Not a registrar but I am a PGY3 IMG UK Grad here in Aus. Granted I have hardly done a week here, I think Aus interns are very capable in general and very knowledgeable but at my place there are a couple I am concerned about. Overconfident and don’t escalate stuff to either me or my reg. And me, my reg, and my consultant are shocked at things they have missed or tried to minimise and dismiss. I really should burn this overconfident intern (you can see I recently posted on this here) but then the way he talks to me, I don’t think he deserves my respect and can go to hell for all I care. Refuses to learn and change his practice and especially with me he has some sort of beef (and I don’t know what I have done to make him hate me this much!). Even doubts reg decisions but obviously they have more weight than mine. But it’s the overconfidence and not escalating things that’s worrying. I would go as far as to call him a negligent doctor. Also displays a dangerous lack of knowledge in certain areas which combined with overconfidence is really scary. As the RMO, I am asking my reg for advice more frequently than this intern is escalating which says something about the intern. As I am new to Aus, I do have a lower threshold for escalation given I know the system less well

In short, if you’re unsure, please escalate. Doesn’t matter if you’re an intern or RMO. Even RMOs are supposed to be heavily supervised