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GENERALPRACTICETRAINING INAUSTRALIATHE GUIDEintheGUIDE

ContentsIntroduction1What is general practice?General Practitioner—an important rolein the communityA career in general practiceSpecialising in general practiceTestimonials for a life in general practice12222GP Training in Australia3Overseas trained doctorsGP Fellowship trainingThe pathways to GP FellowshipPathways to Becoming a Fellowed GP3334Subsidies, Benefits and IncentivesMedicare Benefits Schedule access for GPsIncentives for GPsThe ACRRM Independent PathwayClinical requirementsUpon completionSupport and feedbackTraining locationsTraining durationHow to applyFor more informationThe RACGP Practice Experience ProgramThe Australian General Practice TrainingProgram6Regional Training OrganisationsPreferred location for trainingAGPT Training RegionsMap of AGPT training regionsHow employment works duringgeneral practice trainingIn hospitalIn general practiceEmployment entitlementsAGPT Training PathwaysAustralian General Practice TrainingRural PathwayGeneral PathwayOverseas-trained doctorsOther training opportunitiesRural Generalist trainingAustralian Defence Force doctorsGetting the most out of your AGPT trainingAcademic postsAboriginal and Torres Strait Islander healthtraining—culturally appropriate careAdvanced skills training or extended skillsWhat you need to know before you applyto the AGPT programMandatory hospital rotationsAGPT program policies and principlesTransfersTraining timeframesPart-time trainingExtensions of training time or leaveFor more information on the AGPT program66679999121415151518181819192020Clinical requirementsUpon completionSupport and feedbackTraining durationHow to applyFor more informationThe Remote Vocational Training SchemeClinical requirementsUpon completionTraining locationsTraining durationHow to applyFor more informationTraining terms and locationsSection 19AB of the Health Insurance Act 1973The Modified Monash ModelContact InformationRegional Training 030303131313134343437382121212122222222GENERAL PRACTICE TRAINING IN AUSTRALIA: THE GUIDE

I get asked a lot about working as a GP. I believe the best part about it is thevariety of medicine that walks in the door every day. Every day is differentand full of surprises. It is a bit like when you decide to order the tastingplatter or try a different dish in your favourite restaurant. How exciting.Rural GP adds an additional challenge. I think there is a misconceptionthat rural GPs work in isolation and in difficult workplace environments.Instead, my experience has been quite the opposite. I get extensive supportfrom colleagues and specialists who provide on-call advice and regulareducation. A lot of complex medical cases are also co-managed betweenspecialists and GPs, which keeps the job interesting while still beingsupported. There’s always the feeling of working in a team in rural GP.So if you are a part-time adventurer, a person who likes ordering the tastingplatter or new dishes or someone who likes a challenge, try GP or Rural GP.Dr James Wong—FRACGPEvery day is different and full of surprisesdGENERAL PRACTICE TRAINING IN AUSTRALIA: THE GUIDE

