307 (1.7%) Specialist-in-training 12,491 (16.9%) Other 1308 (1.7%) Other clinician 2382 (3.2%) Source: NHWDS: medical practitioners 2011. 5
Medical workforce Employed medical practitioners per 100,000 population 2006 2007 2008 2009 2011 Clinician 281 297 297 308 331 General practitioner (a) 111 114 112 117 112 Hospital non-specialist 32 35 36 35 43 Specialist 98 103 104 111 110 Specialist-in-training 37 42 41 42 56 Other clinicians 4 3 4 4 11 Non-clinicians 21 22 21 23 22 Total 302 319 318 331 353 Employed medical practitioners FTE (40 hour week) per 100,000 population Clinician 306 323 319 327 360 General practitioner (a) 110 112 108 112 110 Hospital non-specialist 38 42 43 40 50 Specialist 110 115 114 121 122 Specialist-in-training 46 52 50 51 68 Other clinicians 3 2 4 3 10 Non-clinicians 20 21 21 23 21 Total 326 344 340 350 381 Specialty Employed specialists: clinicians per 100,000 population Internal medicine 27 28 28 31 23 Pathology 4 5 5 5 4 Surgery 20 22 21 22 18 Other specialties 46 49 51 53 62 Total 98 103 104 111 110 Average weekly hours Working hours % working 50 hours or more 2007 2011 2007 2011 Clinician 43.4 43.5 36.0 33.1 General practitioner (a) 39.0 39.1 26.6 23.5 Hospital non-specialist 47.5 46.2 41.7 33.9 Specialist 44.5 44.7 40.7 39.3 Specialist-in-training 49.6 48.8 46.1 40.9 Other clinicians 34.8 39.4 24.4 25.8 Non-clinicians 39.0 38.0 32.4 27.2 Total 43.1 43.2 35.8 32.7 (a) In 2011 primary care practitioners who did not self-identify as general practitioners may be included in other clinician rather than general practitioner. Therefore, general practitioner data in 2011 is not directly comparable with previous years. Source: AIHW medical labour force series 2006 to 2009. NHWDS: medical practitioners 2011. 6
Sector participation: employed medical practitioners 2006 2007 2008 2009 2011 Public sector 30,421 32,338 32,587 35,710 50,196 Proportion (%) 48.7 48.1 47.6 49.0 63.6 Private sector 39,217 40,288 41,149 44,492 47,236 Proportion (%) 62.8 59.9 60.1 61.2 59.9 Total (a) 62,425 67,208 68,455 72,739 78,883 (a) Total is less than the sum of the components as a medical practitioner can be employed in more than one sector. Demographics of employed medical practitioners Female proportion (%) 33.7 34.0 34.9 35.7 37.6 Average age 46.1 45.9 45.7 45.6 45.5 Proportion aged 55 years and over (%) 25.8 25.6 25.0 24.8 25.5 Distribution of employed medical practitioners by state and territory - 2011 NSW VIC QLD WA SA TAS NT ACT Australia Clinician 23,819 18,106 14,839 7237 5963 1709 895 1374 73,980 General practitioner 8136 6247 4941 2371 2045 625 308 378 25,056 Hospital non-specialist 2933 1966 2226 1193 689 197 188 180 9576 Specialist 8032 6252 4603 2312 2006 572 192 481 24,475 Specialist-in-training 3880 3229 2480 1105 1089 269 163 275 12,491 Other clinicians 838 412 589 255 135 46 44 60 2382 Non-clinicians 1594 1307 789 430 365 103 77 183 4853 Total 25,413 19,413 15,628 7667 6328 1813 972 1557 78,833 No. per 100,000 352 351 349 326 386 355 420 423 353 Distribution of employed medical practitioners by remoteness area - 2011 (a) (b) Major Inner Outer Remote/ cities regional regional very remote Australia Clinician 58,166 10,362 4272 1157 73,980 General practitioner 17,489 4849 2117 598 25,056 Hospital non-specialist 7292 1389 634 259 9576 Specialist 20,697 2741 868 161 24,475 Specialist-in-training 10,836 1070 492 84 12,491 Other clinicians 1852 313 161 55 2382 Non-clinicians 4123 425 225 79 4853 Total 62,289 10,787 4496 1236 78,883 FTE per 100,000 433.4 269.9 247.2 274.1 381.4 (a) Derived from remoteness area of main job where available; otherwise, remoteness area of principal practice is used as a proxy. If remoteness area details are unavailable, remoteness area of residence is used. Records with no information on all three locations are coded to Not stated. (b) Data include employed medical practitioners who did not state or adequately describe their place of principal practice and employed medical practitioners who reside overseas. Source: AIHW medical labour force series 2006 to 2009. NHWDS: medical practitioners 2011. 7
General practice workforce 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 General practitioners Headcount 23,834 24,272 24,903 25,726 26,613 27,639 29,011 FTE (a) 14,789 15,133 15,532 16,045 16,482 16,928 17,607 FWE (a) 17,649 18,091 18,613 19,231 19,729 20,267 21,119 GP type by headcount Registrars 1309 1370 1448 1541 1721 1867 2127 Non-vocational 3586 3564 3702 3754 3970 4150 4410 Vocational 18,939 19,338 19,753 20,431 20,922 21,622 22,474 GP type by FWE Registrars 788 845 898 923 1040 1126 1257 Non-vocational 1652 1732 1868 1951 2031 2051 2195 Vocational 15,210 15,515 15,847 16,356 16,658 17,091 17,667 Demographics (%) 55 years and over Headcount 31.1 32.4 33.6 34.6 35.8 36.6 37.1 FWE GPs 31.9 33.3 34.4 35.7 37.2 38.5 39.3 Female Headcount 37.4 38.1 38.7 39.5 40.0 40.8 41.7 FWE GPs 27.3 28.0 28.8 29.6 30.3 31.0 31.7 Distribution by state and territory - FWE GPs NSW 6310 6483 6600 6792 6893 7067 7338 VIC 4283 4407 4584 4738 4902 5063 5270 QLD 3489 3564 3683 3861 3993 4126 4343 WA 1473 1499 1541 1574 1614 1640 1698 SA 1404 1417 1455 1511 1546 1570 1628 TAS 386 391 402 404 418 429 449 NT 96 103 115 115 126 134 142 ACT 208 226 232 235 238 239 250 Australia 17,649 18,091 18,613 19,231 19,729 20,267 21,119 Distribution by remoteness area - FWE GPs Major cities 12,868 13,181 13,506 13,924 14,248 14,553 15,109 Inner regional 3136 3249 3397 3543 3667 3823 4014 Outer regional 1380 1388 1431 1482 1525 1587 1677 Remote 196 201 202 208 208 216 224 Very remote 68 71 77 74 81 89 95 Australia 17,649 18,091 18,613 19,231 19,729 20,267 21,119 (a) Full-time equivalent (FTE) and full-time workload equivalent (FWE) are defined in the glossary. Source: GP workforce statistics, Department of Health and Ageing website. 8
