Rural generalist support programs: Frequently asked questions about skills maintenance and transition to independent practice

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What is the Skills Maintenance and Transition to Independent Practice Program?

This program provides support to doctors over two stages of their training journey the first to maintain procedural skills while completing their GP training and the second for newly qualified Rural Generalists as they move from training into independent clinical practice. The program provides structured support during the early years to assist participants in building confidence, consolidating skills, and developing sustainable rural careers.

The program has been developed as a 3-year pilot commencing in 2026 to support RG Trainees and RGs with advanced skills in Obstetrics or Anaesthetics.

Who is the program targeted at?

The program supports two groups of doctors:

Group A – Skills Maintenance Program

Rural Generalist trainees who have completed Advanced Skills Training (AST) in Obstetrics or Anaesthetics and are completing GP Fellowship training in general practice.

Group B – Transition to Independent Practice Program

Recently fellowed Rural Generalists with advanced skills in Obstetrics or Anaesthetics who are commencing independent procedural practice in rural NSW.

Why has the program been developed?

Maintaining procedural skills during fellowship training and transitioning into independent procedural practice can be challenging, particularly in smaller rural and remote communities.

The program has been developed to:

  • Support safe and sustainable procedural practice.
  • Maintain clinical skills during fellowship training.
  • Build confidence in newly qualified Rural Generalists.
  • Improve recruitment and retention of Rural Generalists in rural NSW.
  • Support continued access to procedural services in rural communities.

Which advanced skills are included in the pilot?

The initial pilot focuses on Rural Generalists and Rural Generalist Trainees with advanced skills in:

  • Anaesthetics
  • Obstetrics

Who is eligible for the Skills Maintenance Program?

To be eligible, applicants must:

  • Be a rural generalist trainee enrolled in an accredited GP training program through RACGP or ACRRM.
  • Have completed Advanced Skills Training in Obstetrics or Anaesthetics.
  • Be working in general practice.
  • Be engaged by a NSW public health facility, preferably in an MMM 4–7 location.
  • MMM2-3 locations will be conserved on a case-by-case basis
  • Have support from the GP college that the proposed activities under this program will align with training requirements under the college program

Who is eligible for the Transition to Independent Practice Program?

To be eligible, applicants must:

  • Hold Fellowship with RACGP or ACRRM.
  • Have completed advanced procedural training in Obstetrics or Anaesthetics.
  • Be commencing their first specialist Rural Generalist role using those advanced procedural skills.
  • Be employed in a NSW Health facility MMM 4–7 location.

Can a doctor participate in the Skills Maintenance and Transition to Independent Practice.

Yes, if a doctor has completed the Skills Maintenance and is eligible for the Transition to Independent practice, the LHD is able to submit an application for continued support.

What activities may be included for doctors who have completed advanced skills in anaesthetics?

The Program provides funding to the LHD to allow 2 doctors to undertake the same activity at the same time (i.e. trainee and supervisor, or RG and a mentor).

Examples include:

  • Elective surgery lists
  • On-call sessions
  • Mentoring sessions
  • Other focussed education and training opportunities as determined by the LHD

Support is available for up to 12 months.

For the skills maintenance program the activities should be consistent throughout the program as the trainees require ongoing maintenance activities. As confidence, skills and independence are the level of supervision may change over the course of the 12 months.

For RGs, the activities are expected to be greatest at the commencement of the program, when participants may require more frequent procedural exposure and mentorship with support being gradually reduced to independent practice.

The level of support will be tailored to the individual trainee or RG. The exact mix, timing and volume of activities will be determined by the Local Health District, supervising clinicians and college training requirements to meet the individual participants needs.

What activities may be included for doctors who have completed advanced skills in obstetrics?

The Program provides funding to the LHD to allow 2 doctors to undertake the same activity at the same time (i.e. trainee and supervisor, or RG and a mentor).

Examples include:

  • Caesarean section surgery lists
  • Delivery suite sessions
  • On-call sessions
  • Mentoring sessions
  • Other focussed education and training opportunities as determined by the LHD
  • For the skills maintenance program the activities should be consistent throughout the program as the trainees require ongoing maintenance activities. As confidence, skills and independence are the level of supervision may change over the course of the 12 months.
  • For RGs, the activities are expected to be greatest at the commencement of the program, when participants may require more frequent procedural exposure and mentorship with support being gradually reduced to independent practice.
  • The level of support will be tailored to the individual trainee or RG. The exact mix, timing and volume of activities will be determined by the Local Health District, supervising clinicians and college training requirements to meet the individual participants needs.

How long can a trainee/RG receive support?

Funding is available for up to 12 months

Part-time trainees may undertake the program over a longer period, with funding adjusted on a pro-rata basis.

Is funding available?

Yes. Funding of up to $100,000 per full-time equivalent participant is available for both program streams for up to 12 months.

Funding is provided to participating Local Health Districts to support supervision, mentoring, procedural opportunities and other approved program activities.

Do participants receive funding directly?

No. Funding is provided to Local Health Districts to support program delivery.

How do local health districts (LHDs) participate?

LHDs apply through an annual Expression of Interest process administered by the NSW Ministry of Health.

How will local health districts (LHDs) use the program funding?

Funding is provided to participating LHDs to support the delivery of structured supervision, mentoring and procedural training opportunities for Rural Generalist (RG) trainees and recently fellowed RGs.

This includes supporting situations where both the supervisor/mentor and the trainee/RG are involved in the same clinical activity or procedure at the same time.

The funding may be used to:

  • Provide dedicated supervision and mentoring time for specialist clinicians.
  • Support procedural training and skills maintenance activities.
  • Enable supervisors and mentors to participate in operating theatre lists, delivery suite sessions, on-call activities and other clinical learning opportunities alongside the RG.

This funding under this program allows two clinicians to be involved in the same procedure or clinical activity at the same time, which may not otherwise be possible under current funding arrangements.

Will local health districts (LHDs) be required to report on how the funding has been used?

Yes. Participating LHDs will be required to provide reporting information to support program monitoring and evaluation.

Reporting requirements will be designed to be proportionate and not overly burdensome. LHDs will be asked to provide information on the delivery of the program, including:

  • The volume and type of procedural, clinical, supervision and mentoring activities undertaken.
  • The duration of support provided to each participant.
  • How the funding was utilised
  • Any implementation issues, challenges or successes.  

This information will help NSW Ministry of Health understand how the program is being delivered across different settings and inform the evaluation of the pilot and future program design.

When do applications open?

Expressions of Interest are submitted annually.

For the 2027 clinical year, applications will open in Sept/Oct 2026.

How will the program be evaluated?

The NSW Ministry of Health will evaluate the pilot over its three-year duration.

Evaluation activities may include:

  • Surveys of participants.
  • Feedback from supervisors and mentors.
  • Interviews with participating Rural Generalists and Rural Generalist Trainees.
  • Feedback from Local Health Districts.

Findings will help inform future workforce support programs.

Who is the contact for more information?

Further information about eligibility and the application process please contact the NSW Ministry of Health Medical Workforce team on MOH-MedicalWorkforce@health.nsw.gov.au .

Current as at: Thursday 18 June 2026