This Guide provides an overview of GeneralPractice training in Australia. It aims to help youdecide on a career in general practice and provideinformation on the high quality training available.In Australia, GP consultations take place everyday, mostly within a GP practice or a patient’shome. As a general practitioner (GP), youhave the opportunity to treat patients froma variety of backgrounds and across all ages.Seeing patients through all stages of illness isintellectually challenging, and providing careand support through the highs and lows ofsomeone’s life can give immense job satisfaction.Balancing a patient’s treatment alongsidetheir general health, independence and socialcare can be complex and challenging, but alsorewarding as a GP. The ongoing relationship thatGPs are able to establish with their patients, andthrough this, continuity of care for a patient, isan important and enjoyable aspect of the job.GPs have an important role to play in themanagement of acute care, chronic diseasesand the treatment of patients with multiplehealth conditions, particularly in Australia’sageing population. They can work as part oflarge multidisciplinary teams (MDTs) who allsupport the holistic care of any patient—thesecan include nurses, midwives, pharmacists,psychiatrists, geriatric specialists and allied healthprofessionals. GPs can also work as part of teamsattached to hospitals with roles in accident andemergency centres and in nursing care homes.Another important part of the work of a GP ispreventative medicine and health promotion.This can include clinics for child immunisationsand smoking cessation through to guidingpatients on lifestyle modification strategies.For almost every avenue of medicine you wouldlike to pursue, general practice can provide youwith an exciting and rewarding career.WHAT IS GENERAL PRACTICE?In Australia, GPs plays acentral role in the delivery ofhealth care to the Australiancommunity.GPs are usually the first pointof contact within the healthcare system. They treat allcommon medical conditions,coordinate the care of patientsand refer patients to othermedical specialists.GPs focus on the health ofthe whole person, combiningphysical, psychological andsocial aspects of care forindividuals and families intheir communities and take onan advocacy role for patientswhen needed.GPs manage medicalconditions and pathologies,both acute and chronic. Theyprovide advice and educationon health care and well-being,employ disease preventionstrategies, and work withother professionals in theprimary care setting.GPs are primarily responsiblefor providing comprehensiveand continuing care to everyindividual seeking medicalcare irrespective of age,gender and illness.GPs have a person-centredapproach and aone-on-one consultationprocess that establisheseffective communicationbetween doctor and patient.GENERAL PRACTICE TRAINING IN AUSTRALIA: THE GUIDE1

General Practitioner—an important role inthe communityBecoming a GP is a great choice if youwant to be part of a community and makea difference in people’s lives. Each dayGPs investigate and analyse how cultural,biological, psychological, and sociologicalcircumstances affect people’s healthand experience of disease. GPs use thatunderstanding to practice holisticallyand encourage and guide patients to leadhealthier lives.A career in general practiceThroughout your training and following yourqualifications as a GP, you:dddddddddddd2can improve the quality of a patient’s lifethrough prevention of illness and encouragethem to manage both acute and chronic illness;can choose your journey such as providingcontinuity of care for people, families andcommunities, locuming or working on a fly-in,fly-out model of care;will continue to develop new skills and gaina breadth of knowledge over a professionallifetime;will have the portable qualifications to workanywhere in Australia, and internationally,depending on your qualifications;Specialising in general practiceOften GPs will develop areas of specific interestaccording to the needs of their community,such as:ddddddddddproviding emergency, anaesthetic and/orobstetric services in rural hospitals;delivering services that require extendedskills such as mental health, addictionmedicine, paediatric care;working in Aboriginal and Torres StraitIslander communities;working with refugees or homeless people;andimproving future care through research,or becoming a GP supervisor or medicaleducator.Testimonials for a life in general practiceTraining takes three to four years so it is worthinvesting time to ensure if general practice isthe right path for you.Learning from someone else’s experiencecan be an important way to help inform yourdecision making. Case studies from GPs workingin a variety of general practice settings can beexplored throughout this guide.can create a flexible balance between yourwork and family life; andwill see anything and everything that canaffect all parts of the body or a person’s lifeand there is no such thing as a typical day.GENERAL PRACTICE TRAINING IN AUSTRALIA: THE GUIDE

