About the program

Rural Generalist 1 & 2

In this article

Overview

The VRGP pathway can be commenced in either year one or year two of your postgraduate training years. The 35 previously named Rural Community Intern Training program positions have now been identified as being a part of the VRGP as Rural Generalist Year 1 positions. It is anticipated that specific PGY2, Rural Generalist Year 2, positions will be identified by June 2020 that will allow current RG Year 1 trainees to continue the next year of training in the same region in 2021. These positions are being specifically designed to ensure that trainees are able to fulfil all the hospital-based requirements of Rural Generalist training before commencing their RG Advanced Training in PGY3.

Rural Generalist Year 1

The Rural Generalist Year 1 (RG1) is a rural intern training model where trainees are based in a small rural health setting with core rotations to larger hospitals and non-core rotations to GP practices or community health settings. This a great introduction to the Rural Generalist career by providing training in both hospital and community settings and working along-side Rural Generalists in small rural and community health services.  


While there is no requirement to be a member of the GP training program in order to apply for RG1 positions, there will be a need to be on a GP training program before taking up an RG Advanced Training positions. Application to an accredited GP training program can be done in Rural Generalist Year 1 or 2.  

 

Applications for Rural Generalist Year 1 positions for the 2021 training year are now open in the current intern Allocation and Placement Service (previously known as Intern Match).


Available Intern Positions

Regions Number of positions 
Gippsland                      5
Grampians  5
Hume 15
Loddon Mallee5
South West 5
Total35


Victorian Rural Medical Scholarship  

The Victorian Rural Medical Scholarship (VRMS) Scheme supports medical students with a commitment to working in rural and regional Victoria by providing financial assistance towards living and tertiary expenses in the final year of their medical degree and into their rural intern year.  


Scholarships valued at $20,000 each are available to be awarded to final year medical students in Victoria. Recipients are required to commit to a two-year return of service in rural or regional Victoria (within three years of graduating from medical school).


Eligibility

  • Provisional registration 
  • And demonstrate a commitment to rural generalist training and/or working in rural Victoria

Rural Generalist Year 2

Both colleges have requirements for hospital and community based training. ACRRM allows this training to be completed at any time during their Fellowship training. RACGP have components that must be completed before undertaking RG Advanced training and trainees are required to complete a practice readiness assessment with the RTOs. Both colleges allow up to 12months recognition of prior learning. Approval is needed and evidence must be provided.


Overview of Requirements 

ACRRM (The following must be completed in addition to core Intern rotations at any time before completion of Rural Generalist training)RACGP

Paediatrics:

10 week FTE paediatrics rotation in hospital or  

50 consults in GP or  

6 months FTE in Emergency Department with 25% paediatrics cases  

Paediatrics:

10 week FTE paediatrics rotation in hospital or  

50 consults in GP or  

6 months FTE in Emergency Department with 25% paediatrics cases  

Obstetrics and Gynaecology: 

25 antenatal cases plus,

25 post-natal cases and,

Completion of procedural skills log book incl. management of normal delivery  

3 Rotations relevant to GP practice eg: 

Anaesthetics  

Emergency  

Obstetrics and Gynaecology 

Adult Gen Med  

Palliative care  

Aged care  

Anaesthetics (not required if doing Anaesthetics RG Advanced training):

10 week anaesthetics rotation or  

Combination of placements providing anaesthetics skills or  

Min 10 anaesthetics sessions under supervision of GP anaesthetist or specialist anaesthetist plus advanced airways skills workshop 



Positions 

Regional Generalist Coordinators will be working with health services and other partners to develop and quarantine specific RG2 positions. In some regions there will be positions that give trainees the option of doing a GP rotation during RG2 year. More information on these positions will be updated here as they become available. 

Dedicated RG2 positions will be available to all current VRGP RG1 trainees for the 2021 training year. 


Lateral Entry 

Those who don't enter VRGP in RG1 year will be able to apply for lateral entry into RG2 positions. Guidelines on lateral entry are still being developed and details will be updated here when available. 


Eligibility

  • General registration 
  • And demonstrate a commitment to rural generalist training and/or working in rural Victoria

The Voice of a Third Year Medical Student

See our video from Erica, a third year medical student, on why she wants to pursue a career as a Rural Generalist.


The Experience of Dr Shannah Mousaco


Tell us a little bit about how you have gotten to where you are now? i.e. what inspired you to do medicine, where are you from and what made you come to the Loddon Mallee region?


I moved to Echuca to undertake my internship at Echuca Regional Health after completing my studies at The University of Melbourne and clinical school at the Austin Hospital. I undertook 2 rural GP placements as a student and was inspired by the variety that comes with practising medicine in a a rural setting and knowing that you can have a real impact on rural communities. I felt that Echuca was a place where I could truly be immersed in the rural medicine experience.


What was your initial experience in your intern year here like?


What really stands out to me about my internship experience at ERH was the opportunity to get really hands on – in my first week here I was first assistant in an ortho case! There are learning opportunities all around you if you want to get involved, all you have to do is ask. Staff are very supportive and willing to teach, and everyone works together as a team. Being away from family and friends can be tough at times, but I have been able to build new friendships here and still maintain my relationships back in Melbourne.

There has certainly been challenging times, but overall my experience here has been very positive – so positive in fact that I’ve decided to stay next year!


Highlights outside of the Health Service, i.e. community , town, etc.


Echuca is a great place to live and I found I settled in quite quickly. The cafes, restaurants and coffee you get here is right up there with what you can expect from the city. The town has everything you need, so I don’t feel like I am missing out on anything, plus Melbourne is only a couple of hours away. I’m still on the hunt for a good deli though!

I felt that Echuca was a place where I could truly be immersed in the rural medicine experience.

Where do you envisage your career heading and why?


At the moment I envision my career taking the path to becoming a rural GP obstetrician. I enjoy the variety of general practice, and have a keen interest in women’s health, so I feel this to be a great way to combine the two. My experience as a student and while working in rural communities has grown my passion for rural health and I have developed a greater appreciation for the needs of rural communities. I feel this makes for a rewarding career.


What is your understanding about a Rural Generalist life and why O and G?


My perspective on rural generalist life is multifaceted. There is the potential to have quite a varied career - I’ve worked alongside doctors who have been in theatre one day and in GP clinic the next, and off to deliver babies in between! This variety and opportunity to have skills in different areas of medicine is one aspect that has really driven me towards a rural generalist pathway.

Living and working in a rural setting I think allows for good work life balance. On tough days it’s nice to be able to get out in the fresh air and have a walk along the river. It can be challenging however, as resources and access to local speciality services may not be as readily available as they would in metro areas. I think O & G is a great skill to have as a rural generalist as you are able to provide an essential service locally to women in rural or remote communities, who would have otherwise needed to travel quite far in some instances to access these services.

Living and working in a rural setting I think allows for good work life balance.

What have the benefits been of having an RCIT and then Rural Generalist pathway available to you with support?


Being part of an RCIT internship program has enabled me to get a realistic feel about what a career as a rural generalist can be like, particularly with the inclusion of a General Practice rotation. I have the opportunity to work alongside seniors who are in similar roles to the career path I want to take, so this has allowed me to draw on their experience and have a mentor. Having RG pathways has also alleviated some of the stress and confusion surrounding training programs and has allowed me to map out my career pathway of where I want to be and what I need to do to get there.

Express your interest now to join 

the Victorian Rural Generalist Program. 

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