Demographics of general practice workforce
Distribution by state and territory - FWE GPs per 100,000 population 2011 12 NSW VIC QLD WA SA TAS NT ACT Australia 100.7 93.7 95.2 69.9 98.4 87.7 60.5 66.7 93.1 Distribution by remoteness area - FWE GPs per 100,000 population 2010 11 Major Inner Outer Remote Very Australia cities regional regional remote 94.9 86.9 76.1 66.1 51.1 90.8 Estimated resident population as at 30 June 2012 by remoteness area was not available at time of publication. Therefore FWE GPs per 100,000 population by remoteness area was not calculated for 2011-12, and will be updated in the next issue. Source: GP workforce statistics, Department of Health and Ageing website. GPET advanced trainees 2011 NSW VIC QLD WA SA TAS NT ACT AUS (a) Trainees (b)1003 645 645 256 245 95 78 na 2948 Proportion of (%) advanced trainees 34.0 21.9 21.9 8.7 8.3 3.2 2.6 na.. First year advanced trainees (b) 437 245 120 41 35 27 13 na 918 Female advanced trainees (b) 695 403 404 179 164 67 46 na 1941 Female proportion (%) 69.3 62.5 62.6 69.9 66.9 70.5 59.0.. 65.8 (a) State/territory trainees may not add to Australia total as trainees may transfer between regional training providers and/or state/ territories but are only counted once in totals. (b) Includes ACT trainees. 3GA programs (a) 2005 06 2006 07 2007 08 2008 09 2009 10 2010 11 Approved medical deputising service program 141 165 206 215 272 363 Approved private emergency department program 6 19 14 18 21 15 Approved placements for sports physicians program 8 7 8 14 13 13 Sports physician trainees 16 22 21 27 21 29 Metropolitan workforce support program 8 4 1 0 0.. Pre-vocational general practice placements program 56 81 134 182 238 400 Queensland country area relieving program 260 301 293 340 368 354 Rural locum relief program 554 551 583 657 767 890 Remote vocational training scheme 10 13 16 26 30 36 Special approved placement program 13 14 30 49 90 159 Temporary resident other medicial practitioners program 84 98 106 105 109 93 (a) These are special purpose training programs established under section 3GA of the Health Insurance Act 1973, which target particular workforce requirements. Source: Medical Training Review Panel 15th report. 10
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Employed medical practitioners 100 400 90 360 80 320 70 280 60 240 Employed ( 000) 50 40 200 160 Rate per 100,000 30 120 20 80 10 40 0 0 Employed ( 000) Employed per 100,000 ERP FTE per 100,000 ERP The average annual rate of increase (a) over the period 1996 to 2012 was: 3.8% for employed medical practitioners 2.2% for employed medical practitioners per 100,000 ERP 1.1% for FTE medical practitioners per 100,000 ERP Notes (a) Average annual rate of increase is based on the linear regression line of best fit. ERP - estimated resident population. FTE - full-time equivalent 40 hours = 1 FTE Data is presented for the ANZSCO code 253 medical practitioners. Sources: ABS, Labour Force, Australia, Detailed Quarterly, Nov 2012, cat. no. 6291.0.55.003 and ABS, Australian Demographic Statistics, June 2012, cat. no. 3101.0. 12
Employed clinical doctors by type of clinician 2011 13
Medical training Medical students who commenced courses leading to provisional registration 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Domestic 1511 1699 1871 2071 2560 2934 2955 2940 3241 3035 International 378 421 460 426 436 499 487 529 529 651 Total 1889 2120 2331 2497 2996 3433 3442 3469 3770 3686 Medical students who completed courses leading to provisional registration 2002 200 200 200 200 200 200 200 20 2011 Domestic 1264 1266 1287 1320 1335 1544 1738 1915 2259 2507 International 161 203 216 267 298 316 401 465 474 457 Total 1425 1469 1503 1587 1633 1860 2139 2380 2733 2964 Medical students completing courses leading to provisional registration by state/territory NSW VIC QLD WA SA TAS NT ACT AUS 2004 487 403 229 107 214 63.... 1503 2005 502 432 284 109 204 56.... 1587 2006 455 460 299 125 220 74.... 1633 2007 540 447 370 130 230 71.. 72 1860 2008 574 498 425 227 243 78.. 94 2139 2009 567 534 607 277 223 94.. 78 2380 2010 669 577 732 318 250 100.. 87 2733 2011 833 721 693 297 246 95.. 79 2964 Expected graduations (Australian universities) 2011 2012 2013 2014 2015 2016 Domestic students 2549 2960 3040 3204 3264 3254 International students 479 552 583 558 671 716 Total 3028 3512 3623 3762 3935 3970 PGY1 commencements 2005 2006 2007 2008 2009 2010 2011 Number 1622 1771 1776 2030 2243 2394 2723 Increase from previous year (%) 5.9 9.2 0.3 14.3 10.5 6.7 13.7 PGY2 commencements Number 1536 (a) 1302 1586 (b) 1422 2352 2313 2521 (a) Figures are indictive only, due to missing data, extraction differences, and quality issues. (b) Queensland data not included. Source: Medical Training Review Panel 15th Report. 14