GP Training in AustraliaBy enrolling in a formal pathway to GP Fellowship,doctors seeking to become a VocationallyRecognised (VR) GP have access to the highestvalue MBS items during training. Undertakingformal training best prepares doctors with theresponsibility that GPs have in the community, andthe increasing complexity and variety of their work.allow you to work unsupervised as a GPanywhere in Australia. MBS eligibility rules maycontinue to apply to some doctors.The pathways to GP FellowshipYou have a choice in how you complete yourgeneral practice training and achieve yourFellowship. Choosing the right path will dependon your interests and circumstances. In eachpathway you will need to work in general practice,work or have recent experience in hospitals,attend educational workshops, teaching sessionsand put in significant amounts of personal study.Both colleges require GPs to have experienceworking in general practice and hospitalspecialties relevant to general practice. Theremay also be geographic limitations on whereyou can work as a general practice registrar.To qualify for Fellowship you have to completethe requirements and pass the Fellowshipassessments of the relevant college.For existing doctors with many years of experience,there are training pathways that will support yourjourney towards specialist qualifications.Overseas trained doctorsThe AMC assesses most overseas traineddoctors against the standards of Australianinterns before general registration is granted.Overseas trained doctors may obtainregistration without an AMC assessment if theycompleted their degree and internship under anapproved Competent Authority (CA).If your internship was not completed under aCA, you are required to successfully completea two-part examination with the AMC andare then eligible to apply for provisionalregistration.GP Fellowship trainingTo be recognised and work independently as aspecialist GP, you will need to qualify as a Fellowof the Australian College of Rural and RemoteMedicine (FACRRM) or as a Fellow of the RoyalAustralian College of General Practitioners(FRACGP). Both Fellowships lead to VocationalRecognition (VR) and registration under theSpecialist (General Practice) category with theMedical Board of Australia. These qualifications GP TRAINING IN AUSTRALIAFor Australian medical graduates, generalregistration follows graduation from medicalschool and successful completion of aninternship. Specialisation requires furthertraining and study and the Medical Boardof Australia recognises general practice as amedical specialty (known as ‘GP Fellowship’). TheAustralian Medical Council (AMC) has accreditedthe Australian College of Rural and RemoteMedicine (ACRRM) and the Royal AustralianCollege of General Practitioners (RACGP) todeliver general practice Fellowship training.There are different pathways to achievingFellowship. These pathways are managed bythe Colleges and offer flexible training throughmultiple streams.The Australian College of Rural and RemoteMedicine (ACRRM) Fellowship PathwayddddddAustralian General Practice Training (AGPT)ProgramIndependent Pathway (IP)Remote Vocational Training Scheme (RVTS)The Royal Australian College of GeneralPractitioners (RACGP) Fellowship PathwayddddddAustralian General Practice Training (AGPT)ProgramPractice Experience Program (PEP)Remote Vocational Training Scheme (RVTS)For further information on becoming a Fellow ofACRRM or RACGP visit the college websites:ACRRM: acrrm.org.au Training towardsFellowshipRACGP: racgp.org.au Education Students Become a GPGENERAL PRACTICE TRAINING IN AUSTRALIA: THE GUIDE3

PATHWAYS TO BECOMING A FELLOWED GPAGPT [page 6]IP [page 26]Suited toRecent medical graduates andexperienced non-vocationallyrecognised doctors who prefereducator directed learningExperienced non-vocationallyrecognised doctors who preferself-directed learningTrainingTimeframes*4 years FTE* (FACRRM)4 years FTE*TrainingOrganisationRTOs† accredited by ACRRM andRACGPACRRMLocationMetropolitan, regional, rural andremote facilitiesRural and remote facilities with apossibility of some skills training inmetropolitan or regional locationsPracticePlacementRTOs will facilitate placements basedon preferred location/sMust be in an accredited teachingpost within three months ofcommencing trainingNumberof placesavailable peryear1500Demand basedApplicationprocessApply to ACRRM and/or RACGP for aspecific regionApply to ACRRM3 years FTE* (FRACGP)Complete the ACRRM and/or theRACGP selection processAccepted by an RTOComplete the ACRRM SelectionprocessSee College website for furtherinformationCommence trainingFeesTraining is fully CommonwealthfundedAssessment fees are self-funded*FTE Full-Time Equivalent**FSP Non-VR Fellowship Support Program (page 23)†RTOs Regional Training Organisations (page 6)4GENERAL PRACTICE TRAINING IN AUSTRALIA: THE GUIDETraining is partially Commonwealthfunded if eligible under the Non-VR(FSP)**Assessment fees are self-funded

