Advice for those applying for the rural generalist pathway
Be familiar with the training pathway – requirements, assessment, process, Advanced Skills Training (AST) options, curriculum.
Have an idea of a ‘training end-point’. In other words, where do you want to work and why? This is important for choosing an advanced skill, for example, there is no point in doing obstetrics for the AST if you’re not planning on working in a confining hospital, or are going to be in a larger centre that already has specialists in that field.
Have a good understanding of Aboriginal and Torres Strait Islander health, culture and inequalities.
Think about health in a rural context. How does practice in a rural environment differ from the city, e.g. referrals, lack of access, need to arrange urgent retrievals through the flying doctors, social isolation, importance of confidentiality and lack of services.
Have a good understanding of health inequalities in rural areas (CVD, T2DM, suicide, depression, Aboriginal and Torres Strait Islander specific, etc).
Why do you want to be a rural GP? What do you think the role involves? How will your family fit in with your goals?
There is usually some sort of ethical question in most medical interviews, (e.g. how to manage a drunk colleague, drug abuse, bullying / harassment).
Have a strategy for breaking bad news to a patient.
Think about a sick ‘medical’ or ‘trauma’ patient, how would you manage—by yourself—in a rural context. Discuss teamwork, early notification to retrievals, advice from specialists, lack of resources, involving other members of the team such as nurses and paramedics. Throughout, think about patient disposition.