Medical students who completed courses leading to provisional registration
Overseas supply Overseas trained doctors 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 OTD with s19ab exemption 1303 1722 2290 2878 3634 4476 5483 5914 6892 7461 Note: section 19AB of the Health Insurance Act 1973 restricts access to Medicare provider numbers and requires overseas trained doctors and foreign graduates of an accredited medical school to work in a District of Workforce Shortage for a period of generally 10 years in order to access Medicare benefit arrangements. Source: Australian Government Department of Health and Ageing 30 June 2011. Employed medical practitioners by country of first medical qualification - 2009 NSW VIC QLD WA SA TAS NT ACT Australia Australia 15,996 14,266 11,589 4672 4059 1363 711 1186 53,843 UK/Ireland 960 794 1009 1030 285 159 81 81 4398 New Zealand 588 500 495 240 114 51 51 73 2112 Other countries 4281 2535 1521 1588 1282 265 154 323 11,948 Not stated 168 24 193 26 9 6 5 7 439 Total 21,992 18,118 14,807 7557 5749 1844 1002 1670 72,739 Proportion trained in Australia (%) 72.7 78.7 78.3 70.6 61.8 73.9 71.0 71.0 74.0 Source: AIHW medical labour force survey 2009. Temporary visas granted Visas granted to medical practitioners by subclass 2011 12 proportion of 2007 08 2008 09 2009 10 2010 11 2011 12 total (%) 422 - temporary (a) 451 424 262 35.... 442 - occupational trainee 619 346 251 260 256 7.2 457 - long stay 3859 3312 2673 2927 3299 92.8 Total 4929 4082 3186 3222 3555 100.0 Permanent visas granted 543 973 1553 1018 1546 100.0 (a) Visa sub-class 422 closed to applications from 1 July 2010. Source: Australian Government Department of Immigration and Citizenship administrative data. Overseas trained GPs 2005 06 2006 07 2007 08 2008 09 2009 10 2010 11 2011 12 Number 7222 7564 8082 8651 9191 9953 10,857 Proportion all GPs trained overseas (%) 30.3 31.2 32.5 33.6 34.5 36.0 37.4 Source: GP workforce statistics, Department of Health and Ageing website. 16
Overseas trained GPs The number and proportion of all GPs trained overseas (%) 2005 06 7222 30.3% 2006 07 7564 31.2% 2007 08 8082 32.5% 2008 09 8651 33.6% 2009 10 9191 33.6% 2010 11 9953 36.0% 2011 12 10,857 37.4%
Nursing workforce Registered and enrolled nurse registrations 2007 2008 2009 2011(a) Total registrations 317,618 325,583 334,028 328,817 Total registered excluding multi state 305,834 312,828 320,982 328,817 In nursing labour force 277,297 282,968 291,246 290,899 Employed nurses 263,331 269,909 276,751 271,996 Proportion employed (%) 95.0 95.4 95.0 93.5 Clinician (b)...... 214,321 Administrator (b)...... 15,700 Teacher/educator (b)...... 10,196 Researcher 2153 2220 2325 2531 Other 13,100 13,585 14,070 29,248 On extended leave 9863 9383 9880 14,446 Looking for work in nursing 4103 3675 4615 4458 Not in nursing labour force 28,537 29,860 29,735 37,918 Overseas 2047 2315 3233 10,628 Not looking for work in nursing 26,490 27,544 26,503 11,273 Retired from nursing...... 2,213 Employed or on extended leave in midwifery...... 13,804 Registered nurse registrations 245,491 253,685 260,121 268,883 Proportion of total nurses (%) 80.3 81.1 81.0 81.8 In nursing labour force 223,313 230,195 236,305 234,170 Enrolled nurse registrations 60,343 59,143 60,861 59,934 Proportion of total nurses (%) 19.7 18.9 19.0 18.2 In nursing labour force 53,984 52,773 54,941 56,730 (a) 2011 data should not be compared with previous years, due to changes in survey methodology and changes in the identification and treatment of midwives. See glossary for further information. (b) Category did not exist until 2011 survey. Source: AIHW nursing and midwifery labour force series 2007 to 2009. NHWDS: nurses and midwives 2011. 18
Nurse registrations Registered (328,817) Enrolled nurses nurses 268, 883 59, 934 81.8% 18.2% In nursing labour force 234,170 (290,899) 52,730 87.1% 94.6% Not in nursing labour force 34,712 (37,918) 3205 12.9% 5.3% Employed in nursing 219,354 (271,996) 52,653 93.7% 92.8% On extended leave 11,851 (14.446) 2595 5.1% 4.6% Clinician 174,724 (214,321) 39,597 79.7% 75.2% Administrator 14,498 (15,700) 1202 6.6% 2.3% Teacher/educator 9612 (10,196) 584 4.4% 1.1% Researcher 2398 (2531) 134 1.1% 0.3% Other 18,123 (29,248) 11,126 8.3% 21.1% Looking for work (a) 2965 (4458) 1492 1.3% 2.6% Employed elsewhere and not looking for work in nursing 4473 (6140) 1667 12.9% 52.0% Employed or on extended leave in midwifery 13,791 (13,804) 14 39.7% 0.4% Not employed and not looking for work 4063 (5134) 1071 11.7% 33.4% Employed in nursing overseas 10,511 (10,628) 116 30.3% 3.6% Retired from nursing in Australia 1874 (2213) 338 5.4% 10.5% (a) Looking for work in nursing or midwifery. Includes 332 dual registered nurses and midwives who may only be looking for work in midwifery. It is not possible to identify which area people are looking for work in, therefore the 332 dual registered nurses and midwives looking for work are included in both the nursing and midwifery labour force. Total registered and enrolled nurses are bracketed. B print relates to registered nurses and plain print to enrolled nurses. Nursing role is based on main nursing job. Dual registered nurses and midwives who nominated their principal area of main job as midwifery are considered to be midwives. See glossary for further information. 19 Source: NHWDS: nurses and midwives 2011.