RVTS [page 30]Experienced non-vocationallyrecognised doctors who preferself-directed learningGraduates and experiencednon-vocationally recognised doctors,who have enough experience to copewith remote clinical supervision andwho work in remote areas or AboriginalMedical Services18–30 months FTE*4 years FTE* (FACRRM)3 years FTE* (FRACGP)RTOs and RVTS in partnership withRACGPRVTS accredited by ACRRM and RACGPRegional, rural and remote facilitiesLive and work in rural or remotecommunity, or work in an AboriginalMedical ServiceMust already be employed as a GP in ageneral practice or have a job offer witha general practiceMust already be employed as a GPin a rural or remote location or in anAboriginal Community ControlledHealth Service (ACCHS).Demand based22 Remote Stream places† GP TRAINING IN AUSTRALIAPEP [page 28]10 Aboriginal Community ControlledHealth Service placesApply to RACGPApply to RVTSPass the PEP entrance assessmentSelection by RVTSSee College website for furtherinformationEnrol with either ACRRM and/or RACGPTraining is partially Commonwealthfunded if eligible under the Non-VRFSP**Training is Commonwealth funded, someself-funding may be requiredAssessment fees are self-fundedCommence trainingAssessment fees are self-fundedGENERAL PRACTICE TRAINING IN AUSTRALIA: THE GUIDE5

The Australian General Practice Training(AGPT) ProgramGeneral practice training is undertaken in anapprenticeship model where you train as aGP under the supervision of an experiencedsupervisor. Clinical experience is the bestteacher and you are expected to learn asmuch as you can from the patients you seeand other professionals around you. Thispractice-based learning is supplemented andconsolidated through discussions with yourgeneral practice supervisor, teaching visitsfrom medical educators, workshops with yourpeers, and personal study.Regional Training Organisations (RTOs)The Department of Health contracts nine RTOsto deliver the AGPT program across the11 training regions according to standards setby the colleges.The role of each RTO includes:dddddddddddd6supporting and advising registrars about thetraining programs and requirements;working with each registrar to plan theirtraining and learning;allowing goals aspirations and needs to beidentified and reviewed;supporting and accrediting general practices,supervisors, Aboriginal Medical Services, andother medical facilities within their region totrain registrars;managing the allocation and placement ofregistrars to undertake their training withinthese accredited facilities;ddddddproviding educational training activitiesand resources which map to the collegecurricula, maximise the learning possibilitiesfor registrars and encourage additionalopportunities for application/consolidation ofknowledge;integrating general practice trainingwith other educational and professionalorganisations, such as universities, PrimaryHealth Networks and Rural WorkforceAgencies to ensure future GPs have the skillsto meet community needs; andinformation management, data collection/collation and reporting of Commonwealthfunded GP training places.Preferred location for trainingWhen applying for the AGPT program, doctorsrequest a preferred region(s) where theywish to train. Doctors should consider howthe opportunities available in each regionmatch their individual interests and learningrequirements.AGPT Training RegionsIndividual general practice training experiencesvary across training locations and regions. Eachtraining region incorporates a wide variety ofextended skills or procedural training. RTOs canprovide further information regarding academicposts and training available in their area.engaging and supporting Cultural Educatorsand Mentors to ensure each registrar canprovide culturally appropriate care forAboriginal and Torres Strait Islander peoples;GENERAL PRACTICE TRAINING IN AUSTRALIA: THE GUIDE

MAP OF AGPT TRAINING REGIONSIf the location in which an applicant wishesto train appears to overlap with two ormore regions, applicants should contactthe relevant RTOs to determine the exactregion in which the location falls.Dual GP FellowshipRegistrars who elect to train in the AGPTprogram can train towards Fellowships ofboth colleges in the same training region onthe same pathway and complete the trainingconcurrently. Contact your RTO for moreinformation (page 38) or visit the collegewebsites.GENERAL PRACTICE TRAINING IN AUSTRALIA: THE GUIDE THE AUSTRALIAN GENERAL PRACTICE TRAINING (AGPT) PROGRAMPlease note: ACT and NSW have threetraining regions managed by one RTO.However, each training region is runindependently.7

