Recognition and respect for DiTs – work value and the definition of registrar


Many Doctors in Training (DiTs) in NSW experience frustration over unfair classification issues where a hospital employs a PGY3 to do the work of a Registrar and not pay them as a Registrar.

This is allowed because in NSW to be recognised and paid as a Registrar you need at least three years post graduate experience or “any lesser period acceptable to the employer” and the employer needs to “appoint” you as a registrar and you need to occupy an established position of registrar that has been approved by the employer.

So, what many hospital do is give a DiT the workload of a Registrar but not “appoint” them as a Registrar. This allows the hospital to pay them less. This is unfair and inequitable and means that some DiTs have not been rewarded for their effort or experience.

That is why ASMOF is campaigning for a fair pay structure which guarantees that DiTs are classified and paid at the level which corresponds to the work they perform and not an artificial and arbitrary classification based on Post Graduate Year

As part of our campaign we have lodged a dispute in the NSW Industrial Relations Commission (IRC) arguing that a person who clearly carries out the responsibilities of a Registrar should be paid as a Register - irrespective of whether the employer exercises the discretion to not appoint them to the role of a Registrar.

As Senior Industrial Officer Bob Morgan says our argument is based on a simple principle of work value, “if a Doctor in Training does the work of a Registrar then they should be paid as a Registrar.”

“It frustrating that NSW Health continues to deliberately circumvent its responsibilities to properly classify and remunerate Doctors in Training as Registrars by artificially refusing to properly classify DiTs when requiring them to perform the duties and responsibilities of a Registrar”, Morgan said.

The only way to achieve long term and sustainable change is for the Award to be changed – which only the Union can do. Unfortunately, NSW Health continues to hide behind the unfair Wages Policy to avoid addressing the obvious inequity.