RURAL REGISTRAR INCENTIVE, REIMBURSEMENT AND SUPPORT POLICY

Purpose

This Policy describes the incentives, eligible reimbursements and supports offered by General Practice Training (GPTQ) to Registrars undertaking training in a rural General Practice setting.

Scope

This Policy applies to GP Registrars enrolled in Australian General Practice Training with General Practice Training Queensland who undertake training in a rural training practice commencing GPT/PRRT1 in 2021.

Policy Background

GPTQ provides specific financial support to its GP Registrars while undertaking a placement in a rural general practice setting within the GPTQ training region. The GPTQ Rural Registrar Incentive, Reimbursement and Support Policy considers the rurality of training places, the distance of the practice from a large referral centre and data collected from the Australian Government Health Workforce Locator. Eligible payment amounts under the GPTQ policy can be found in Appendix 2. GPTQ training practices are grouped geographically within the training footprint.

Rural and Remote training affords registrars the opportunity to improve access for rural Australians to quality medical services as well as addressing workforce maldistribution concerns for rural and remote communities. GP Registrars who confirm rural practice employment will be eligible for the GPTQ Rural Registrar Incentive and Support Payments and may also be eligible for additional financial support through added GPTQ support and Australian Government initiatives such as the Workforce Incentive Program.

The GPTQ Rural Incentive Policy has been designed to support registrars to relocate to the more rural and remote locations within the training region. GPTQ strongly encourages registrars undertaking rural placements to integrate into their community by residing and working in the area. There are some conditions placed on the reimbursement payments available for specific items such as rental payments and lease agreements. These conditions can be found in the terms and conditions on page 5 of this document.

The GPTQ support policy has also been designed to complement the Australian Governments Workforce Incentive Program (WIP) – Doctor Stream. The WIP incentivises rural medical practitioners to remain practicing in rural locations by increasing the eligible incentives by location and amount according to duration of rural practice. GPTQ has recognised a potential financial gap for the initial relocation expenses for a registrar to consider training in a more rural location and therefore will work to have initial supports available to registrars prior to WIP payments being available. More information can be found DoH - WIP - Doctor Stream

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1. Available Support

GPTQ's financial support for a GP Registrar under this Policy is primarily to encourage and support registrars to relocate to rural communities to undertake an Australian General Practice Training (AGPT) placement.

There are 3 main supports available to GPTQ Rural Registrars: • Rural Registrar Reimbursements • Course Cost Reimbursements • Registrar Education and Expense Support

1. Rural Registrar Reimbursement

i. GPTQ’s Rural Registrar Incentive and Support payments are offered over two years of General Practice Training. Registrars will be eligible for reimbursement up to and including the allocated amount (Appendix 2) during First Year Placements. The second payment is conditional on the registrar continuing to fulfil both the requirements of the AGPT program and have confirmed placement in a rural or remote training practice for the start of Second Year Placements.

ii. This financial support is limited to two eligible payment amounts (GPT/PRRT1/2 year and GPT/PRRT3/4 year) per registrar for the duration of the AGPT training.

iii. GP Registrars are encouraged to remain in a rural location for longer than 12 months. Supports through both GPTQ and the Australian Government are available to assist registrars undertaking rural training placements.

2. Course Cost Reimbursement

i. GPTQ training registrars are entitled to an additional $500 Course Cost reimbursement to assist with college regulated compulsory courses during training.

ii. Other support may be made available throughout the training period at the discretion of the Director of Medical Education.

3. Registrar Education and Expense Support

i. Financial support for travel, accommodation and other associated workshop expenses mandated or approved by GPTQ will be paid by GPTQ, providing these are arranged and endorsed prospectively.

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2. Claiming an Entitlement

1. Rural Registrar Reimbursement

i. Registrars who confirm rural placement in a GPTQ approved rural training practice will complete an electronic Registrar Incentive, Reimbursement and Support – Contact Details Form during orientation in term 1 of GP training. Once GPTQ have received Confirmation of Employment Agreement (CEA) and confirmed registrar contact details Registrars will be eligible to submit evidence for reimbursement claims at any time during the GPT/PRRT1/2 terms for that training period and in GPT/PRRT3/4 terms for that training period.

ii. Unclaimed amounts for GPT1/2 will be forfeited if claim form and evidence has not been submitted by the final day of the registrars GPT2 training term.

iii. Unclaimed amounts for GPT3/4 will be forfeited if claim form and evidence has not been submitted by the final day of the registrars GPT4 training term.

iv. Examples of claimable reimbursements are included in Appendix 1 of this document.

v. Claims under this policy can be accessed using the Rural Registrar Reimbursement Claim and Evidence Form.