8GENERAL PRACTICE TRAINING IN AUSTRALIA: THE GUIDE

HOW EMPLOYMENT WORKS DURING GENERAL PRACTICE TRAININGWhen signing a contract it is important toensure it covers all matters in the NTCER andthat it is not open to interpretation regardingkey aspects of employment. Under the NTCER,registrars usually receive a guaranteed basewage as well as a percentage of billing incomegenerated from the number of patients they seein the practice.In general practiceIn a general practice setting, you will still bean employee, but you will typically be workingin a small business setting. The NationalTerms and Conditions for the Employment ofRegistrars (NTCER) outlines the minimum termsand conditions which you, as a registrar, mayreceive.Full-time registrars work a minimum of38 hours per week. This includes educationtime and administration time. Consultationhours (the hours spent seeing patients) areusually between 27 and 33 hours per week.However, this can vary, especially in rural areas.Depending on the training post, weekendconsulting, after-hours and on-call work, home,hospital and nursing home visits are a normalpart of general practice.The income you receive is generated by billingpatients for the work you provide in generalpractice.You can view the NTCER online atgpra.org.au/ntcerEmployment entitlementsThe NTCER, based on the National EmploymentStandards in the Fair Work Act, outlinesremuneration, leave entitlements, work hoursand other employment terms and conditionsfor GP registrars. Before employment begins,an employment agreement is negotiated andsigned between the registrar and their trainingpractice. Training posts are obliged to offer atleast the minimum terms and conditions set outin the NTCER.There are a number of organisations that canprovide support to registrars throughout theirtraining including:Registrars may be able to negotiate terms andconditions in their employment agreement thatare more generous than the NTCER minimum,particularly in the later stages of trainingwhen they have gained more experience, andsubsequently, seeing more patients.See page 37 for details.ddACRRM;ddRACGP;ddGeneral Practice Registrars Australia (GPRA);ddRegional Training Organisations (RTO);ddthe Australian Medical Association (AMA); andddRural Doctors Association of Australia (RDAA). THE AUSTRALIAN GENERAL PRACTICE TRAINING (AGPT) PROGRAMIn hospitalWorking as a doctor in the public hospitalsystem, you will be employed as a salariedmedical officer. An employment award orenterprise bargaining agreement (EBA) coversall aspects of your remuneration and otheremployment terms and conditions.*The NTCER does not apply to general practice registrars incommunity controlled health and Australian Defence Forceworkplaces, and registrars on remediation.GENERAL PRACTICE TRAINING IN AUSTRALIA: THE GUIDE9

Turning the tide on islander health concernsThe first-year General Practice (GP) registrar is relishing thechallenge of managing the complex health needs of Torres StraitIslander communities, while pursuing research into tropical diseases.“We know that health outcomes for Indigenous people in the TorresStrait are poorer than their non-Indigenous counterparts” said DrHempenstall, who is enrolled in James Cook University’s (JCU)GP training program.“Here, we also care for patients from Papua New Guinea (PNG).There is no other community in Australia that borders anothercountry, let alone a developing country.”Dr Hempenstall divides her time between the Thursday IslandHospital and the primary healthcare centre on the island.When on call, she cares for patients in the hospital ward andemergency department, and also responds to requests for medicalassistance from outer islands across the Torres Strait.“We are really lucky that we live in an age where telehealth hascome so far,” she observed.“I can be sitting in an office on Thursday Island, making plansfor a patient via video conference with nursing staff and healthworkers at a primary health centre on another island. If thepatient is unwell enough to require transfer to Thursday IslandHospital, we organise a retrieval via helicopter or boat.”Most of Dr Hempenstall’s work revolves around chronic diseasemanagement.She is keen to expand her knowledge and understanding of thesediseases through research in her community.“Historically this region hasn’t had much locally driven research;we are hoping to establish sustainable local research, relevant tothe community here,” she said.In the meantime, Dr Hempenstall is pursuing another project close toher heart—encouraging Thursday Island school students to consider acareer in healthcare. The doctor is liaising with local school teachers,and Aboriginal and Torres Strait Islander nursing and allied healthstaff, to organise a retrieval via helicopter or boat.”“I am so privileged to be immersed in such a unique culture,providing care to a warm and welcoming community,” she said.Dr Allison Hempenstall—FACRRM10GENERAL PRACTICE TRAINING IN AUSTRALIA: THE GUIDE