Nursing workforce Employment sector of employed registered and enrolled nurses 2007 2008 2009 2011 (a) Public sector 173,903 181,621 186,194 159,269 Proportion working in public sector (%) 66.0 67.3 67.3 58.6 Private sector 89,428 88,289 90,557 91,756 Proportion working in private sector (%) 34.0 32.7 32.7 33.7 (a) Data for 20,972 records with unknown sector omitted. Headcount, FTE and FTE rate of employed nurses Registered nurses 2007 2008 2009 2011 Headcount 212,342 219,646 225,040 219,354 FTE nurses 187,867 194,907 198,924 192,166 FTE per 100,000 population 891.0 906.1 905.9 860.8 Enrolled nurses Headcount 50,990 50,263 51,711 52,643 FTE nurses 42,818 42,631 43,614 43,458 FTE per 100,000 population 203.1 198.1 198.2 194.7 All nurses Headcount 263,331 269,909 276,751 271,996 FTE nurses 230,762 237,520 242,521 235,634 FTE per 100,000 population 1095.1 1103.5 1104.1 1055.5 Full-time equivalent (FTE) based on 38 hour working week. Demographics of employed nurses Registered nurses 2007 2008 2009 2011 Male proportion 9.6 9.7 9.8 10.9 Average age (years) 43.8 44.0 44.2 44.1 Proportion aged 55+ (%) 18.0 18.9 19.9 21.6 Enrolled nurses Male proportion 9.5 8.7 8.9 9.0 Average age (years) 43.4 44.7 44.9 45.5 Proportion aged 55+ (%) 15.9 18.1 19.3 23.6 All nurses Male proportion 9.6 9.5 9.6 10.5 Average age (years) 43.7 44.1 44.3 44.4 Proportion aged 55+ (%) 17.6 18.8 19.8 22.0 Source: AIHW nursing and midwifery labour force series 2007 to 2009. NHWDS: nurses and midwives 2011. 2011 data should not be compared with previous years, due to changes in survey methodology and changes in the identification and treatment of midwives. See glossary for further information. 20
Clinical areas Nursing workforce Area of main job of registered and enrolled nurses 2011 NSW VIC QLD WA SA TAS NT ACT AUS Medical 6467 5735 5913 2552 2522 721 318 428 24,656 Surgical 6647 6032 4844 2960 2174 677 214 503 24,051 Mixed medical/surgical 3936 4638 2717 1558 1707 271 197 237 15,261 General practice/ medical practice 3417 3108 2910 1453 1194 316 150 163 12,711 Perioperative 5701 5014 4325 1838 1666 581 160 387 19,671 Maternity care 268 324 209 103 23 11 14 16 967 Critical care 8248 6992 5626 2812 2503 628 352 493 27,655 Family and child health 1540 1248 772 414 335 145 118 117 4688 Paediatrics 2283 1875 1585 1008 697 160 140 106 7855 Community health 3811 3891 2478 1447 1421 400 355 239 14,042 Aged care 10,935 14,302 6290 3071 4711 1153 168 348 40,978 Mental health 5369 4808 3429 2000 1457 453 150 247 17,916 Rehabilitation/disability 2650 2864 1134 737 719 187 64 98 8452 All clinical areas 61,273 60,831 42,232 21,952 21,129 5702 2401 3381 218,902 Non-clinicial areas Education 1304 1452 1025 506 451 132 86 83 5038 Management 2552 1868 1427 684 609 187 132 195 7654 Research 505 593 355 176 188 47 26 44 1933 All non-clinicial areas 4361 3913 2806 1365 1248 365 244 322 14,625 Other 6802 6047 5209 2274 2188 599 431 498 24,049 Total (a) 76,212 74,970 53,003 26,978 26,067 7,049 3,252 4,425 271,996 (a) Includes not stated/inadequately described. Working hours Average weekly hours Part-time (%) 50 hours or more (%) Registered Enrolled All Registered Enrolled All Registered Enrolled All 2007 33.6 31.9 33.3 46.5 55.2 48.1 6.6 5.1 6.3 2008 33.7 32.2 33.4 46.1 54.7 47.7 6.8 5.1 6.5 2009 33.6 32.0 33.3 46.1 54.8 47.7 6.2 4.7 5.9 2011 33.3 31.4 32.9 47.9 60.4 50.4 4.4 3.5 4.3 Average working hours of employed registered and enrolled nurses 2011 NSW VIC QLD WA SA TAS NT ACT AUS Clinician 33.6 31.0 32.9 31.3 32.1 32.1 37.7 34.2 32.4 Non-clinician Administrator 39.5 36.9 38.7 37.5 37.6 39.3 42.0 39.3 38.4 Teacher/educator 34.7 33.2 35.1 32.7 33.2 35.5 38.1 35.9 34.2 Researcher 33.3 32.8 33.4 33.6 31.8 29.8 34.0 32.4 33.0 Other 34.1 32.1 33.9 31.7 33.5 33.6 37.9 36.1 33.2 Total 34.1 31.6 33.4 31.7 32.5 32.7 38.0 34.9 32.9 Source: AIHW nursing and midwifery labour force series 2007 to 2009. NHWDS: nurses and midwives 2011. Data from 2011 should not be compared with previous years, due to changes in survey methodology and changes in the identification and treatment of midwives. See Glossary for further information. 21
Employment distribution Distribution of employed registered and enrolled nurses by state and territory 2011 NSW VIC QLD WA SA TAS NT ACT AUS Number 76,212 74,970 53,003 26,978 26,067 7049 3252 4425 271,996 FTE per 100,000 population 949 1126 1041 982 1329 1187 1406 1104 1056 Distribution of FTE employed nurses by remoteness area 2011 Registered nurses Enrolled nurses FTE All nurses FTE FTE per 100,000 population per 100,000 population per 100,000 population Major cities 895 171 1066 Inner regional 781 245 1026 Outer regional 738 258 996 Remote 885 243 1128 Very remote 1072 162 1234 Australia (a) 861 195 1056 (a) Includes migratory, overseas and not stated. FTE based on 38 hour week. Distribution of employed registered and enrolled nurses by remoteness area 2011 Number Per 100,000 population Major cities 189,610 1227 Inner regional 52,763 1219 Outer regional 23,187 1143 Remote 3954 1210 Very remote 2261 1175 Australia (a) 271,996 1218 (a) Includes migratory, overseas and not stated. Source: NHWDS: nurses and midwives 2011. 22
