Tasmanian Rural Generalist Pathway

A Rural Generalist (RG) is a medical practitioner who is trained to meet the specific current and future health care needs of Australian rural and remote communities, in a sustainable and cost-effective way, by providing both comprehensive general practice and emergency care, and required components of other medical specialist care in hospital and community settings as part of a rural healthcare team. The Collingrove Agreement

The Tasmanian Rural Generalist Pathway (TRGP) facilitates aspiring rural GPs to gain the skills their communities need. All rural generalists are general practitioners with either a Fellowship of the Australian College of Rural and Remote Medicine (FACRRM) or a Fellowship of the Royal Australian College of General Practitioners (FRACGP)/Fellowship in Advanced Rural General Practice (FARGP).

After university that means training with supervision and ongoing education in both hospital and the community takes at least another five years before they are independent practitioners. Rural Generalists may then work in either or both the community and the hospital, with the capability to work in general practice, in an emergency facility and in an area of additional skill. This may be palliative care, mental health, polar medicine, anaesthetics, retrieval medicine, paediatrics, emergency medicine, adult internal medicine, obstetrics/gynaecology, general surgery, indigenous health and polar medicine.


Image: Removing patient from helicopter (provided by ACRRM)

Why do we need Rural Generalists  >

Tasmania's rural and remote communities have poorer health outcomes and health care access than our urban communities. There is a medical workforce mal-distribution with fewer doctors in rural and remote areas. Rural Generalists provide a broad scope of clinical practice, in both primary care and hospital services, to address the needs of their communities.

Who are our local Rural Generalists >

Who

Fellowship

Rural Generalist Skills

Location

Dr Peter Arvier

FACRRM

Emergency Medicine

North West Regional Hospital / Mersey Community Hospital

Dr Jeff Ayton

FACRRM

Polar Medicine

Australian Antarctic Division

Dr Darren Briggs

FACRRM

Emergency Medicine

Mersey Community Hospital

Dr Jane Cooper

FRACGP / FARGP

Adolescent Health

Don Medical Clinic Devonport

Dr Chris Hughes

FRACGP / FARGP

Emergency Medicine

Saunders Street Clinic Wynyard

Dr Eve Merfield

FACRRM  / FACEM

Emergency Medicine

Dover Medical Centre

Dr/Prof Dennis Pashen

FACRRM

Emergency Medicine/O&G

Queenstown General Practice

Dr Michael Smallwood

FRACGP / FACRRM/

FARGP / JCCA/DIP PC

Anaesthetics/Retrieval

Launceston General Hospital /Ambulance Tas / Aeromedical Retrieval Service

Have we missed you or someone you know?    Please let us know rural.pathways@health.tas.gov.au

Other Tasmanian Rural Generalist graduates >

Who

Fellowship

Rural Generalist Skills

Location

Dr Michelle Hannan

FACRRM

Emergency Medicine/Retrieval

QLD

Dr Molly Shorthouse

FACRRM

Mental Health

NT

Dr Brian Treanor

FACRRM

Anaesthetics

QLD

Have we missed you or someone you know?    Please let us know rural.pathways@health.tas.gov.au

How to become a Rural Generalist in Tasmania >

The Tasmanian Rural Generalist Pathway (TRGP) consists of a number of interconnected pathways throughout the Tasmanian system.

Please refer to the TRGP Training Pathway Summary

For more detail about each portion of the pathway, contact the following organisations:

The University of Tasmania - School of Medicine has a Rural Application Process and a Rural Application Process Funding Scheme Grant

There is also an Aboriginal Entry Application Process at the University of Tasmania School of Medicine.

The University of Tasmania Rural Clinical School: provides support to medical students from the North West region at selection, opportunity to visit during Years 1-3 of medical school, and the option to stay and train in the North West in Years 4-5 of medical school. Throughout Year 4, students attend general practice every Tuesday. Year 5 students undertake a five week attachment at a remote medical practice.

The University of Tasmania Launceston Clinical School: provides support to medical students from the northern region at selection, opportunity to visit during Years 1-3 of medical school, and the option to stay and train in the north in Years 4-5 of medical school. This includes rotations to general practice in places like Campbell Town, Deloraine, George Town, Longford, Oatlands, Scottsdale, St Helens, St Marys and Swansea as well as Launceston-based practices.