For Dr Allison Hempenstall, Thursday Islandis a gateway to opportunityGENERAL PRACTICE TRAINING IN AUSTRALIA: THE GUIDE

AGPT TRAINING PATHWAYSThe AGPT program is offered through Australia’s two general practice training colleges,ACRRM and RACGP, and delivered by accredited RTOs.DurationACRRMRACGP4 years-Fellowship of theAustralian College of Rural andRemote Medicine (FACRRM)3 years—Fellowship of The RoyalAustralian College of GeneralPractitioners (FRACGP)4 years—FRACGP Fellowship ofAdvanced Rural General Practice(FARGP)RuralGeneralistregistrarsAdditional 52 weeks (full-timeequivalent) training time canbe accessed by rural generalistregistrarsAdditional 52 weeks (full-timeequivalent) training time canbe accessed by rural generalistregistrarsFellowshipPathwayRural PathwayRural and General PathwayProgramStructure12 months Core Clinical Time (CCT),usually completed in hospital.12 months Hospital Training Time24 months Primary Rural andRemote Training in ACRRMaccredited facilities must include aminimum of: 6 months community primarycare 6 months hospital andemergency care 12 months rural/remoteexperience12 months in Advanced SpecialisedTraining (AST)12GENERAL PRACTICE TRAINING IN AUSTRALIA: THE GUIDE24 months in RACGP accreditedfacilities/training practices: 3 x 6 month terms in generalpractice (GPT1-3) 6 months Extended Skills

RACGP12 months Advanced SpecialisedTraining (AST) in one of thefollowing disciplines:To add the FARGP to FRACGP, 12months Advanced Rural SkillsTraining (ARST) may be done inareas such as: Aboriginal and Torres StraitIslander Health Academic practice Adult internal medicine Anaesthetics (JCCA)* Emergency medicine Mental health Obstetrics and Gynaecology(DRANZCOG Advanced)** Paediatrics Population health Remote medicine Surgery (24 months). Aboriginal and Torres StraitIslander Health Anaesthetics Adult internal medicine Emergency medicine General practice Obstetrics Paediatrics Palliative care Mental health Small town rural general practice SurgeryAST curricula assessments arespecific to the chosen AST.Other posts may be considered bythe Rural Censor on application.ARST / ASTAST can be undertaken anytime after completing the CCTcomponent. It is recommendedthat the needs of the communityin which they intend to practisebe taken into consideration whenmaking the choice.ARST can be undertaken at anytime after completing the HospitalTraining Time. It is recommendedthat the needs of the communityin which they intend to practisebe taken into consideration whenmaking the choice.MembershipRequirementsCompulsory for all registrars.Compulsory for all registrars.Current annual membership cost is 420 for registrars.Current annual membership cost is 490 for registrars.Check the website for up to dateinformation acrrm.org.au/collegemembershipCheck the website for up todate information racgp.org.au/membership THE AUSTRALIAN GENERAL PRACTICE TRAINING (AGPT) PROGRAMAdvancedProgramStructureACRRM*JCCA—Joint Consultative Committee on Anaesthesia**DRANZCOG—Advanced Diploma of the Royal Australian and New Zealand College of Obstetriciansand GynaecologistsGENERAL PRACTICE TRAINING IN AUSTRALIA: THE GUIDE13

