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.
|Journal||Medical Journal of Australia|
|Publication status||Published - 2003|