The Tasmanian Health Service (THS): provides guaranteed internships for all University of Tasmania domestic graduates. These can be in any region of Tasmania. All interns receive the rotations required for general registration, including medicine, surgery and emergency. In addition, all three regions offer rural primary care intern placements (King Island, Queenstown, Huonville, Scottsdale, St Helens). These are managed in collaboration with Ochre Health who were the recipients of the Rural Junior Doctor Training Innovation Fund.

After intern year, RMOs may elect to undertake a two year dedicated TRGP RMO rotation in the north-west that assures you receive the rotations you require for your general practice training. There is also a dedicated TRGP anaesthetic rotation at the LGH, and a dedicated TRGP paediatric rotation at the RHH. There are also opportunities to complete a 13 week GP RMO rotation at either Scottsdale in the north, or Devonport in the north west.

Once a GP Registrar, a number of additional skills posts are available at the THS including emergency, anaesthetics, paediatrics, mental health and more. For a full list of currently accredited additional skills posts in both the hospital and community, please see the GPTT web page.

The Centre of Antarctic Remote and Maritime Medicine also provide a unique opportunity to work and train in Polar Medicine with the Australian Antarctic Division in Tasmania.

General Practice Training Tasmania: train GP registrars on the Australian General Practice Training (AGPT) program. These registrars may train to either the ACRRM or RACGP requirements. This is a federal government funded training program and operates on a statewide basis.

The Australian College of Rural and Remote Medicine: have AGPT, Remote Vocational Training Scheme (RVTS) and Independent Pathway trainees in Tasmania.

The Royal Australian College of General Practitioners: have AGPT trainees in Tasmania.

A special note for International doctors looking to move to Tasmania to work in general practice. The Rural Workforce Agency in Tasmania, HRPlus is your best first contact. They can assist you in identifying the possible pathways to becoming a rural generalist in Tasmania, including through the Practice Experience Program (PEP).

If you aren’t sure where to start, you can contact: rural.pathways@health.tas.gov.au, Dr Peter Arvier, Director, Rural Pathways peter.arvier@health.tas.gov.au or Sharee Taylor, Rural Pathways Project Support Officer sharee.taylor@health.tas.gov.au

Supports available to complete the Tasmanian Rural Generalist Pathway >

Tasmanian Rural Generalist Scholarship 2019 - Building Medical Workforce Capacity in Rural and Remote Tasmania for further information refer to the TRG Scholarships Guidelines and Forms or  email: rural.pathways@health.tas.gov.au

GPTT has scholarships for GPTT registrars with applications to be done in advance of the completed course. These are open twice a year, around May and November. For more information see the GPTT website.

Rural Doctors Association of Tasmania (RDAT).  RDAT is the Tasmanian branch of the national Rural Doctors Association of Australia that advocates for and on behalf of rural doctors around the country at all levels of politics, jurisdictional governance and health organisations. Further information and application forms can be found on the RDAT website

Postgraduate Medical Education Council of Tasmania (PMCT)

Centre for Antarctic, Remote and Maritime Medicine (CARMM)

The Rural & Regional Medical Training Hub at the University of Tasmania is funded by the Commonwealth Government to support and expand postgraduate medical training opportunities in rural Tasmania.  If you require further information please email the Training Hub.

What opportunities exist as a Rural Generalist in Tasmania >

Rural Procedural Grants Program

For procedural GPs practicing in surgery, anaesthetics or obstetrics in ASGC-RA 1-5 areas; and GPs practicing emergency medicine in ASGC-RA 2-5 areas

$2000 per day for up to 10 days for procedural GPs, and up to 3 days for emergency medicine GPs.

The Tasmanian Rural Generalist Pathway Coordinating Council >

The Tasmanian Rural Generalist Pathway is governed by the Rural Generalist Coordinating Council (RGCC).