2. Course Cost Reimbursement

i. GPTQ can assist rural registrars by providing specific financial assistance for compulsory Advanced Life Support and/or emergency skills courses. Detailed information regarding Course Cost Reimbursement and associated required documentation can be found in the Course Cost Reimbursement Policy.

ii. Course Cost reimbursement Claims are to be submitted no later than 2 months after completion of course.

iii. Claims for Course Cost Reimbursement can be accessed using the Rural Registrar Reimbursement Claim and Evidence Form.

3. Registrar Education and Expense Support

i. Where GP Registrars attend GPTQ provided workshops required for the AGPT program which attract financial support for travel, accommodation and other associated workshop expenses, these expenses will be paid by GPTQ, providing these are arranged and endorsed by GPTQ prospectively. Where GP Registrars make their own arrangements, their expenses will be reimbursed only as negotiated and pre-arranged with GPTQ.

ii. GPTQ will only reimburse registrars for expenses incurred that have been prior approved by the District Administration manager with delegation from the Director of Medical Education – Rural and once completed documentation and evidence has been submitted in accordance with Guidelines - GP Registrar Expense Claims.

iii. Claims can be accessed using the Rural Registrar Reimbursement Claim and Evidence Form.

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Terms and Conditions • Rural Registrar reimbursement payments are conditional and approved at the discretion of GPTQ. Reimbursements are subject to the outlay of expenses being related to registrars training or being incurred within the community or surrounds in which the registrar is employed.

• Claims under this policy for GP terms 1 and 2 are to be submitted along with adequate supporting evidence by no later than the final day of the registrars GPT2/PRRT2 term. Unclaimed amounts at the end of the registrars GPT/PRRT2 term will be forfeited.

• Claims under this policy for GP terms 3 and 4 are to be submitted along with adequate supporting evidence by no later than the final day of the registrars GPT4/PRRT4 term. Unclaimed amounts at the end of the registrars GPT/PRRT4 term will be forfeited.

• GPTQ reserves the right to request additional information from the registrar should insufficient evidence not satisfy the above terms and conditions.

• GP Registrars who do not commence their training in a rural location but choose to relocate and undertake placement in a more rural location at a later point during training may be entitled to reimbursement support on application to GPTQ. This eligibility is discretionary to GPTQ and subject to availability of funds. GP Registrars may submit a letter of request for consideration of payment of financial entitlements for rural placements that are outside of the placements outlined in this policy.

• Entitlements for registrars wishing to undertake rural placement later in their training will be available but limited to a maximum of half of the usual GPT/PRR1/2 entitlement.

• GP registrars who are employed in concurrent placements across multiple facilities during the same terms will be eligible to one entitlement only. This will be in the practice/facility location that attracts the entitlement with the largest reimbursement amount.

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Appendix 1 – Rural Registrar Reimbursement Cost Examples

Rural Registrars are eligible to receive reimbursements for amounts up to and including the allocations shown in Appendix 2.

Examples of claimable items and expenses are inclusive but not limited to the following:

Relocation expenses (including removalist fees, packing, and shipping)

Rental agreements

Bond Payments

Percentage of communications setup and monthly expenses (up to 50% phone/internet etc)

Mobile communication and electronic devices

Clinical equipment necessary for practice

Home services security deposits (e.g. electricity and water)

College and Professional membership costs (RACGP/ACRRM or specialist colleges)

Professional development costs (may be eligible for travel and accommodation costs also)

Conference registration costs (may be eligible for travel and accommodation costs also)

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Appendix 2 – Rural Registrar Financial Incentive Payment Table

General Practice Training (RACGP)/Primary Rural and Remote Training (ACRRM) term 1 eligibility amounts are calculated based on geographical distance of the rural practice to the referral centre for that location.

Geographical Distance from large referral centre GPT/PRR 1 Entitlement

<50km $0 50-100km or Island Location accessible only by water $1500

100-150km $4500

150-200km $7500 200+ km $10000

GPT/PRR term 3 payments are a fixed entitlement for all rural registrars.

