The Australian Medical Association Limited and state AMA entities comply with the Privacy Act 1988. Please refer to the AMA Privacy Policy to understand our commitment to you and information on how we store and protect your data.

×

Search

×

Preparing for rural and remote medical practice


Rural and remote medicine are mentioned in the same breath, but they offer quite different experiences to medical practitioners.  There is no doubt that both these offer some unique challenges not seen in Australian cities and of course the further one travels from the major centres, the fewer medical practitioners there are and the more your learned medical skills will be used.   

Google “rural and remote” medicine and a wealth of resources are apparent – ranging from Government statements and documents to contacts for agencies/organisations who provide support and education to medical students, junior doctors and general practitioners working in rural and remote Australia.  It is not intended to list all these resources here.

The truth is that we need practitioners in the “bush” in both regional and remote Australia.  The communities need the same care as those in the cities and qualified doctors are needed. 

This is not new.  The challenge is how to attract medical students, junior doctors (doctors in training), qualified and experienced doctors to take up practice (even for a short period of time) in a regional or remote setting.

It is important to know that “doctors in the bush” face some unique challenges which may be personal and social, access to a range of specialists, all the hospital facilities one takes for granted in cities, nursing and other important allied health support, for example.

In a regional setting, there is less likely to be the isolation that is faced by doctors in remote Australia, but nevertheless there are the same issues regarding re-location – schools, jobs for spouses/partners, professional contact and more.

In remote settings the range of medical skills you will need will be broader, the support services physically further away, colleagues more physically distant and fewer opportunities potentially for family members.

However, practitioners who choose this type of medicine find it challenging and rewarding both.  It is important that if you are contemplating a change (temporary or permanent) away from the cities, then perhaps a “try before you buy” approach would be a good way to see if this is for you.  Locum services will happily find you a place where you can go for a short time.  If you know somebody who has been a rural or remote medical practitioner, their insights will be valuable.    Remember that “going bush” is a choice as is how long you will remain in such a setting and there are some questions you should ask before embarking on rural and remote medical practice.

Find out as much as you can about the community; for example

  • What training (formal and informal) is available and will it be supported by a College, for example.
  • What equipment is available – at the hospital – public or private, small or medium sized, at the clinic, in the practice. Are there X-ray machines and access to radiologists, defibrillators, anaesthetics, IT.
  • What operating theatre services are available or is minor surgery all that can be done and if so, what is usually sought or needed.
  • What support is available – access to a car, other doctors (general practitioner and other specialists), allied health, counselling services, aerial ambulances etc
  • What are the demographics of the community – age, gender, health issues – general and particular, socio-economic mix etc
  • Find out what skills you might need if there is limited support available and upskill if necessary. It may be like working in A&E all the time so be prepared. 
  • What educational opportunities are available, and what is the job market like for family members who will accompany you.

Who should contemplate rural and remote medical practice?

keyboard_arrow_down
  • Anybody interested in challenging themselves, wanting to make a difference to a community away from mainstream medicine with internal strength and fortitude who can withstand a period of social isolation and colleague-challenged environments.
  • Rural and remote medicine is well suited to medical students who may be contemplating a career in the bush, in a small city or a remote community. Suitable too, for doctors in training for the same reasons.  Experience gained will be different to that gained in a tertiary hospital.  Practitioners who want a change for a short period and who are also prepared to pass on their skills, are encouraged to take a “bush break”.
  • The Australian College of Rural and Remote Medicine’s website has a wealth of information available http://www.acrrm.org.au
  • Royal Australian College of General Practitioners’ website also has a wealth of information for those contemplating rural medical practice https://www.racgp.org.au/rural/

Medical Schools in Australia

keyboard_arrow_down

Rural recruitment and retention strategies

keyboard_arrow_down

(note this list is not comprehensive, but suggested as points of contact)

Check with your State Health Department for contacts for local PHNs.

 

What support is available?

keyboard_arrow_down

These are examples of where support is available. (Note this list is not comprehensive, but suggested as points of contact)

  • AMA Council of Rural Doctors
    Contact a member of the Council

Western Australia           Dr Peter Maguire – pjmaguire@gmail.com
Western Australia           Dr Nick Jones – 0437 202 697
Queensland                    Dr Dilip Dhupelia - dhupelia@bigpond.com
Queensland                    Dr Benjamin Wakefield – Benjamin.p.wakefield@gmail.com
South Australia               Dr Philip Gribble – pgribble@claremedical.com.au
Northern Territory           Dr Chris Clohesy – 0402 764 695
NSW                               Dr Shannon Nott - Shannon.Nott@health.nsw.gov.au
Queensland                    Dr Sandra Hirowitari, drhirowatari@gmail.com

AMA position on training and supporting doctors in regional and remote Australia

keyboard_arrow_down

DISCLAIMER: 

This material is generic in nature and is made available on the understanding that the AMA is not engaged in rendering professional advice. Before relying on the material provided, users should carefully evaluate its accuracy, currency, completeness and relevance for their purposes, and should obtain professional advice relevant to their particular circumstances where necessary.Whilst every effort has been made to ensure the accuracy of the information on this Resource Hub, the AMA or its employees cannot be held responsible for any loss or damage arising to any person as a result of using this site.

Contact Us

If you are a qualified medical practitioner, medical student or a school student contemplating studying medicine, you can use this form to send your question.

CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.