- The need for greater clinical training capacity and better support for supervisors was a consistent theme.
- More training places for GPs are needed.
- Despite policy support for training more generalists and initiatives to sustain skills, the trend continues towards sub-specialisation, diminishing practice scope among GPs and loss of generalist specialists.
- Many junior doctors will leave a rural community disenchanted with rural practice due to a lack of infrastructure, resources and supervision.
- Work pressure continues to increase.
- Existing incentives do not encourage older doctors to remain in the workforce.
- Problems still exist in attracting and retaining GPs.
Overseas trained doctors
- There are ongoing issues of isolation as overseas trained doctors (OTDs) must live away from their support structures.
- OTDs are often ineligible for training programs that Australian-trained doctors have access to and they receive little support to prepare for and pass registration exams.
- OTDs are often placed in highly challenging work environments with little or no orientation
- While the vast majority of OTDs are highly skilled, there is significant potential for OTDs with insufficient skills to slip through the net.
- There are not enough training positions.
- There is professional isolation and lack of support for specialists in rural areas.
- The population base of some rural and regional areas is not large enough to sustain some specialty services and infrastructure to support some specialist services is often inadequate or lacking.
- There are barriers and administrative issues with Australian Government funded programs being effectively used to ensure specialists reach rural and remote areas.
- Specialists that deliver services to rural and remote areas often do this at considerable personal cost of time and effort.