Amongst the greatest concerns of the prospective rural general practitioner is the potential for encountering acute emergencies or covering medical services without specialist support on-site.
As a fully trained general practitioner, each Fellowship applicant has the skills necessary to deliver generic rural general practice, but confidence with the challenges of acute pre-hospital medicine/trauma/surgery may be daunting and the ability to gain further experience in these extended roles may be quite limited in the current provision of medical training.
As a hospital based acute care fellow, you will experience frequent exposure to patients with acute conditions and manage the first few hours of acute illness and injury in a supportive environment with hands-on involvement and responsibility to allow skills and confidence in managing such cases to evolve at a rapid rate. The acute competencies have been scoped against the specific needs of the Remote & Rural General Practitioner recognising that in real life there may be the requirement to perform some relatively uncommon interventions of a time-dependent nature. For example, this might be thrombolysis for myocardial infarction or stroke, or the insertion of a chest drain amongst many others.
This is an exciting development in training developed by NES and the Remote and Rural Fellowship programme, now extended to include rural general practices in Moray and a rural District General Hospital – Dr Gray’s Hospital in Elgin.
Photo courtesy of Robert Linsdell under Creative Commons licence