Barriers to prevocational placement programs in rural general practice

Alistair Vickery, R. Tarala

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    6 Citations (Scopus)


    Despite explicit support of the federal and state health departments, most prevocational trainees do not experience general practice or rural medicine.We have been running a program of prevocational placements of trainees working as rural general practitioners under supervision. From our experience, we have identified various barriers to implementation of such programs. These barriers include:funding issues (trainees are providing federally funded Medicare-rebatable services, while receiving state-funded hospital salaries);conflicts between the placement of trainees outside the hospital when hospitals are undergoing staffing crises;difficulties in coordinating the many organisations (funding bodies, practices, hospitals) involved in providing the placement; andthe isolation experienced by trainees when they arrive in rural practice.Funding from a single administration and coordination by a locally appointed rural Director of Clinical Training are essential to overcome these barriers.
    Original languageEnglish
    Pages (from-to)19-21
    JournalMedical Journal of Australia
    Issue number1
    Publication statusPublished - 2003


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