Fillable PRIVATE HOSPITAL STREAM (PHS) EXPRESSION OF INTEREST (EOI) (Department of Health)

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PRIVATE HOSPITAL STREAM (PHS) EXPRESSION OF INTEREST (EOI) (Department of Health)

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Country of origin: AUSTRALIA
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Page 1 of 5
PRIVATE HOSPITAL STREAM (PHS)
EXPRESSION OF INTEREST (EOI) INTERNSHIP FORM
PHS ELIGIBILITY
Priority One Eligibility Criteria
The Priority One category will be allocated to final year medical students who meet all eligibility criteria for
an internship under the PHS. Final year medical students must:
• be a full-fee paying international student completing their medical degree during the current
calendar year from an onshore medical school in Australia, having completed all of their medical
degree in Australia (short-term elective rotations completed offshore will not exclude applicants
provided rotations have university approval); and
• have met the Medical Board of Australia (MBA) English language proficiency requirements for
registration purposes (provisional registration as a medical practitioner cannot be obtained without
meeting this standard); and
• not be an Australian Citizen; and
• commit to obtaining an appropriate visa to work in Australia during the internship year (refer to
the Department of Home Affairs website for details at https://www.homeaffairs.gov.au/).
Priority Two Eligibility Criteria
Priority Two category applicants must meet all of the following eligibility criteria to be considered:
• have MBA provisional registration as a medical practitioner; and
• have met the MBA English language proficiency requirements for registration purposes (provisional
registration as a medical practitioner cannot be obtained without meeting this standard); and
• commit to obtaining an appropriate visa to work in Australia during the internship year (refer to
the Department of Home Affairs website for details at https://www.homeaffairs.gov.au/).
INELIGIBILITY
Applicants are ineligible to apply for the PHS EOI if they:
• do not meet the Priority One or Priority Two eligibility criteria to apply for the PHS EOI process;
and/or
• have accepted an internship position from a state or territory for 2022.
IMPORTANT INFORMATION
Please ensure that your PHS EOI Internship form is complete and accurate and that you complete and date
the Declaration section that attests that the information you have provided is correct. It is preferable for
you to type your full name in the signature line within the Declaration section and submit the PHS EOI
Internship Form via email to PHS2022@health.gov.au
Page 2 of 5
By providing the data below, you are agreeing to your information being shared with State and Territory
Governments, participating hospitals, Universities and other Commonwealth Government Departments
for the purposes of administering national internship offers, eligibility checks, allocations and conducting
research.
Applicants applying under the PHS 2022 EOI Internships are not guaranteed an offer for an internship
position. Final employment decisions are a matter for each participating private hospital.
Please note, the Department of Health will not accept PHS EOI Internship Forms if they are incomplete or
received after 5pm (Australian Eastern Daylight Time) on Tuesday, 5 October 2021.
RECRUITMENT ACTIVITIES
The Department is not responsible for recruitment activities under the program.
The Department will forward your application information to the PHS participating private hospitals for
recruitment and selection purposes as per the schedule in the PHS 2022 internship key dates section on
the Department of Health’s website at -
https://www1.health.gov.au/internet/main/publishing.nsf/Content/work-junior-doctor-training-program-
private-hospital-stream
The participating hospitals will then review eligibility and contact eligible applicants they are interested in
short listing for the recruitment process. Applicants should not make direct contact with the PHS
participating private hospitals.
CATEGORY PRIORITISATION
Participating private hospitals must prioritise eligible international full-fee paying medical graduates from
onshore Australian medical schools, referred to as ‘Priority One’ category into PHS Postgraduate Year 1
funded places.
Should the PHS places not be filled with applicants from the Priority One category, private hospitals may
recruit eligible applicants with Provisional Registration, referred to as Priority Two category from the
eligible applicants list. This category will only be considered when the list of Priority One eligible applicants
is exhausted and there are vacant positions available.
SUPPORTING DOCUMENTATION
Please do not provide any supporting documentation with this PHS 2022 EOI Internships Form. The
participating private hospitals may directly contact you at a later date for recruitment purposes and may
request supporting documentation at that point in time.
Page 3 of 5
PERSONAL DETAILS
Title
Family name (as it appears on your
current passport)
