National Medical Training Advisory Network

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NATIONAL MEDICAL TRAINING ADVISORY NETWORK
Psychiatry Factsheet
The workforce
A psychiatrist is a qualified medical doctor who has obtained additional qualifications to become a
specialist in the diagnosis, treatment and prevention of mental illness and emotional problems.
Psychiatrists are trained to recognise and treat the effects of emotional disturbances of the body as
a whole, as well as the effects of physical conditions of the mind.
In 2013, there were 3,031 psychiatrists employed in Australia. The majority (93%) worked in clinical practice with the
following characteristics:
Average age: 53.1 years
Gender:
36.5% of the workforce were females
Average hours: 38.5 hours per week
Over 60:
Approximately 30% were aged 60 years and over
Sector:
55% of the workforce work in the private sector
3,031
Employed
2,805
94
57
55
20
Clinicians
Administrator
Teacher/Educator
Researcher
Other
Source: The National Health Workforce Data Set (NHWDS): medical practitioners 2013
Vocational Training
Trainees in 2014

50.4% of all trainees were aged between 20 – 34 years

55.2% of all trainees were female

85% of all trainees were located in New South Wales, Victoria and Queensland
New fellows in 2013

In 2013, there were 141 new fellows

45.4% were females

39.7% were overseas trained specialists (OTS)

There was an increase of approximately 12.8% between 2009 and 2013
The Royal Australian and New Zealand College of Psychiatrists (RANZCP) oversees the training and qualification of
psychiatrists in Australia.
868
418
Basic Trainees
Advanced Trainees
Source: The Medical Training Review Panel (MTRP) 18th Report and the RANZCP, 2014
Vocational Intentions
Other/u
nknown
/not
stated
Registra
rs
RMOs
PHOs
CMOs
HMOs
In 2013, 162 hospital non-specialists intended to undertake specialist psychiatry training.
Approximately 40% of hospital non-specialists who intended to undertake specialist psychiatry training were working
as RMOs.
Of the 162 HNS intending to undertake psychiatry training, 16 per cent in 2013 presented in the 2014 RANZCP data
as either basic or stage 1 trainee.
Note: RMOs = Resident Medical Officers, HMOs = Hospital Medical Officers, CMOs = Career Medical Officers, PHOs = Principal House Officers
Source: NHWDS: medical practitioners 2013
Distribution




Psychiatrists are concentrated mainly along the eastern sea border.
The psychiatry workforce was largely (60%) located in NSW and VIC.
SA and VIC had the highest number of psychiatrists to population at approximately 14 per 100,000 population
compared to the lowest in the NT with 5.3 psychiatrists per 100,000 population.
The majority (88%) of psychiatrists were located in major cities.
Retirement Intentions
44%
of psychiatrsits
intend to retire
within the next
10 years
34%
of psychiatrsits
intend to retire
in 10-20 years
20%
of psychiatrsits
intend to retire
in 20-30 years
Commonwealth Department of Health
[email protected]
Existing Workforce Position
-19
-452
• Percieved
workforce gap in
2013
• Net movement
in 2025
Workforce projections: psychiatry is currently perceived to be in shortage, and this shortage is projected to worsen
if the current trends in supply and demand continue.
Demand for psychiatry: is estimated to grow at 3.9% per annum, based on Medicare and utilisation data.
Training requirements: in order for supply to meet demand, there would need to be an increase of 16% in psychiatry
first year basic trainees from 2016 onwards.
(a) The existing workforce position was determined from expert opinion from jurisdictions, private employers and the profession, and an analysis of current
vacancies and waiting times where relevant and available
Source: Health Workforce Australia 2012: Health Workforce 2025 – Volume 3 – Medical Specialties
Workforce Dynamics Indicator
Minimal
concern
.
.
.
Significant
concern
The workforce dynamics indicator highlights aspects of the psychiatry workforce that may be of concern.
The results suggest concerns for the future psychiatry workforce in the absence of any changes.
Replacement rate
Duration of the training program
Future Considerations
Ageing of the workforce
High reliance on OTS particularly in regional
areas
Moderate concern



High reliance on OTS particularly in regional areas
o Dependence on OTS is rated at the highest level of concern in 2013 and 2025, with jurisdictions
highlighting the reliance on OTS, particularly in regional areas.
Ageing of the workforce
o The average age of the psychiatry workforce is projected to increase by 2025.
Duration of the training program
o The duration of the training program is rated as somewhat of a concern due to the length of training, but
this may change given the new training program being implemented by RANZCP.
Minimal concern

Replacement rate
[email protected]
o
Replacement rate was assessed as being on minimal concern for psychiatry, indicating there are
currently more new fellows entering the profession than leaving, but this doesn’t factor in those that are
intending to leave.
Source: Health Workforce Australia 2012: Health Workforce 2025 – Volume 3 – Medical Specialties (starting year adjusted to 2013)
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National Medical Training Advisory Network

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