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recency of practice + supervision: the rules that quietly control your timeline

a clear explanation of recency-of-practice minimums, supervision obligations for imgs, and how to avoid re-entry delays and report failures.

The Bottom Line

  • Recency of practice is a registration standard: you must maintain an adequate connection with your profession in the scope you intend to work.
  • The Medical Board’s FAQ provides concrete minimums (e.g., FTE-hour thresholds) — and ‘one day a month’ typically won’t cut it.
  • IMG supervision is not optional: if you have limited or provisional registration, supervision remains a requirement for the duration of that registration category.
If you want to remove uncertainty from your Australia plan, understand these two concepts early: 1) **Recency of practice** — whether you have sufficient recent clinical practice to be safe/competent in the scope you intend. 2) **Supervision** — the oversight and reporting structure attached to limited/provisional registration categories. They control timelines because they can trigger additional conditions, reporting, or re-entry plans if you don’t meet the standard cleanly.

Recency: what ‘minimum’ looks like in practice

The Medical Board’s FAQ gives concrete minimums in FTE hours (and provides examples of what does/doesn’t meet the standard). If your practice pattern is low intensity (sporadic locums, intermittent sessions), you can fall below minimums without realising it. Action: calculate your hours against the published minimums and keep a simple log you can evidence if queried.

Supervision: assume you will need a real supervisor, not a name on a form

Supervision is a functional relationship: orientation, oversight, and periodic reporting. The practical failure mode is a supervisor who is willing in principle but too busy to complete reports on time. Before you start: - Confirm who supervises you day-to-day. - Confirm how reports will be completed and by whom. - Confirm what happens if your supervisor leaves/rotates.
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