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At the Institute of Medical Education, all courses are created by the experts. Our content is made by doctors, for doctors.

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Whether you are a Consultant or hoping to study medicine, we have courses to suit all stages of your medical career.

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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`)} Arror right

Your IME PESCI Interview - A Step by Step Guide for International Medical Graduates

If you are an IMG planning to come and practice medicine in Australia. One of the first steps is to tackle the PESCI (Pre-Employment Structured Clinical Interview). Learn the process, the...

${reading_time(`Step 1: Booking your PESCI Interview The first step is to secure your PESCI assessment by clicking the link below to complete the checkout process.https://imemedical.com/products/pesci Step 2: Submit Your PESCI Documents Once your booking is complete use the secure email link to upload your documents and submit your application. We provide templates on our PESCI page under the Useful Resources section. Below are the Documents Required in your application: ● Certified Copy of Passport● AMC MCQ Feedback Diagram● Position Description (PD)● Training Plan● Resume / CV● Medical Qualification Certificates Step 3: PESCI Application Review Our IME team will review your PESCI application within 1-2 business days. If changes or additional documents are required, we will reach out to you via email. When your application has been approved, we will provide access to the PESCI interview booking calendar. Step 4: Secure Your PESCI Interview Date You can choose your preferred interview date and time from the booking calendar.You will then receive a confirmation email and zoom link via google calendar. Further interview details will be sent to you closer to the time. Additional Support from our IME Team Our PESCI administration team is here to support you. The PESCI does not need to be complicated, reach out and we will provide guidance. Email: info@imemedical.com.auPhone Domestic: (07) 5600 4979Phone International: (+61) 1300 880 318`)} Arror right

5 Common Mistakes IMGs Make in the PESCI Interview (and How to Avoid Them)

If you are an IMG who is planning to sit your PESCI soon, it is imperative that you know about these common mistakes, so you can avoid making the same ones...

${reading_time(`1. Poor Tech Setup Many of the IMGs who choose to sit a PESCI with us are currently outside of Australia. We have designed our virtual Zoom interviews to be a convenient option for our IMGs located overseas, ensuring a smooth process from start to finish. To assist with the smooth running of your PESCI assessment, you should also ensure that you have checked the virtual meeting requirements. This includes ensuring your camera works, your lighting is adequate and your internet connection is stable. Try joining a test meeting before your PESCI date at the below website to check that your setup meets the virtual PESCI requirements!https://zoom.us/test 2. Skipping the Mock Interview We know that studying the guidelines and reviewing clinical topics are common ways for IMGs to prepare for their PESCI, but many skip doing the most critical form of practice - the mock interview! At the Institute of Medical Education, the simulated patient interview is an integral part of any PESCI scenario, so simulating this prior to your structured clinical interview can help assess how you think, communicate and use clinical reasoning in real time. Finding a friend, fellow IMG or doctor to role-play PESCI clinical scenario examples could be the difference between a pass and a fail! 3. Not Demonstrating an Understanding of the Local Area Australia is a vast continent, with diverse demographics and health needs. You need to ensure that prior to your PESCI assessment, you have researched the Australian area in which your proposed clinic operates as it is one of the PESCI assessment domains. It is important that you understand the potential healthcare challenges in such a location, the local supports available, as well as the local demographics and referral pathways. It is also important to ascertain where the closest hospital is, and how you’d manage complex cases potentially needing tertiary level care. We suggest talking to your supervisor about the local area and the available resources! 4. Not Communicating Clearly Being able to communicate clearly is a crucial part of a positive doctor-patient relationship, and the PESCI will assess your ability to communicate with potential patients. When talking with the role player, make sure you keep the medical jargon to a minimum. If you have to use complex medical terminology with the simulated patient, make sure that you explain it to the patient in simple words. Try to practice structured responses to common clinical scenarios that you may encounter as an Australian GP. 5. Poor Time Management During your PESCI exam, it is vital that you can balance speed and thoroughness. Although this is a hard thing to master, having a structure to follow can help immensely with keeping to time constraints while still ensuring you get all the key details. A structure can help you stay composed when you get nervous, and will help you focus your clinical judgement. However, it is also important that your structure isn’t too rigid as this could lead to you spending too much time on details that aren’t critical aspects of the presenting case.  Successfully preparing for your Pre-Employment Structured Clinical Interview with IME is an exciting milestone on the path to becoming a GP in Australia. By being aware and avoiding common mistakes that IMGs have made before, you'll be ready to take your first step on the journey to a successful PESCI outcome. The PESCI exam is more than just some questions and answers; it is an assessment to show whether you can practice medicine safely and effectively within the Australian Healthcare system.`)} Arror right