title: Training generalist doctors for rural practice in New Zealand.
abstract: Targeted postgraduate training increases the likelihood young doctors will take up careers in rural generalist medicine. This article describes the postgraduate pathways that have evolved for these doctors in New Zealand. The Cairns consensus statement 2014 defined rural medical generalism as a scope of practice that encompasses primary care, hospital or secondary care, emergency care, advanced skill sets and a population-based approach to the health needs of rural communities. Even as work goes on to define this role different jurisdictions have developed their own training pathways for these important members of the rural healthcare workforce. In 2002 the University of Otago developed a distance-taught postgraduate diploma aimed at the extended practice of rural general practitioners (GPs) and rural hospital medical officers. This qualification has evolved into a 4-year vocational training program in rural hospital medicine, with the university diploma retained as the academic component. The intentionally flexible and modular nature of the rural hospital training program and university diploma allow for a range of training options. The majority of trainees are taking advantage of this by combining general practice and rural hospital training. Although structured quite differently the components of this combined pathway looks similar to the Australian rural generalist pathways. There is evidence that the program has had a positive impact on the New Zealand rural hospital medical workforce.
authors.affiliation: University of Otago, Dunedin, New Zealand. garry.nixon@otago.ac.nz.
authors.forename: Garry
authors.initials: G
authors.lastname: Nixon
authors.affiliation: University of Otago, Dunedin, New Zealand. kati.blattner@hokiangahealth.org.nz.
authors.forename: Katharina
authors.initials: K
authors.lastname: Blattner
authors.affiliation: University of Otago, Dunedin, New Zealand. martyn.williamson@otago.ac.nz.
authors.forename: Martyn
authors.initials: M
authors.lastname: Williamson
authors.affiliation: Royal New Zealand College of General Practitioners, Wellington, New Zealand. patrickm@tdh.org.nz.
authors.forename: Patrick
authors.initials: P
authors.lastname: McHugh
authors.affiliation: Royal New Zealand College of General Practitioners, Wellington, New Zealand. james.reid@southerndhb.govt.nz.
authors.forename: James
authors.initials: J
authors.lastname: Reid
mesh_terms: D001291:Attitude of Health Personnel; D002321:Career Choice; D005260:Female; D058006:General Practice / Q000193:education*; D058005:General Practitioners / Q000193:education*; D006801:Humans; D008297:Male; D009520:New Zealand; D019035:Rural Health Services; D012424:Rural Population; D000078329:Workforce
keywords: Australia/Pacific; Medical; Postgraduate; Workforce