School of Medicine
Flinders University
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Year 3: Rural attachments


Course Structure

Year 3 students at FMC are divided into five groups and undertake a rotational program ( five blocks of 8 weeks) to cover the following topics:

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The General Practice Term

The General Practice term builds upon the introductory teaching in the first two years, especially the GP intensive teaching week that is run in the Transition to Clinical Practice Unit. It comprises a three and a half week program based around two main locations in general practice, Urban and Rural. There are four main components of the program which is integrated throughout the Women’s and Children’s Health term:

  • A two week continuous ‘immersion’ attachment in a rural general practice including a briefing session (held prior to your rural GP placement in your O&G term,) and a debrief session (held after the rural GP session in your Psychiatry term.
    Please note:  Rotation 1 briefing session will be held at FMC on the first day of the placement and all other dates and times for the brief and de-brief session will be confirmed with students prior to their placement taking place.
  • Twelve half-day (3 ½ hour) attachments in an urban general practice conducted on EITHER a Tuesday, Wednesday or Thursday afternoon
  • Two half-day Seminars that occur in weeks 5 and 6 of the Psychiatry term after doing your rural attachment and final urban general practice sessions.
  • Student Handbook and General Practice FLO site containing self assessment tools, dermatology modules and hyperlinks to other useful websites. http://cal.fmc.flinders.edu.au/gemp/Default.html

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Rural General Practice Attachment Information

 

 

Convenor:

Akiteru Takamura

Academic Coordinator, RUSC
Flinders University Rural Clinical School
GPO Box 2100
Adelaide SA 5001

Phone (08) 8204 3187
Fax (08) 8204 5800
Mobile: 0437 614 676
Email:
akiteru.takamura@flinders.edu.au

Administrator/Contact:

Ms Melissa Watters
Rural Placements Coordinator,

Location: Flinders University Rural Clinical School, Level 7E, FMC
Postal: Flinders University Rural Clinical School, Flinders University,
GPO
Box 2100, Adelaide SA 5001
Tel: 8204 4632 or 0414 190 046
Fax: 8204 5800
Email: melissa.watters@flinders.edu.au

 

Rural and remote Australian communities have long suffered from an inadequate supply of general practitioners. There are many reasons for this, but often there has been a perception that a career in the country meant cultural deprivation, limited social networks and limited education and employment opportunities for family members. It is therefore important the students have the opportunity to meet a wide array of very skilled doctors who have actively chosen a career in rural medicine.

In the third year of the Graduate Entry Medical Program the Flinders Medical Centre and Northern Territory-based students are placed on a two week Rural General Practice Attachment. This placement is designed and aimed to offer students an "immersion" with a supervising General Practitioner. Where possible students are encouraged to stay with the doctor and their family to gain some insight into the way of rural practice.

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Rural General Practice Attachment Aims

In short, the aims of the two week Rural General Practice Attachment for Year 3 students are:

  1. To give students an 'immersion' experience in Rural General Practice and gain an understanding of how doctors work in rural and remote areas.
  2. For students to determine for themselves differences that may exist between urban and rural general practice.
  3. Build on patient assessment, management and procedural skills, realizing that practicing in a rural environment will often allow greater patient access.

It is intended and hoped that the ‘immersion’ will enable students to see how people work in the context of smaller somewhat closer knit communities. The supervising doctors are encouraged to give students as much patient exposure as possible and to allow participation in supervised procedural work. Application of knowledge can often be the key to retention of information. The consulting and treatment rooms of rural doctors’ surgeries, with doctors who have long-standing, trusting relationships with their patients, can provide the ideal opportunity for students to observe a wide variety of medical conditions. At the same time they have been able to blend professional exposure with a public life, develop friendships and retain a high degree of professional autonomy and satisfaction.

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Targeted rural skills logbook

Yr 3 Targeted Rural Skills Logbook (PDF)        Yr 3 Targeted Rural Skills Logbook (MS Word)

The targeted rural skills logbook should be used to focus learning objectives in the rural attachment and differences between rural and urban practices highlighted. This logbook contains three different types of consultation skill or activity.

  • General Practitioner management of a condition requiring hospitalization
  • Management of an after hours condition
  • A description of a Continuing Medical Education activity in a rural location

At the beginning of the attachment this logbook should be discussed with the supervising GP and used to maintain the focus of the two weeks.

The logbook can be used in the Portfolio interview in a similar way to the urban attachment.

