Discipline of General Practice, University of Adelaide, Adelaide, SA. caroline.laurenceATadelaide.edu.au
Med J Aust. 2011 Jun 6;194(11):S92-6. doi: 10.5694/j.1326-5377.2011.tb03137.x.
The 1998 Ministerial Review of General Practice Training identified several areas for improvement that led to major changes in the provision of general practice training, including the establishment of General Practice Education and Training (GPET) and the regionalisation of training. The regionalised training business model has been in place for nearly 10 years, and several key organisations have been involved in its evolution, including the Australian Government, speciality colleges, GPET and regionalised training providers. Both the college-focused and regionalised-focused models have had some successes. These include recognition and support of general practice as a vocational specialty, increased numbers of junior doctors undertaking placements in general practice, and increased numbers of registrars training in rural areas. This period has also seen changes in the governance and decision-making processes with creation of a new framework that is inclusive of all the key players in the new regionalised training system. The future holds challenges for the regionalised training business model as the general practice education and training landscape becomes more complex. The framework in the current model will provide a base to help meet these challenges and allow for further sustainable expansion.
1998 年，对全科医学培训的部长级审查确定了几个需要改进的领域，这些改进导致了全科医学培训的重大变革，包括建立全科医学教育和培训 (GPET) 以及培训的区域化。这种区域化的培训商业模式已经存在了近 10 年，几个关键组织参与了它的发展，包括澳大利亚政府、专业学院、GPET 和区域化培训提供商。以学院为重点和以区域化为重点的模式都取得了一些成功。其中包括承认和支持将全科医学作为一种职业专业、越来越多的初级医生在全科医学领域实习、以及越来越多的住院医师在农村地区接受培训。这一时期也见证了治理和决策过程的变化，创建了一个新的框架，将新的区域化培训系统中的所有主要参与者都包括在内。随着全科医学教育和培训领域变得更加复杂，区域化培训商业模式未来将面临挑战。当前模式中的框架将为应对这些挑战提供一个基础，并允许进一步的可持续扩张。
