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Table 3 Assumptions, unit costs and benefits and data source for the GP Teacher model

From: Is different better? Models of teaching and their influence on the net financial outcome for general practice teaching posts

  Assumptions Unit cost and benefits and data source (Aus$)
Efficiencies in teaching 25% efficiencies due to economies of scale by having a GP Teacher  
GP teacher does all teaching and supervision Increased service provision by other general practitioners  
Sessional work GP teacher has small independent patient load-does 3 sessions per week (based on 3.5 hours per session). 80% of billing retained by GP Teacher. GP hourly rate based on 4 Level B (2 × MBS fee $34.40+ 2 × AMA fee $64) +100% bulk billing item (mean $8.35 of urban and rural location rate). Source: AMA
Medical students-GP teacher undertakes clinical teaching and patient load 15 hours medical student teaching per week 7 hours of which involves seeing patients (2 per patients per hour). GP teacher receives 100% of billings GP hourly rate based on 4 Level B (2 × MBS fee $34.40+ 2 × AMA fee $64) +100% bulk billing item (mean $8.35 of urban and rural location rate): Source: AMA
  Receives all teaching allowance Practice Incentive Payment $100 per session (3 hours)-max 2 session per day through Medicare Australia
Interns-GP teacher has teaching and supervisory role GP teacher receives 100% of income generated by the interns Interns-Income per patient $453.38 (based on Item 23 100% fee + bulk billing item) and mean number of patients seen per week from AOGP database
  Receives all teaching allowance from PGPPP $43,680 per annum (urban) or $38,400 per annum (rural) for PGY1
Source: GPET funding
GP registrars-GP Teacher has teaching role GP teacher receives teaching allowance and practice component of registrar income $32,296 per year for GPT1
Source: GPET funding (GP Registrars)
Practice Practice retains all practice subsidies Interns-$29,000 per annum
GPT1 Registrar-$32,296 per year
Source: GPET funding (GP Registrars)
  Practice retains % GP registrar income 45% of income generated by GP registrar
GP Registrar income-Income per patient $50.39 (based on Level B (half MBS fee $34.40+ half AMA fee $64 + 100% bulk billing item). Source: AMA
  Practice retains 20% of income generated by the GP teacher from their 3 independent sessions per week  
  Costs of teaching by GP and practice accounted for but with an efficiency saving of teaching time by 25%  
  The practice retaining 30% of income generated by the other general practitioners during the 10 hours they are now no longer involved in teaching (based on only saving 50% of that time) GP income: hourly rate based on 4 Level B (2 × MBS fee $34.40+ 2 × AMA fee $64) +100% bulk billing item (mean $8.35 of urban and rural location rate). Source: AMA
  1. AMA = Australian Medical Association MBS = Medicare Benefits Schedule GPET = General Practice Education and Training Ltd.