Location/Region GPT/PRR 3 Entitlement Island accessible by car $1500 Scenic Rim $1500 Outer Ipswich $1500 $1500 Island accessible only by water $1500 Toowoomba Fringe $1500 Warwick and Stanthorpe Region $1500 Region $1500 Western Downs and Wambo Region $1500 $1500

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Practice Suburb Distance GP terms 1/2 GP terms 3/4 ISLAND Goodwin Drive Family Medical Centre BONGAREE <50 TBH $0 $1,500.00 Welsby Parade Medical Centre BONGAREE <50 TBH $0 $1,500.00 Banksia Beach Medical BANKSIA BEACH <50 TBH $0 $1,500.00 Stradbroke Island Medical Centre POINT LOOKOUT Island Ferry $1,500.00 $1,500.00 Yulu Burri Ba - Dunwich DUNWICH Island Ferry $1,500.00 $1,500.00 SCENIC RIM Canungra Valley Medical CANUNGRA <50 LGH $0 $1,500.00 Jimboomba Junction Family Practice JIMBOOMBA <50 LGH $0 $1,500.00 Jimboomba Medical Centre JIMBOOMBA <50 LGH $0 $1,500.00 Jimboomba Pharmacy Medical Centre JIMBOOMBA <50 LGH $0 $1,500.00 Beaudesert Family Practice BEAUDESERT <50 LGH $0 $1,500.00 Beaudesert Hospital BEAUDESERT <50 LGH $0 $1,500.00 Beaudesert Medical Centre BEAUDESERT <50 LGH $0 $1,500.00 Doctors @ Beaudesert BEAUDESERT <50 LGH $0 $1,500.00 OUTER IPSWICH Health Matters Fernvale FERNVALE <50IPSWICH $0 $1,500.00 Stellar Medical - Fernvale FERNVALE <50IPSWICH $0 $1,500.00 Boonah Medical Centre BOONAH <50IPSWICH $0 $1,500.00 Stellar Medical - Lowood LOWOOD <50IPSWICH $0 $1,500.00 Somerset Medical ESK <50IPSWICH $0 $1,500.00 The Lockyer Doctors - Rosewood ROSEWOOD <50IPSWICH $0 $1,500.00 Kambu Laidley LAIDLEY <50IPSWICH $0 $1,500.00 Laidley Family Doctors LAIDLEY <50IPSWICH $0 $1,500.00 The Lockyer Doctors - Laidley LAIDLEY <50IPSWICH $0 $1,500.00 The Lockyer Doctors - Plainland PLAINLAND <50IPSWICH $0 $1,500.00 Family Health Clinic GATTON <50IPSWICH $0 $1,500.00 Gatton Medical Centre GATTON <50IPSWICH $0 $1,500.00 The Lockyer Doctors - Gatton GATTON <50IPSWICH $0 $1,500.00 Woodford Doctors WOODFORD 50-100 RBWH $1,500.00 $1,500.00 Kilcoy General Practice KILCOY 50-100 RBWH $1,500.00 $1,500.00 Kilcoy Medical Centre KILCOY 50-100 RBWH $1,500.00 $1,500.00 Blackbutt Medical Centre BLACKBUTT 100-150 TBH $4,500.00 $1,500.00