Distribution of full-time equivalent registered and enrolled nurses per 100,000 population by state and territory 2011 NT 1406 QLD 1041 WA 982 SA 1329 NSW 949 VIC 1126 ACT 1104 TAS 1187 Full-time equivalent (FTE) is a useful measure of supply, as it takes into account people working full-time and people working part-time. In 2011, the Australian supply of FTE nurses was 1056 per 100,000 population. This ranged from 949 FTE nurses per 100,000 population in New South Wales to 1406 FTE nurses per 100,000 population in the Northern Territory. 23
Employed nurses 450 1350 400 1200 350 1050 300 900 Employed ( 000) 250 200 750 600 Rate per 100,000 150 450 100 300 50 150 0 0 Employed ( 000) Employed per 100,000 ERP FTE per 100,000 ERP The average annual rate of increase (a) over the period 1996 to 2012 was: 2.8% for employed nurses 1.3% for employed nurses per 100,000 ERP 1.5% for FTE nurses per 100,000 ERP Notes (a) Average annual rate of increase is based on the linear regression line of best fit. ERP - estimated resident population. FTE - full-time equivalent 38.0 hours = 1 FTE. Data is presented for the ANZSCO codes 2542 nurse educators and managers, 2543 nurse managers, 2544 registered nurses and 4114 enrolled and mothercraft nurses. Sources: ABS, Labour Force, Australia, Detailed Quarterly, Nov 2012, cat. no. 6291.0.55.003 and ABS, Australian Demographic Statistics, June 2012, cat. no. 3101.0. 24
Employed in nursing by principal role 2011 10,196 3.7% 2531 0.9% 29,248 10.8% 15,700 5.8% 271,996 214,321 78.8% 25
Nurse training Students who commenced courses for initial registration as a nurse 2005 2006 2007 2008 2009 2010 2011 Domestic 9761 10,337 11,090 11,093 12,500 13,829 13,749 International 1285 1708 2346 2487 2710 2799 2579 Total 11,046 12,045 13,436 13,580 15,210 16,626 16,328 Students who completed courses for initial registration as a nurse Domestic 5628 6088 6661 7170 7249 7443 7806 International 465 900 1255 1602 1741 1990 2144 Total 6093 6988 7916 8772 8990 9433 9950 Note: Data excludes enrolled nursing students. Source: Australian Government Department of Industry, Innovation, Science, Research and Tertiary Education ucube, accessed 11 September 2012. Temporary sub-class 457 visas granted Overseas supply Visas granted to nurses (a) 2006 07 2007 08 2008 09 2009 10 2010 11 2011 12 Nurse managers 7 8 9 5 11 12 Nurse educators and researchers 8 5 0 3 4 3 Registered nurses 3011 3375 3977 2624 2146 3095 Enrolled nurses 26 29 40 37 41 47 Total temporary sub-class 457 3052 3417 4026 2669 2202 3157 Permanent visas granted Nurse managers 0 4 6 3 7 10 Nurse educators and researchers 3 0 0 0 4 3 Registered nurses 2174 2478 3492 4133 3400 3160 Enrolled nurses 6 12 21 20 32 60 Total permanent visas 2182 2494 3520 4157 3443 3232 (a) Covers applications where the nominated occupation was in ANZSCO 2542 nurse manager, 2543 nurse educator and researcher, 2544 registered nurse and 4114 enrolled and mothercraft nurse. Source: Australian Government Department of Immigration and Citizenship administrative data. 26
Midwifery workforce Headcount, FTE and FTE rate of employed midwives 2011 Registered Dual registered midwives only working as a midwife All midwives Headcount 1573 13,136 14,710 FTE 1334 10,315 11,652 FTE per 100,000 population 6.0 46.2 52.2 FTE based on 38 hour working week. Demographics of employed midwives 2011 Registered Dual registered midwives only working as a midwife All midwives Male proportion (%) 0.4 0.9 0.8 Average age (years) 38.2 46.6 45.7 Proportion aged 55+ (%) 8.5 24.8 23.0 Headcount, FTE and FTE rate of employed midwives 2011 Registered Dual registered midwives only working as a midwife All midwives Average working hours 32.2 29.8 30.1 Distribution of employed midwives by state and territory 2011 NSW VIC QLD WA SA TAS NT ACT AUS Registered midwives only 306 573 234 154 272 9 12 14 1573 Dual registered working as a midwife 3592 3550 2601 1526 1016 360 239 252 13,136 All midwives 3899 4123 2835 1680 1287 368 251 266 14,710 Distribution of employed midwives by remoteness area 2011 Major Inner Outer Very city regional regional Remote remote Australia Registered midwives only 1377 130 45 14 5 1573 Dual registered working as a midwife 9196 2557 1096 198 82 13,136 All midwives 10,573 2687 1141 212 87 14,710 Source: NHWDS: nurses and midwives 2011. Overseas supply Visas granted to midwives (a) 2006 07 2007 08 2008 09 2009 10 2010 11 2011 12 Temporary subclass 457 visas granted 38 72 85 75 66 83 Permanent visas granted 61 59 95 90 59 68 (a) Covers applications where the nominated occupation was in ANZSCO 2541 midwives. Source: Australian Government Deparment of Immigration and Citizenship administrative data. 27
Total midwifery registrations Registered (41,432) Dual midwife only registered nurse and midwife 1863 39,569 4.5% 95.5% In midwifery labour force 1711 (15,847) 14,136 91.8% 35.7% Not in midwifery labour force 152 (25,586) 25,434 8.2% 64.3% Employed in midwifery 1573 (14,710) 13,136 91.9% 92.9% Employed elsewhere and not looking for work in midwifery 33 (657) 624 21.7% 2.5% On extended leave 107 (775) 668 6.3% 4.7% Not employed and not looking for work 21 (624) 603 13.0% 2.4% Looking for work in nursing or midwifery (a) 31 (363) 332 1.8% 2.3% Overseas 91 (583) 492 59.9% 1.9% (a) The 332 dual registered nurses and midwives may be looking for work in nursing and/or midwifery. It is not possible to identify which area they are looking for work in, therefore the 332 are included in both the nursing and midwifery labour force. Retired 7 (504) 497 4.6% 2.0% Employed or on extended leave in nursing n.a. 23,218 91.3% B print relates to those registered as a midwife only and plain print to dual registered nurses and midwives. Dual registered nurses and midwives who nominated their principal area of main job as midwifery are considered to be midwives. See glossary for further information. Source: NHWDS 2011: nurses and midwives. 28
