General Practice Training Program Annual Report 2019 - 2020

jcuGP.edu.au Making Rural Health Matter At JCU, we acknowledge the Australian Aboriginal and Torres Strait Islander peoples as the Traditional Owners of the lands and waters where we operate our business. We pay our respects to ancestors and Elders, past, present and future. JCU is committed to honouring Australian Aboriginal and Torres Strait Islander peoples’ unique cultural and spiritual relationships to the land, waters and seas and their rich contribution to the University and society.

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Message from the Dean...... 4 Message from the Director...... 5 About us Our strategy...... 8 Chair’s report 2020...... 9 JCU GP training program...... 10 From undergraduate to general practice...... 13 Our training network...... 16 About our training regions...... 17 Our impact GP training fellowship outcomes...... 22 Having it all...... 23 A focus on Aboriginal and Torres Strait Islander health...... 24 A home away from home...... 25 Building capacity in the rural south...... 26 The long way home...... 27 Community impact: rural and remote workforce pilot program...... 29 Our training year GP training program snapshot 2020...... 32 Aboriginal and Torres Strait Islander health statistics 2019-20...... 32 Where JCU GP registrars are placed...... 33 COVID-19 response...... 34 Supporting communities during the COVID-19 pandemic...... 37 Collaborative partnerships leading to enhanced training opportunities...... 39 Registrar support...... 40 Giving back to the next generation of Aboriginal and Torres Strait Islander doctors...... 41 Teaching tomorrow’s GPs today...... 42 Investing in GP supervisors...... 44 Supervisor statistics...... 45 Our future GPs in safe hands...... 46 Celebrating success: From the Torres Strait to the hallowed halls of Harvard...... 53 Glossary ...... 55 Contacts ...... 55 “Our view is that the single most important priority in national medical workforce reform is to build a substantial pipeline of domestic medical graduates who willingly pursue remote and regional careers in general practice, rural generalist medicine and consultant medical practice.” Professor Richard Murray Dean, JCU College of Medicine and Dentistry

Message from the Dean

James Cook University (JCU) is committed to delivering the school graduates is not keeping pace with population, with growth health workforce that remote, regional and Indigenous Australian in stock running at only 1.4% per annum. While there are many communities need, in northern Australia and beyond. JCU is factors at play, the structure of the legacy Australian General Practice Australia’s most successful university in producing medical graduates Training Program (AGPT) and its interaction with international and qualified general practitioners (GPs) who go on to work in rural medical labour policy are key factors. locations. Worldwide, we are one of a small number of universities Our internationally trained medical colleagues and friends continue that are achieving such results. to provide important service to communities. That said, there is JCU is also the only example in Australia of ‘end-to-end’ delivery no logic in Australia continuing to rely on overseas labour as in the of regional medical education and training that extends from entry same way that it has in the past. With the COVID-19 pandemic, the to medical school through to a career in general practice (including practicality and the ethics of Australia continuing to import doctors rural generalist medicine). We are also strongly engaged in building from overseas for rural service are even more questionable. up regionally-based specialist training pathways to regional Our view is that the single most important priority in national medical consultant practice. workforce reform is to build a substantial pipeline of domestic medical Why is this important? Australia remains heavily reliant on bringing graduates who willingly pursue remote and regional careers in general in doctors from overseas to plug gaps in rural and underserved practice, rural generalist medicine and consultant medical practice. areas. Despite graduating around 3,700 doctors annually from This is why the JCU experience of joined up, regional medical school its 21 medical schools, Australia imports another 2,000-3,000 and GP training is especially relevant. With the future Australian internationally qualified medical colleagues each year to help sustain Government investments into GP training and broader medical medical services, notably in rural general practice. workforce under review, our results are there to see, the evidence is Many international medical graduates (IMGs) who start off providing clear and there’s much from which others might learn. much needed care in rural locations, relocate to the city once their I’d like to thank all of those who continue to make the JCU medical rural obligation ends. As a result, most (though not all) end up and GP training story such an outstanding success – educators, practising in major cities. Ironically, given the purpose of international supervisors, academic administrators, technical staff, community recruitment, 79% of the net increase in IMG numbers each year is supporters and of course our graduates and GP trainees. Together, we in urban locations. This makes no policy sense, especially given that are making regional and remote GP practice an exciting and fulfilling the number of doctors in Australia passed an all-time high of 3.9 per career option for our future doctors, thereby helping to assure 1000 population in 2019 (4.3 per 1000 in the city) and is continuing communities of access to the care that they deserve. to grow at 4% per annum. The picture for Australia’s general practice workforce is similar. 77% Professor Richard Murray of around 665 additional GP Fellows in practise each year are IMGs. Dean, JCU College of Medicine and Dentistry The stock of city GPs grows by 444 per year, of whom 90% are IMGs. Meanwhile, the number of GP Fellows who are domestic medical

4 | JCU GP Training Program Annual Report 2019-20 Message from the Director

What a year to try to summarise in a few paragraphs. An innovation in 2019, the innovative Advanced Training Practice network is now well established and will be expanded in 2021. These There are some adjectives and phrases that have been worn out training posts provide additional supervisory support for registrars recently including ‘unprecedented’, ‘extraordinary’, ‘new normal’ and whose progression through the training program may be at risk. ‘pivot’. And there is a new acronym in common use: WFH (Working from home). The adjectives that I believe are applicable to describe Another noteworthy development was the JCU webinar series, which the response of supervisors, training post staff, registrars and of reached several thousand colleagues within Queensland and beyond. course JCU GP training staff to the evolving impact of the pandemic Starting with “Coronaviruses for Dummies” the series provided are endurance, effective, collaborative and remarkable. interactive opportunities for expertise and information to be shared and discussed. The series is detailed on page 35. There are so many exemplars attesting to this. Colleagues who rapidly prepared their GP practices to manage potentially infected Thanking everyone for their support in delivering the training patients as well as to ensure the safety of staff and registrars; the program is always a key part of this report. This year it is more (sometimes seemingly endless) after hours activities to keep updated important than ever to acknowledge the ongoing effort of all the on emerging events and evidence; the training program changing participants and staff in the program, and to sincerely thank you all. education delivery to an online format in a matter of weeks – these are just a few illustrations of the work that was done to continue Associate Professor Peta-Ann Teague deliveri