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The term “medical administration” is a broad one. Doctors in the medical administration specialty can be engaged in a wide variety of roles, not just in hospitals, but in a range of organisations, such as education, pharmaceutical or technology companies; or government departments such as health, defence, immigration and corrections where they run health services and advise on health policy and strategy. But the “top rung” in this speciality is a position as Executive Medical Director or Chief Medical Officer (CMO) in a large, metropolitan teaching hospital, health service or private hospital.
Medical
Administrators
coordinate medical programs and clinical services in a hospital or health
service. They manage the day to day business of health services for
communities, oversee budgets, and manage capital investments such as
buildings and biomedical technologies.
Medical administrators plan, direct and coordinate health and administrative services provided by hospitals, community health services, aged-care facilities, private healthcare facilities and other health service organisations.
ANZSCO ID & description:
134211: Plans, organises, directs, controls and
coordinates medical programs and clinical services in a hospital or other
health service facility, maintains standards of medical care, provides
leadership to ensure an appropriately skilled medical workforce, and
contributes to health service planning.
Good communication and collaboration skills are
essential to the role, and not just with medical colleagues but with nursing
staff, the hospital CEO, the finance manager, and others in the health care
team. Maturity, flexibility, and good problem-solving and people skills are
essential to the role. Most senior medical administrators are medically
trained and have management training. Directors of medical services in
metropolitan hospitals are usually doctors, although they don’t always have
management qualifications. A clinical background adds credibility to the
person and the role and makes consultation with the medical workforce
smoother. Issues relating to medical procedures and treatments are easier to
address because they’re familiar to someone with medical training. Medical
administrators are often former specialist doctors seeking a new challenge.
A medical administrator needs:
Duties and Tasks
Working conditions Tools and technologies Medical administrators regularly use computers to coordinate administrative duties such as record keeping, health service planning, reporting and budgeting. They may also consult and reference government and health legislation policies. Medical administrators may require a driver’s licence to visit locations within the health service.
To become a medical administrator, you must first
become a qualified medical doctor and then specialise in medical
administration. To become a hospital administrator you usually have to complete a degree in health management at university. You may also consider a degree in business with a health-related major.
Entrants into the RACMA’s fellowship
training must have an MB BS degree (or equivalent) and a minimum of 3 years
of medical practice experience. They must also complete a master’s degree
(which may be in public health or health services management or,
increasingly, an MBA) during training. Fellowship training consists of 3
years full-time training, culminating in an oral examination. Advanced
candidates with 5 or more years of experience in medical management and
another fellowship may do it in less, under the College’s Accelerated
Pathway to Fellowship program. Employment Opportunities
Employment prospects generally are excellent. There is a
widespread shortage of medical administrators, with demand particularly high
in rural hospitals. Many doctors who do the College’s training programs are
already employed as medical managers and are undertaking the training to
acquire the formal qualification. If not, they usually have a substantive
job by the time they finish training.
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