Employed midwives 25 75 20 60 Employed ( 000) 15 10 45 30 Rate per 100,000 5 15 0 0 Employed ( 000) Employed per 100,000 ERP FTE per 100,000 ERP The average annual rate of increase (a) over the period 1996 to 2012 was: 5.8% for employed midwives 4.1% for employed midwives per 100,000 ERP 4.3% for FTE midwives per 100,000 ERP Notes (a) Average annual rate of increase is based on the linear regression line of best fit. ERP - estimated resident population FTE - full-time equivalent 38 hours = 1 FTE Data is presented for the ANZSCO code 2541 midwives. Sources: ABS, Labour Force, Australia, Detailed Quarterly, Nov 2012, cat. no. 6291.0.55.003 and ABS, Australian Demographic Statistics, June 2012, cat. no. 3101.0. 29
Oral health Dental workforce Registrations Number employed 2006 (a) 2009 (a) 2011 2006 2009 2011 Dentists(b) 11,686 12,941 14,179 10,404 11,882 12,734 Clinical role...... 10,001 11,455 12,154 Non-clinical role...... 401 427 581 Dental therapists (c) 1364 1383 1165 1171 1234 1044 Dental hygienists (c) 770 1031 1206 674 933 1065 Oral health therapists (c) 397 651 1108 371 590 994 Dental prosthetists (c) 1039 1157 1145 921 1013 1088 (a) Excludes multi-state registrations. (b) Includes dental specialists. (c) Oral health therapist data were first collected in 2006. In 2003 OHTs were categorised as either hygienists or therapists. Caution is advised when interpreting the change in numbers in these groups across the relevant years. (d) For 2006 no data was available for prosthetists practising in the NT. Employed dentists demographics 2003 2006 2009 2011 Female proportion (%) 26.3 29.0 32.6 35.6 Average age 44.6 45.1 45.2 43.5 Proportion aged 50+ 34.6 37.0 38.8 34.3 Employed dentists by remoteness area (a) Number Per 100,000 population 2006 2009 2011 2006 2009 2011 Major cities 8428 9409 10,055 59.5 62.4 65.1 Inner regional 1349 1731 1844 33.0 40.0 42.6 Outer regional 540 628 685 27.5 30.4 33.8 Remote/very remote 87 115 130 18.2 23.1 25.0 Australia (b) 10,404 11,882 12,734 50.3 54.1 57.0 (a) In 2011 remoteness area was derived from remoteness area of main job where available; otherwise, remoteness area of principal practice is used as a proxy. If remoteness area details were unavailable, remoteness area of residence was used. Records with no information on all three locations were coded to not stated. In previous years, remoteness area of main job used. (b) Includes dentists who did not state or adequately describe their location of practice and those who were overseas. Employed dentists by work setting - 2011 NSW VIC QLD WA SA TAS NT ACT AUS Private 3417 2437 1934 1030 740 151 50 193 9959 Aboriginal health services 27 10 13 4 0 0 4 0 60 Community health care 82 200 93 49 41 18 6 13 502 Hospital 267 135 160 16 46 4 4 4 635 Educational facility 48 56 85 62 58 0 0 0 308 Defence forces 43 17 34 9 6 0 14 8 130 Other (a) 367 244 208 161 108 14 18 13 1139 Total 4252 3099 2525 1328 997 187 93 227 12,734 (a) Other includes other residential health care facility, commercial/business service, correctional services, other government department or agency, other and not stated. Source: NHWDS: dental practitioners 2011. 30
Employed allied dental workforce by state and territory (a) - 2011 NSW VIC QLD WA SA TAS NT ACT AUS Dental therapists 205 164 197 297 100 52 16 13 1044 Dental hygienists 304 151 105 234 204 13 7 47 1065 Oral health therapists 181 231 387 46 117 3 11 17 994 Dental prosthetists 388 313 205 73 42 49 4 14 1088 Number employed per 100,000 population by state and territory (a) - 2011 Dental therapists 2.8 3.0 4.4 12.6 6.1 10.2 6.9 3.5 4.7 Dental hygienists 4.2 2.7 2.3 9.9 12.5 2.5 3.0 12.8 4.8 Oral health therapists 2.5 4.2 8.6 2.0 7.1 0.6 4.8 4.6 4.5 Dental prosthetists 5.4 5.7 4.6 3.1 2.6 9.6 1.7 3.8 4.9 (a) Derived from state and territory of main job where available; otherwise, state and territory of principal place of practice is used as a proxy. If principal practice details are unavailable, state and territory of residence is used. Records with no information on all three locations are coded to not stated. Employed allied dental workforce by remoteness area (a) - 2011 Remote/ Major cities Inner regional Outer regional very remote Australia Dental therapists 614 265 135 30 1044 Dental hygienists 891 119 50 4 1065 Oral health therapists 729 173 79 12 994 Dental prosthetists(a) 781 232 72 0 1088 Number employed per 100,000 population by remoteness area (a) - 2011 Remote/ Major cities Inner regional Outer regional very remote Australia Dental therapists 4.0 6.1 6.7 5.8 4.7 Dental hygienists 5.8 2.8 2.5 0.8 4.8 Oral health therapists 4.7 4.0 3.9 2.3 4.5 Dental prosthetists(a) 5.1 5.4 3.5.. 4.9 (a) Derived from remoteness area of main job where available; otherwise, remoteness area of principal practice is used as a proxy. If remoteness area details are unavaliabe, remoteness area of residence is used. Records with no information on all three locations are coded to not stated. (a) Includes those who did not state or adequately describe their location of practice and those who were overseas. Source: NHWDS: dental practitioners 2011.