These learning objectives occur in the context of the entire General Practice component of the course and are complementary to any urban attachment students may undertake.

In-Training Progress Record (ITPR) (Green Sheet)

The In Training Progress Record is the form in use for all clinical teachers in Year Three which sets out to assess students in key areas. Each GP supervisor’s assessment will contribute only a small percentage to the student’s overall in-training mark for Year Three. Supervisors are encouraged to assess students as fairly and objectively as possible with the main purpose being to give feedback to students on their strengths and areas for improvement to assist them to develop their skills in the remainder of the year. ITPR’s are mailed to the GP supervisors prior to the attachment and are to be promptly returned to the Rural Placements Coordinator after the placement. Students should remind their General Practice Supervisors to complete these forms and allow them to see and sign them.

Other Placement Tasks

Confirmation

Student placements to rural areas in South Australia are coordinated by the Rural Placements Coordinator, Melissa Watters, in the Flinders University Rural Clinical School. Every effort is made to suitably match student choices with the available placements and accommodation and these details are provided to the student in writing. Generally accommodation is with the General Practitioner although this does vary from location to location.  Hospital or billeted accommodation is available in some areas.

Students should confirm their placements with the practices a minimum of two weeks prior to allow adequate planning and timetabling to be made. Students are, however, requested not to contact General Practitioners until their placement details have been provided by the Rural Placements Coordinator (a request made by the General Practitioners).

Evaluation of General Practice Preceptors

All students are asked to complete an evaluation of their General Practice Preceptors (Supervisors). Travel subsidies will only be paid when this evaluation form has been returned to Liz Milford in the Flinders University Rural Clinical School.

The evaluations are invaluable to us determining the success or otherwise of our placements so we ask you to return them promptly.

Two downloadable versions of the form are available:

Travel Claims

Students are entitled to apply for reimbursement of travel expenses which will be up to the equivalent of the return bus fare to the location but only payable on the presentation of claim forms, receipts (petrol, airfare, busfare etc) and feedback forms. It should be noted that students do NOT have to take bus transport to claim travel costs, this is simply the easiest and most equitable way to set a base rate for each location.

Claim forms will be distributed with student information letters and feedback forms prior to the placement. Please see Liz Milford in the Flinders University Rural Clinical School for more information if required.

Two downloadable versions of the form are available:

Rural GP Attendance Log sheet

GPs participating in the Rural GP student placement program are entitled to Practice Incentive Payments (PIP). A list of all student attendances in General Practices is required to be sent to the GP Branch, Department of Health and Ageing every three months.  To assist this process, a copy of your Rural GP Attendance Log sheet needs to be forwarded to the rural placement staff.

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Example locations

Aldgate Aldinga Angaston Bordertown

Burra

Practice Info.

Ceduna

Practice Info.

Clare

Practice Info. Clare Medical.

Practice Info. Victoria Road

Cleve

Practice Info.

Crystal Brook

Practice Info.

Cummins

Practice Info.

Gawler

Practice Info.

Goolwa

Gumeracha

 

Hahndorf

Jamestown

Practice Info.

 

Kadina

Practice Info.

Kapunda

Kimba

Practice Info.

Kingscote

Kingston SE

Laura

Mannum

Practice Info.

 

McLaren Vale

Meningie

Practice Info.

Millicent

Practice Info.

Mount Barker

Mount Gambier

Hawkins Practice Info.

Ferrers Practice Info.

Mount Pleasant

Murray Bridge

Practice Info.

Naracoorte

Normanville/

Yankalilla

Norton Summit Orroroo

Penola

Peterborough

Practice Info.

 

 

Port Augusta

Practice Info.

Port Broughton

Practice Info.

Port Lincoln

Practice Info.

 

Port Pirie

Practice Info.

Quorn

Practice Info.

Robe

Roxby Downs

Practice Info.

Stirling

Strathalbyn

Practice Info.

 

Streaky Bay

Practice Info.

Tailem Bend

Practice Info.

Two Wells

Practice Info.

Victor Harbor

 

Waikerie

Practice Info.

Wallaroo

Practice Info.

Willunga

Whyalla

Practice Info.

Wudinna

Practice Info.

Yorketown

Practice Info.

 

A special request is made to all Rural General Practice placement students to submit any photographs or information on placements to add to these pages. Thankyou!

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Tourism links

Regions

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Updated August 27, 2008