Griffith Health, Griffith University, Parklands Drive, Southport, Qld 4125, Australia. Email:
Aust Health Rev. 2020 Apr;44(2):254-257. doi: 10.1071/AH18027.
This study evaluated a program arising from the Commonwealth policy of regionalised training for general practice with regard to the outcomes for the region investing in the training program. A complete operational audit was performed of the outcomes of a training provider of the Commonwealth program, evaluating workforce contribution and retention in the region during and after training, stratified for the effects of locally contextualising, advanced skill training and origin of trainee. The local regional workforce contribution during training peaked at 130 full-time equivalents in 2015. Cumulatively, 53% of alumni remained in the region, but over 40% moved to practice in metropolitan south-east Queensland and other Australian capital cities. Local contextualising of training, completing additional advanced skills training and being an Australian graduate were associated with increased retention in the region. A regional training program is a significant local asset introducing potential general practitioners (GPs) to the region. However, this regional area has become a 'rural' training ground for GPs into metropolitan practice rather than local investment translating as comprehensively as possible into long-term local workforce. The Commonwealth program should focus on local workforce outcomes as an evaluation metric rather than the proportion of trainees in rural training.
本研究评估了英联邦地区化培训政策下的全科医学培训计划，考察了该地区对培训计划投资的结果。对英联邦项目培训提供者的成果进行了全面的运营审计，评估了培训期间和培训后的劳动力在该地区的贡献和留存情况，并按本地化、高级技能培训和受训者来源进行分层。2015 年，培训期间当地区域劳动力贡献达到顶峰，达到 130 个全职当量。累计有 53%的校友留在该地区，但超过 40%的人转移到昆士兰东南部大都市和其他澳大利亚首府城市工作。培训的本地化、完成额外的高级技能培训和作为澳大利亚毕业生与该地区的更高保留率相关。区域培训计划是一项重要的本地资产，为该地区引入了潜在的全科医生。然而，该地区已经成为大都市执业的全科医生的“农村”培训基地，而不是尽可能全面地转化为长期的本地劳动力。英联邦计划应将本地劳动力成果作为评估指标，而不是农村培训中受训者的比例。