Employed dentists 25 75 20 60 Employed ( 000) 15 10 45 30 Rate per 100,000 5 15 0 0 Employed ( 000) Employed per 100,000 ERP FTE per 100,000 ERP The average annual rate of increase (a) over the period 1996 to 2012 was: 3.7% for employed dentists 2.1% for employed dentists per 100,000 ERP 1.2% for FTE dentists per 100,000 ERP Notes (a) Average annual rate of increase is based on the linear regression line of best fit. ERP - estimated resident population. FTE - full-time equivalent 38.0 hours = 1 FTE. Data is presented for the ANZSCO code 2523, which includes dentists and dental specialists. Sources: ABS, Labour Force, Australia, Detailed Quarterly, Nov 2012, cat. no. 6291.0.55.003 and ABS, Australian Demographic Statistics, June 2012, cat. no. 3101.0. 32
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Dentist training Students who commenced course leading to provisional registration as dental practitioner 2007 2008 2009 2010 2011 Domestic 336 444 515 440 504 International 72 75 113 63 96 Total 408 519 628 503 600 Dental students who completed courses leading to provisional registration 2003 2004 2005 2006 2007 2008 2009 2010 2011 Domestic........ 163 293 416 369 360 International........ 30 58 59 57 70 Total 227 220 230 228 193 351 475 426 430 Source: 2003 2006, Australian Research Centre for Population on Oral Health (ARCPOH), based on data sourced from DEST on graduates from dental schools offering Bachelor of Dental Studies or Bachelor of Health Science with Master in Dentistry. Source: 2007 2011, Department of Industry, Innovation, Science, Research and Tertiary Education ucube, may include postgraduate course completions. Overseas supply Temporary sub-class 457 visas granted Visas granted (a) 2006 07 2007 08 2008 09 2009 10 2010 11 2011 12 Dentist 94 157 154 145 148 163 Dental specialist 6 4 3 0 7 4 Dental hygienists, technicians and therapists 29 69 41 41 74 79 Permanent visas granted Dentist 101 88 152 202 169 209 Dental specialist 3 4 4 0 4 7 Dental hygienists, technicians and therapists 87 104 73 42 140 159 (a) Covers applications where the nominated occupation was in ANZSCO 252311 dental specialist, 252312 dentists and 4112 dental hygienist, technician and therapist. Source: Australian Government Department of Immigration and Citizenship administrative data. 34
Dental students who completed courses leading to provisional registration 35
Aboriginal and Torres Strait Islander health workforce Employed Aboriginal and Torres Strait Islander medical practitioners and nurses - 2011 NSW VIC QLD WA SA TAS NT ACT Australia Medical practitioners 93 22 59 32 17 4 16 7 249 Proportion of total employed medical practitioners (%) 0.4 0.1 0.4 0.4 0.3 0.2 0.5 1.7 0.3 Nurses (registered and enrolled) 798 269 502 151 159 101 39 22 2043 Proportion of total employed nurses (%) 1.0 0.4 0.9 0.6 0.6 1.4 1.2 0.5 0.8 Source: NHWDS: medical practitioners 2011 and NHWDS: nurses and midwives 2011. Employed Aboriginal and Torres Strait Islander health workers Number Proportion (%) 1996 2001 2006 2011 1996 2001 2006 2011 Male 199 265 282 344 29.7 31.1 29.3 27.4 Female 470 588 679 910 70.3 68.9 70.7 72.6 Total 669 853 961 1254 100.0 100.0 100.0 100.0 Employed Aboriginal and Torres Strait Islander health workers distribution - 2006 (a) Major Inner Outer Very cities regional regional Remote remote Australia Male 46 44 48 43 100 281 Female 117 102 140 103 218 680 Total 163 146 188 146 318 961 (a) 2011 Census data was not available by remoteness area at time of publication. This table will be updated in the next issue. Source: AIHW Aboriginal and Torres Strait Islander health labour force statistics and data quality and ABS Census of Population and Housing 2011. 36
Aboriginal and Torres Strait Islander health workers distribution Distribution of Aboriginal health workers across Australia 37
Health workforce Registered health practitioners by profession and nominated principal place of practice ACT NSW NT QLD SA TAS VIC WA No AUS PPP (a) Chiropractor 56 1511 24 692 357 45 1202 498 77 4462 Dental practitioner 350 5989 134 3728 1615 336 4358 2254 323 19,087 Dentist 253 4757 95 2737 1099 209 3428 1493 301 14,372 Dental therapist 17 241 16 208 106 55 176 341 1 1161 Dental hygienist 47 351 7 119 223 16 175 277 15 1230 Oral health therapist 8 167 4 261 59 2 119 2 1 623 Prosthetist 14 414 5 225 54 52 328 89 2 1183 Dental hygienist and dental therapist 10 57 7 177 74 2 131 52 3 513 Medical practitioner 1784 28,972 945 17,682 7142 2048 22,365 8855 1855 91,648 Midwife 39 418 29 321 343 9 747 229 52 2187 Nurse 4848 81,927 3276 57,491 28,393 7570 80,982 31,076 6682 302,245 Nurse and midwife 719 13,491 579 7321 2601 723 10,297 3,292 248 39,271 Optometrist 71 1553 28 929 234 84 1163 366 140 4568 Osteopath 32 510 2 149 29 38 843 52 21 1676 Pharmacist 420 8274 186 5187 1919 628 6578 2852 504 26,548 Physiotherapist 441 6888 145 4379 1928 394 5904 2798 624 23,501 Podiatrist 47 946 17 631 370 90 1195 375 19 3690 Psychologist 794 10,066 216 5220 1466 524 8009 3,082 268 29,645 Australia 9601 160,545 5581 103,730 46,397 12,489 143,643 55,729 10,813 548,528 (a) Principal place of practice (PPP) is not specified. This may be because the practitioner maintains registration in Australia while working overseas. Source: Australian Health Practitioner Regulation Agency (AHPRA) 2011 12 annual report (30 June 2012). 38
Health occupations as identified in the Census of Population and Housing Persons employed in health occupations Occupation 1996 2001 2006 2011 Medical practitioners Generalist medical practitioners 29,016 32,042 35,453 43,429 Anaesthetists 1910 2132 2727 3765 Specialist physicians 2347 2785 3590 5471 Psychiatrists 1832 1986 2180 2586 Surgeons 2982 3263 3902 4925 Other medical practitioners 5856 5656 5851 8619 Oral health workforce Dental specialist 727 814 842 989 Dentist 6863 7374 8180 9980 Dental hygienists, technicians and therapists 4455 4597 5174 6332 Dental assistants 11,281 13,073 15,380 18,824 Nursing workforce Nurse educators and researchers 2069 2618 3762 5287 Nurse managers 6180 7401 10,900 12,632 Registered nurses 141,043 149,310 172,566 206,916 Enrolled nurses 24,574 19,510 19,396 17,892 Midwives 10,900 11,640 12,236 14,105 Other selected health occupations Audiologist 683 818 1074 1489 Chiropractors and osteopaths 2006 2496 3291 4347 Complementary health therapists 2838 3901 5308 5950 Dietitians 1696 1995 2590 3707 Aboriginal and Torres Strait Islander health workers 687 904 1010 1369 Medical imaging professionals 6752 8321 10,146 13,245 Occupational therapists 4359 5309 6837 9249 Optometrist 2257 2688 3065 3628 Orthoptist 354 406 515 678 Pharmacists 12,308 13,966 15,337 19,934 Physiotherapists 8879 10,279 12,286 15,929 Podiatrists 1459 1756 2098 2802 Psychologists 6959 9334 13,441 18,603 Speech pathologist 2322 2984 3868 5295 Social workers 7186 9127 12,442 16,916 Cells in this table have been randomly adjusted to avoid the release of confidential data. Data is presented by selected ANZSCO codes. Source: Australian Bureau of Statistics Census of Population and Housing, 1996 to 2011.. 39