Given name (as it appears on your
current passport)
Name you are known as/preferred
name
Gender
Date of birth
Nationality
Email address/es
Your current mailing address
Mobile number
Landline number
RESIDENCY STATUS (PLEASE TICK ONE)
Australian Medical Council Accredited Overseas
University
Australian Medical Council Graduate
New Zealand Medical School Graduate
Temporary Resident Australian Trained
PRIORITY CATERGORY (PLEASE SELECT EITHER PRIORITY ONE OR PRIORITY TWO)
NOTE, IF BOTH CATEGORIES HAVE BEEN SELECTED, THAN YOUR APPLICATION WILL NOT BE ACCEPTED
Priority One: are you a full-fee paying
international student from an onshore
medical school in Australia?
Yes / No Priority Two: are you a
medical graduate eligible
for provisional
Yes / No
EDUCATION DETAILS
The name of the University you are currently attending or have previously attended
The name of the University from which you will obtain your medical degree
(Note, you will need to provide evidence of this to the hospital if you are contacted for recruitment purposes)
The year of your Graduation
The State or Territory your Medical School is located in
Page 4 of 5
EDUCATION DETAILS
The date/year you commenced your medical degree in Australia
The date/year you will complete (or have completed) your medical degree in Australia
Your medical degree - Title of Qualification
Your Intern Placement Number (as provided to you by your medical school)
Have you met the Medical Board of Australia (MBA) English language proficiency requirements for registration?
(Note, you will need to provide evidence of this to the hospital if you are contacted for recruitment purposes)
Yes/No
REFEREE DETAILS (OPTIONAL)
This field has been left blank for referee details.
This field has been left blank for referee details.
INTERNSHIP DETAILS
Preferred state for internship
Please enter the top three from the following list:
• New South Wales
• Queensland
• South Australia
• Victoria
• Western Australia
• Tasmania
• Northern Territory
Preferred hospital for internship
Please enter the top three from the following list:
• Mater Health Services North Queensland
• Mercy Health and Aged Care Central Queensland
• Greenslopes Private Hospital
• St John of God Ballarat Hospital
• Mater Hospital Sydney
• MQ Health
• St Vincent’s Private Hospital Sydney
• Ramsay Health Care WA – Joondalup
1.
1.
2.
2.
3.
3.
Your preferred region in Australia for the internship:
Please indicate your preferred region in Australia for the internship
TOPIC/S OF INTEREST FOR INTERNSHIP (100 WORD LIMIT)
This field has been left blank for topic/s of interest for internship.
Page 5 of 5
Declaration
You must read the following statements and sign the declaration below to indicate acceptance and
confirm that you meet the eligibility requirements listed in this Private Hospital Stream Expression of
Interest Internship Form.
I, Signature field (insert your full name)
1. Attest that I am eligible for the Private Hospital Stream for 2022 as specified in this Private Hospital
Stream Expression of Interest Internship Form.
2. Consent to the Department of Health collecting sensitive personal information (for example, your
nationality) for the purposes indicated above.
I declare that to the best of my knowledge the information I have given on this form is correct. I
understand that giving false or misleading information is a serious offence.
Your signature*: Type your full name if submitting electronically.
Date: Click or tap to enter a date.
IMPORTANT INFORMATION - Privacy and your personal information
Your personal information is protected by law, including the Privacy Act 1988, and is being collected by the
Australian Government Department of Health (the Department) for the purposes of determining eligibility
for and administering the 2021 Private Hospital Stream. If you do not provide this information you may be
ineligible to receive a 2021 Private Hospital Stream internship place.
The Department may disclose all applicant information on this form to state and territory health
departments, participating hospitals, universities, medical regulatory authorities and the Commonwealth
Department of Home Affairs.
You can get more information about the way in which the Department will manage your personal
information, including the Department of Health's Privacy Policy. You can obtain a copy of the Privacy
Policy by contacting the Department by telephone on (02) 6289 1555, freecall on 1800 020 103 or by using
the online enquiries form at www.health.gov.au. The Privacy Policy contains information about:
• how you may access the personal information the Department holds about you and how you can
seek correction of it; and
• how you may complain about a breach of the Australian Privacy Principles, which regulate the
handling of personal information by Australian government agencies.
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PRIVATE HOSPITAL STREAM (PHS) EXPRESSION OF INTEREST (EOI) (Department of Health)

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Completed 30 September 2021

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