Department of Health
Government of Western Australia
Metropolitan Health Service
Health Service
Enquiries to Medical Administration
FORM 3.3
Tel:
Fax:
Date
HOD
Hospital
Address
Dear Dr…………,
CONFIRMATION OF APPOINTMENT
Dr <insert name of medical practitioner> is nearing completion of his/her six month probationary
period under the conditions of the Department of Health Medical Practitioners (Metropolitan Health
Services) AMA Industrial Agreement 2007 (“the Industrial Agreement”) <or insert relevant Industrial
Agreement name>.
I would be grateful if you will indicate that Dr <insert name of medical practitioner> has
demonstrated proficiency in the following areas as per the criteria on the Job Description Form:
<insert relevant criteria if different>
meets the criteria for training and experience in the relevant specialty
meets the criteria for effective interpersonal skills at an individual and team level
meets the criteria for experience in undergraduate and postgraduate teaching activities
meets the criteria for experience in and commitment to quality assurance
meets the criteria for experience in and commitment to research projects
practices within agreed credentialled scope of clinical practice parameters
Please tick one of the following:
I confirm that I am satisfied that there are no issues in regard to Dr <insert name of
medical practitioner> performance, and I recommend that that his/her 5 year appointment
should be confirmed
OR
I have concerns in regard to Dr <insert name of medical practitioner> performance during
the six month probationary period, and would like to make an appointment with you to
discuss this further.
Please sign and date below to confirm you have completed assessment
Yours sincerely
Dr <insert name of medical practitioner>
Head of Department:……………………………..
Chairman
Appointment Committee
Date: …………………………………………………
Department of Health
Government of Western Australia
<insert name> Health Service
Enquiries to Medical Administration
Tel:
Fax:
FORM 3.4
Date
Dr <insert name of medical practitioner>
Hospital
Address
Dear Dr <insert name of medical practitioner>,
CONFIRMATION OF APPOINTMENT
I am pleased to inform you that your appointment as a fixed term Sessional / Full Time Consultant in
the Department of <insert specialisation>. has been confirmed. You will be employed until <insert
date>.
Your terms and condition of employment continue to be under the terms specified in your original
contract of employment and the Department of Health Medical Practitioners (Metropolitan Health
Service) AMA Industrial Agreement 2007 <or insert relevant Industrial Agreement name>.
Please accept my personal congratulations.
Yours sincerely
Dr <insert name of Chairman>
Chairman
APPOINTMENT COMMITTEE