Data sources Australian Bureau of Statistics (ABS) Census of Population and Housing The Census of Population and Housing is a descriptive count of everyone who is in Australia on one night, and of their dwellings. Its objective is to accurately measure the number and key characteristics of people who are in Australia on Census Night, and of the dwellings in which they live. Information in the Census of Population and Housing is self-reported. ABS Labour Force Survey (LFS) The ABS LFS provides estimates of the civilian labour force derived from the LFS component of the monthly population survey (MPS). Information presented in this publication is derived from the quarterly LFS release (which contains more detailed information that the monthly LFS release). Australian Institute of Health and Welfare (AIHW) labour force surveys Prior to the introduction of the National Regulation and Accreditation Scheme (NRAS), the AIHW labour force surveys were administered by regulatory authorities in each jurisdiction. Response rates and coverage for the labour force surveys vary across years, and across jurisdictions. Comparisons, particularly in relation to the distribution of health professionals, should be undertaken with caution. Australian Health Practitioner Regulation Agency (AHPRA) annual report AHPRA is the national organisation responsible for implementing the NRAS across Australia, in partnership with the National Boards. AHPRA and the National Boards work to regulate the health professions in the public interest. This includes registering practitioners who are suitably trained and qualified to provide safe healthcare, and investigating concerns about registered health practitioners. In their annual report, AHPRA publishes extensive data on health practitioner registration and regulation, including notifications, for the registered professions. 40 Department of Immigration and Citizenship (DIAC) administrative data DIAC provides administrative data about the number of permanent and temporary visa grants and visa holders in Australia. Department of Industry, Innovation, Science, Research and Tertiary Education (DIISRTE) ucube The DIISRTE ucube allows custom tables to be generated via a browser application. The cube data are based on selected higher education data collected through the Higher Education Statistics Collection. GP Workforce Statistics Department of Health and Ageing The GP Workforce figures include only those GPs who provided at least one Medicare service during the reference period and had at least one claim for Medicare service processed during the same reference period. Medical Deans Australia and New Zealand Medical Deans collect statistics annually from all member universities on medical student numbers and demographics. The source of this data is the medical school itself. Medical Training Review Panel (MTRP) Report The MTRP covers the three levels of medical training in Australia, providing data on all trainees in undergraduate, postgraduate and vocational training programs; as well as graduates and college fellows, for the latest available year. National Health Workforce Dataset (NHWDS) The NHWDS combines data from the NRAS with survey data collected on each of the registered health professions at the time of annual registration renewal. Symbols explanation - rounded to zero.. not applicable na not available np not published
Glossary Aboriginal and Torres Strait Islander health worker The AIHW sourced information on the number of Aboriginal and Torres Strait Islander health workers from the Australian Bureau of Statistics Census of Population and Housing (the Census). In the Census, occupations are classified according to the Australian and New Zealand Classification of Occupations (ANZSCO). In ANZSCO, an Aboriginal and Torres Strait Islander health worker is described as someone who: Liaises with patients, clients, visitors to hospitals and other medical facilities and staff at health clinics, and works as a team member to arrange, coordinate and provide health care delivery in Aboriginal and Torres Strait Islander community health clinics. Registration or licensing may be required. Only those with an occupation of Aboriginal and Torres Strait Islander health worker who also reported they were Indigenous (that is, persons who identified themselves as being of Australian Aboriginal and/or Torres Strait Islander origin) were included in the AIHW count of Aboriginal and Torres Strait Islander health workers. Clinician A clinician is a person who spends the majority of their time working in the area of clinical practice, that is, the diagnosis, care, and treatment (including recommended preventative action), of patients or clients. Clinical practice may involve direct client contact or may be practised indirectly through individual case material (as in radiology and laboratory medicine). Employed medical practitioner A medical practitioner who reported working in medicine in the week before the survey. In this report, data on employed medical practitioners include those who are: practitioners on leave for less than three months). with the discipline of medicine (including medical research, administration, or teaching of medicine). Employed midwives Employment is counted as someone who either: before the survey in a job or business for pay, commission, payment in kind or profit, or pay) for less than three months, on strike or locked out, or rostered off. Employed midwives are separately identified for the first time in 2011. Employed midwives are those people who were employed, and were: enrolled nurse and midwife who reported midwifery as their principal area of main job. Before 2011, registered midwives and registered nurses and enrolled nurses also registered as a midwife were not able to be separately identified, and are included in the nursing section. Employed nurses An employed nurse is one who either: before the survey in a job or business for pay, commission, payment in kind or profit, or pay) for less than three months, on strike or locked out, or rostered off. In 2011, employed nurse data excludes those registered nurses and enrolled nurses also registered as a midwife, who reported their principal area of main job as midwifery. These people are considered to be midwives, and are included in the midwifery section. Before to 2011, registered nurses and enrolled nurses also registered as a midwife were not able to be separately identified, and are included in the nursing section. 41