Members details are:

Name

Position

Dr Allison Turnock (Chair)

Medical Director, General Practice & Primary Care

Dr Peter Arvier

Director, Rural Pathways

Sharee Taylor

Rural Pathways Project Support Officer

Alannah Gall

Rustica

TBA

GP Registrar

Dr Eve Merfield

ACRRM

Dr Jim Berryman

RACGP

Dr Kristy Fitzgerald

GPTT

Associate Professor Dr Deb Wilson

Rural & Regional Medical Training Hub (RCS Burnie)

Professor Dr Dennis Pashen

Rural Doctors Association of Tasmania

Dr Corinne Ginifer

Post Graduate Medical Council of Tasmania

Dr Kathleen Atkinson

Executive Director of Medical Services, THS North West

Professor Richard Hays

Ex-officio, Immediate Past Chair

To contact the RGCC please email:  sharee.taylor@health.tas.gov.au

History of the Tasmanian Rural Generalist Pathway >

Date

History

2019

  • A dedicated TRGP RMO anaesthetic rotation at LGH commenced
  • A dedicated TRGP RMO paediatric rotation at RHH commenced
  • An additional skills post in Mental Health was established through Mental Health Services North West
  • A GP RMO rotation was established at East Devonport Medical Centre with RMOs completing a day per week at the Mersey Community Hospital Emergency Department
  • CARMM was launched www.carmm.org.au
  • Rural Generalist graduate Dr Jane Cooper (FRACGP / FARGP)

2018

  • Rural intern rotations commenced in Queenstown, King Island, Flinders Island, St Helens   and Huonville through the RJDTIF
  • The Tasmanian Rural Generalist Pathway is funded by the Australian Government through the National Partnership Agreement on Improving Health Services in Tasmania
  • Inaugural   Tasmanian Rural Generalist Scholarship awarded to Launceston Clinical School graduate Dr Trent Carr
  • The Centre for Antarctic, Remote and Maritime Medicine (CARMM) MOU was signed by all parties. The TRGP is included in the remote component of CARMM
  • The Collingrove Agreement defines a Rural Generalist
  • The National Rural Generalist Taskforce Advice to the Commissioner is published
  • An Allied Health Rural Generalist Pathway is commenced in Tasmania

2017

  • Rural   Generalist graduates include Dr Darren Briggs (FACRRM), Dr Michelle Hannan (FACRRM), Dr Chris Hughes (FRACGP / FARGP), Dr Brian Treanor (FACRRM)
  • A GP RMO rotation was established at Scottsdale Medical Centre, now Ochre Medical Centre Scottsdale with funding from the DoH Tasmania
  • Successful collaborative tender for the Tasmanian Postgraduate Rural and Regional Training Hub
  • A collaborative group lead by Ochre Health were successful in tendering for the Rural Junior Doctor Training Innovation Fund (RJDTIF)
  • An additional skills post in Retrieval Medicine was established at the LGH
  • The inaugural National Rural Health Commissioner is appointed
  • The inaugural Tasmanian Rural Health Conference was held

2016

  • Rural Generalist graduates include Dr Jane Cooper (FRACGP/FARGP)
  • The University of Tasmanian introduced the Rural Application Process and the Aboriginal Entry Application Process

2015

  • Rural Generalist graduates include Dr Molly Shorthouse (FACRRM)

2014

  • The Tasmanian Rural Generalist Pathway commenced with State project funding
  • Four dedicated TRGP RMO roles were established in the North West region

2013

  • Project   consultants from Bond University canvassed opinions from stakeholders around Tasmania before delivering a Final Report to the project group in May 2013
  • In September 2013, the DHHS appointed a Director of Rural Pathways to the GP & Primary Care team to develop and implement the Tasmanian Rural Generalist Pathway

2012

  • The Department of Health and Human Services together with the Australian College of Rural and Remote Medicine, Royal Australian College of General Practitioners, General Practice Training Tasmania, University of Tasmania Rural Clinical School, Tasmanian Health Organisations and Health Recruitment Plus, commenced a project to develop a model for rural medical generalist practice in   Tasmania. This was assisted by Health Workforce Australia funding

(These components are funded by the Australian Government through the National Partnership Agreement on Improving Health services in Tasmania).


For more information please email: rural.pathways@health.tas.gov.au