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Practice Suburb Distance GP terms 1/2 GP terms 3/4 7 Springs Medical Services TOOWOOMBA <50 TBH $0 $1,500.00 Carbal Medical Centre - TWB TOOWOOMBA <50 TBH $0 $1,500.00 Drayton Medical Centre DRAYTON <50 TBH $0 $1,500.00 Eastside Health on Mary TOOWOOMBA <50 TBH $0 $1,500.00 Goolburri Aboriginal Health Advancement TOOWOOMBA <50 TBH $0 $1,500.00 GPs on Curzon EAST TOOWOOMBA <50 TBH $0 $1,500.00 Grand Central Medical Centre TOOWOOMBA <50 TBH $0 $1,500.00 Iona Medical Centre TOOWOOMBA <50 TBH $0 $1,500.00 James Neil Medical TOOWOOMBA <50 TBH $0 $1,500.00 Lindsay Street Medical Centre TOOWOOMBA <50 TBH $0 $1,500.00 Mary Street Family Practice TOOWOOMBA <50 TBH $0 $1,500.00 Middle Ridge Family Practice TOOWOOMBA <50 TBH $0 $1,500.00 Northpoint Medical Centre TOOWOOMBA <50 TBH $0 $1,500.00 Platinum on North Medical Centre TOOWOOMBA <50 TBH $0 $1,500.00 Rangeside Medical Centre TOOWOOMBA <50 TBH $0 $1,500.00 St Andrew's Toowoomba Medical Centre TOOWOOMBA <50 TBH $0 $1,500.00 The Range Medical Centre TOOWOOMBA <50 TBH $0 $1,500.00 Toowoomba Medical & Dental Centre TOOWOOMBA <50 TBH $0 $1,500.00 Toowoomba Medical Centre TOOWOOMBA <50 TBH $0 $1,500.00 Westbrook Family Medical WESTBROOK <50 TBH $0 $1,500.00 Westridge Medical Centre TOOWOOMBA <50 TBH $0 $1,500.00 Wilsonton Medical Centre WILSONTON <50 TBH $0 $1,500.00 Wt Med - the Doctors on Erin Street WILSONTON <50 TBH $0 $1,500.00 Wyalla Medical Centre TOOWOOMBA <50 TBH $0 $1,500.00 Highfields & District Medical Centre HIGHFIELDS <50 TBH $0 $1,500.00 Village Medical Centre HIGHFIELDS <50 TBH $0 $1,500.00 Kingsthorpe Medical Centre KINGSTHORPE <50 TBH $0 $1,500.00 Withcott Medical Centre WITHCOTT <50 TBH $0 $1,500.00 TOOWOOMBA FRINGE Pittsworth Platinum Medical Centre PITTSWORTH <50 TBH $0 $1,500.00 Clifton Medical Practice CLIFTON <50 TBH $0 $1,500.00 Crows Nest Medical Centre CROWS NEST <50 TBH $0 $1,500.00 Ochre Medical Centre OAKEY <50 TBH $0 $1,500.00 Oakey Health Service OAKEY <50 TBH $0 $1,500.00 Millmerran Multipurpose Health Service MILLMERRAN 50-100 TBH $1500.00 $1,500.00 Millmerran Medical Centre MILLMERRAN 50-100 TBH $1,500.00 $1,500.00 Allora Medical Practice ALLORA 50-100 TBH $1,500.00 $1,500.00

WARWICK AND STANTHORPE Condamine Medical Centre WARWICK 50-100 TBH $1,500.00 $1,500.00 The Locke Street Clinic WARWICK 50-100 TBH $1,500.00 $1,500.00 Warwick Health Service WARWICK 50-100 TBH $1,500.00 $1,500.00 Medical Services STANTHORPE 100-150 TBH $4,500.00 $1,500.00 MyFamily Medical STANTHORPE 100-150 TBH $4,500.00 $1,500.00 Southern Downs Medical STANTHORPE 100-150 TBH $4,500.00 $1,500.00 Stanthorpe Health Service STANTHORPE 100-150 TBH $4,500.00 $1,500.00

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Practice Suburb Distance GP terms 1/2 GP terms 3/4 Inglewood Medical Centre INGLEWOOD 150-200 TBH $7,500.00 $1,500.00 Goondiwindi Health Service GOONDIWINDI 200+ TBH $10,000.00 $1,500.00 Goondiwindi Medical Centre GOONDIWINDI 200+ TBH $10,000.00 $1,500.00 WESTERN DOWNS AND WAMBO SHIRE Dalby Health Service DALBY 50-100 TBH $1,500.00 $1,500.00 Goondir Health Services - Dalby DALBY 50-100 TBH $1,500.00 $1,500.00 Myall Medical Practice DALBY 50-100 TBH $1,500.00 $1,500.00 Hospital JANDOWAE 150-200 TBH $7,500.00 $1,500.00 Wambo Medical JANDOWAE 150-200 TBH $7,500.00 $1,500.00 Chinchilla Hospital CHINCHILLA 150-200 TBH $7,500.00 $1,500.00 Chinchilla Medical Practice CHINCHILLA 150-200 TBH $7,500.00 $1,500.00 Tara Medical Centre TARA 150-200 TBH $7,500.00 $1,500.00 Taroom Medical Centre TAROOM 200+ TBH $10,000.00 $1,500.00 SOUTH BURNETT Bunya Pines Family Practice KINGAROY 150-200 TBH $7,500.00 $1,500.00 Kingaroy Health Service KINGAROY 150-200 TBH $7,500.00 $1,500.00 Markwell Medical KINGAROY 150-200 TBH $7,500.00 $1,500.00 South Burnett Medical Centre KINGAROY 150-200 TBH $7,500.00 $1,500.00 Taabinga Family Practice KINGAROY 150-200 TBH $7,500.00 $1,500.00 Murgon Family Medical Practice + Wondai FMP MURGON 200+ TBH $10,000.00 $1,500.00 Cherbourg Health Service CHERBOURG 200+ TBH $10,000.00 $1,500.00

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