2PUBLIC INQUIRYaccreditation processes. Due to the faulty structure and process of the Australian medical system,the Bundaberg Base organisation was not competent even to carry out the basic monitoring,reporting and management of medical errors (www.phcris.org.au, 2017). Another faulty aspect of the organisation’s structure and processes was lenient OTD(overseas-trained doctors) regulatory factors. Dr Patel joined Bundaberg Base as it was locatedin an AON. The same was defined under Medical Practitioners Registration Act 2001. The AONclassification process was full of shortcoming (Beaupert et al., 2014). The blind acceptance ofthe applications by Queensland Health for AON positions from public hospitals was a bigblunder. Further, there was lack of assessment of the registrants like Dr. Patel. The clinicalcompetence of such doctors was not scrutinised. As a visiting officer, the ability to provide thesurgical services at Bundaberg Base was not established. There was no rationale for promotingDr Patel’s from Staff Medical Officer to the position of Director of Surgery. He did not evenapply for this position (Edwards et al., 2016). Reports review and performance -Dr. Patel’s was trained in US. His practicedisadvantage came from his training and education that took place in different setting. He haspracticed in cultural setting that was different in level of technology, disease patterns, form ofheath care delivery and treatment options, workplace hierarchies and etiquette differ markedlyfrom those in Australia. Based on initial medical qualification of Dr. Patel in India, he wasappointed as OTD in Australia. There was no additional training given for performanceimprovement or reviewed his activities (Terry & Lê, 2015). Although Ms Hoffman raisedconcerns about his practice and competence with management, staff and administration, thecoroner and police but in vain. There was no further review on these complaints on hisperformance. Therefore, the health system failure in the Bundaberg Base Hospital is due to

+13062052269

info@desklib.com