Decoding PESCI Supervision Levels
A Simple Guide to PESCI Supervision Levels for IMGs in Australia (2026) It is important as an International Medical Graduate (IMG) to understand the Medical Board of Australia’s set supervision...
${reading_time(`Why your choice is important:
● The level of supervision indicated on your Position Description will be used directly for your PESCI interview.● Your choice ensures you are clinically prepared and confident for your new role.● You may revise your documentation up to 4 weeks prior to your interview date giving you flexibility if you have chosen alevel you are not yet ready for or your practice has a change of circumstance.● If you receive an unsuccessful outcome at your chosen interview level, you will need to undergo a further interview.
A breakdown of the 4 Supervision Levels
Level 1 Supervision:During Level 1 supervision, your supervisor must be physically with you during all patient care. Every patient case must be discussed before the patient leaves the practice.Level 2 Supervision:During Level 2 supervision, supervisors must be physically present at least 80% of the time. IMGs must inform their supervisors on all on all daily patient management. Supervisors must also be reachable by phone or video when not onsite at the practice.Level 3 Supervision:During Level 3 supervision, IMGs are allowed to work independently and must take responsibility for each patient. Supervisors must however ensure a system is in place to monitor safe practice. Supervisors must always be reachable by video or phone call.Level 4 Supervision:During Level 4 supervision, IMG’s can take full responsibility for each individual patient. Supervisors must be available for consultation but are not required to be present in person. Regular periodic reviews are required to be conducted by the supervisors.
Most IMG’s choose to sit their PESCI at level 1 supervision and progress through the supervision levels to become an independent medical practitioner in Australia.
Following your PESCI Interview
The Medical Board of Australia will determine your final supervision level. They take several factors into consideration, your PESCI outcome and the recommendations from your PESCI report, your qualifications and experience, the nature of your position from your Position Description and supervision and support available to you.
If you have any questions our IME team is here to assist you.Email: info@imemedical.com.auPhone Domestic: (07) 5600 4979Phone International: (+61) 1300 880 318`)} 





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