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Training Pathway

The NSW Rural Generalist Medical Training Program is a training program providing a pathway to rural general practice with at least one advanced skill. All trainees on the NSW Rural Generalist Medical Training Program are required to be concurrently enrolled in and working toward meeting the requirements of either the FRACGP/FARGP and/or the FACRRM.

Over the four year program Rural Generalist trainees follow the appropriate college curriculum for their designated pathway and undertake one year of advanced skills training (AST).  It is recommended trainees seek advice from their respective general practice college regarding the relevant curriculum and training for their proposed Fellowship.

The Rural Generalist Foundation Year (year one) provides an introduction to the program and the opportunity for trainees to be supported in the program and their rural locations.

Primary entry to the NSW Rural Generalist Medical Training Program for most junior doctors is in their PGY2 year to undertake the Rural Generalist Foundation Year.  This means that the majority of junior doctors apply for the NSW Rural Generalist Medical Training Program in their PGY1 year.  Trainees already undertaking general practice training may also join the Rural Generalist Foundation Year.

Activities during the Rural Generalist Foundation Year include:

  • Access to Rural Director of Training to support with career and training advice
  • Orientation and networking
  • Structured education sessions (webinars)


Following successful completion of the Rural Generalist Foundation Year, junior doctors may progress to advanced skills training year if deemed ready or proceed to community general practice training and defer advanced skills training for a year.

During the Rural Generalist Foundation Year, senior clinicians involved in the Program undertake an assessment of a trainee’s readiness to progress to the AST year. This assessment is largely formative and includes a determination on whether a trainee has the requisite knowledge, skills and professional maturity to successfully complete the AST year.

The Advanced Skills Training undertaken during the NSW Rural Generalist Medical Training Program leads to a formal qualification, overseen by the relevant college and ultimately allows a medical practitioner to be credentialed by a Local Health District (LHD) to provide those particular advanced skills within a public health facility.

AST is currently available in:

A fundamental principle of the NSW Rural Generalist Medical Training Program is that advanced skills training is generally undertaken in regional or remote areas, although all terms are required to be accredited by the relevant College.

Occasionally, the relevant College may deem that a component of AST training is required to be undertaken in a metropolitan facility. Impacted trainees should consult with the Statewide Director and relevant College for further information.

Rural LHDs within NSW actively support and participate in the NSW Rural Generalist Medical Training Program.  Each year, depending on local medical workforce and clinical service needs, rural LHDs identify potential AST positions and make recommendations to HETI. Given clinical service needs, the location of AST positions may change from year to year.

Following the AST year a trainee undertakes a period of skills consolidation and gains further clinical experience in their advanced skill specialty. The timing of the transition and consolidation years is dependent upon when a trainee completes the AST year in relation to the community general practice training.


Once a trainee has successfully completed the AST year, and been awarded the relevant qualification from the related College, they apply to a LHD for a contract as a Visiting Medical Officer to practice medicine in the area of their advanced skills training while they continue to work toward completing the requirements of general practice training.  The volume of work available depends on the clinical service needs within particular LHDs, however the RGTP and general practice training providers work together with the LHDs to maximise opportunities for co-location of general practice training with opportunities to continue to work in the advanced skills area.

It is acknowledged that the period immediately post the AST year represents a critical time of skills consolidation.  To this end, every endeavour is made to assist trainees in identifying and optimising opportunities to practice in their advanced skills area and work with all partners to ensure appropriate supervision for advanced skills practice is managed so that trainees are supported from ‘training under supervision’ to independent practice.

The fourth year of the program provides trainees with further support and opportunities to consolidate their procedural skills.

Upon completion of the NSW Rural Generalist Medical Training Program and pending successful completion of college assessments, trainees exit with a Fellowship of either the Australian College of Rural and Remote Medicine (FACRRM) and/or the Royal Australian College of General Practitioners (Rural Generalist Fellowship) (FRACGP-RG) and with at least one advanced skill.