3The Rural Generalist Training Program What is it ? A five year integrated training pathway leading to Fellowship of ACRRM or RACGP.Commenced intake in 2013Pathway commences at intern levelLateral entry into the program in other years if positions along the pathway are availableInitially the majority of procedural skills training in obstetrics and anaesthetics in recognition of issues of viability or rural maternity services.Other disciplines by negotiation and based on identified area workforce need.
4Key program components 1. Trainee selection from medical schoolRural backgroundRural practice intentionsInterest in a GP – Rural Generalist career2. Vocational training, incorporating advanced procedural skillsIntegrating GP advanced procedural skills training in one or more of : obstetrics, anaesthetics, emergency and surgeryLinked to rural practice models of care and skills sets needed3. Lateral entry into the programGPs, GP registrars may enter the training pathway – if vacancies available due to attrition from the GP-RG pathway4 Education support throughout the programSupervision, mentoring and support of traineesClear line of sight to a rural career
5Key program components 5. ManagementRural and regional partnerships covering Victoria:- Bogong RTP : Central and Eastern Hume- Beyond Medical Education: Grampians and Loddon Mallee- SGPT: Gippsland (and partnership with Barwon in Sth West)- Barwon Health- Murray to Mountains (in partnership with Bogong RTP)6. Integrated CareTraining occurs in the community context and emphasises the link between rural practice, the GP role in health promotion and acute health care.The educational elements provide exposure to rural general practice, primary care and increasing procedural skills training in particular specialties in a range of environments, such as small rural health services, regional hospitals and general practices, to ensure exposure to a wide range of elements of rural medicine and rural procedural practice.
6Selection responsibility of each local partnership ProcessSelection responsibility of each local partnershipIntern – Computer Match PMCVOther year entry through application to GP-RG Partnership in each area and based on vacancies in pathwayFundingFunding based on predetermined number of places and determination based on training capacity/capability.Funding provided to Partnerships to administer programFunding throughout the GP-RG pathway from various funding sources (T&D Grant, PGPPP, GPET, Medicare) with GP-RG funding targeted at procedural training costs.
7Allocation of PostsBudget: an additional 24 procedural posts over 4 years (6 per annum)Allocated to GP-RG posts and Advanced Skills program (ARSP)- currently 12 GP-RG posts- currently 62 procedural postsLocation determined by training and supervisory capacity and capabilityWorkforce /area need also considered