AUSTRALIAN GENERAL PRACTICE TRAINING†Year ACGP)Core ClinicalTraining TimeHospitalTraining Time12 months12 months GP TermsYear TwoPrimaryRural & RemoteTraining24 monthsYear ThreeYear FourNote: Fourth year isfor FACRRM & FARGPcandidatesGPT 36 monthsExtended Skills6 months FRACGP*AdvancedSpecialisedTrainingAdvancedRural SkillsTraining12 months(12 months) for FARGPFACRRM*†GPT 1—6 monthsGPT 2—6 monthsFARGP**There may be flexibility in the order in which training terms may be undertaken.* Leading to specialist (general practice) registration.** The FARGP is a specialist twelve month program for registrars wishing to specialise in rural generalpractice.14GENERAL PRACTICE TRAINING IN AUSTRALIA: THE GUIDE

The AGPT program has two training pathways: the Rural Pathway and the General Pathway.Rural PathwayThe Rural Pathway encompasses a largepercentage of Australia reaching from townson the fringe of capital cities, to regionalcoastal areas and remote outback locations.This pathway offers a range of benefits andopportunities commensurate with the work ofrural general practice, for example:ddddddddddddddaccess to specialist training such as mentalhealth, addiction medicine, paediatrics,anaesthetics, surgery and obstetrics;opportunity to develop and consolidate anextended scope of practice working moreclosely with local communities;hospital and community-based primary care;contributing to addressing the health needsof communities with decreased access tohealth care;working alongside retrieval medicineteams;access to mentors and professionalrelationships which may not bepossible in metropolitan areas;increased earning capacity—possibleaccess to financial incentives not available inmetropolitan locations; andbeing immersed into local communities andlifestyle benefits of country living.Doctors who apply for the Rural Pathway canenrol with either of the colleges or both. If youare applying for the Rural Pathway, there is anexpectation that you will live and work in thecommunity.ddddaccess to specialist training such as mentalhealth, addiction medicine, paediatrics,anaesthetics, surgery and obstetrics; andaccess to mentors and professionalrelationships.AGPT registrars on the General Pathway mustundertake twelve months of their training in aprescribed location. Refer to the AGPT TrainingObligations Policy 2019 at agpt.com.au forfurther information.Some RTOs may have restrictions on wheresome General Pathway registrars are able totrain. Please clarify with your RTO (page 38)if you are wishing to train outside of an MM1(page 34).For further information see the AGPT Policies ineffect 1 January 2019 at agpt.com.auOverseas-trained doctorsOverseas-trained doctors (OTDs) andforeign graduates of an accreditedmedical school (FGAMS) who are subjectto Section 19AB of the Health InsuranceAct 1973 (page 34) must train on theRural Pathway.GENERAL PRACTICE TRAINING IN AUSTRALIA: THE GUIDE THE AUSTRALIAN GENERAL PRACTICE TRAINING (AGPT) PROGRAMddGeneral PathwayThe General Pathway is for doctors whochoose to train primarily in inner and outermetropolitan locations. There are a range ofbenefits and opportunities commensurate withtraining on the General Pathway, for example:15

As GPs, you choose how you want topractise, to be the kind ofdoctor you want to be.16GENERAL PRACTICE TRAINING IN AUSTRALIA: THE GUIDE

General practice is a multi-faceted, dynamic andflexible career path, which gives practitioners thechance to truly choose exactly how they wish topractise as a doctor. The coveted work-life balancethat time-poor doctors so often find elusive, thevariability in skill sets and knowledge that a GPcan tap into to uniquely serve their community,and the diversity in patient populations thatGPs have access to treating. Having that balanceis critical to enjoying our work in healthcareas doctors. The flexibi

What is general practice? 1 General Practitioner—an important role in the community 2 A career in general practice 2 Specialising in general practice 2 Testimonials for a life in general practice 2 GP Training in Australia 3 Overseas trained doctors 3 GP Fellowship training 3 The pathways to GP Fellowship 3 Pathways to Becoming a Fellowed GP 4

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